Factors associated with social isolation and loneliness in community-dwelling older adults during pandemic times: a cross-sectional study

Psychosocial aspects need to be discussed in the context of the Covid-19 pandemic. Currently, no studies have investigated the factors associated with social isolation and loneliness among community-dwelling older adults. Therefore, this study analyzed the association of social isolation and lonelin...

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Published in:Revista da Sociedade Brasileira de Medicina Tropical Vol. 54; p. e01952020
Main Authors: Pegorari, Maycon Sousa, Silva, Caroline de Fátima Ribeiro, Araújo, Fabrícia Coelho de, Silva, Juliana de Souza da, Ohara, Daniela Gonçalves, Matos, Alessandro Pena, Matos, Areolino Pena, Pinto, Ana Carolina Pereira Nunes
Format: Journal Article
Language:English
Published: Brazil Sociedade Brasileira de Medicina Tropical - SBMT 01-01-2021
Sociedade Brasileira de Medicina Tropical (SBMT)
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Summary:Psychosocial aspects need to be discussed in the context of the Covid-19 pandemic. Currently, no studies have investigated the factors associated with social isolation and loneliness among community-dwelling older adults. Therefore, this study analyzed the association of social isolation and loneliness with socioeconomic, clinical, and health characteristics, and Covid-19-related variables, among community-dwelling older adults during the pandemic. A cross-sectional study was conducted via a telephone survey of community-dwelling older adults aged ≥60 years in Macapa, Amapa, Brazil. A structured form was used to collect data. Descriptive and inferential analyses were performed using Pearson's correlation test and a linear regression model. Participants comprised 86 community-dwelling older adults with a mean age of 71.78+6.98 years. Among them, 9.3% were diagnosed with Covid-19, of whom 3.5% were hospitalized. Most participants reported no difficulty obtaining food, medicines, or attending routine medical appointments during the pandemic. Furthermore, 23.3% (n=20) were socially isolated, and 20.9% (n=18) reported feelings of loneliness. The mean values for fear, anxiety, and obsession were 19.01±7.25, 1.01±1.90, and 2.84±3.28, respectively. A moderate positive correlation was identified between loneliness and the number of diseases, and a weak positive correlation between loneliness and the number of medications and depressive symptoms and risk for sarcopenia. The linear regression model indicated that higher loneliness scores were associated with a greater number of diseases (β=0.288; p=0.007). The findings suggest a probable resilience of the older population to Covid-19, despite the association of loneliness with many diseases in times of a pandemic.
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Conflict of Interest: The authors declare that there is no conflict of interest.
Authors’ contribution: MSP, DGO, APM, APM and ACPNP contributed to the conception and design of the study, its critical review and approval of the version to be published; CFRS, FCA and JSS contributed to the conception and design and the writing of the article; MSP performed data analysis and contributed to the writing of the article.
ISSN:0037-8682
1678-9849
1678-9849
DOI:10.1590/0037-8682-0195-2020