The Epidemiology of Social Isolation: National Health & Aging Trends Study.
The Epidemiology of Social Isolation: National Health & Aging Trends Study.
复制标题
社会隔离的流行病学：国民健康
DOI：
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
R. Thorpe
中科院分区：
文献类型：
--
作者：
T. Cudjoe;D. Roth;S. Szanton;J. Wolff;C. Boyd;R. Thorpe
目标
老年人的社会孤立是一个重要的，但未被认识到的健康状况不佳的风险。需要有方法来确定有社会孤立风险的老年人亚组。
方法
我们使用国家健康和老龄化趋势研究（NHATS）的数据构建了一个社会隔离的类型学，并估计了社区居住的老年人中社会隔离的患病率和相关性。该类型学由四个领域构成：生活安排、核心讨论网络规模、宗教出席和社会参与。
结果
2011年，24%的自我回应，社区居住的老年人（65岁以上），约770万人，被描述为社会孤立，其中130万人（4%）被描述为严重的社会孤立。多因素Logistic回归分析显示，未婚、男性、低学历、低收入与社会隔离有独立相关性。在调整协变量后，黑人和西班牙裔老年人与白色老年人相比，社会孤立的几率较低。
讨论
社交孤立是一个重要的和潜在的可改变的风险，影响到很大一部分老年人。
Objectives
Social isolation among older adults is an important but under-recognized risk for poor health outcomes. Methods are needed to identify subgroups of older adults at risk for social isolation.
Methods
We constructed a typology of social isolation using data from the National Health and Aging Trends Study (NHATS) and estimated the prevalence and correlates of social isolation among community-dwelling older adults. The typology was formed from four domains: living arrangement, core discussion network size, religious attendance, and social participation.
Results
In 2011, 24% of self-responding, community-dwelling older adults (65+ years), approximately 7.7 million people, were characterized as socially isolated, including 1.3 million (4%) who were characterized as severely socially isolated. Multinomial multivariable logistic regression indicated that being unmarried, male, having low education, and low income were all independently associated with social isolation. Black and Hispanic older adults had lower odds of social isolation compared to White older adults, after adjusting for covariates.
Discussion
Social isolation is an important and potentially modifiable risk that affects a significant proportion of the older adult population.
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