Evidence map›Paper›PMID 26470796›Full record

ArticleBMC geriatrics2015

Mortality of older persons living alone: Singapore Longitudinal Ageing Studies.

Tze Pin Ng, Aizhen Jin, Liang Feng, Ma Shwe Zin Nyunt, Khuan Yew Chow, Lei Feng, Ngan Phoon Fong

Abstract read
In one paragraph

Article in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Long-Range Forecasting for Emergency Care Systems in a Highly Dynamic Setting: A Singapore Case Study.Journal of the American College of Emergency Physicians open · 2025
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  7. Review
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  9. Cooking skills, living alone, and mortality: JAGES cohort study.The international journal of behavioral nutrition and physical activity · 2023
    Article
  10. Article
  11. Article
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  13. Marital Status, Living Arrangements and Mortality at Older Ages in Chile, 2004-2016.International journal of environmental research and public health · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tze Pin NgDepartment of Psychological Medicine, Gerontology Research Programme, National University Health System, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. pcmngtp@nus.edu.sg.
Aizhen JinNational Registry of Diseases Office (NRDO), Health Promotion Board, Singapore, Singapore. JIN_Ai_Zhen@hpb.gov.sg.
Liang FengDepartment of Psychological Medicine, Gerontology Research Programme, National University Health System, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. pcmfengl@nus.edu.sg.
Ma Shwe Zin NyuntDepartment of Psychological Medicine, Gerontology Research Programme, National University Health System, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. shwe_zin_nyunt@nuhs.edu.sg.
Khuan Yew ChowNational Registry of Diseases Office (NRDO), Health Promotion Board, Singapore, Singapore. CHOW_Khuan_Yew@HPB.GOV.SG.
Lei FengDepartment of Psychological Medicine, Gerontology Research Programme, National University Health System, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. pcmfl@nus.edu.sg.
Ngan Phoon FongDepartment of Psychological Medicine, Gerontology Research Programme, National University Health System, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. ngan_phoon_fong@nuhs.edu.sg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated the association of living alone with mortality among older persons, independently of marital, health and other factors, and explored its effect modification by age group, sex, marital status and physical functional disability.

methodUsing data from 8 years of mortality follow up (1 September 2003 to 31 December 2011) of 2553 participants in the Singapore Longitudinal Ageing Studies (SLAS) cohort, we estimated hazard ratio (HR) of mortality associated with living alone using Cox proportional hazard models.

resultsAt baseline, 7.4 % (N = 189) of the participants were living alone, and 227 (8.9 %) died during the follow up period. Living alone was significantly associated with mortality 1.66 (95 % CI, 1.05-2.63), controlling for health status (hypertension, diabetes, chronic lung disease, stroke, heart disease, kidney failure, IADL-ADL disability and depressive symptoms), marital status and other variables (age, sex, housing type). Possible substantive effect modification by sex (p for interaction = 0.106) and marital status (p for interaction <0.115) were observed: higher among men (HR = 2.36, 95 % CI, 1.24-4.49) than women (HR = 1.14, 95 % CI, 0.58-2.22), and among single, divorce or widowed (HR = 2.26, 95 % CI, 1.24-4.10) than married individuals (HR = 0.83, 95 % CI, 0.30-2.31).

conclusionLiving alone was associated with increased mortality, independently of marital, health and other variables. The impact of living alone on mortality appeared to be stronger among men and those who were single, divorced or married.

Indexed as

Marital StatusAgedAged, 80 and overAgingDepressionFemaleFollow-Up StudiesHealth StatusHumansLongitudinal StudiesMaleMiddle AgedMortalitySingaporeSocial IsolationSpouses

Identifiers

PMID26470796
PMCPMC4608301

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Registered trials

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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 OpenQuestion graph.