{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:28:09Z","timestamp":1793320089288,"version":"4.5.0"},"reference-count":66,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T00:00:00Z","timestamp":1710720000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aims to investigate the impact of social isolation on the utilization of primary health services among older adults in China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the China Longitudinal Aging Social Survey (CLASS) conducted in 2018 were utilized. A binary logistic regression model was established, and propensity score matching (PSM) was employed for analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results of the binary logistic regression showed that family isolation within social isolation had a significant negative impact on the utilization of primary health services for older adults. In contrast, there was no significant association between friend isolation, community isolation, and the utilization of primary health services. Furthermore, the PSM results, using three matching methods (nearest neighbor matching, radius matching, and kernel matching), confirmed that family isolation significantly reduced older adults\u2019 utilization of primary health services, consistent with the baseline regression findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Reducing the occurrence of family isolation among older adults may be a cost-effective intervention measure. Efforts should be directed toward improving family support for older adults, promoting the utilization of primary health services, and strengthening disease prevention.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1341304","type":"journal-article","created":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T04:32:26Z","timestamp":1710736346000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Exploring the association between social isolation and utilization of primary health services by older adults: evidence from China"],"prefix":"10.3389","volume":"12","author":[{"given":"Xinlong","family":"Xie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanxia","family":"Lyu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiruo","family":"Zhuang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aijun","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,3,18]]},"reference":[{"key":"ref1","year":"2022"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1016\/j.maturitas.2018.04.014","article-title":"Preventing social isolation in older people[J]","volume":"113","author":"Cotterell","year":"2018","journal-title":"Maturitas"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e0205062","DOI":"10.1371\/journal.pone.0205062","article-title":"Social isolation and multiple chronic diseases after age 50: a European macro-regional analysis","volume":"13","author":"Cantarero-Prieto","year":"2018","journal-title":"PLoS One"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12889-020-8251-6","article-title":"Loneliness and social isolation interventions for older adults: a scoping review of reviews","volume":"20","author":"Fakoya","year":"2020","journal-title":"BMC Public Health"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1093\/ageing\/afx188","article-title":"Social isolation and loneliness as risk factors for the progression of frailty: the English longitudinal study of ageing","volume":"47","author":"Gale","year":"2018","journal-title":"Age Ageing"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1142","DOI":"10.1016\/j.jad.2020.06.011","article-title":"Social withdrawal in major depressive disorder: a case-control study of hikikomori in Japan","volume":"274","author":"Teo","year":"2020","journal-title":"J Affect Disord"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1007\/s12529-018-9752-x","article-title":"Why is social isolation among older adults associated with depressive symptoms? 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