Life-Space Restriction Following Disruptive Life Events: Evidence From the COVID-19 Pandemic.

IF 4.8 2区医学 Q1 GERIATRICS & GERONTOLOGY

Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-02-10 DOI:10.1093/geronb/gbaf003

Sapphire H Lin, Mary Su-Lynn Chew, Gek Hsiang Lim, Yee Sien Ng

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引用次数: 0

Abstract

Objectives: Restriction of life-space mobility is associated with adverse health outcomes including depression, morbidity, mortality, and poorer quality of life. In this study, we aimed to determine the impact of coronavirus disease 2019 (COVID-19) and associated employment loss on the life space of older adults in Singapore.

Methods: An in-person survey was administered to a cohort of older Singaporeans above 50 years old (N = 1,118). Data collected included self-report measures of life space, sensory function, well-being, cognitive function, depression, frailty, and objective measures of muscle mass and body mass index. Tests of association and linear regression were performed to test the hypotheses while accounting for the effects of health and sociodemographic covariates.

Results: The life space of older adults has significantly diminished after the pandemic. This loss remained significant despite controlling for covariates and was more pronounced among those who had lost employment during the pandemic. In addition, losing employment during the pandemic was associated with having smaller life spaces.

Discussion: Life-space assessments are a potential important noninvasive marker for not only health and longevity but also the ability to sustain employment. Public health crises like the COVID-19 pandemic and employment loss negatively affect the life spaces of older adults. It is needful to emphasize the maintenance of life space when faced with disruptive life events and provide multidisciplinary collaborative solutions to restore the quality of life among vulnerable older adults.

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破坏性生活事件后的生活空间限制：来自COVID-19大流行的证据。

目标：限制生活空间流动与不良健康结果有关，包括抑郁、发病率、死亡率和生活质量较差。在这项研究中，我们旨在确定COVID-19和相关的就业损失对新加坡老年人生活空间的影响。方法：对50岁以上的新加坡老年人进行面对面调查（N = 1118）。收集的数据包括生活空间、感觉功能、幸福感、认知功能、抑郁、虚弱的自我报告测量，以及肌肉质量和体重指数的客观测量。在考虑健康和社会人口协变量影响的同时，进行了关联检验和线性回归检验以检验假设。结果：疫情后老年人生活空间明显缩小。尽管控制了协变量，但这种损失仍然很大，在大流行期间失业的人中更为明显。此外，在大流行期间失去工作与生活空间变小有关。讨论：生命空间评估是一个潜在的重要的非侵入性标志，不仅对健康和寿命，而且对维持就业的能力。COVID-19大流行和失业等公共卫生危机对老年人的生活空间产生了负面影响。当面对破坏性的生活事件时，有必要强调对生活空间的维护，并提供多学科协作解决方案，以恢复弱势老年人的生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journals of Gerontology Series B-Psychological Sciences and Social Sciences 医学-老年医学

CiteScore

11.60

自引率

8.10%

发文量

178

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontology: Psychological Sciences publishes articles on development in adulthood and old age that advance the psychological science of aging processes and outcomes. Articles have clear implications for theoretical or methodological innovation in the psychology of aging or contribute significantly to the empirical understanding of psychological processes and aging. Areas of interest include, but are not limited to, attitudes, clinical applications, cognition, education, emotion, health, human factors, interpersonal relations, neuropsychology, perception, personality, physiological psychology, social psychology, and sensation.