Extreme Social Isolation, Use of Community Senior Services and Mortality among African American Elderly Women

School of Hygiene and Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA.
American Journal of Community Psychology (Impact Factor: 1.74). 11/1997; 25(5):721-32. DOI: 10.1023/A:1024643118894
Source: PubMed


The effect of extreme social isolation and use of community-based senior services on longevity was examined in a national sample of African American elderly women (ages 55-96). Consistent with previous research on the social integration/mortality link, African American elderly women who were extremely socially isolated were hypothesized to have a higher 5-year mortality rate. It was also hypothesized that use of community senior services would be negatively associated with 5-year mortality. Results of logistic regression analysis controlling for age, education, income, and health status found that extremely socially isolated African American elderly women were three times more likely than the nonisolated women to die within the 5-year period from the initial survey. Use of community senior services did not have a relationship on mortality. Results are discussed in terms of directions for future research and intervention.

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    • "Those who are socially isolated are exposed to various dangers potentially leading to negative health conditions, and the issue of social isolation brings about malnutrition, repeated hospitalization , cognitive regression, and grave alcoholic problems (Cacioppo and Hawkley, 2009). Moreover, considering that the previous studies (LaVeist et al., 1997) which found that the quality of life and the satisfaction level of life at the old age are related to how much the elderly are socially connected, the issue of social isolation for the elderly does matter. "
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    ABSTRACT: This study aimed at presenting what factors are to predict the social isolation of the elderly as an element to prevent the problem of why various matters related to old people are inevitably taking place by carefully examining the meaning of social isolation and the conditions of social isolation that the South Korean senior citizens go through after working on previous studies. This section discusses the results obtained through document analysis. First, the aspects of the elderly's social isolation arising from the changes of the South Korean society are changes of family relationship, the social structure, the economic structure and the culture. Second, the social isolation and social activity of the elderly are problems (suicide, criminals, dementia, depression and medical costs) of the elderly, change trend of the elderly issues related to social isolation and prediction factors that personal and regional. Lastly, as a role and challenges of the field of rehabilitation exercise aimed at resolving social isolation should be vitalized such as the development and provision of various relationship-building programs.
    06/2015; 11(3):125-32. DOI:10.12965/jer.150215
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    • "The inclusion and coding of the preceding variables is consistent with Lantz, Golberstein, House, and Morenoff's (2010) study on mortality using ACL data. The inclusion of number of chronic conditions appears in several mortality studies (e.g., Hsu, 2007; LaVeist et al., 1997), and in this study can range from 0 to 9, and includes the following conditions: arthritis, lung disease, hypertension, heart attack, diabetes , cancer, stroke, broken bones, and urination beyond control. The health limitations variable comes from a question asking, " How much are your activities limited by health? "
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    ABSTRACT: There is a dearth of empirical research examining how patterns of stability and change in social engagement affect mortality. This study uses social integration theory within a life course framework to examine trajectories of social engagement over time and how those patterns relate to mortality. Data are drawn from the Americans' Changing Lives survey, a nationally representative panel study, with mortality information spanning from 1986 to 2005. Even after controlling for known predictors of mortality, membership in a trajectory of high and slightly increasing social engagement was related to lower risk of mortality. Sociodemographic, health condition, and health behavior variables mediated the impact of the other social engagement trajectories on mortality. Findings suggest the importance of maintaining high levels of social engagement over time for the health of older adults.
    Journal of Aging and Health 01/2012; 24(4):547-68. DOI:10.1177/0898264311432310 · 1.56 Impact Factor
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    • "Klinenberg concludes: " Seniors who are marginalized at the first, structural level of social networks and government programs are then doubly excluded at the second conjectural level of service delivery because they…do not always have networks of support " (2005: 94). Other studies of social isolation of elderly persons in the USA find similar results (Cattan et al. 2005; Findlay 2003; LaVeist et al. 1997), with profiles of " disconnected " people. "
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    ABSTRACT: Asian societies maintain the norm that older people should live with their children. Yet some older people live alone. This is the first study to explore social isolation, strategies of coping, and preferences about living arrangements among Chinese Singaporeans aged 65+ who live alone. Data from 19 semi-structured interviews were analyzed. The elderly people who live alone either have no other alternative, or they choose it despite opportunities to live with others. Regardless of the initial reason, solo-dwellers in Singapore succeed at living alone by developing behavioral and psychological strategies that help overcome social isolation. Their main link to the "outside" world is access to medical and social services. Despite some hardships, many prefer living alone because it has become familiar and personally comfortable.
    Journal of Cross-Cultural Gerontology 10/2008; 24(3):209-24. DOI:10.1007/s10823-008-9081-7
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