A longitudinal analysis of loneliness, social isolation and falls amongst older people in England

Abstract Loneliness and social isolation have been identified as important predictors of various health outcomes, but little research has investigated their influence on falls. This study aimed to investigate the longitudinal association between loneliness, social isolation and falls amongst older a...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Feifei Bu, Jessica Abell, Paola Zaninotto, Daisy Fancourt
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/24a26f3216744df682976abc50e073b8
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:24a26f3216744df682976abc50e073b8
record_format	dspace
spelling	oai:doaj.org-article:24a26f3216744df682976abc50e073b82021-12-02T12:33:04ZA longitudinal analysis of loneliness, social isolation and falls amongst older people in England10.1038/s41598-020-77104-z2045-2322https://doaj.org/article/24a26f3216744df682976abc50e073b82020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-77104-zhttps://doaj.org/toc/2045-2322Abstract Loneliness and social isolation have been identified as important predictors of various health outcomes, but little research has investigated their influence on falls. This study aimed to investigate the longitudinal association between loneliness, social isolation and falls amongst older adults in England, looking at both self-reported falls and falls that require hospital admissions. This study drew on large scale, nationally representative data from the English Longitudinal Study of Ageing linked with Hospital Episode Statistics. Data were analysed using survival analysis, with self-reported falls (total sample = 4013) and falls require hospital admission being modelled separately (total sample = 9285). There was a 5% increase in the hazard of self-reported falls relative to one point increase in loneliness independent of socio-demographic factors (HR: 1.05, 95% CI: 1.02–1.08), but the association was explained away by individual differences in health and life-style measures (HR: 1.03, 95% CI: 1.00–1.07). Both living alone (HR: 1.18, 95% CI: 1.07–1.32) and low social contact (HR: 1.04, 95% CI: 1.01–1.07) were associated with a greater hazard of self-reported falls even after controlling for socio-demographic, health and life-style differences. Similar results were also found for hospital admissions following a fall. Our findings were robust to a variety of model specifications.Feifei BuJessica AbellPaola ZaninottoDaisy FancourtNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-8 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Feifei Bu Jessica Abell Paola Zaninotto Daisy Fancourt A longitudinal analysis of loneliness, social isolation and falls amongst older people in England
description	Abstract Loneliness and social isolation have been identified as important predictors of various health outcomes, but little research has investigated their influence on falls. This study aimed to investigate the longitudinal association between loneliness, social isolation and falls amongst older adults in England, looking at both self-reported falls and falls that require hospital admissions. This study drew on large scale, nationally representative data from the English Longitudinal Study of Ageing linked with Hospital Episode Statistics. Data were analysed using survival analysis, with self-reported falls (total sample = 4013) and falls require hospital admission being modelled separately (total sample = 9285). There was a 5% increase in the hazard of self-reported falls relative to one point increase in loneliness independent of socio-demographic factors (HR: 1.05, 95% CI: 1.02–1.08), but the association was explained away by individual differences in health and life-style measures (HR: 1.03, 95% CI: 1.00–1.07). Both living alone (HR: 1.18, 95% CI: 1.07–1.32) and low social contact (HR: 1.04, 95% CI: 1.01–1.07) were associated with a greater hazard of self-reported falls even after controlling for socio-demographic, health and life-style differences. Similar results were also found for hospital admissions following a fall. Our findings were robust to a variety of model specifications.
format	article
author	Feifei Bu Jessica Abell Paola Zaninotto Daisy Fancourt
author_facet	Feifei Bu Jessica Abell Paola Zaninotto Daisy Fancourt
author_sort	Feifei Bu
title	A longitudinal analysis of loneliness, social isolation and falls amongst older people in England
title_short	A longitudinal analysis of loneliness, social isolation and falls amongst older people in England
title_full	A longitudinal analysis of loneliness, social isolation and falls amongst older people in England
title_fullStr	A longitudinal analysis of loneliness, social isolation and falls amongst older people in England
title_full_unstemmed	A longitudinal analysis of loneliness, social isolation and falls amongst older people in England
title_sort	longitudinal analysis of loneliness, social isolation and falls amongst older people in england
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/24a26f3216744df682976abc50e073b8
work_keys_str_mv	AT feifeibu alongitudinalanalysisoflonelinesssocialisolationandfallsamongstolderpeopleinengland AT jessicaabell alongitudinalanalysisoflonelinesssocialisolationandfallsamongstolderpeopleinengland AT paolazaninotto alongitudinalanalysisoflonelinesssocialisolationandfallsamongstolderpeopleinengland AT daisyfancourt alongitudinalanalysisoflonelinesssocialisolationandfallsamongstolderpeopleinengland AT feifeibu longitudinalanalysisoflonelinesssocialisolationandfallsamongstolderpeopleinengland AT jessicaabell longitudinalanalysisoflonelinesssocialisolationandfallsamongstolderpeopleinengland AT paolazaninotto longitudinalanalysisoflonelinesssocialisolationandfallsamongstolderpeopleinengland AT daisyfancourt longitudinalanalysisoflonelinesssocialisolationandfallsamongstolderpeopleinengland
_version_	1718393847938023424

A longitudinal analysis of loneliness, social isolation and falls amongst older people in England

Ejemplares similares