Mediation Effect Of Social Support Research Articles

The Impact of Problematic Internet Use on Adolescent Loneliness-Chain Mediation Effects of Social Support and Family Communication.

To explore the relationship between adolescents' problematic Internet use and loneliness and the mediating roles of social support and family communication. A questionnaire survey of 2483 adolescents aged 12-17 years in 148 cities in China was conducted using the Problematic Internet Use Scale, the Collaborative Social Support Scale, the Family Communication Scale, and the Loneliness Scale. The data were statistically analyzed by SPSS 26.0 and validated by AMOS 28.0. Structural equation modelling (SEM) was conducted to test the effects of problematic Internet use on adolescents' loneliness and the mediating effects of perceptions of social support and family communication. There was a significant positive effect of adolescents' problematic Internet use on loneliness (B-0.471, P<0.001), and the mediating effects of perceptual social support (0.003, 0.012) and family communication (0.008, 0.019) were found to play a chain effect between adolescents' problematic Internet use and loneliness, respectively. Use and feelings of loneliness played a chain mediating role (0.002, 0.006). This study identified the effects of adolescent problematic Internet use on loneliness and its mechanism of action, emphasized the importance of social support and family communication, and provided practical insights for improving family parenting styles and preventing and intervening in adolescent loneliness problems.

What Drives Health Information Exchange on Social Media? Social Media Affordances and Social Support Perspectives

ABSTRACT Despite the prevalence of health communication on social media, the mechanisms by which social media affect health information exchange have received less than adequate investigation. By integrating the lenses of affordance and social support, this study examines the effect of social media affordances on health information exchange, with a particular focus on the mediation effect of social support and the boundary condition of health consciousness. Results of an online survey indicated that the affordances of information accessibility and metavoicing are positively related to both general and experiential informational support. Moreover, the affordance of association is positively related to experiential informational support and emotional support. Additionally, three types of social support have positive effects on health information exchange, and health consciousness positively moderates the effect of experiential informational support on health information exchange. This study enriches existing literature by revealing the underlying mechanisms and boundary conditions of the relationship between social media affordances and health information exchange. Furthermore, it provides new insights for practitioners to promote health information exchange on social media.

Subjective memory complaints and medication adherence among hypertensive Korean older adults with multimorbidity: mediating effect of depression and social support

Background & Aim(s)Medication adherence (MA) is a key factor in maintaining adequate blood pressure and preventing complications. However, some older adults experience difficulties in taking medicine properly due to declines in cognitive function. Although subjective memory complaints (SMC) are recognized as early markers of cognitive impairment, previous studies concerning the relationship between MA and cognitive function have focused only on objective cognitive function. Furthermore, while depression has a high correlation with SMC, low MA, and social support, there is limited evidence on their relationship. This study aims to understand the effect of SMC on MA and the mediating effect of depression and social support.Method(s)This study is a descriptive cross-sectional investigation. A sample of 195 community-dwelling hypertensive older adults with multimorbidity from 3 community senior centers in Gwangju, South Korea were recruited through convenience sampling. Data was collected through face-to-face survey from January to March 2018. The PROCESS macro v4.2 program [Model 6] was used to analyze the mediating effect of depression and social support in the relationship between SMC and MA. Data analysis was performed using SPSS/WIN 26.0 and STATA MP 17.0.ResultsThe average MA was 6.74. There were significant differences in MA according to awareness of prescribed drugs, awareness of side effects, insomnia, and healthcare accessibility. SMC was positively correlated with depression, while social support and MA were negatively correlated. While depression was a significant mediator of the effect of SMC on MA, the mediating effect of social support was not significant. The multiple mediation effect of depression and social support was not significant.ConclusionThe results suggest that medication management of older adults in community settings should be accompanied by a comprehensive health assessment of associated factors. Health professionals should explore strategies to improve memory as well as prevent and alleviate depression to increase MA among hypertensive older adults with multimorbidity.

Social support as a mediator between mental health and stigma among newly HIV-positive men who have sex with men.

