The Relationship Between Social Isolation and Mortality Among Adults Aged 50 and Older in a 12-year Follow-Up Analysis in Mexico

Abstract

Social relationships have a complex nature shaped mainly by two dimensions: structure and function. Previous research raised the importance of considering both features simultaneously given that they may operate differently. However, research on social relationships and mortality mainly refers to European and U.S. populations. This study examines structural and functional features of social relationships to understand social isolation among adults aged 50 and older in Mexico. In addition, we analyze that association with mortality, using panel data from a 12-year follow-up from the Mexican Health and Aging Study (2003–2015). Results reveal that structural and functional features of social relationships are intertwined, and social isolation was shaped by two aspects that we label lack of socialization and being alone and feeling lonely. After controlling for a series of sociodemographic and health variables, Cox proportional hazard regression models indicate that both aspects significantly increase mortality among older adults in Mexico.

Keywords

mortality loneliness social isolation living alone Mexico

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References

Aguilar-Navarro

S. G.

Fuentes-Cantú

Ávila-Funes

J. A.

García-Mayo

E. J.

(2007). Validez y confiabilidad del cuestionario del ENASEM para la depresión en adultos mayores. Salud Publica de Mexico, 49(4), 256–262. http://doi.org/10.1590/s0036-36342007000400005

Antman

F. M.

(2010). Adult child migration and the health of elderly parents left behind in Mexico. American Economic Review, 100(2), 205–208. http://doi.org/10.1257/aer.100.2.205

Ariza

de Oliveira

(2004). Universo familiar y procesos demográficos. In Ariza

de Oliveira

(Eds.), Imágenes de la familia en el cambio de siglo (pp. 9–45). UNAM.

Arriagada

(2009). La diversidad y desigualdad de las familias latinoamericanas. Revista Latinoamericana de Estudios de Familia, 1, 9–21.

Bardis

P. D.

(1959). A familism scale. Marriage and Family Living, 21, 4, 340–341. http://doi.org/10.2307/347107

Berkman

L. F.

Glass

Brissette

Seeman

T. E.

(2000). From social integration to health: Durkheim in the new millennium. Social Science & Medicine, 51(6), 843–857. http://doi.org/10.1016/s0277-9536(00)00065-4

Berkman

L. F.

Syme

S. L.

(1979). Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda county residents. American Journal of Epidemiology, 109(2), 186–204. http://doi.org/10.1093/oxfordjournals.aje.a112674

Blazer

D. G.

(1982). Social support and mortality in an elderly community population. American Journal of Epidemiology, 115(5), 684–694. http://doi.org/10.1093/oxfordjournals.aje.a113351

Cacioppo

J. T.

Cacioppo

(2014). Social relationships and health: The toxic effects of perceived social isolation. Social and Personality Psychology Compass, 8(2), 58–72. https://doi.org/10.1111/spc3.12087

10.

Cacioppo

Grippo

A. J.

London

Goossens

Cacioppo

J. T.

(2015). Loneliness: clinical import and interventions. Perspect Psychol Sci, 10(2), 238–249. https://doi.org/10.1177/1745691615570616

11.

Cattell

(2001). Poor people, poor places, and poor health: the mediating role of social networks and social capital. Social Science & Medicine, 52(10), 1501–1516. http://doi.org/10.1016/s0277-9536(00)00259-8

12.

Cohen

Gottlieb

B. H.

Underwood

L. G.

(2000). Social relationships and health. In Cohen

Underwood

Gottlieb

(Eds.), Measuring and intervening in social support (pp. 3–26). Oxford University Press. http://doi.org/10.1093/med:psych/9780195126709.003.0001

13.

CONAPO . (2018). Proyecciones de la Población de México y de las Entidades Federativas, 2016-2050 y Conciliación Demográfica de México, 1950 -2015. https://www.gob.mx/conapo/acciones-y-programas/conciliacion-demografica-de-mexico-1950-2015-y-proyecciones-de-la-poblacion-de-mexico-y-de-las-entidades-federativas-2016-2050

14.

Cornwell

E. Y.

Waite

L. J.

(2009). Measuring social isolation among older adults using multiple indicators from the NSHAP study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 64(Suppl 1), i38–46. http://doi.org/10.1093/geronb/gbp037

15.

de Brito

T. R. P.

Nunes

D. P.

Corona

L. P.

da Silva Alexandre

de Oliveira Duarte

Y. A.

(2017). Low supply of social support as risk factor for mortality in the older adults. Archives of Gerontology and Geriatrics, 73, 77–81. http://doi.org/10.1016/j.archger.2017.07.016

16.

Ellwardt

Van Tilburg

Aartsen

Wittek

Steverink

(2015). Personal networks and mortality risk in older adults: A twenty-year longitudinal study. Plos One, 10(3, e0116731). https://doi.org/10.1371/journal.pone.0116731

17.

