scholarly journals Loneliness and social isolation is associated with sleep problems among older community dwelling women and men with complex needs

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Laurie McLay ◽  
Hamish A. Jamieson ◽  
Karyn G. France ◽  
Philip J. Schluter
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Sleep Problems ◽  
Community Dwelling ◽  
National Database ◽  
Longitudinal Analyses ◽  
Cross Sectional ◽  
Insufficient Sleep ◽  
Complex Needs ◽  
Socially Isolated

AbstractSleep problems, loneliness and social isolation often increase with age, significantly impacting older adults’ health and wellbeing. Yet general population health empirical evidence is surprisingly scant. Using the largest national database to date, cross-sectional and longitudinal analyses was undertaken on 140,423 assessments from 95,045 (women: 61.0%) community living older adults aged ≥ 65 years having standardised home care assessments between 1 July 2012 and 31 May 2018 to establish the prevalence and relationships between insufficient sleep, excessive sleep, loneliness and social isolation. At first assessment, insufficient sleep (women: 12.4%, men: 12.7%) was more commonly reported than excessive sleep (women: 4.7%, men: 7.6%). Overall, 23.6% of women and 18.9% of men reported feeling lonely, while 53.8% women and 33.8% men were living alone. In adjusted longitudinal analyses, those who were lonely and socially isolated were more likely to experience insufficient sleep. Respondents with excessive sleep were more likely to live with others. Both loneliness and social isolation contributed to insufficient sleep, synergistically. Loneliness, social isolation and health-concerns may affect the restorative properties of sleep over and above the effects of ageing. Further research is warranted.

scholarly journals The Influence of Social Isolation on the Preventive Behaviors for Non-Communicable Diseases in Community-Dwelling Older Adults in Japan

2020 ◽  
Vol 17 (23) ◽  
pp. 8985
Author(s):  
Yuko Yamaguchi ◽  
Masako Yamada ◽  
Elsi Dwi Hapsari ◽  
Hiroya Matsuo
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Social Participation ◽  
Communicable Diseases ◽  
Community Dwelling ◽  
Moderate Intensity ◽  
Lifestyle Behaviors ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Community Dwelling Older Adults

This study aimed to examine the relationship between one’s physical status related to non-communicable diseases (NCDs) and social isolation, and to identify lifestyle behaviors for the prevention of NCDs associated with social isolation among community-dwelling older adults in Japan. A cross-sectional study was conducted to investigate lifestyle behaviors for NCD prevention associated with social isolation in Japanese adults aged 60 years and above in a community setting. Out of 57 participants, 17.5% were not socially participative, 66.7% hardly ever, 29.8% sometimes, and 3.5% often felt loneliness. Non-social participation and loneliness were negatively related to the frequency of vegetable and fruit intake. Additionally, loneliness was positively associated with one’s duration of smoking and current smoking habits, and negatively associated with the frequency of moderate-intensity activities, with marginal significance. Those with non-social participation or loneliness were less likely to eat a healthy diet and live a smoke-free lifestyle. The findings of this study suggest that a mutual health support system in the community and the development of community-based approaches for the prevention of NCDs among Japanese older adults are needed.

scholarly journals Social Isolation and Hospitalization Risk Factors Among Community-Dwelling Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 95-95
Author(s):  
J Mary Louise Pomeroy ◽  
Gilbert Gimm
Keyword(s):  
United States ◽  
Risk Factors ◽  
Older Adults ◽  
Social Isolation ◽  
The United States ◽  
Community Dwelling ◽  
Psychosocial Risk ◽  
Depression And Anxiety ◽  
Socially Isolated ◽  
Community Dwelling Older Adults

