{"id":"https://openalex.org/W7204652201","doi":"https://doi.org/10.1186/s12877-026-08193-0","title":"Transitions between social isolation and loneliness patterns and their associations with health among Chinese older adults","display_name":"Transitions between social isolation and loneliness patterns and their associations with health among Chinese older adults","publication_year":2026,"publication_date":"2026-08-29","ids":{"openalex":"https://openalex.org/W7204652201","doi":"https://doi.org/10.1186/s12877-026-08193-0"},"language":"en","primary_location":{"id":"doi:10.1186/s12877-026-08193-0","doi":"https://doi.org/10.1186/s12877-026-08193-0","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12877-026-08193-0","pdf_url":null,"source":{"id":"https://openalex.org/S14643628","display_name":"BMC Geriatrics","issn_l":"1471-2318","issn":["1471-2318"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-2","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Geriatrics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12877-026-08193-0","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5088024776","display_name":"Chaoping Pan","orcid":"https://orcid.org/0000-0001-8655-0385","observed_orcids":["https://orcid.org/0000-0001-8655-0385"]},"institutions":[{"id":"https://openalex.org/I27781120","display_name":"Wenzhou Medical University","ror":"https://ror.org/00rd5t069","country_code":"CN","type":"education","lineage":["https://openalex.org/I27781120"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Chaoping Pan","raw_affiliation_strings":["School of Medical Humanities and Management, Wenzhou Medical University, Chashan Campus, Wenzhou City, Zhejiang Province, 325035, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medical Humanities and Management, Wenzhou Medical University, Chashan Campus, Wenzhou City, Zhejiang Province, 325035, China","institution_ids":["https://openalex.org/I27781120"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101328137","display_name":"Linwei Yu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27781120","display_name":"Wenzhou Medical University","ror":"https://ror.org/00rd5t069","country_code":"CN","type":"education","lineage":["https://openalex.org/I27781120"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Linwei Yu","raw_affiliation_strings":["School of Medical Humanities and Management, Wenzhou Medical University, Chashan Campus, Wenzhou City, Zhejiang Province, 325035, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medical Humanities and Management, Wenzhou Medical University, Chashan Campus, Wenzhou City, Zhejiang Province, 325035, China","institution_ids":["https://openalex.org/I27781120"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148607670","display_name":"Jianmin Lin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27781120","display_name":"Wenzhou Medical University","ror":"https://ror.org/00rd5t069","country_code":"CN","type":"education","lineage":["https://openalex.org/I27781120"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jianmin Lin","raw_affiliation_strings":["School of Medical Humanities and Management, Wenzhou Medical University, Chashan Campus, Wenzhou City, Zhejiang Province, 325035, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medical Humanities and Management, Wenzhou Medical University, Chashan Campus, Wenzhou City, Zhejiang Province, 325035, China","institution_ids":["https://openalex.org/I27781120"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148579627","display_name":"Rui Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210140357","display_name":"Renmin Hospital of Wuhan University","ror":"https://ror.org/03ekhbz91","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210140357"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Rui Chen","raw_affiliation_strings":["Department of Clinical Laboratory, Renmin Hospital of Wuhan University, Wuhan City, Hubei Province, 430060, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Laboratory, Renmin Hospital of Wuhan University, Wuhan City, Hubei Province, 430060, China","institution_ids":["https://openalex.org/I4210140357"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5033282448","display_name":"Na Cao","orcid":"https://orcid.org/0009-0007-9484-7219","observed_orcids":["https://orcid.org/0009-0007-9484-7219"]},"institutions":[{"id":"https://openalex.org/I27781120","display_name":"Wenzhou Medical University","ror":"https://ror.org/00rd5t069","country_code":"CN","type":"education","lineage":["https://openalex.org/I27781120"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Na Cao","raw_affiliation_strings":["School of Medical Humanities and Management, Wenzhou Medical University, Chashan Campus, Wenzhou City, Zhejiang Province, 325035, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medical Humanities and Management, Wenzhou Medical University, Chashan Campus, Wenzhou City, Zhejiang Province, 325035, China","institution_ids":["https://openalex.org/I27781120"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5033282448","https://openalex.org/A5148579627"],"corresponding_institution_ids":["https://openalex.org/I27781120","https://openalex.org/I4210140357"],"apc_list":{"value":3190,"currency":"USD","value_usd":3190},"apc_paid":{"value":3190,"currency":"USD","value_usd":3190},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.71198793,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.9731000065803528,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.9731000065803528,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12811","display_name":"Aging, Health, and Disability","score":0.022700000554323196,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11265","display_name":"Aging and Gerontology