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      Loneliness of Older Adults: Social Network and the Living Environment

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          Abstract

          The social participation and integration of older adults are important aspects of healthy aging. However, in general, older adults have smaller social networks than their younger counterparts due to changes in their life cycle stage, such as retirement or age-related losses, along with a declining health and increasing mobility limitations. Consequently, with increasing age, an increasing proportion of older people experience feelings of loneliness and social isolation. Previous studies that have analyzed the relationships between loneliness, social networks, and the living environment have often been based on bivariate relationships or included only a limited number of variables. Therefore, the aim of this study was to analyze multiple relationships in a more comprehensive framework. Data were collected using a survey among 182 adults aged 65 years and over in the Netherlands. A Bayesian belief network (BBN) modeling approach was used that derives all direct and indirect relationships between the variables. The results showed that feelings of loneliness are directly related to satisfaction with one’s social network and neighborhood attachment and are indirectly related to perceived safety and satisfaction with local amenities and services. This knowledge is relevant to urban planners and policy makers who focus on creating livable and healthy social neighborhoods for the aging population.

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          Social relationships and health: a flashpoint for health policy.

          Social relationships--both quantity and quality--affect mental health, health behavior, physical health, and mortality risk. Sociologists have played a central role in establishing the link between social relationships and health outcomes, identifying explanations for this link, and discovering social variation (e.g., by gender and race) at the population level. Studies show that social relationships have short- and long-term effects on health, for better and for worse, and that these effects emerge in childhood and cascade throughout life to foster cumulative advantage or disadvantage in health. This article describes key research themes in the study of social relationships and health, and it highlights policy implications suggested by this research.
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            A 6-Item Scale for Overall, Emotional, and Social Loneliness: Confirmatory Tests on Survey Data

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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                31 January 2019
                February 2019
                : 16
                : 3
                : 406
                Affiliations
                Department of the Built Environment, Eindhoven University of Technology, 5600MB Eindhoven, The Netherlands; a.d.a.m.kemperman@ 123456tue.nl (A.K.); m.weijs.perree@ 123456tue.nl (M.W.-P.); kevin_uytdewillegen@ 123456hotmail.com (K.U.)
                Author notes
                [* ]Correspondence: p.e.w.v.d.berg@ 123456tue.nl ; Tel.: +31-40-247-5417
                Author information
                https://orcid.org/0000-0002-1312-4913
                Article
                ijerph-16-00406
                10.3390/ijerph16030406
                6388289
                30708985
                aa809a53-cf82-48b6-88d2-87346ddaca37
                © 2019 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 20 December 2018
                : 29 January 2019
                Categories
                Article

                Public health
                loneliness,aging,social network,social participation,neighborhood,bayesian belief network (bbn)

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