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Gepubliceerd in: Quality of Life Research 9/2020

06-04-2020

Factors associated with social isolation in community-dwelling older adults: a cross-sectional study

Auteurs: Reshma A. Merchant, Shumei Germaine Liu, Jia Yi Lim, Xiaoxi Fu, Yiong Huak Chan

Gepubliceerd in: Quality of Life Research | Uitgave 9/2020

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Abstract

Purpose

Social isolation in older adults is a major public health problem and associated with increased morbidity and mortality. There are limited data on the association between social isolation and physical function including gait speed. Hence, this study is to determine the prevalence of social isolation and its association with gait speed, frailty, cognition, depression and comorbidities amongst community-dwelling older adults.

Methods

Social isolation, depression, frailty and perceived general health were assessed using 6-item Lubben Social Network Scale (LSNS-6), Geriatric Depression Scale (GDS), FRAIL scale and EuroQol EQ-5D-5L questionnaire which includes EQ Visual Analogue Scale (EQ-VAS), respectively. Cognition was assessed using the Chinese Mini Mental State Examination (cMMSE), while physical performance test included gait speed and short physical performance battery test. Binary logistic regression was performed to determine the influence of socio-demographic, medical, functional and cognitive variables on social isolation.

Results

Out of 202 participants, 27.7% were robust, 66.8% of participants were pre-frail, and 5.4% of participants were frail. Almost half (45.5%, n = 92) of the participants were found to be at risk of social isolation. A poor social network was negatively associated with mean gait speed (OR = 0.674, CI 0.464–0.979, p = 0.039), EQ-VAS (OR = 0.561, CI 0.390–0.806, p < 0.01) and cMMSE (OR = 0.630, 95% CI 0.413–0.960, p = 0.032).

Conclusion

Almost half of older adults in the community are at risk of social isolation with a very significant association with gait speed, cMMSE and EQ-VAS scores.
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Metagegevens
Titel
Factors associated with social isolation in community-dwelling older adults: a cross-sectional study
Auteurs
Reshma A. Merchant
Shumei Germaine Liu
Jia Yi Lim
Xiaoxi Fu
Yiong Huak Chan
Publicatiedatum
06-04-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 9/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02493-7