Loneliness in older people: what are the risk factors?

A new study has identified several risk factors for loneliness throughout a person’s life, finding that it consistently affects older people.

Other risk factors identified for individuals with higher persistent loneliness were being a woman; experiencing greater isolation; less education; lower income; having more functional limitations; being divorced or widowed; being a smoker; or having poorer cognitive, physical or mental health.

The study by Northwestern University was published in the journal Psychological Science. It also shows that loneliness in adulthood follows a U-shaped pattern: peaking in younger and older adulthood, and dropping to its lowest during middle adulthood.

“What was striking was how consistent the uptick in loneliness is in older adulthood,” said corresponding author Eileen Graham, associate professor of medical social sciences at Northwestern University Feinberg School of Medicine.

“There’s a wealth of evidence that loneliness is related to poorer health, so we wanted to better understand who is lonely and why people are becoming lonelier as they age out of midlife so we can hopefully start finding ways to mitigate it.”

Lacking connection can increase the risk for premature death to levels comparable to smoking daily, according to the office of the US Surgeon General, who one year ago called for action to address America’s loneliness epidemic. Graham said her findings underscore the need for targeted interventions to reduce social disparities throughout adulthood to hopefully reduce levels of loneliness, especially among older adults.

Perhaps one day general practitioners could assess levels of loneliness during regular wellness visits to help identify those who might be most at risk, Graham said.

How does loneliness change across the lifespan?

The study replicated this U-shaped pattern across nine datasets from studies conducted in the UK, Germany, Sweden, the Netherlands, Australia, Israel and more. Only one of the datasets was from the US, which Graham said points to how widespread the loneliness epidemic is globally.

“Our study is unique because it harnessed the power of all these datasets to answer the same question — ‘How does loneliness change across the lifespan, and what factors contribute to becoming more or less lonely over time?’,” she said.

All of the nine longitudinal studies were conducted before the onset of the COVID-19 pandemic, when many researchers found loneliness became even more pronounced.

Why is middle adulthood less lonely?

While this study didn’t specifically examine why middle-aged adults are the least lonely, Graham said it could be because the many demands on a middle-aged person’s life often involve social interactions, such as being married, going to work and making friends with the parents of children’s friends. But the relationship between social interaction and loneliness is complex.

“You can have a lot of social interaction and still be lonely or, alternatively, be relatively isolated and not feel lonely,” Graham said.

As for younger adulthood being a lonelier time, Graham and the study’s co-author Tomiko Yoneda said the study data start right at the end of adolescence, when young adults are often navigating several important life transitions (eg, education, careers, friend groups, relationship partners and families).

“As people age and develop through young adulthood into midlife, they start to set down roots and become established, solidifying adult friend groups, social networks and life partners,” said Yoneda, assistant professor of psychology at University of California, Davis.

“We do have evidence that married people tend to be less lonely, so for older adults who are not married, finding ongoing points of meaningful social contact will likely help mitigate the risk of persistent loneliness.”

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