EXAMINING THE CUMULATIVE EFFECTS OF SOCIAL ISOLATION AND LONELINESS IN OLDER ADULTS WITH HIV

Social isolation exists when one has limited or lacks social contact with others and is distinct from loneliness, an affective state on the perception of isolation. Social isolation and loneliness are recognized as risks to well-being among older adults. Less in known about the cumulative effects of...

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Autor principal: Yoo-Jeong, Moka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9765931/
http://dx.doi.org/10.1093/geroni/igac059.1433
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author Yoo-Jeong, Moka
author_facet Yoo-Jeong, Moka
author_sort Yoo-Jeong, Moka
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description Social isolation exists when one has limited or lacks social contact with others and is distinct from loneliness, an affective state on the perception of isolation. Social isolation and loneliness are recognized as risks to well-being among older adults. Less in known about the cumulative effects of social isolation and loneliness in older persons with HIV (OPWH). Using cross-sectional data on OPWH (age ≥50) recruited from an outpatient HIV clinic in Atlanta, GA (N=146), we aimed to 1) describe the overlap between social isolation and loneliness and 2) examine the combined effects of social isolation and loneliness on quality-of-life (QoL), HIV-related stigma, depressive symptoms, and comorbidity burden. Loneliness and social isolation were assessed using the PROMIS-Social Isolation Scale and Social Network Index, respectively. Participants were grouped into four categories into ‘lonely only,’ ‘isolated only,’ ‘both lonely and isolated,’ or ‘neither.’ Bivariate and adjusted associations were conducted. Among participants (mean age=56.53), 26.7% (n=39) were considered ‘lonely’ only, 12.3% (n=18) ‘isolated’ only, 15.1% (n=22) ‘both lonely and isolated,’ and 45.9% (n=67) ‘neither.’ In bivariate analyses, individuals categorized as ‘both lonely and isolated’ were likely to have past homelessness and higher depressive symptoms, stigma, and comorbidity burden, and lower QoL. In adjusted models, ‘both isolated and lonely’ significantly predicted QoL, stigma, and depressive symptoms. Findings highlight the critical emphasis on targeting OPWH who are both isolated and lonely.
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spelling pubmed-97659312022-12-20 EXAMINING THE CUMULATIVE EFFECTS OF SOCIAL ISOLATION AND LONELINESS IN OLDER ADULTS WITH HIV Yoo-Jeong, Moka Innov Aging Abstracts Social isolation exists when one has limited or lacks social contact with others and is distinct from loneliness, an affective state on the perception of isolation. Social isolation and loneliness are recognized as risks to well-being among older adults. Less in known about the cumulative effects of social isolation and loneliness in older persons with HIV (OPWH). Using cross-sectional data on OPWH (age ≥50) recruited from an outpatient HIV clinic in Atlanta, GA (N=146), we aimed to 1) describe the overlap between social isolation and loneliness and 2) examine the combined effects of social isolation and loneliness on quality-of-life (QoL), HIV-related stigma, depressive symptoms, and comorbidity burden. Loneliness and social isolation were assessed using the PROMIS-Social Isolation Scale and Social Network Index, respectively. Participants were grouped into four categories into ‘lonely only,’ ‘isolated only,’ ‘both lonely and isolated,’ or ‘neither.’ Bivariate and adjusted associations were conducted. Among participants (mean age=56.53), 26.7% (n=39) were considered ‘lonely’ only, 12.3% (n=18) ‘isolated’ only, 15.1% (n=22) ‘both lonely and isolated,’ and 45.9% (n=67) ‘neither.’ In bivariate analyses, individuals categorized as ‘both lonely and isolated’ were likely to have past homelessness and higher depressive symptoms, stigma, and comorbidity burden, and lower QoL. In adjusted models, ‘both isolated and lonely’ significantly predicted QoL, stigma, and depressive symptoms. Findings highlight the critical emphasis on targeting OPWH who are both isolated and lonely. Oxford University Press 2022-12-20 /pmc/articles/PMC9765931/ http://dx.doi.org/10.1093/geroni/igac059.1433 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Yoo-Jeong, Moka
EXAMINING THE CUMULATIVE EFFECTS OF SOCIAL ISOLATION AND LONELINESS IN OLDER ADULTS WITH HIV
title EXAMINING THE CUMULATIVE EFFECTS OF SOCIAL ISOLATION AND LONELINESS IN OLDER ADULTS WITH HIV
title_full EXAMINING THE CUMULATIVE EFFECTS OF SOCIAL ISOLATION AND LONELINESS IN OLDER ADULTS WITH HIV
title_fullStr EXAMINING THE CUMULATIVE EFFECTS OF SOCIAL ISOLATION AND LONELINESS IN OLDER ADULTS WITH HIV
title_full_unstemmed EXAMINING THE CUMULATIVE EFFECTS OF SOCIAL ISOLATION AND LONELINESS IN OLDER ADULTS WITH HIV
title_short EXAMINING THE CUMULATIVE EFFECTS OF SOCIAL ISOLATION AND LONELINESS IN OLDER ADULTS WITH HIV
title_sort examining the cumulative effects of social isolation and loneliness in older adults with hiv
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9765931/
http://dx.doi.org/10.1093/geroni/igac059.1433
work_keys_str_mv AT yoojeongmoka examiningthecumulativeeffectsofsocialisolationandlonelinessinolderadultswithhiv