Factors associated with social isolation and being homebound among older patients with diabetes: a cross-sectional study

Ida, Satoshi; Kaneko, Ryutaro; Imataka, Kanako; Ôkubo, Kaoru; Shirakura, Yoshitaka; Azuma, Kentaro; Fujiwara, Ryoko; Takahashi, Hiroka; Murata, Kazuya

doi:10.1136/bmjopen-2020-037528

Cited by 16 publications

(25 citation statements)

References 28 publications

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“…The present search identified 1,487 papers with six studies meeting eligibility criteria ( Figure 1 ; Brinkhues et al, 2018 ; Hempler et al, 2016 ; Ida et al, 2020a , 2020b ; Regidor et al, 2012 ; Schiøtz et al, 2012 ). Table 1 summarizes the characteristics of the studies that were included in the present review.…”

Section: Resultsmentioning

confidence: 99%

“…Studies that defined social isolation by infrequent contact with friends and neighbors whether face-to-face and non-face-to-face ( Brinkhues et al, 2018 ; Hempler et al, 2016 ; Ida et al, 2020a , 2020b ) and studies that defined social isolation by infrequent visits to friends and relatives ( Regidor et al., 2012 ; Schiøtz et al, 2012 ) were included. In all studies, social isolation was measured using a self-administered questionnaire or interview.…”

Section: Resultsmentioning

confidence: 99%

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Social Isolation of Older Adults With Diabetes

Ida

Murata

2022

Gerontology and Geriatric Medicine

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We aimed to conduct a scoping review of social isolation in elderly patients with diabetes and to clarify current knowledge and gaps and future challenges. A literature search was conducted using Medline, Web of Science, CINAHL, CiNii, and Ichushi, and included studies with an eligibility criterion of a survey of social isolation in elderly patients with diabetes and aged ≥60 years. Social isolation was defined as limited or non-face-to-face contact with family and community. A data extraction form describing characteristics of studies incorporated in the present review was prepared. A total of six studies met eligibility criterion (sample size, 451–3,500). Subjects’ age averaged 67 years, and 42% were female. Social isolation ranged from 9% to 49%. Factors related to social isolation included vascular complications,decreased activities of daily living, death, dementia, glycemic fluctuation, disturbance of lifestyle habits, and poor self-management and -rated health. However, research on the cause and mechanism of the relationship and impact of sex-based differences was lacking. In conclusion, additional research is needed on the definition of social isolation in elderly patients with diabetes, the causal relationship with related factors and their mechanisms, and the relationship with other outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Social Isolation of Older Adults With Diabetes

Ida

Murata

2022

Gerontology and Geriatric Medicine

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“…Perhaps due to the fear of contracting COVID-19, older adults with chronic conditions adhered to public health guidelines more strictly than others, consequently contributing to the elevated levels of perceived social isolation and loneliness. For older adults with diabetes, Ida et al suggests that social isolation is related to increased glycemic fluctuations, implying that there may be a link between social isolation and poor diabetes management (26). Older adults with chronic conditions, particularly diabetes, are most likely to benefit from interventions designed to reduce social isolation.…”

Section: Discussionmentioning

confidence: 99%

Correlates of Social Isolation Among Community-Dwelling Older Adults During the COVID-19 Pandemic

Adepoju

Chae

Woodard

et al. 2021

Front. Public Health

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Background: The past year has severely curtailed social interactions among older adults given their high rates of COVID-19 morbidity and mortality. This study examined social, behavioral, and medical correlates of social isolation among community-dwelling older adults during the COVID-19 pandemic and stratified findings to explore unique differences in two typically neglected populations, African American and Hispanic older adults.Methods: Working with community-based organizations and senior living centers, the research team administered a survey to older adults 55 years of age and older (n = 575). The survey assessed COVID-19 prevention behaviors, medical conditions, and lived experiences, including feelings of social isolation, in the target population. Responses to a previously validated social isolation question informed a dichotomous social isolation dependent variable. Multivariable logistic regression was used to adjust for sociodemographic characteristics, medical conditions, unmet caregiving needs, and COVID-19 prevention behaviors. Results from the regression model were stratified by race/ethnicity to examine correlates of social isolation in African American and Hispanic older adults, separately.Results: Overall, female sex and a higher level of education were also positively associated with social isolation (OR = 2.46, p = 0.04; OR = 5.49, p = 0.02) while having insurance exhibited an inverse relationship (OR = 0.25, p = 0.03). Unmet caregiving needs were strongly associated with social isolation (OR = 6.41, p < 0.001) as was having any chronic conditions (OR = 2.99, p = 0.02). Diabetes was the single strongest chronic condition predictor of social isolation. Among minority older adults, a different pattern emerged. For Hispanic older adults, language, unmet caregiving needs, and social distancing were strongly associated with social isolation; while unmet caregiving needs, having 1+ chronic conditions and adhering to social distancing guidelines were significant predictors in African American older adults.Conclusion: These findings suggest that social isolation affects older adults in a myriad of ways and support the need for culturally sensitive initiatives to mitigate the effect of social isolation in these vulnerable populations.

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“…Thus, that antidepressant treatment alone has a therapeutic effect is said to be limited [ 20 ]. In addition, it has shown that the decrease in physical function ability and social isolation affect the homeboundness of older adults [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Social Interaction and Depression on Homeboundness in Community-Dwelling Older Adults Living Alone

Kim¹,

Jung²

2022

IJERPH

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This study examines the levels of social interaction, depression, and homeboundness, and the effects of social interaction and depression on homeboundness in community-dwelling older adults living alone. Survey data were collected from 6444 older adults aged 65 and over, living alone, who registered for individualized home care services at 42 public health centers in Gyeonggi Province. A total of 5996 participants with complete questionnaire data were included in the analysis. The mean social interaction score was 2.90 out of 6, and the mean depression score was 6.21 out of 15. The mean homeboundness score was 0.42 out of 2. A hierarchical multiple regression analysis was performed with general characteristics, health factors, social interaction, and depression to identify their effects on homeboundness. In general characteristics and health factors, homeboundness is associated with decreasing social interaction (β = 0.17, p < 0.001) and increasing depression (β = 0.25, p < 0.001) in older adults living alone. Homeboundness was severe among participants aged 80 and over (β = 0.04, p = 0.015) and those with several chronic diseases (β = 0.04, p < 0.001), falling history (β = 0.14, p < 0.001), and lack of exercise (β = −0.20, p < 0.001). Thus, interventions that target social interaction, depression, and health functions are important for this demographic.

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Factors associated with social isolation and being homebound among older patients with diabetes: a cross-sectional study

Cited by 16 publications

References 28 publications

Social Isolation of Older Adults With Diabetes

Social Isolation of Older Adults With Diabetes

Correlates of Social Isolation Among Community-Dwelling Older Adults During the COVID-19 Pandemic

Effects of Social Interaction and Depression on Homeboundness in Community-Dwelling Older Adults Living Alone

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