Department of Social Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Department of Social Epidemiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
J Med Internet Res. 2023 Jul 11;25:e45338. doi: 10.2196/45338.
BACKGROUND: Although remote communication technologies have been widely used to maintain connections with others against interpersonal contact restrictions and exacerbated loneliness during the COVID-19 pandemic, it is unclear whether and what types of remote communication technologies are effective in mitigating loneliness. OBJECTIVE: This study aimed to investigate the association between remote communication and loneliness when face-to-face meetings with others were strongly prohibited and whether this association varied across types of communication tools, age, and gender. METHODS: We used cross-sectional data from the Japan COVID-19 and Society Internet Survey conducted from August to September 2020. From registered panelists of the research agency, 28,000 randomly sampled participants completed the survey on the website. We created 2 study cohorts who stopped meeting with family members living apart and friends during the pandemic. We categorized whether participants had technology-based remote communication (voice calling, text messaging, and video calling) with family and friends. Loneliness was assessed using the 3-item University of California, Los Angeles Loneliness Scale. We used a modified Poisson regression model to investigate the association between loneliness and remote communication with family members living apart or friends. We also conducted subgroup analyses based on age and gender. RESULTS: A total of 4483 participants stopped meeting with family members living apart, and 6783 participants stopped meeting with friends during the COVID-19 pandemic. Remote communication with family members living apart did not show an association with loneliness, whereas remote communication with friends was associated with a low prevalence of loneliness (family: adjusted prevalence ratio [aPR]=0.89, 95% CI 0.74-1.08; P=.24 and friends: aPR=0.82, 95% CI 0.73-0.91; P<.001). From analyses by tools, voice calling was associated with low loneliness (family: aPR=0.88, 95% CI 0.78-0.98; P=.03 and friends: aPR=0.87, 95% CI 0.80-0.95; P=.003). Similarly, text messaging was associated with low loneliness (family: aPR=0.82, 95% CI 0.69-0.97; P=.02 and friends: aPR=0.81, 95% CI 0.73-0.89; P<.001). However, we did not find an association between video calling and loneliness (family: aPR=0.88, 95% CI 0.75-1.02; P=.09 and friends: aPR=0.94, 95% CI 0.85-1.04; P=.25). Text messaging with friends was associated with low loneliness regardless of age, whereas voice calling with family or friends was associated with low loneliness only among participants aged ≥65 years. An association between remote communication with friends and low loneliness was found regardless of the type of remote communication tool among men, whereas it was found only for text messaging with friends among women. CONCLUSIONS: In this cross-sectional study of adults in Japan, remote communication, especially via voice calling and text messaging, was associated with low loneliness. Promoting remote communication may reduce loneliness when face-to-face contact is restricted, which should be the subject of future research.
背景:尽管远程通信技术已被广泛用于在新冠疫情期间保持与他人的联系,以应对人际接触限制和加剧的孤独感,但目前尚不清楚远程通信技术是否以及何种类型可以有效缓解孤独感。
目的:本研究旨在探讨在强烈禁止与他人面对面接触的情况下,远程通信与孤独感之间的关系,以及这种关系是否因沟通工具的类型、年龄和性别而有所不同。
方法:我们使用了 2020 年 8 月至 9 月期间进行的日本新冠疫情与社会互联网调查的横断面数据。在研究机构的注册参与者中,随机抽取了 28000 名参与者在网站上完成了调查。我们创建了 2 个研究队列,这些队列在疫情期间停止与居住在不同地方的家庭成员和朋友见面。我们将是否使用基于技术的远程通信(语音通话、短信和视频通话)与家人和朋友进行分类。使用加利福尼亚大学洛杉矶分校孤独感量表的 3 项评估孤独感。我们使用修正后的泊松回归模型调查了与居住在不同地方的家庭成员或朋友进行远程通信与孤独感之间的关联。我们还根据年龄和性别进行了亚组分析。
结果:共有 4483 名参与者停止与居住在不同地方的家庭成员见面,6783 名参与者停止与朋友见面。与居住在不同地方的家庭成员进行远程通信与孤独感之间没有关联,而与朋友进行远程通信与孤独感较低有关(家庭:调整后患病率比[aPR]=0.89,95%CI 0.74-1.08;P=.24 和朋友:aPR=0.82,95%CI 0.73-0.91;P<.001)。从工具分析来看,语音通话与孤独感较低有关(家庭:aPR=0.88,95%CI 0.78-0.98;P=.03 和朋友:aPR=0.87,95%CI 0.80-0.95;P=.003)。同样,短信也与孤独感较低有关(家庭:aPR=0.82,95%CI 0.69-0.97;P=.02 和朋友:aPR=0.81,95%CI 0.73-0.89;P<.001)。然而,我们没有发现视频通话与孤独感之间的关联(家庭:aPR=0.88,95%CI 0.75-1.02;P=.09 和朋友:aPR=0.94,95%CI 0.85-1.04;P=.25)。与朋友进行短信交流与孤独感较低有关,无论年龄大小,而与家人进行语音通话或视频通话与孤独感较低有关,仅在年龄≥65 岁的参与者中存在。在男性中,与朋友进行远程通信与孤独感较低有关,无论使用何种远程通信工具,而在女性中,只有与朋友进行短信交流与孤独感较低有关。
结论:在这项对日本成年人的横断面研究中,远程通信,特别是通过语音通话和短信进行的远程通信,与孤独感较低有关。在面对面接触受到限制的情况下,促进远程通信可能会降低孤独感,这应该是未来研究的主题。
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