ArticleBMC psychology2024
Social isolation, loneliness, and functional disability in Chinese older women and men: a longitudinal cross-lag analysis.
Article in BMC psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Disability transitions and life expectancy: a national longitudinal study on social isolation and loneliness in China.Global health action · 2026Article
- The mediating effects of depressive symptoms on the association between hobby engagement and functional disability: evidence from three cohort studies.BMC public health · 2026Article
- The relationship between depressive symptoms and instrumental activities of daily living among older adults in China and its associations with age, sex, and outdoor activity engagement.BMC geriatrics · 2026Article
- Dog Companionship and Loneliness in Community-Dwelling Older Adults: A Multicentre, Cross-Sectional Study.International journal of geriatric psychiatry · 2026Article
- Loneliness among older adults with chronic diseases and multimorbidity: a scoping review of prevalence and associated factors.Frontiers in public health · 2026Article
- Associations of sarcopenia with depression and suicidal ideation: the sex-specific mediating role of loneliness.BMC geriatrics · 2025Article
- Bibliometric and visual analysis of overlooked fatigue in kidney transplantation: a narrative review.Annals of medicine and surgery (2012) · 2025Review
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Authors and funding
3 authors.
Funding
Abstract
backgroundIn this study, we explored the relationship between social isolation, loneliness, and functional impairment in 50-year-old participants, by sex.
methodsUsing longitudinal data from the China Health and Retirement Longitudinal Study (2018 and 2020), 6,524 participants meeting the inclusion criteria were analyzed. A cross-lag model was established to explore the associations between social isolation, loneliness, activities of daily living (ADL), and instrumental ADL (IADL) disability over time, with results stratified by sex.
resultsSocial isolation was not significantly associated with ADL and IADL disability, but loneliness was. Autoregressive associations indicated that social isolation, loneliness, and functional disability in 2018 predicted their exacerbations in 2020 (p < 0.001). Cross-lag analysis showed that the time-lagged effect of loneliness on ADL disability was greater in women (β = 0.27) than in men (β = 0.06); the time-lagged effect of ADL disability on loneliness was greater in men (β = 0.16) than in women (β = 0.05). The bidirectional time-lagged effects of loneliness and IADL disability showed opposite patterns between the sexes.
conclusionFunctional disability in China was significantly associated with loneliness but not with social isolation. Sex differences were observed in the time-lagged effect of loneliness on functional disability. These findings extend our understanding of the association between social relationships and functional disability in non-Western populations.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.