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老年人的家庭特征与孤独感:巴西老龄化纵向研究(ELSI-Brazil)的证据。

Family characteristics and loneliness among older adults: evidence from the Brazilian Longitudinal Study of Aging (ELSI-Brazil).

机构信息

Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil.

Fundação Oswaldo Cruz, Center for Studies in Public Health and Aging - Belo Horizonte (MG), Brazil.

出版信息

Rev Bras Epidemiol. 2024 Nov 22;27:e240054. doi: 10.1590/1980-549720240054. eCollection 2024.

Abstract

OBJECTIVE

To investigate the association between family characteristics concerning partners and children and loneliness among Brazilians aged 50 and over, taking into account both the occurrence of loneliness and its severity levels.

METHODS

This cross-sectional study used data from 7,163 participants in the second wave of the Brazilian Longitudinal Study of Aging, a nationally representative study conducted in 2019-2021. Loneliness was assessed using the 3-item University of California Loneliness Scale. Family characteristics included: marital status and living with the partner and presence of children and living with them. Statistical analysis employed Zero-Inflated Negative Binomial regression models, allowing the assessment of the outcome in both dichotomous and counting-based forms.

RESULTS

Only family characteristics related to the partner were associated with loneliness prevalence, whether in a living-apart-together arrangement (PR=0.35; 95%CI 0.23-0.53) or cohabiting (PR=0.37; 95%CI 0.30-0.45). Family characteristics concerning the partner [cohabiting (PR=0.80; 95% CI 0.73-0.88)] and children [non-cohabiting (PR=0.86; 95%CI 0.77-0.95) or cohabiting (PR=0.81; 95%CI 0.72-0,92)] were negatively associated with loneliness levels.

CONCLUSION

Family characteristics play a crucial role in both preventing loneliness and reducing its levels. Public services for improving social support should target older adults with reduced nuclear families.

摘要

目的

探讨伴侣和子女相关的家庭特征与巴西 50 岁及以上人群孤独感之间的关系,同时考虑孤独感的发生及其严重程度。

方法

本横断面研究使用了 2019-2021 年全国代表性的巴西老龄化纵向研究第二波调查的 7163 名参与者的数据。孤独感采用加利福尼亚大学孤独感量表的 3 项条目进行评估。家庭特征包括:婚姻状况和与伴侣共同居住,以及子女的存在和与他们共同居住。统计分析采用零膨胀负二项回归模型,允许以二项和计数两种形式评估结果。

结果

只有与伴侣相关的家庭特征与孤独感的流行率相关,无论是在分居(PR=0.35;95%CI 0.23-0.53)还是共同居住(PR=0.37;95%CI 0.30-0.45)的情况下。与伴侣有关的家庭特征[共同居住(PR=0.80;95%CI 0.73-0.88)]和子女[非共同居住(PR=0.86;95%CI 0.77-0.95)或共同居住(PR=0.81;95%CI 0.72-0.92)]与孤独感水平呈负相关。

结论

家庭特征在预防孤独感和降低其水平方面起着至关重要的作用。改善社会支持的公共服务应针对核心家庭减少的老年人群体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b05/11654287/cd7ab70d4ae8/1980-5497-rbepid-27-e240054-gf01.jpg

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