Loneliness prevalence of community-dwelling older adults and the impact of the mode of measurement, data collection, and country: A systematic review and meta-analysis
Open accessAbstract
OBJECTIVES: The aim of this systematic review and meta-analysis is to assess the prevalence of loneliness in many countries worldwide which have different ways of assessing it. DESIGN: Systematic review and meta-analysis. SETTING: We searched seven electronic databases for English peer-reviewed studies published between 1992 and 2021. PARTICIPANTS: We selected English-language peer-reviewed articles, with data from non-clinical populations of community-dwelling older adults (>60 years), and with "loneliness" or "lonely" in the title. MEASUREMENTS: A multilevel random-effects meta-analysis was used to estimate the prevalence of loneliness across studies and to pool prevalence rates for different measurement instruments, data collection methods, and countries. RESULTS: Our initial search identified 2,021 studies of which 45 (k = 101 prevalence rates) were included in the final meta-analysis. The estimated pooled prevalence rate was 31.6% (n = 168,473). Measurement instrument was a statistically significant moderator of the overall prevalence of loneliness. Loneliness prevalence was lowest for single-item questions and highest for the 20-item University of California-Los Angeles Loneliness Scale. Also, differences between modes of data collection were significant: the loneliness prevalence was significantly the highest for face-to-face data collection and the lowest for telephone and CATI data collection. Our moderator analysis to look at the country effect indicated that four of the six dimensions of Hofstede also caused a significant increase (Power Distance Index, Uncertainty Avoidance Index, Indulgence) or decrease (Individualism) in loneliness prevalence. CONCLUSIONS: This study suggests that there is high variability in loneliness prevalence rates among community-dwelling older adults, influenced by measurement instrument used, mode of data collection, and country.
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Differences in correlates of loneliness may be expected in India because of collectivism, the family system, and more restrictive norms about social relationships.
“Despite most studies on loneliness among the oldest-old in Western or high-income countries, much less is known about loneliness among the oldest-old in India, a country where collectivism, the family system, and more restrictive (i.e., more, tighter, or more demanding) norms about social relationships are emphasized, differences in correlates of loneliness may be expected [2,12,21,33].”
From Factors associated with loneliness in a national study among persons 80 years and older in India in 2017-2018 (2025) · cites this paper as [33]
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- Authors
- Stegen, H., Duppen, D., Savieri, P., Stas, L., Pan, H., Aartsen, M., Callewaert, H., Dierckx, E., & De Donder, L.
- Affiliations
- Vrije Universiteit Brussel (BE)
- OsloMet – Oslo Metropolitan University (NO)
- Corresponding author
- Stegen, Hannelore
- ORCID
- Venue
- International Psychogeriatrics
- Publisher
- Elsevier BV
- Published
- 2024-09
- Volume
- 36
- Issue
- 9
- Pages
- 747-761
- ISSN
- 1041-6102 (ISSN-L)
- OpenAlex
- W4393154095
- Cited by
- 42
- References
- 94
- Citations by year
- 2026: 14 · 2025: 20 · 2024: 8
- FWCI
- 4.02
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Psychogeriatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Funders
- Fonds Wetenschappelijk Onderzoek (11J7821N/11J7823N)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- loneliness, prevalence, community-dwelling older adults, measurement instruments, mode of data collection, country effects, Hofstede cultural dimensions, UCLA Loneliness Scale, cross-cultural comparison
- MeSH terms
- Aged, Aged, 80 and over, Data Collection, Humans, Loneliness, Prevalence, Independent Living
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