scholarly journals The Path of Self-Neglect of the Older-Old Adults Living Alone: Focused on the Effect of Social Support and Depression

2019 ◽  
Vol 33 (4) ◽  
pp. 89-106
Author(s):  
백옥미
Keyword(s):  
Social Support ◽  
Living Alone ◽  
Old Adults

Abstract P70: Social Network Characteristics Are Associated With Long Term Outcomes After Myocardial Infarction

2011 ◽  
Vol 4 (suppl_1) ◽  
Author(s):  
Edward P Havranek ◽  
Kensey L Gosch ◽  
Donna M Buchanan ◽  
Kim G Smolderen ◽  
John A Spertus
Keyword(s):  
Myocardial Infarction ◽  
Social Support ◽  
Social Network ◽  
Nuclear Family ◽  
Univariate Analysis ◽  
Living Alone ◽  
Linear Regression Models ◽  
Vas Score ◽  
Area Code

Background: Lack of social support is associated with worse outcomes after myocardial infarction (MI). Social support is a complex concept that includes the quality of perceived support and the size and quality of one's social network. It is not known if having a geographically close social network affects outcomes post-MI. We hypothesized that patients with a greater number of close network contacts would have better post-MI outcomes. Methods: From contacts listed by subjects in TRIUMPH, a prospective registry of MI patients from 24 US centers, we characterized social network size (number of contacts listed) and closeness (number of nuclear family contacts and number of contacts residing in the same area code). We assessed univariate relationships between these indices and outcomes (mortality and health status by the EQ-5D Visual Analogue Scale [VAS], an overall assessment of patients' quality of life), and scores from the ENRICHD Social Support Instrument (ESSI). We created multivariable Cox proportional hazards and linear regression models with mortality and VAS as dependent variables and with demographic, clinical, treatment and social support measures as independent variables. Results: Of 4340 subjects enrolled, 472 died over a median of 28.6 months. Mean 12-month VAS score was 75.4 ± 21.1. Having no same area code contacts (19.3% vs. 15.9%) (p=0.025 for trend), no nuclear family contacts (40.9% vs. 33.8%) (p=0.010 for trend), and living alone (33.0% vs. 23.6%, p<0.001) were associated with higher mortality on univariate analysis; total number of contacts and ESSI tertile were not. Univariate relationships with VAS were similar. In a multivariable model, age, prior stroke, diabetes, kidney disease, ejection fraction <40%, and living alone were significantly associated with mortality. In the multivariable VAS model, fewer area code contacts was additionally significant (p=0.023 for trend across number of contacts). Subjects with no area code contacts had a VAS score 3.2 ± 2.0 points lower than those with 4 near contacts. Conclusions: Geographic closeness of patients' social networks is weakly associated with outcomes after MI. Further investigation is warranted before proposing interventions designed to compensate for low network-based support.

scholarly journals Loneliness, hopelessness and suicide in later life: a case–control psychological autopsy study in rural China

2020 ◽  
Vol 29 ◽  
Author(s):  
Lu Niu ◽  
Cunxian Jia ◽  
Zhenyu Ma ◽  
Guojun Wang ◽  
Bin Sun ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Logistic Regression ◽  
Depressive Symptoms ◽  
Rural China ◽  
Case Control ◽  
Living Alone ◽  
Psychological Autopsy ◽  
Tree Model ◽  
Elderly Suicide

Abstract Aims Loneliness is increasingly recognised as a serious public health issue worldwide. However, there is scarce research addressing the association between loneliness and suicide in older adults in rural China. We set out to examine loneliness and other psychosocial factors in elderly suicide cases and explore their interaction effects. Methods Using a 1 : 1 matched case–control design, data were collected from 242 elderly suicide cases and 242 living community controls by psychological autopsy method in rural China, including demographic characteristics, loneliness, depression, hopelessness and social support. The chi-square automatic interaction detection (CHAID) tree model and multivariable logistic regression analysis were used to explore the relationships of these factors and suicide. Results The CHAID tree model showed that loneliness, hopelessness and depressive symptoms were closely associated with completed suicide and that loneliness and hopelessness interacted with each other. The result of multivariable logistic regression showed that individuals who were unemployed [odds ratio (OR) = 2.344; 95% confidence interval (CI): 1.233–4.457], living alone (OR = 2.176; 95% CI: 1.113–4.254), had lower levels of subjective social support (OR = 2.185; 95% CI: 1.243–3.843), experienced depressive symptoms (OR = 6.700; 95% CI: 3.405–13.182), showed higher levels of hopelessness (OR = 7.253; 95% CI: 3.764–13.974) and felt higher levels of hopelessness × higher levels of loneliness (OR = 2.446; 95% CI: 1.089–5.492) were significantly associated with an elevated suicide risk in older people in rural China. Conclusions Regular evaluation of loneliness, hopelessness and depression can help detect older adults who are at risk of committing suicide. Interventions should target social support systems, particularly among people living alone, to alleviate feelings of loneliness and hopelessness. Treating depression is also key to preventing suicide among elderly people in rural China.

scholarly journals Understanding Self-Neglect by Older-Old Adults Living Alone in Korea

