Do stress, health behavior, and sleep mediate the association between loneliness and adverse health conditions among older people?
Do stress, health behavior, and sleep mediate the association between loneliness and adverse health conditions among older people?
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DOI：
10.1016/j.socscimed.2016.01.020
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发表时间：
2016-03-01
影响因子：
5.4
通讯作者：
Lasgaard, Mathias
中科院分区：
文献类型：
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作者：
Christiansen, Julie;Larsen, Finn Breinholt;Lasgaard, Mathias
先前的研究已经建立了孤独与老年人各种负面健康状况之间的联系。目的：Hawkley and Cacioppo（2010）基于孤独感模型，确定了孤独感可能影响不良健康状况发展的可能途径。本研究旨在测试Hawkley和Cacioppo.Methods提出的途径：样本包括8593名老年人，年龄从65岁到102岁，参加了2013年的公共卫生调查“你好吗？结果：研究结果表明，孤独与心血管疾病、糖尿病和偏头痛有显著的相关性。此外，高感知压力，缺乏身体活动，每天吸烟和睡眠不足介导了孤独和不良健康状况之间的关联。此外，研究结果表明，在孤独和各种不利条件之间的关联和影响这些association.Conclusion的间接机制几个性别差异：研究结果在很大程度上支持Hawkley和Cacioppo提出的途径。(C)2016爱思唯尔有限公司版权所有。
Introduction: Prior research has established an association between loneliness and a variety of negative health conditions among older people. However, little is known about the mechanisms underlying this association.Objective: Building on the Loneliness Model, Hawkley and Cacioppo (2010) identified possible pathways through which loneliness may affect the development of adverse health conditions. The present study was designed to test the pathways proposed by Hawkley and Cacioppo.Methods: The sample consisted of 8593 elderly ranging from 65 to 102 years of age participating in the 2013 Public Health Survey "How are you?".Results: Findings show that loneliness was significantly associated with cardiovascular disease, diabetes, and migraine. In addition high perceived stress, physical inactivity, daily smoking, and poor sleep mediated the association between loneliness and adverse health conditions. Moreover, findings demonstrate several gender differences in the association between loneliness and various adverse condition and the indirect mechanisms affecting these associations.Conclusion: The findings largely support the pathways proposed by Hawkley and Cacioppo. (C) 2016 Elsevier Ltd. All rights reserved.