Social isolation, loneliness, and their correlates in older Japanese adults
Social isolation, loneliness, and their correlates in older Japanese adults
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日本老年人的社会孤立、孤独及其相关因素
DOI：
10.1111/psyg.12957
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发表时间：
2023
期刊：
影响因子：
2
通讯作者：
Kondo Naoki
中科院分区：
文献类型：
--
作者：
Kino Shiho;Stickley Andrew;Arakawa Yuki;Saito Masashige;Saito Tami;Kondo Naoki
背景老年人的孤独感和社会孤立感加剧，并与一系列有害结果相关。尽管如此，对这些现象或这些现象在日本老年人中发生或组合的异同的研究却很少。当前的研究旨在（i）确定哪些因素与日本老年人的社会孤立和孤独感相关； (ii) 描述社会孤立但不孤独的个体的特征，以及感到孤独但不社会孤立的个体的特征。方法对参加 2019 年日本老年学评估研究的 13 766 名 65 岁以上成年人的数据进行分析。采用泊松回归分析来检验关联性。结果在日本老年人中，年龄较大、男性、社会经济地位较低、领取福利和有抑郁症状等属性与社会孤立相关，而社会经济地位较低、失业、领取福利以及身心健康状况不佳与孤独感相关。此外，受过良好教育、身心健康的人即使在社会孤立时也不太可能感到孤独，而没有工作和有精神或身体健康问题的人即使没有在社会上孤立也更有可能感到孤独。讨论我们的结果表明，为了减少日本老年人中不必要的社会孤立和孤独感，首先应该关注那些在社会经济上处于不利地位和不健康的人。
BackgroundLoneliness and social isolation are elevated in older adults and associated with a range of detrimental outcomes. Despite this, there has been little research on these phenomena or on similarities and differences in their occurrence or combination in older Japanese adults. The current study aims to (i) determine what factors are associated with social isolation and loneliness among older adults in Japan; and (ii) describe the characteristics of individuals who are socially isolated but not lonely, as well as those who feel lonely but are not socially isolated.MethodsData were analysed from 13 766 adults aged ≥65 years who participated in the 2019 wave of the Japan Gerontological Evaluation Study. Poisson regression analysis was used to examine associations.ResultsAmong older Japanese adults, the attributes of higher age, male gender, lower socioeconomic status, being a welfare recipient, and having depressive symptoms were associated with social isolation, while lower socioeconomic status, unemployment, welfare receipt, and poor physical and mental health were associated with loneliness. In addition, better educated, and mentally and physically healthy people were less likely to feel lonely even when socially isolated, while people who were not working and who had mental or physical health problems were more likely to feel lonely even if they were not socially isolated.DiscussionOur results indicate that in order to reduce unwanted social isolation and loneliness among older Japanese adults, in the first instance the focus should be on those individuals who are socioeconomically disadvantaged and unhealthy.
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影响因子：
11.3
作者：
Stickley A;Ueda M
通讯作者：
Ueda M
影响因子：
6.7
作者：
Ward M;May P;Normand C;Kenny RA;Nolan A
通讯作者：
Nolan A
影响因子：
2.8
作者：
J. Sheikh;J. Yesavage
通讯作者：
J. Sheikh;J. Yesavage
影响因子：
--
作者：
J. Lyness;Tamson Kelly Noel;C. Cox;D. King;Y. Conwell;E. Caine
通讯作者：
J. Lyness;Tamson Kelly Noel;C. Cox;D. King;Y. Conwell;E. Caine
DOI：
10.1073/pnas.1219686110
发表时间：
2013-04-09
影响因子：
11.1
作者：
Steptoe, Andrew;Shankar, Aparna;Wardle, Jane
通讯作者：
Wardle, Jane