目的 系统评价我国老年人社会隔离的检出率,为制定老年人社会隔离防治决策提供参考.方法 计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Web of science、The Cochrane Library、Embase,检索时限均为建库至2022年7月,搜集有关我国老年人社会隔离检出率的研究.由2名研究员独立筛选文献、提取数据并评价纳入研究的文献质量,采用Stata15.0软件进行meta分析.结果 共纳入15篇研究,包括10 557例研究对象.Meta分析结果显示,我国老年人的社会隔离检出率为26.0％(95％CI:21.3％～30.8％).亚组分析结果显示,家庭隔离检出率(19.4％)低于朋友隔离(31.9％);男性检出率(29.3％)略高于女性(27.0％);社会隔离检出率随着年龄增长而升高;文化程度越低社会隔离检出率越高;在婚检出率(28.2％)低于非在婚(43.5％);农村地区检出率(28.3％)高于城市地区(26.0％);东部地区检出率(27.2％)高于中部(21.9％)、西部(23.5％);患慢性病者检出率(30.3％)高于无慢性病者(19.7％);有抑郁症者检出率(61.6％)高于无抑郁症者(19.3％),差异均有统计学意义(均P＜0.01).结论 我国老年人社会隔离检出率较高,应加强老年人心理健康早期筛查工作,并采取针对性干预措施,降低老年人社会隔离发生风险.
Detection rate of social isolation among Chinese old people:A meta-analysis
Objective To systematically evaluate the detection rate of social isolation among Chinese old people,provide reference for formulating social isolation prevention and control decisions for the elderly.Methods The CNKI,Wanfang Data,VIP,CBM,PubMed,Web of science,the Cochrane Library and Embase databases were searched by computer to collect research on the detection rate of social isolation in Chinese old people.The retrieval time limit was from the establishment of the database to July 2022.Two researchers independently screened the literature,extracted data and evaluated the quality of the literature included in the study,and Stata15.0 software was used for meta-analysis.Results Totally 15 studies were included,involving 10 557 cases.The meta-analysis showed that the detection rate of social isolation among Chinese old people was 26.0％(95％CI:21.3％-30.8％).The subgroup analysis showed that the detection rate of family isolation(19.4％)was lower than that of friend isolation(31.9％),slightly higher for men(29.3％)than for women(27.0％),the detection rate of social isolation increased with age,the lower the education level,the higher the detection rate of social isolation,the detection rate of married group(28.2％)was lower than that in non-marriage group(43.5％),higher in rural areas(28.3％)than in urban(26.0％),higher in the east(27.2％)than in the centre(21.9％)and west(23.5％),the detection rate in chronic patients(30.3％)was higher than that in people without chronic diseases(19.7％),the detection rate in people with depression(61.6％)was higher than that in people without depression(19.3％),and the differences were statistically significant(all P＜0.01).Conclusion The detection rate of social isolation among Chinese old people is high,and it is necessary to strengthen early screening for mental health in older people and take targeted intervention measures to reduce the risk of social isolation in older people.
Old peopleSocial isolationDetection rateMeta-analysis
NETL
NSTL
万方数据
