PREVALENCE AND CORRELATES OF LONELINESS AND SOCIAL ISOLATION IN PATIENTS RECEIVING KIDNEY REPLACEMENT THERAPY

 

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PREVALENCE AND CORRELATES OF LONELINESS AND SOCIAL ISOLATION IN PATIENTS RECEIVING KIDNEY REPLACEMENT THERAPY

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Amanda
Sluiter
Amanda Sluiter amanda.sluiter@sydney.edu.au The University of Sydney Sydney School of Public Health Sydney Australia * Centre for Kidney Research The Children’s Hospital at Westmead, Sydney Australia
Anita van Zwieten anita.vanzwieten@sydney.edu.au The University of Sydney Sydney School of Public Health Sydney Australia - Centre for Kidney Research The Children’s Hospital at Westmead, Sydney Australia
Chandana Guha chandana.guha@sydney.edu.au The University of Sydney Sydney School of Public Health Sydney Australia - Centre for Kidney Research The Children’s Hospital at Westmead, Sydney Australia
Mary Ann Nicdao Maryann.Nicdao@health.nsw.gov.au The University of Sydney Sydney School of Public Health Sydney Australia - Centre for Kidney Research The Children’s Hospital at Westmead, Sydney Australia
Nicole Scholes-Robertson nicole.scholes-robertson@sydney.edu.au The University of Sydney Sydney School of Public Health Sydney Australia - Centre for Kidney Research The Children’s Hospital at Westmead, Sydney Australia
Germaine Wong germaine.wong@health.nsw.gov.au The University of Sydney Sydney School of Public Health Sydney Australia - Centre for Kidney Research The Children’s Hospital at Westmead, Sydney Australia Department of Renal Medicine, Westmead Hospital Sydney Australia
Allison Jaure allison.jaure@sydney.edu.au The University of Sydney Sydney School of Public Health Sydney Australia - Centre for Kidney Research The Children’s Hospital at Westmead, Sydney Australia
Karine Manera karine.manera@sydney.edu.au The University of Sydney Sydney School of Public Health Sydney Australia - Centre for Kidney Research The Children’s Hospital at Westmead, Sydney Australia
 
 
 
 
 
 
 

Patients receiving kidney replacement therapy face limitations to life and social participation, placing them at risk of loneliness and social isolation. However, the prevalence of loneliness and social isolation among this population is unknown.The aim of this study was to examine the prevalence and correlates of loneliness and social isolation in patients receiving kidney replacement therapy (KRT).

A cross-sectional, interviewer-administered survey was conducted. Adult patients receiving KRT in Western Sydney, Australia, who spoke either English or Arabic were included. Loneliness was measured using two scales: Single-Item question: ‘How often do you feel lonely?’and UCLA 3-item loneliness scale: ‘How often do you feel that you lack companionship? ‘, ‘How often do you feel left out? ‘, ‘How often do you feel isolated from others?’. Social isolation was measured using the Lubben Social Network Scale-6 (LSNS6): ‘How many relatives/friends do you hear from at least once a month?’, ’How many relatives/friends do you feel at ease with that you can talk about your private matters?’, ‘How many relatives/friends do you feel close to such that you could call on them for help?’. The statistical software R was used to calculate descriptive statistics, perform logistic regression, and assess the prevalence and correlates of loneliness and social isolation.

Eighty-three patients participated, including 52 (63%) who were receiving dialysis. The mean age was 54 years old and 31(37%) were women. The prevalence of loneliness was 39% according to the UCLA loneliness scale and 49% from the direct single-item loneliness measured. 32% of participants were socially isolated. Logistic regression was used to analyze the binary outcome variable (lonely/not lonely) and (socially isolated and not socially isolated ) with selected demographic groupsMen who were retired, not in a relationship, not born in Australia or undergoing dialysis treatment have greater odds of being lonely. People who speak only a non-English language at home and those with lower income have greater odds of being socially isolated.

Strategies to improve social connections, particularly for male retired patients ,not in a relationship, not born in Australia, who don't speak English, with low income and those receiving home dialysis, are needed.


The content presented in the abstract was presented at the Australia and New Zealand Society of Nephrology Congress 2025 in Perth. I declare there is no conflict in resubmitting at this conference. 

Kewords