The Epidemiology of Social Isolation: National Health and Aging Trends Study
The Epidemiology of Social Isolation: National Health and Aging Trends Study
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DOI：
10.1093/geronb/gby037
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发表时间：
2020-01-01
影响因子：
6.2
通讯作者：
Thorpe, Roland J., Jr.
中科院分区：
文献类型：
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作者：
Cudjoe, Thomas K. M.;Roth, David L.;Thorpe, Roland J., Jr.
目标：老年人的社会孤立是造成不良健康结果的一个重要但未被充分认识的风险。需要采取方法来识别有社会孤立风险的老年人亚组。方法：我们利用国家健康和老龄化趋势研究（NHATS）的数据构建了社会孤立的类型，并估计了社区老年人中社会孤立的患病率和相关性。该类型由四个领域组成：居住安排、核心讨论网络规模、宗教参与度和社会参与。 结果：2011 年，24% 的自我反应社区居住老年人（65 岁以上），即约 770 万人，被描述为社会孤立，其中 130 万人（4%）被描述为严重社会孤立。多项多变量逻辑回归表明，未婚、男性、低教育程度和低收入均与社会孤立独立相关。在调整协变量后，与白人老年人相比，黑人和西班牙裔老年人的社会孤立几率较低。讨论：社会孤立是一种重要且可能可改变的风险，影响着很大一部分老年人口。
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 with 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.