Disability and loneliness in nine countries of the former Soviet Union.

Cross-Sectional Studies Disabled Persons Humans Loneliness Surveys and Questionnaires USSR
Adult population Disabled HITT survey Lonely

Journal

Disability and health journal
ISSN: 1876-7583
Titre abrégé: Disabil Health J
Pays: United States
ID NLM: 101306633

Informations de publication

Date de publication:
10 2021
Historique:
received: 06 01 2021
revised: 11 05 2021
accepted: 21 05 2021
pubmed: 21 6 2021
medline: 25 2 2023
entrez: 20 6 2021
Statut: ppublish

Résumé

People with disabilities (PWD) often face structural and other barriers to community involvement and may therefore be at risk of loneliness. Yet, so far, this issue has received little attention. This cross-sectional study aimed to examine the association between disability and loneliness in nine countries of the former Soviet Union (FSU). Data were analyzed from 18000 respondents aged ≥18 that came from the Health in Times of Transition (HITT) survey that was undertaken in Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia and Ukraine in 2010/11. Respondents reported on whether they had a disability (no/yes) and its severity. A single-item question was used to assess loneliness. Logistic regression analysis was used to examine the associations. Across the countries, 6.8% of respondents reported being disabled. In a fully adjusted combined country analysis, disability was associated with higher odds for loneliness (odds ratio: 1.30, 95% confidence interval: 1.06-1.60). In an analysis restricted to PWD, individuals in the most severe disability category (Group 1) had over two times higher odds for loneliness when compared to those in the least severe disability category (Group 3). Disability is associated with higher odds for reporting loneliness in the FSU countries and this association is especially strong among those who are more severely disabled. An increased focus on the relationship between disability and loneliness is now warranted given the increasing recognition of loneliness as a serious public health problem that is associated with a number of detrimental outcomes.

Sections du résumé

BACKGROUND
People with disabilities (PWD) often face structural and other barriers to community involvement and may therefore be at risk of loneliness. Yet, so far, this issue has received little attention.
OBJECTIVE
This cross-sectional study aimed to examine the association between disability and loneliness in nine countries of the former Soviet Union (FSU).
METHODS
Data were analyzed from 18000 respondents aged ≥18 that came from the Health in Times of Transition (HITT) survey that was undertaken in Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia and Ukraine in 2010/11. Respondents reported on whether they had a disability (no/yes) and its severity. A single-item question was used to assess loneliness. Logistic regression analysis was used to examine the associations.
RESULTS
Across the countries, 6.8% of respondents reported being disabled. In a fully adjusted combined country analysis, disability was associated with higher odds for loneliness (odds ratio: 1.30, 95% confidence interval: 1.06-1.60). In an analysis restricted to PWD, individuals in the most severe disability category (Group 1) had over two times higher odds for loneliness when compared to those in the least severe disability category (Group 3).
CONCLUSIONS
Disability is associated with higher odds for reporting loneliness in the FSU countries and this association is especially strong among those who are more severely disabled. An increased focus on the relationship between disability and loneliness is now warranted given the increasing recognition of loneliness as a serious public health problem that is associated with a number of detrimental outcomes.

Identifiants

DOI: 10.1016/j.dhjo.2021.101123 PMID: 34147415
pubmed: 34147415
pii: S1936-6574(21)00069-8
doi: 10.1016/j.dhjo.2021.101123
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

101123

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest The authors declare that they have no conflicts of interest.

Auteurs

Andrew Stickley (A)

Stockholm Centre for Health and Social Change (SCOHOST), Sodertorn University, Huddinge 141 89, Sweden; Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan. Electronic address: amstick66@gmail.com.

Naoki Kondo (N)

Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan.

Erica Richardson (E)

European Observatory on Health Systems and Policies, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.

Mall Leinsalu (M)

Stockholm Centre for Health and Social Change (SCOHOST), Sodertorn University, Huddinge 141 89, Sweden; Department of Epidemiology and Biostatistics, National Institute for Health Development, Estonia.

Kyle Waldman (K)

Department of Sociology, Harvard University, Cambridge, MA, USA.

Hans Oh (H)

University of Southern California, Suzanne Dworak Peck School of Social Work, 1149 South Hill Street Suite 1422, Los Angeles, CA, 90015, USA.

Yosuke Inoue (Y)

Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, 1628655, Japan.

Tom Shakespeare (T)

International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, London, UK.

Martin McKee (M)

Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.

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Classifications MeSH

questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Disability and loneliness in nine countries of...
questionsmedicales.fr › Personnes › Personnes handicapées › Disability and loneliness in nine countries of...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Disability and loneliness in nine countries of...
questionsmedicales.fr › Sciences sociales › Sociologie › Facteurs sociologiques › Isolement social › Solitude › Disability and loneliness in nine countries of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Disability and loneliness in nine countries of...
questionsmedicales.fr › Régions géographiques › Lieux historiques et géographiques › URSS › Disability and loneliness in nine countries of...