1034All-cause mortality in Australia: impact of social isolation and living alone
| العنوان: | 1034All-cause mortality in Australia: impact of social isolation and living alone |
|---|---|
| المؤلفون: | Brendan Goodger, Alamgir Kabir, Margo Barr, Elizabeth J Comino, Mark Harris, Julie Finch, Ann-Marie Crozier, Ben Harris-Roxas, Tony Jackson |
| المصدر: | International Journal of Epidemiology. 50 |
| بيانات النشر: | Oxford University Press (OUP), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Epidemiology, medicine, Loneliness, General Medicine, Social isolation, medicine.symptom, Psychology, Demography |
| الوصف: | Background The prevalence of social isolation (SI), living alone (LA) and loneliness among older people in Australia is 17%, 25% and 19% respectively. In a meta-analysis of 70 prospective studies undertaken by Holt-Lunstad et al (2015)1 they found, after controlling for covariates, a 29% increased all-cause mortality for SI, 32% for LA, and 26% for loneliness. But how accurate is this evidence for Australia considering that the meta-analysis only included three Australian studies; all only reporting on LA, and only one reported a significant effect of LA on total mortality. Methods We conducted a record linkage study in NSW using the Social Economic and Environmental Factors sub-study questionnaire data (n = 60,399) from the 45 and Up Study (n = 267,153) and death registrations (Centre for Health Record Linkage). Overall, 20% were SI and 18% were LA. Univariate and multivariable generalised linear models were used to estimate crude and adjusted 7-year all-cause mortality rate ratios (MRR). Results Crude MRR were 28% higher for SI and 98% higher for LA. When adjusted by age and sex they were still significantly higher (28% and 23% respectively). However, when controlled for covariates, SI was 9% higher [AdjRR(95%CI):1.09(1.01-1.18)] and LA had no effect on mortality [AdjRR(95%CI):1.05(0.94-1.18)]. Conclusions As was the case for the Australian studies used in the meta-analysis we found no association between LA and all-cause mortality. We did however find a small significant effect for SI. Key messages Applying the overall meta-analysis results to Australia overestimates the effect of SI and LA on increased all-cause mortality. |
| تدمد: | 1464-3685 0300-5771 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::40e722eda11c15923525b46e4134dbd7 https://doi.org/10.1093/ije/dyab168.060 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........40e722eda11c15923525b46e4134dbd7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14643685 03005771 |
|---|