ArticleBMC public health2019
The association of multimorbidity, loneliness, social exclusion and network size: findings from the population-based German Ageing Survey.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05264207 (Nursing Students' Visits to Older Adults With Multiple Chronic Conditions), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Nursing Students' Visits to Older Adults With Multiple Chronic Conditions: Effects on Self-care and Other Related Variables (VISITAME)
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Multimorbidity, Loneliness, and Social Isolation. A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- [Quality of relationships among the oldest old in Germany-an examination of the association with depressive symptoms and loneliness].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026Article
- Bidirectional associations between loneliness and physical multimorbidity and the mediating role of social inactivity.Nature communications · 2026Article
- Social Support and Social Strain Sources as Predictors of Multimorbidity Changes in Middle-Aged and Older Adults.Journal of aging and health · 2026Article
- Social Isolation and Health Outcomes in Japan: A Nationwide Cross-Sectional Study.JMA journal · 2026Article
- Loneliness among older adults with multiple chronic conditions: Exploring disparities for Hispanic adults in the 2023 Behavioral Risk Factor Surveillance System.Public health · 2026Observational
- Beyond words: the association of hugging with loneliness, social isolation, and social withdrawal. Evidence from the general adult population in Germany based on a cross-sectional survey.Frontiers in public health · 2026Article
- Potential Risk Factors for Lonely Death: A Nationwide Case-Control Study in Korea.Journal of Korean medical science · 2025Article
- Association between internet use and social isolation among nursing home residents: a chain mediation model.BMC geriatrics · 2025Article
- Gender differences in self-management activation among patients with multiple chronic diseases: a qualitative study.Archives of public health = Archives belges de sante publique · 2025Article
- Can the implementation of the smart city pilot policy improve the social adaptive health and mental health of middle-aged and elderly people? Evidence from China.SSM - population health · 2024Article
- Social isolation and loneliness with risk of cardiometabolic multimorbidity: A prospective cohort study from UK Biobank.iScience · 2024Article
- Multimorbidity and health-related quality of life amongst Indigenous Australians: A longitudinal analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Effects of home visiting programmes on community-dwelling older adults with chronic multimorbidity: a scoping review.BMC nursing · 2023Article
- Is there a correlation between sensory impairments and social isolation in middle-aged and older Chinese population? Cross-sectional and longitudinal evidence from a nationally representative survey.Frontiers in public health · 2023Article
- Older People in Germany During the COVID-19 Pandemic:The Least, the More, and the Most Affected.Journal of population ageing · 2023Article
- Frequency and Correlates of Multimorbidity Among the Oldest Old: Study Findings from the Representative "Survey on Quality of Life and Subjective Well-Being of the Very Old in North Rhine-Westphalia (NRW80+)".Clinical interventions in aging · 2023Article
- Loneliness and depression in older adults with multimorbidity: the role of self-efficacy and social support.Frontiers in psychiatry · 2023Article
- Health and Care Dependency of Older Adults in Dresden, Germany: Results from the LAB60+ Study.International journal of environmental research and public health · 2022Article
- Incidence and predictors of multimorbidity among older adults in Korea: a 10-year cohort study.BMC geriatrics · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to examine the association between multimorbidity and (i) loneliness, (ii) social exclusion and (iii) network size, respectively.
methodsCross-sectional data from a German representative sample of community-dwelling adults aged 40 and over was used (N = 7604). Multimorbidity was indicated with the presence of two or more diseases. Self-rated loneliness was assessed with a short form of the validated De Jong Gierveld Loneliness Scale and social exclusion was measured with a validated scale developed by Bude and Lantermann. Counts of important people in regular contact represented the network size of respondents.
resultsMultimorbidity was present in 68% of the sample. While controlling for potential confounders, multiple linear regression analysis yielded that multimorbidity was associated with increased loneliness (b = 0.08; p < 0.001) and increased social exclusion (b = 0.10; p < 0.01). Multimorbidity was also associated with an increased network size (b = 0.27; p < 0.001).
conclusionWhile there was an association between multimorbidity and increased social exclusion as well as increased loneliness, regressions also revealed an association between multimorbidity and an increased network size. Although the association between multimorbidity and our outcome measures is weak, its complex nature should be investigated further using a longitudinal approach.
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