Chronic loneliness and chronic social isolation among older adults. A systematic review, meta-analysis and meta-regression

We performed a systematic review and meta-analysis to examine the prevalence and antecedents/consequences of chronic loneliness and social isolation (i.e. enduring or persistent experience that extends over a certain period of time) among older adults. Moreover, we conducted a meta-regression to exp...

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Vydané v:Aging & mental health Ročník 29; číslo 2; s. 185 - 200
Hlavní autori: Hajek, André, Sutin, Angelina R., Posi, Giuliana, Stephan, Yannick, Peltzer, Karl, Terracciano, Antonio, Luchetti, Martina, König, Hans-Helmut
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England Routledge 01.02.2025
Taylor & Francis Ltd
Predmet:
Adults
Aged
Aged, 80 and over
Antecedents
chronic loneliness
chronic social isolation
Female
Health status
Heterogeneity
Humans
Loneliness
Loneliness - psychology
Low income groups
Male
Meta-analysis
Observational studies
Older people
persistent loneliness
Prevalence
Social interactions
Social isolation
Social Isolation - psychology
Systematic review
Loneliness
chronic social isolation
social isolation
persistent loneliness
chronic loneliness
ISSN:1360-7863, 1364-6915, 1364-6915
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Popis
Shrnutí:We performed a systematic review and meta-analysis to examine the prevalence and antecedents/consequences of chronic loneliness and social isolation (i.e. enduring or persistent experience that extends over a certain period of time) among older adults. Moreover, we conducted a meta-regression to explore sources of heterogeneity. A search was conducted in four electronic databases. We included observational studies that reported prevalence and, where available, antecedents/consequences of chronic loneliness or chronic social isolation amongst older adults. Key characteristics of the studies were extracted. Across 17 studies included in the meta-analysis, the estimated prevalence of chronic loneliness was 20.8% (95% CI: 16.1-25.5%), including 21.7% among women (95% CI: 16.1-27.4%) and 16.3% among men (95% CI: 10.6-21.9%). One study reported chronic social isolation (13.4%) and found that chronic social isolation predicted higher depression scores. Meta-regressions indicated that loneliness was less prevalent when assessed with single-item measures. Regarding antecedents/consequences, spousal loss can contribute to chronic loneliness which in turn may contribute to adverse health-related outcomes. About one in five older adults experiences chronic loneliness reflecting the need to address chronic loneliness. More longitudinal research is needed on chronic loneliness and social isolation, particularly from low and middle-income countries.
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ISSN:1360-7863
1364-6915
1364-6915
DOI:10.1080/13607863.2024.2385448