Fokkema

De Jong Gierveld

Dykstra

P. A.

(2012). Cross-national differences in older adult loneliness. The Journal of Psychology, 146(1-2), 201–228. https://doi.org/10.1080/00223980.2011.631612

18.

Fuller-Iglesias

Antonucci

(2016). Familism, social network characteristics, and well-being among older adults in Mexico. Journal of Cross Cultural Gerontology, 31(1), 1–17. http://doi.org/10.1007/s10823-015-9278-5

19.

Gao

Prina

A. M.

Prince

Acosta

Luisa Sosa

Guerra

Huang

Y. Y.

Jimenez-Velazquez

I. Z

Llibre Rodriguez

J. J.

Salas

A. A.

Williams

J. D.

Liu

Z. Z.

Acosta Castillo

I. I.

Mayston

(2021). Loneliness among older adults in Latin America, China, and India: Prevalence, correlates and association with mortality. International Journal of Public Health, 66(14), 604449. https://www.ssph-journal.org/articles/10.3389/ijph.2021.604449

20.

Garza-Sánchez

R. I.

González-Tovar

Rubio-Rubio

Dumitrache-Dumitrache

C. G.

(2020). Soledad en personas mayores de España y México: un análisis comparativo. Acta Colombiana de Psicología, 23(1), 106–116. https://doi.org/10.14718/acp.2020.23.1.6

21.

Guzmán

J. M.

Huenchuan

Montes de Oca

(2003). Redes de apoyo social a las personas mayores: marco teórico conceptual. Notas de Población, 77, 35–70.

22.

Hernandez

Blazer

(Eds.). (2006). The impact of social and cultural environment on health. In Genes, behavior, and the social environment: Moving beyond the nature/nurture debate (pp. 25–43). The National Academy Press.

23.

Holt-Lunstad

Smith

T. B.

(2012). Social relationships and mortality. Social and Personality Psychology Compass, 6(1), 41–53. http://doi.org/10.1111/j.1751-9004.2011.00406.x

24.

Holt-Lunstad

Smith

T. B.

Baker

Harris

Stephenson

(2015). Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspectives on Psychological Science, 10(2), 227–237. http://doi.org/10.1177/1745691614568352

25.

Jylhä

Jokela

(1990). Individual experiences as cultural – a cross-cultural study on loneliness among the elderly. Ageing and Society, 10(3), 295–315. http://doi.org/10.1017/S0144686X00008308

26.

Kaiser

H. F.

(1991). Coefficient alpha for a principal component and the Kaiser-Guttman Rule. Psychological Reports, 68(3, Pt 1), 855–858. https://doi.org/10.2466/PR0.68.3.855-858

27.

Kaplan

G. A.

Salonen

J. T.

Cohen

R. D.

Brand

R. J.

Syme

S. L.

Puska

Puska, P. (1988). Social connections and mortality from all causes and from cardiovascular disease: Prospective evidence from Eastern Finland. American Journal of Epidemiology, 128(2), 370–380. http://doi.org/10.1093/oxfordjournals.aje.a114977

28.

Katz

Branch

L. G.

Branson

M. H.

Papsidero

J. A.

Beck

J. C.

Greer

D. S.

(1983). Active life expectancy. New England Journal of Medicine, 309(20), 1218–1224. http://doi.org/10.1056/NEJM198311173092005

29.

Knaul

F. M.

González-Pier

Gómez-Dantés

García-Junco

Arreola-Ornelas

Barraza-Lloréns

Sandoval

Caballero

Hernández-Ávila

Juan

Kershenobich

Nigenda

Ruelas

Sepúlveda

Tapia

Soberón

Chertorivski

Frenk

(2013). Hacia la cobertura universal en salud: Protección social para todos en México. Salud Publica de Mexico, 55(2), 207–235. http://doi.org/10.1590/s0036-36342013000200013

30.

Landis

J. R

Koch

G. G

(1977). The measurement of observer agreement for categorical data. Biometrics, 33, 1, 159–174. https://doi.org/10.2307/2529310

31.

Luo

Hawkley

L. C

Waite

L. J

Cacioppo

J. T

(2012). Loneliness, health, and mortality in old age: A national longitudinal study. Social Science & Medicine, 74(6), 907–914. https://doi.org/10.1016/j.socscimed.2011.11.028

32.

Michaels-Obregon

Mejía Arango

Wong

(2014). The Mexican Health and Aging Study: Cognitive Functioning Measures Version 3.

33.

Montes de Oca

Garay

Rico

García

S. J.

(2014). Living arrangements and aging in Mexico: changes in households, Poverty and regions, 1992-2009. International Journal of Social Science Studies, 2(4), 61–74. https://doi.org/10.11114/ijsss.v2i4.453

34.

