Social isolation, loneliness, socioeconomic status, and health-risk behaviour in deprived neighbourhoods in Denmark: A cross-sectional study
Social isolation, loneliness, socioeconomic status, and health-risk behaviour in deprived neighbourhoods in Denmark: A cross-sectional study
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DOI：
10.1016/j.ssmph.2020.100546
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发表时间：
2020-04-01
影响因子：
4.7
通讯作者：
Andersen, Pernille Tanggaard
中科院分区：
文献类型：
--
作者：
Algren, Maria Holst;Ekholm, Ola;Andersen, Pernille Tanggaard
在之前的研究中，社会隔离和孤独对我们健康的重要性得到了广泛认可。这项研究将贫困社区的孤独感与普通人群的孤独感进行了比较。它进一步研究了社会孤立和孤独是否与贫困社区的健康风险行为（包括低水果或蔬菜摄入量、每日吸烟、高风险酒精摄入、缺乏身体活动及其共同发生）有关，以及社会孤立和孤独是否改变了社会经济地位与健康风险行为之间的关联。采用多元逻辑回归分析了丹麦12个贫困社区5113名居民的横截面数据。从2010年具有全国代表性的丹麦健康和发病率调查中获得的14,686人的数据被用作孤独感的对照组。同居状况、与家人和朋友见面的频率、参加志愿工作的情况被用作衡量社会孤立的指标。一个关于经常感到不情愿孤独的问题被用作衡量孤独的指标。与一般人群相比，贫困社区的居民更容易感到孤独。社会孤立和孤独都与更高的健康风险行为几率显著相关。当社会孤立和孤独与低社会经济地位相结合时，发现与健康风险行为有很强的关联。社会孤立和孤独并没有显著改变社会经济地位与健康风险行为之间的关联。这项研究的发现对未来规划旨在减少贫困社区健康风险行为的健康促进干预方案具有重要意义。
The importance of social isolation and loneliness on our health is widely recognised in previous research. This study compares loneliness in deprived neighbourhood with that in the general population. It further examines whether social isolation and loneliness are associated with health-risk behaviours (including low intake of fruit or vegetables, daily smoking, high-risk alcohol intake, and physical inactivity and their co-occurrence) in deprived neighbourhoods, and whether social isolation and loneliness modify the associations between socioeconomic status and health-risk behaviours. Cross-sectional data from 5113 residents of 12 deprived neighbourhoods in Denmark were analysed using multiple logistic regression. Data on 14,686 individuals from the nationally representative Danish Health and Morbidity Survey 2010 were used as a comparison group with regard to loneliness. Cohabitation status, frequency of meeting with family and friends, participation in voluntary work were used as an indicator to measure social isolation. A question on feeling often unwillingly alone was used as an indicator to measure loneliness. Compared with the general population, residents of deprived neighbourhoods had higher odds of loneliness. Both social isolation and loneliness were significantly associated with higher odds of health-risk behaviour. When social isolation and loneliness were combined with low socioeconomic status, strong associations with health-risk behaviours were found. Social isolation and loneliness did not significantly modify the associations between socioeconomic status and health-risk behaviour. The findings in this study have important implications for the future planning of health promotion intervention programmes aimed to reduce health-risk behaviour in deprived neighbourhoods.