Evidence map›Paper›PMID 40234281›Full record

ArticleSocial psychiatry and psychiatric epidemiology2026

Association of social isolation and loneliness with incident cardiovascular diseases: results from a nationally prospective cohorts in China.

Jingru Zha, Mingzhuang Chen

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Article in Social psychiatry and psychiatric epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Jingru ZhaDivision of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, 17 Lujiang Road, Luyang, Hefei, 230601, Anhui, China.
Mingzhuang ChenDivision of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, 17 Lujiang Road, Luyang, Hefei, 230601, Anhui, China. cmz03521@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsSocial isolation and loneliness are associated with increased risk of cardiovascular disease (CVD). Most research examining the effects of social isolation and loneliness on CVD is based in Western countries. This study examined the effects of loneliness and social isolation on cardiovascular disease in China.

methodsData were derived from the China Health and Retirement Longitudinal Study (CHARLS). Social isolation, loneliness and CVD were measured at baseline. The analytical sample size was 6,860 for the analysis of self-reported CVD. Cox proportional-hazard regression adjusted for confounding factors were used to assess the association between baseline isolation, loneliness, and CVD.

resultsIncident CVD was followed-up from 2011 to 2018. During the 7 years of follow-up, we found that loneliness was associated with an increased risk of CVD events (adjusted HR, 1.24; 95% CI, 1.06-1.44). In the moderately isolated group, loneliness was significantly associated with an elevated risk of incident CVD after adjusting for all confounders (adjusted HR, 1.40; 95% CI, 1.13-1.73). Loneliness was significantly associated with an increased risk of incident CVD among female participants (adjusted HR, 1.29; 95% CI, 1.07-1.56).

conclusionsLoneliness significantly increased the risk of incident CVD, while social isolation did not exhibit a similar correlation. Our findings suggest that targeted and practical social interventions could improve the accuracy and efficiency of identifying individuals at high risk.

Indexed as

Cardiovascular DiseasesLonelinessSocial IsolationAgedChinaFemaleHumansIncidenceLongitudinal StudiesMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsCardiovascular diseaseLonelinessSocial isolation

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