Association of Living Alone and Social Isolation with All-Cause and Cardiovascular Mortality: The Otassha Study
2024

Living Alone and Social Isolation's Impact on Mortality

Sample size: 4075 publication Evidence: moderate

Author Information

Author(s): Imamura Keigo, Kawai Hisashi, Ejiri Manami, Sasai Hiroyuki, Hirano Hirohiko, Fujiwara Yoshinori, Ihara Kazushige, Obuchi Shuichi

Primary Institution: Tokyo Metropolitan Institute for Geriatrics and Gerontology

Hypothesis

How does living alone while being socially isolated affect older adults’ risk of all-cause and cardiovascular mortality?

Conclusion

Engaging in regular social interactions could help older adults reduce mortality.

Supporting Evidence

  • 203 participants (5.0%) were living alone while being socially isolated.
  • Social isolation was significantly associated with all-cause and cardiovascular mortality.
  • There was no association with mortality among those who lived alone but were not socially isolated.

Takeaway

If older people live alone but have friends and family they see often, they might not be at risk for dying early. But if they live alone and don't see anyone, that's a problem.

Methodology

Participants were classified into four groups based on their living situation and social isolation, and a Cox proportional hazards model was used to analyze mortality risk.

Participant Demographics

Community-dwelling older adults, mean age 72 years, 46% male.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.3226

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