The sociocultural context of China gives rise to unique experiences of HIV-related stigma and adverse impacts on mental health among men who have sex with men (MSM) living with HIV. However, few studies have explored the stigma among families in the cultural context of China and the role of social support as a mediator to explain how HIV-related stigma results in poor psychological well-being. This study aims to test the mediating effect of social support between HIV-related stigma and family stigma on the mental health of MSM. This cross-sectional study recruited newly MSM with HIV in two cities (Beijing and Wuhan) in China as participants from February 2021 to August 2022. A total of 257 MSM with HIV were recruited for the study. The mediating effects were examined using mediation models (SAS PROC CAUSALMED). The overall total effect of HIV-related stigma on mental health was β = -1.483 (bootstrap 95% CI = -1.881, -1.104 p < 0.001), and the mediating effect of social support was β = -0.321 (bootstrap 95% CI = -0.571, -0.167 p = .001). A higher level of stigma from family predicts lower mental health with an overall total effect of β = -1.487 (bootstrap 95% CI = -1.823, -1.101 p < 0.001), while the indirect effect (mediation effect) of social support on mental health is β = -0.281 (bootstrap 95% CI = -0.477, -0.142 p = .003). Given the mediating effect of social support on mental health, programs enhancing social support and decreasing stigmatization should be designed to improve the mental health of MSM with HIV, the interventions are needed at both the family and community levels. Public health campaigns in China that frame HIV and same-sex behavior as chronic issues and normal phenomena can correct misinformation related to HIV and MSM that leads to stigma and negative emotional reactions.

MATERIAL DEPRIVATION AND LONELINESS AMONG OLDER ADULTS IN HONG KONG

Abstract Given that poverty as a risk factor on loneliness is understudied, this study examined the relationship between material deprivation and loneliness of older adults in Hong Kong, the mediation effects of social support and social network, and the moderation effects of social support and social engagement. A two-wave data were collected from 1,696 Chinese older adults between 2015 (T1) and 2017 (T2). All Chinese older adults aged 60 years and above, with 53.9% female. Older adults were asked about their level of loneliness, how material deprived they were, social support, social network, social engagement, demographic information, and self-rated health status. The result indicated that older adults who are more materially deprived reported a significantly higher level of loneliness at T2 when controlling for demographic variables and loneliness at baseline. Furthermore, we found that social support and the number of close children were full mediator. A significant moderator was found in neighbourhood collective efficacy and community participation specifically engagement in cultural activities. Hence, our results suggest the need to strengthen the anti-poverty policy measures for materially deprived, develop interventions focusing on improving social support and social network and enhance existing social engagement programmes that promote community participation and neighbour collective efficacy for older adults in Hong Kong.

Community engagement and loneliness in older adults in China: mediation effects of social support in the wake of COVID-19.

Loneliness is a key indicator of well-being in older adults. Drawing from the ecological model of aging, the active aging perspective, and the convoy model of social relations, this study investigates the extent community engagement influences loneliness and whether the relationship is mediated by social support during the COVID-19 pandemic. Data was collected from 1,067 retired older adults in a cross-sectional design in Chengdu, China in 2022. Structural equation modeling was conducted to examine the direct and indirect effects of community engagement on loneliness through the hypothesized mediator of social support. The results show community engagement was positively associated with social support (β = 0.26, p < 0.001) and social support was negatively related to loneliness (β = -0.41, p < 0.001). Social support fully mediated the relationship between community engagement and loneliness. Additionally, community engagement had an indirect effect on loneliness via social support (β = -0.11, p < 0.001). The findings from the moderation analysis suggests community engagement and social support are likely to have large effects on loneliness for older adults over the age of 70 and who have low educational attainment. The findings suggest community engagement could be an important factor for improving social support and reducing loneliness amongst retired, older adults in China, especially in the wake of the COVID-19 pandemic where millions of individuals were isolated for extended periods of time.

노인의 음주가 삶의 만족도에 미치는 영향

Drinking among the elderly is associated with mental health problems like depression, but the effects of drinking may vary depending on the effects of protective factors. Thus, this study would examine the moderated mediation effect of social support through depression on the relationship between drinking and life satisfaction among the elderly. For this purpose, the Aging Research Panel was used to analyze 1,401 individuals aged 65 and older, and SPSS 23 and PROCESS Macro were used to test the mediated, moderated, and moderated mediation effects. The main findings are as follows First, there was a full mediation effect of depression on the relationship between drinking and life satisfaction among the elderly. Second, there was a moderating effect of social support on the relationship between drinking and depression. Third, the mediating effect of depression on the effect of drinking on life satisfaction was found to be a moderated mediation effect that increased as social support increased. Based on these findings, practical and policy suggestions were made to improve the life satisfaction of the elderly according to drinking.

The mediation effect of social support between stigma and social alienation in patients with stroke.

