GGD Noord- en Oost-Gelderland (Community Health Service), Apeldoorn, The Netherlands.
J Aging Health. 2014 Apr;26(3):422-40. doi: 10.1177/0898264313518066. Epub 2014 Jan 21.
This study aims to investigate the influence of socio-demographic, health, and municipal characteristics on trends in loneliness among community-dwelling elderly people.
Data were gathered from 4,868 and 4,773 non-institutionalized elderly people aged 65 years and above in a health survey in 2005 and 2010, respectively. Crude and adjusted multilevel models were analyzed to study the independent associations of study year and socio-demographic, health, and municipal characteristics with loneliness.
Overall and across municipalities, loneliness estimates did not significantly differ between 2005 and 2010. However, among the sub-group with activity limitations, loneliness was higher in 2010 compared with 2005.
This study indicates a constant trend in loneliness in the total population and across sub-groups with the exception of participants with one or more activity limitations, where loneliness increased. Individual socio-demographic and health characteristics were explanatory factors for variation in loneliness over time, whereas municipal characteristics were not.
本研究旨在探讨社会人口学、健康和市政特征对社区居住老年人孤独感趋势的影响。
本研究数据来源于分别于 2005 年和 2010 年进行的两次健康调查中,4868 名和 4773 名未入住机构的 65 岁及以上的非机构老年人。采用未调整和调整后的多层次模型分析研究年份以及社会人口学、健康和市政特征与孤独感的独立关联。
总体而言,且在各市政当局之间,2005 年和 2010 年之间的孤独感估计值没有显著差异。然而,在有活动障碍的亚组中,2010 年的孤独感高于 2005 年。
本研究表明,除了有一项或多项活动障碍的参与者外,总体人群和各亚组的孤独感趋势保持不变,而在这些参与者中,孤独感增加。个体社会人口学和健康特征是孤独感随时间变化的解释因素,而市政特征则不是。