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社会隔离与人口密度:老年人中的种族和民族差异。

Social Isolation and Population Density: Racial and Ethnic Differences Among Older Adults.

机构信息

Quinnipiac University - North Haven Campus, North Haven, CT, USA.

Yale University School of Nursing, West Haven, CT, USA.

出版信息

Inquiry. 2024 Jan-Dec;61:469580241273127. doi: 10.1177/00469580241273127.

Abstract

This study uses secondary data analysis to assess the relationship between social isolation (SI) and population density in the US, as well as any moderating influence that race/ethnicity may have on that relationship. A recent consensus on the measure of SI is that it focuses on the objective absence of social connections, whereas loneliness refers to subjective assessments of one's social connections. Therefore, while the original study measured both objective and subjective SI may be innovative, it may also be overly ambitious. SI puts older people at risk for health problems, including an increased chance of dying. The AARP Foundation gathered the initial convenience sample, which included 8149 senior citizens. The study determined population density using self-reported zip codes, measured as persons per square mile, and divided the results into tertiles. Linear mixed models were used to investigate the moderating role of race/ethnicity between population density and SI. The findings revealed that greater population density was associated with less SI for individuals residing in zip codes with a higher percentage of the same race/ethnicity, but more SI for those in zip codes with a lower percentage of the same race/ethnicity. These results suggest that race/ethnicity should be considered in future studies or when developing policies and interventions to address SI among older adults in high-population-density areas. For example, when policymakers aim to address SI in a community, they may want to collect data based on zip codes and create targeted interventions for specific racial/ethnic groups within those zip code areas.

摘要

本研究利用二次数据分析评估了美国社会隔离 (SI) 与人口密度之间的关系,以及种族/民族是否对这种关系有调节作用。最近对于 SI 的衡量标准达成了共识,即它侧重于客观上缺乏社会联系,而孤独感则指的是对自己社会联系的主观评估。因此,尽管原始研究同时衡量了客观和主观的 SI 可能具有创新性,但也可能过于雄心勃勃。SI 使老年人面临健康问题的风险,包括死亡几率增加。美国退休人员协会基金会收集了初始便利样本,其中包括 8149 名老年人。该研究使用自我报告的邮政编码来确定人口密度,以每平方英里的人数来衡量,并将结果分为三分位数。线性混合模型用于研究种族/民族在人口密度和 SI 之间的调节作用。研究结果表明,对于居住在同一种族/民族比例较高的邮政编码的个人来说,人口密度越大,SI 越低,但对于居住在同一种族/民族比例较低的邮政编码的个人来说,SI 越高。这些结果表明,在未来的研究中或在制定针对高人口密度地区老年人的 SI 的政策和干预措施时,应该考虑种族/民族因素。例如,当政策制定者旨在解决一个社区的 SI 问题时,他们可能希望根据邮政编码收集数据,并为这些邮政编码区域内的特定种族/民族群体制定有针对性的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fee9/11375685/c1e65c75d9bf/10.1177_00469580241273127-fig1.jpg

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