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17-01-2024

Examining the role of living alone and loneliness in predicting health-related quality of life: results from the Healthy Aging Longitudinal Study in Taiwan (HALST)

Auteurs: Han-Yun Tseng, Chun-Yi Lee, Chi-Shin Wu, I.-Chien Wu, Hsing-Yi Chang, Chih-Cheng Hsu, Chao Agnes Hsiung

Gepubliceerd in: Quality of Life Research | Uitgave 4/2024

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Abstract

Purpose

This study aimed to investigate the distinct yet interconnected aspects of social isolation, namely living alone and loneliness, and their individual and combined effects on predicting health-related quality of life (HRQoL).

Methods

A comprehensive analysis, encompassing both cross-sectional and longitudinal approaches, was conducted using a nationally representative sample of 5644 community-dwelling adults aged 55 and older from the Healthy Aging Longitudinal Study in Taiwan (HALST).

Results

Baseline data revealed that 9% of the sample reported living alone, while 10.3% reported experiencing loneliness, with 2.5% reporting both living alone and feeling lonely. Regression analyses consistently demonstrated that loneliness was significantly associated with concurrent and subsequent lower physical (PCS) and mental (MCS) component of HRQoL. Conversely, additional analyses indicated that living alone could indirectly exacerbate the adverse effects of loneliness or contribute to prolonged feelings of loneliness, subsequently predicting lower HRQoL after 3.2 year.

Conclusion

In terms of practical implications, interventions and policies aiming to enhance HRQoL in older adults should give particular attention to those who report feelings of loneliness, especially individuals living alone.
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Metagegevens
Titel
Examining the role of living alone and loneliness in predicting health-related quality of life: results from the Healthy Aging Longitudinal Study in Taiwan (HALST)
Auteurs
Han-Yun Tseng
Chun-Yi Lee
Chi-Shin Wu
I.-Chien Wu
Hsing-Yi Chang
Chih-Cheng Hsu
Chao Agnes Hsiung
Publicatiedatum
17-01-2024
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03581-0

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