Impact of COVID-19 policies on perceptions of loneliness in people aged 75 years and over in the cognitive function and aging study (CFAS II).
Impact of COVID-19 policies on perceptions of loneliness in people aged 75 years and over in the cognitive function and aging study (CFAS II).
复制标题
在认知功能和衰老研究 (CFAS II) 中，COVID-19 政策对 75 岁及以上人群孤独感的影响。
DOI：
10.1111/jgs.18099
复制
发表时间：
2023
影响因子：
6.3
通讯作者：
Richardson CD
中科院分区：
文献类型：
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作者：
Richardson CD
背景 COVID-19 大流行和相关的社会疏远措施对社会和社会接触模式产生了深远的影响，其中老年人受到的影响尤其严重。尽管目前的证据好坏参半，但人们对由此造成的老年人孤独感普遍存在表示担忧。这项研究提供了关于大流行前老年人群孤独感普遍程度以及引入社会限制后的随访的独特视角。方法使用纵向认知功能和衰老研究 II（2018-2019）的第 3 波以及专注于 COVID-19 大流行期间经历的子研究（2020）进行数据分析。样本包括居住在剑桥、纽卡斯尔和诺丁汉的 379 名 75 岁以上成年人。进行多变量二元逻辑回归以确定大流行期间普遍孤独感的相关性，并根据混杂协变量进行调整。将大流行期间的孤独感发生率与 2018-2019 年的孤独感发生率进行比较。结果该样本在大流行期间的孤独感发生率为 25.1% (95% CI 20.9%–29.7%)，而 2018-2019 年为 17.2% (95% CI 13.7%–21.3%) (χ2=14.1，p< 0.01)。与普遍孤独感增加相关的变量包括：先前的孤独感、独居、女性、生活在贫困程度较高的地区、大流行前社区团体中频繁的社交接触以及大流行期间与家人分离（根据年龄和性别进行调整）。每周通过电话或视频通话进行技术介导的联系与降低孤独感的几率相关。结论 COVID-19 康复计划应解决老年人的孤独感。目标群体应包括那些曾经感到孤独的人、独居者、生活在贫困地区的人以及以前通过社区团体积极参与社会活动的人。
BackgroundThe COVID‐19 pandemic and associated social distancing measures have profoundly impacted society and social contact patterns, with older people disproportionately affected. Concerns have been raised about a resulting pandemic of loneliness in older people, although the current evidence is mixed. This study provides a unique perspective on the prevalence of loneliness in a population cohort of older people before the pandemic, followed up after the introduction of social restrictions.MethodsData analysis was conducted using Wave 3 of the longitudinal Cognitive Function and Aging Study II (2018–2019) and a sub‐study focusing on experiences during the COVID‐19 pandemic (2020). The sample comprised 379 adults aged over 75 living in Cambridge, Newcastle, and Nottingham. Multivariable binary logistic regression was conducted to identify correlates of prevalent loneliness, adjusted for confounding covariates, during the pandemic. The prevalence of loneliness during the pandemic was compared to loneliness in 2018–2019.ResultsPrevalence of loneliness in this sample during the pandemic was 25.1% (95% CI 20.9%–29.7%) compared to 17.2% (95% CI 13.7%–21.3%) in 2018–2019 (χ2=14.1,p< 0.01). Variables associated with increased odds of prevalent loneliness included: prior loneliness, living alone, female gender, living in an area of higher deprivation, frequent pre‐pandemic social contact at community groups, and separation from family during the pandemic, adjusted for age and sex. Weekly technology‐mediated contact using telephone or video calls was associated with lower odds of loneliness.ConclusionsCOVID‐19 recovery plans should address loneliness in older people. Target groups should include those who have previously been lonely, people who live alone, those living in deprived areas, and those who had previously been socially active through community groups.