Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents

Digital

Autores:
Naito, Ryo
Leong, Darryl P.
Bangdiwala, Shrikant Ishver
McKee, Martin
Subramanian, S. V.
Rangarajan, Sumathy
Islam, Shofiqul
Avezum, Alvaro
Yeates, Karen
Lear, Scott A.
Gupta, Rajeev
Yusufali, Afzalhussein
Dans, Antonio L.
Szuba, Andrzej
Alhabib, Khalid F.
Kaur, Manmeet
Rahman, Omar
Seron, Pamela
Diaz, Rafael
Puoane, Thandi
Liu, Weida
Zhu, Yibing
Sheng, Yundong
Lopez-Jaramillo, Patricio
Chifamba, Jephat
Rosnah, Ismail
Karsidag, Kubilay
Kelishadi, Roya
Rosengren, Annika
Khatib, Rasha
K. R., Leela Itty Amma
Iqbal Azam, Syed
Teo, Koon
Yusuf, Salim
Tipo de recurso:
Article of journal
Fecha de publicación:
2021
Institución:
Universidad de Santander
Repositorio:
Repositorio Universidad de Santander
Idioma:
eng
OAI Identifier:
oai:repositorio.udes.edu.co:001/6041
Acceso en línea:
https://repositorio.udes.edu.co/handle/001/6041
Palabra clave:
Rights
openAccess
License
© Author(s) (or their employer(s)) 2021.
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dc.title.spa.fl_str_mv Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents
title Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents
spellingShingle Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents
title_short Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents
title_full Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents
title_fullStr Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents
title_full_unstemmed Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents
title_sort Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents
dc.creator.fl_str_mv Naito, Ryo
Leong, Darryl P.
Bangdiwala, Shrikant Ishver
McKee, Martin
Subramanian, S. V.
Rangarajan, Sumathy
Islam, Shofiqul
Avezum, Alvaro
Yeates, Karen
Lear, Scott A.
Gupta, Rajeev
Yusufali, Afzalhussein
Dans, Antonio L.
Szuba, Andrzej
Alhabib, Khalid F.
Kaur, Manmeet
Rahman, Omar
Seron, Pamela
Diaz, Rafael
Puoane, Thandi
Liu, Weida
Zhu, Yibing
Sheng, Yundong
Lopez-Jaramillo, Patricio
Chifamba, Jephat
Rosnah, Ismail
Karsidag, Kubilay
Kelishadi, Roya
Rosengren, Annika
Khatib, Rasha
K. R., Leela Itty Amma
Iqbal Azam, Syed
Teo, Koon
Yusuf, Salim
dc.contributor.author.none.fl_str_mv Naito, Ryo
Leong, Darryl P.
Bangdiwala, Shrikant Ishver
McKee, Martin
Subramanian, S. V.
Rangarajan, Sumathy
Islam, Shofiqul
Avezum, Alvaro
Yeates, Karen
Lear, Scott A.
Gupta, Rajeev
Yusufali, Afzalhussein
Dans, Antonio L.
Szuba, Andrzej
Alhabib, Khalid F.
Kaur, Manmeet
Rahman, Omar
Seron, Pamela
Diaz, Rafael
Puoane, Thandi
Liu, Weida
Zhu, Yibing
Sheng, Yundong
Lopez-Jaramillo, Patricio
Chifamba, Jephat
Rosnah, Ismail
Karsidag, Kubilay
Kelishadi, Roya
Rosengren, Annika
Khatib, Rasha
K. R., Leela Itty Amma
Iqbal Azam, Syed
Teo, Koon
Yusuf, Salim
dc.contributor.researchgroup.spa.fl_str_mv Masira
description Digital
publishDate 2021
dc.date.issued.none.fl_str_mv 2021-03-22
dc.date.accessioned.none.fl_str_mv 2022-02-17T23:08:30Z
dc.date.available.none.fl_str_mv 2022-02-17T23:08:30Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.doi.none.fl_str_mv 10.1136/ bmjgh-2020-004124
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dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationendpage.spa.fl_str_mv 11
dc.relation.citationissue.spa.fl_str_mv 4124
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dc.relation.citationvolume.spa.fl_str_mv 6
dc.relation.cites.none.fl_str_mv Naito R, Leong DP, Bangdiwala SI, et al. Impact of social isolation on mortality and morbidity in 20 highincome, middle-income and low-income countries in five continents. BMJ Global Health 2021;6:e004124. doi:10.1136/ bmjgh-2020-004124
dc.relation.indexed.spa.fl_str_mv Scopus
dc.relation.ispartofjournal.spa.fl_str_mv Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents
dc.rights.spa.fl_str_mv © Author(s) (or their employer(s)) 2021.
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
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dc.rights.creativecommons.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)
dc.rights.uri.spa.fl_str_mv https://creativecommons.org/licenses/by-nc/4.0/
rights_invalid_str_mv © Author(s) (or their employer(s)) 2021.
Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)
https://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.extent.spa.fl_str_mv 11 p
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv BMJ Journals
dc.publisher.place.spa.fl_str_mv Reino Unido
dc.source.spa.fl_str_mv https://gh.bmj.com/content/6/3/e004124
institution Universidad de Santander
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spelling Naito, Ryoc823a081-e6ff-47cd-895a-effa9864d993-1Leong, Darryl P.707b53c2-976c-44c2-a420-3de6a35f35e8-1Bangdiwala, Shrikant Ishver3d972634-a453-4c77-82b8-898d6b7da1f4-1McKee, Martin5258b372-6b7d-4e6f-aaa6-0e81538245af-1Subramanian, S. V.74b67b35-b5bb-4dc5-a53a-a9a6a6404adf-1Rangarajan, Sumathy5466c363-e515-4bd2-8537-eb839320f385-1Islam, Shofiqule02df6ce-a317-49c4-8ebd-72d82c266011-1Avezum, Alvaro8b920360-abb2-4ec8-b5ee-4e3f4e0b11eb-1Yeates, Karen79418492-ec06-4cc6-831a-4bf5b245b584-1Lear, Scott A.19eb29a4-5987-41b9-a400-130692ec0232-1Gupta, Rajeevde1826df-aac8-4d9f-9b84-f21ba704686c-1Yusufali, Afzalhussein2c177fd9-b761-4f07-b754-1e05fe659a48-1Dans, Antonio L.d12865ad-4f3c-47bb-85b5-3f7e16c5cc30-1Szuba, Andrzej66d9d177-80f1-4191-9e5f-ef493dc7c253-1Alhabib, Khalid F.e4f1522a-5a72-4a8a-ba9e-96c458d47be6-1Kaur, Manmeet857257e4-cebb-4bea-8d9b-e134b46dc72b-1Rahman, Omar2fdf224c-97c9-4fb0-b7a9-ea79427bc631-1Seron, Pamela95c6e76c-9891-4782-a399-b592acec2294-1Diaz, Rafaelf2be4a74-501a-4e63-8bbd-965cbcf8c57b-1Puoane, Thandi0bb642d7-486f-4e70-bebc-8f2b69ec182f-1Liu, Weida2581488b-2078-406e-925b-f00a5b4298fa-1Zhu, Yibingf8d23f3f-732c-46d7-a475-05694ecf45bf-1Sheng, Yundong0309cc34-7a15-4e2a-adf4-9753ebf326eb-1Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Chifamba, Jephatf2496279-e934-40b8-8f61-0039a09f03f8-1Rosnah, Ismail8104171a-2d34-448c-bf17-bede6b6182c3-1Karsidag, Kubilay9030ea3d-7c87-4efc-b74b-c43dad8021fc-1Kelishadi, Roya4cdb25d6-6e41-4905-a399-c9d53f250b42-1Rosengren, Annika923779f9-3a92-4086-b3d9-9d78974926d9-1Khatib, Rasha7beae0a6-cfd5-4272-bf8c-1b5896fed8e5-1K. R., Leela Itty Amma8fb18c8e-100b-4664-ad0c-bc9d7cb3840b-1Iqbal Azam, Syed131047ad-789f-4b3e-a905-e872f37d8147-1Teo, Koon60475883-56ab-4acc-833d-b027ad828534-1Yusuf, Salim06a836b5-f5e3-41d9-a516-9cc46e5d7948-1Masira2022-02-17T23:08:30Z2022-02-17T23:08:30Z2021-03-22DigitalObjective 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 119894 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 middleincome and high-income countries compared with lowincome 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). The HR associated with social isolation was greater in men than women and in younger than older individuals. Mediation analyses for the association between social isolation and mortality showed that unhealthy behaviours and comorbidities may account for about one-fifth of the association. Conclusion Social isolation is associated with increased risk of mortality in countries at different economic levels. The increasing share of older people in populations in many countries argues for targeted strategies to mitigate its adverse effectsCiencias Médicas y de la Salud11 papplication/pdf10.1136/ bmjgh-2020-004124https://repositorio.udes.edu.co/handle/001/6041engBMJ JournalsReino Unido11412416Naito R, Leong DP, Bangdiwala SI, et al. Impact of social isolation on mortality and morbidity in 20 highincome, middle-income and low-income countries in five continents. BMJ Global Health 2021;6:e004124. doi:10.1136/ bmjgh-2020-004124ScopusImpact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents© Author(s) (or their employer(s)) 2021.info:eu-repo/semantics/openAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2https://gh.bmj.com/content/6/3/e004124Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continentsArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationORIGINALImpact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents.pdfImpact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents.pdfapplication/pdf241413https://repositorio.udes.edu.co/bitstreams/3226495e-e3f6-4a54-91a3-eadb1a10431f/download06f5def97b87b8ecb0a8a215861897e0MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-859https://repositorio.udes.edu.co/bitstreams/22285803-46b3-4426-a0ee-f7dfd4e6cf95/download38d94cf55aa1bf2dac1a736ac45c881cMD52TEXTImpact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents.pdf.txtImpact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents.pdf.txtExtracted texttext/plain5https://repositorio.udes.edu.co/bitstreams/2872f34e-c3f8-47f1-b886-46c6728359fb/download5dbe86c1111d64f45ba435df98fdc825MD53THUMBNAILImpact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents.pdf.jpgImpact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents.pdf.jpgGenerated Thumbnailimage/jpeg13092https://repositorio.udes.edu.co/bitstreams/b4b38962-bc03-478f-b572-8ad12d8e08bc/downloadcd19ab33412683c32d06e0f076be1a65MD54001/6041oai:repositorio.udes.edu.co:001/60412023-10-09 16:55:01.155https://creativecommons.org/licenses/by-nc/4.0/© Author(s) (or their employer(s)) 2021.https://repositorio.udes.edu.coRepositorio Universidad de Santandersoporte@metabiblioteca.comTGljZW5jaWEgZGUgUHVibGljYWNpw7NuIFVERVMKRGlyZWN0cmljZXMgZGUgVVNPIHkgQUNDRVNPCgo=