中国老年人社会隔离现状的Meta分析  

Status of social isolation among the elderly in China:a meta-analysis

作　　者：李秋桂 陶胜茹[2] 魏静静 杨涛[3] 岑文娇 LI Qiugui;TAO Shengru;WEI Jingjing;YANG Tao;CEN Wenjiao(School of Nursing,Jinan University,Guangzhou 510632,China;Department of Healthcare-associated Infection Management,The First Affiliated Hospital of Jinan University,Guangzhou 510630,China;Department of Neurosurgery,The First Affiliated Hospital of Jinan University,Guangzhou 510630,China)

机构地区：[1]暨南大学护理学院,广东广州510632 [2]暨南大学附属第一医院感染控制办公室,广东广州510630 [3]暨南大学附属第一医院神经外科,广东广州510630

出　　处：《老年医学研究》2023年第1期27-33,共7页Geriatrics Research

摘　　要：目的系统评价中国老年人社会隔离的现状及影响因素。方法检索中国知网、维普、万方、中国生物医学文献数据库、PubMed、Web of Science、Embase、The Cochrane Library、MEDLINE数据库中有关我国老年人社会隔离发生率的横断面研究,检索时限为建库至2022年6月,并使用Stata17.0软件进行Meta分析。结果共纳入13篇横断面研究,包括9888例研究对象。Meta分析结果显示,我国老年人社会隔离总发生率为24%(95%CI:20%~28%)。亚组分析结果显示:老年男性和女性的社会隔离发生率分别为26%(95%CI:20%~32%)、22%(95%CI:14%~30%),年龄60~69岁、≥70岁老年人的社会隔离发生率分别为18%(95%CI:11%~25%)、29%(95%CI:21%~37%),文化程度为小学及以下、初中、高中和大专及以上的老年人社会隔离发生率分别为29%(95%CI:18%~39%)、21%(95%CI:15%~28%)、19%(95%CI:11%~26%)、16%(95%CI:10%~23%),非在婚、在婚的老年人社会隔离发生率分别为38%(95%CI:27%~50%)、24%(95%CI:20%~28%),自评健康状况较差、一般、较好老年人的社会隔离发生率分别为56%(95%CI:23%~89%)、26%(95%CI:9%~43%)、13%(95%CI:0%~27%),未患病、患病老年人社会隔离发生率分别为21%(95%CI:17%~25%)、23%(95%CI:21%~26%),居住在农村、城镇的老年人社会隔离发生率分别为27%(95%CI:17%~37%)、21%(95%CI:18%~25%),发表年份为2020年前、2020年后的文献中老年人社会隔离发生率分别为21%(95%CI:14%~27%)、26%(95%CI:23%~29%),各亚组间比较差异均有统计学意义(P均<0.05)。结论我国老年人社会隔离发生率较高,其社会隔离发生率受性别、年龄、文化程度、居住地、婚姻状况、自评健康状况、患病情况以及发表年份的影响。Objective To systematically review the status and influencing factors of social isolation.Methods CNKI,VIP,WanFang data,CBM,PubMed,Web of Science,Embase,the Cochrane Library,and MEDLINE databases were electronically searched to collect cross-sectional studies related to the epidemiological characteristics of social isolation among the elderly in China from inception to June 2022.Meta-analysis was then performed using Stata 17.0 software.Results A total of 13 cross-sectional studies involving 9,888 elderly individuals were included.The results of meta-analysis showed that the prevalence of social isolation in the Chinese elderly was 24%(95%CI:20%-28%).The results of subgroup analysis showed that the incidence of social isolation in the elderly men was higher than that in women,which was 26%(95%CI:20%-32%)vs 22%(95%CI:14%-30%)(P<0.05).The incidence of social isolation in the elderly aged 60-69 years old was lower than that in the eldly aged≥70 years,which was 18%(95%CI:11%-25%)vs 29%(95%CI:21%-37%)(P<0.05).The incidence of social isolation with education level of primary school and below,junior high school,middle school,high school and college and above was 29%(95%CI:18%-39%),21%(95%CI:15%-28%),19%(95%CI:11%-26%)and 16%(95%CI:10%-23%)(P<0.05).The incidence of social isolation in unmarried elderly was higher than that in married elderly 38%(95%CI:27%-50%)vs 24%(95%CI:20%-28%)(P<0.05).The incidence of social isolation in the elderly with poor self-rated health status was higher than that in the general and good elderly,which were 56%(95%CI:23%-89%),26%(95%CI:9%-43%)and 13%(95%CI:0%-27%)(P<0.05).The incidence of social isolation in the elderly without disease was lower than that with disease 21%(95%CI:17%-25%)vs 23%(95%CI:21%-26%)(P<0.05).The incidence of social isolation of the elderly living in rural areas was higher than that living in urban areas 27%(95%CI:17%-37%)vs 21%(95%CI:18%-25%)(P<0.05).The incidence of social isolation among the elderly in the literature published before 2020 was lower than that publishe

关 键 词：社会隔离 中国 老年人 META分析 横断面研究 

分 类 号：R473[医药卫生—护理学]