多重长期疾病,孤独和社会隔离:对最近的定量研究进行范围审查
Hilda Hounkpatin1, Glenn Simpson1, Miriam Santer1
1Primary Care Research Centre, School of Primary Care Population Sciences and Medical Education, University of Southampton, UK.
Archives of gerontology and geriatrics
|February 3, 2024
概括
患有多种长期疾病 (MLTC) 的老年人与孤独有显著的联系. 然而,证据表明MLTC与社会隔离以及纵向关联之间的联系需要进一步调查.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 多重长期疾病 (MLTC) 和社会隔离是老年人中普遍存在的问题.
- 最近的研究已经开始探索MLTC,孤独和社会隔离之间的复杂关系.
- 了解这些关联对于开发针对老年人口的有针对性的干预措施和支持系统至关重要.
研究的目的:
- 对现有证据对多重长期疾病 (MLTC) 与老年人孤独和社会隔离之间的关联进行范围审查.
- 确定该领域现有的研究缺口.
- 绘制研究MLTC及其与社会福祉的关系的现有研究格局.
主要方法:
- 根据PRISMA指南进行了全面的范围审查.
- 在多个数据库 (Ovid Medline,Embase,CINAHL,Cochrane Library,PsycInfo,BASE) 进行了对2020年1月至2023年4月期间发表的研究的搜索.
- 包括的研究是定量性的,评估MLTC与孤独/社会隔离之间的关联,无论语言如何.
主要成果:
- 在1827个确定的记录中,有17项研究符合纳入标准,主要包括老年人的横截面设计.
- 在大多数研究中,MLTC和孤独之间报告了显著的横截面关联.
- 对于MLTC与孤独之间的纵向关联,以及MLTC与社会隔离之间的关联,发现的证据较弱. 测量和方法的异质性限制了比较.
结论:
- 目前的证据基础表明,多重长期疾病 (MLTC) 与老年人孤独之间存在明显的横截面联系.
- 需要更强大的基于人口的纵向研究来澄清MLTC与孤独和社会隔离之间的关系.
- 未来的研究应该采用一致的方法和措施来增强理解并促进跨研究的比较.
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