The impact of social isolation on the health status and health-related quality of life of older people
Purpose To investigate for socially isolated older people, and older people at risk of social isolation: (1) health status and health-related quality of life (HRQL); (2) the relationship between social isolation and health status/HRQL; (3) the relationship between two alternative measures of health...
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| Veröffentlicht in: | Quality of life research 2011-02, Vol.20 (1), p.57-67 |
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| creator | Hawton, Annie Green, Colin Dickens, Andy P. Richards, Suzanne H. Taylor, Rod S. Edwards, Rachel Greaves, Colin J. Campbell, John L. |
| description | Purpose To investigate for socially isolated older people, and older people at risk of social isolation: (1) health status and health-related quality of life (HRQL); (2) the relationship between social isolation and health status/HRQL; (3) the relationship between two alternative measures of health status/HRQL. Methods Older people at risk of social isolation (n = 393) completed the EQ-5D and the SF-12. Multiple regression analyses were performed to examine the relationship between levels of social isolation and health status/HRQL, controlling for demographic/clinical characteristics. The agreement between EQ-5D and SF-6D (SF-12) scores was explored using descriptive psychometric techniques. Results Health status and health state values were much lower than UK general population age-matched norms. After controlling for depression, physical co-morbidities, age, gender, living alone status, employment and accommodation, social isolation was significantly associated, to a degree that was clinically relevant, with EQ-5D DSI, SF-6D (SF-12) and SF-12 MCS scores. The potential for ceiling effects on the EQ-5D with this population was identified. Conclusion 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. |
| doi_str_mv | 10.1007/s11136-010-9717-2 |
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Methods Older people at risk of social isolation (n = 393) completed the EQ-5D and the SF-12. Multiple regression analyses were performed to examine the relationship between levels of social isolation and health status/HRQL, controlling for demographic/clinical characteristics. The agreement between EQ-5D and SF-6D (SF-12) scores was explored using descriptive psychometric techniques. Results Health status and health state values were much lower than UK general population age-matched norms. After controlling for depression, physical co-morbidities, age, gender, living alone status, employment and accommodation, social isolation was significantly associated, to a degree that was clinically relevant, with EQ-5D DSI, SF-6D (SF-12) and SF-12 MCS scores. The potential for ceiling effects on the EQ-5D with this population was identified. Conclusion 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.</description><identifier>ISSN: 0962-9343</identifier><identifier>EISSN: 1573-2649</identifier><identifier>DOI: 10.1007/s11136-010-9717-2</identifier><identifier>PMID: 20658322</identifier><language>eng</language><publisher>Dordrecht: Springer</publisher><subject>Adaptation, Psychological ; Age ; Age Factors ; Aged ; Aged, 80 and over ; Aging ; Aging - psychology ; Communities ; Cost analysis ; Demography ; Dentistry ; Depression - diagnosis ; Depression - psychology ; Depressive disorders ; Female ; Frail Elderly - psychology ; Frailty ; Health behavior ; Health care ; Health Status ; Health Surveys ; Humans ; Intervention ; Living alone ; Male ; Medicine ; Medicine & Public Health ; Mental health ; Middle Aged ; Older adults ; Older people ; POLICY AND APPLICATIONS ; Population ; Psychometrics ; Public Health ; Quality of life ; Quality of Life - psychology ; Quality of Life Research ; Regression Analysis ; Social interaction ; Social isolation ; Social Isolation - psychology ; Sociology ; Stress, Psychological ; United Kingdom</subject><ispartof>Quality of life research, 2011-02, Vol.20 (1), p.57-67</ispartof><rights>2011 Springer</rights><rights>Springer Science+Business Media B.V. 2010</rights><rights>Springer Science+Business Media B.V. 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c458t-a36b1973ae182fc3d3cca3f231c1cc2dcae3d5c612361344bfa5648d3693e8053</citedby><cites>FETCH-LOGICAL-c458t-a36b1973ae182fc3d3cca3f231c1cc2dcae3d5c612361344bfa5648d3693e8053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/41488037$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/41488037$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27922,27923,41486,42555,51317,58015,58248</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20658322$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hawton, Annie</creatorcontrib><creatorcontrib>Green, Colin</creatorcontrib><creatorcontrib>Dickens, Andy P.