中国老年男性和女性的社会隔离、孤独感和功能障碍:纵向跨滞后分析。

IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY BMC Psychology Pub Date : 2024-11-18 DOI:10.1186/s40359-024-02192-9
Mingfei Jiang, Xiaoran Li, Yong Lu
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引用次数: 0

摘要

研究背景在这项研究中,我们按性别探讨了50岁参与者的社会隔离、孤独感和功能障碍之间的关系:利用中国健康与退休纵向研究(2018 年和 2020 年)的纵向数据,分析了 6524 名符合纳入标准的参与者。建立了一个交叉滞后模型,以探讨社会隔离、孤独感、日常生活活动(ADL)和工具性日常生活活动(IADL)残疾之间随时间变化的关联,结果按性别进行了分层:结果:社会隔离与日常活动能力和工具性日常活动能力残疾没有明显关联,但与孤独有明显关联。自回归关联表明,2018 年的社会隔离、孤独感和功能性残疾可预测其在 2020 年的恶化程度(p 结论:自回归关联表明,2018 年的社会隔离、孤独感和功能性残疾可预测其在 2020 年的恶化程度:中国的功能性残疾与孤独显著相关,但与社会隔离无关。孤独感对功能性残疾的时滞效应存在性别差异。这些发现拓展了我们对非西方人群中社会关系与功能性残疾之间关系的理解。
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Social isolation, loneliness, and functional disability in Chinese older women and men: a longitudinal cross-lag analysis.

Background: In this study, we explored the relationship between social isolation, loneliness, and functional impairment in 50-year-old participants, by sex.

Methods: Using longitudinal data from the China Health and Retirement Longitudinal Study (2018 and 2020), 6,524 participants meeting the inclusion criteria were analyzed. A cross-lag model was established to explore the associations between social isolation, loneliness, activities of daily living (ADL), and instrumental ADL (IADL) disability over time, with results stratified by sex.

Results: Social isolation was not significantly associated with ADL and IADL disability, but loneliness was. Autoregressive associations indicated that social isolation, loneliness, and functional disability in 2018 predicted their exacerbations in 2020 (p < 0.001). Cross-lag analysis showed that the time-lagged effect of loneliness on ADL disability was greater in women (β = 0.27) than in men (β = 0.06); the time-lagged effect of ADL disability on loneliness was greater in men (β = 0.16) than in women (β = 0.05). The bidirectional time-lagged effects of loneliness and IADL disability showed opposite patterns between the sexes.

Conclusion: Functional disability in China was significantly associated with loneliness but not with social isolation. Sex differences were observed in the time-lagged effect of loneliness on functional disability. These findings extend our understanding of the association between social relationships and functional disability in non-Western populations.

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来源期刊
BMC Psychology
BMC Psychology Psychology-Psychology (all)
CiteScore
3.90
自引率
2.80%
发文量
265
审稿时长
24 weeks
期刊介绍: BMC Psychology is an open access, peer-reviewed journal that considers manuscripts on all aspects of psychology, human behavior and the mind, including developmental, clinical, cognitive, experimental, health and social psychology, as well as personality and individual differences. The journal welcomes quantitative and qualitative research methods, including animal studies.
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