Pain as a Risk Factor for Loneliness Among Older Adults
Pain as a Risk Factor for Loneliness Among Older Adults
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DOI：
10.1177/0898264317721348
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发表时间：
2018-10-01
影响因子：
2.8
通讯作者：
Jayawardhana, Jayani
中科院分区：
文献类型：
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作者：
Emerson, Kerstin;Boggero, Ian;Jayawardhana, Jayani
目的：本研究的目的是在社区老年人样本中检验疼痛是否与孤独的发生有关。方法：我们使用了2008年和2012年健康与退休研究的数据。我们将样本限制在2008年不孤独的60岁及以上社区居民，以预测2012年孤独发作的风险(发生率)。我们的分析样本包括1,563个观察。结果：约31.7%的参与者报告在随访时感到孤独(2012年)。Logistic回归模型显示，即使在控制了其他协变量后，在两个时间点都有疼痛的人出现孤独的几率比在两个时间点都没有疼痛的人高1.58。讨论：结果表明，疼痛可能会增加老年人孤独的风险。这表明，适当的疼痛干预可以防止未来的孤独，这反过来可以防止功能衰退、残疾和过早死亡。
Objective: The objective of this is to examine whether pain is associated with the onset of loneliness in a sample of community-dwelling older adults. Methods: We used data from the 2008 and 2012 Health and Retirement Study. We limited the sample to community-dwelling persons aged 60 years and over who were not lonely in 2008 in order to predict the risk of onset of loneliness (incidence) in 2012. Our analytic sample included 1,563 observations. Results: Approximately 31.7% of participants reported loneliness at follow-up (2012). Logistic regression models showed that the odds of loneliness onset was 1.58 higher for those with pain at both time points, compared with those who had pain at neither time point, even after controlling for other covariates. Discussion: The results indicate that pain may increase the risk of loneliness in older adults. This suggests that appropriate pain interventions could prevent future loneliness, which in turn could prevent functional decline, disability, and premature mortality.