Examining the Interrelationships Between Social Isolation and Loneliness and Their Correlates Among Older British Adults Before and During the COVID-19 Lockdown: Evidence From Four British Longitudinal Studies.

Examining the Interrelationships Between Social Isolation and Loneliness and Their Correlates Among Older British Adults Before and During the COVID-19 Lockdown: Evidence From Four British Longitudinal Studies.
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DOI:
10.1093/geroni/igad126
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发表时间:
2024
影响因子:
7
通讯作者:
Albert, Steven M.
Albert, Steven M.
中科院分区:
医学2区
文献类型:
--
作者:
Mansfield, Rosie;Di Gessa, Giorgio;Patel, Kishan;Mcelroy, Eoin;Wels, Jacques;Henderson, Morag;Maddock, Jane;Stafford, Jean;Steptoe, Andrew;Richards, Marcus;Patalay, Praveetha;Albert, Steven M.

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2019冠状病毒病(COVID-19)大流行期间前所未有的社会限制为思考社交孤立与晚年孤独之间的相互关系提供了新的透镜。我们呈现了COVID-19限制之前和期间的这些相互关系,并调查了在大流行期间与这些经历相关的人口、社会经济和健康因素的差异程度。我们使用了来自四项英国纵向人群研究的数据(1946年NSHD,1958年NCDS,1970年BCS和艾尔莎,N = 12,129)。  本报告介绍了2019冠状病毒病大流行之前和期间的社交孤立和孤独的发生率、共同发生率和相关性,并阐明了这两个时期这些经历之间的相互关系。在这四项研究中,大流行前报告社会隔离的比例从15%到54%不等,年龄较大的比例更高(例如,年龄在70-79岁之间的人占32%,80岁以上的人占54%)。在大流行期间,报告社会孤立和孤独与孤立的老年人比例仅略有增加。社会孤立和孤独之间的相互关系没有改变。社会人口和健康特征与社会隔离和孤独之间的关联也保持一致,经济不稳定性较高的人(女性,非房主,失业,疾病和更大的经济压力)负担更大。在社会孤立和孤独的经历方面已经存在很大的不平等,而这一流行病对这些方面的恶化程度和不平等的影响很小。孤独和社会孤立的概念是不可互换的,需要明确它们是如何概念化、操作化和解释的。鉴于许多老年人经历了高度的社会孤立,应该更加重视减少社会孤立和观察到的不平等,谁经历了更大的孤立和孤独。
Unprecedented social restrictions during the coronavirus disease 2019 (COVID-19) pandemic have provided a new lens for considering the interrelationship between social isolation and loneliness in later life. We present these interrelationships before and during the COVID-19 restrictions and investigate to what extent demographic, socioeconomic, and health factors associated with such experiences differed during the pandemic. We used data from four British longitudinal population-based studies (1946 NSHD, 1958 NCDS, 1970 BCS, and ELSA, N = 12,129). Rates, co-occurrences, and correlates of social isolation and loneliness are presented prior to and during the early stage of the COVID-19 pandemic and the interrelationships between these experiences are elucidated in both periods. Across the Four studies, prepandemic proportions reporting social isolation ranged from 15% to 54%, with higher rates in older ages (e.g., 32% of individuals aged 70–79 years and 54% of those more than 80). During the pandemic, the percentage of older people reporting both social isolation and loneliness and isolation only slightly increased. The interrelationship between social isolation and loneliness did not change. Associations between sociodemographic and health characteristics and social isolation and loneliness also remained consistent, with greater burden among those with higher economic precarity (females, nonhomeowners, unemployed, illness, and greater financial stress). There were already large inequalities in experiences of social isolation and loneliness and the pandemic had a small impact on worsening extent and inequalities in these. The concepts of loneliness and social isolation are not interchangeable, and clarity is needed in how they are conceptualized, operationalized, and interpreted. Given many older adults experience high levels of social isolation, there should be greater emphasis on reducing social isolation and the inequalities observed in who experiences greater isolation and loneliness.
DOI: 10.1002/gps.2181
发表时间: 2009-07-01
影响因子: 4
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影响因子: 4.4
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