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02-Aug-2018
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Arch Hellen Med, 35(4), July-August 2018, 506-519 ORIGINAL PAPER Social isolation and well-being among older adults in Europe M. Vozikaki,1 A. Papadaki,2 M. Linardakis,1 A. Philalithis1 |
OBJECTIVE To examine the distribution of different elements of social isolation according to background characteristics at the individual and country level, and investigate whether social isolation is associated with well-being outcomes among European older adults.
METHOD This was a secondary data analysis of participants aged ≥65 years (n=5,129), who took part in the first wave of the Survey of Health, Aging and Retirement in Europe, 2004/5 (SHARE). Well-being was determined by the clustering of six indicators comprising life satisfaction, quality of life, self-rated health, depressive symptomatology, chronic diseases and body mass index (BMI). Social isolation was determined using seven specific aspects of older people's living conditions.
RESULTS Analysis of covariance showed that a significantly higher mean score of well-being was attested among adults with frequent parent-child contact (p=0.028) and at least one social or productive involvement (p=0.001). Multiple logistic regression analysis indicated a significantly lower likelihood of displaying ≥4 well-being outcomes among the oldest-old, the retired and socially disengaged and a higher likelihood for the most highly educated respondents and those involved in rare or no social support exchanges. Northern Europeans were more likely to indicate more well-being outcomes and less social isolation indicators than their southern counterparts.
CONCLUSIONS These cross-sectional findings offer empirical support to the social structure of social isolation and its potentially adverse effect on specific well-being outcomes in old age. Public health and social policies are needed to better address the potential well-being implications of social isolation among European older adults.
Key words: Older adults, SHARE study, Social isolation, Well-being.