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Disability and loneliness in nine countries of the former Soviet Union

Stickley, Andrew (author)
Södertörns högskola,SCOHOST (Stockholm Centre for Health and Social Change),Kyoto University, Japan
Kondo, Naoki (author)
Kyoto University, Japan
Richardson, Erica (author)
London School of Hygiene and Tropical Medicin, UK
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Leinsalu, Mall, 1958- (author)
Södertörns högskola,SCOHOST (Stockholm Centre for Health and Social Change),National Institute for Health Development, Estonia
Waldman, Kyle (author)
Harvard University, USA
Oh, Hans (author)
University of Southern California, USA
Inoue, Yosuke (author)
National Center for Global Health and Medicine, Japan
Shakespeare, Tom (author)
London School of Hygiene and Tropical Medicine, UK
McKee, Martin (author)
London School of Hygiene and Tropical Medicine, UK
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 (creator_code:org_t)
Elsevier, 2021
2021
English.
In: Disability and Health Journal. - : Elsevier. - 1936-6574 .- 1876-7583. ; 14:4
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • BACKGROUND: People with disabilities (PWD) often face structural and other barriers to community involvement and may therefore be at risk of loneliness. Yet, so far, this issue has received little attention.OBJECTIVE: This cross-sectional study aimed to examine the association between disability and loneliness in nine countries of the former Soviet Union (FSU).METHODS: Data were analyzed from 18000 respondents aged ≥18 that came from the Health in Times of Transition (HITT) survey that was undertaken in Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia and Ukraine in 2010/11. Respondents reported on whether they had a disability (no/yes) and its severity. A single-item question was used to assess loneliness. Logistic regression analysis was used to examine the associations.RESULTS: Across the countries, 6.8% of respondents reported being disabled. In a fully adjusted combined country analysis, disability was associated with higher odds for loneliness (odds ratio: 1.30, 95% confidence interval: 1.06-1.60). In an analysis restricted to PWD, individuals in the most severe disability category (Group 1) had over two times higher odds for loneliness when compared to those in the least severe disability category (Group 3).CONCLUSIONS: Disability is associated with higher odds for reporting loneliness in the FSU countries and this association is especially strong among those who are more severely disabled. An increased focus on the relationship between disability and loneliness is now warranted given the increasing recognition of loneliness as a serious public health problem that is associated with a number of detrimental outcomes.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

Adult population
Disabled
HITT survey
Lonely
Östersjö- och Östeuropaforskning
Baltic and East European studies

Publication and Content Type

ref (subject category)
art (subject category)

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