Pan Chaoping, Yu Linwei, Cao Na
School of Medical Humanities and Management, Wenzhou Medical University, Wenzhou City, Zhejiang Province, China.
School of Medical Humanities and Management, Wenzhou Medical University, Wenzhou City, Zhejiang Province, China.
Am J Prev Med. 2025 Jan;68(1):91-97. doi: 10.1016/j.amepre.2024.08.020. Epub 2024 Sep 1.
This study aims to investigate the bidirectional associations between social isolation (SI) and multimorbidity among Chinese older adults.
Data from six waves of the Chinese Longitudinal Healthy Longevity Survey spanning from 2002 to 2018 were analyzed. A General Cross-Lagged Model was employed in 2023 to investigate the temporal interrelationships between SI and multimorbidity among individuals aged 65 years and older.
In the short-term, significant bidirectional associations between SI and multimorbidity were found. Higher levels of SI at a given time point were associated with increased multimorbidity scores in the future, while greater levels of multimorbidity at a given time were associated with higher future SI scores. In the long-term, it is more likely that initial multimorbidity affect SI rather than initial SI affecting multimorbidity.
This study contributes to the understanding of the bidirectional associations between SI and multimorbidity among Chinese older adults, highlighting that initial multimorbidity was associated with future SI.
本研究旨在探讨中国老年人社会隔离（SI）与多种疾病并存之间的双向关联。
分析了2002年至2018年中国健康与养老追踪调查六轮的数据。2023年采用一般交叉滞后模型研究65岁及以上个体中SI与多种疾病并存之间的时间关系。
在短期内，发现SI与多种疾病并存之间存在显著的双向关联。在给定时间点较高的SI水平与未来多种疾病并存得分增加相关，而在给定时间较高的多种疾病并存水平与未来较高的SI得分相关。从长期来看，更有可能是初始的多种疾病并存影响SI，而不是初始的SI影响多种疾病并存。
本研究有助于理解中国老年人中SI与多种疾病并存之间的双向关联，强调初始的多种疾病并存与未来的SI相关。
