Combined effects of social health and long-term exposure to fine particulate matter on cardiovascular disease in Chinese middle-aged and older adults.
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| Title: | Combined effects of social health and long-term exposure to fine particulate matter on cardiovascular disease in Chinese middle-aged and older adults. |
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| Authors: | Li, Wei (AUTHOR), Yang, Yunxiao (AUTHOR), Guo, Shuai (AUTHOR), Yi, Jiayi (AUTHOR), Li, Chen (AUTHOR), Shen, Geng (AUTHOR), Wang, Lin (AUTHOR), Chen, Xiuhuan (AUTHOR), Zhi, Zhaogong (AUTHOR), Gao, Hai (AUTHOR) |
| Source: | Social Psychiatry & Psychiatric Epidemiology. Jun2026, Vol. 61 Issue 6, p1011-1021. 11p. |
| Subjects: | Loneliness, Particulate matter, Older people, Cardiovascular diseases, Middle-aged persons, Social isolation, Social medicine |
| Abstract: | Purpose: Social isolation, loneliness, and fine particulate matter (PM2.5) exposure are significant social and environmental factors that frequently cooccur in vulnerable populations. The joint effects of these factors on the risk of cardiovascular disease (CVD), however, are not well supported by data. This study aimed to evaluate the independent and combined effects of social isolation, loneliness, and long-term PM2.5 exposure on CVD risk and to assess the interactions between social isolation or loneliness and PM2.5 exposure on CVD risk. Methods: We used Cox proportional hazards models to estimate the independent and combined effects of loneliness, social isolation, and long-term PM2.5 exposure on CVD incidence. We also conducted interaction analyses to investigate whether the effects of social factors on CVD are modified by the level of PM2.5 exposure. Results: This study included 12,544 participants, with mean age of 58.7 ± 9.4 years. The median follow-up was 7 years, with 1761 CVD events occurred. Individuals with loneliness presented a 29% increased risk of CVD (hazard ratio [HR] = 1.290, 95% confidence intervals [CI]: 1.165–1.428). A 10 µg/m3 increase in PM2.5 exposure was associated with a 6% increase in CVD risk (HR = 1.060, 95% CI: 1.028–1.092). A significant additive interaction effect was observed between loneliness and PM2.5 on CVD (P for additive interaction = 0.042). Conclusion: Among Chinese middle and older adults, loneliness and long-term PM2.5 exposure had combined effects on CVD risk. The public health consequences of high PM2.5 exposure are more pronounced among individuals who experience feelings of loneliness. [ABSTRACT FROM AUTHOR] |
| Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 194200472 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Combined effects of social health and long-term exposure to fine particulate matter on cardiovascular disease in Chinese middle-aged and older adults. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Li%2C+Wei%22">Li, Wei</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yang%2C+Yunxiao%22">Yang, Yunxiao</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Guo%2C+Shuai%22">Guo, Shuai</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yi%2C+Jiayi%22">Yi, Jiayi</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Li%2C+Chen%22">Li, Chen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shen%2C+Geng%22">Shen, Geng</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wang%2C+Lin%22">Wang, Lin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chen%2C+Xiuhuan%22">Chen, Xiuhuan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhi%2C+Zhaogong%22">Zhi, Zhaogong</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gao%2C+Hai%22">Gao, Hai</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Jun2026, Vol. 61 Issue 6, p1011-1021. 11p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Loneliness%22">Loneliness</searchLink><br /><searchLink fieldCode="DE" term="%22Particulate+matter%22">Particulate matter</searchLink><br /><searchLink fieldCode="DE" term="%22Older+people%22">Older people</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiovascular+diseases%22">Cardiovascular diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Middle-aged+persons%22">Middle-aged persons</searchLink><br /><searchLink fieldCode="DE" term="%22Social+isolation%22">Social isolation</searchLink><br /><searchLink fieldCode="DE" term="%22Social+medicine%22">Social medicine</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: Social isolation, loneliness, and fine particulate matter (PM2.5) exposure are significant social and environmental factors that frequently cooccur in vulnerable populations. The joint effects of these factors on the risk of cardiovascular disease (CVD), however, are not well supported by data. This study aimed to evaluate the independent and combined effects of social isolation, loneliness, and long-term PM2.5 exposure on CVD risk and to assess the interactions between social isolation or loneliness and PM2.5 exposure on CVD risk. Methods: We used Cox proportional hazards models to estimate the independent and combined effects of loneliness, social isolation, and long-term PM2.5 exposure on CVD incidence. We also conducted interaction analyses to investigate whether the effects of social factors on CVD are modified by the level of PM2.5 exposure. Results: This study included 12,544 participants, with mean age of 58.7 ± 9.4 years. The median follow-up was 7 years, with 1761 CVD events occurred. Individuals with loneliness presented a 29% increased risk of CVD (hazard ratio [HR] = 1.290, 95% confidence intervals [CI]: 1.165–1.428). A 10 µg/m3 increase in PM2.5 exposure was associated with a 6% increase in CVD risk (HR = 1.060, 95% CI: 1.028–1.092). A significant additive interaction effect was observed between loneliness and PM2.5 on CVD (P for additive interaction = 0.042). Conclusion: Among Chinese middle and older adults, loneliness and long-term PM2.5 exposure had combined effects on CVD risk. The public health consequences of high PM2.5 exposure are more pronounced among individuals who experience feelings of loneliness. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194200472 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00127-025-02901-8 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 1011 Subjects: – SubjectFull: Loneliness Type: general – SubjectFull: Particulate matter Type: general – SubjectFull: Older people Type: general – SubjectFull: Cardiovascular diseases Type: general – SubjectFull: Middle-aged persons Type: general – SubjectFull: Social isolation Type: general – SubjectFull: Social medicine Type: general Titles: – TitleFull: Combined effects of social health and long-term exposure to fine particulate matter on cardiovascular disease in Chinese middle-aged and older adults. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Li, Wei – PersonEntity: Name: NameFull: Yang, Yunxiao – PersonEntity: Name: NameFull: Guo, Shuai – PersonEntity: Name: NameFull: Yi, Jiayi – PersonEntity: Name: NameFull: Li, Chen – PersonEntity: Name: NameFull: Shen, Geng – PersonEntity: Name: NameFull: Wang, Lin – PersonEntity: Name: NameFull: Chen, Xiuhuan – PersonEntity: Name: NameFull: Zhi, Zhaogong – PersonEntity: Name: NameFull: Gao, Hai IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 09337954 Numbering: – Type: volume Value: 61 – Type: issue Value: 6 Titles: – TitleFull: Social Psychiatry & Psychiatric Epidemiology Type: main |
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