J Eval Clin Pract
September 2025
Background: Social support can have health benefits but may also pose risks for the elderly, particularly those facing conflicts and network disruptions. Understanding the short and long-term mental health effects, especially in elderly individuals with chronic illnesses, is crucial due to global depression concerns. Yet, research is limited, with gaps in exploring different social disruption scenarios and lacking comprehensive multi-period data analysis.
View Article and Find Full Text PDFBackground: Social isolation (SI), loneliness, and cognitive function (CF) are increasingly acknowledged as significant public health concerns globally. In this study, we aimed to investigate the bidirectional relationships and mediating effects between SI, loneliness, and CF among older adults in China.
Methods: We analysed data from six waves of the Chinese Longitudinal Healthy Longevity Survey conducted between 2002-18.
Arch Gerontol Geriatr
October 2023
Objective: This study aimed to investigate the bidirectional and dynamic relationships between Social Isolation (SI) and frailty among older adults in China.
Methods: Using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), this study utilized a Generalized Cross-Lagged Model (GCLM) to examine the temporal interrelationships between SI and frailty among individuals aged 65 years and older.
Results: The findings revealed significant bidirectional associations between SI and frailty among older adults in China.
Am J Prev Med
January 2025
J Am Med Dir Assoc
August 2024
Objectives: This study aimed to investigate the bidirectional associations and temporal dynamics between social isolation (SI) and loneliness among older adults.
Design: This is a prospective cohort study.
Setting And Participants: With the global phenomenon of population aging, there has been a significant increase in the prevalence of SI and loneliness among older adults.
J Am Med Dir Assoc
July 2024
Background And Objectives: Social isolation (SI) and loneliness are key factors that contribute to frailty among older adults. Current estimates regarding how frailty affects SI and loneliness and how SI and loneliness affect frailty may be flawed due to reverse causality. This study aimed to investigate the bidirectional relationships and mediating effects among SI, loneliness, and frailty among older adults in China.
View Article and Find Full Text PDFBackground: Social isolation and disability in performing activities of daily living are increasingly recognised as significant public health concerns globally. We aimed to investigate their bidirectional associations and the related temporal dynamics in Chinese older adults.
Methods: We retrieved data from the six waves of the Chinese Longitudinal Healthy Longevity Survey (2002-18) and used generalised cross-lagged modelling (GCLM) to assess the bidirectional associations between social isolation and disability in performing activities of daily living.
J Appl Gerontol
December 2023
Geriatr Nurs
November 2023
BMC Public Health
June 2023
This study aimed to examine whether the implementation of Long-Term Care Insurance (LTCI) policy could reduce the disability among middle-aged and older adults in China, and to test the heterogeneity of the effects. Data came from four waves of the China Health and Retirement Longitudinal Study (CHARLS, 2011 to 2018). The Difference-In-Differences (DID) method and the panel data fixed effect model were used to estimate the effect of implementation of LTCI policy on disability among individuals aged 45 years and above.
View Article and Find Full Text PDFObjective: This study aimed to examine age and cohort trends in disability among Chinese older adults and explore the disablement process factors that may explain the cohort trends in disability.
Methods: This study used data from five waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). A hierarchical logistic growth model was used to analyze the A-P-C effects and the contributors of cohort trends.
J Women Aging
April 2023
This study aimed at exploring gender disparity in disability and identifying related disablement process factors among Chinese oldest-old. Data came from eight waves of the Chinese Longitudinal Healthy Longevity Study (CLHLS). A hierarchical logistic Age-Period-Cohort (A-P-C) model was used to estimate the trend of gender disparity, and related disablement process factors were further decomposed by the Oaxaca-Blinder decomposition.
View Article and Find Full Text PDFThis study aimed to identify the multi-trajectories of 3-D health of older adults in China and to explore whether the childhood predictors are associated with 3-D health trajectory. Data came from five waves of the China Health and Retirement Longitudinal Study (CHARLS, 2011 to 2018). A multi-trajectory modeling approach was carried out to jointly estimate the trajectories of 3-D health.
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