Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents
| dc.contributor.author | Puoane, T | |
| dc.contributor.author | Naito, R | |
| dc.contributor.author | Leong, D.P | |
| dc.date.accessioned | 2021-04-29T08:57:33Z | |
| dc.date.available | 2021-04-29T08:57:33Z | |
| dc.date.issued | 2021 | |
| dc.description.abstract | Objective To examine the association between social isolation and mortality and incident diseases in middle-aged adults in urban and rural communities from high-income, middle-income and low-income countries. Design Population-based prospective observational study. Setting Urban and rural communities in 20 high income, middle income and low income. Participants 119 894 community-dwelling middle-aged adults. Main outcome measures Associations of social isolation with mortality, cardiovascular death, non-cardiovascular death and incident diseases. Results Social isolation was more common in middle-income and high-income countries compared with low-income countries, in urban areas than rural areas, in older individuals and among women, those with less education and the unemployed. It was more frequent among smokers and those with a poorer diet. Social isolation was associated with greater risk of mortality (HR of 1.26, 95% CI: 1.17 to 1.36), incident stroke (HR: 1.23, 95% CI: 1.07 to 1.40), cardiovascular disease (HR: 1.15, 95% CI: 1.05 to 1.25) and pneumonia (HR: 1.22, 95% CI: 1.09 to 1.37), but not cancer. The associations between social isolation and mortality were observed in populations in high-income, middle-income and low-income countries (HR (95% CI): 1.69 (1.32 to 2.17), 1.27 (1.15 to 1.40) and 1.47 (1.25 to 1.73), respectively, interaction p=0.02). | en_US |
| dc.identifier.citation | Puoane, T. et al. (2021). Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents. BMJ Global Health ,6(3),e004124 | en_US |
| dc.identifier.issn | 2059-7908 | |
| dc.identifier.uri | 10.1136/bmjgh-2020-004124 | |
| dc.identifier.uri | http://hdl.handle.net/10566/6112 | |
| dc.language.iso | en | en_US |
| dc.publisher | BMJ Publishing Group | en_US |
| dc.subject | Social isolation | en_US |
| dc.subject | Low-income | en_US |
| dc.subject | Middle-income | en_US |
| dc.subject | Mortality | en_US |
| dc.title | Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents | en_US |
| dc.type | Article | en_US |