scholarly journals Examining Rural and Racial Disparities in the Relationship Between Loneliness and Social Technology Use Among Older Adults

2021 ◽  
Vol 9 ◽  
Author(s):  
Kaileigh A. Byrne ◽  
Reza Ghaiumy Anaraky ◽  
Cheryl Dye ◽  
Lesley A. Ross ◽  
Kapil Chalil Madathil ◽  
...  

Loneliness, the subjective negative experience derived from a lack of meaningful companionship, is associated with heightened vulnerability to adverse health outcomes among older adults. Social technology affords an opportunity to cultivate social connectedness and mitigate loneliness. However, research examining potential inequalities in loneliness is limited. This study investigates racial and rural-urban differences in the relationship between social technology use and loneliness in adults aged 50 and older using data from the 2016 wave of the Health and Retirement Study (N = 4,315). Social technology use was operationalized as the self-reported frequency of communication through Skype, Facebook, or other social media with family and friends. Loneliness was assessed using the UCLA Loneliness scale, and rural-urban differences were based on Beale rural-urban continuum codes. Examinations of race focused on differences between Black/African-American and White/Caucasian groups. A path model analysis was performed to assess whether race and rurality moderated the relationship between social technology use and loneliness, adjusting for living arrangements, age, general computer usage. Social engagement and frequency of social contact with family and friends were included as mediators. The primary study results demonstrated that the association between social technology use and loneliness differed by rurality, but not race. Rural older adults who use social technology less frequently experience greater loneliness than urban older adults. This relationship between social technology and loneliness was mediated by social engagement and frequency of social contact. Furthermore, racial and rural-urban differences in social technology use demonstrated that social technology use is less prevalent among rural older adults than urban and suburban-dwelling older adults; no such racial differences were observed. However, Black older adults report greater levels of perceived social negativity in their relationships compared to White older adults. Interventions seeking to address loneliness using social technology should consider rural and racial disparities.

Pain Medicine ◽  
2021 ◽  
Author(s):  
Yulin Yang ◽  
Hanna Grol-Prokopczyk ◽  
M Carrington Reid ◽  
Karl Pillemer

Abstract Objectives The COVID-19 pandemic and resulting shelter-in-place orders have profoundly changed the everyday social environment. This study examines the relationship between pain and psychological distress (depression, anxiety, and loneliness) among U.S. adults ages 54 and older during the pandemic. We also test whether use of technology for social purposes moderates the association between pain severity and psychological distress. Methods Using cross-sectional data on 1,014 adults ages 54 and older (pain free, n = 637; mild pain, n = 106; moderate pain, n = 227; and severe pain, n = 64) from the 2020 Health and Retirement Study COVID-19 Project (Early, Version 1.0), we conducted regression analyses to test the association between pain severity and psychological outcomes and to assess social technology use frequency as a moderator. Results Compared with their pain-free peers, participants with mild-to-moderate pain reported more depressive symptoms and greater loneliness; those with severe pain reported higher levels of depression, anxiety, and loneliness. Social technology use was associated with lower levels of depression and loneliness. However, interaction analyses show that social technology use predicted an increase in depression for individuals with pain but a decrease in depression among pain-free individuals. For anxiety and loneliness, no significant effects of social technology use were observed. Conclusion Older adults with pain are at high risk of depression, anxiety, and loneliness during the pandemic. Although social technologies have become a common alternative to face-to-face interactions during the COVID-19 crisis, and overall they can provide mental health benefits, our results suggest that social technologies can be detrimental to psychological well-being among people with pain. These findings can inform technology-based interventions aiming to promote well-being among older adults with pain.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 933-933
Author(s):  
Kaileigh Byrne ◽  
Reza Ghaiumy Anaraky ◽  
Hannah Barfield ◽  
Summerlin Nickel