</creatorcontrib><creatorcontrib>Richards, Suzanne H.</creatorcontrib><creatorcontrib>Taylor, Rod S.</creatorcontrib><creatorcontrib>Edwards, Rachel</creatorcontrib><creatorcontrib>Greaves, Colin J.</creatorcontrib><creatorcontrib>Campbell, John L.</creatorcontrib><title>The impact of social isolation on the health status and health-related quality of life of older people</title><title>Quality of life research</title><addtitle>Qual Life Res</addtitle><addtitle>Qual Life Res</addtitle><description>Purpose To investigate for socially isolated older people, and older people at risk of social isolation: (1) health status and health-related quality of life (HRQL); (2) the relationship between social isolation and health status/HRQL; (3) the relationship between two alternative measures of health status/HRQL. Methods Older people at risk of social isolation (n = 393) completed the EQ-5D and the SF-12. Multiple regression analyses were performed to examine the relationship between levels of social isolation and health status/HRQL, controlling for demographic/clinical characteristics. The agreement between EQ-5D and SF-6D (SF-12) scores was explored using descriptive psychometric techniques. Results Health status and health state values were much lower than UK general population age-matched norms. After controlling for depression, physical co-morbidities, age, gender, living alone status, employment and accommodation, social isolation was significantly associated, to a degree that was clinically relevant, with EQ-5D DSI, SF-6D (SF-12) and SF-12 MCS scores. The potential for ceiling effects on the EQ-5D with this population was identified. Conclusion 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.</description><subject>Adaptation, Psychological</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Aging - psychology</subject><subject>Communities</subject><subject>Cost analysis</subject><subject>Demography</subject><subject>Dentistry</subject><subject>Depression - diagnosis</subject><subject>Depression - psychology</subject><subject>Depressive disorders</subject><subject>Female</subject><subject>Frail Elderly - psychology</subject><subject>Frailty</subject><subject>Health behavior</subject><subject>Health care</subject><subject>Health Status</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Intervention</subject><subject>Living alone</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Older adults</subject><subject>Older people</subject><subject>POLICY AND APPLICATIONS</subject><subject>Population</subject><subject>Psychometrics</subject><subject>Public Health</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Quality of Life Research</subject><subject>Regression Analysis</subject><subject>Social interaction</subject><subject>Social isolation</subject><subject>Social Isolation - psychology</subject><subject>Sociology</subject><subject>Stress, Psychological</subject><subject>United Kingdom</subject><issn>0962-9343</issn><issn>1573-2649</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kUFr3DAQhUVoSTbb_oAeWkQuPamVNLIsH0tomkKgl_QstPK460VrOZJ8yL-vFm9T6KEwMDD63ptBj5B3gn8SnLefsxACNOOCs64VLZMXZCOaFpjUqntFNrzTknWg4Ipc53zgnJuOy0tyJbluDEi5IcPjHul4nJ0vNA40Rz-6QMccgytjnGitUok9ulD2NBdXlkzd1J8nLGEFsadPiwtjeT55hHHAU4-hx0RnjHPAN-T14ELGt-e-JT_vvj7e3rOHH9--3355YF41pjAHeie6FhwKIwcPPXjvYJAgvPBe9t4h9I3XQoIWoNRucI1WpgfdARrewJZ8XH3nFJ8WzMUex-wxBDdhXLI1SptO67piS27-IQ9xSVM9rkKNkhqgq5BYIZ9izgkHO6fx6NKzFdyeIrBrBLZGYE8RWFk1H87Gy-6I_Yviz59XQK5Ark_TL0x_N__P9f0qOuQS04upEsoYDi38Bk0umpU</recordid><startdate>20110201</startdate><enddate>20110201</enddate><creator>Hawton, Annie</creator><creator>Green, Colin</creator><creator>Dickens, Andy P.</creator><creator>Richards, Suzanne H.</creator><creator>Taylor, Rod S.</creator><creator>Edwards, Rachel</creator><creator>Greaves, Colin J.</creator><creator>Campbell, John L.