2014 ◽  
Vol 41 (1) ◽  
pp. 123-142 ◽  
Author(s):  
이민홍 ◽  
Park Mi Eun
Keyword(s):  
Living Alone ◽  
Old Adults

scholarly journals HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

2020 ◽  
Vol 17 (8) ◽  
pp. 2681 ◽  
Author(s):  
Yunxiang Huang ◽  
Dan Luo ◽  
Xi Chen ◽  
Dexing Zhang ◽  
Zhulin Huang ◽  
...  
Keyword(s):  
Social Support ◽  
Anxiety Symptoms ◽  
Living Alone ◽  
People Living With Hiv ◽  
Newly Diagnosed ◽  
Younger Age ◽  
Stress Levels ◽  
Physical Functions ◽  
Hiv Symptoms ◽  
Living With Hiv

This study explored the HIV-related stressors that people living with HIV (PLWH) commonly experience and express as stressful at the time of diagnosis and 1 year later. The factors associated with stress levels and whether social support would moderate the negative effects of stress on psychological health (depressive and anxiety symptoms) were also investigated. Newly diagnosed PLWH were consecutively recruited in this study. Participants rated their stress with the HIV/AIDS Stress Scale at baseline and 1 year later. Social support, depression, and anxiety were also self-reported at both time points. There were significant decreases in stress levels 1 year after diagnosis. Stressors regarding confidentiality, disclosure, emotional distress, fear of infecting others, and excessive attention to physical functions were the most problematic at baseline and 1-year follow-up. A younger age, married status, not living alone, less income, presence of HIV symptoms, and lack of social support were associated with higher levels of stress. No stress-buffering effect of social support on depressive and anxiety symptoms was found in this study. Interventions to reduce stress among PLWH should take into consideration the following priority stressors: confidentiality, discrimination/stigma, serostatus disclosure, distressing emotions, fear of infecting others, and excessive attention to physical functions. More attention should be paid to PLWH with younger age, not living alone, less income, presence of HIV symptoms, and lack of social support.

Canadian Men’s Health Literacy: A Nationally Representative Study

2019 ◽  
Vol 21 (6) ◽  
pp. 993-1003 ◽  
Author(s):  
John L. Oliffe ◽  
Donald R. McCreary ◽  
Nick Black ◽  
Ryan Flannigan ◽  
S. Larry Goldenberg
Keyword(s):  
Social Support ◽  
Health Promotion ◽  
Health Literacy ◽  
Low Income ◽  
Men’S Health ◽  
Living Alone ◽  
Men's Health ◽  
Low Health Literacy ◽  
The Social ◽  
Health Promotion Programs

Though men’s health promotion has attracted increased research attention, conspicuously absent have been empirical insights to health literacy levels within and across male subgroups. Recent advancements in the measurement of health literacy have made available avenues for evaluating individual and social determinants of health literacy. Important insights can be drawn to detail patterns and diversity among men as a means to informing the design, implementation, and evaluation of tailored health promotion programs. Drawing on 2000 Canada-based men’s responses to the Health Literacy Questionnaire, correlations between demographic variables and six health literacy scales are described. Low income, low education, and living alone were associated with men’s low health literacy, with the strongest effect sizes for the “Social support for health” and “Actively engaged with health care professionals” scales. Multiple linear regressions confirmed low income as the strongest predictor of men’s low health literacy in all the scales except “Appraisal of health information.” Low income, self-identifying as gay, bisexual, or other, and living alone were strongly predictive of low scores on the “Social support for health” scale. The findings affirm the importance of considering men’s health literacy and inequities to advance effective men’s health promotion programs.

scholarly journals Dual Trajectories of Dementia and Social Support in the Mexican-Origin Population

2020 ◽  
Author(s):  
Sunshine M Rote ◽  
Jacqueline L Angel ◽  
Jiwon Kim ◽  
Kyriakos S Markides
Keyword(s):  
Social Support ◽  
Mexican American ◽  
The Elderly ◽  
Epidemiologic Studies ◽  
Living Alone ◽  
Instrumental Support ◽  
Latent Classes ◽  
Mexican American Families ◽  
High Support

Abstract Background and Objectives In the next few decades, the number of Mexican American older adults with Alzheimer’s disease and related disorders will increase dramatically. Given that this population underutilizes formal care services, the degree of care responsibilities in Mexican American families is likely to increase at the same time. However, little is known about the changing need for assistance with instrumental day-to-day activities and emotional support by long-term patterns of cognitive impairment. Research Design and Methods We use 7 waves of the Hispanic Established Populations for the Epidemiologic Studies of the Elderly (1992/1993–2010/2011) and trajectory modeling to describe long-term patterns of perceived emotional and instrumental support, and dementia. Results Results revealed 2 latent classes of both emotional and instrumental support trajectories: low and high support. Specifically, those living alone were more likely to belong to the group with low support than to that with high support. Three latent classes for likely dementia were also revealed: likely dementia, increasing impairment, and no impairment. Those living alone were more likely to belong to the increasing impairment and likely dementia groups. The dual trajectory of emotional and instrumental support with likely dementia revealed that the probability of belonging to the low-support group was highest for those with increasing impairment. Discussion and Implications These findings highlight the risk and vulnerability of those who live alone concerning perceived social support and dementia. Implications of the findings for the potential dependency burden on Latino caregivers are discussed.

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