Soledad y envejecimiento

  1. Mercedes Adelaida Hernández Gómez 1
  2. María José Fernández Domínguez 2
  3. Néstor Javier Sánchez Sánchez 3
  4. Manuel Ángel Blanco Ramos 4
  5. María Celsa Perdiz Álvarez 1
  6. Pedro Castro Fernández 5
  1. 1 Centro de Salud Novoa Santos-Ourense. Servicio Galego de Saúde. Ourense (España)
  2. 2 Centro de Salud de Leiro-Ribadavia. Servicio Galego de Saúde. Ourense (España)
  3. 3 Centro de Salud de Maceda. Servicio Galego de Saúde. Ourense (España)
  4. 4 Director ejecutivo de Government Affairs & Market Access en Organon. Madrid (España)
  5. 5 Universidad de Santiago de Compostela. Santiago de Compostela. A Coruña (España)
Journal:
Revista Clínica de Medicina de Familia

ISSN: 2386-8201

Year of publication: 2021

Volume: 14

Issue: 3

Pages: 146-153

Type: Article

DOI: 10.55783/RCMF.140305 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista Clínica de Medicina de Familia

Abstract

Background: the aim of this research is to ascertain the prevalence of loneliness and social isolation in people aged over 65 in Ourense and its associated factors. Methods: descriptive cross-sectional study, random sample of people aged over 65 interviewed between June 2010 and June 2011. Sample size was 486 patients (estimated loneliness 35%). The OARS (Olders American Resource and Services Multidimensional Functional Assessment Questionnaire) scale was administrated. This includes sociodemographic variables, socio-economic resources, physical and mental health and the ability to undergo BADL and IADL. The question “are you alone?” with four possible answers was also posed. Results: a total of 572 people were interviewed, aged on average 79 years old (SD: 6.79). Loneliness 32.7%; living alone 17.0%; no weekly contacts 18.9%; social isolation (living alone + no contacts) 1.4%. Feelings of loneliness were associated with sex (women), low pension and educational level, depression, cognitive impairment, vision loss, dependence for BADL, psychopharmacological treatment in the previous six months and the need for home improvements. Regular physical exercise was a protective factor. Conclusions: loneliness in our population is similar to the one reported in other areas. It is associated with sex inequalities, social and demographic factors, depression and cognitive impairment. Primary care professionals need to identify and tackle loneliness.

