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Public library visits and later-life health and well-being: evidence from a longitudinal study of older adults in Australia
Journal article   Open access   Peer reviewed

Public library visits and later-life health and well-being: evidence from a longitudinal study of older adults in Australia

Htet Lin Htun, Achamyeleh Birhanu Teshale, Alice J. Owen, Joanne Ryan, Melissa Whitrow, J. R. Baker and Rosanne Freak-Poli
Journal of public health
10/02/2026
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Public library visits and later-life health and well-being: evidence from a longitudinal study of older adults in Australia2.16 MBDownloadView
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Public library visits and later-life health and well-being: evidence from a longitudinal study of older adults in AustraliaView
Published (Version of record) Open CC BY V4.0

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Abstract

Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
Aim This study aimed to examine the longitudinal associations between public library visits and multiple health and well-being outcomes in older adults. Subject and methods We analysed data from over 12,000 (n range, 12,124-12,896) relatively healthy community-dwelling Australians aged 70+ years. We categorised public library visits as never, <= 3 times/month, and >= once/week. Using an outcome-wide analytical approach, we examined associations between public library visits and 44 outcomes across physical, cognitive/major health events, psychological, social, and behavioural domains. Most outcomes were assessed at similar to 2 years of follow-up, with extended follow-up for time-to-event outcomes (median duration range, 6-9 years). We performed gender-disaggregated regressions, adjusting for multiple covariates. Results Participants were aged 70-95 years (mean 75.2 +/- 4.3) at baseline, and 54.5% were women. More women than men reported visiting public libraries (70.6% vs 59.9%). Public library visits were associated with better physical and cognitive outcomes (e.g., reduced dementia risk), social well-being (e.g., lower social isolation in women), and healthier behaviours (e.g., increased fruit and vegetable intake) at follow-up. No associations were found with most psychological outcomes. Gender differences were observed: men had stronger associations with reduced disability and mortality over 7 years, while women showed associations with greater social well-being and health-promoting behaviours, and a higher fall risk similar to 2 years later. Conclusion Public library visits were generally associated with improved health and well-being in older adults. As inclusive and trusted community institutions, libraries may represent a promising avenue for social engagement and health promotion within population-level public health strategies.

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