Correlates of social and emotional loneliness in older people: evidence from an English community study.

Correlates of social and emotional loneliness in older people: evidence from an English community study.
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DOI:
10.1080/13607863.2013.856863
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发表时间:
2014-05
影响因子:
3.4
通讯作者:
McKee KJ
McKee KJ
中科院分区:
医学2区
文献类型:
--
作者:
Dahlberg L;McKee KJ

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孤独是影响老年人生活质量的重要因素,并被概念化为包括两个方面,社会和情感。本文描述了试图产生模型的社会和情感孤独的老年人,使用人口统计学,心理和健康,以及社会变量的分析。老年人(年龄65岁以上,n = 1255)从英国巴恩斯利大都市区随机招募分层抽样框架内,并接受了一个基于问卷的采访(响应率:68.1%)。该问卷包含人口统计学,心理和健康,社会特征,和一个有效的措施,评估社会和情感的孤独感的项目和规模。在受访者中,7.7%被发现严重或非常严重孤独,另有38.3%被发现中度孤独。社交孤独和情感孤独共解释了19.36%的变异量。男性、丧偶、低幸福感、低自尊、低收入舒适度、与家人接触少、与朋友接触少、活动少、感知的社区融合度低和接受社区照顾是社会孤独的显著预测因素(R = 0.50,R2 = 0.25,F(18,979)= 18.17,p < 0.001)。丧偶、低幸福感、低自尊、高活动限制、低收入舒适度和未接受非正式护理是情感孤独的显著预测因素(R = 0.55,R2 = 0.30,F(18,973)= 23.00,p < 0.001)。本研究为情感孤独和社交孤独的概念分离提供了进一步的实证支持。因此,老年人孤独的政策应针对开发一系列不同的干预策略,如果情感和社会孤独都要减少。
Loneliness is an important influence on quality of life in old age and has been conceptualised as consisting of two dimensions, social and emotional. This article describes analyses that sought to produce models of social and emotional loneliness in older people, using demographic, psychological and health, and social variables. Older people (aged 65+, n = 1255) from the Barnsley metropolitan area of the United Kingdom were recruited randomly from within a stratified sampling frame and received a questionnaire-based interview (response rate: 68.1%). The questionnaire contained items and scales on demographic, psychological and health, and social characteristics, and a validated measure of loneliness that assesses both social and emotional loneliness. Of the respondents, 7.7% were found to be severely or very severely lonely, while another 38.3% were moderately lonely. Social and emotional loneliness shared 19.36% variance. Being male, being widowed, low well-being, low self-esteem, low-income comfort, low contact with family, low contact with friends, low activity, low perceived community integration, and receipt of community care were significant predictors of social loneliness (R = 0.50, R2 = 0.25, F(18, 979) = 18.17, p < 0.001). Being widowed, low well-being, low self-esteem, high activity restriction, low-income comfort, and non-receipt of informal care were significant predictors of emotional loneliness (R = 0.55, R2 = 0.30, F(18, 973) = 23.00, p < 0.001). This study provides further empirical support for the conceptual separation of emotional and social loneliness. Consequently, policy on loneliness in older people should be directed to developing a range of divergent intervention strategies if both emotional and social loneliness are to be reduced.
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