Social alienation is prevalent and causes adverse outcomes in stroke. Previous studies have linked stigma with social alienation. However, little is known about the mechanisms behind this relationship. This study explored the mediation effects of social support between stigma and social alienation. A cross-sectional design was used to study 248 patients with stroke admitted to a tertiary rehabilitation hospital in Beijing, China, from December 2022 to July 2023. Patients were assessed using a general information questionnaire, the Stroke Stigma Scale, the Social Support Rating Scale, and the Generalized Social Alienation Scale. The PROCESS macro in SPSS was used to examine the mediation model. The results showed that stigma has a negative effect on social support (β = -0.503, p<0.001); stigma has a positive effect on social alienation (β = 0.768, p<0.001). Social support mediated the relationship between stigma and social alienation, with a mediation effect of 0.131 (95%CI: 0.060, 0.214), and indirect effects accounted for 17.06% of the total effect. Social support mediated the relationship between stigma and social alienation. These findings suggest that intervention targeting the enhancement of social support may prevent or reduce social alienation among patients with stroke.

The Moderated Mediation Effect of Social Support on the Relationship between Digital Literacy, Creative Self-Efficacy, and Creative Problem-Solving Ability of High School Students

The Moderated Mediation Effect of Social Support on the Relationship between Digital Literacy, Creative Self-Efficacy, and Creative Problem-Solving Ability of High School Students

Occupational stress and mental health among civil servants during COVID-19 in China: The mediation effect of social support and work-family conflict

Mental health problems of various populations during the COVID-19 pandemic have received high attention, but there is little research on the mental health of Chinese civil servants. The present study investigated occupational stress, mental health problems (i.e., anxiety, depression, and insomnia), social support, and work-family conflict in Chinese civil servants during the COVID-19 pandemic. A total of 327 civil servants in Wenzhou city, China, participated in an online survey, which collected data on socio-demographic characteristics, occupational stress, mental health problems (i.e., anxiety, depression, and insomnia), social support, and work-family conflict. Data were analyzed using non-parametric tests and a multiple mediation model. Self-reported risk at work and support from mental health workers were relatively low. Anxiety, depression, and insomnia prevalence were 49.24 %, 47.1 %, and 20.48 %, respectively. Those who held higher ranks at work had lower levels of anxiety and depression. In addition, those who felt bad about their health status had more mental health problems. Social support and work-family conflict mediated the relationship between occupational stress and mental health problems significantly. Stress management training, organizational-level improvement in work arrangements, and professional mental health services are warranted for Chinese civil servants during the pandemic.

간호대학생의 전공만족도와 대학생활 적응의 관계에서 사회적 지지의 매개효과

The study was conducted to identify the effect of social support in the relations between major satisfaction and college adjustment among nursing students.&#x0D; The subjects of this study were 100 sophomore nursing students from two universities located in D and G cities. The data collection period is from March 10, 2022 to March 30, 2022, and was conducted through a self-administered questionnaire.&#x0D; The research model was designed on the basis of PROCESS Macro Model 4 proposed by Hayes (2013). The collected data was analyzed using SPSS 24.0, PROCESS Macro ver. 3.5 program.&#x0D; The mean score for major satisfaction, college adjustment and social support perceived by nursing students were 3.98, 3.45, and 4.00 points out of 5, respectively. Major satisfaction, college adjustment and social support had strong correlations with each other (p&lt;.001). The difference in adaptation to college life is when the major is chosen by oneself (t=3.41, p=.001), when the motive for selecting a major matches one's aptitude (F=5.73, p=.004), and when satisfaction with college life (F=14.01, p&lt;.001) was significantly high. To confirm the effects on social support, the covariate was adjusted for major selector, aptitude in major selection motive, and college life satisfaction. Major satisfaction had a direct effect on college adjustment (β = .574) and social support (β = .625). Social support had a direct effect on college adjustment (β = .241). There was a mediation effect of social support between major satisfaction and college adjustment (β = .619).&#x0D; Based on the results of this study, it was confirmed that nursing students' major satisfaction affects their adaptation to college life using social support as a mediating variable. Therefore, by identifying the sub-factors of social support that can increase the satisfaction of nursing students who will become future nurses, we propose the development of specific emotional, evaluative, informational, and physical intervention programs in nursing education and research to verify their effectiveness.

The relationship between resilience and quality of life in advanced cancer survivors: multiple mediating effects of social support and spirituality.

