{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T15:47:06Z","timestamp":1794066426749,"version":"4.8.0"},"reference-count":81,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2009,3,1]],"date-time":"2009-03-01T00:00:00Z","timestamp":1235865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Health Soc Behav"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:p>Previous research has identified a wide range of indicators of social isolation that pose health risks, including living alone, having a small social network, infrequent participation in social activities, and feelings of loneliness. However, multiple forms of isolation are rarely studied together, making it difficult to determine which aspects of isolation are most deleterious for health. Using population-based data from the National Social Life, Health, and Aging Project, we combine multiple indicators of social isolation into scales assessing social disconnectedness (e.g., small social network, infrequent participation in social activities) and perceived isolation (e.g., loneliness, perceived lack of social support). We examine the extent to which social disconnectedness and perceived isolation have distinct associations with physical and mental health among older adults. Results indicate that social disconnectedness and perceived isolation are independently associated with lower levels of self-rated physical health. However, the association between disconnectedness and mental health may operate through the strong relationship between perceived isolation and mental health. We conclude that health researchers need to consider social disconnectedness and perceived isolation simultaneously.<\/jats:p>","DOI":"10.1177\/002214650905000103","type":"journal-article","created":{"date-parts":[[2010,1,5]],"date-time":"2010-01-05T17:59:50Z","timestamp":1262714390000},"page":"31-48","source":"Crossref","is-referenced-by-count":1738,"title":["Social Disconnectedness, Perceived Isolation, and Health among Older Adults"],"prefix":"10.1177","volume":"50","author":[{"given":"Erin York","family":"Cornwell","sequence":"first","affiliation":[{"name":"Erin York Cornwell is a postdoctoral research associate in the Department of Sociology at Cornell University. She was the project coordinator for the first wave of the National Social Life, Health, and Aging Project (NSHAP), which provided the data for this article. She is interested in how social context and social relationships shape individuals' life chances. Her dissertation research used NSHAP data to examine how household disorder affects older adults' health and social connectedness. A forthcoming..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda J.","family":"Waite","sequence":"additional","affiliation":[{"name":"Linda J.Waite is Lucy Flower Professor of Sociology and Director of the Center on Aging at the University of Chicago. She was the principal investigator for the National Social Life, Health and Aging Study. She is co-author, with Frances Goldscheider, of New Families, No Families?: The Transformation of the American Home (University of California Press, 1991), winner of the Duncan Award from the American Sociological Association. She is also author, with Maggie Gallagher, of The Case for Marriage: 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