Social isolation, loneliness, and their correlates in older Japanese adults.


Journal

Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
ISSN: 1479-8301
Titre abrégé: Psychogeriatrics
Pays: England
ID NLM: 101230058

Informations de publication

Date de publication:
May 2023
Historique:
received: 04 10 2022
accepted: 07 03 2023
medline: 3 5 2023
pubmed: 27 3 2023
entrez: 26 3 2023
Statut: ppublish

Résumé

Loneliness and social isolation are elevated in older adults and associated with a range of detrimental outcomes. Despite this, there has been little research on these phenomena or on similarities and differences in their occurrence or combination in older Japanese adults. The current study aims to (i) determine what factors are associated with social isolation and loneliness among older adults in Japan; and (ii) describe the characteristics of individuals who are socially isolated but not lonely, as well as those who feel lonely but are not socially isolated. Data were analysed from 13 766 adults aged ≥65 years who participated in the 2019 wave of the Japan Gerontological Evaluation Study. Poisson regression analysis was used to examine associations. Among older Japanese adults, the attributes of higher age, male gender, lower socioeconomic status, being a welfare recipient, and having depressive symptoms were associated with social isolation, while lower socioeconomic status, unemployment, welfare receipt, and poor physical and mental health were associated with loneliness. In addition, better educated, and mentally and physically healthy people were less likely to feel lonely even when socially isolated, while people who were not working and who had mental or physical health problems were more likely to feel lonely even if they were not socially isolated. Our results indicate that in order to reduce unwanted social isolation and loneliness among older Japanese adults, in the first instance the focus should be on those individuals who are socioeconomically disadvantaged and unhealthy.

Sections du résumé

BACKGROUND BACKGROUND
Loneliness and social isolation are elevated in older adults and associated with a range of detrimental outcomes. Despite this, there has been little research on these phenomena or on similarities and differences in their occurrence or combination in older Japanese adults. The current study aims to (i) determine what factors are associated with social isolation and loneliness among older adults in Japan; and (ii) describe the characteristics of individuals who are socially isolated but not lonely, as well as those who feel lonely but are not socially isolated.
METHODS METHODS
Data were analysed from 13 766 adults aged ≥65 years who participated in the 2019 wave of the Japan Gerontological Evaluation Study. Poisson regression analysis was used to examine associations.
RESULTS RESULTS
Among older Japanese adults, the attributes of higher age, male gender, lower socioeconomic status, being a welfare recipient, and having depressive symptoms were associated with social isolation, while lower socioeconomic status, unemployment, welfare receipt, and poor physical and mental health were associated with loneliness. In addition, better educated, and mentally and physically healthy people were less likely to feel lonely even when socially isolated, while people who were not working and who had mental or physical health problems were more likely to feel lonely even if they were not socially isolated.
DISCUSSION CONCLUSIONS
Our results indicate that in order to reduce unwanted social isolation and loneliness among older Japanese adults, in the first instance the focus should be on those individuals who are socioeconomically disadvantaged and unhealthy.

Identifiants

pubmed: 36966745
doi: 10.1111/psyg.12957
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

475-486

Subventions

Organisme : Japan Science and Techenology
Organisme : Innovative Research Program on Suicide Countermeasures
Organisme : Sasakawa Sports Foundation
Organisme : Japan Health Promotion & Fitness Foundation
Organisme : Chiba Foundation for Health Promotion & Disease Prevention
Organisme : 8020 Promotion Foundation
ID : 19-2-06
Organisme : Niimi University
ID : 1915010
Organisme : Meiji Yasuda Life Foundation of Health and Welfare
Organisme : National Center for Geriatrics and Gerontology
ID : 30-22
Organisme : National Center for Geriatrics and Gerontology
ID : 29-42

Informations de copyright

© 2023 The Authors. Psychogeriatrics published by John Wiley & Sons Australia, Ltd on behalf of Japanese Psychogeriatric Society.

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Auteurs

Shiho Kino (S)

Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan.

Andrew Stickley (A)

Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan.
Department of Preventive Intervention for Psychiatric Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.

Yuki Arakawa (Y)

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

Masashige Saito (M)

Faculty of Social Welfare, Nihon Fukushi University, Chita-gun, Japan.
Center for Well-being and Society, Nihon Fukushi University, Nagoya, Japan.

Tami Saito (T)

Department of Social Science, National Center for Geriatrics and Gerontology, Obu, Japan.

Naoki Kondo (N)

Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan.
Department of Health and Social Behavior, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Institute for Future Initiatives, The University of Tokyo, Tokyo, Japan.
Japan Agency for Gerontological Evaluation Study (JAGES Agency), Tokyo, Japan.

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