跨越 21 年的老年人虚弱、社会孤立和孤独的时间顺序和相互关系。

IF 6 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Fereshteh Mehrabi, Mary Louise Pomeroy, Thomas K M Cudjoe, Emerald Jenkins, Elsa Dent, Emiel O Hoogendijk
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引用次数: 0

摘要

背景:目前还不清楚社会隔离和孤独感是否会先于体弱状态,或者体弱是否会导致社会隔离和孤独感。我们调查了 21 年间老年人社交孤立、孤独和虚弱的相互关系和时间顺序:我们使用了阿姆斯特丹纵向老龄化研究的 7 个波次,研究对象为 2302 名 55 岁或 55 岁以上的荷兰老年人(M = 72.6 岁,SD = 8.6,52.1% 为女性)。我们使用随机截距交叉滞后面板模型,研究了社会隔离和孤独与虚弱之间的人际关系和人内关系。虚弱程度用虚弱指数来衡量。孤独感采用 11 项 De Jong Gierveld 孤独感量表进行测量。社会隔离度采用多领域 6 项量表进行测量:结果:社会隔离和孤独感在不同波次中的相关性较弱。在人与人之间,虚弱程度较高的人往往具有较高的社会孤立感,但孤独感并不高。在人与人之间的层面上,交叉滞后路径表明,早先的虚弱状况会随着时间的推移预测未来的社会孤立感和孤独感。然而,除了在时间点 5(T5)外,之前的社会隔离与之后的虚弱状态无关。特定时间点(T1、T4 和 T6)的孤独感预示着后期时间点(T2、T5 和 T7)更大的虚弱感。研究结果还证明,社会隔离、孤独感和虚弱之间存在互为因果的同期关系:结论:社会隔离和孤独是体弱的潜在后果。公共卫生政策和卫生从业人员应优先考虑针对虚弱前期或虚弱老年人的社会联系进行干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The temporal sequence and reciprocal relationships of frailty, social isolation and loneliness in older adults across 21 years.

Background: It is unclear whether social isolation and loneliness may precede frailty status or whether frailty may precipitate social isolation and loneliness. We investigated the reciprocal and temporal sequence of social isolation, loneliness, and frailty among older adults across 21 years.

Methods: We used seven waves of the Longitudinal Aging Study Amsterdam from 2302 Dutch older adults (M = 72.6 years, SD = 8.6, 52.1% female) ages 55 or older. Using random intercept cross-lagged panel models, we investigated between- and within-person associations of social isolation and loneliness with frailty. Frailty was measured using the Frailty Index. Loneliness was measured using the 11-item De Jong Gierveld Loneliness Scale. Social isolation was measured using a multi-domain 6-item scale.

Results: Social isolation and loneliness were weakly correlated across waves. At the between-person level, individuals with higher levels of frailty tended to have higher levels of social isolation but not loneliness. At the within-person level, the cross-lagged paths indicated that earlier frailty status predicted future social isolation and loneliness over time. However, prior social isolation was not associated with subsequent frailty except at time point 5 (T5). Loneliness at specific time points (T1, T4 and T6) predicted greater frailty at later time points (T2, T5 and T7). The results also supported reciprocal and contemporaneous relations between social isolation, loneliness and frailty.

Conclusions: Social isolation and loneliness are potential outcomes of frailty. Public health policies and health practitioners should prioritise interventions targeting social connection among older adults with pre-frailty or frailty.

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来源期刊
Age and ageing
Age and ageing 医学-老年医学
CiteScore
9.20
自引率
6.00%
发文量
796
审稿时长
4-8 weeks
期刊介绍: Age and Ageing is an international journal publishing refereed original articles and commissioned reviews on geriatric medicine and gerontology. Its range includes research on ageing and clinical, epidemiological, and psychological aspects of later life.
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