Department of Psychiatry, Affiliated Kangning Hospital of Ningbo University, Ningbo, 315201, Zhejiang, China.
Department of Psychiatry, Ningbo Kangning Hospital, Ningbo, 315201, Zhejiang, China.
Sci Rep. 2024 Aug 17;14(1):19072. doi: 10.1038/s41598-024-69936-w.
Social isolation was associated with emotional problems (depression and anxiety) among older adults, however, little is known in China. Thus, we conducted a cross-sectional study including 6,664 ≥ 65 years older adults in Ningbo, China. We collected data on social isolation, depression, and anxiety by specific scales. The relationship between social isolation and emotional problems was estimated by multivariate-adjusted logistic regression models. The population-attributable risk percentage (PAR%) was used to explore the contribution of social isolation to emotional problems. Overall, the percentage of participants who had experienced social isolation, depression, and anxiety was 12.67%, 4.83%, and 2.63%. Compared with the elderly without social isolation, the adjusted odds ratios (95% confidence interval) of depression and anxiety with social isolation were 1.77 (1.25-2.51) and 1.66 (1.05-2.63), respectively. The PAR analysis showed that 10.66% of depression and 9.03% of anxiety could be attributable to social isolation. In the gender subgroup, ORs and PAR% were only significantly observed in female participants. In Chinese older adults, social isolation has been linked to depression and anxiety, suggesting the importance of taking effective and feasible interventions to reduce social isolation and emotional problems, especially among females.
社会隔离与老年人的情绪问题（抑郁和焦虑）有关，但在中国知之甚少。因此，我们在中国宁波进行了一项包括 6664 名≥65 岁老年人的横断面研究。我们通过特定的量表收集了社会隔离、抑郁和焦虑的数据。采用多变量调整的逻辑回归模型来估计社会隔离与情绪问题之间的关系。采用人群归因风险百分比（PAR%）来探讨社会隔离对情绪问题的贡献。总体而言，经历社会隔离、抑郁和焦虑的参与者比例分别为 12.67%、4.83%和 2.63%。与没有社会隔离的老年人相比，社会隔离与抑郁和焦虑的调整后比值比（95%置信区间）分别为 1.77（1.25-2.51）和 1.66（1.05-2.63）。PAR 分析表明，10.66%的抑郁和 9.03%的焦虑可归因于社会隔离。在性别亚组中，仅在女性参与者中观察到 OR 和 PAR%具有统计学意义。在中国老年人中，社会隔离与抑郁和焦虑有关，这表明采取有效和可行的干预措施来减少社会隔离和情绪问题非常重要，尤其是在女性中。
