Assessing the relative importance of correlates of loneliness in later life. Gaining insight using recursive partitioning.
Assessing the relative importance of correlates of loneliness in later life. Gaining insight using recursive partitioning.
复制标题
DOI：
10.1080/13607863.2017.1370690
复制
发表时间：
2018-11
影响因子：
3.4
通讯作者：
Stafford M
中科院分区：
文献类型：
--
作者：
Ejlskov L;Wulff J;Bøggild H;Kuh D;Stafford M
目的：改进干预措施的设计和目标对减轻老年人的孤独感很重要。这需要确定哪些相关因素是最重要的孤独预测因素。本研究展示了递归划分在探索老年人孤独感的特征和评估相关因素的相对重要性方面的应用。方法：使用探索性回归树和随机森林，我们对来自MRC全国健康与发展调查的2453名出生队列研究参与者的42个相关因素的组合和相对重要性进行了研究。结果：积极的心理健康、个人掌控、将配偶视为最亲密的知己、性格外向和非正式的社会接触是降低孤独感的最重要的相关因素。参与有组织的团体和人口统计学相关性是孤独的糟糕标识。回归树表明，如果那些心理健康状况不佳的人认为他们的伴侣是最亲密的知己，并且经常与之交往，那么他们的孤独感就不会增加。结论：递归划分可以识别哪些经历和环境的组合是高危人群的特征。心理健康状况不佳和社交接触稀少成为特别重要的因素，而传统的人口统计学因素不足以确定老年人的高孤独感水平。
Objectives: Improving the design and targeting of interventions is important for alleviating loneliness among older adults. This requires identifying which correlates are the most important predictors of loneliness. This study demonstrates the use of recursive partitioning in exploring the characteristics and assessing the relative importance of correlates of loneliness in older adults. Method: Using exploratory regression trees and random forests, we examined combinations and the relative importance of 42 correlates in relation to loneliness at age 68 among 2453 participants from the birth cohort study the MRC National Survey of Health and Development. Results: Positive mental well-being, personal mastery, identifying the spouse as the closest confidant, being extrovert and informal social contact were the most important correlates of lower loneliness levels. Participation in organised groups and demographic correlates were poor identifiers of loneliness. The regression tree suggested that loneliness was not raised among those with poor mental wellbeing if they identified their partner as closest confidante and had frequent social contact. Conclusion: Recursive partitioning can identify which combinations of experiences and circumstances characterise high-risk groups. Poor mental wellbeing and sparse social contact emerged as especially important and classical demographic factors as insufficient in identifying high loneliness levels among older adults.
登录
查看更多内容
影响因子：
4
作者：
Golden, Jeannette;Conroy, Ronan M.;Lawlor, Brian A.
通讯作者：
Lawlor, Brian A.
影响因子：
2.5
作者：
Heylen, Leen
通讯作者：
Heylen, Leen
影响因子：
7.6
作者：
DEJONGGIERVELD, J
通讯作者：
DEJONGGIERVELD, J
影响因子：
2.8
作者：
Kirkpatrick, LA;Shillito, DJ;Kellas, SL
通讯作者：
Kellas, SL
影响因子：
2.6
作者：
Hughes, ME;Waite, LJ;Cacioppo, JT
通讯作者：
Cacioppo, JT