EATG » Study uncovers high rates of loneliness among older HIV-positive people

Study uncovers high rates of loneliness among older HIV-positive people

— San Francisco researchers studied quality of life for people with HIV over 50
— 58% of study participants experienced some degree of loneliness
— Previous research found associations between loneliness and poor health

Due to advances in treatment many HIV-positive people can have near-normal life expectancy and more of them are reaching their senior years. Therefore, researchers need to better understand the issues faced by this population.

A team of researchers in San Francisco enrolled 356 HIV-positive people in a study to assess different aspects of their health and well-being. Participants were in their mid-to-late 50s. Nearly 60% of participants experienced some degree of loneliness. Participants who were lonely were more likely to have the following:

  • symptoms of depression
  • use of alcohol and tobacco
  • low income
  • poor health-related quality of life

The researchers stated: “A comprehensive care approach, incorporating mental health and psychosocial assessments with more traditional clinical assessments, will be needed to improve health outcomes for the aging HIV-positive population.”

Study details

Researchers conducted an assessment of the health and well-being of participants at one point in time for the study. In particular, they assessed health-related quality of life, social support and the ability to carry out everyday activities. They used well-validated surveys and were also able to assess the results of blood tests.

In general, participants were in their mid-to-late 50s, 85% were men and 15% were women, and 57% were white. About 70% of participants were lesbian, gay or bisexual.

Results

A total of 58% of participants reported some degree of loneliness, distributed as follows:

  • mild loneliness – 24%
  • moderate loneliness – 22%
  • severe loneliness – 12%

Compared to people who were not lonely, participants who were lonely were more likely to have the following factors:

  • use tobacco
  • engage in problematic use of alcohol or other substances
  • symptoms of depression
  • poor health-related quality of life

Problems with carrying out basic everyday activities

Researchers also assessed participants’ ability to engage in activities of everyday life, including bathing, grooming, dressing, feeding themselves and so on. People who were lonely and who had problems carrying out basic everyday activities tended to have the following:

  • low income
  • symptoms of depression
  • other health problems such as kidney and liver injury

General implications of loneliness

In the present study, loneliness was common, reported by almost 60% of participants. Some studies among HIV-negative people have found that some lonely elderly people have greater chances of the following:

  • increased levels of inflammation
  • increased presence of unhealthy behaviours that heighten the risk for heart attack and stroke

However, due to issues related to their design, these studies in HIV-negative people cannot prove that loneliness caused these outcomes. Rather, it is possible that there are other factors—smoking; insufficient physical activity; unrecognized, untreated or poorly managed mental health issues—that are more common in people who are lonely that affected the findings of these studies. Still, being lonely is distressing and affects a person’s quality of life and possibly their overall health and survival, and therefore it deserves further attention.

Bear in mind

The overall rate of loneliness in the present study was high—almost 60%. According to the researchers, other studies with HIV-positive people have reported rates of loneliness between 30% and 46%. A difference between the present study and those other studies is that the present study focused solely on people over the age of 50.

Studies among HIV-negative people aged 65 and older have found rates of loneliness around 40%.

The present study captured data at one point in time and provides a foundation for planning future long-term studies. The researchers stated that such studies “should include a broader range of participants, including those from diverse geographic regions (both urban and rural areas), women and those who acquired HIV through non-MSM contact, to understand more about loneliness across a [broad range] of adults living with HIV.” Such studies also need to find ways to foster interaction and friendship among older people.

By Sean R. Hosein

REFERENCES:

  1. Greene M, Hessol NA, Perissinotto C, et al. Loneliness in older adults living with HIV. AIDS and Behavior. 2018 May;22(5):1475-1484.
  2. Finlay JM, Kobayashi LC. Social isolation and loneliness in later life: A parallel convergent mixed-methods case study of older adults and their residential contexts in the Minneapolis metropolitan area, USA. Social Science & Medicine. 2018 May 4;208:25-33.
  3. Nersesian PV, Han HR, Yenokyan G, et al. Loneliness in middle age and biomarkers of systemic inflammation: Findings from midlife in the United States. Social Science & Medicine. 2018; in press.
  4. Hakulinen C, Pulkki-Råback L, Virtanen M, et al. Social isolation and loneliness as risk factors for myocardial infarction, stroke and mortality: UK Biobank cohort study of 479 054 men and women. Heart. 2018; in press.
  5. Elovainio M, Hakulinen C, Pulkki-Råback L, et al. Contribution of risk factors to excess mortality in isolated and lonely individuals: an analysis of data from the UK Biobank cohort study. Lancet Public Health. 2017 May 4;2(6):e260-e266.
  6. Gale CR, Westbury L, Cooper C. Social isolation and loneliness as risk factors for the progression of frailty: the English longitudinal study of ageing. Age and Ageing. 2018 May 1;47(3):392-397.
  7. Rico-Uribe LA, Caballero FF, Martín-María N, et al. Association of loneliness with all-cause mortality: A meta-analysis. PLoS One. 2018 Jan 4;13(1):e0190033.
  8. Prince JD, Oyo A, Mora O, et al. Loneliness among persons with severe mental illness. Journal of Nervous and Mental Disease. 2018 Feb;206(2):136-141.
  9. Liu B, Floud S. Unravelling the associations between social isolation, loneliness, and mortality. Lancet Public Health. 2017 Jun;2(6):e248-e249.
  10. Jacobs JM, Hammerman-Rozenberg A, Stessman J. Frequency of leaving the house and mortality from age 70 to 95. Journal of the American Geriatrics Society. 2018 Jan;66(1):106-112.
  11. Rubin R. Loneliness might be a killer, but what’s the best way to protect against it? JAMA. 2017 Nov 21;318(19):1853-1855.

 

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Source:
CATIE
News categories: Ageing, Quality of life