Loneliness and its association with sociodemographic and health indicators in Brazilian adults and older adults: ELSI-Brazil

Detalhes bibliográficos
Autor(a) principal: Afonso Sandy Júnior, Paulo
Data de Publicação: 2023
Outros Autores: Silva Arbex Borim, Flávia, Liberalesso Neri, Anita
Tipo de documento: Artigo
Idioma: por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8322
Resumo: This study aimed to investigate the prevalence of loneliness and its associations with sociodemographic and health indicators in a nationally representative sample of Brazilian adults and older adults. Data from the baseline (2015-2016) of the Brazilian Longitudinal Study of Aging (ELSI-Brazil) were analyzed, and participants with complete information on the variables of interest (n = 7,957) were included. Loneliness was the outcome variable, which was based on the question “How often do you feel alone or lonely: always, sometimes, or never?” Independent variables included sociodemographic indicators and health behaviors and conditions. The analyses included the Pearson’s chi-square test for calculating relative frequencies, and Poisson regression for estimating prevalence ratios (PR) and their respective 95% confidence intervals (95%CI). The prevalence of always feeling lonely was 16.8%; sometimes, 31.7%; and never, 51.5%. Significant associations were observed between always feeling lonely and depression (PR = 4.49; 95%CI: 3.93-5.11), living alone (PR = 2.44; 95%CI: 2.12-2.82), low education level (PR = 1.93; 95%CI: 1.61-2.32), being a woman (PR = 1.53; 95%CI: 1.36-1.72), self-rated poor/very poor health (PR = 1.48; 95%CI: 1.27-1.73), and poor/very poor sleep quality (PR = 1.21; 95%CI: 1.05-1.41). Given its potential to harm quality of life, it is necessary to longitudinally understand the trajectories of loneliness and associated variables, and to use this knowledge to design public policies and health interventions that could benefit the biopsychosocial well-being of Brazilian adults and older adults.
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spelling Loneliness and its association with sociodemographic and health indicators in Brazilian adults and older adults: ELSI-Brazil La soledad y su asociación con indicadores sociodemográficos y de salud en adultos y ancianos brasileños: ELSI-Brasil Solidão e sua associação com indicadores sociodemográficos e de saúde em adultos e idosos brasileiros: ELSI-BrasilSolidão; Depressão; Autocuidado; Saúde do Idoso; AdultoSoledad; Depresión; Autocuidado; Salud del Anciano; AdultoLoneliness; Depression; Self Care; Health of the Elderly; AdultThis study aimed to investigate the prevalence of loneliness and its associations with sociodemographic and health indicators in a nationally representative sample of Brazilian adults and older adults. Data from the baseline (2015-2016) of the Brazilian Longitudinal Study of Aging (ELSI-Brazil) were analyzed, and participants with complete information on the variables of interest (n = 7,957) were included. Loneliness was the outcome variable, which was based on the question “How often do you feel alone or lonely: always, sometimes, or never?” Independent variables included sociodemographic indicators and health behaviors and conditions. The analyses included the Pearson’s chi-square test for calculating relative frequencies, and Poisson regression for estimating prevalence ratios (PR) and their respective 95% confidence intervals (95%CI). The prevalence of always feeling lonely was 16.8%; sometimes, 31.7%; and never, 51.5%. Significant associations were observed between always feeling lonely and depression (PR = 4.49; 95%CI: 3.93-5.11), living alone (PR = 2.44; 95%CI: 2.12-2.82), low education level (PR = 1.93; 95%CI: 1.61-2.32), being a woman (PR = 1.53; 95%CI: 1.36-1.72), self-rated poor/very poor health (PR = 1.48; 95%CI: 1.27-1.73), and poor/very poor sleep quality (PR = 1.21; 95%CI: 1.05-1.41). Given its potential to harm quality of life, it is necessary to longitudinally understand the trajectories of loneliness and associated variables, and to use this knowledge to design public policies and health interventions that could benefit the biopsychosocial well-being of Brazilian adults and older adults.El objetivo fue investigar la prevalencia de la soledad y sus asociaciones con indicadores sociodemográficos y de salud en una muestra nacionalmente representativa de adultos y ancianos brasileños. Se analizaron datos de la línea base (2015-2016) del Estudio Longitudinal de la Salud de los Ancianos Brasileños (ELSI-Brasil) y se incluyeron los participantes con información completa en las variables de interés (n = 7.957). La soledad fue la variable de desenlace, cuya medida se basó en la pregunta “¿Con qué frecuencia te sentiste solo(a) o solitario(a): siempre, a veces o nunca?”