[Unwanted loneliness in Spain: a problem for the management of Public Health and family care].

Revista espanola de salud publica Pub Date : 2024-03-20
José Manuel Jiménez Rodríguez
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Abstract

In Spain, the advances in medicine and pharmacology, technology, etc., together with the low birth rates (a product of various social phenomena that occurred during the 20th century), cause an unprecedented population aging, a situation that extends to the rest of the countries. Europeans. This circumstance leads to an increase in the number of elderly people in a situation of dependency, entailing challenges such as the increase in chronic diseases and palliative stages, the management of informal care, the economic cost of formal care and unwanted loneliness (SND). , among other. Regarding this last challenge, and its consequences, it can be said that: it is a silent problem of a new order that affects more and more people in Spain, Europe and the world; It represents a source of suffering for those who suffer from it and a limitation of the right to participate in society; causes negative consequences for health and emotional well-being; It is associated with certain social and economic costs. Today it is estimated that in our country 13.4% of people suffer from SND, that those who suffer from it have been in this situation for approximately six years and that 22.9% experience this feeling of loneliness throughout the day. Likewise, in Europe as a whole, around thirty million people frequently feel lonely. Considering the sex variable, it is women who suffer from this problem with the highest prevalence (14.8% in the case of women and 12.1% in the case of men). Among the factors associated with this trend is life expectancy at birth. It should be said in this regard that, in recent decades, our country has experienced an increase in life expectancy by almost five years, being greater in the case of women. By 2022 this increase amounts to 83.08 years (women=85.7/men=80.3), a fact that places Spain in tenth place in the classification of the 194 countries that publish their life expectancy.

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[西班牙人不想要的孤独:公共卫生和家庭护理管理的一个问题]。
在西班牙,医学、药理学、技术等方面的进步,再加上低出生率(20 世纪各种社会现象的产物),造成了前所未有的人口老龄化,这种情况也延伸到了其他国家。欧洲人。这种情况导致依赖他人照顾的老年人数量增加,从而带来了各种挑战,如慢性病和缓和阶段的增加、非正规护理的管理、正规护理的经济成本以及不必要的孤独(SND)。这些挑战包括关于最后一项挑战及其后果,可以说:这是一个新秩序下的无声问题,影响着西班 牙、欧洲乃至全世界越来越多的人;它给患者带来痛苦,限制了他们参与社会的权 利;对健康和情感幸福造成负面影响;与一定的社会和经济成本相关联。据估计,目前我国有 13.4%的人患有 SND,其中有大约六年的时间处于这种状况,22.9%的人整天都有这种孤独感。同样,在整个欧洲,约有三千万人经常感到孤独。从性别变量来看,女性的孤独感发生率最高(女性为 14.8%,男性为 12.1%)。与这一趋势相关的因素包括出生时的预期寿命。在这方面应该指出的是,近几十年来,我国的预期寿命增加了近 5 岁,其中妇女的预期寿命更长。到 2022 年,预期寿命将达到 83.08 岁(女性=85.7 岁/男性=80.3 岁),在公布预期寿命的 194 个国家中,西班牙位居第 10 位。
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