Evidence map›Paper›PMID 36628523›Full record

ArticleJournal of the American Geriatrics Society2023

Social isolation and 9-year dementia risk in community-dwelling Medicare beneficiaries in the United States.

Alison R Huang, David L Roth, Tom Cidav, Shang-En Chung, Halima Amjad, Roland J Thorpe, Cynthia M Boyd, Thomas K M Cudjoe

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 4 pooled it
24.8field-weighted citation impact, top 1% of its field
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

68 citing papers in PubMed, 4 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. An 18-month multimodal intervention trial for preventing dementia: J-MINT PRIME Tamba.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Trial
  6. Neighborhood Walkability Is Associated With Global Positioning System-Derived Community Mobility of Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Trial
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  16. Association Between Education Attainment and Hypertension Among Community-Dwelling Older Black and White Adults: The National Health & Trends Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
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8 more citing papers are in PubMed but not listed here.

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

8 authors at 1 institution in 1 country.

Alison R HuangDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
David L RothDepartment of Medicine, Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Tom CidavDepartment of Medicine, Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Shang-En ChungDepartment of Medicine, Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Halima AmjadDepartment of Medicine, Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Roland J ThorpeDepartment of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Cynthia M BoydDepartment of Medicine, Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Thomas K M CudjoeDepartment of Medicine, Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-2590-209X
Johns Hopkins University · US

Funding

Residential Segregation and Health Care Disparities P60MD000214 · NIMHD · JOHNS HOPKINS UNIVERSITY · PI GASKIN, DARRELL J. · 2002 to 2016
$16.8M
Why Place MattersU54MD000214 · NIMHD · JOHNS HOPKINS UNIVERSITY · PI THORPE, ROLAND J. · 2017 to 2022
$8.8M
The Johns Hopkins Alzheimer's Disease Resource Center for Minority Aging Research - Research Ed ComponentP30AG059298 · NIA · JOHNS HOPKINS UNIVERSITY · PI Joseph John Gallo, ROLAND J. THORPE · 2018 to 2026
$7.1M
Remote Data Enclave Core (RDEC)P30AG066587 · NIA · JOHNS HOPKINS UNIVERSITY · PI DANIEL E POLSKY, Jennifer L. Wolff · 2020 to 2026
$6.7M
Patient-Centered Care for Older Adults with Multiple Chronic Conditions: Research and Mentoring ProgramK24AG056578 · NIA · JOHNS HOPKINS UNIVERSITY · PI BOYD, CYNTHIA MELINDA · 2017 to 2021
$1.1M
Stress and Mortality Among Black MenK02AG059140 · NIA · JOHNS HOPKINS UNIVERSITY · PI THORPE, ROLAND J. · 2018 to 2022
$1.1M
Identifying and Addressing Social Isolation among Older Adults Living in Subsidized HousingK23AG075191 · NIA · JOHNS HOPKINS UNIVERSITY · PI Thomas Kofi Mensah Cudjoe · 2022 to 2026
$992k
Improving Post-Diagnosis Dementia Care in Primary CareK23AG064036 · NIA · JOHNS HOPKINS UNIVERSITY · PI AMJAD, HALIMA · 2020 to 2024
$932k
Social Connections and Health among Older Adults Living in Low-income HousingR03AG064253 · NIA · JOHNS HOPKINS UNIVERSITY · PI CUDJOE, THOMAS KOFI MENSAH · 2019 to 2021
$246k
Impact and Implications of concurrent hearing and vision impairment on risk for Alzheimer's disease and related dementias and social isolation in older adultsF31AG072746 · NIA · JOHNS HOPKINS UNIVERSITY · PI HUANG, ALISON REI-CHI · 2021 to 2021
$41k
NIA NIH HHS 5R03AG064253NIA NIH HHS F31 AG072746NIA NIH HHS K02 AG059140NIA NIH HHS K23 AG064036NIA NIH HHS K23 AG075191NIA NIH HHS K24 AG056578NIA NIH HHS L30 AG069572NIA NIH HHS P30 AG059298NIA NIH HHS P30 AG066587NIA NIH HHS R03 AG064253NIMHD NIH HHS L60 MD013065NIMHD NIH HHS P60 MD000214NIMHD NIH HHS U54 MD000214
6 · The paper itself

Abstract

backgroundSocial isolation can influence whether older adults develop dementia. We examine the association between social isolation and incident dementia among older adults in a nationally representative sample of community dwelling older adults in the United States (U.S.). We also investigate whether this association varies by race and ethnicity.

methodsData (N = 5022) come from the National Health and Aging Trends Study, a longitudinal and nationally representative cohort of older adults in the U.S. A composite measure of social isolation was used to classify older adults as socially isolated or not socially isolated at baseline. Demographic and health factors were measured at baseline via self-report. Dementia was measured at each round of data collection. Discrete-time proportional hazard time-to-event models were used to assess the association between social isolation and incident dementia over 9 years (2011-2020).

resultsOf 5022 older adults, 1172 (23.3%) were socially isolated, and 3850 (76.7%) were not socially isolated. Adjusting for demographic and health factors, being socially isolated (vs. not socially isolated) was associated with a 1.28 (95% CI: 1.10-1.49) higher hazard of incident dementia over 9 years. There was no statistically significant difference by race and ethnicity.

conclusionSocial isolation among older adults is associated with greater dementia risk. Elucidating the pathway by which social isolation impacts dementia may offer meaningful insights for the development of novel solutions to prevent or ameliorate dementia across diverse racial and ethnic groups.

Indexed as

DementiaIndependent LivingAgedAgingHumansMedicareSocial IsolationUnited Statesdementiadisparitiesracesocial isolation

Identifiers

PMID36628523
PMCPMC10023331
OpenAlexW4315620394

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.