Social isolation and loneliness in later life

2016 ◽  
pp. 165-190
Author(s):  
Eleanor Jack
Keyword(s):  
2021 ◽  
pp. 026858092110053
Author(s):  
Daisuke Watanabe

This essay introduces sociological studies on aging and related topics in Japan since 2000. It argues the three following points. First, the results of sociological studies on aging, and those from related social science disciplines, have moved away from a uniform understanding of aging to reveal greater diversity in the process. Second, it has become apparent that older people face various social problems, such as social isolation, social disparities, and family care problems. Studies have argued that it is essential to support mutual aid in the community. Finally, the reflexivity of high modernity attempts to push the problem of aging towards autonomy, but a new culture of aging assumes that dependence has the potential to overcome this reflexivity.


2012 ◽  
Vol 33 (7) ◽  
pp. 1167-1189 ◽  
Author(s):  
HELEN BARTLETT ◽  
JENI WARBURTON ◽  
CHI-WAI LUI ◽  
LINDA PEACH ◽  
MATTHEW CARROLL

ABSTRACTThe isolation of older people is recognised as a major social problem in contemporary Western society. While the risk factors and social or health outcomes of isolation and loneliness in later life are well documented, evidence regarding the effectiveness of programmes aimed at reducing social isolation in older people remains inconclusive. This paper reports on the challenges of attempting to undertake a rigorous evaluation of three demonstration pilot projects targeting older people at risk of social isolation, conducted within different social settings in Queensland, Australia. The demonstration projects were part of the Queensland Cross-Government Project to Reduce Social Isolation in Older People (CGPRSIOP) led by the Office for Seniors within the Queensland Department of Communities. In the absence of good evaluation of programmes aimed at social isolation, this government-run programme incorporated validated psychological measures to evaluate the effectiveness of interventions. While use of these measures suggested some promising results, the focus of this paper is on the methodological and practical challenges associated with utilising evaluation measures in community-based interventions. The detailed consideration of the methodological issues involved in this programme highlights some key lessons and offers new insights into evaluating interventions for reducing social isolation.


2017 ◽  
Vol 75 (1) ◽  
pp. 114-124 ◽  
Author(s):  
Snorri Bjorn Rafnsson ◽  
Martin Orrell ◽  
Eleonora d’Orsi ◽  
Eef Hogervorst ◽  
Andrew Steptoe

Abstract Objectives Social relationships are important for the maintenance of cognitive function at older ages, with both objective features of social networks and perceived social connections (loneliness) being relevant. There is limited evidence about how different aspects of social experience predict diagnosed dementia. Methods The sample comprised 6,677 dementia-free individuals at baseline (2004) from the English Longitudinal Study of Ageing. Baseline information on loneliness, number of close relationships, marital status, and social isolation (contact with family and friends and participation in organizations) was analyzed in relation to incident dementia over an average 6.25 years using Cox regression, controlling for potential confounding factors. Results Two hundred twenty participants developed dementia during follow-up. In multivariable analyses, dementia risk was positively related to greater loneliness (hazard ratio 1.40, 95% confidence interval 1.09–1.80, p = .008), and inversely associated with number of close relationships (p < .001) and being married (p = .018). Sensitivity analyses testing for reverse causality and different criteria for diagnosing dementia confirmed the robustness of these findings. There was no association with social isolation. Discussion Dementia risk is associated with loneliness and having fewer close relationships in later life. The underlying mechanisms remain to be elucidated, but efforts to enhance older peoples’ relationship quality may be relevant to dementia risk.


Gerontology ◽  
2015 ◽  
Vol 62 (4) ◽  
pp. 443-449 ◽  
Author(s):  
Anthony D. Ong ◽  
Bert N. Uchino ◽  
Elaine Wethington

Increasing evidence suggests that perceived social isolation or loneliness is a major risk factor for physical and mental illness in later life. This review assesses the status of research on loneliness and health in older adults. Key concepts and definitions of loneliness are identified, and the prevalence, correlates, and health effects of loneliness in older individuals are reviewed. Theoretical mechanisms that underlie the association between loneliness and health are also described, and illustrative studies examining these mechanisms are summarized. Intervention approaches to reduce loneliness in old age are highlighted, and priority recommendations for future research are presented.


1993 ◽  
Vol 36 (1) ◽  
pp. 9-38 ◽  
Author(s):  
Neal Krause

The purpose of this study is to test a conceptual model that attempts to show how selected neighborhood characteristics are related to social isolation in later life. This model specifies that older adults with low levels of educational attainment are more likely to experience financial problems and that elderly people who are confronted by financial difficulties are more likely to reside in dilapidated neighborhoods. The model further predicts that deteriorated neighborhoods in turn tend to promote distrust of others and older adults who are more distrustful of others tend to be more socially isolated. Based on data provided by a nationwide survey of elderly people, subsequent analyses revealed strong support for the theoretical sequence described above.


2017 ◽  
Vol 13 (7S_Part_17) ◽  
pp. P869-P869
Author(s):  
Isobel E.M. Evans ◽  
Yu-Tzu Wu ◽  
Carol Brayne ◽  
Fiona Matthews ◽  
Bob Woods ◽  
...  

2021 ◽  
Vol 42 (01) ◽  
pp. 010-025
Author(s):  
Rahul K. Sharma ◽  
Alexander Chern ◽  
Justin S. Golub

AbstractAge-related hearing loss (ARHL) has been connected to both cognitive decline and late-life depression. Several mechanisms have been offered to explain both individual links. Causal and common mechanisms have been theorized for the relationship between ARHL and impaired cognition, including dementia. The causal mechanisms include increased cognitive load, social isolation, and structural brain changes. Common mechanisms include neurovascular disease as well as other known or as-yet undiscovered neuropathologic processes. Behavioral mechanisms have been used to explain the potentially causal association of ARHL with depression. Behavioral mechanisms include social isolation, loneliness, as well as decreased mobility and impairments of activities of daily living, all of which can increase the risk of depression. The mechanisms underlying the associations between hearing loss and impaired cognition, as well as hearing loss and depression, are likely not mutually exclusive. ARHL may contribute to both impaired cognition and depression through overlapping mechanisms. Furthermore, ARHL may contribute to impaired cognition which may, in turn, contribute to depression. Because ARHL is highly prevalent and greatly undertreated, targeting this condition is an appealing and potentially influential strategy to reduce the risk of developing two potentially devastating diseases of later life. However, further studies are necessary to elucidate the mechanistic relationship between ARHL, depression, and impaired cognition.


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