Abstract PURPOSE: This study examines psychosocial risk factors associated with hospitalization among community-dwelling older adults in the United States. METHODS: Using two waves of the National Health and Aging Trends Study from 2011 and 2015, we conducted descriptive and multivariate analyses of individual-level data from a nationally representative sample of 8,003 Medicare beneficiaries ages 65 and older. Associations between hospitalization and risk factors including social isolation, depression, and anxiety were assessed. Covariates included gender, race/ethnicity, age, region, insurance type, falls, and comorbidities. RESULTS: Overall, about 20.9% of older adults reported a hospitalization within the past year and 22.2% were socially isolated. The odds of hospitalization were higher for socially isolated adults (OR 1.17; p = .02), for depressed adults (OR 1.25; p = .01), and for individuals with anxiety (OR 1.25; p = .02). Individuals living in the Western region had lower odds of hospitalization (OR 0.71; p = .001), whereas men (OR 1.13; p = .03), those requiring assistance with activities of daily living (OR 1.48; p < .001), and those having one (OR 1.41; p = .03) or more (OR 3.05; p < .001) chronic health conditions had higher odds of hospitalization. CONCLUSION: Social isolation, depression, and anxiety represent significant psychosocial risk factors for hospitalization among community-dwelling older adults in the United States. Efforts to reduce health care costs and improve health outcomes for older adults should explore ways to strengthen social integration and improve mental health.

Factors associated with social isolation in community-dwelling older adults: a cross-sectional study

2020 ◽  
Vol 29 (9) ◽  
pp. 2375-2381 ◽  
Author(s):  
Reshma A. Merchant ◽  
Shumei Germaine Liu ◽  
Jia Yi Lim ◽  
Xiaoxi Fu ◽  
Yiong Huak Chan
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Community Dwelling Older Adults

scholarly journals Association between Occupational Dysfunction and Social Isolation in Japanese Older Adults: A Cross-Sectional Study

2021 ◽  
Vol 18 (12) ◽  
pp. 6648
Author(s):  
Keisuke Fujii ◽  
Yuya Fujii ◽  
Yuta Kubo ◽  
Korin Tateoka ◽  
Jue Liu ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Function Group ◽  
The Relationship ◽  
Occupational Function ◽  
Occupational Dysfunction

We clarified the relationship between occupational dysfunction and social isolation among community-dwelling adults. We used a self-administered questionnaire with a cross-sectional study for 2879 independently living older adults in Kasama City, Japan. Participants responded to a self-reported questionnaire in November 2019. Occupational dysfunction and social isolation were assessed. The participants were classified into two groups: healthy occupational function group, and occupational dysfunction group. To examine the relationship between occupational dysfunction and social isolation, we performed a logistic regression analysis with social isolation as a dependent variable and occupational dysfunction as an independent variable. In the crude model, the occupational dysfunction group had a higher risk of social isolation than the healthy occupational function group (odds ratio (OR) = 2.04; 95% confidence interval (CI), 1.63–2.55; p < 0.001). In the adjusted model, the occupational dysfunction group had a higher risk of social isolation than the healthy occupational function group (OR = 1.51; 95% CI, 1.17–1.94; p = 0.001). The results showed that occupational dysfunction was significantly associated with social isolation. These results can be used in constructing a support method for social isolation from a new perspective.

scholarly journals Factors associated with social isolation and loneliness in community-dwelling older adults during pandemic times: a cross-sectional study

2021 ◽  
Vol 54 ◽  
Author(s):  
Maycon Sousa Pegorari ◽  
Caroline de Fátima Ribeiro Silva ◽  
Fabrícia Coelho de Araújo ◽  
Juliana de Souza da Silva ◽  
Daniela Gonçalves Ohara ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Community Dwelling Older Adults

scholarly journals Social Isolation as a Risk Factor for Cigarette Smoking in Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 122-122
Author(s):  
Gilbert Gimm ◽  
Mary Lou Pomeroy ◽  
Thomas Cudjoe
Keyword(s):  
Older Adults ◽  
Risk Factor ◽  
Cigarette Smoking ◽  
Social Isolation ◽  
National Sample ◽  
Community Dwelling ◽  
Increased Risk ◽  
Dual Eligible ◽  
Socially Isolated ◽  
Using Data

Abstract Objective This study examined the prevalence of social isolation and cigarette smoking in a national sample of community-dwelling older adults, and assessed the role of social isolation on the risk of cigarette smoking. Methods Using data from 8,044 participants (age 65+ years) across two waves of the National Health and Aging Trends Study (NHATS), we analyzed the prevalence of social isolation in older adults and as a risk factor for cigarette smoking. Social isolation was measured across 4 relationship domains (Cudjoe, 2018) on a scale of 0 to 4, using objective measures of social interactions. Descriptive and logistic regression analyses were conducted to assess how social isolation is associated with smoking. Results Preliminary results showed that 18.2% of older adults were socially isolated (3.5% severely isolated) and 7.1% of participants reported current smoking. We found that both social isolation (OR = 2.5, p&lt;.001) and severe isolation (OR = 5.9, p&lt;.001) increased the odds of smoking. Also, older adults with depression (OR = 1.6, p&lt;.01) and dual-eligible beneficiaries (Medicare and Medicaid) with TRICARE coverage (OR = 4.6, p&lt;.05) had greater odds of smoking. However, we did not find evidence that the odds of smoking varied significantly by the number of chronic conditions. Conclusion Social isolation is associated with an increased risk of cigarette smoking among older adults. Smoking may be an important behavior in the pathway between social isolation and its association with morbidity and mortality.

