The impact of social isolation on the health status and health-related quality of life of older people
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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The relationship between general social support and mental health has been observed in previous studies and across different age groups.
“This relationship has been observed in previous studies and across different age groups (Everard et al., 2000; Bovier et al., 2004; Hawton et al., 2011).”
From Psychobiological Effects of Choral Singing on Affective State, Social Connectedness, and Stress: Influences of Singing Activity and Time Course (2018) · cites this paper as Hawton et al., 2011
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- Authors
- Hawton, A., Green, C., Dickens, A. P., Richards, S. H., Taylor, R. S., Edwards, R., Greaves, C. J., & Campbell, J. L.
- Affiliations
- University of Exeter (GB)
- Corresponding author
- Hawton, Annie
- ORCID
- Venue
- Quality of Life Research
- Published
- 2010-07-25
- Volume
- 20
- Issue
- 1
- Pages
- 57-67
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W1966550887
- Cited by
- 367
- References
- 53
- Citations by year
- 2026: 7 · 2025: 21 · 2024: 26 · 2023: 42 · 2022: 39 · 2021: 39 · 2020: 37 · 2019: 21 · 2018: 17 · 2017: 31 · 2016: 30 · 2015: 17 · 2014: 13 · 2013: 16 · 2012: 6
- FWCI
- 8.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- social isolation, older adults, health-related quality of life, health status, EQ-5D, SF-12, SF-6D, ceiling effect, depression, somatic comorbidity, living alone
- MeSH terms
- Adaptation, Psychological, Age Factors, Aged, Aged, 80 and over, Aging, Depression, Female, United Kingdom, Health Status, Health Surveys, Humans, Male, Middle Aged, Psychometrics, Quality of Life, Regression Analysis, Social Isolation, Stress, Psychological, Frail Elderly
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