The impact of social isolation on the health status and health-related quality of life of older people

Hawton, Annie; Green, Colin; Dickens, Andy; Richards, Suzanne H; Taylor, Rod S; Edwards, Rachel; Greaves, Colin; Campbell, John

doi:10.1007/s11136-010-9717-2

Cited by 308 publications

(230 citation statements)

References 25 publications

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“…This result confirms the findings of a study conducted in the UK with elderly patients in which being isolated was associated with the mental component of SF-12 38 . Being isolated can be considered as the absence of contact with other people 38,39 . However, a broader approach must be considered where being isolated includes both the number of people and the quality of these relationships 39 .…”

Section: Discussionsupporting

confidence: 90%

Social support network, mental health and quality of life: a cross-sectional study in primary care

et al. 2016

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The objective of this study was to identify the association between emotional distress and social support networks with quality of life in primary care patients. This was a cross-sectional study involving 1,466 patients in the cities of São Paulo and Rio de Janeiro, Brazil, in 2009/2010. The General Health Questionnaire, the Hospital Anxiety and Depression Scale and the brief version of the World Health Organization Quality of Life Instrument were used. The Social Support Network Index classified patients with the highest and lowest index as socially integrated or isolated. A bivariate analysis and four multiple linear regressions were conducted for each quality of life outcome. The means scores for the physical, psychological, social relations, and environment domains were, respectively, 64.7; 64.2; 68.5 and 49.1. In the multivariate analysis, the psychological domain was negatively associated with isolation, whereas the social relations and environment domains were positively associated with integration. Integration and isolation proved to be important factors for those in emotional distress as they minimize or maximize negative effects on quality of life.

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Section: Discussionsupporting

confidence: 90%

Social support network, mental health and quality of life: a cross-sectional study in primary care

et al. 2016

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“…Second, the effect sizes are comparable to previously reported effect sizes of social, physical and mental problems, and larger than reported effect sizes of (socio)demographic factors (Ratcliffe, Lester, Couzner, & Crotty, 2013;Kim et al, 2012;Kim et al, 2012;Hawton et al, 2011;Makai, Koopmanschap, Brouwer, & Nieboer, 2013). Thus, this study suggests that the home environment and information provision may be just as important for the quality of life of older adults as physical and mental health factors.…”

Section: Discussionsupporting

confidence: 81%

What can local authorities do to improve the social care-related quality of life of older adults living at home? Evidence from the Adult Social Care Survey

et al. 2014

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Access to information, design of home and access to local area explain variance in SCRQoL  They are equally strongly associated with SCRQoL as health indicators  The associations are stronger for older adults with higher needs and less assistance AbstractLocal authorities spend considerable resources on social care at home for older adults. Given the expected growth in the population of older adults and budget cuts on local government, it is important to find efficient ways of maintaining and improving the quality of life of older adults. The ageing in place literature suggests that policies in other functions of local authorities may have a significant role to play. This study aims to examine the associations between social care-related quality of life (SCRQoL) in older adults and three potential policy targets for local authorities: (i) accessibility of information and advice, (ii) design of the home and (iii) accessibility of the local area. We used cross-sectional data from the English national Adult Social Care Survey (ASCS) 2010/2011 on service users aged 65 years and older and living at home (n=29,935). To examine the association between SCRQoL, as measured by the ASCOT, and three single-item questions about accessibility of information, design of the home and accessibility of the local area, we estimate linear and quantile regression models. After adjusting for physical and mental health factors and other confounders our findings indicate that SCRQoL is significantly lower for older adults who find it more difficult to find information and advice, for those who report that their home design is inappropriate for their needs and for those who find it more difficult to get around their local area. In addition, these three variables are as strongly associated with SCRQoL as physical and mental health factors. We conclude that in seeking to find ways to maintain and improve the quality of life of social care users living at home, local authorities could look more broadly across their responsibilities. Further research is required to explore the cost-effectiveness of these options compared to standard social care services.

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“…Findings have shown relationships between higher level of social participation and lower risk of morbidity 5 , disability 6,7 , depressive symptoms 8 , and cognitive impairment 9 . Low social participation, on the other hand, increases the risk of mortality, similarly to smoking, sedentary lifestyle, alcoholism and other well-known cardiovascular risk factors 10 .…”

Section: ▄ Introductionmentioning

confidence: 99%

“…It is also an important indicator of earlier functional decline and other negatives outcomes. Additionally, numerous data have shown the effects of decreased social participation on social isolation 5,11 and loneliness in old age 12 . The effects of social participation on the elderly's health and well-being have been proven in several knowledge fields, with robust available data analyzing this phenomenon as independent variable, factor or predictor.…”

Section: ▄ Introductionmentioning

confidence: 99%

Factors related to low social participation in older adults: findings from the Fibra study, Brazil

Pinto

Néri

2017

Cad. saúde colet.

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Objective: To investigate the factors related to low social participation in older adults. Method: A hierarchical model was drawn using data from 2,251 participants of the Fibra study, aged 65 years or more, without cognitive impairment suggestive of dementia, who were living in seven Brazilian cities. Older adults with those conditions have higher odds to be less socially engaged than their counterparts. Conclusion: Personal conditions, such as socioeconomic and health status were predictors of low social participation in older adults. Initiatives aiming at active aging promotion should focus primarily on vulnerable elderly, especially those with health and/or social disadvantages.Keywords: health of the elderly; aging; social behavior; socioeconomic factors; social support.

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The impact of social isolation on the health status and health-related quality of life of older people

Abstract: This work highlights the burden that social isolation may have on the health and well-being of older people. The potential HRQL gains from addressing social isolation may be considerable, with those at risk of social isolation also a key target group.

Cited by 308 publications

References 25 publications

Social support network, mental health and quality of life: a cross-sectional study in primary care

Social support network, mental health and quality of life: a cross-sectional study in primary care

What can local authorities do to improve the social care-related quality of life of older adults living at home? Evidence from the Adult Social Care Survey

Factors related to low social participation in older adults: findings from the Fibra study, Brazil

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