The feeling of loneliness among the elderly population attending day care centers in Bogotá, Colombia
DOI:
https://doi.org/10.24265/horizmed.2023.v23n2.01Keywords:
loneliness, aged, chronic diseaseAbstract
Objective: To identify the factors associated with the categories of loneliness among the elderly population attending
day care centers in Bogotá, Colombia.
Materials and methods: An analytical, cross-sectional and quantitative study was carried out to measure the loneliness
among older people attending a day care center in the city of Bogotá between November 2020 and June 2021 using
the ESTE scale. To meet the objective, a univariate descriptive statistical analysis was performed, such that, for the
quantitative variables, the mean with standard deviation or median with interquartile ranges were used, in accordance with the Shapiro-Wilk test for normality, and for the categorical variables, absolute frequencies and proportions were
used. The bivariate analysis was conducted using Student’s t-test and chi-square test (p < 0.05), which contributed to
build a logistic regression model with statistically significant variables. Results: A total of 215 elderly people with a mean age of 70.5 years were included in the study: 72 % were females, 56.5 % had primary education, 38.6 % were single and 67.4 % had a history of chronic non-communicable disease. According to the ESTE scale, the study subjects showed a low level of family loneliness (67 %), a high and medium
level of marital loneliness (79 %), a high and medium level of social loneliness (51 %) and a high and medium level of adaptation crisis (43 %). It was found that marital loneliness was associated with females ( p = 0.001), social loneliness with lower class ( p = 0.027) and adaptation crisis with lower class (p = 0.024). Conclusions: The factors associated with the feeling of loneliness among the elderly population attending day care centers are, in the marital loneliness category, being a woman and, in the social loneliness and adaptation crisis categories,
belonging to the lower class.
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References
Segura-Cardona A, Cardona-Arango D, Segura-Cardona A, Garzon-Duque M. Riesgo de depresion y factores asociados en adultos mayores. Antioquia, Colombia. 2012. Rev Salud Publica. 2015;17(2):184-94.
Rivillas JC, Gomez-Aristizabal L, Rengifo-Reina HA, Munoz-Laverde EP. Envejecimiento poblacional y desigualdades sociales en la mortalidad del adulto mayor en Colombia. Rev Fac Nac Salud Publica. 2017;35(3):369-81.
Red de Desarrollo Social de America Latina y el Caribe. Informe mundial de la salud 2015. El envejecimiento y la salud [Internet]. Ginebra: OMS; 2015 p. 1-29.
Comision Economica para America Latina y el Caribe. Las personas mayores en America Latina y el Caribe: diagnostico sobre la situacion y las politicas. Sintesis. Santiago de Chile: CEPAL; 2023 p. 1-49.
Camargo-Rojas CM, Chavarro-Carvajal DA. El sentimiento de soledad en personas mayores: conocimiento y tamizacion oportuna. Univ Medica. 2020;61(2):64-71.
Arango VE, Ruiz IC. Diagnostico de los adultos mayores en Colombia. Fund Saldarriaga Concha. Bogota. 2006, p. 1-19.
Penaloza RE, Salamanca N, Rodriguez JM, Rodriguez J, Beltran AR. Estimacion de la carga de enfermedad para Colombia, 1a ed. Bogota: Editorial Pontificia Universidad Javeriana; 2014. 1-153 p.
Montes J, Casariego E, de Toro M, Mosquera E. La asistencia a pacientes cronicos y pluripatologicos. Magnitud e iniciativas para su manejo: La Declaracion de Sevilla. Situacion y propuestas en Galicia. Galicia Clin. 2012;73(Supl 1):S7-S14.
Bekhet AK, Zauszniewski JA. Mental health of elders in retirement communities: Is loneliness a key factor? Arch Psychiatr Nurs. 2012;26(3):214-24.
Ministerio de Salud y Proteccion Social. Sabe Colombia 2015: Estudio nacional de salud, bienestar y envejecimiento. Colombia: MINSALUD; 2016 p. 1-11.
Bohorquez P, Nieto MD, Pascual B, Garcia MJ, Ortiz MA, Bernabeu M. Validacion de un modelo pronostico para pacientes pluripatologicos en atencion primaria: Estudio PROFUND en atencion primaria. Aten Primaria. 2014;46:41-8.
