Prevalence of Social Isolation in Community-Dwelling Elderly by Differences in Household Composition and Related Factors

Shimada, Kyoko; Yamazaki, Sachiko; Nakano, Kyoko; Ngoma, Alain M.; Takahashi, Ryutaro; Yasumura, Seiji

doi:10.1177/0898264314531616

Cited by 50 publications

(36 citation statements)

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“…48 However, our result is well-supported by several studies reporting similar negative impacts on cognitive function among Asian older adults who live in multigenerational family households. 12,15,49 For instance, Ibrahim et al found severe cognitive impairment among older adults living with their children and grandchildren in Malaysia. 50 They found that the older adults were socially isolated and lacked intellectual interactions despite living in a large family household.…”

Section: Discussionmentioning

confidence: 99%

“…[9][10][11] Several empirical studies have shown that social engagement can maintain cognitive abilities even in old age and lower the risk of dementia. 12,13 Researchers suggest these older adults likely benefit from intellectual stimulation obtained through daily social interactions, 14 and household living environments have considerable influence over the course of interpersonal exchanges and social resources (i.e. instrumental, informational, and emotional support) available to an older adult.…”

Section: Introductionmentioning

confidence: 99%

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Living arrangements and cognitive abilities of community‐dwelling older adults in Singapore

et al. 2020

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Aim: Dementia is a growing public health concern. It is necessary to focus on factors that may help preserve cognitive function in late life. Limited research has examined how living arrangements are associated with cognitive function in older adults. This study aims to further our understanding of this association in community-dwelling older adults in a multi-ethnic Asian population. Methods: Data were obtained from a cross-sectional population survey of 2548 adults aged 60 and older with standardized instruments. Living arrangements were classified as living with adult children and grandchildren, living with adult children only, living with a spouse/partner only, living alone, living with other relatives, and living with non-relatives. Results: Cognitive function was significantly predicted by living arrangements among community-dwelling older adults. Multivariate linear regression analyses revealed that older adults in multigenerational family households had significantly poorer cognitive function than those living with a spouse/partner (β = 0.54, P < 0.02) and those living with non-relatives (β = 1.08, P < 0.02). This association was independent of the influence of age, gender, ethnicity, education, employment status, marital status, depression, disability, chronic health conditions, and self-reported health. Conclusion: Older adults living in multigenerational households seem to be disadvantaged in their cognitive function. However, we cannot conclude this based on the evidence because of the cross-sectional nature of the data. Further research is needed to reasonably determine the relationship between living arrangements and cognitive function. Regardless, these findings add to the growing understanding of the complex relationship between living arrangements and cognition in older adults and could provide a basis to design effective strategies to delay cognitive decline in communitydwelling older adults.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Living arrangements and cognitive abilities of community‐dwelling older adults in Singapore

et al. 2020

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“…Some writers have noted there are as many different definitions and operationalizations of social isolation as there are social isolation researchers (Shimada, Yamazaki, Nakano, & Ngoma, 2014). What is generally agreed upon, however, is that social isolation is multi-dimensional and is conceptualized as having two domains: objective and subjective (Cornwell & Waite, 2009a, 2009b; Elder & Retrum, 2012; Nicholson, 2009; Pedersen, Andersen & Curtis, 2012).…”

Section: Conceptualization and Measurement Of Social Isolationmentioning

confidence: 99%

Social isolation from extended family members and friends among African Americans: Findings from a national survey

Taylor

Chatters

2016

Journal of Family Social Work

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“…7 For a significant minority of these people, however, a common negative aspect of old age is that of social isolation. 8 , 9 A recent national survey in Malaysia, a neighboring country to the study site, reported that 48.6% of old persons were at risk of social isolation and that the oldest old persons were at higher risk. 10 , 11 Research in Korea, Singapore, and the People’s Republic of China also investigated social connectedness of elderly people in each society.…”

Section: Introductionmentioning

confidence: 95%

The social network index and its relation to later-life depression among the elderly aged ≥80 years in Northern Thailand

Aung¹,

Moolphate²,

Aung³

et al. 2016

CIA

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BackgroundHaving a diverse social network is considered to be beneficial to a person’s well-being. The significance, however, of social network diversity in the geriatric assessment of people aged ≥80 years has not been adequately investigated within the Southeast Asian context. This study explored the social networks belonging to the elderly aged ≥80 years and assessed the relation of social network and geriatric depression.MethodsThis study was a community-based cross-sectional survey conducted in Chiang Mai Province, Northern Thailand. A representative sample of 435 community residents, aged ≥80 years, were included in a multistage sample. The participants’ social network diversity was assessed by applying Cohen’s social network index (SNI). The geriatric depression scale and activities of daily living measures were carried out during home visits. Descriptive analyses revealed the distribution of SNI, while the relationship between the SNI and the geriatric depression scale was examined by ordinal logistic regression models controlling possible covariants such as age, sex, and educational attainment.ResultsThe median age of the sample was 83 years, with females comprising of 54.94% of the sample. The participants’ children, their neighbors, and members of Buddhist temples were reported as the most frequent contacts of the study participants. Among the 435 participants, 25% were at risk of social isolation due to having a “limited” social network group (SNI 0–3), whereas 37% had a “medium” social network (SNI 4–5), and 38% had a “diverse” social network (SNI ≥6). The SNI was not different among the two sexes. Activities of daily living scores in the diverse social network group were significantly higher than those in the limited social network group. Multivariate ordinal logistic regression analysis models revealed a significant negative association between social network diversity and geriatric depression.ConclusionRegular and frequent contact with various social contacts may safeguard common geriatric depression among persons aged ≥80 years. As a result, screening those at risk of social isolation is recommended to be integrated into routine primary health care-based geriatric assessment and intervention programs.

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Prevalence of Social Isolation in Community-Dwelling Elderly by Differences in Household Composition and Related Factors

Abstract: The aim of this study was to measure the prevalence of social isolation in community-dwelling elderly and related factors based on household composition differences. Method: We used the six-item Lubben Social Network Scale to measure social isolation in 2,000 individuals. Multiple

Cited by 50 publications

References 20 publications

Living arrangements and cognitive abilities of community‐dwelling older adults in Singapore

Living arrangements and cognitive abilities of community‐dwelling older adults in Singapore

Social isolation from extended family members and friends among African Americans: Findings from a national survey

The social network index and its relation to later-life depression among the elderly aged ≥80 years in Northern Thailand

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Prevalence of Social Isolation in Community-Dwelling Elderly by Differences in Household Composition and Related Factors

Abstract: The aim of this study was to measure the prevalence of social isolation in community-dwelling elderly and related factors based on household composition differences. Method: We used the six-item Lubben Social Network Scale to measure social isolation in 2,000 individuals. Multiple

Cited by 50 publications

References 20 publications

Living arrangements and cognitive abilities of community‐dwelling older adults in Singapore

Living arrangements and cognitive abilities of community‐dwelling older adults in Singapore

Social isolation from extended family members and friends among African Americans: Findings from a national survey

The social network index and its relation to later-life depression among the elderly aged &ge;80 years in Northern Thailand

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The social network index and its relation to later-life depression among the elderly aged ≥80 years in Northern Thailand