Abstract Social isolation is characterized by lack of social contacts and high degrees of loneliness. Feelings of loneliness and social isolation are linked to declines in cognitive functioning and increased risk of dementia. Previous research suggests that loneliness is more prevalent among Black and rural older adults compared to White and urban-dwelling older adults. Given these disparities, it is important to identify methods that reduce social isolation and loneliness among this population. Social technology, such as Facebook and Skype, is one possible way to connect with others. This study uses the Health and Retirement Study (HRS) dataset to examine racial and rural disparities in the relationship between social technology use and social isolation, loneliness, and social support among individuals age 50 and older. The overarching hypotheses are that (1) rural-dwelling older adults and older Blacks will report less social technology use compared to urban-dwelling and older White adults, and (2) there will be a negative relationship between loneliness and social technology use, and (3) a positive relationship between perceived positive social support and social technology use. Racial or rural disparities in these latter potential relationships are exploratory. Multiple linear regression analysis will be performed to assess these relationships. Preliminary correlational results indicate that, consistent with prior work, greater use of social technology was associated with higher social support (N=6,029; r=.29, p<.001). However, contrary to our hypothesis, greater self-reported loneliness was associated with greater social technology (r=.09, p<.001). Examination of potential racial and rural disparities in these relationships are currently underway.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Mueller ◽  
H Foran

Abstract The quality of close family relationships can affect the health and well-being of older adults. Further, research suggests that relationships between grandparents and adult grandchildren can have a positive impact on the lives of each generation, particularly regarding social and emotional support. Social engagement technologies may provide new opportunities for older adults to foster and maintain family relationships, including those between grandparents and adult grandchildren. The current cross-sectional study examined associations between the use of social engagement technologies and health and well-being outcomes in 177 younger adults (M = 26.67, SD = 7.83; 81.4% female) and 202 older adults (M = 71.09, SD = 8.17; 77.8% female). Social technology use was assessed through five mediums that are used to enhance social connectivity (e.g., e-mail, social network sites, online video or phone calls, instant messaging, and smartphones). Higher use of social engagement technologies was associated with better self-rated health, subjective well-being, and social support among younger and older adults. Interestingly, social technology use was associated with less depressive symptoms only for older adults (r=-.26, p<.05). There was, however, no correlation between social technology use and loneliness at the bivariate level. Of all five media, only smartphone use was correlated with more positive evaluations of the grandparent-grandchild relationship. After controlling for age, both grandparent-grandchild relationship quality and social technology use were associated with better self-rated health, subjective well-being, and social support for grandparents and adult grandchildren. Key messages Taken together, these findings indicate the need for a nuanced perspective on the benefits of social engagement technologies. More research is needed to explore the use case for social engagement technologies among older adults and their family members.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S210-S210
Author(s):  
Tamara A Baker ◽  
Lewina O Lee

Abstract Data show that seven out of every ten adults, over the age of 50, own a smartphone, with one out of ten owning a tablet. While traditional activities dictate the use of technology among this cohort, there is growing evidence that adults similarly use devices to also manage their medical care and to learn online. This increase has guided scholars in recognizing the utility of technology from designing interventions to understanding how technology may serve as a barrier and/or facilitator to one’s general well-being. This symposium features four presentations from nationally recognized scholars that will expand traditional perspectives on technology use, and how it influences social ties among older adults. Dr. Charness will examine the population-level trends in social network use by aging adults and discuss a recent CREATE intervention study (PRISM), that used a computer-based platform to reduce social isolation and loneliness among older adults. Dr. Czaja will similarly present findings from CREATE, and other trials, on the access to and use of email, social media sites, and online support groups among older adults, and the resultant impact on social connectivity, loneliness and social support. Dr. Rogers will discuss technologies that currently exist (e.g., apps, mobile devices, social networking) or are being developed (e.g., robotics, telepresence, virtual reality) to support social engagement. Dr. Antonucci will examine aspects of new technologies and their influence on health and well-being, while underscoring the perspective that new and emerging technologies hold great promise in overcoming traditional barriers to maintaining social contact and exchange.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S166-S167
Author(s):  
Shu Xu ◽  
Haowei Wang ◽  
Caitlin Connelly

