The impact of social isolation on the health status and health-related quality of life of older people
The impact of social isolation on the health status and health-related quality of life of older people
复制标题
DOI：
10.1007/s11136-010-9717-2
复制
发表时间：
2011-02-01
影响因子：
3.5
通讯作者：
Campbell, John L.
中科院分区：
文献类型：
--
作者：
Hawton, Annie;Green, Colin;Campbell, John L.
调查社会隔离老年人和存在社会隔离风险的老年人：（1）健康状况和健康相关生活质量（HRQL）;（2）社会隔离与健康状况/HRQL之间的关系;（3）两种健康状况/HRQL替代指标之间的关系。存在社会隔离风险的老年人（n = 393）完成了EQ-5D和SF-12。进行多元回归分析，以检查社会隔离水平和健康状况/HRQL之间的关系，控制人口统计学/临床特征。使用描述性心理测量技术探讨EQ-5D和SF-6D（SF-12）评分之间的一致性。健康状况和健康状态值远低于英国一般人群年龄匹配的标准。在控制抑郁、身体共病、年龄、性别、独居状态、就业和住宿后，社会隔离与EQ-5D DSI、SF-6D（SF-12）和SF-12 MCS评分显著相关，达到临床相关程度。这项工作强调了社会隔离可能对老年人的健康和福祉造成的负担。解决社会孤立问题可能会带来相当大的HRQL收益，而那些面临社会孤立风险的人也是一个关键的目标群体。
To investigate for socially isolated older people, and older people at risk of social isolation: (1) health status and health-related quality of life (HRQL); (2) the relationship between social isolation and health status/HRQL; (3) the relationship between two alternative measures of health status/HRQL.Older people at risk of social isolation (n = 393) completed the EQ-5D and the SF-12. Multiple regression analyses were performed to examine the relationship between levels of social isolation and health status/HRQL, controlling for demographic/clinical characteristics. The agreement between EQ-5D and SF-6D (SF-12) scores was explored using descriptive psychometric techniques.Health status and health state values were much lower than UK general population age-matched norms. After controlling for depression, physical co-morbidities, age, gender, living alone status, employment and accommodation, social isolation was significantly associated, to a degree that was clinically relevant, with EQ-5D DSI, SF-6D (SF-12) and SF-12 MCS scores. The potential for ceiling effects on the EQ-5D with this population was identified.This work highlights the burden that social isolation may have on the health and well-being of older people. The potential HRQL gains from addressing social isolation may be considerable, with those at risk of social isolation also a key target group.