</creator><general>Springer</general><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20110201</creationdate><title>The impact of social isolation on the health status and health-related quality of life of older people</title><author>Hawton, Annie ; Green, Colin ; Dickens, Andy P. ; Richards, Suzanne H. ; Taylor, Rod S. ; Edwards, Rachel ; Greaves, Colin J. ; Campbell, John L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-a36b1973ae182fc3d3cca3f231c1cc2dcae3d5c612361344bfa5648d3693e8053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adaptation, Psychological</topic><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Aging - psychology</topic><topic>Communities</topic><topic>Cost analysis</topic><topic>Demography</topic><topic>Dentistry</topic><topic>Depression - diagnosis</topic><topic>Depression - psychology</topic><topic>Depressive disorders</topic><topic>Female</topic><topic>Frail Elderly - psychology</topic><topic>Frailty</topic><topic>Health behavior</topic><topic>Health care</topic><topic>Health Status</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Intervention</topic><topic>Living alone</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Older adults</topic><topic>Older people</topic><topic>POLICY AND APPLICATIONS</topic><topic>Population</topic><topic>Psychometrics</topic><topic>Public Health</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Quality of Life Research</topic><topic>Regression Analysis</topic><topic>Social interaction</topic><topic>Social isolation</topic><topic>Social Isolation - psychology</topic><topic>Sociology</topic><topic>Stress, Psychological</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hawton, Annie</creatorcontrib><creatorcontrib>Green, Colin</creatorcontrib><creatorcontrib>Dickens, Andy P.</creatorcontrib><creatorcontrib>Richards, Suzanne H.</creatorcontrib><creatorcontrib>Taylor, Rod S.</creatorcontrib><creatorcontrib>Edwards, Rachel</creatorcontrib><creatorcontrib>Greaves, Colin J.</creatorcontrib><creatorcontrib>Campbell, John L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Quality of life research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hawton, Annie</au><au>Green, Colin</au><au>Dickens, Andy P.</au><au>Richards, Suzanne H.</au><au>Taylor, Rod S.</au><au>Edwards, Rachel</au><au>Greaves, Colin J.</au><au>Campbell, John L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of social isolation on the health status and health-related quality of life of older people</atitle><jtitle>Quality of life research</jtitle><stitle>Qual Life Res</stitle><addtitle>Qual Life Res</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>20</volume><issue>1</issue><spage>57</spage><epage>67</epage><pages>57-67</pages><issn>0962-9343</issn><eissn>1573-2649</eissn><abstract>Purpose To investigate for socially isolated older people, and older people at risk of social isolation: (1) health status and health-related quality of life (HRQL); (2) the relationship between social isolation and health status/HRQL; (3) the relationship between two alternative measures of health status/HRQL. Methods Older people at risk of social isolation (n = 393) completed the EQ-5D and the SF-12. Multiple regression analyses were performed to examine the relationship between levels of social isolation and health status/HRQL, controlling for demographic/clinical characteristics. The agreement between EQ-5D and SF-6D (SF-12) scores was explored using descriptive psychometric techniques. Results Health status and health state values were much lower than UK general population age-matched norms. After controlling for depression, physical co-morbidities, age, gender, living alone status, employment and accommodation, social isolation was significantly associated, to a degree that was clinically relevant, with EQ-5D DSI, SF-6D (SF-12) and SF-12 MCS scores. The potential for ceiling effects on the EQ-5D with this population was identified. Conclusion 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.</abstract><cop>Dordrecht</cop><pub>Springer</pub><pmid>20658322</pmid><doi>10.1007/s11136-010-9717-2</doi><tpages>11</tpages></addata></record> |
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| subjects | Adaptation, Psychological Age Age Factors Aged Aged, 80 and over Aging Aging - psychology Communities Cost analysis Demography Dentistry Depression - diagnosis Depression - psychology Depressive disorders Female Frail Elderly - psychology Frailty Health behavior Health care Health Status Health Surveys Humans Intervention Living alone Male Medicine Medicine & Public Health Mental health Middle Aged Older adults Older people POLICY AND APPLICATIONS Population Psychometrics Public Health Quality of life Quality of Life - psychology Quality of Life Research Regression Analysis Social interaction Social isolation Social Isolation - psychology Sociology Stress, Psychological United Kingdom |
| title | The impact of social isolation on the health status and health-related quality of life of older people |
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