Comparisons of the discrepancy between loneliness and social isolation across Ireland and Sweden: findings from TILDA and SNAC-K
Comparisons of the discrepancy between loneliness and social isolation across Ireland and Sweden: findings from TILDA and SNAC-K
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DOI：
10.1007/s00127-019-01679-w
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发表时间：
2019-09-01
影响因子：
4.4
通讯作者：
Lawlor, Brian
中科院分区：
文献类型：
--
作者：
Power, Joanna E. McHugh;Sjoberg, Linnea;Lawlor, Brian
目的孤独在不同的国家可能有不同的文化含义。这可能表现为不同程度的社会适应性-孤独和社会孤立之间的差异。由于瑞典的孤独感被认为相对于较南部的国家较低，因此我们假设更多的人也会属于社会不对称的“不和谐稳健”类别，即瑞典有更多的人相对于社会隔离的孤独感水平较低。比在爱尔兰。我们还探讨了社会不对称在这两个国家的临床相关性，通过检查其与认知功能。方法我们在两个有代表性的队列研究中得出社会不对称指标：爱尔兰老龄化纵向研究（TILDA）和瑞典国家老龄化和护理研究（SNAC-K）。数据有关的4565爱尔兰参与者和3042瑞典参与者，年龄均超过60岁，无痴呆症的样本进行了分析，使用多层次建模方法，与国家作为高阶变量。结果与预期相反，更多的人在爱尔兰比瑞典的“不和谐健壮”。我们还发现了证据表明，在两个国家中，“不和谐健壮”类别的人相对于“不和谐易感”类别（即孤独程度高于社会隔离）的人在全球认知功能方面的上级表现，beta = 0.61，p <0.001。结论爱尔兰老年人可能是更强大的社会孤立的孤独感比那些在瑞典队列的影响。在这两个国家，社会不对称与认知功能有关，这表明社会不对称是一个临床相关的结构。
Purpose Loneliness may have different cultural meanings in different countries. This may manifest as differing levels of Social Asymmetry-the discrepancy between loneliness and social isolation. Since loneliness is thought to be low in Sweden relative to more southerly countries, we hypothesised that more number of individuals would also fall into the "discordant robust" category of Social Asymmetry, i.e. that more individuals in Sweden would have lower loneliness levels relative to social isolation than in Ireland. We also explored the clinical relevance of Social Asymmetry in both countries, by examining its association with cognitive functioning. Methods We derived Social Asymmetry metrics in two representative cohort studies: the Irish Longitudinal Study on Ageing (TILDA) and the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K). Data pertaining to a dementia-free sample of 4565 Irish participants and 3042 Swedish participants, all aged over 60 years, were analysed using a multilevel modelling approach, with country as a higher-order variable. Results Contrary to the expected, more individuals in Ireland were "discordant robust" than in Sweden. We also found evidence for superior performance in global cognitive functioning among those in the "discordant robust" category relative to those in the discordant susceptible (i.e. those with higher levels of loneliness than social isolation) category, beta = 0.61, p < .001, across both countries. Conclusions Irish older adults may be more robust to the impact of social isolation on loneliness than those in the Swedish cohort. Social Asymmetry was related to cognitive functioning in both countries, suggesting that Social Asymmetry is a clinically relevant construct.