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2005-2010 年期间荷兰老年人孤独感趋势的决定因素。

Determinants of trends in loneliness among Dutch older people over the period 2005-2010.

机构信息

GGD Noord- en Oost-Gelderland (Community Health Service), Apeldoorn, The Netherlands.

出版信息

J Aging Health. 2014 Apr;26(3):422-40. doi: 10.1177/0898264313518066. Epub 2014 Jan 21.

Abstract

OBJECTIVE

This study aims to investigate the influence of socio-demographic, health, and municipal characteristics on trends in loneliness among community-dwelling elderly people.

METHOD

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.

RESULTS

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.

DISCUSSION

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.

摘要

目的

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。

方法

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。

结果

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。

讨论

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。

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