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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (11): 6-10.doi: 10.16460/j.issn1008-9969.2020.11.006

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Current Status of Social Isolation of Community-dwelling Elderly People in Qingdao and Its Influencing Factors

ZHAO Di1, ZHAO Meng-Lu1, WANG Na1, FU Ming-Jing1, LIANG Feng2, ZHANG Wei2, WANG Ai-Min1   

  1. 1. School of Nursing, Qingdao University, Qingdao 266071, China;
    2. Songshan Hospital, of Qingdao University, Qingdao 266071,China
  • Received:2019-12-01 Online:2020-06-10 Published:2020-07-07

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Abstract: Objective To investigate the current status of social isolation in community-dwelling elderly people and analyze its influencing factors. Methods A cross-sectional survey of 592 elderly people in 6 communities in Qingdao was conducted by using demographic questionnaire, Lubben Social Network Scale-6, Activities of Daily Living Scale, Geriatric Depression Scale, and Social Support Rating Scale. Results Among the 592 elderly people, 176 were socially isolated, accounting for 29.7%. Multivariate logistic regression analysis showed that advanced age (OR=10.674,95%CI：2.685~42.434), heavy medical burden (OR=4.254,95%CI：1.307~13.849), inadequate exercise (OR=2.587,95%CI：1.023~6.537), lack of social participation(OR=16.872,95%CI：3.851~73.921), old city (OR=36.271,95%CI：2.718~84.063), depression(OR=2.720,95%CI：1.110~6.662) and low level of social support (OR=12.008,95%CI：2.175~66.299) were risk factors for social isolation. Conclusion The prevalence rate of social isolation among the community-dwelling elderly is high, so intervention should be carried out according to relevant influencing factors to make the elderly integrate into the society actively, so as to improve the quality of life of the elderly and promote healthy aging.

Key words: community, elderly, social isolation, social relationship, social participation

CLC Number: 

  • R473.2
[1] 张硕,陈功. 中国城市老年人社会隔离现状与影响因素研究[J]. 人口学刊, 2015,37(4):66-76.DOI:10.16405/j.cnki.1004-129X.2015.04.007.
[2] Lubben J, Blozik E, Gillmann G, et al.Performance of an Abbreviated Version of the Lubben Social Network Scale among Three European Community-dwelling Older Adult Populations[J]. Gerontologist, 2006,46(4):503-513.DOI:10.1093/geront/46.4.503.
[3] 何燕玲,瞿光亚,熊祥玉,等. 老年人日常生活活动能力的评定[J]. 老年学杂志, 1990, 10(5):266-269.
[4] 唐丹. 简版老年抑郁量表(GDS-15)在中国老年人中的使用[J]. 中国临床心理学杂志, 2013,21(3):402-405.
[5] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J]. 临床精神医学杂志, 1994, 4(2):98-100.
[6] Herbolsheimer F, Ungar N, Peter R.Why Is Social Isolation among Older Adults Associated with Depressive Symptoms? The Mediating Role of Out-of-home Physical Activity[J]. Int J Behav Med,2018,25(6):649-657.DOI:10.1007/s12529-018-9752-x.
[7] Cudjoe TKM, Roth DL, Szanton SL, et al.The Epidemiology of Social Isolation: National Health & Aging Trends Study[J]. J Gerontol B Psychol Sci Soc Sci, 2018,53(9):231-237.DOI:10.1093/geronb/gby037.
[8] Kotian DB, Mathews M, Parsekar SS, et al.Factors Associated with Social Isolation among the Older People in India[J]. J Geriatr Psychiatry Neurol, 2018,31(5):271-278.DOI:10.1177/0891988718796338.
[9] Bahramnezhad F, Chalik R, Bastani F, et al.The Social Network among the Elderly and Its Relationship with Quality of Life[J]. Electron Physician, 2017,9(5):4306-4311.DOI:10.19082/4306.
[10] Jang Y, Park NS, Chiriboga DA, et al.Risk Factors for Social Isolation in Older Korean Americans[J]. J Aging Health, 2016,28(1):3-18.DOI:10.1177/0898264315584578.
[11] 王然. 家庭养老与中国老年人社会隔离的关系研究[C]. 第三届北京大学老龄健康博士生论坛论文集.北京大学, 2018:57-77.
[12] 蒋兴莉,王冬华. 381例农村老年人积极老化现状及其影响因素分析[J]. 护理学报, 2019,26(15):41-45.DOI:10.16460/j.issn1008-9969.2019.15.041.
[13] 张文娟,刘瑞平. 中国老年人社会隔离的影响因素分析[J]. 人口研究, 2016,40(5):75-91.
[14] Schrempft S, Jackowska M, Hamer M, et al.Associations Between Social Isolation, Loneliness, and Objective Physical Activity in Older Men and Women[J]. BMC Public Health,2019,19(1):74-85.DOI:10.1186/s12889-019-6424-y.
[15] 钟清玲,喻思思. 社区老年人社会参与水平及其影响因素的研究进展[J]. 中国护理管理, 2018,18(9):1293-1296.DOI:10.3969/j.issn.1672-1756.2018.09.031.
[16] Child ST, Lawton L.Loneliness and Social Isolation among Young and Late Middle-age Adults:Associations with Personal Networks and Social Participation[J]. Aging Ment Health, 2019,23(2):196-204.DOI:10.1080/13607863.2017.1399345.
[17] 王艳红,黄菲芸,郑媛,等. 黑龙江省大庆市社区老年人社会隔离与认知功能关联的研究[J]. 中华流行病学杂志, 2017, 38(4):472-477. DOI:10.3760/cma.j.issn.0254-6450. 2017.04.012.
[18] Bantry-White E, O'Sullivan S, Kenny L, et al. The Symbolic Representation of Community in Social Isolation and Loneliness among Older People: Insights for Intervention from a Rural Irish Case Study[J]. Health Soc Care Community, 2018,26(4):e552-e559.DOI:10.1111/hsc.12569.
[19] 段莉,高云峰,刘亚莉,等. 乡镇社区老年人居家环境适老化水平的调查研究[J]. 护理学杂志, 2019,34(9):87-90.DOI:10.3870/j.issn.1001-4152.2019.09.087.
[20] 孟娣娟,徐桂华,林丹,等. 社区老人社会网络的现状及影响因素分析[J].南京中医药大学学报(社会科学版), 2016,17(2):118-121.
[21] Heffernan E, Habib A, Ferguson M.Evaluation of the Psychometric Properties of the Social Isolation Measure (SIM) in Adults with Hearing Loss[J]. Int J Audiol, 2019,58(1):45-52.DOI:10.1080/14992027.2018.1533257.
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