Social isolation and loneliness as risk factors for hospital admissions for respiratory disease among older adults
Social isolation and loneliness as risk factors for hospital admissions for respiratory disease among older adults
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DOI：
10.1136/thoraxjnl-2019-214445
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发表时间：
2020-07-01
期刊：
影响因子：
10
通讯作者：
Fancourt, Daisy
中科院分区：
文献类型：
--
作者：
Bu, Feifei;Philip, Keir;Fancourt, Daisy
由于呼吸道疾病（RD）住院人数的增加是医院面临的主要挑战。本研究探讨了4478名老年人的可修改的社会风险因素从英国老龄化纵向研究。数据与医院行政记录和死亡登记数据（随访9.6年）相关联，并使用生存分析进行分析，考虑竞争风险。独立于社会人口学、健康和行为因素，独居和脱离社会而非社会接触或孤独与RD入院风险增加相关。应探讨为处于RD入院风险中的独立独居成年人提供支持。
Rising hospital admissions due to respiratory disease (RD) are a major challenge to hospitals. This study explored modifiable social risk factors among 4478 older adults from the English Longitudinal Study of Ageing. Data were linked with administrative hospital records and mortality registry data (follow-up 9.6 years) and analysed using survival analysis accounting for competing risks. Living alone and social disengagement but not social contact or loneliness were associated with an increased risk of RD admissions, independent of socio-demographic, health and behaviour factors. Providing support for disengaged adults living alone who are at risk of RD admissions should be explored.