Introduction: Subjective feelings of loneliness and objective social isolation have been consistently connected with ill-health and mortality, though little work has empirically examined the mechanisms explaining the adverse effects. This study examines whether alcohol consumption explains the connection of loneliness and social isolation on mortality in different age and gender groups. Methods: The sample comprised a representative 1994 Finnish sample (n = 8,650) matched with 22-year follow-up mortality data. A multigroup path analysis with discrete survival time analyses was conducted. Results: There were unique differences in the associations between loneliness, social isolation, alcohol consumption, and mortality based on age and gender groups. Loneliness and particularly social isolation predicted mortality partly through subjective intoxication for women under 40 and men 40–65. Discussion: Loneliness and social isolation are associated with mortality, partly through subjective intoxication. Interventions targeted at reducing loneliness and social isolation may help address underlying causes of excess alcohol consumption and mortality.

中文翻译：

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孤独和社会孤立会因危险饮酒而预测死亡率吗？

简介： 孤独的主观感觉和客观的社会孤立一直与健康不良和死亡率相关，尽管很少有工作经验性地研究解释不利影响的机制。这项研究检验了饮酒是否可以解释孤独和社会孤立与不同年龄和性别群体死亡率之间的联系。方法：样本包括一个具有代表性的 1994 年芬兰样本 (n = 8,650)，与 22 年的随访死亡率数据相匹配。进行了具有离散生存时间分析的多组路径分析。结果：基于年龄和性别的群体，孤独感、社会孤立、饮酒和死亡率之间的关联存在独特的差异。孤独，尤其是社会孤立，部分通过主观中毒预测了 40 岁以下女性和 40-65 岁男性的死亡率。讨论：孤独和社会孤立与死亡率有关，部分原因是主观中毒。旨在减少孤独感和社会孤立的干预措施可能有助于解决过量饮酒和死亡率的根本原因。