Gendered associations of situational and dispositional factors with exclusion from social relations and loneliness in older age.

IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Frontiers in Public Health Pub Date : 2025-02-10 eCollection Date: 2025-01-01 DOI:10.3389/fpubh.2025.1445662
Georgios Pavlidis
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Abstract

Background: States of exclusion from social relations (ESR) refers to severe social isolation in older age that is not always typified by increased loneliness. Relevant deficiencies in the social network of older persons may be gendered and associated with personality and socioeconomic barriers, with direct implications for older persons' welfare. Although the contribution of personality traits and socioeconomic barriers in shaping ESR states in older age are often debated, empirical evidence that addresses their unique contribution is limited. Therefore, the aim of this study was to examine the gender-stratified associations of situational (e.g., marital status, socioeconomic conditions) and dispositional factors (i.e., personality traits) with ESR states and loneliness in older age.

Methods: A cross-sectional and gender-stratified secondary analysis of a sample (N = 36,814) from the Survey on Health, Aging, and Retirement in Europe was conducted using logistic regression models.

Results: The probability of ESR was higher among older men. Certain situational factors (e.g., widowed, never married) significantly increased the probabilities of ESR for both genders, while other (e.g., divorce) had a gender-specific significance. Less extraversion among older women and less conscientiousness among older men was associated with an increased probability of ESR in later life. Within ESR states, older men living alone and older women who are less extraverted were more at-risk of loneliness.

Conclusion: Situational factors are more predictive of ESR states than personality traits, yet a gendered perspective is needed when assessing the risk factors of ESR and loneliness in later life.

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情境和性格因素与老年社会关系排斥和孤独感的性别关联。
背景:社会关系排斥状态(ESR)是指老年人严重的社会孤立,并不总是以孤独感增加为典型。老年人社会网络中的相关缺陷可能与性别有关,并与个性和社会经济障碍有关,对老年人的福利有直接影响。尽管人格特征和社会经济障碍在塑造老年人ESR状态中的作用经常被争论,但解决它们独特贡献的经验证据有限。因此,本研究的目的是探讨情境因素(如婚姻状况、社会经济状况)和性格因素(如人格特质)与老年ESR状态和孤独感的性别分层关系。方法:采用logistic回归模型对欧洲健康、老龄化和退休调查样本(N = 36,814)进行横断面和性别分层的二次分析。结果:老年男性发生ESR的概率较高。某些情境因素(如丧偶、未婚)显著增加了男女发生ESR的概率,而其他因素(如离婚)则具有性别特异性意义。老年女性较不外向和老年男性较不尽责与晚年发生ESR的可能性增加有关。在ESR状态中,独居的老年男性和不太外向的老年女性更容易感到孤独。结论:情境因素比人格特征更能预测ESR状态,但在评估ESR和晚年孤独的危险因素时,需要从性别角度进行评估。
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来源期刊
Frontiers in Public Health
Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
7.70%
发文量
4469
审稿时长
14 weeks
期刊介绍: Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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