Social isolation and health-promoting behaviors among older adults living with different health statuses: A cross-sectional study

Wu, Fan; Sheng, Yu

doi:10.1016/j.ijnss.2021.05.007

Cited by 12 publications

(10 citation statements)

References 23 publications

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“…Although quite a few studies conducted in China have identified the negative effects of social isolation on late-in-life depression, most constructed social isolation with a single measure (e.g., marital or cohabiting status) or multiple measures (e.g., family size, living with a spouse, frequency of contact with children, rural residence, participation of social activities) (49). Our findings advanced prior studies by adopting a reliable and valid instrument: the LSNS-6, which has been indicated as a good tool to screen for social isolation among older, community-dwelling Chinese adults (38). Furthermore, the results demonstrate isolation (e.g., infrequent contact with others) in both family and friendship ties was significantly associated with more depressive symptoms as well as cognitive impairment among Chinese older adults.…”

Section: Discussionsupporting

confidence: 78%

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Social Isolation, Cognitive Function, and Depression Among Chinese Older Adults: Examining Internet Use as a Predictor and a Moderator

Bai

Chen

2022

Front. Public Health

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ObjectivesDespite the theoretical and practical interest in Internet use among older adults, evidence examining the impacts of Internet use on late-in-life health is limited. This study examines how Internet use affects depression and cognitive function in older adults and investigates if Internet use moderates the relationship between social isolation and depression/cognitive function.MethodWe performed regression analyses using data came from the second wave of the China Longitudinal Aging Social Survey of 2016. Our final sample featured 8,835 older adults.ResultsThe results show 11.4% of Chinese older adults often used the Internet to engage in at least one activity. Internet use was negatively associated with depression, but it was positively related to cognitive function. Socially isolated older adults were more likely to have more depressive symptoms and higher level of cognitive function. There was also an interaction effect between Internet use and social isolation on depression/cognitive function. The negative effect of social isolation was stronger for older adults who used the Internet less. The moderating effect of Internet use was significant for both males and females. However, among those who used the Internet more, the depression levels of socially isolated male participants were much lower than female participants.ConclusionsOur results reveal the importance of considering Internet use in buffering the negative effects of social isolation and the associated health burdens for aging populations. Recommendations for service practice and future research are discussed.

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Section: Discussionsupporting

confidence: 78%

“…In the CLASS questionnaire, the measure of social isolation was adapted from the Lubben Social Network Scale ( 37 ), then validated in Chinese older adults ( 38 ). Participants were asked two sets of questions about family and friendship ties, with three items in each set.…”

Section: Methodsmentioning

confidence: 99%

Social Isolation, Cognitive Function, and Depression Among Chinese Older Adults: Examining Internet Use as a Predictor and a Moderator

Bai

Chen

2022

Front. Public Health

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“…This study showed that health-promoting behavior partially mediated between social isolation and IC, which was consistent with previous study results (31). The social network, as an important environmental factor, significantly influences the healthpromoting behavior of the older adults.…”

Section: Discussionsupporting

confidence: 92%

Social isolation and intrinsic capacity among left-behind older adults in rural China: The chain mediating effect of perceived stress and health-promoting behavior

Hong¹,

Yu³

et al. 2023

Front. Public Health

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BackgroundStrengthening and maintaining the intrinsic capacity (IC) of the older adults is the key to preventing and delaying disability and promoting healthy aging.ObjectiveThis study explores the relationship between social isolation, perceived stress, health promotion behavior, and IC of the left-behind older adults in rural areas and analyzes the chain mediating effect of perceived stress and health promotion behavior among social isolation and IC.MethodsFrom March 2021 to May 2022, a multi-stage sampling method was used to recruit participants from rural areas in Heilongjiang Province, China. The data were collected by the simplified version of the Lubben Social Network Scale, the Chinese Perceived Stress Scale, the Health-Promoting Lifestyle Profile-Chinese, and the Integrated Care for Older People (ICOPE) screening tool. We used the PROCESS macro for SPSS to determine the mediating effect of perceived stress and health-promoting behavior between social isolation and IC.ResultSocial isolation score was positively correlated with health-promoting behavior (r = 0.78, p < 0.01) and IC (r = 0.67, p < 0.01), whereas it was negatively correlated with perceived stress (r = −0.63, p < 0.01). Perceived stress was negatively correlated with health-promoting behavior (r = −0.62, p < 0.01) and IC (r = −0.43, p < 0.01). The health-promoting behavior and IC were positively correlated (r = 0.56, p < 0.01). Bootstrapping values indicated that the chain-mediating effect of perceived stress and health-promoting behavior was statistically significant.ConclusionConsequently, to improve the IC of the left-behind older adults, we should focus more on reducing the degree of social isolation of the left-behind older adults and improving their perceived stress and health-promoting behavior.

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“…7,18,29 These behavioural pathways were also supported in the present study. An alternative explanation is that socially isolated Chinese older adults are less engaged in social activities and healthpromoting activities (eg physical activity, spiritual growth and stress management), 30 which could negatively affect oral health. 19 In this study, we found that functional health was a major pathway linking social isolation and tooth loss.…”

Section: F I G U R E 2 Flow Diagram Of Included and Excluded Particip...mentioning

confidence: 99%

Social isolation, loneliness and accelerated tooth loss among Chinese older adults: A longitudinal study

Pei

Wang

et al. 2022

Comm Dent Oral Epid

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Objective Social isolation and loneliness have been linked to numerous determinants of health and well‐being. However, the effects of social isolation and loneliness on oral health remain unclear. The purpose of this study was to examine the effects of social isolation and loneliness on the number of remaining teeth and the rate of tooth loss over time among Chinese older adults. Methods We used three waves of data (2011/2012, 2014 and 2018) from the Chinese Longitudinal Healthy Longevity Survey with 4268 older adults aged 65 and older who were interviewed in at least two waves. The number of remaining teeth was first evaluated at baseline and then subsequently at follow‐up visits. Mixed‐effects Poisson regression was used to examine the associations between social isolation, loneliness, and both the number of remaining teeth and the rate of tooth loss. Results Social isolation was associated with fewer remaining teeth (β = −.06, 95% CI = −0.13 to 0.00, p < .05) and accelerated tooth loss (β = −.02, 95% CI = −0.02 to −0.01, p < .01) after adjusting for sociodemographic covariates, lifestyle and oral hygiene behaviours, physical and cognitive health, and loneliness. Loneliness was neither associated with the number of remaining teeth (β = .15, 95% CI = −0.01 to 0.30, p = .06) nor with the rate of tooth loss (β = −.01, 95% CI = −0.02 to 0.00, p = .16) after adjusting for all other factors. Conclusions This study provides strong evidence that social isolation was associated with fewer remaining teeth and accelerated tooth loss among Chinese older adults. These findings expand our knowledge about the impact of social disconnection on tooth loss. More future studies are needed to further examine the associations between social connections and oral conditions using longitudinal cohort studies and intervention studies.

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Social isolation and health-promoting behaviors among older adults living with different health statuses: A cross-sectional study

Cited by 12 publications

References 23 publications

Social Isolation, Cognitive Function, and Depression Among Chinese Older Adults: Examining Internet Use as a Predictor and a Moderator

Social Isolation, Cognitive Function, and Depression Among Chinese Older Adults: Examining Internet Use as a Predictor and a Moderator

Social isolation and intrinsic capacity among left-behind older adults in rural China: The chain mediating effect of perceived stress and health-promoting behavior

Social isolation, loneliness and accelerated tooth loss among Chinese older adults: A longitudinal study

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