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1984年至2019年挪威27032名老年人孤独感的时间趋势:一项HUNT研究。

Time trends in loneliness from 1984 to 2019 among 27,032 older adults in Norway: A HUNT study.

作者信息

Aunsmo Ragnhild Holmberg, Langballe Ellen Melbye, Hansen Thomas, Selbæk Geir, Strand Bjørn Heine

机构信息

Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway; Verdal municipality, Norway.

Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway; Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.

出版信息

Prev Med. 2023 Oct;175:107659. doi: 10.1016/j.ypmed.2023.107659. Epub 2023 Aug 9.

Abstract

The aging population and increasing evidence of the detrimental health impacts of loneliness emphasize the importance of studying and predicting changes in loneliness prevalence among older adults. To understand and project changes in loneliness over time, we examined 35-year trends in adults aged 70 and older, considering factors such as sex, age, and living situation. Cross-sectional data from 27,032 home-dwelling adults aged 70 years and older who participated in at least one of the four Norwegian HUNT surveys from 1984 to 2019, and Norwegian population data from Statistics Norway were used for the analyses. Loneliness was self-reported, and the prevalence of loneliness was standardized to the Norwegian population at the survey year by age and sex. The results showed that the prevalence of loneliness significantly decreased between each survey. The higher categories of loneliness (a good amount, very much) decreased, from 11.4% (1995-97), 6.7% (2006-08), and 5.8% (2017-19). Across surveys, loneliness was significantly more common among women, the oldest, and those living alone. The prevalence of loneliness among the oldest adults living alone increased from 2006 to 2019. The gradual decline in loneliness observed from 1995 to 2019 coincided with notable societal changes in Norway. We estimated that the number of older adults experiencing loneliness in Norway could rise from 184,000 in 2020 to 286,000 in 2035, and potentially reach 380,000 in 2050.

摘要

人口老龄化以及越来越多证据表明孤独对健康有不利影响,这凸显了研究和预测老年人孤独感患病率变化的重要性。为了解和预测孤独感随时间的变化,我们研究了70岁及以上成年人35年的趋势,考虑了性别、年龄和生活状况等因素。分析使用了1984年至2019年参加挪威四项HUNT调查中至少一项的27032名70岁及以上居家成年人的横断面数据,以及挪威统计局的人口数据。孤独感通过自我报告得出,孤独感患病率按调查年份的年龄和性别标准化为挪威人口数据。结果显示,每次调查之间孤独感患病率显著下降。较高程度的孤独感(相当多、非常多)从1995 - 1997年的11.4%、2006 - 2008年的6.7%和2017 - 2019年的5.8%有所下降。在各项调查中,女性、年龄最大者和独居者的孤独感明显更为常见。2006年至2019年,独居的最年长者的孤独感患病率有所上升。1995年至2019年观察到的孤独感逐渐下降与挪威显著的社会变化相吻合。我们估计,挪威经历孤独感的老年人数量可能从2020年的18.4万上升到2035年的28.6万,并可能在2050年达到38万。

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