{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T18:17:44Z","timestamp":1784053064552,"version":"3.55.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Scientific research project of \u201c15851\u201d talents and elites in ZunYi city","award":["[2017]1223"],"award-info":[{"award-number":["[2017]1223"]}]},{"name":"postdoctoral Fellowship from the NHMRC","award":["1072053"],"award-info":[{"award-number":["1072053"]}]},{"name":"The Startup Foundation for Doctors (Masters)of ZunYi Medical University","award":["Grant No.: F-750,No.:24"],"award-info":[{"award-number":["Grant No.: F-750,No.:24"]}]},{"DOI":"10.13039\/501100012456","name":"National Social Science Foundation of China","doi-asserted-by":"crossref","award":["National Social Science Foundation of China"],"award-info":[{"award-number":["National Social Science Foundation of China"]}],"id":[{"id":"10.13039\/501100012456","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Qian: Science and technology cooperation foundation project","award":["Grant No.: [2017]1223,1226"],"award-info":[{"award-number":["Grant No.: [2017]1223,1226"]}]},{"name":"National Health and Medical Research Council (NHMRC) Fellowship cofunded with the Heart Foundation","award":["1063761"],"award-info":[{"award-number":["1063761"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe health-related quality of life (HRQoL), sex differences in HRQoL, and factors affecting the HRQoL of elderly people living alone in urban areas of Shaanxi Province, China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cohort was obtained using multistage stratified cluster random sampling. We collected cross-sectional data using surveys. HRQoL was measured using the 36-item Short Form Health Survey. Multivariable multilevel linear regression analysis was used to examine factors associated with mental and physical health component summary scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 442 elderly Chinese individuals who lived alone completed the survey (mean age 73 years, women: 59%). Women were more likely to report better mental health than men. Factors significantly associated with reduced mental health scores were older age, having never been married or being divorced, and having a history of cancer, urinary tract disease, fractures or gastrointestinal disorders. Factors associated with physical health were having never been married or being divorced and having hypertension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>To our knowledge, this is the first study to describe HRQoL in a representative sample of elderly people living alone in urban areas of Shaanxi, China. Poor physical and mental HRQoL in this elderly Chinese population was mainly associated with chronic diseases and demographic factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060520913146","type":"journal-article","created":{"date-parts":[[2020,4,7]],"date-time":"2020-04-07T06:57:57Z","timestamp":1586242677000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Health-related quality of life among elderly individuals living alone in an urban area of Shaanxi Province, China: a cross-sectional study"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9023-4254","authenticated-orcid":false,"given":"Ning","family":"Liu","sequence":"first","affiliation":[{"name":"School of Nursing, Zhu Hai Campus of Zunyi Medical University, Zhu Hai, GuangDong Province, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine E.","family":"Andrew","sequence":"additional","affiliation":[{"name":"Department of Medicine, Peninsula Clinical School, Monash University, Clayton, VIC, Australia"},{"name":"Translational Public Health Unit, Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique A.","family":"Cadilhac","sequence":"additional","affiliation":[{"name":"Translational Public Health Unit, Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia"},{"name":"Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuewen","family":"Yu","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Xi\u2019an Jiaotong University, Xi\u2019an, Shaanxi Province, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhe","family":"Li","sequence":"additional","affiliation":[{"name":"Network Operations Management Center, Zhu Hai Campus of Zunyi Medical University, Zhu Hai, GuangDong Province, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jue","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Life Science and Technology, Xi\u2019an Jiaotong University, Xi\u2019an, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Liang","sequence":"additional","affiliation":[{"name":"School of Public Administration, Nanjing University of Finance & Economics, Nanjing, P. R. 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Declaration of Helsinki, ethical principles for medical research involving human subjects. 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DOI: 10.1186\/1471-2458-12-S1-S8.","DOI":"10.1186\/1471-2458-12-S1-S8"},{"key":"bibr34-0300060520913146","doi-asserted-by":"publisher","DOI":"10.1080\/01634372.2018.1489928"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060520913146","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0300060520913146","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060520913146","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:45:47Z","timestamp":1777459547000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0300060520913146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4]]},"references-count":34,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1177\/0300060520913146"],"URL":"https:\/\/doi.org\/10.1177\/0300060520913146","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4]]},"article-number":"0300060520913146"}}