{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T05:05:04Z","timestamp":1789707904998,"version":"4.0.1"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"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>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Loneliness in later life is closely linked to older adults' living environments and psychosocial resources. Although digital inclusion has received increasing attention in aging societies, less is known about whether perceived healthy community environments remain relevant to loneliness among older adults. This study examined whether community belongingness (CB) and multi-source received social support (MRSS) formed indirect psychosocial pathways linking perceived healthy community environment (PHCE) to loneliness among older adults in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were drawn from a face-to-face cross-sectional survey conducted across 21 communities in Wuxi, China. The analytical sample included 469 adults aged 60 years or older. A serial multiple mediator model was estimated using 5,000 bootstrap samples to assess indirect associations. Models adjusted for demographic, socioeconomic, health-related, and technology-related covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Higher PHCE was associated with stronger CB and higher MRSS. CB and MRSS were both negatively associated with loneliness, whereas the direct association between PHCE and loneliness was not statistically significant after these psychosocial variables were included. Bootstrap analyses indicated statistically significant indirect associations through CB [effect = \u22120.085, 95% CI (-0.197,\u22120.004)], through MRSS [effect = \u22120.046, 95% CI (-0.125,\u22120.010)], and through the sequential PHCE\u2013CB\u2013MRSS\u2013loneliness pathway [effect = \u22120.027, 95% CI (-0.082,\u22120.006)]. Sensitivity analyses showed that MRSS-related pathways were attenuated after adjustment for e-health literacy, while the pathway through CB remained more stable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Perceived healthy community environments may be linked to lower loneliness among older adults through psychosocial pathways involving belongingness and received social support. These findings suggest that community-based loneliness prevention should attend not only to physical and service environments, but also to older adults' psychological attachment and accessible support resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1940959","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T04:30:18Z","timestamp":1789705818000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived healthy community environment and loneliness among older adults in China: indirect psychosocial pathways through community belongingness and multi-source received social support"],"prefix":"10.3389","volume":"14","author":[{"given":"Sheng","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Sociology, School of Law, Jiangnan University","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiwen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sociology, School of Law, Jiangnan University","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongdong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sociology, School of Law, Jiangnan University","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"B1","article-title":"2024 National Report on the Development of Aging Cause","author":"MCA","year":"2025"},{"key":"B2","doi-asserted-by":"publisher","first-page":"105082","DOI":"10.1016\/j.ijnurstu.2025.105082","article-title":"Digital exclusion in older adults: a scoping review","volume":"168","author":"Ge","year":"2025","journal-title":"Int J Nurs Stud"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1037\/10044-020","article-title":"Ecology and the aging process","author":"Lawton","year":"","journal-title":"p"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1997","DOI":"10.1093\/gerona\/glab128","article-title":"Associations of Loneliness and Social Isolation With Health Span and Life Span in the US Health and Retirement Study","volume":"76","author":"Crowe","year":"2021","journal-title":"J Gerontol A Biol Sci Med Scis"},{"key":"B5","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1007\/s00391-023-02186-z","article-title":"Digital transformations in ageing societies challenges and opportunities for inclusive digitalization","volume":"56","author":"Wanka","year":"2023","journal-title":"Z Gerontol Geriatr"},{"key":"B6","doi-asserted-by":"publisher","first-page":"2284","DOI":"10.1186\/s12889-025-23449-x","article-title":"The role of ICT use in reducing social isolation among older adults during the COVID-19 pandemic: evidence from frail and healthy older adults in Sakai City, Japan","volume":"25","author":"Huang","year":"2025","journal-title":"BMC Public Health"},{"key":"B7","doi-asserted-by":"publisher","first-page":"103036","DOI":"10.1016\/j.healthplace.2023.103036","article-title":"Sallis J. 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