Investigating the association between social participation and all-cause mortality risk among Chinese middle-aged and older adults
ObjectiveWhile the association between social participation and all-cause mortality has been investigated to some extent, the link remains inconclusive, especially in China. This study aimed to investigate the association between social participation and all-cause mortality among middle-aged and old...
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Frontiers Media S.A.
2025-07-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1596215/full |
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| author | Zhengxing Xu Xuehui Gan Jiaxin Zeng Peijing Yan Chao Yang |
| author_facet | Zhengxing Xu Xuehui Gan Jiaxin Zeng Peijing Yan Chao Yang |
| author_sort | Zhengxing Xu |
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| description | ObjectiveWhile the association between social participation and all-cause mortality has been investigated to some extent, the link remains inconclusive, especially in China. This study aimed to investigate the association between social participation and all-cause mortality among middle-aged and older adult people in China.MethodsUsing data from the China Health and Retirement Longitudinal Study, and altogether 15,883 participants were included. The Cox proportional hazards regression model was used to assess the relationship between social participation and all-cause mortality, and subgroup analyses were conducted by age (< 60 years, ≥ 60 years) and sex.ResultsWith a median follow-up of 9.01 years, 2,175 participants developed deaths. Results from multivariable Cox regression modeling showed participants who participated in social activities had an all-cause risk of death of 0.88 (HR = 0.88, 95% CI: 0.78, 0.99) compared with those who did not. Further analyses showed that compared with participants with no social participation, those with 1 item of social participation had an all-cause mortality risk of 0.93 (HR = 0.93, 95% CI: 0.81, 1.06), and those with ≥ 2 items were 0.77 (HR = 0.77, 95% CI: 0.64, 0.94). In addition, subgroup analyses showed no age (Pinteraction = 0.571) or sex (Pinteraction = 0.440) differences in the relationship between the both.ConclusionOur results suggest social participation is an independent protective factor for all-cause death among middle-aged and older adult people in China. Active social participation helps to reduce the risk of death. |
| format | Article |
| id | doaj-art-58533276f73f4c11979529b81eb8a507 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-58533276f73f4c11979529b81eb8a5072025-08-20T03:50:43ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.15962151596215Investigating the association between social participation and all-cause mortality risk among Chinese middle-aged and older adultsZhengxing Xu0Xuehui Gan1Jiaxin Zeng2Peijing Yan3Chao Yang4School of Public Health, Southwest Medical University, Luzhou, Sichuan, ChinaSchool of Public Health, Southwest Medical University, Luzhou, Sichuan, ChinaDepartment of General Surgery (Hepatobiliary Surgery), The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaClinical Research Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, ChinaSchool of Public Health, Southwest Medical University, Luzhou, Sichuan, ChinaObjectiveWhile the association between social participation and all-cause mortality has been investigated to some extent, the link remains inconclusive, especially in China. This study aimed to investigate the association between social participation and all-cause mortality among middle-aged and older adult people in China.MethodsUsing data from the China Health and Retirement Longitudinal Study, and altogether 15,883 participants were included. The Cox proportional hazards regression model was used to assess the relationship between social participation and all-cause mortality, and subgroup analyses were conducted by age (< 60 years, ≥ 60 years) and sex.ResultsWith a median follow-up of 9.01 years, 2,175 participants developed deaths. Results from multivariable Cox regression modeling showed participants who participated in social activities had an all-cause risk of death of 0.88 (HR = 0.88, 95% CI: 0.78, 0.99) compared with those who did not. Further analyses showed that compared with participants with no social participation, those with 1 item of social participation had an all-cause mortality risk of 0.93 (HR = 0.93, 95% CI: 0.81, 1.06), and those with ≥ 2 items were 0.77 (HR = 0.77, 95% CI: 0.64, 0.94). In addition, subgroup analyses showed no age (Pinteraction = 0.571) or sex (Pinteraction = 0.440) differences in the relationship between the both.ConclusionOur results suggest social participation is an independent protective factor for all-cause death among middle-aged and older adult people in China. Active social participation helps to reduce the risk of death.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1596215/fullsocial participationall-cause mortalitymiddle-aged and older adultsprospective cohort studyChina Health and Retirement Longitudinal Study |
| spellingShingle | Zhengxing Xu Xuehui Gan Jiaxin Zeng Peijing Yan Chao Yang Investigating the association between social participation and all-cause mortality risk among Chinese middle-aged and older adults Frontiers in Public Health social participation all-cause mortality middle-aged and older adults prospective cohort study China Health and Retirement Longitudinal Study |
| title | Investigating the association between social participation and all-cause mortality risk among Chinese middle-aged and older adults |
| title_full | Investigating the association between social participation and all-cause mortality risk among Chinese middle-aged and older adults |
| title_fullStr | Investigating the association between social participation and all-cause mortality risk among Chinese middle-aged and older adults |
| title_full_unstemmed | Investigating the association between social participation and all-cause mortality risk among Chinese middle-aged and older adults |
| title_short | Investigating the association between social participation and all-cause mortality risk among Chinese middle-aged and older adults |
| title_sort | investigating the association between social participation and all cause mortality risk among chinese middle aged and older adults |
| topic | social participation all-cause mortality middle-aged and older adults prospective cohort study China Health and Retirement Longitudinal Study |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1596215/full |
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