Social Isolation, Loneliness and Health Among Older Adults

被引:530
作者
Coyle, Caitlin E. [1 ]
Dugan, Elizabeth [1 ]
机构
[1] Univ Massachusetts, Dept Gerontol, Boston, MA 02125 USA
关键词
loneliness; social isolation; aging; health; CROSS-LAGGED ANALYSES; PHYSIOLOGICAL PROCESSES; SUPPORT; RISK; DISEASE; EMPHASIS; DYNAMICS; ALCOHOL; OBESITY; SAMPLE;
D O I
10.1177/0898264312460275
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Objective: To examine the relationship of social isolation, loneliness and health outcomes among older adults. Methods: Using data from the Leave Behind Questionnaire of the Health and Retirement Study (2006 and 2008), (n = 11,825) several indicators of social isolation were scaled and the Hughes 3-Item Loneliness Scale was used. Two measures of health (self-rated health and mental health conditions) were examined using logistic regression. Results: Loneliness and social isolation were not highly correlated with one another (r = 0.201, p = 0.000). Loneliness was associated with higher odds of having a mental health problem (OR: 1.17; CI: [1.13, 1.21], p = 0.000); and isolation was associated with higher odds of reporting one's health as being fair/poor (OR:1.39; CI: [1.21, 1.59], p = 0.000). Discussion: The results suggest that global measures of isolation, that fail to distinguish between social isolation and feelings of loneliness, may not detect the impact on physical and mental health in older adults.
引用
收藏
页码:1346 / 1363
页数:18
相关论文
共 44 条
[1]  
A Profile of Older Americans, 2011, ADM AG
[2]   Day-to-day dynamics of experience-cortisol associations in a population-based sample of older adults [J].
Adam, Emma K. ;
Hawkley, Louise C. ;
Kudielka, Brigitte M. ;
Cacioppo, John T. .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2006, 103 (45) :17058-17063
[3]   SCREENING FOR DEPRESSION IN WELL OLDER ADULTS - EVALUATION OF A SHORT-FORM OF THE CES-D [J].
ANDRESEN, EM ;
MALMGREN, JA ;
CARTER, WB ;
PATRICK, DL .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 1994, 10 (02) :77-84
[4]   The coming epidemic of obesity in elderly Americans [J].
Arterburn, DE ;
Crane, PK ;
Sullivan, SD .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2004, 52 (11) :1907-1912
[5]   Self-reported Health, Functional Status and Chronic Disease in Community Dwelling Older Adults: Untangling the Role of Demographics [J].
Banerjee, Deborah ;
Perry, Mark ;
Tran, Dinh ;
Arafat, Raouf .
JOURNAL OF COMMUNITY HEALTH, 2010, 35 (02) :135-141
[6]   THE NEED TO BELONG - DESIRE FOR INTERPERSONAL ATTACHMENTS AS A FUNDAMENTAL HUMAN-MOTIVATION [J].
BAUMEISTER, RF ;
LEARY, MR .
PSYCHOLOGICAL BULLETIN, 1995, 117 (03) :497-529
[7]   From social integration to health: Durkheim in the new millennium [J].
Berkman, LF ;
Glass, T ;
Brissette, I ;
Seeman, TE .
SOCIAL SCIENCE & MEDICINE, 2000, 51 (06) :843-857
[8]   Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality [J].
Brummett, BH ;
Barefoot, JC ;
Siegler, IC ;
Clapp-Channing, NE ;
Lytle, BL ;
Bosworth, HB ;
Williams, RB ;
Mark, DB .
PSYCHOSOMATIC MEDICINE, 2001, 63 (02) :267-272
[9]   Perceived Social Isolation Makes Me Sad: 5-Year Cross-Lagged Analyses of Loneliness and Depressive Symptomatology in the Chicago Health, Aging, and Social Relations Study [J].
Cacioppo, John T. ;
Hawkley, Louise C. ;
Thisted, Ronald A. .
PSYCHOLOGY AND AGING, 2010, 25 (02) :453-463
[10]   Social isolation and health, with an emphasis on underlying mechanisms [J].
Cacioppo, JT ;
Hawkley, LC .
PERSPECTIVES IN BIOLOGY AND MEDICINE, 2003, 46 (03) :S39-S52