Loneliness and its predictors among older adults prior to and during the COVID-19 pandemic: Cross-sectional and longitudinal survey findings from participants of the Atherosclerosis Risk in Communities (ARIC) Study cohort in the USA

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Creator
  • Kucharska-Newton A.
    • Affiliation: Gillings School of Global Public Health, Department of Epidemiology
  • Matsushita K.
    • Other Affiliation: Johns Hopkins University
  • Mok Y.
    • Other Affiliation: Johns Hopkins University
  • Minotti M.
    • Other Affiliation: Johns Hopkins University
  • Oelsner E.C.
    • Other Affiliation: Columbia University Medical Center
  • Ring K.
    • Affiliation: Gillings School of Global Public Health, Department of Biostatistics
  • Wagenknecht L.
    • Other Affiliation: Wake Forest School of Medicine
  • Hughes T.M.
    • Other Affiliation: Wake Forest School of Medicine
  • Mosley T.
    • Other Affiliation: University of Mississippi Medical Center
  • Palta P.
    • Other Affiliation: Columbia University
  • Lutsey P.L.
    • Other Affiliation: University of Minnesota School of Public Health
  • Coresh J.
    • Other Affiliation: Johns Hopkins University
Abstract
  • Objectives We aimed to ascertain the prevalence of perceived loneliness among older adults following the onset of the COVID-19 pandemic and to examine factors contributing to the perception of loneliness. Design Cross-sectional and longitudinal data from the Atherosclerosis Risk in Communities (ARIC) Study cohort. Setting The ARIC Study cohort, a prospective cohort that recruited (1987-1989) participants from four distinct communities in the USA. Participants 2984 ARIC cohort members. Primary and secondary outcomes Perceived loneliness assessed using the University of California at Los Angeles (UCLA) UCLA three-item Loneliness Scale telephone interviews conducted May-October 2020 and prior to March 2020. Results Of the total 5037 participants alive in 2020, 2984 (56.2%) responded to the UCLA three-item questionnaire (mean age 82.6 (SD 4.6) years, 586 (19.6%) black participants, 1081 (36.2%) men), of which 66 (2.2%) reported having had a COVID-19 infection during the observation period. The proportion of participants reporting feeling lonely was 56.3% (n=1680). Among participants with repeat measures of loneliness (n=516), 35.2% (n=182) reported feeling more lonely following pandemic onset. Self-rated health and emotional resilience were strongly associated with self-perceived loneliness. The burden of COVID-19 infections, concern about the pandemic and decreased self-reported physical activity were greater among black as compared with white participants and among those with an educational attainment of less than high school as compared with high school or more. Conclusion Findings from this study document the increase in perceived loneliness among older adults during the COVID-19 pandemic in the USA.
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  • Article
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  • In Copyright
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  • Attribution-NonCommercial 4.0 International
Journal title
  • BMJ Open
Journal volume
  • 11
Journal issue
  • 12
Language
  • English
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  • Publisher
Funder
  • U.S. Department of Health and Human Services, HHS, (2U01HL096814, 2U01HL096899, 2U01HL096902, 2U01HL096917, HHSN268201700001I, HHSN268201700002I, HHSN268201700003I, HHSN268201700004I, HHSN268201700005I, U01 2U01HL096812)
  • National Institutes of Health, NIH
  • National Heart, Lung, and Blood Institute, NHLBI, (K23HL130627, R01HL070825, U01HL096812, U01HL096814, U01HL096899, U01HL096902, U01HL096917)
  • National Institute on Deafness and Other Communication Disorders, NIDCD
  • National Institute of Neurological Disorders and Stroke, NINDS
  • National Institute on Aging, NIA
ISSN
  • 2044-6055
Publisher
  • BMJ Publishing Group

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