Objectives The aim of this study was to determine substance use among older adults based upon their social isolation and loneliness profiles. Methods Data were derived from the New Jersey Older Adult Survey on Drug Use and Health. Latent profile analysis (LPA) was used to determine the profiles of older adults (N = 801) based on 5 dimensions of social isolation and loneliness. Logistic and generalized ordered logistic regressions were conducted to assess the relationship between the latent profiles and substance use. Results LPA identified 5 social isolation/loneliness profiles. The “connected and active” group had the lowest odds of cigarette use. The “alone but not lonely” group had the highest odds of cigarette use, alcohol use, and high-risk drinking. The “alone and lonely” group had the highest odds of nonmedical drug use. Discussion In working with older adults who are using substances, it is important to inquire about their social isolation and loneliness. Cognitive behavioral therapy for the “alone and lonely” group may be beneficial, as it has been deemed effective in reducing loneliness and enhancing social networks.

中文翻译：

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社会隔离概况和老年人物质使用：潜在概况分析

目标 本研究的目的是根据老年人的社会孤立和孤独感来确定老年人的物质使用情况。方法 数据来自新泽西州老年人药物使用和健康调查。潜在概况分析 (LPA) 用于根据社会孤立和孤独的 5 个维度确定老年人 (N = 801) 的概况。进行逻辑和广义有序逻辑回归以评估潜在特征与物质使用之间的关系。结果 LPA 确定了 5 种社会孤立/孤独状况。“连接和活跃”组使用香烟的几率最低。“孤独但不孤独”组吸烟、饮酒和高危饮酒的几率最高。“孤独和孤独”的群体使用非医疗药物的几率最高。讨论 在与使用药物的老年人一起工作时，询问他们的社会孤立和孤独感是很重要的。“孤独和孤独”群体的认知行为疗法可能是有益的，因为它被认为可以有效减少孤独感和增强社交网络。