Frequency of contact with friends and relatives via internet and psychosocial factors in middle‐aged and older adults during the COVID‐19 pandemic. Findings from the German Ageing Survey

Abstract Given that there is limited research examining the specific role social isolation plays in stroke risk, we aimed to estimate the controlled direct effect of social isolation on stroke risk in China. A nationally representative sample (n = 12,662) of persons aged 45 years or more at baseline (2011), with corresponding follow-ups in 2013 and 2015, was taken from the China Health and Retirement Longitudinal Study. Stroke was assessed through a self- or proxy-reported physician’s diagnosis. Social isolation was measured by incorporating marital status, frequency of contact with friends, family, and children, and participation in social activities. A marginal structural model with stabilized inverse probability weights was applied to examine the controlled direct effect of social isolation on stroke risk. Overall, 245 persons had a stroke within the 4-year timeline under study. The total effect model indicated that persons experiencing social isolation had a 64% increased risk of stroke (odds ratio (OR) = 1.64, 95% confidence interval (CI): 1.26, 2.13). Results from the marginal structural model also indicated that socially isolated persons had an increased risk of stroke (OR = 2.39, 95% CI: 1.49, 3.82) after adjustment for depression. Interventions to reduce social isolation may be particularly beneficial in preventing the occurrence of stroke among middle-aged and older adults in China.

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Sexual satisfaction of middle-aged and older adults: longitudinal findings from a nationally representative sample

Age and Ageing ◽

10.1093/ageing/afaa161 ◽

2020 ◽

Author(s):

Elżbieta Buczak-Stec ◽

Hans-Helmut König ◽

André Hajek

Keyword(s):

Older Adults ◽

Sexual Satisfaction ◽

Age Groups ◽

Sociodemographic Factors ◽

Community Dwelling ◽

Middle Aged ◽

Random Coefficient Models ◽

Self Rated Health ◽

Nationally Representative ◽

German Ageing Survey

Abstract Background whilst previous studies have investigated the determinants of sexual satisfaction (i) using longitudinal data or (ii) among older adults, only a few studies have done both at the sametime. Objective the purpose of this study was to investigate the determinants of sexual satisfaction longitudinally among middle-aged and older adults. Design nationally representative longitudinal study (German Ageing Survey—DEAS). Setting community-dwelling individuals in Germany. Data drawn from three waves (2002, 2008, 2011). Subjects individuals aged 40–95 (36.9% age group 65+). At wave 2 in the year 2002, n = 3,843 individuals took part. Methods well-established and widely used scales were used to quantify the independent variables. We included variables such as sociodemographic factors, self-rated health, physical functioning, depression and loneliness in our analysis. Sexual satisfaction was our outcome measure. Results were stratified by age (40–64, 65+). To take into account the multilevel data structure, we used random coefficient models. Results random-effects regressions showed that increased sexual satisfaction was consistently associated with the following variables in both age groups: lower number of physical illnesses, β = −0.03, P < 0.001 (betas coefficients given for individuals 65 years and over); better self-rated health, β = −0.06, P < 0.001; absence of depression, β = −0.16, P < 0.01; and higher importance of sexuality and intimacy, β = 0.08, P < 0.001. Moreover, sexual satisfaction was associated with having a partner: β = 0.16, P < 0.001; living with a partner in the same household, β = 0.26, P < 0.001; and a lower score of loneliness, β = −.28, P < 0.001. In contrast, sexual satisfaction was, for example, not associated with cognitive functioning. Conclusions the most surprising findings were that among both middle-aged and older adults, almost the same determinants (with exception of sociodemographic factors) were associated with satisfaction with sexlife.

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