Evidence map›Paper›PMID 40931674›Full record

ArticleEpidemiology and psychiatric sciences2025

Predictive role of loneliness on mortality before the age 85 years among mid- to later-life adults in the United States: a 10-year retrospective cohort study.

Hui-Ying Fan, Mu-Rui Zheng, Qinge Zhang, Sha Sha, Yuan Feng, Zhaohui Su, Teris Cheung, Gabor S Ungvari, Lloyd Balbuena, Yu-Tao Xiang

Abstract read
In one paragraph

Article in Epidemiology and psychiatric sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Hui-Ying FanSchool of Nursing, Hainan Medical University, Haikou, HI, China.ORCID https://orcid.org/0000-0002-9335-4021
Mu-Rui ZhengUnit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, MO, China.ORCID https://orcid.org/0000-0001-5856-0930
Qinge ZhangBeijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
Sha ShaBeijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
Yuan FengBeijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0009-0003-7849-5592
Zhaohui SuSchool of Public Health, Southeast University, Nanjing, China.ORCID https://orcid.org/0000-0003-2005-9504
Teris CheungSchool of Nursing, Hong Kong Polytechnic University, Kowloon, HK, China.
Gabor S UngvariSection of Psychiatry, University of Notre Dame Australia, Fremantle, Australia.
Lloyd BalbuenaDepartment of Psychiatry, University of Saskatchewan, Saskatoon, SK, Canada.
Yu-Tao XiangUnit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, MO, China.ORCID https://orcid.org/0000-0002-2906-0029

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsLoneliness is a common public health concern, particularly among mid- to later-life adults. However, its impact on early mortality (deaths occurring before reaching the oldest old age of 85 years) remains underexplored. This study examined the predictive role of loneliness on early mortality across different age groups using data from the Health and Retirement Study (HRS).

methodsA retrospective cohort study was conducted using data from the 2010-2020 waves of the HRS, restricted to participants aged 50-84 years at baseline. Loneliness was measured using the 11-item UCLA Loneliness Scale, categorized into four levels: low/no loneliness (scores 11-13), mild loneliness (14-16), moderate loneliness (17-20) and severe loneliness (21-33). Cox proportional hazards models and time-varying Cox regression models with age as the time scale were created to evaluate the relationship between loneliness and early mortality, adjusting for sociodemographic, lifestyle, and physical and mental health factors.

resultsAmong 6,392 participants, the overall mortality rate before the age of 85 years was 19.1 per 1,000 person-years. A dose-response relationship was observed, with moderate and severe loneliness associated with 23% (adjusted hazard ratio [aHR]: 1.23, 95% confidence interval [CI] = 1.02-1.48) and 36% (aHR: 1.36, 95% CI = 1.13-1.65) higher mortality risk, respectively. Significant associations existed for the 65-74-year-old (aHR = 1.37, 95% CI = 1.03-1.83) and 75-84-year-old (aHR = 1.77, 95% CI = 1.23-2.56) age groups in the fully-adjusted models, but not for the 50-64-year-old age group. Time-varying Cox models showed a stronger association for severe loneliness (aHR = 1.65, 95% CI = 1.37-1.99).

conclusionsLoneliness is a significant predictor of mortality among older adults. Preventive and interventional programs targeting loneliness may promote healthy ageing.

Indexed as

LonelinessMortalityAgedAged, 80 and overFemaleHumansMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesRisk FactorsUnited Statesage factorsearly mortalitylonelinessmid- to later-life populationoldest old

Identifiers

PMID40931674
PMCPMC12450537

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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.