ArticleSocial science & medicine (1982)2023
Living alone and all-cause mortality in community-dwelling older adults: The moderating role of perceived neighborhood cohesion.
Article in Social science & medicine (1982), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Loneliness, social isolation, and living alone: a comprehensive systematic review, meta-analysis, and meta-regression of mortality risks in older adults.Aging clinical and experimental research · 2025Pooled it
- Combined effect of living alone and osteoporosis status on the prevalence of depression in Chinese community-dwelling older population: a cross-sectional study.Frontiers in public health · 2026Article
- Development of Prediction Models for Healthy Ageing in Community-Dwelling Middle-Aged and Older Adults: A Longitudinal Study Using Machine Learning.Journal of the American Medical Directors Association · 2025Article
- Diverse social environments and 10-year all-cause mortality in a cohort of historically excluded racial/ethnic older adults: A latent class analysis of social integration.Annals of epidemiology · 2025Article
- Geographic Proximity of Family Members and the Provision of Unpaid and Paid Care for Older Adults Not Living With a Spouse: A Cross-Sectional Study.Health science reports · 2025Article
- Neighborhood social cohesion and Alzheimer's disease dementia risk in South Asians in the United States.Alzheimer's & dementia. Behavior & socioeconomics of aging · 2025Article
- Network of anxiety and depression symptoms in older Chinese adults living alone: a cross-sectional study.Frontiers in psychiatry · 2025Article
- A national cohort study of community belonging and its influence on premature mortality.Journal of epidemiology and community health · 2024Article
- Racial and ethnic differences in predictors of participation in an intergenerational social connectedness intervention for older adults.BMC geriatrics · 2024Article
- Social Disconnectedness, Perceived Loneliness, and Cognitive Functioning: The Role of Neighborhood Environment.Innovation in aging · 2024Article
- Neighborhood effects on the health of elderly persons: evidence from China.BMC geriatrics · 2023Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
objectivesThe adverse effect of living alone on health has been well-documented in community-dwelling older adults. A less understood topic in this research area is whether some neighborhood characteristics may mitigate the negative impact of living alone on health outcomes and mortality. This study aimed to extend the existing work on living arrangements and health by examining the potential interactive effect of living alone and perceived neighborhood cohesion on all-cause mortality among older Chinese Americans.
methodsData were drawn from 3154 (58.0% female) participants from a prospective cohort study of community-dwelling US older Chinese adults aged 60 and older in the greater Chicago area. Living arrangements and perceived neighborhood cohesion were assessed at baseline from 2011 to 2013. Mortality status was tracked through December 2021. Covariates, including sociodemographic characteristics, health and behavioral covariates, loneliness, depression, and social engagement, were assessed at baseline. Cox proportional hazards regression model was used to test our hypotheses.
resultsLiving alone was significantly associated with an increased risk of all-cause mortality among participants reporting low levels of perceived neighborhood cohesion but not among those reporting high levels of perceived neighborhood cohesion. This protective effect of perceived neighborhood cohesion was robust to the inclusion of covariates.
conclusionsOur results suggest that strong perceived neighborhood cohesion may protect against the increased risk of premature mortality associated with living alone in community-dwelling older Chinese Americans.
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