The DOI matches its Crossref record; 21 of the 22 references it cites were found in a registry or an index.
Loneliness and health-related quality of life for the empty nest elderly in the rural area of a mountainous county in China
Abstract
Objective To estimate whether loneliness was associated with quality of life and examined the influence of socio-economic factors in the empty nest elderly.Methods The 36-Item Short-Form Health Survey (SF-36) and UCLA Loneliness Scale (UCLA-LS) were used to assess the quality of life and loneliness for 275 empty nest and 315 not empty nest rural elders in a county, China. T tests, Pearson's correlations and linear regression analysis were used to examine the difference in SF-36 and UCLA-LS scores, correlations of the two scores between the two groups, and socio-economic determinants of loneliness among the empty nest elders.Results Empty nest group, in comparison with not empty nest group, had higher level of loneliness (95% confidence interval [CI] = -3.361 to -.335), lower physical (95% CI = .228 to 6.044) and mental (95% CI = .866 to 6.380) scores. Loneliness was negatively correlated with all the 36-Item Short-Form Health Survey scales in both groups. Social supports and income were negatively associated with loneliness, whereas education level and being single were positively associated with loneliness for the empty nest group.Conclusions Reducing the level of loneliness may be helpful to improve the quality of life for the empty nest elders.
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“Consequently, widowhood or loss of their partner may increase loneliness [19].”
From Factors associated with loneliness in a national study among persons 80 years and older in India in 2017-2018 (2025) · cites this paper as [19]
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“Hence, the findings of this study might not generalize to empty nesters who live in other areas of China.”
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“Many no longer live in their rural villages because they are being pushed from their urban homes into the ghettos or impoverished housings and apartments (AARP, 2010b). in China, filial piety still remains the official ideology of the government and society, and it is employed to instill a strong sense of responsibili…”
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Mesgar, S., Nasab, Z. A., Nakhaei, M. H., Sharifzadeh, G., & Javadinia, S. A. (2015) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 2
Determinants of the Applications to the Institutional Care in Turkey: Darulaceze Example
Esendemir, Ş. (2013) · doi:10.12794/metadc271811 · Cited by 2
Perceptions of Empty Nest Mothers From Diverse Socioeconomic Backgrounds With Boomerang Kids
Lary, B. K. (2015) · ScholarWorks (Walden University) · Cited by 2
Su, H., Zhou, Y., Cao, J., & Wang, H. (2020) · doi:10.21203/rs.2.20625/v1 · Cited by 2
“The social support is one Page 4/18 of important factors that produce effects on empty nesters' mental health[1](Liu & Guo,2007).”
BackgroundHu, M., Hu, H., Shu, X., & Feng, H. (2020) · doi:10.21203/rs.2.20276/v1 · Cited by 2
“In China, the increasing life expectancy and employment of women, drop in birth rate and other changes have resulted in the rise in the number of elderly people living alone (they are called ‘empty-nest elderly’), and they are more likely to suffer a high level of loneliness[20].”
BackgroundZhao, X., Zhang, Y., & Wan, M. (2025) · The International Journal of Aging and Human Development · doi:10.1177/00914150251352196 · Cited by 1
“…process of urbanization, increasing life expectancy, declining birth rates, and migration of rural surplus labor to urban areas (Liu et al., 2007; Liu & Guo, 2007), the phenomenon of “ empty-nesters ” has shifted from being perceived as a problem to an unavoidable reality, posing signi fi cant…”
Liang, Z., Li, C.-Y., Sui, S., He, Z., Ren, Y., Zhou, Z., & Kim, K. (2025) · Healthcare · doi:10.3390/healthcare13131545 · Cited by 1
“Although these activities entail physical effort, they may not address the underlying psychological stress, feelings of social isolation, or feelings of loneliness [67].”
The impact of mental health on the technical efficiency of Chinese arable farmers
Kang, S., Frick, F., & Sauer, J. (2025) · Journal of Rural Studies · doi:10.1016/j.jrurstud.2025.103897 · Cited by 1
Vivekananthan, K., Esakki, S., Arumugam, S., & Ponnusamy, R. (2025) · Springer eBooks · doi:10.1007/978-981-99-7842-7_255 · Cited by 1
Volunteering of Former Caregivers: A Pilot Intervention Study in the Chinese American Community
Liu, J., Cheung, E. S. L., & Lou, Y. (2025) · Journal of Applied Gerontology · doi:10.1177/07334648251412641 · Cited by 1
Jin, Q., Peng, C., & Zhou, T. (2026) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2026.103395 · Cited by 1
“The physical health level of empty-nest elderly is significantly lower than that of non-empty-nest elderly (Liu and Guo, 2007).”
Avis, N. E., Crawford, S., & Colvin, A. B. (2026) · Frontiers in Aging · doi:10.3389/fragi.2026.1813024 · Cited by 1
Zhou, Y., & Xu, L. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1726172 · Cited by 1
“Third, the “empty nest” transition frees time, while this group lacks the established non-digital routines of retirees (35, 36).”
Are expectations for community mental health increasing among older adults in China?
Olesiuk, W. J., & Wu, B. (2017) · Psychological Services · doi:10.1037/ser0000084 · Cited by 1
“As described above, rural residents face a unique set of challenges related to mental health (F. Chen & Short, 2008; Keung Wong et al., 2007; Xiaoming Li et al., 2006; Liu & Guo, 2007; Phillips et al., 2009; Wu et al., 2009).”
Background
Metadata
- Authors
- Liu, L.-J., & Guo, Q.
- Affiliations
- Second Military Medical University (CN)
- Corresponding author
- Guo, Qiang
- ORCID
- Guo, Qiang
- Venue
- Quality of Life Research
- Published
- 2007-08-17
- Volume
- 16
- Issue
- 8
- Pages
- 1275-1280
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W1982635562
- Cited by
- 242
- References
- 22
- Citations by year
- 2026: 12 · 2025: 19 · 2024: 12 · 2023: 17 · 2022: 19 · 2021: 23 · 2020: 16 · 2019: 21 · 2018: 12 · 2017: 19 · 2016: 8 · 2015: 12 · 2014: 14 · 2013: 10 · 2012: 6
- FWCI
- 5.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Keywords
- loneliness, empty nest elderly, health-related quality of life, rural elderly, social support, income, educational attainment, marital status, socio-economic determinants, mountainous counties
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, China, Family Relations, Female, Geography, Health Status, Health Surveys, Humans, Interpersonal Relations, Male, Middle Aged, Psychological Tests, Psychometrics, Quality of Life, Rural Population, Social Isolation, Social Support, Socioeconomic Factors
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