While previous studies have revealed a positive association between resilience and quality of life in advanced cancer survivors, the mechanisms of the relationship is still unclear. This study aimed to explore the relationships between resilience, social support, spirituality, and quality of life and determine the multiple mediation effects of social support and spirituality on the relationship between resilience and quality of life. With 286 advanced cancer survivors, a cross-sectional, correlational survey was adopted using convenience sampling. Resilience, social support, spirituality, and quality of life were evaluated by self-report questionnaires. The PROCESS macro for SPSS was used to test the multiple mediation model. The scores for resilience, social support, spirituality and quality of life were positively correlated with one another. Resilience was found to be directly impact quality of life. Meanwhile, the relationship between resilience and quality of life was mediated by social support (effect = 0.067, 95% CI [0.019, 0.120]) and by spirituality (effect = 0.221, 95% CI [0.134, 0.332]), respectively, and by these two serially (effect = 0.036, 95% CI [0.015, 0.067]). Social support and spirituality played multiple mediating roles in the relationship between resilience and quality of life. Interventions aimed at increasing resilience, and then boosting social support and spirituality may be beneficial for promoting quality of life of advanced cancer survivors.

Impact of English Proficiency on Health Literacy in Older Korean Immigrants: Mediating Effects of Social Support and Acculturation.

Limited English proficiency (LEP) is one of the most influencing factors of personal health literacy (PHL) in the older immigrant population. Over the years, the proportion of older Korean immigrants with LEP has not improved and it is still noted as a major barrier to PHL. Therefore, organizational approaches are needed to enhance the PHL of older immigrants with LEP. This study aims to find the mediating effect of social support and acculturation between LEP and PHL by conceptualizing social support and acculturation as an organizational health literacy strategy. Data from 244 older Korean immigrants living in the states of Alabama and Georgia, USA, were used to conduct the study. Korean version of the Multidimensional Scale of Perceived Social Support (MSPSS), East Asian Acculturation Measure (EAAM), and Health Literacy Survey-12 Questionnaires (HLS-Q12) were used to measure the variables. The path analysis was conducted to find the serial mediation effects of social support and acculturation. The results showed that 77.5% of the participants reported not having fluent English proficiency. English proficiency (β =-0.21, p = 0.007), social support (β = 0.17, p = 0.004), and acculturation (β = 0.18, p = 0.011) significantly predicted the PHL, and social support (β = 0.04, p = 0.028) and acculturation (β = 0.14, p < 0.001) mediated the relationship between LEP and PHL. Discussion: Health-related organizations and communities are encouraged to provide external social support and acculturation opportunities to enhance PHL in older Korean immigrants with LEP.

(039) Social Support Significantly Mediates the Relationship Between Gender Role Nonconformity and Sexual Dysfunction

Abstract Introduction Uncertainty remains about the psychological and sexual implications of gender role nonconformity (GRNC), generally defined as men endorsing or performing femininity, and women endorsing or performing masculinity. Previous studies have demonstrated that variance in gender presentation is associated with negative psychological consequences. Homophobic stigmatization and internalized homophobia partially mediate this association, suggesting it is not the practice of GRNC that causes distress, but internal or external reactions to it. Objective Here, we test the hypothesis that people reporting higher levels of GRNC will have more sexual dysfunction, and that social support will mediate this relationship. Methods We analyzed data from the Nathan Kline Institute Rockland Sample. The sample we selected includes 781 subjects (age= 48.99 ± 17.42, sex= 67% female). All subjects completed the Sex Role Identity Scale (SRIS) and the Trauma Symptom Checklist (TSC-40). GRNC was quantified by SRIS questions-subjective GRNC was assessed using the question “How feminine/masculine do you think you are?”, behavioral GRNC was assessed with “How feminine/masculine do you act or behave?”, and perceived GRNC with “How feminine/masculine do you think you appear and come across to others?” A composite variable was created to assess overall GRNC. Sexual dysfunction was measured with the relevant TSC-40 subscale. Because the distribution of GRNC scores were not normally distributed, we performed a quantile regression analysis using the quantreg and mediation packages in R to understand the mediation effect of social support on the relationship between GRNC and sexual dysfunction, while controlling for sex, age, sexual orientation, and socioeconomic status. Results In the quantile regression model, GRNC significantly predicted sexual dysfunction (β = 0.86, 95%CI [0.52, 1.20]) and social support significantly predicted sexual dysfunction (β = -3.63, 95%CI [-4.30, -2.42]). In the mediation analysis, there was a significant mediation effect of social support on the relationship between GRNC and sexual dysfunction (β = 0.17, 95%CI [0.04, 0.31], p&amp;lt;0.001), controlling for sex, age, sexual orientation, and socioeconomic status. The mediation effect accounted for 16.56% (95%CI [0.05-0.28], p&amp;lt;0.001) of the variance in sexual dysfunction. Conclusions GRNC significantly predicts sexual dysfunction, and social support significantly mediates this relationship, accounting for a substantial percentage of its variance. These results suggest that although GRNC can be associated with negative psychological and sexual consequences, the impacts are significantly mediated by the quality and strength of social relationships. This supports previous literature suggesting that negative reactions to nonconformity, both personal and systemic, may account for decreased well-being in people exhibiting GRNC. Although the findings are limited by the nature of secondary analyses, these results highlight the clinical significance of understanding GRNC to better treat patients with sexual dysfunction and promote healthy sexual functioning for all individuals. Disclosure No