. Las variables independientes incluyeron indicadores sociodemográficos y comportamientos y condiciones de salud. Los análisis incluyeron la prueba de chi-cuadrado de Pearson para calcular las frecuencias relativas, y la regresión de Poisson, para estimar las razones de prevalencia (RP) y los respectivos intervalos de 95% de confianza (IC95%). La prevalencia de sentirse siempre solo fue de 16,8%; a veces, 31,7%; y nunca, 51,5%. Se observaron asociaciones significativas entre sentir siempre soledad y depresión (RP = 4,49; IC95%: 3,93-5,11), vivir solo (RP = 2,44; IC95%: 2,12-2,82), baja escolaridad (RP = 1,93; IC95%: 1,61-2,32), sexo femenino (RP = 1,53; IC95%: 1,36-1,72), autoevaluación de salud mala/muy mala (RP = 1,48; IC95%: 1,27-1,73) y calidad del sueño mala/muy mala (RP = 1,21; IC95%: 1,05-1,41). Dado su potencial para perjudicar la calidad de vida, es necesario conocer longitudinalmente las trayectorias de la soledad y las variables asociadas, y usar ese conocimiento para diseñar políticas públicas e intervenciones en salud que puedan beneficiar el bienestar biopsicosocial de adultos y ancianos brasileños.O objetivo foi investigar a prevalência de solidão e suas associações com indicadores sociodemográficos e de saúde em amostra nacionalmente representativa de adultos e idosos brasileiros. Foram analisados dados da linha de base (2015-2016) do Estudo Longitudinal da Saúde dos Idosos Brasileiros (ELSI-Brasil) e incluídos os participantes com informações completas nas variáveis de interesse (n = 7.957). Solidão foi a variável de desfecho, cuja medida baseou-se na pergunta “Com que frequência o(a) senhor(a) se sentiu sozinho(a) ou solitário(a): sempre, algumas vezes ou nunca?”. As variáveis independentes compreenderam indicadores sociodemográficos e comportamentos e condições de saúde. As análises incluíram o teste qui-quadrado de Pearson, para cálculo das frequências relativas, e a regressão de Poisson, para estimativa das razões de prevalência (RP) e respectivos intervalos de 95% de confiança (IC95%). A prevalência de sempre sentir solidão foi de 16,8%; de algumas vezes, 31,7%; e de nunca, 51,5%. Foram observadas associações significativas entre sempre sentir solidão e depressão (RP = 4,49; IC95%: 3,93-5,11), morar só (RP = 2,44; IC95%: 2,12-2,82), baixa escolaridade (RP = 1,93; IC95%: 1,61-2,32), sexo feminino (RP = 1,53; IC95%: 1,36-1,72), autoavaliação de saúde ruim/muito ruim (RP = 1,48; IC95%: 1,27-1,73) e qualidade do sono ruim/muito ruim (RP = 1,21; IC95%: 1,05-1,41). Dado seu potencial de prejuízo à qualidade de vida, é necessário conhecer longitudinalmente as trajetórias da solidão e as variáveis associadas e usar esse conhecimento para o delineamento de políticas públicas e intervenções em saúde que poderão beneficiar o bem-estar biopsicossocial de adultos e idosos brasileiros.Reports in Public HealthCadernos de Saúde Pública2023-07-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8322Reports in Public Health; Vol. 39 No. 7 (2023): JulyCadernos de Saúde Pública; v. 39 n. 7 (2023): Julho1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8322/18581https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8322/18582Copyright (c) 2023 Cadernos de Saúde Públicainfo:eu-repo/semantics/openAccessAfonso Sandy Júnior, PauloSilva Arbex Borim, FláviaLiberalesso Neri, Anita2023-07-21T13:01:31Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/8322Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:09:30.201851Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Loneliness and its association with sociodemographic and health indicators in Brazilian adults and older adults: ELSI-Brazil
La soledad y su asociación con indicadores sociodemográficos y de salud en adultos y ancianos brasileños: ELSI-Brasil
