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对自身社会环境的认知与孤独感:具有全国代表性的“德国老年人(80岁及以上)”研究结果

Perception of one's social environment and loneliness: results of the nationally representative "Old age in Germany (D80+)" study.

作者信息

Hajek André, Sutin Angelina, Luchetti Martina, Peltzer Karl, Veronese Nicola, Gyasi Razak M, Soysal Pinar, Stephan Yannick, Terracciano Antonio, König Hans-Helmut

机构信息

Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Martinistr. 52, 20246, Hamburg, Germany.

Florida State University College of Medicine, Tallahassee, FL, USA.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2024 Oct 1. doi: 10.1007/s00127-024-02774-3.

Abstract

OBJECTIVES

To examine the association between perception of one's social environment (in terms of residential attachment and neighborhood trust) and loneliness among the oldest old and whether these associations differ by living arrangement.

METHODS

We used data from the nationally representative "Old Age in Germany (D80+)" study that included individuals residing in private households and institutionalized settings. The analytic sample was 9,621 individuals (average age: 85.5 years, SD: 4.1 years; 62% female). Data collection took place from November 2020 to April 2021. Multiple linear regressions were conducted with adjustment for relevant covariates.

RESULTS

Higher residential attachment (β=-0.02, p < .05) and higher neighborhood trust (β=-0.12, p < .001) were associated with less loneliness. The latter association was moderated by living arrangement (β=-0.09, p = .04) such that the association between neighborhood trust and loneliness was stronger among individuals living in institutionalized settings compared to individuals in private households.

CONCLUSION

Greater residential attachment and neighborhood trust, particularly among individuals living in institutionalized settings, are associated with less loneliness among the oldest old. Finding ways to improve perceived attachment and trust may assist in avoiding loneliness among older individuals.

摘要

目的

探讨老年人对其社会环境的认知(以居住依恋和邻里信任来衡量)与孤独感之间的关联,以及这些关联是否因居住安排而异。

方法

我们使用了具有全国代表性的“德国老年人(80岁及以上)”研究中的数据,该研究涵盖了居住在私人家庭和机构环境中的个体。分析样本为9621名个体(平均年龄:85.5岁,标准差:4.1岁;62%为女性)。数据收集于2020年11月至2021年4月进行。进行了多元线性回归,并对相关协变量进行了调整。

结果

更高的居住依恋(β=-0.02,p<0.05)和更高的邻里信任(β=-0.12,p<0.001)与更少的孤独感相关。后一种关联受到居住安排的调节(β=-0.09,p=0.04),即与居住在私人家庭中的个体相比,居住在机构环境中的个体中,邻里信任与孤独感之间的关联更强。

结论

更强的居住依恋和邻里信任,尤其是在居住在机构环境中的个体中,与最年长老年人的孤独感减少相关。找到改善感知到的依恋和信任的方法可能有助于避免老年人的孤独感。

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