다문화청소년의 학업성취도와 진로결정성의 관계

Objectives The purposes of this study is verifying the longitudinal mediation effects of social support between academic achievement and career determination in multicultural adolescents. Through verification, this study presents the social discussion in improving the career determination of multicultural adolescents.&#x0D; Methods In this study, the Multicultural Adolescents Panel Study(MAPS) from the National Youth Policy Institute was used, and the subjects were 1,068 multicultural adolescents. The Autoregressive Cross-Lagged(ARCL) model was set for the verification of the longitudinal mediation effects. the significance of the longitudinal mediating effect was verified by the Sobel test and Bootstrapping.&#x0D; Results The self-regression effect of academic achievement and career determination was significant, so it was confirmed that attention should be paid to improving career determination by intervention. In addition, teacher support and peer support were found to completely mediate the relationship between academic achievement and career determination.&#x0D; Conclusions It provided social discussions and alternatives for improving career determination of multicultural adolescents by identifying individual variables and environmental variables. In particular, it suggests that teacher support and peer support play an important role in career determination of multicultural adolescents.

The mediating effects of social support on the association between depression and life satisfaction among patients with schizophrenia or bipolar disorder.

Patients with schizophrenia or bipolar disorders in community had poor psychosocial functioning, social support, and life satisfaction. However, the interaction effects of social support and depression on life satisfaction remains unclear. Thus, we examined these associations among patients with schizophrenia or bipolar disorder. This cross-sectional study was conducted from October to December 2020 in Shenzhen, China. Information on social support, depression, and life satisfaction was assessed by standardized questionnaires through a face-to-face interview. Hierarchical multiple regression analysis was performed to estimate the associations of social support and depression with life satisfaction and to explore the mediation effect of social support. A total of 293 patients aged 39.7 ± 11.1 years (males: 47.1 %) were included in this study. Social support was positively associated with high life satisfaction (explaining 7.2% of the variance), while depression was negatively associated with life satisfaction (explaining 17.8% of the variance). Furthermore, social support mediated 12.5% of the association between depression and life satisfaction. Social support and depression were significantly associated with life satisfaction in patients with schizophrenia or bipolar disorders. Moreover, social support mediated the association between depression and life satisfaction in this population. Health interventions that benefit social support should be promoted to alleviate the negative impact of depression on their life satisfaction.

SOCIOECONOMIC CHARACTERISTICS AND HEALTH OF OLDER ADULTS IN RURAL CAMBODIA: ROLES OF SOCIAL AND WELFARE SUPPORT

Abstract Considering differences in support systems and socioeconomic characteristics, findings from studies of high-income nations could be biased if generalized to population of low- and middle-income countries. Insights into roles of social support in socioeconomic characteristics and health relationships are valuable for health interventions targeting older adults in low-resource communities, such as rural Cambodia, but such knowledge remains unexplored. This study examined mediating roles of social and welfare support in associations between socioeconomic characteristics and health among older Cambodians. Data came from a 2019 survey of older Cambodians age 60 and older (N=220) living in three rural provinces. Dependent variables included health complaints and psychological well-being index. Independent variables were wealth index derived from household items and living conditions, and subjective socioeconomic characteristic derived from three self-perceived economic circumstances. Social support and welfare support were operationalized using Social Support and Social Network scale and status of welfare assistance, respectively. Mediation analysis using Structural Equation Modeling substantiated a full mediation effect of social support on the relationship between subjective socioeconomic characteristic and psychological health. A partial mediation of social support was also found in the subjective characteristic and physical health relationship. However, no mediation was found in relationships between wealth index and health. Welfare support did not mediate any relationship between socioeconomic characteristics and both health outcomes. Healthy aging interventions in low-resource settings could benefit from improving existing support system of family and friends, which may buffer the impact of economically negative self-image on one’s health and well-being in the community.