scholarly journals Age differences in associations of different indicators of socioeconomic status with social isolation: A cross-sectional study

2020 ◽  
Author(s):  
Lixia Ge ◽  
Bee Hoon Heng ◽  
Woan Shin Tan
Keyword(s):  
Older Adults ◽  
Socioeconomic Status ◽  
Social Isolation ◽  
Employment Status ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Middle Aged ◽  
Housing Type ◽  
Cross Sectional

Abstract Background Socioeconomic status is a crucial determinant of social isolation. However, little is known whether the associations between different indicators of socioeconomic status and social isolation vary across age groups. This study examined the association of individual socioeconomic status indicators with social isolation in three age groups: young (21-44 years), middle-aged (45-64 years), and older adults (≥65 years). Methods Cross-sectional data for 1,930 representative community-dwelling adults aged 21 and above in the Central region of Singapore was used. The 6-item Lubben Social Network Scale was used to assess social isolation. Socioeconomic status was measured using education level, employment status, personal income, housing type and self-perceived money sufficiency). Separate logistic regression analyses were conducted to examine the association between each SES indicator and social isolation in each age group. Results Each socioeconomic indicator showed a clear gradient with social isolation and significant age disparities were found in their relationship. Socioeconomic status indicators significantly associated with social isolation were income (R2 change=2.5%) and self-perceived money insufficiency (R2 change=1.5%) in young adults, education (R2 change=0.5%), employment status (R2 change=1.3%), income (R2 change=0.8%), housing type (R2 change=1.9%) and self-perceived money insufficiency (R2 change=2.0%) in middle-aged adults, and housing type (R2 change=1.3%) and self-perceived money insufficiency (R2 change=3.7%) in older adults when adjusting for demographics and other indicators. Conclusions The influence of individual socioeconomic status indicators on social isolation varied across age groups. This study provides a rationale for the choice of socioeconomic status indicator and specific interventions need to target different socioeconomic status groups for different age groups.

scholarly journals Internet use, social isolation and loneliness in older adults

2020 ◽  
pp. 1-24
Author(s):  
Stephanie Stockwell ◽  
Brendon Stubbs ◽  
Sarah E. Jackson ◽  
Abi Fisher ◽  
Lin Yang ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Longitudinal Study ◽  
Social Isolation ◽  
Odds Ratio ◽  
The Internet ◽  
Cross Sectional ◽  
Men And Women ◽  
Socially Isolated ◽  
English Longitudinal Study

Abstract The aim of this study was to explore associations between internet/email use in a large sample of older English adults with their social isolation and loneliness. Data from the English Longitudinal Study of Ageing Wave 8 were used, with complete data available for 4,492 men and women aged ⩾ 50 years (mean age = 64.3, standard deviation = 13.3; 51.7% males). Binomial logistic regression was used to analyse cross-sectional associations between internet/email use and social isolation and loneliness. The majority of older adults reported using the internet/email every day (69.3%), fewer participants reported once a week (8.5%), once a month (2.6%), once every three months (0.7%), less than every three months (1.5%) and never (17.4%). No significant associations were found between internet/email use and loneliness, however, non-linear associations were found for social isolation. Older adults using the internet/email either once a week (odds ratio (OR) = 0.60, 95% confidence interval (CI) = 0.49–0.72) or once a month (OR = 0.60, 95% CI = 0.45–0.80) were significantly less likely to be socially isolated than every day users; those using internet/email less than once every three months were significantly more likely to be socially isolated than every day users (OR = 2.87, 95% CI = 1.28–6.40). Once every three months and never users showed no difference in social isolation compared with every day users. Weak associations were found between different online activities and loneliness, and strong associations were found with social isolation. The study updated knowledge of older adults’ internet/email habits, devices used and activities engaged in online. Findings may be important for the design of digital behaviour change interventions in older adults, particularly in groups at risk of or interventions targeting loneliness and/or social isolation.

