Differences in Loneliness Across the Rural-Urban Continuum Among Adults Living in Washington State.
Differences in Loneliness Across the Rural-Urban Continuum Among Adults Living in Washington State.
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DOI：
10.1111/jrh.12535
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Williams-Gilbert W
中科院分区：
文献类型：
--
作者：
Abshire DA;Graves JM;Amiri S;Williams-Gilbert W
由于社会隔离、健康状况较差和社会经济劣势等因素，农村居民可能比城市居民更容易孤独。到目前为止，很少有研究调查美国成年人孤独感的城乡差异。我们研究了居住在华盛顿州的成年居民在城乡连续体中孤独感的差异。采用分层随机抽样的方法，从小农村、大农村、郊区和城市地区选择了2,575名成年人，邀请他们完成一项关于影响健康因素的调查。从2018年6月到2019年10月，从616名成年人（278名来自小农村，100名来自大农村，98名来自郊区，140名来自城市地区）中获得了数据。使用UCLA Longland Scale（第3版）测量Longland。多变量线性和逻辑回归被用来研究孤独感的地理差异（连续测量和二分法）。郊区的平均未调整孤独评分低于城市地区（35.06 vs. 38.57，P = 0.03）。小农村、大农村、郊区和城市地区的孤独感患病率分别为50.7%、59.0%、40.8%和54.3%。与城市生活相比，郊区生活与孤独的几率较低相关（未调整OR = 0.58; 95%CI = 0.34-0.98），但在调整模型中，这种关联没有统计学意义（OR = 0.63; 95%CI = 0.33-1.19）。在华盛顿州的成年人中，孤独是一个普遍的健康问题。
Rural residents may be at higher risk for loneliness than urban residents due to factors such as social isolation, poorer health, and socioeconomic disadvantage. To date, there have been few studies examining rural-urban differences in loneliness among adults in the United States. We examined differences in loneliness across the rural-urban continuum among adult residents living in Washington State. Stratified random sampling was used to select 2,575 adults from small rural, large rural, suburban, and urban areas who were invited to complete a survey on factors affecting health. Data were obtained from 616 adults (278 from small rural, 100 from large rural, 98 from suburban, and 140 from urban areas) from June 2018 through October 2019. Loneliness was measured using the UCLA Loneliness Scale (3rd version). Multivariable linear and logistic regressions were used to examine geographic differences in loneliness (measured continuously and dichotomously). Mean unadjusted loneliness scores were lower in suburban compared to urban areas (35.06 vs. 38.57, P = .03). The prevalence of loneliness was 50.7%, 59.0%, 40.8%, and 54.3% in small rural, large rural, suburban, and urban areas, respectively. Suburban living was associated with lower odds for being lonely compared to urban living (unadjusted OR = 0.58; 95% CI = 0.34–0.98), but this association was not statistically significant in the adjusted model (OR = 0.63; 95% CI = 0.33–1.19). Loneliness is a prevalent health issue across the rural-urban continuum among Washington State adults.
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影响因子：
5.9
作者：
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通讯作者：
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发表时间：
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影响因子：
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