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ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2024

Examining the role of living alone and loneliness in predicting health-related quality of life: results from the Healthy Aging Longitudinal Study in Taiwan (HALST).

Han-Yun Tseng, Chun-Yi Lee, Chi-Shin Wu, I-Chien Wu, Hsing-Yi Chang, Chih-Cheng Hsu, Chao Agnes Hsiung

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Prevalence of preoperative multidimensional frailty and associated factors in middle-aged and older patients with newly diagnosed breast cancer: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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.

Han-Yun TsengDepartment of Human Development and Family Studies, Colorado State University, 410 W Pitkin St., Fort Collins, CO, 80523, USA. heidi.tseng@colostate.edu.
Chun-Yi LeeInstitute of Population Health Sciences, National Health Research Institutes, 35 Keyan Rd., Zhunan, Miaoli County, 35053, Taiwan.
Chi-Shin WuNational Center for Geriatrics and Welfare Research, National Health Research Institutes, 35 Keyan Rd., Zhunan, Miaoli County, 35053, Taiwan. chishinwu@nhri.edu.tw.ORCID http://orcid.org/0000-0003-2762-7295
I-Chien WuInstitute of Population Health Sciences, National Health Research Institutes, 35 Keyan Rd., Zhunan, Miaoli County, 35053, Taiwan.
Hsing-Yi ChangInstitute of Population Health Sciences, National Health Research Institutes, 35 Keyan Rd., Zhunan, Miaoli County, 35053, Taiwan.
Chih-Cheng HsuInstitute of Population Health Sciences, National Health Research Institutes, 35 Keyan Rd., Zhunan, Miaoli County, 35053, Taiwan.
Chao Agnes HsiungInstitute of Population Health Sciences, National Health Research Institutes, 35 Keyan Rd., Zhunan, Miaoli County, 35053, Taiwan.

Funding

National Health Research Institutes PH-101~109-pp-04National Health Research Institutes PH-97~109
6 · The paper itself

Abstract

purposeThis study aimed to investigate the distinct yet interconnected aspects of social isolation, namely living alone and loneliness, and their individual and combined effects on predicting health-related quality of life (HRQoL).

methodsA comprehensive analysis, encompassing both cross-sectional and longitudinal approaches, was conducted using a nationally representative sample of 5644 community-dwelling adults aged 55 and older from the Healthy Aging Longitudinal Study in Taiwan (HALST).

resultsBaseline data revealed that 9% of the sample reported living alone, while 10.3% reported experiencing loneliness, with 2.5% reporting both living alone and feeling lonely. Regression analyses consistently demonstrated that loneliness was significantly associated with concurrent and subsequent lower physical (PCS) and mental (MCS) component of HRQoL. Conversely, additional analyses indicated that living alone could indirectly exacerbate the adverse effects of loneliness or contribute to prolonged feelings of loneliness, subsequently predicting lower HRQoL after 3.2 year.

conclusionIn terms of practical implications, interventions and policies aiming to enhance HRQoL in older adults should give particular attention to those who report feelings of loneliness, especially individuals living alone.

Indexed as

Healthy AgingLonelinessAgedCross-Sectional StudiesHome EnvironmentHumansLongitudinal StudiesQuality of LifeTaiwanAgingHealth-related quality of life (HRQoL)Healthy Aging Longitudinal Study in Taiwan (HALST)Living aloneLonelinessSocial isolation

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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.