Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, V6T 1Z3, Canada.
Department of Sociology, Faculty of Arts, The University of British Columbia, Vancouver, British Columbia, V6T 1Z1, Canada.
Arch Gerontol Geriatr. 2025 Jan;128:105618. doi: 10.1016/j.archger.2024.105618. Epub 2024 Aug 31.
Social isolation matters for health and longevity, but little research examines transitions into or out of social isolation or whether transitions are gendered or socially patterned. We described gender-specific trends in breadth and lack of social participation over 6 years overall and by age, country of origin, geographic location, education, wealth, and household income. We used three waves of CLSA data to evaluate changes in social isolation (0-1 activities) and broad social participation (5+ activities) in adults aged 45-75 (n = 24,788), by gender and socio-demographics, in linear and multinomial logistic regressions with post-estimated predicted probabilities. The number of social activities decreased over time, with greater declines for women. About half the sample (more men than women) stayed not highly socially active (<5 activities) and almost 1 in 5 became not highly socially active. Most adults (77 %) remained not socially isolated and 14 % became or remained socially isolated. Women were more likely than men to remain not highly socially active and less likely to have multiple social isolation transitions. Broad social participation changed over time for several subgroups of women and men, with gender differences notable for income levels. Social disparities in social isolation transitions differed by gender only for education. Older age and socioeconomically disadvantaged adults had higher probabilities of becoming socially isolated or becoming less socially active. Findings indicated the diversity of social activities declined as Canadians age into later life and transitions in both social isolation and social participation differed between genders, especially for specific vulnerable subpopulations.
社会隔离对健康和长寿很重要,但很少有研究探讨人们进入或脱离社会隔离的情况,也很少有研究探讨这些转变是否存在性别差异或是否存在社会模式。我们描述了 6 年来总体上以及按年龄、原籍国、地理位置、教育程度、财富和家庭收入划分的广度和缺乏社会参与方面的性别趋势。我们使用 CLSA 的三波数据,通过线性和多项逻辑回归以及后估计的预测概率,评估了 45-75 岁成年人(n=24788)中性别和社会人口统计学因素对社会孤立(0-1 项活动)和广泛社会参与(5+项活动)变化的影响。随着时间的推移,社会活动的数量减少,女性的下降幅度更大。大约一半的样本(男性多于女性)没有高度的社交活动(<5 项活动),几乎有 1/5 的人不再高度社交。大多数成年人(77%)没有社会隔离,14%的人成为或仍然处于社会隔离状态。女性比男性更有可能保持不高度活跃的社交状态,也不太可能经历多次社会隔离转变。在几个女性和男性亚组中,广泛的社会参与随着时间的推移而发生变化,收入水平的性别差异尤为显著。只有在教育方面,社会隔离转变的性别差异才存在于社会差异之中。年龄较大和社会经济地位较低的成年人更有可能变得孤立或不那么活跃。研究结果表明,随着加拿大人步入老年,社会活动的多样性减少,社会隔离和社会参与的转变在性别之间存在差异,特别是对于特定的弱势群体。
Int J Environ Res Public Health. 2023-6-6