澳大利亚家庭、收入和劳动力动态队列研究》中孤独、社会隔离与身体不活跃之间的双向关系

IF 3.6 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Ben J Smith, Michelle H Lim, Karine E Manera, Philayrath Phongsavan, Katherine B Owen
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引用次数: 0

摘要

背景 横断面研究显示,孤独、社会隔离和缺乏运动之间存在联系。队列研究正在揭示这些关系,还需要进一步的纵向调查。目的 本研究旨在评估孤独感、社会隔离和缺乏运动之间的纵向和双向联系。方法 数据来自澳大利亚家庭和劳动力动态调查(2015-2019 年)的五次年度波次,样本为 17303 人(平均年龄 = 46.3 岁 [SD = 18.0],49.4% 为女性)。孤独感、社会隔离和缺乏运动之间的关系采用交叉滞后面板模型进行检验,并对每一波次的同步交叉滞后效应进行估计。模型调整了社会人口因素、慢性疾病状况、心理困扰以及社会隔离或孤独感的相互影响。还探讨了性别对相关性的调节作用。结果 在各次调查中,缺乏运动对孤独感的滞后影响不大(几率比 1.16 [95% 置信区间 1.04-1.29] 至 1.20 [1.07,1.33])。身体缺乏活动对社会隔离的滞后影响只出现在其中三次调查中(几率比 1.20 [1.02-1.41] 至 1.23 [1.05-1.42])。虽然孤独感和社会隔离对身体不活跃有滞后效应,但在调整心理压力后,这些效应并没有持续存在。结论 纵向分析发现,体力活动不足持续预测孤独感,但不预测社会隔离感。在对混杂因素进行调整后,孤独感和社会隔离并不能预测体力活动不足。虽然关联的强度不大,但仍有必要进一步研究最有利于减少孤独感的体育锻炼类型和剂量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bidirectional Relationships Between Loneliness, Social Isolation, and Physical Inactivity in the Household, Income and Labour Dynamics in Australia Cohort Study
Background Cross-sectional studies show associations between loneliness, social isolation and physical inactivity. Cohort studies are shedding light on these relationships and further longitudinal investigations are needed. Purpose This study aimed to assess the longitudinal and bidirectional associations between loneliness, social isolation, and physical inactivity. Methods Data were drawn from five annual waves of the Household and Labour Dynamics of Australia Survey (2015–2019), providing a sample of 17,303 persons (mean age = 46.3 years [SD = 18.0], 49.4% female). Relationships between loneliness, social isolation, and physical inactivity were examined using cross-lagged panel modeling, with estimation of simultaneous cross-lagged effects across each wave. Models adjusted for sociodemographic factors, chronic disease status, psychological distress, and mutually for social isolation or loneliness. Moderation of associations by sex was explored. Results There were modest lagged effects of physical inactivity on loneliness across the survey waves (odds ratio 1.16 [95% confidence interval 1.04–1.29] to 1.20 [1.07, 1.33]). A lagged effect of physical inactivity upon social isolation was only present across three of the waves (odds ratio 1.20 [1.02–1.41] to 1.23 [1.05–1.42]). While loneliness and social isolation showed lagged effects upon physical inactivity, these did not persist with adjustment for psychological distress. Conclusions Longitudinal analysis found that physical inactivity consistently predicted loneliness, but not social isolation. After adjustment for confounding, loneliness and social isolation were not predictive of physical inactivity. While the strength of the associations was modest, further investigation is warranted of the type and dose of physical activity that is most beneficial for reducing loneliness.
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来源期刊
Annals of Behavioral Medicine
Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
7.00
自引率
5.30%
发文量
65
期刊介绍: Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .
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