Compernolle Ellen L, Finch Laura E, Hawkley Louise C, Cagney Kate A
NORC at the University of Chicago, USA.
NORC at the University of Chicago, USA.
Soc Sci Med. 2024 Apr;346:116744. doi: 10.1016/j.socscimed.2024.116744. Epub 2024 Mar 16.
Studies show that older adults were lonelier during versus before the COVID-19 pandemic. This may be due in part to guidelines particularly recommending that older adults stay at home, given their elevated risk of COVID-19 complications. However, little is known about the extent to which this population experienced greater intensity in momentary loneliness during versus before the pandemic, and how this relates to their real-time contexts. Here, we build upon recent findings from the Chicago Health and Activity Space in Real-Time (CHART) study that revealed associations between momentary contexts and loneliness among older adults. We analyze ecological momentary assessments (EMAs) from both pre- and during COVID-19 among a subsample of CHART respondents (N = 110 older adults age 65-88 in 2020). Pre-pandemic data were collected across three waves from April 2018-October 2019, and pandemic data were collected across three additional waves from June-September 2020. Participants responded to smartphone "pings" (five per day for 7 days per wave; N = 5,506 and N = 7,824 before and during the pandemic, respectively) by reporting their momentary loneliness and context (e.g., home). Findings from multi-level regression models suggest that respondents were lonelier in mid-2020 than in years prior, as well as when at home and alone; they were also more likely to be at home during the pandemic. However, the loneliness-inducing effects of being at home (vs. outside the home) and alone (vs. with others) were weaker during versus before COVID-19. Results provide important nuance to broader trends in loneliness among older adults during the pandemic. Specifically, older adults may have adopted new technologies to support social connectedness. It is also possible that, during a time in which social and physical distancing characterized public health guidelines, these contexts grew less isolating as they became a shared experience, or that publicly shared spaces provided fewer opportunities for social engagement.
研究表明,与新冠疫情之前相比,老年人在疫情期间更加孤独。部分原因可能是鉴于老年人感染新冠并发症的风险较高,相关指南特别建议他们居家隔离。然而,对于这一人群在疫情期间与疫情之前相比,在瞬间孤独感的强烈程度方面的差异,以及这与他们实时情境的关系,我们知之甚少。在此,我们基于芝加哥健康与实时活动空间(CHART)研究的最新发现展开研究,该研究揭示了老年人瞬间情境与孤独感之间的关联。我们分析了CHART研究受访者子样本(2020年N = 110名65 - 88岁的老年人)在新冠疫情之前和期间的生态瞬时评估(EMA)。疫情前的数据在2018年4月至2019年10月期间分三波收集,疫情期间的数据在2020年6月至9月期间又分三波收集。参与者通过报告他们瞬间的孤独感和情境(如在家)来回应智能手机的“提示音”(每波每天5次,共7天;疫情之前和期间分别有N = 5,506次和N = 7,824次回应)。多层次回归模型的结果表明,受访者在2020年年中比前几年更孤独,在家独处时也更孤独;他们在疫情期间也更有可能在家中。然而,与新冠疫情之前相比,疫情期间在家(与不在家相比)和独处(与和他人在一起相比)所引发的孤独感效应较弱。研究结果为疫情期间老年人孤独感的更广泛趋势提供了重要的细微差别。具体而言,老年人可能采用了新技术来支持社交联系。也有可能在社交和物理距离成为公共卫生指南特征的时期,这些情境由于成为一种共同经历而变得不那么孤立,或者公共共享空间提供的社交参与机会减少了。