ArticleArchives of public health = Archives belges de sante publique2025
Reciprocal associations between social isolation and self-rated health among older adults in China: findings from the China longitudinal aging social survey (2018-2020).
Article in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe reciprocal relationship between social isolation (SI) and self-rated health (SRH) among older adults remains insufficiently understood. This study investigates bidirectional associations between SI and SRH and explore their variation across demographic groups.
methodsUsing longitudinal data from a nationally representative sample of older Chinese adults, this study applied a cross-lagged panel model to assess bidirectional links between SI and SRH, examining pattern variations across age, gender, education, marital status, and urban-rural residence.
resultsBaseline SI predicted subsequent declines in SRH, and poorer SRH predicted increased SI over time. SRH influenced SI only among women and less-educated older adults. Unmarried individuals showed stronger SI-SRH links, and urban-rural differences revealed distinct directional pathways.
conclusionsSI and SRH are reciprocally linked in older adults, with meaningful variation across demographic strata. Tailored public health strategies that address both social and health dimensions are needed to support healthy aging.
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