German Centre of Gerontology, Berlin, Germany.
J Gerontol B Psychol Sci Soc Sci. 2023 Oct 9;78(10):1668-1675. doi: 10.1093/geronb/gbad099.
From a theoretical point of view, older adults may not necessarily face a greater risk of becoming lonely than middle-aged adults but are more likely at a disadvantage in fighting loneliness. Therefore, in this study, we differentiate between the risk of becoming lonely and the risk of remaining lonely.
A large longitudinal data set representative of the German noninstitutionalized population from 40 to 85 years of age (N = 15,408; 49% female participants) was used in the analysis. Lagged logistic regression models were estimated to investigate the effect of earlier experiences of severe loneliness on the risk of being lonely after three years across middle age and late adulthood. Individual differences in health, views on aging, and social activities were taken into account to explore their role in age differences in the risk of remaining lonely.
The analysis revealed marginal age differences in the risk of becoming lonely but a marked age gradient regarding the risk of remaining lonely. Lonely older adults who were older than 75 years of age were more likely to remain lonely after three years than lonely middle-aged adults. Controlling for individual differences in health, views on aging as social loss, and social activities accounted for this age difference.
Interventions against loneliness may prioritize older age groups because losses in capacities, shifts in motivations, and a degraded opportunity structure render it increasingly less likely that older adults leave a state of loneliness on their own accord.
从理论上讲,老年人不一定比中年人更容易感到孤独,但他们在克服孤独感方面可能处于劣势。因此,在这项研究中,我们将孤独的风险和持续孤独的风险区分开来。
本研究使用了一个具有代表性的、涵盖 40 至 85 岁德国非机构化人群的大型纵向数据集(N=15408;49%为女性参与者)。采用滞后逻辑回归模型来研究中年和老年早期严重孤独经历对三年后孤独风险的影响。考虑到健康、老龄化观念和社会活动等个体差异,探讨了它们在不同年龄段持续孤独风险差异中的作用。
分析结果显示,孤独的风险存在微小的年龄差异,但在持续孤独的风险方面存在明显的年龄梯度。与中年孤独者相比,75 岁以上的老年孤独者在三年后更有可能继续孤独。控制健康、社会损失观念等个体差异以及社会活动,可解释这种年龄差异。
针对孤独的干预措施可能会优先考虑老年群体,因为能力的丧失、动机的转变以及机会结构的恶化,使得老年人更不可能自行摆脱孤独状态。