Chen Meiqian, Cao Xiang, Wang Afeng, Zhu Yi, Lu Guanzhen, Zhang Li, Shen Lijuan
Department of Scientific Research, Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, 1558 Sanhuan North Road, Huzhou, Zhejiang, 313000, China; School of Medicine and Nursing, Huzhou University,759 Erhuan East Road, Huzhou, Zhejiang, 313000, China.
School of Medicine and Nursing, Huzhou University,759 Erhuan East Road, Huzhou, Zhejiang, 313000, China.
Arch Gerontol Geriatr. 2024 Jan;116:105211. doi: 10.1016/j.archger.2023.105211. Epub 2023 Sep 28.
Older people's physical and mental health are now significantly impacted by social isolation, a major threat to public health. Our goal was to identify the connections between risk factors and social isolation among this population across various geographic areas.
Seven databases were thoroughly searched, from their inception until April 2023. Inclusion and exclusion criteria were used to choose the studies. For the included cross-sectional studies, we used the Agency for Healthcare Research and Quality (AHRQ) to assess the probability of bias, and the Newcastle-Ottawa scale for the cohort studies. The statistical analysis was performed using STATA 15 to calculate pooled odds ratios (OR) and 95% CI.
All 3043 papers were carefully examined, and 42 satisfied the criteria for inclusion. The results indicated that multi-domain risk factors and social isolation among older persons worldwide are significantly correlated. These multi-domain risk factors included biological factors, socioeconomic factors, and psychological and behavioral factors. It is also important to note that these factors may vary from region to region.
Many domain factors were linked to social isolation in older individuals living in communities throughout the world. To develop effective strategies for controlling social isolation, it is crucial to conduct assessments of social isolation risk factors in local communities.
社会隔离对老年人的身心健康产生了重大影响，已成为公共卫生的一大威胁。我们的目标是确定不同地理区域的老年人群中风险因素与社会隔离之间的联系。
对七个数据库进行了全面检索，时间跨度从建库至2023年4月。采用纳入和排除标准筛选研究。对于纳入的横断面研究，我们使用医疗保健研究与质量局（AHRQ）评估偏倚概率，对于队列研究则使用纽卡斯尔-渥太华量表。使用STATA 15进行统计分析，计算合并比值比（OR）和95%置信区间。
共仔细审查了3043篇论文，其中42篇符合纳入标准。结果表明，全球老年人的多领域风险因素与社会隔离显著相关。这些多领域风险因素包括生物学因素、社会经济因素以及心理和行为因素。还需注意的是，这些因素可能因地区而异。
世界各国社区老年人的社会隔离与许多领域因素相关。为制定控制社会隔离的有效策略，对当地社区的社会隔离风险因素进行评估至关重要。