Bibliographic References

  • Aoki T, Yamamoto Y, Ikenoue T, Urushibara-Miyachi Y, Kise M, Fujinuma Y, et al. Social Isolation and Patient Experience in Older Adults. Ann Fam Med. 2018 Sep; 16(5): 393-8. Doi: 10.1370/afm.2257. PMID: 30201635.
  • Beard JR, Bloom DE. Towards a comprehensive public health response to population ageing. Lancet. 2015 Feb 14; 385(9968): 658-61. Doi: 10.1016/S0140-6736(14)61461-6. Epub 2014 Nov 6. PMID: 25468151.
  • Bergefurt L, Kemperman A, Van den Berg P, Borgers A, Van der Waerden P, Oosterhuis G, et al. Loneliness and Life Satisfaction Explained by Public-Space Use and Mobility Patterns. Int J Environ Res Public Health. 2019 Nov 4; 16(21): 4282. Doi: 10.3390/ijerph16214282. PMID: 31690000.
  • Bibbins-Domingo K. Integrating social care into the delivery of health care. JAMA. 2019 Sep 25. Doi: 10.1001/jama.2019.15603. Epub ahead of print. PMID: 31553407
  • Cooper C. The Campaign to End Loneliness. [Internet]. Londres: Campaign to End Loneliness; 2021 [consultado el 10 de abril de 2021.] Disponible en: https://www.campaigntoendloneliness.org/threat-to-health/
  • Díez E, Daban F, Pasarín M, Artazcoz L, Fuertes C, López MJ, et al. Evaluación de un programa comunitario para reducir el aislamiento de personas mayores debido a barreras arquitectónicas [Evaluation of a community program to reduce isolation in older people due to architectural barriers]. Gac Sanit. 2014 Sep-Oct; 28(5): 386-8. Spanish. Doi: 10.1016/j.gaceta.2014.04.013. Epub 2014 Jun 10. PMID: 24923205.
  • Eiroa P. Valoración multidimensional de la tercera edad en el municipio de Vigo [tesis doctoral]. Universidad de Santiago de Compostela; 1994.
  • Fried L, Prohaska T, Burholt V, Burns A, Golden J, Hawkley L, et al. A unified approach to loneliness. Lancet. 2020 Jan 11; 395(10218): 114. Doi: 10.1016/S0140-6736(19)32533-4. PMID: 31929010.
  • Gené-Badia J, Comice P, Belchín A, Erdozain MÁ, Cáliz L, Torres S, et al. Perfiles de soledad y aislamiento social en población urbana [Profiles of loneliness and social isolation in urban population]. Aten Primaria. 2020 Apr; 52(4): 224-32. Spanish. Doi: 10.1016/j.aprim.2018.09.012. Epub 2019 Feb 12. PMID: 30770152.
  • Gerst-Emerson K, Jayawardhana J. Loneliness as a public health issue: the impact of loneliness on health care utilization among older adults. Am J Public Health. 2015 May; 105(5): 1013-9. Doi: 10.2105/AJPH.2014.302427. Epub 2015 Mar 19. PMID: 25790413.
  • Grau Fibla G, Eiroa Patiño P, Cayuela Domínguez A. Versión española del OARS Multidimensional Functional Assessment Questionnaire: adaptación transcultural y medida de la validez. Aten Primaria. 1996; 17(8): 486-95.
  • Grau G. Evaluación funcional multidimensional de los adultos de edad avanzada. Versión española del OARS Multidimensional Functional Assessment Questionaire. Documento técnico de la Consejería de Salud de Andalucía. Sevilla: Dirección General de Coordinación, Docencia e Investigación; 1993.
  • Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D. Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspect Psychol Sci. 2015 Mar; 10(2): 227-37. Doi: 10.1177/1745691614568352. PMID: 25910392.
  • Hughes ME, Waite LJ, Hawkley LC, Cacioppo JT. A Short Scale for Measuring Loneliness in Large Surveys: Results from Two Population-Based Studies. Res Aging. 2004; 26(6): 655-72. Doi: 10.1177/0164027504268574. PMID: 18504506.
  • Instituto de Mayores y Servicios Sociales-IMSERSO. Las personas mayores en España. Informe 2010. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2010 [consultado el 2 de septiembre de 2021]. Disponible en: http://envejecimiento.csic.es/estadisticas/encuestas/index.html
  • Jarvis MA, Padmanabhanunni A, Chipps J. An Evaluation of a Low-Intensity Cognitive Behavioral Therapy mHealth-Supported Intervention to Reduce Loneliness in Older People. Int J Environ Res Public Health. 2019 Apr 11; 16(7): 1305. Doi: 10.3390/ijerph16071305. PMID: 30979042.
