ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2018
Prospective associations of social isolation and loneliness with poor sleep quality in older adults.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.
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Who cites it
67 citing papers in PubMed.
- Loneliness and social isolation is associated with sleep problems among older community dwelling women and men with complex needs.Scientific reports · 2021Trial
- Social isolation and overall well-being among cancer survivors in the Cancer Prevention Study-3.Journal of cancer survivorship : research and practice · 2026Article
- Loneliness and Sleep Quality Among Older Adults Living in Nursing Homes.Nursing reports (Pavia, Italy) · 2026Article
- The cumulative bridge: how long-term physical activity and social engagement gradually enhance sleep health in aging adults.BMC public health · 2026Article
- Identification of genetic associations and key influences contributing to the pathway from social isolation or loneliness to depression.European archives of psychiatry and clinical neuroscience · 2026Article
- Reciprocal effects between loneliness and sleep disturbances from adolescence to mid-adulthood: the HUNT study.Sleep advances : a journal of the Sleep Research Society · 2026Article
- Understanding Latine disparities in nocturnal wakefulness as a suicide risk factor.Sleep epidemiology · 2025Article
- Enhancing dyadic outcomes of stroke survivors and caregivers: protocol for a randomised controlled trial.BMJ open · 2025Article
- Analyzing the Association of Social Capital and Sleep Quality of the Elderly Community.Health science reports · 2025Article
- Associations of social isolation with sleep duration and sleep quality in the elderly: Mediating influence of depression.World journal of psychiatry · 2025Article
- Multidimensional frailty and sleep quality in late adulthood: A UK biobank examination.Journal of sleep research · 2025Article
- Network analysis of loneliness, mental, and physical health in Czech adolescents.Child and adolescent psychiatry and mental health · 2025Article
- Associations of social isolation with memory and cognitive function in middle-aged and older Chinese adults.Aging clinical and experimental research · 2025Article
- Mobility, ICT, and health: a built environment investigation of older Chinese migrants' social isolation and loneliness.BMC public health · 2025Article
- Effects of Situational Loneliness on Mental Health and Sleep Health Outcomes among White Older Adults during the COVID-19 Pandemic.Prevention science : the official journal of the Society for Prevention Research · 2025Article
- The Impact of Social Participation on Frailty among Older Adults: The Mediating Role of Loneliness and Sleep Quality.Healthcare (Basel, Switzerland) · 2024Article
- Sleep Quality among Homeless-Experienced Older Adults: Exploratory Results from the HOPE HOME Study.Journal of general internal medicine · 2024Article
- Trends in the prevalence of social isolation among middle and older adults in China from 2011 to 2018: the China Health and Retirement Longitudinal Study.BMC public health · 2024Article
- The association between loneliness, social isolation, and sleep disturbances in older adults: A follow-up study from the Swedish good aging in Skåne project.SAGE open medicine · 2024Article
- Regular exercise reduces the risk of all-cause mortality in socially isolated older adults: the Otassha Study.Frontiers in public health · 2024Article
7 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is evidence for negative associations between social isolation and loneliness and sleep quality in older adults. However, it is unclear to what extent these two factors independently affect sleep quality. This study examined the simultaneous associations of social isolation and loneliness with sleep quality in a longitudinal study of older adults.
methodsData were analyzed from the Social Environment and Biomarkers of Aging Study in Taiwan collected in 2000 and 2006, involving a cohort of 639 participants (mean age = 66.14, SD 7.26). Poisson regression models were conducted to examine the association of social isolation and/or loneliness with sleep quality at follow-up after adjusting for multiple confounding variables.
resultsUnivariate analysis showed that sleep quality was inversely associated with both social isolation and loneliness. After demographic, health, cognitive factors, and depressive symptoms were controlled in multivariable analysis, social isolation at the baseline still predicted poor sleep quality 6 years later (incident rate ratio, IRR 1.14; 95% CI 1.04-1.24; p < 0.01), while the association between loneliness and sleep quality was no longer significant (IRR 1.08; 95% CI 0.94-1.23; p = 0.27). The results were unchanged when participants who had poor sleep quality at the baseline were excluded from the analysis.
conclusionsThese findings confirm an adverse effect of social isolation on the sleep quality of older adults, but indicate that this effect is independent of loneliness. Social isolation and loneliness seem to have distinct pathways in affecting the sleep quality of older adults.
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