Correlates of Objective Social Isolation from Family and Friends among Older Adults.

Correlates of Objective Social Isolation from Family and Friends among Older Adults.
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DOI:
10.3390/healthcare6010024
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发表时间:
2018-03-03
期刊:
Healthcare (Basel, Switzerland)
影响因子:
--
通讯作者:
Taylor RJ
Taylor RJ
中科院分区:
其他
文献类型:
--
作者:
Chatters LM;Taylor HO;Nicklett EJ;Taylor RJ

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这项研究调查了老年人与大家庭成员和朋友的客观社会隔离的相关关系。该分析是基于美国国家生活调查的老年人子样本(n = 1321)。多项逻辑回归分析检验了种族/民族、人口统计、功能健康和家庭和朋友网络因素与与家人和朋友客观隔离的相关性。仅4.47%的被调查者客观地与家人和朋友隔离,10.82%的被调查者与朋友隔离,7.43%的被调查者与家人隔离。男性更有可能在客观上与家人和朋友隔绝,而与他人同住的老年人更有可能在客观上与朋友隔绝。在控制主观社会隔离的情况下,功能健康的两项指标与客观社会隔离显著相关。特别是,较高水平的自我护理障碍降低了客观地与朋友隔离的风险,而较高的行动障碍与客观地与朋友隔离的可能性增加有关。与家人和朋友的社会隔离的主观评价始终与与家人和朋友的客观隔离有关。非裔美国人、加勒比黑人和非西班牙裔白人在客观隔离方面没有显著差异。详细讨论了这些和其他发现。
This study examined the correlates of objective social isolation from extended family members and friends among older adults. The analysis is based on the older adult sub-sample of the National Survey of American Life (n = 1321). Multinomial logistic regression analyses examined race/ethnicity, demographics, functional health and family and friend network factors as correlates of objective isolation from family and friends. Only 4.47% of respondents were objectively isolated from both their extended family and friends, 10.82% were isolated from their friends, and 7.43% were isolated from their family members. Men were more likely to be objectively isolated from both family and friends and older adults who live with others were significantly more likely to be objectively isolated from their friends. When controlling for subjective social isolation, the two measures of functional health were significantly associated with objective social isolation. In particular, higher levels of self-care impairment decreased the risk of being objectively isolated from friends only, whereas higher mobility impairment was associated with an increased likelihood of being objectively isolated from friends only. Subjective evaluations of social isolation from family and friends were consistently associated with being objectively isolated from family and friends. There were no significant differences between African-Americans, Black Caribbeans and non-Hispanic Whites in objective isolation. These and other findings are discussed in detail.
家人和朋友的社会支持以及非裔美国人的主观福祉。
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