Research","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/3206","display_name":"Neuropsychology and Physiological Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/social-isolation","display_name":"social isolation","score":1.0},{"id":"https://openalex.org/keywords/loneliness","display_name":"loneliness","score":0.996999979019165},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.7149999737739563},{"id":"https://openalex.org/keywords/health-outcomes","display_name":"health outcomes","score":0.8550000190734863},{"id":"https://openalex.org/keywords/chinese-older-adults","display_name":"Chinese older adults","score":0.7179999947547913},{"id":"https://openalex.org/keywords/aging","display_name":"aging","score":0.6449999809265137}],"concepts":[{"id":"https://openalex.org/C2779998236","wikidata":"https://www.wikidata.org/wiki/Q223270","display_name":"Loneliness","level":2,"score":0.9907000064849854},{"id":"https://openalex.org/C2776893239","wikidata":"https://www.wikidata.org/wiki/Q1778765","display_name":"Social isolation","level":2,"score":0.7121999859809875},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5814999938011169},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.508400022983551},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.44929999113082886},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.4066999852657318},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.3513000011444092},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3492000102996826},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.34540000557899475},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3400999903678894},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.3325999975204468},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.3262999951839447},{"id":"https://openalex.org/C2775941552","wikidata":"https://www.wikidata.org/wiki/Q25212305","display_name":"Isolation (microbiology)","level":2,"score":0.3125},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.31029999256134033},{"id":"https://openalex.org/C2780176501","wikidata":"https://www.wikidata.org/wiki/Q5690755","display_name":"Health and Retirement Study","level":2,"score":0.30959999561309814},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.3077999949455261},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.2953999936580658},{"id":"https://openalex.org/C2781164080","wikidata":"https://www.wikidata.org/wiki/Q7448186","display_name":"Self-rated health","level":2,"score":0.29190000891685486},{"id":"https://openalex.org/C3019887659","wikidata":"https://www.wikidata.org/wiki/Q191089","display_name":"Older people","level":2,"score":0.28439998626708984},{"id":"https://openalex.org/C71104824","wikidata":"https://www.wikidata.org/wiki/Q1476639","display_name":"Structural equation modeling","level":2,"score":0.2533000111579895}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12877-026-08193-0","doi":"https://doi.org/10.1186/s12877-026-08193-0","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12877-026-08193-0","pdf_url":null,"source":{"id":"https://openalex.org/S14643628","display_name":"BMC Geriatrics","issn_l":"1471-2318","issn":["1471-2318"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-2","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Geriatrics","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12877-026-08193-0","doi":"https://doi.org/10.1186/s12877-026-08193-0","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12877-026-08193-0","pdf_url":null,"source":{"id":"https://openalex.org/S14643628","display_name":"BMC Geriatrics","issn_l":"1471-2318","issn":["1471-2318"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-2","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Geriatrics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.6271222233772278,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"This":[0],"study":[1],"aims":[2],"to":[3,94,103,119,154,166],"examine":[4],"transitions":[5,88,141,157],"of":[6,31,67,87,106,114,137],"social":[7],"isolation":[8,97,125],"(SI)":[9],"and":[10,16,35,42,45,57,69,139,142,160],"loneliness":[11,43,70,107,116,123,140,161],"patterns":[12,44,71,162],"among":[13,170],"older":[14],"adults":[15,92],"explore":[17],"their":[18,46,99,143],"impact":[19],"on":[20],"health":[21,49,130,147,168],"outcomes.":[22,131],"Longitudinal":[23],"data":[24],"from":[25,112],"a":[26],"large,":[27],"nationally":[28],"representative":[29],"sample":[30],"individuals":[32],"aged":[33],"60":[34],"above":[36],"were":[37,51,72],"analyzed.":[38],"Transitions":[39],"between":[40,89],"SI":[41,68,118,138,159],"association":[47],"with":[48,60,79,84,128,146],"status":[50],"investigated":[52],"using":[53],"Latent":[54],"Transition":[55],"Analysis":[56],"linear":[58],"regression":[59],"10,000":[61],"bootstraps,":[62],"respectively.":[63],"Four":[64],"distinct":[65],"groups":[66],"identified":[73],"at":[74],"both":[75],"time":[76],"points,":[77],"each":[78],"varying":[80],"measurement":[81],"solutions,":[82],"along":[83],"16":[85],"types":[86],"them.":[90],"Older":[91],"tended":[93],"experience":[95],"more":[96],"in":[98,148,158],"younger":[100],"years,":[101],"transitioning":[102],"increased":[104],"levels":[105],"as":[108],"they":[109],"aged.":[110],"Transitioning":[111],"states":[113,120],"lower":[115],"or":[117,124],"marked":[121],"by":[122],"was":[126],"associated":[127],"adverse":[129],"The":[132],"results":[133],"indicated":[134],"the":[135,164],"dynamics":[136],"significant":[144],"associations":[145],"later":[149],"life.":[150],"Implementing":[151],"targeted":[152],"interventions":[153],"address":[155],"these":[156],"has":[163],"potential":[165],"enhance":[167],"outcomes":[169],"this":[171],"population.":[172]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-08-30T00:00:00"}