Montejo-Carrasco P, Prada-Crespo D, Montejo-Rubio C, MontenegroPena M. Loneliness in the Elderly: Association with Health Variables, Pain, and Cognitive Performance. A Population-based Study. Clin Salud. 2022;33(2):51-8.
Theeke LA. Predictors of Loneliness in U.S. Adults Over Age SixtyFive. Arch Psychiatr Nurs. 2009;23(5):387-96.
Petitte T, Mallow J, Barnes E, Petrone A, Barr T, Theeke L. A Systematic Review of Loneliness and Common Chronic Physical Conditions in Adults. Open Psychol J. 2015;8(Suppl 2):113-32.
National Academies of Sciences, Engineering, and Medicine. Social isolation and loneliness in older adults: Opportunities for the health care system. Washington D.C.: National Academies Press; 2020.
Martin U, Gonzalez-Rabago Y. Soledad no deseada, salud y desigualdades sociales a lo largo del ciclo vital. Gac Sanit. 2021;35(5):432-7.
Rubio R, Aleixandre M. La escala "ESTE" un indicador objetivo de soledad en la tercera edad. Geriatrika. 1999;5(9):26-35.
Yaben SY. Adaptacion al castellano de la Escala para la Evaluacion de la Soledad Social y Emocional en adultos SESLA-S. Rev Int Psicol Ter Psicol. 2008;8(1):103-16.
Cardona JL, Villamil MM, Henao E, Quintero A. Validacion de la escala para medir la soledad de la poblacion adulta. Invest Educ Enferm. 2010;28(3):416-27.
Cerquera AM, Cala ML, Galvis MJ. Validacion de constructo de la escala ESTE-R para medicion de la soledad en la vejez en Bucaramanga, Colombia. Divers: Perspect Psicol. 2013;9(1):45-53.
Bermeja AI, Ausin B. Programas de combate a la soledad en ancianos institucionalizados: Una revision de la literatura cientifica. Rev Esp Geriatr Gerontol. 2018;53(3):155-64.
Cardona JL, Villamil MM, Henao E, Quintero A. Variables asociadas con el sentimiento de soledad en adultos que asisten a programas de la tercera edad del municipio de Medellin. Med UPB. 2015;34(2):102-14.
Rodriguez M. La soledad en el anciano. Gerokomos. 2009;20(4):159-66.
Ministerio de la Proteccion Social. Politica Nacional de Envejecimiento y Vejez. Colombia: MPS; 2011 p. 1-49.
Cantuna CA, Hidalgo A, Pereira H. Relacion del sentimiento de soledad y el estado de salud de los adultos mayores que acuden al Centro Medico Tierra Nueva, mediante la aplicacion del cuestionario SF-36 y escala ESTE, periodo febrero-mayo del 2015 [tesis de titulo]. [Quito]: Pontificia Universidad Catolica del Ecuador; 2015.
Garza-Sanchez RI, Gonzalez-Tovar J, Rubio-Rubio L, DumitracheDumitrache CG. Soledad en personas mayores de Espana y Mexico: un analisis comparativo. Acta Colomb Psicol. 2020;23(1):106-16.
Acosta CO, Tanori J, Garcia R, Echeverria SB, Vales JJ, Rubio L. Soledad, depresion y calidad de vida en adultos mayores mexicanos. Psicol y Salud. 2017;27(2):179-88.
Hawkley LC, Hughes ME, Waite LJ, Masi CM, Thisted A, Cacioppo JT. From Social Structural Factors to Perceptions of Relationship Quality and Loneliness: The Chicago Health, Aging, and Social Relations Study. J Gerontol B Psychol Sci Soc Sci. 2009;63B(6):S375-S84.
Organizacion Mundial de la Salud. Decada del envejecimiento saludable 2020-2030 [Internet]. Ginebra: OMS; 2019 p. 1-7. Disponible en: https://www.who.int/es/publications/m/item/decade-of-healthy-ageing-plan-of-action
Gonzalez-Tovar J, Garza-Sanchez RI. La medicion de soledad en personas adultas mayores: estructura interna de la escala ESTE en una muestra del norte de Mexico. Interdisciplinaria. 2021;38(3):169-84.
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