National Prevalence of Social Isolation and Loneliness in Adults with Chronic Obstructive Pulmonary Disease.

IF 6.8 2区 医学 Q1 RESPIRATORY SYSTEM Annals of the American Thoracic Society Pub Date : 2023-12-01 DOI:10.1513/AnnalsATS.202304-288OC
Angela O Suen, Anand S Iyer, Irena Cenzer, Erica Farrand, Douglas B White, Jonathan Singer, Rebecca Sudore, Ashwin Kotwal
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引用次数: 0

Abstract

Rationale: Social isolation and loneliness are gaining recognition for their role in health outcomes, yet they have not been defined in people with chronic obstructive pulmonary disease (COPD). Objective: To determine the national prevalence of and characteristics associated with social isolation and loneliness in people with COPD. Methods: This is a cross-sectional study of community-dwelling adults aged ⩾50 years in the nationally representative HRS (Health and Retirement Study) (2016-2018). Participants self-reported COPD and supplemental oxygen use and were categorized into three groups: 1) no COPD; 2) COPD; and 3) COPD on oxygen. Social isolation was defined using a nine-item scale indicating minimal household contacts, social network interaction, and community engagement. Loneliness was measured using the 3-Item UCLA Loneliness Scale. Multivariable logistic regression defined prevalence and associated characteristics for both. Results: Participants (n = 10,384) were on average 68 years old (standard deviation, ±10.5), 54% female, 10% Black, 11% self-reported COPD, and 2% self-reported supplemental oxygen. Overall, 12% were socially isolated, 12% lonely, and 3% both socially isolated and lonely. People with COPD had a higher adjusted prevalence of social isolation (no COPD: 11%; COPD: 16%; COPD on oxygen: 20%; P < 0.05) and loneliness (no COPD: 11%; COPD: 18%; COPD on oxygen: 22%; P < 0.001). In those with COPD, characteristics associated with social isolation (P < 0.05) included sex (men: 22%; women: 13%), non-Hispanic White ethnicity (White: 19%; Black: 7%), low net worth (<$6,000: 32%; $81,001-$239,000: 10%), depression (depression: 24%; no depression: 14%), having difficulty with one or more activities of daily living (one or more difficulty: 22%; no difficulty: 14%), and current cigarette use (current: 24%; never: 13%). Characteristics associated with loneliness (P < 0.05) included younger age (50-64 yr: 22%; 75-84 yr: 12%), being single (single: 32%; married: 12%), depression (depression: 36%; no depression: 13%), having difficulty with one or more activities of daily living (one or more difficulty: 29%; no difficulty: 15%), diabetes (diabetes: 26%; no diabetes: 17%), and heart disease (heart disease 23%; no heart disease: 17%). Conclusions: Nearly one in six adults with COPD experience social isolation, and one in five experience loneliness, with almost twice the prevalence among those on supplemental oxygen compared with the general population. Demographic and clinical characteristics identify those at highest risk to guide clinical and policy interventions.

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慢性阻塞性肺疾病成人社会隔离和孤独感的全国患病率
理由:社交孤立和孤独在健康结果中的作用越来越受到认可,尚未在COPD患者中定义。目的:确定COPD患者的社会孤立和孤独的全国患病率和相关特征。方法:这是一项全国代表性健康与退休研究(HRS)(2016-2018)中对年龄≥50岁的社区居住成年人的横断面研究。参与者自我报告COPD和补充氧气的使用情况,并分为三组:1)无COPD;2) COPD;和3)COPD吸氧。社交隔离是使用9项量表来定义的,该量表表明最小的家庭接触、社交网络互动和社区参与。孤独感采用3项加州大学洛杉矶分校孤独感量表进行测量。多变量逻辑回归定义了两者的患病率和相关特征。结果:参与者(n=10384)平均68岁(SD±10.5),54%为女性,10%为黑人,11%为COPD,2%为补充氧气。总体而言,12%的人社交孤立,12%的人为孤独,3%的人同时社交孤立和孤独。COPD患者的社会隔离调整患病率较高(无COPD:11%,COPD:16%,吸氧COPD:20%,结论:近六分之一的COPD成年人经历社会孤立,五分之一的人经历孤独,与普通人群相比,吸氧人群的患病率几乎是普通人群的两倍。人口统计学和临床特征确定了风险最高的人群,以指导临床和政策干预g: NIH NHLBI t32hl07185-45。
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来源期刊
Annals of the American Thoracic Society
Annals of the American Thoracic Society Medicine-Pulmonary and Respiratory Medicine
CiteScore
9.30
自引率
3.60%
发文量
0
期刊介绍: The Annals of the American Thoracic Society (AnnalsATS) is the official international online journal of the American Thoracic Society. Formerly known as PATS, it provides comprehensive and authoritative coverage of a wide range of topics in adult and pediatric pulmonary medicine, respiratory sleep medicine, and adult medical critical care. As a leading journal in its field, AnnalsATS offers up-to-date and reliable information that is directly applicable to clinical practice. It serves as a valuable resource for clinical specialists, supporting their formative and continuing education. Additionally, the journal is committed to promoting public health by publishing research and articles that contribute to the advancement of knowledge in these fields.
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