Abstract Studies suggest that depression is closely linked to hearing impairment, which is highly prevalent among older adults in the United States. There is evidence that social engagement may be impacted by hearing impairment in older adults. However, there is relatively little research on these associations among Chinese older adults. This study examines the relationships between hearing impairment, social activities, and depressive symptoms among older adults in China. Using nationally representative data from the China Health and Retirement Longitudinal Study 2011, we conducted cross-sectional analysis on adults age 60 years and older (n=10,994). Depressive symptoms were assessed by the 10-item Center for Epidemiologic Studies Depression scale and we considered self-reported hearing status (if participants wear a hearing aid and how they would rate their hearing), and social activities (i.e., volunteering, dancing, attending courses, etc.). Models were controlled for age, gender, education, and other covariates. Descriptive analysis showed that 9% of older adults experienced hearing impairment. Multiple linear regression analyses revealed that hearing impairment was positively associated with depressive symptoms among older Chinese adults (β=1.32, p<.001). Social activities were found to partially mediate the relationship between hearing status and depressive symptoms. Respondents with hearing impairment were less likely to engage in social activities (OR=.78, p<.01) and those who did not participate in social activities reported more depressive symptoms (β=1.28, p<.001). These findings suggest that Chinese older adults experiencing hearing loss are at greater risk of depression and that social activities play an important role in the relationship between hearing status and depression.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S929-S929
Author(s):  
Dexia Kong ◽  
XinQi Dong

Abstract The increasing diversity in U.S. aging population warrants improved understanding of risk factors of cognitive aging in minority populations. This study presents the prevalence of incident cognitive impairment (CI) among U.S. Chinese older adults; and the relationship between social engagement and incident CI. Data were obtained from the Population-based Study of Chinese Elderly in Chicago, a prospective cohort study of Chinese older adults. Baseline (collected between 2011 and 2013) and one subsequent wave of data (collected between 2013 and 2015) were used in analyses (N=2,713). Social engagement was measured by the frequency of participation in social and cognitive activities (range=0-65). Cognitive function was assessed by a battery of 5 validated instruments. Incidence of CI was defined as having a follow-up cognition score lower than 1.5 standard deviations below the mean baseline cognition score. Logistic regression analyses were conducted. Nearly 6% of the sample reported incident CI. Chinese older adults who are more socially-engaged had a lower likelihood of developing CI (odds ratio [OR] 0.94, 0.92-0.96). The relationship was consistent across cognitive domains, including episodic memory (OR 0.95, 0.92-0.97), working memory (OR 0.92, 0.88-0.95), and perceptual speed (OR 0.95, 0.92-0.98). Furthermore, older age (OR 1.12, 1.09-1.15), and lower education (OR 0.91, 0.87-0.96) were associated with incident CI. No significant association was observed between gender, income, marital status, household size, acculturation, medical morbidities, depressive symptoms, and incident CI. The findings highlight the importance of social engagement in cognitive aging. Discrepancies with prior literature and implications of these findings will be discussed.


2011 ◽  
Vol 107 (5) ◽  
pp. 744-748 ◽  
Author(s):  
Olga J. G. Schiepers ◽  
Martin P. J. van Boxtel ◽  
Renate H. M. de Groot ◽  
Jelle Jolles ◽  
Frans J. Kok ◽  
...  

Long-term supplementation with folic acid may improve cognitive performance in older individuals. The relationship between folate status and cognitive performance might be mediated by changes in methylation capacity, as methylation reactions are important for normal functioning of the brain. Although aberrant DNA methylation has been implicated in neurodevelopmental disorders, the relationship between DNA methylation status and non-pathological cognitive functioning in human subjects has not yet been investigated. The present study investigated the associations between global DNA methylation and key domains of cognitive functioning in healthy older adults. Global DNA methylation, defined as the percentage of methylated cytosine to total cytosine, was measured in leucocytes by liquid chromatography–MS/MS, in 215 men and women, aged 50–70 years, who participated in the Folic Acid and Carotid Intima-Media Thickness (FACIT) study (clinical trial registration number NCT00110604). Cognitive performance was assessed by means of the Visual Verbal Word Learning Task, the Stroop Colour-Word Interference Test, the Concept Shifting Test, the Letter–Digit Substitution Test and the Verbal Fluency Test. Using hierarchical linear regression analyses adjusted for age, sex, level of education, alcohol consumption, smoking status, physical activity, erythrocyte folate concentration and 5,10-methylenetetrahydrofolate reductase 677 C → T genotype, we found that global DNA methylation was not related to cognitive performance on any of the domains measured. The present study results do not support the hypothesis that global DNA methylation, as measured in leucocytes, might be associated with cognitive functioning in healthy older individuals.


2014 ◽  
Vol 53 (sup1) ◽  
pp. S38-S42 ◽  
Author(s):  
Heidi Stieglitz Ham ◽  
Paul Bunn ◽  
Carly Meyer ◽  
Asad Khan ◽  
Louise Hickson

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