Relationship of smoking with current and future social isolation and loneliness: 12-year follow-up of older adults in England.
Relationship of smoking with current and future social isolation and loneliness: 12-year follow-up of older adults in England.
复制标题
DOI：
10.1016/j.lanepe.2021.100302
复制
发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Fancourt D
中科院分区：
文献类型：
--
作者：
Philip KE;Bu F;Polkey MI;Brown J;Steptoe A;Hopkinson NS;Fancourt D
吸烟通常被通俗地认为是“社交”。然而，吸烟与当前和未来的社会孤立和孤独的实际关系尚不清楚。因此，我们在12年的随访中研究了这些关系。在这项队列研究中，我们使用了来自英国老龄化纵向研究（N=8780）的50岁及以上社区居住成年人的全国代表性样本（45%男性，平均（SD）年龄67（10）岁。我们使用普通最小二乘回归模型，研究了基线评估时自我报告的吸烟状态与社会隔离（低社会接触，社会脱离，家庭隔离）和孤独（3项UCLA孤独量表）的关系，并在基线和4年，8年和12年的随访中进行了测量。在基线时，吸烟者更容易感到孤独（系数= 0.001）。0.111，95%CI 0.025 - 0.196），与不吸烟者相比，社交孤立，与家人和朋友的社交互动较少（系数= 0.001）。0·297，95%CI 0·148 - 0·446），参与社区和文化活动的频率较低（系数= 0·297，95%CI 0·148 - 0·446），0.534，95%CI 0.421 - 0.654），更可能独居（比值比= 1.400，95%CI 1.209 - 1.618）。基线时吸烟与社会接触的大幅减少相关（系数= 0.0001）。0·205，95%CI 0·053 - 0·356，至0·297，95%CI 0·140 - 0·455），社会脱离增加（系数= 0·205，95%CI 0·053 - 0·356，至0·297，95%CI 0·140 - 0·455），0·168，95%CI 0·066 - 0·270，至系数= 0·197，95%CI 0·087 - 0·307），孤独感增加（系数= 0·087 - 0·307）。0·105，95%CI 0·003 - 0·207），4年随访时）随时间推移。没有发现吸烟和同居状态的变化之间的关联。研究结果独立于所有确定的混杂因素，包括年龄，性别，社会阶层和身心健康诊断的存在。吸烟与老年人社会孤立和孤独感的增加有关，这表明吸烟对心理健康有害。吸烟可能是亲社会的想法似乎是一种误解。英国经济和社会研究理事会和伦敦帝国学院伦敦。
Smoking is often colloquially considered “social”. However, the actual relationship of smoking with current and future social isolation and loneliness is unclear. We therefore examined these relationships over a 12-year follow-up. In this cohort study, we used a nationally representative sample of community dwelling adults aged 50 years and over from the English Longitudinal Study of Ageing (N=8780) (45% male, mean(SD) age 67(10) years. We examined associations of self-reported smoking status at baseline assessment, with social isolation (low social contact, social disengagement, domestic isolation), and loneliness (3-item UCLA loneliness scale), measured at baseline, and follow-up at 4, 8 and 12 years, using ordinary least squares regression models. At baseline, smokers were more likely to be lonely (coef.=0·111, 95% CI 0·025 – 0·196) and socially isolated than non-smokers, having less frequent social interactions with family and friends (coef.= 0·297, 95%CI 0·148 – 0·446), less frequent engagement with community and cultural activities (coef.= 0·534, 95%CI 0·421 – 0·654), and being more likely to live alone (Odds Ratio =1·400, 95%CI 1·209 – 1·618). Smoking at baseline was associated with larger reductions in social contact (coef.=0·205, 95%CI 0·053 – 0·356, to 0·297, 95%CI 0·140 – 0·455), increases in social disengagement (coef.=0·168, 95%CI 0·066 – 0·270, to coef.=0·197, 95%CI 0·087 – 0·307), and increases in loneliness (coef.=0·105, 95%CI 0·003 – 0·207), at 4-year follow-up) over time. No association was found between smoking and changes in cohabitation status. Findings were independent of all identified confounders, including age, sex, social class and the presence of physical and mental health diagnoses. Smoking is associated with the development of increasing social isolation and loneliness in older adults, suggesting smoking is detrimental to aspects of psychosocial health. The idea that smoking might be prosocial appears a misconception. UK Economic and Social Research Council & Imperial College London.
登录
查看更多内容
影响因子：
7.7
作者：
Steptoe, Andrew;Breeze, Elizabeth;Nazroo, James
通讯作者：
Nazroo, James
影响因子：
158.5
作者：
Christakis, Nicholas A.;Fowler, James H.
通讯作者：
Fowler, James H.
影响因子：
2.6
作者：
Hughes, ME;Waite, LJ;Cacioppo, JT
通讯作者：
Cacioppo, JT
影响因子：
3.7
作者：
Brown-Johnson, Cati G.;Cataldo, Janine K.;Prochaska, Judith J.
通讯作者：
Prochaska, Judith J.
影响因子：
1.2
作者：
RADLOFF L S
通讯作者：
RADLOFF L S