Left-Behind Experience and Behavior Problems Among Adolescents: Multiple Mediating Effects of Social Support and Sleep Quality.

Adolescence has always been a period prone to behavior problems. Some studies have shown that left-behind experience, social support, and sleep quality are all crucial factors influencing behavior problems, but the mechanisms of how they are influenced are unclear. This cross-sectional study investigated the prevalence of behavior problems among school-aged adolescents and explored the mediating role of social support and sleep quality in the association between left-behind experience and behavior problems. A total of 738 school adolescent students completed this questionnaire. We collected basic information about the participants using a general demographic scale and assessed their sleep quality, social support, and behavioral problems using the Pittsburgh Sleep Quality Index scale, Social Support Rating Scale, and Strengths and Difficulties Questionnaire. The multiple mediating effects of sleep quality and social support were examined by path analysis. Among 738 school-aged adolescent students who completed the survey, a total of 198 students had behavior problems, with an overall prevalence of 26.8%. In the multiple mediation model, the mediation effect of social support and sleep quality on left-behind experience to behavior problems was 56.7% (direct effect: standardized estimate=0.946, indirect effect: standardized estimate=1.239). The model was a saturated model, and fit was no longer considered. We found that social support and sleep quality had a series of multiple mediating effects in the pathway from left-behind experience to behavior problems, and both significantly moderated behavior problems. Therefore, we suggest that we should pay more attention to students' psychological status and improve their use of social support for left-behind adolescents, in addition to giving more external social support. And paying attention to their sleep problems to reduce the occurrence of behavior problems, considering that their psychological development is not mature.

대학생의 셀프리더십이 회복탄력성에 미치는 영향에서 사회적지지의 매개효과

Objectives This study examines the structural relationship between self-leadership, social support, and resilience of college students in the Covid-19 situation and aims to verify the mediation effect of social support on the effect of self-leadership on resilience. Methods For this study, online survey data collected from male and female college students at K University in Seoul were analyzed using SPSS and AMOS. Descriptive statistics, exploratory factor analysis and reliability verification were conducted to confirm the normality between the measured variables and the validity and reliability of the measurement tool. Correlation analysis and confirmatory factor analysis were conducted to confirm multicollinearity and to verify the validity of the structural equation model. Finally, bootstrapping and stepwise regression analysis were analyzed to test mediating effects. Results First, self-leadership’s does not have a significant effect on resilience, whereas cognitive strategy does. Second, action strategy and cognitive strategy of college students has a significant effect on the perception of social support. Third, college students' perception of social support has a significant effect on resilience. Fourth, social support has a mediating effect on the effect of self-leadership’s action strategy on resilience. Fifth, social support has a mediating effect on the effect of self-leadership's cognitive strategy on resilience except instrumental support. Conclusions The results of this study suggest that it is necessary to provide effective self-leadership programs and various forms of social support to enhance resilience by displaying self-leadership of college students who are having difficulties in school life in a pandemic situation.&#x0D;

Age-friendly environment, social support, sense of community, and loneliness among middle-aged and older adults in Korea

Objectives The purpose of this research is to explore the relationship between age-friendly environment, social support, sense of community, and loneliness of Korean adults aged 45 and above. Methods A total of 590 participants from a cross-sectional and secondary data from an age integration survey conducted in 2018 was used for analysis. Structural equation modelling and bootstrapping method were applied to examine the mediating role of social support and sense of community on the relationship between age-friendly environment and loneliness. Results Age-friendly environment was positively associated with social support () and sense of community (). Social support was negatively associated with loneliness (). Full mediation effect of social support was observed in the pathway from age-friendly environment to loneliness (95% CI: −0.135 to −0.036). Conclusion Social support was fundamental in lowering loneliness in an age-friendly environment. There was no significant association linking age-friendly environment, sense of community, and loneliness. The results support the adoption of AFE to protect people at risk of loneliness with social support mediating this relationship.