The Impact of Social Isolation on the Health Status and Health-related Quality of Life of Older People

Overview

Journal Qual Life Res

Specialties Pharmacology
Rehabilitation Medicine

Date 2010 Jul 27

PMID 20658322

Citations 116

Authors

Annie Hawton

Colin Green

Andy P Dickens

Suzanne H Richards

Rod S Taylor

Rachel Edwards

Colin J Greaves

John L Campbell

Affiliations

Soon will be listed here.

Abstract

Purpose: To investigate for socially isolated older people, and older people at risk of social isolation: (1) health status and health-related quality of life (HRQL); (2) the relationship between social isolation and health status/HRQL; (3) the relationship between two alternative measures of health status/HRQL.

Methods: Older people at risk of social isolation (n = 393) completed the EQ-5D and the SF-12. Multiple regression analyses were performed to examine the relationship between levels of social isolation and health status/HRQL, controlling for demographic/clinical characteristics. The agreement between EQ-5D and SF-6D (SF-12) scores was explored using descriptive psychometric techniques.

Results: Health status and health state values were much lower than UK general population age-matched norms. After controlling for depression, physical co-morbidities, age, gender, living alone status, employment and accommodation, social isolation was significantly associated, to a degree that was clinically relevant, with EQ-5D DSI, SF-6D (SF-12) and SF-12 MCS scores. The potential for ceiling effects on the EQ-5D with this population was identified.

Conclusion: This work highlights the burden that social isolation may have on the health and well-being of older people. The potential HRQL gains from addressing social isolation may be considerable, with those at risk of social isolation also a key target group.

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References

Ethgen O, Vanparijs P, Delhalle S, Rosant S, Bruyere O, Reginster J . Social support and health-related quality of life in hip and knee osteoarthritis. Qual Life Res. 2004; 13(2):321-30. DOI: 10.1023/B:QURE.0000018492.40262.d1. View

de Belvis A, Avolio M, Sicuro L, Rosano A, Latini E, Damiani G . Social relationships and HRQL: a cross-sectional survey among older Italian adults. BMC Public Health. 2008; 8:348. PMC: 2569037. DOI: 10.1186/1471-2458-8-348. View

DAth P, Katona P, Mullan E, Evans S, Katona C . Screening, detection and management of depression in elderly primary care attenders. I: The acceptability and performance of the 15 item Geriatric Depression Scale (GDS15) and the development of short versions. Fam Pract. 1994; 11(3):260-6. DOI: 10.1093/fampra/11.3.260. View

Jongenelis K, Pot A, Eisses A, Gerritsen D, Derksen M, Beekman A . Diagnostic accuracy of the original 30-item and shortened versions of the Geriatric Depression Scale in nursing home patients. Int J Geriatr Psychiatry. 2005; 20(11):1067-74. DOI: 10.1002/gps.1398. View

Brazier J, Roberts J, Tsuchiya A, Busschbach J . A comparison of the EQ-5D and SF-6D across seven patient groups. Health Econ. 2004; 13(9):873-84. DOI: 10.1002/hec.866. View

Drummond M . Introducing economic and quality of life measurements into clinical studies. Ann Med. 2001; 33(5):344-9. DOI: 10.3109/07853890109002088. View

Greaves C, Farbus L . Effects of creative and social activity on the health and well-being of socially isolated older people: outcomes from a multi-method observational study. J R Soc Promot Health. 2006; 126(3):134-42. DOI: 10.1177/1466424006064303. View

Sherbourne C, Stewart A . The MOS social support survey. Soc Sci Med. 1991; 32(6):705-14. DOI: 10.1016/0277-9536(91)90150-b. View

Alpass F, Neville S . Loneliness, health and depression in older males. Aging Ment Health. 2003; 7(3):212-6. DOI: 10.1080/1360786031000101193. View

10.

Ryan M, Netten A, Skatun D, Smith P . Using discrete choice experiments to estimate a preference-based measure of outcome--an application to social care for older people. J Health Econ. 2006; 25(5):927-44. DOI: 10.1016/j.jhealeco.2006.01.001. View

11.

Berkman L . The role of social relations in health promotion. Psychosom Med. 1995; 57(3):245-54. DOI: 10.1097/00006842-199505000-00006. View

12.

Dolan P . Modeling valuations for EuroQol health states. Med Care. 1997; 35(11):1095-108. DOI: 10.1097/00005650-199711000-00002. View

13.

Kind P, Dolan P, Gudex C, Williams A . Variations in population health status: results from a United Kingdom national questionnaire survey. BMJ. 1998; 316(7133):736-41. PMC: 28477. DOI: 10.1136/bmj.316.7133.736. View

14.

Walters S, Brazier J . Comparison of the minimally important difference for two health state utility measures: EQ-5D and SF-6D. Qual Life Res. 2005; 14(6):1523-32. DOI: 10.1007/s11136-004-7713-0. View

15.

McCulloch A . Social environments and health: cross sectional national survey. BMJ. 2001; 323(7306):208-9. PMC: 35274. DOI: 10.1136/bmj.323.7306.208. View

16.

Seeman T . Health promoting effects of friends and family on health outcomes in older adults. Am J Health Promot. 2000; 14(6):362-70. DOI: 10.4278/0890-1171-14.6.362. View

17.

Grieve R, Grishchenko M, Cairns J . SF-6D versus EQ-5D: reasons for differences in utility scores and impact on reported cost-utility. Eur J Health Econ. 2008; 10(1):15-23. DOI: 10.1007/s10198-008-0097-2. View

18.

Marra C, Woolcott J, Kopec J, Shojania K, Offer R, Brazier J . A comparison of generic, indirect utility measures (the HUI2, HUI3, SF-6D, and the EQ-5D) and disease-specific instruments (the RAQoL and the HAQ) in rheumatoid arthritis. Soc Sci Med. 2005; 60(7):1571-82. DOI: 10.1016/j.socscimed.2004.08.034. View

19.

Wenger G, Burholt V . Changes in levels of social isolation and loneliness among older people in a rural area: a twenty-year longitudinal study. Can J Aging. 2004; 23(2):115-27. DOI: 10.1353/cja.2004.0028. View

20.

Brazier J, Roberts J . The estimation of a preference-based measure of health from the SF-12. Med Care. 2004; 42(9):851-9. DOI: 10.1097/01.mlr.0000135827.18610.0d. View