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Social Isolation and Loneliness: Prospective Associations With Functional Status in Older Adults.

Shankar, A; McMunn, A; Demakakos, P; Hamer, M; Steptoe, A; (2016) Social Isolation and Loneliness: Prospective Associations With Functional Status in Older Adults. Health Psychol , 36 (2) pp. 179-187. 10.1037/hea0000437. Green open access

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Abstract

OBJECTIVE: The present analysis aimed to examine the associations of isolation and loneliness, individually as well as simultaneously, with 2 measures of functional status (gait speed and difficulties in activities of daily living) in older adults over a 6-year period using data from the English Longitudinal Study of Ageing, and to assess if these associations differ by SES. METHOD: Loneliness was measured using the short form of the Revised UCLA scale, and an index of social isolation was computed incorporating marital status; frequency of contact with friends, family, and children; and participation in social activities. Measures of functional status were assessed identically at baseline and 6 years later for 3070 participants (mean age 69 years). Wealth was used as an indicator of SES. RESULTS: In fully and mutually adjusted models, social isolation and loneliness were found to be associated with a decrease in gait speed at follow-up, with stronger effects among more disadvantaged individuals. Loneliness was associated with an increase in difficulties with activities of daily living. CONCLUSIONS: Isolation and loneliness were adversely associated with different aspects of functional status. Interventions to reduce isolation and loneliness may be particularly beneficial for individuals in disadvantaged groups.

Type: Article
Title: Social Isolation and Loneliness: Prospective Associations With Functional Status in Older Adults.
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1037/hea0000437
Publisher version: http://dx.doi.org/10.1037/hea0000437
Language: English
Additional information: PsycINFO Database Record © 2017 APA, all rights reserved. This article may not exactly replicate the authoritative document published in the APA journal. It is not the copy of record.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/1520344
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