  • Klein J, Von dem Knesebeck O, Lüdecke D. Social Inequalities and Loneliness as Predictors of Ageing Well: A Trend Analysis Using Mixed Models. Int J Environ Res Public Health. 2020 Jul 23; 17(15): 5314. Doi: 10.3390/ijerph17155314.
  • Lara E, Caballero FF, Rico-Uribe LA, Olaya B, Haro JM, Ayuso-Mateos JL, et al. Are loneliness and social isolation associated with cognitive decline? Int J Geriatr Psychiatry. 2019 Nov; 34(11): 1613-22. Doi: 10.1002/gps.5174. Epub 2019 Jul 25. PMID: 31304639
  • López Doblas J, Díaz Conde M del P. El sentimiento de soledad en la vejez. Rev Int Sociol. [Internet]. 30 de marzo de 2018 [consultado el 2 de septiembre de 2021]; 76(1): e085. Disponible en: https://revintsociologia.revistas.csic.es/index.php/revintsociologia/article/view/698
  • Losada-Baltar A, Márquez-González M, Jiménez-Gonzalo L, Pedroso-Chaparro MDS, Gallego-Alberto L, Fernandes-Pires J. Diferencias en función de la edad y la autopercepción del envejecimiento en ansiedad, tristeza, soledad y sintomatología comórbida ansioso-depresiva durante el confinamiento por la COVID-19. Rev Esp Geriatr Gerontol. 2020; 55(5): 272-8. Doi: 10.1016/j.regg.2020.05.005.
  • Mas Martí A, Arciello P, Belmonte A, Perich S, Sáenz Hernáiz JI. La soledad como determinante de salud en las personas mayores de 60 años en un entorno semirrural. Comunidad [Internet]; 2020 [consultado el 2 de septiembre de 2021]; 23(1):6. Disponible en: https://comunidad.semfyc.es/la-soledad-como-determinante-de-salud-en-las-personas-mayores-de-60-anos-en-un-entorno-semirrural/
  • Nyqvist F, Nygård M, Scharf T. Loneliness amongst older people in Europe: a comparative study of welfare regimes. Eur J Ageing. 2018 Sep 6; 16(2): 133-43. Doi: 10.1007/s10433-018-0487-y. PMID: 31139028.
  • O’Súilleabháin PS, Gallagher S, Steptoe A. Loneliness, Living Alone, and All-Cause Mortality: The Role of Emotional and Social Loneliness in the Elderly During 19 Years of Follow-Up. Psychosom Med. 2019 Jul/Aug; 81(6): 521-6. Doi: 10.1097/PSY.0000000000000710. PMID: 31094903.
  • Perissinotto C, Holt-Lunstad J, Periyakoil VS, Covinsky K. A Practical Approach to Assessing and Mitigating Loneliness and Isolation in Older Adults. J Am Geriatr Soc. 2019 Apr; 67(4): 657-62. Doi: 10.1111/jgs.15746. Epub 2019 Feb 14. PMID: 3076222.
  • Rodríguez López E, Castro Clemente C. Soledad y aislamiento, barreras y condicionamientos en el ámbito de las personas mayores en España. Revista Ehquidad [Internet]. 29 de junio de 2019 [consultado el 2 de septiembre de 2021];(12): 127-54. Disponible en: https://revistas.proeditio.com/ehquidad/article/view/3046
  • Shah SGS, Nogueras D, Van Woerden H, Kiparoglou V. Effectiveness of digital technology interventions to reduce loneliness in adults: a protocol for a systematic review and meta-analysis. BMJ Open. 2019 Sep 27; 9(9): e032455. Doi: 10.1136/bmjopen-2019-032455. PMID: 31562164.
  • Suanet B, Van Tilburg TG. Loneliness declines across birth cohorts: The impact of mastery and self-efficacy. Psychol Aging. 2019 Dec; 34(8): 1134-43. Doi: 10.1037/pag0000357. PMID: 31804117.
  • Tan SS, Fierloos IN, Zhang X, Koppelaar E, Alhambra-Borras T, Rentoumis T, et al. The Association between Loneliness and Health Related Quality of Life (HR-QoL) among Community-Dwelling Older Citizens. Int J Environ Res Public Health. 2020 Jan 17; 17(2): 600. Doi: 10.3390/ijerph17020600. PMID: 31963427.
  • Victor C, Grenade L, Boldy D. Measuring loneliness in later life: a comparison of differing measures. Reviews in Clinical Gerontology. 2005; 15 (1): 63-70. Doi: 10.1017 / S0959259805001723
  • Wang H, Zhao E, Fleming J, Dening T, Khaw KT, Brayne C; CC75C study collaboration. Is loneliness associated with increased health and social care utilisation in the oldest old? Findings from a population-based longitudinal study. BMJ Open. 2019 Jun 1; 9(5): e024645. Doi: 10.1136/bmjopen-2018-024645. PMID: 31154294.
  • Yanguas J, Pinazo-Henandis S, Tarazona-Santabalbina FJ. La complejidad de la soledad. Acta Biomed. 2018; 89(2): 302-14. Doi: 10.23750/abm.v89i2.7404.