The relationship between wealth and loneliness among older people across Europe: Is social participation protective?
The relationship between wealth and loneliness among older people across Europe: Is social participation protective?
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DOI：
10.1016/j.ypmed.2016.07.016
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发表时间：
2016-10-01
影响因子：
5.1
通讯作者：
Pearce, Jamie R.
中科院分区：
文献类型：
--
作者：
Niedzwiedz, Claire L.;Richardson, Elizabeth A.;Pearce, Jamie R.
目标。1.研究欧洲各地老年人的家庭财富、社会参与度和孤独感之间的关系。2.调查关系是否因社会参与类型(慈善/志愿工作、体育/社交俱乐部、教育/培训课程和政治/社区组织)和性别而异。3.研究社会参与是否缓和了财富和孤独之间的联系。数据(N=29,795)来自欧洲健康、老龄化和退休调查(SHARE)第五次浪潮，该调查于2013年从14个欧洲国家收集。使用修订后的加州大学洛杉矶分校(R-UCLA)孤独量表的简短版本来衡量孤独感。我们使用按性别分层的多水平Logistic模型来检验变量之间的关系，个体嵌套在国家内。孤独的风险在最不富裕的群体中最高，在最富有的群体中最低。频繁的社交参与与较低的孤独风险相关，并缓和了家庭财富和孤独之间的联系，特别是在男性中。与经常参加正式社交活动的最富有男性相比，不参加正式社交活动的最不富裕男性孤独的风险更大(OR=1.91，95%CI：1.44至2.51)。在经常参加正式社会活动的最不富裕男性中未观察到这种增加的风险(OR=1.12，95%CI：0.76~1.67)。参加外部社会活动可能有助于减少老年人的孤独感，并可能起到缓冲作用，抵御社会经济不利的不利影响。(C)2016 Elsevier Inc.保留所有权利。
Objective. 1. Examine the relationship between household wealth, social participation and loneliness among older people across Europe. 2. Investigate whether relationships vary by type of social participation (charity/volunteer work, sports/social clubs, educational/training course, and political/community organisations) and gender. 3. Examine whether social participation moderates the association between wealth and loneliness.Methods. Data (N= 29,795) were taken from the fifthwave of the Survey of Health, Ageing and Retirement in Europe (SHARE), which was collected during 2013 from 14 European countries. Loneliness was measured using the short version of the Revised-University of California, Los Angeles (R-UCLA) Loneliness Scale. We used multilevel logistic models stratified by gender to examine the relationships between variables, with individuals nested within countries.Results. The risk of loneliness was highest in the least wealthy groups and lowest in the wealthiest groups. Frequent social participation was associated with a lower risk of loneliness and moderated the association between household wealth and loneliness, particularly among men. Compared to the wealthiest men who often took part in formal social activities, the least wealthy men who did not participate had greater risk of loneliness (OR= 1.91, 95% CI: 1.44 to 2.51). This increased riskwas not observed among the leastwealthy menwho reported frequent participation in formal social activities (OR = 1.12, 95% CI: 0.76 to 1.67).Conclusion. Participation in external social activities may help to reduce loneliness among older adults and potentially acts as a buffer against the adverse effects of socioeconomic disadvantage. (C) 2016 Elsevier Inc. All rights reserved.