Loneliness in Chinese older adults in primary care: prevalence and correlates

Zhong, Bao‐Liang; Liu, Xiujun; Chen, Wen-Cai; Chiu, Helen F. K.; Conwell, Yeates

doi:10.1111/psyg.12325

Cited by 57 publications

(68 citation statements)

References 54 publications

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“…The aging people often experience age related problems and consequences, like functional limitations, psychological disorder, changes in social status, loss of confidence, loss of physical heath, these processes of late life may bring loneliness (Prince, Harwood, Blizard, Thomas, & Mann, 1997). However, living alone (Beutel et al, 2017;Grenade & Boldy, 2008;Havens, Hall, Sylvestre, & Jivan, 2004;Hellström, Persson, & Hallberg, 2004;Savikko et al, 2005;Steed, Boldy, Grenade, & Iredell, 2007;Wenger, Davies, Shahtahmasebi, & Scott, 1996;Zhong, Liu, Chen, Chiu, & Conwell, 2018) advancing of age (Hellström et al, 2004;Savikko et al, 2005;Zhong et al, 2018) gender (Hellström et al, 2004;Jylhä, 2004;Stessman et al, 1996) level of education (Savikko et al, 2005;Zhong et al, 2018) , place of residence (Savikko et al, 2005;Zhong et al, 2018) visual and hearing impairments (Mullins, Elston, & Gutkowski, 1996;Savikko et al, 2005;Zhong et al, 2018) widowhood (Grenade & Boldy, 2008;Hellström et al, 2004;Savikko et al, 2005;Stessman et al, 1996) co-morbid illness (Hellström et al, 2004) and depression (Beutel et al, 2017;Chrostek, Grygiel, Anczewska, Wciórka, & Świtaj, 2016;Pinquart & Sorensen, 2001;Sündermann, Onwumere, Kane, Morgan, & Kuipers, 2014;Switaj, Grygiel, Anczewska, & Wciórka, 2014) have been found highly significantly associated with loneliness in older adults in previous studies. The portion of older citizens has been increasing worldwide and Bangladesh is not exception of this.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Determinants of Loneliness among Older Adults in Bangladesh

Rahman

2019

International Journal of Emerging Trends in Social Sciences

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Background: The prevalence of loneliness confirms its commonness among older adults which leads to further functional declination, of physical and mental health along with disability and the last result is to be death. Thus, this study was undertaken with a view to examining the potential risk factors for loneliness in aging population in Bangladesh which is responsible for its prevalence. Methods: Data gathered for this cross-sectional study from 517 older adults' older adults in Meherpur district, Bangladesh. The level of loneliness was assessed using short version (6-items) of De Jong Gierveld Loneliness Scale and the depression was measure with the help of 15-items geriatric depression scale (GDS). Chi-square test was run to find out the possible associated factors for loneliness and multivariate multinomial logistic regression model was performed to predict the significant risk factors. Results: The overall prevalence of loneliness found 54.3% whereas 41% felt 'sometimes' and 13.3% had feeling of 'always' loneliness. In bivariate model, except place of residence, all other selected characteristics were significantly associated with increasing of loneliness. In adjusted analysis, gender, marital status, living status, hearing-visual impairment, depression, concern about falling were found as the statistically significantly risk factors for causing of different degrees of loneliness. Conclusion: Study connotes the prevalence of loneliness among aged people of Bangladesh and their associated risk factors. Results of this study would be assistive to reduce the prevalence of loneliness and helpful for geriatric policy implications.

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Section: Introductionmentioning

confidence: 99%

Prevalence and Determinants of Loneliness among Older Adults in Bangladesh

Rahman

2019

International Journal of Emerging Trends in Social Sciences

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“…The presence of hearing and vision problems was operationally defined by the authors (Zhong et al 2018b). Hearing problem was present if the interviewer must speak at a louder volume than usual to help the interviewee hear questions clearly, while vision problem was present if the respondent reported having difficulties in seeing TV or movies.…”

Section: Procedures and Instrumentsmentioning

confidence: 99%

“…Due to the inconvenient transportation in rural regions, Chinese older adults living in these rural areas are more likely to seek treatment from local primary care clinics at their villages. Therefore, primary care has been very wellplaced to provide general healthcare services for Chinese older adults (Li et al 2016;Li et al 2017;Zhong et al 2018b).…”

Section: Introductionmentioning

confidence: 99%

Peer Review #1 of "Quality of life of older Chinese adults receiving primary care in Wuhan, China: a multi-center study (v0.2)"

2019

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Background. Quality of life (QOL) is an important primary care outcome, but the QOL of older adults treated in primary care is understudied in China. This study examined QOL and its associated factors in older adults treated in Chinese primary care. Methods. A total of 752 older patients (65+ years) were consecutively recruited from 13 primary care centers in Wuhan, China, and interviewed with a standardized questionnaire, concerning socio-demographics, major medical conditions, loneliness, and depression. QOL and depression were measured with the Chinese six-item QOL questionnaire and the shortened Geriatric Depression Scale. Multiple linear regression was used to identify factors associated with poor QOL. Results. The average QOL score of primary care older adults was (20.7±2.5), significantly lower than that of the Chinese general population. Factors significantly associated with poor QOL of Chinese primary care older adults included engaging in manual labor before older adulthood (unstandardized coefficient [β]:

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“…A study conducted among community-dwelling adults in California found the prevalence of moderate-high level of loneliness as 76% (Lee et al, 2018). Another study found the 26.2% of older adults attending primary care in China were suffering from loneliness (Zhong et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of loneliness in India: A systematic review

Hossain¹,

Purohit²,

Khan³

et al. 2020

Preprint

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Introduction:Loneliness is a critical psychosocial problem that affects mental health and wellbeing of the individuals and communities. This systematic review synthesized the current evidence on the prevalence and correlates of loneliness from empirical studies conducted in India. Methods:Adopting the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, eight major databases and additional sources were searched. Studies were evaluated using following criteria: peer-reviewed journal articles, published in English language, presenting any quantitative form of evidence on loneliness, and studies conducted in India among the Indian population. A meta-analysis of the prevalence studies and narrative synthesis of the overall status and factors associated with loneliness were conducted.Results: Among 1290 studies, only 13 met our criteria. All the studies reported a high burden of loneliness among the participants. The pooled prevalence among 3169 participants was 41% (95% confidence interval [CI] 18% -63%). The burden of loneliness was higher among the elderly participants (44%, 95% CI 5% -83%) compared to younger participants (24%, 95% CI 22% -27%). Factors associated with loneliness included aging, family structure, marital status, religious practices, group membership, educational attainment, source and level of income, psychological attributes, and comorbid physical and mental health conditions among the affected individuals. Conclusion:This review identified and evaluated the status and severity of loneliness and its correlates, which may inform future studies examining complex psychopathological and social dynamics associated with loneliness. Lastly, the current evidence necessitates the development of multipronged interventions to address the risk factors and alleviate the burden of loneliness in India.

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Loneliness in Chinese older adults in primary care: prevalence and correlates

Abstract: Loneliness is common in Chinese primary care OA. The high prevalence and many negative health consequences of loneliness for OA highlight the importance of routine screening, assessment, and interventions to reduce loneliness in the primary health-care setting.

Cited by 57 publications

References 54 publications

Prevalence and Determinants of Loneliness among Older Adults in Bangladesh

Prevalence and Determinants of Loneliness among Older Adults in Bangladesh

Peer Review #1 of "Quality of life of older Chinese adults receiving primary care in Wuhan, China: a multi-center study (v0.2)"

Prevalence and correlates of loneliness in India: A systematic review

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