scholarly journals Frailty as a Moderator of the Relationship Between Social Isolation and Health Outcomes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 269-270
Author(s):  
Fereshteh Mehrabi ◽  
François Béland
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Social Isolation ◽  
Social Participation ◽  
Social Ties ◽  
Extended Family ◽  
Adverse Outcomes ◽  
Community Dwelling ◽  
Cross Sectional ◽  
The Impact

Abstract Previous studies have reported that social isolation is a predictor of adverse outcomes, which is also closely associated with frailty. Very little is known about the moderating role of frailty on the impact of social isolation on health. We performed a cross-sectional analysis of the first wave of the FRéLE longitudinal study, consisting of 1643 Canadian community-dwelling older adults aged 65 years and over. Multivariate regression analysis was performed to examine the interaction between social isolation and frailty on health, controlling for socioeconomic characteristics and life habits. Social isolation was measured through social participation, social networks and support for different social ties namely, friends, children, extended family, and partner. In contrast to Berkman’s theory on the impact of social isolation on health, we found that frailty had no modifying role on the effects of social isolation on health. Frailty was significantly associated with all adverse outcomes. Less social participation was associated with ADLs, IADLs, depression and cognitive decline. The absence of friends was associated with depression and cognitive decline. Less support from children and having no children were associated with ADLs, comorbidity and depression. Fewer contact with extended family and having no family members were notably associated with ADLs and IADLs. Those who received less support from a partner or had no partner were more depressed and had more difficulties in performing IADLs. This study suggests that older adults who participate in social activities and have social ties, feel better with respect to physical health than those who feel isolated.

scholarly journals 535 - Loneliness and social isolation in attendees of a Psychiatry of Old Age Service in the North West of Ireland: preliminary findings of a cross-sectional study during the COVID- 19 pandemic.

2021 ◽  
Vol 33 (S1) ◽  
pp. 79-80
Author(s):  
Clodagh Rushe ◽  
Kevin Bernadette ◽  
Ericka Maye ◽  
Sweeney Gavin ◽  
McLaughlin Kevin ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Isolation ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
North West ◽  
The North ◽  
Socially Isolated ◽  
West Of Ireland

Aims and HypothesisThe primary aim is to establish the prevalence of loneliness and social isolation in older adults referred to a Psychiatry of Old-Age Service in the North-West of Ireland. Secondary aims include exploring associations between loneliness, social isolation and, well-being, depression, cognition and health- status. The overarching aim was to improve patient outcomes by tailoring mental health and social interventions appropriate to patient need.BackgroundLoneliness is a discrepancy between the social-relations one has and their desired level. It is estimated that one third of older adults will experience loneliness, which along with social isolation has links to poorer health-outcomes, reduced quality of life and cognitive decline. Government advice in Ireland to reduce social activity due to COVID-19 pandemic may compound social disconnection. We present preliminary findings of an ongoing study investigating loneliness, social isolation and related factors in older adults referred to a Mental-Health Service in the North-West of Ireland in 2020 - 2021.MethodsUsing a cross-sectional study design, participants completed University of California, Los-Angeles(UCLA) Loneliness Scale (UCLA maximum score =10); and Berkman-Syme Social Network Index. Quality of life is measured using WHO-Well-being Index(WHO-5) with a number of relevant personal, clinical and social factors also captured.ResultsData from 98 questionnaires (January 2020- May 2021), 52% female, showed average participant age was 74.4 years. Average perceived loneliness score was 3.67 and 85.7%, (n=84) reported some loneliness (UCLA >0) with 2% (n=2) reporting high loneliness levels (UCLA =10). The majority, 77.5% (n=76) were socially isolated; 35.7% (n=35) ‘mostly isolated’, 41.8% (n=41) ‘moderately isolated’. Females were noted to be more isolated.ConclusionsPreliminary results illustrate majority of older adults referred to a mental-health service over a time- period spanning COVID-19 pandemic are lonely and socially isolated. This is likely compounded by changes to daily routines during COVID-19 pandemic. This is concerning given the adverse health implications. We hope final results will guide enhancement of clinical-care through linkage of mental- health services with community agencies, social-care supports and e-health technologies.

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