Associations between sensory loss and social networks, participation, support, and loneliness Analysis of the Canadian Longitudinal Study on Aging

作者：Mick Paul; Parfyonov Maksim; Wittich Walter; Phillips Natalie; Pichora-Fuller M. Kathleen

来源：Canadian Family Physician, 2018, 64(1): E33-E41.

Objective To determine if hearing loss, vision loss, and dual sensory loss were associated with social network diversity, social participation, availability of social support, and loneliness, respectively, in a population-based sample of older Canadians and to determine whether age or sex modified the associations.
Design Cross-sectional population-based study.
Setting Canada.
Participants The sample included 21 241 participants in the Canadian Longitudinal Study on Aging tracking cohort. The sample was nationally representative of English-and French-speaking, non-institutionalized 45-to 89-year-old Canadians who did not live on First Nations reserves and who had normal cognition. Participants with missing data for any of the variables in the multivariable regression models were excluded from analysis.
Main outcome measures Hearing and vision loss were determined by selfreport. Dual sensory loss was defined as reporting both hearing and vision loss. Univariate analyses were performed to assess cross-sectional associations between hearing, vision, and dual sensory loss, and social, demographic, and medical variables. Multivariable regression models were used to analyze crosssectional associations between each type of sensory loss and social network diversity, social participation, availability of social support, and loneliness.
Results Vision loss (in men) and dual sensory loss (in 65-to 85-year-olds) were independently associated with reduced social network diversity. Vision loss and dual sensory loss (in 65-to 85-year-olds) were each independently associated with reduced social participation. All forms of sensory loss were associated with both low availability of social support and loneliness.
Conclusion Sensory impairment is associated with reduced social function in older Canadians. Interventions and research that address the social needs of older individuals with sensory loss are needed.

• 出版日期2018-1