Volume 32 - Article 49 | Pages 1361–1382
Loneliness and all-cause mortality in community-dwelling elderly Singaporeans
Date received: | 25 Jul 2014 |
Date published: | 03 Jun 2015 |
Word count: | 3835 |
Keywords: | Asia, elderly, living alone, loneliness, Singapore, social isolation, social networks |
DOI: | 10.4054/DemRes.2015.32.49 |
Weblink: | You will find all publications in this Special Collection “Living Alone: One-person households in Asia” at http://www.demographic-research.org/special/15/ |
Abstract
Background: Loneliness is a significant risk factor for mortality among older adults. There are several pathways through which loneliness may operate to increase mortality risk, ranging from biological responses and individual perceptions to social interactions and environmental factors. The proportion of single older (65+) person households has doubled in the last ten years in Singapore. Yet little is understood about the relationship between loneliness, social isolation, and mortality risk among older adults, in Singapore and in Asian contexts in general.
Objective: To assess the impact of loneliness and social isolation on the risk of all-cause mortality over a four-year period, controlling for demographic characteristics and health status at baseline.
Methods: We used data from a longitudinal survey of community-dwelling Singaporean elderly (N=4,522). Loneliness was assessed using the UCLA three-item loneliness scale. Unadjusted and adjusted Cox proportional hazards regressions were used to estimate mortality risk.
Results: In the final adjusted model, living arrangements and social networks outside the household were not associated with all-cause mortality. Loneliness increased the risk of all-cause mortality; those sometimes lonely and mostly lonely were 44.0% (p=0.005) and 39.0% (p=0.059) more likely to die compared to those not lonely.
Conclusions: Loneliness is associated with higher mortality risks among Singaporean elderly. Mental health among the older population is a major public health concern and community interventions are needed to more efficiently identify, raise awareness of, and increase care for the lonely elderly in the community.
Author's Affiliation
Angelique Chan - National University of Singapore, Singapore
Prassanna Raman - National University of Singapore, Singapore
Stefan Ma - Ministry of Health, Singapore, Singapore
Rahul Malhotra - National University of Singapore, Singapore
Most recent similar articles in Demographic Research
»
Living arrangements, intergenerational support types and older adult loneliness in Eastern and Western Europe
Volume 27 - Article 7 | Keywords: living alone, loneliness
»
Socioeconomic development and young adults’ propensity of living in one-person households: Compositional and contextual effects
Volume 44 - Article 11 | Keywords: living alone
»
The educational gradient of living alone: A comparison among the working-age population in Europe
Volume 40 - Article 55 | Keywords: living alone
»
Blood is thicker than bloodshed: A genealogical approach to reconstruct populations after armed conflicts
Volume 40 - Article 23 | Keywords: social networks
»
Ultra-low fertility in South Korea: The role of the tempo effect
Volume 38 - Article 22 | Keywords: Asia
Articles
Citations
Cited References: 38
»View the references of this article
Download to Citation Manager
Similar Articles
PubMed
Google Scholar