Social isolation in the oldest-old: determinants and the differential role of family and friends
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Social isolation in the oldest-old: determinants and the differential role of family and friends. / Moormann, Katharina Isabelle; Pabst, Alexander; Bleck, Franziska; Löbner, Margrit; Kaduszkiewicz, Hanna; van der Leeden, Carolin; Hajek, André; Brettschneider, Christian; Heser, Kathrin; Kleineidam, Luca; Werle, Jochen; Fuchs, Angela; Weeg, Dagmar; Bickel, Horst; Pentzek, Michael; Weyerer, Siegfried; Wiese, Birgitt; Wagner, Michael; Maier, Wolfgang; Scherer, Martin; König, Hans-Helmut; Riedel-Heller, Steffi G.
In: SOC PSYCH PSYCH EPID, Vol. 59, No. 6, 06.2024, p. 979-988.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Social isolation in the oldest-old: determinants and the differential role of family and friends
AU - Moormann, Katharina Isabelle
AU - Pabst, Alexander
AU - Bleck, Franziska
AU - Löbner, Margrit
AU - Kaduszkiewicz, Hanna
AU - van der Leeden, Carolin
AU - Hajek, André
AU - Brettschneider, Christian
AU - Heser, Kathrin
AU - Kleineidam, Luca
AU - Werle, Jochen
AU - Fuchs, Angela
AU - Weeg, Dagmar
AU - Bickel, Horst
AU - Pentzek, Michael
AU - Weyerer, Siegfried
AU - Wiese, Birgitt
AU - Wagner, Michael
AU - Maier, Wolfgang
AU - Scherer, Martin
AU - König, Hans-Helmut
AU - Riedel-Heller, Steffi G
N1 - © 2023. The Author(s).
PY - 2024/6
Y1 - 2024/6
N2 - PURPOSE: To examine the association of sociodemographic and health-related determinants with social isolation in relation to family and friends in the oldest-old.METHODS: Database was the multi-center prospective AgeCoDe/AgeQualiDe cohort study assessed at follow-up wave 5 (N = 1148; mean age 86.6 years (SD 3.0); 67% female). Social isolation was assessed using the short form of the Lubben Social Network Scale (LSNS-6). The LSNS-6 contains two sets of items establishing psychometrically separable subscales for isolation from family and friends (ranges 0-15 points), with lower scores indicating higher isolation. Cross-sectional linear (OLS) regression analyses were used to examine multivariate associations of sociodemographic and health-related determinants with social isolation from family and friends.RESULTS: Overall, n = 395 participants (34.6%) were considered socially isolated. On average, isolation was higher from friends (mean 6.0, SD 3.8) than from family (mean 8.0, SD 3.5). Regression results revealed that in relation to family, males were more socially isolated than females (β = - 0.68, 95% CI - 1.08, - 0.28). Concerning friends, increased age led to more isolation (β = - 0.12, 95% CI - 0.19, - 0.05) and functional activities of daily living to less isolation (β = 0.36, 95% CI 0.09, 0.64). Independent of the social context, depression severity was associated with more social isolation, whereas cognitive functioning was associated with less social isolation.CONCLUSIONS: Different determinants unequally affect social isolation in relation to family and friends. The context of the social network should be incorporated more strongly regarding the detection and prevention of social isolation to sustain mental and physical health.
AB - PURPOSE: To examine the association of sociodemographic and health-related determinants with social isolation in relation to family and friends in the oldest-old.METHODS: Database was the multi-center prospective AgeCoDe/AgeQualiDe cohort study assessed at follow-up wave 5 (N = 1148; mean age 86.6 years (SD 3.0); 67% female). Social isolation was assessed using the short form of the Lubben Social Network Scale (LSNS-6). The LSNS-6 contains two sets of items establishing psychometrically separable subscales for isolation from family and friends (ranges 0-15 points), with lower scores indicating higher isolation. Cross-sectional linear (OLS) regression analyses were used to examine multivariate associations of sociodemographic and health-related determinants with social isolation from family and friends.RESULTS: Overall, n = 395 participants (34.6%) were considered socially isolated. On average, isolation was higher from friends (mean 6.0, SD 3.8) than from family (mean 8.0, SD 3.5). Regression results revealed that in relation to family, males were more socially isolated than females (β = - 0.68, 95% CI - 1.08, - 0.28). Concerning friends, increased age led to more isolation (β = - 0.12, 95% CI - 0.19, - 0.05) and functional activities of daily living to less isolation (β = 0.36, 95% CI 0.09, 0.64). Independent of the social context, depression severity was associated with more social isolation, whereas cognitive functioning was associated with less social isolation.CONCLUSIONS: Different determinants unequally affect social isolation in relation to family and friends. The context of the social network should be incorporated more strongly regarding the detection and prevention of social isolation to sustain mental and physical health.
U2 - 10.1007/s00127-023-02524-x
DO - 10.1007/s00127-023-02524-x
M3 - SCORING: Journal article
C2 - 37407737
VL - 59
SP - 979
EP - 988
JO - SOC PSYCH PSYCH EPID
JF - SOC PSYCH PSYCH EPID
SN - 0933-7954
IS - 6
ER -