Multon

K. D.

Coleman

J. S. M.

(2012). Coefficient alpha. In Salkind

N. J.

(Ed.), Encyclopedia of research design (pp. 160–163). SAGE Publications, Inc. https://doi.org/10.4135/9781412961288

35.

Oliveira

García

(2017). Aproximaciones sociodemográficas al estudio de los hogares y familias en México. In García

Pacheco

Nájera

(Eds.), Hogares y trabajadores en México en el siglo XXI. El Colegio de Mexico.

36.

Orth-Gomér

Johnson

J. V.

(1987). Social network interaction and mortality. A six year follow-up study of a random sample of the Swedish population. Journal of Chronic Diseases, 40(10), 949–957. https://doi.org/10.1016/0021-9681(87)90145-7

37.

Pantell

Rehkopf

Jutte

Syme

S. L.

Balmes

Adler

(2013). Social isolation: A predictor of mortality comparable to traditional clinical risk factors. American Journal of Public Health, 103(11), 2056–2062. http://doi.org/10.2105/AJPH.2013.301261

38.

Parker

S. W.

Saenz

Wong

(2018). Health insurance and the aging: Evidence from the Seguro popular program in Mexico. Demography, 55(1), 361–386. http://doi.org/10.1007/s13524-017-0645-4

39.

Perissinotto

C. M.

Stijacic Cenzer

Covinsky

K. E.

(2012). Loneliness in older persons: a predictor of functional decline and death. Archives of Internal Medicine, 172(14), 1078–1083. http://doi.org/10.1001/archinternmed.2012.1993

40.

Reyes Uribe

A. C.

(2015). Perceptions of successful aging among Mexican older adults. Journal of Behavior, Health & Social Issues, 7(2), 9–17. https://doi.org/10.5460/jbhsi.v7.2.52888

41.

Russell

D. W.

Cutrona

C. E.

McRae

Gomez

(2012). Is loneliness the same as being alone? The Journal of Psychology, 146(1–2), 7–22. https://doi.org/10.1080/00223980.2011.589414

42.

Santini

Z. I.

Koyanagi

Tyrovolas

Haro

J. M.

Fiori

K. L.

Uwakwa

Thiyagarajan

J. A. J.

Webber

M. M.

Prince

M. M.

Prina

A. M.

(2015). Social network typologies and mortality risk among older people in China, India, and Latin America: A 10/66 Dementia research group population-based cohort study. Social Science & Medicine, 147, 134–143. http://doi.org/10.1016/j.socscimed.2015.10.061

43.

Shaw

J. G.

Farid

Noel-Miller

Joseph

Houser

Asch

S. M.

Bhattacharya

J. J.

Flowers

(2017). Social isolation and medicare spending: among older adults, objective isolation increases expenditures while loneliness does not. Journal of Aging and Health, 29(7), 1119–1143. http://doi.org/10.1177/0898264317703559

44.

Soares

M. U.

Facchini

L. A.

Nedel

F. B.

Wachs

L. S.

Kessler

Thumé

(2021). Social relationships and survival in the older adult cohort. Revista Latino-Americana de Enfermagem, 29, e3395. https://doi.org/10.1590/1518-8345.3844.3395

45.

Steptoe

Shankar

Demakakos

Wardle

(2013). Social isolation, loneliness, and all-cause mortality in older men and women. Proceedings of the National Academy of Sciences, 110(15), 5797–5801. http://doi.org/10.1073/pnas.1219686110

46.

Tanskanen

Anttila

(2016). A prospective study of social isolation, loneliness, and mortality in Finland. American Journal of Public Health, 106(11), 2042–2048. http://doi.org/10.2105/AJPH.2016.303431

47.

Thoits

P. A.

(1986). Social support as coping assistance. Journal of Consulting and Clinical Psychology, 54(4), 416–423. http://doi.org/10.1037//0022-006x.54.4.416

48.

Valtorta

N. K.

Kanaan

Gilbody

Hanratty

(2016). Loneliness, social isolation and social relationships: what are we measuring? A novel framework for classifying and comparing tools. BMJ Open, 6, 4, e010799. https://doi.org/10.1136/bmjopen-2015- 010799

49.

Weiss

R. S.

(1973). Loneliness: The experience of emotional and social isolation. The MIT Press.

50.

Welin

Tibblin

Svärdsudd

Tibblin

Ander-Peciva

Larsson

Wilhelmsen

(1985). Prospective study of social influences on mortality. The study of men born in 1913 and 1923. Lancet, 1(8434), 915–918. http://doi.org/10.1016/s0140-6736(85)91684-8

51.

Wong

Michaels-Obregon

Palloni

(2017). Cohort profile: The Mexican health and aging study (MHAS). International Journal of Epidemiology, 46(2), e2. https://doi.org/10.1093/ije/dyu263

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