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Titre : | Who is at Risk of Loneliness? A Cross-sectional Recursive Partitioning Approach in a Population-based Cohort of Persons With Spinal Cord Injury (2022) |
Auteurs : | Hannah Tough ; Mirja Gross-Hemmi ; Silvia Stringhini ; Inge Eriks-Hoogland ; Christine Fekete |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 2, 2022) |
Article en page(s) : | p. 305-312 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.08.018 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Facteurs socioéconomiques ; Réadaptation ; Solitude ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To develop a more thorough understanding of the risk factors for loneliness in persons with a physical impairment, using a population-based sample of persons with spinal cord injury (SCI), based on regression modeling and a recursive partitioning approach. Design Cross-sectional, observational cohort. Setting Community, Switzerland. Participants Community-dwelling persons with spinal cord injury (N=1283) 16 years or older. Interventions Not applicable. Main Outcome Measures Loneliness was assessed using a modified version of the UCLA Three-Item Loneliness Scale. Results Those with the most disadvantaged socioeconomic characteristics in terms of education, income, subjective social position, employment status, and financial hardship demonstrated the highest risk for loneliness. Of the sociodemographic characteristics, only age had an association with loneliness, whereby persons aged 31-45 had the highest propensity for experiencing loneliness. We also saw that those with higher lesion levels and less functional independence were associated with higher levels of loneliness. In conditional inference tree analysis subjective social position, financial hardship, and functional independence had the highest discriminative power, with nationality and living arrangement having a less important role. Conclusions Our findings highlight the vulnerability of persons with SCI with unfavorable socioeconomic status to loneliness. Furthermore, our findings show that persons who are more constrained because of functional limitations may face restrictions to social participation and therefore be at a higher risk of loneliness. This population-based evidence contributes to the better targeting of services aimed at alleviating loneliness for persons with a lower socioeconomic position and those with more functional limitations in everyday life. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321014271#! |