Solidão e sua associação com indicadores sociodemográficos e de saúde em adultos e idosos brasileiros: ELSI-Brasil
title Loneliness and its association with sociodemographic and health indicators in Brazilian adults and older adults: ELSI-Brazil
spellingShingle Loneliness and its association with sociodemographic and health indicators in Brazilian adults and older adults: ELSI-Brazil
Afonso Sandy Júnior, Paulo
Solidão; Depressão; Autocuidado; Saúde do Idoso; Adulto
Soledad; Depresión; Autocuidado; Salud del Anciano; Adulto
Loneliness; Depression; Self Care; Health of the Elderly; Adult
title_short Loneliness and its association with sociodemographic and health indicators in Brazilian adults and older adults: ELSI-Brazil
title_full Loneliness and its association with sociodemographic and health indicators in Brazilian adults and older adults: ELSI-Brazil
title_fullStr Loneliness and its association with sociodemographic and health indicators in Brazilian adults and older adults: ELSI-Brazil
title_full_unstemmed Loneliness and its association with sociodemographic and health indicators in Brazilian adults and older adults: ELSI-Brazil
title_sort Loneliness and its association with sociodemographic and health indicators in Brazilian adults and older adults: ELSI-Brazil
author Afonso Sandy Júnior, Paulo
author_facet Afonso Sandy Júnior, Paulo
Silva Arbex Borim, Flávia
Liberalesso Neri, Anita
author_role author
author2 Silva Arbex Borim, Flávia
Liberalesso Neri, Anita
author2_role author
author
dc.contributor.author.fl_str_mv Afonso Sandy Júnior, Paulo
Silva Arbex Borim, Flávia
Liberalesso Neri, Anita
dc.subject.por.fl_str_mv Solidão; Depressão; Autocuidado; Saúde do Idoso; Adulto
Soledad; Depresión; Autocuidado; Salud del Anciano; Adulto
Loneliness; Depression; Self Care; Health of the Elderly; Adult
topic Solidão; Depressão; Autocuidado; Saúde do Idoso; Adulto
Soledad; Depresión; Autocuidado; Salud del Anciano; Adulto
Loneliness; Depression; Self Care; Health of the Elderly; Adult
description This study aimed to investigate the prevalence of loneliness and its associations with sociodemographic and health indicators in a nationally representative sample of Brazilian adults and older adults. Data from the baseline (2015-2016) of the Brazilian Longitudinal Study of Aging (ELSI-Brazil) were analyzed, and participants with complete information on the variables of interest (n = 7,957) were included. Loneliness was the outcome variable, which was based on the question “How often do you feel alone or lonely: always, sometimes, or never?” Independent variables included sociodemographic indicators and health behaviors and conditions. The analyses included the Pearson’s chi-square test for calculating relative frequencies, and Poisson regression for estimating prevalence ratios (PR) and their respective 95% confidence intervals (95%CI). The prevalence of always feeling lonely was 16.8%; sometimes, 31.7%; and never, 51.5%. Significant associations were observed between always feeling lonely and depression (PR = 4.49; 95%CI: 3.93-5.11), living alone (PR = 2.44; 95%CI: 2.12-2.82), low education level (PR = 1.93; 95%CI: 1.61-2.32), being a woman (PR = 1.53; 95%CI: 1.36-1.72), self-rated poor/very poor health (PR = 1.48; 95%CI: 1.27-1.73), and poor/very poor sleep quality (PR = 1.21; 95%CI: 1.05-1.41). Given its potential to harm quality of life, it is necessary to longitudinally understand the trajectories of loneliness and associated variables, and to use this knowledge to design public policies and health interventions that could benefit the biopsychosocial well-being of Brazilian adults and older adults.
publishDate 2023
dc.date.none.fl_str_mv 2023-07-21
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8322
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dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8322/18581
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8322/18582
dc.rights.driver.fl_str_mv Copyright (c) 2023 Cadernos de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Cadernos de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/xml
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 39 No. 7 (2023): July
Cadernos de Saúde Pública; v. 39 n. 7 (2023): Julho
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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