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The prevalence of loneliness across 113 countries: systematic review and meta-analysis
Open accessAbstract
Objectives: To identify data availability, gaps, and patterns for population level prevalence of loneliness globally, to summarise prevalence estimates within World Health Organization regions when feasible through meta-analysis, and to examine temporal trends of loneliness in countries where data exist. Design: Systematic review and meta-analysis. Data sources: Embase, Medline, PsycINFO, and Scopus for peer reviewed literature, and Google Scholar and Open Grey for grey literature, supplemented by backward reference searching (to 1 September 2021) Eligibility criteria for selecting studies: Observational studies based on nationally representative samples (n≥292), validated instruments, and prevalence data for 2000-19. Two researchers independently extracted data and assessed the risk of bias using the Joanna Briggs Institute checklist. Random effects meta-analysis was conducted in the subset of studies with relatively homogeneous research methods by measurement instrument, age group, and WHO region. Results: Prevalence data were available for 113 countries or territories, according to official WHO nomenclature for regions, from 57 studies. Data were available for adolescents (12-17 years) in 77 countries or territories, young adults (18-29 years) in 30 countries, middle aged adults (30-59 years) in 32 countries, and older adults (≥60 years) in 40 countries. Data for all age groups except adolescents were lacking outside of Europe. Overall, 212 estimates for 106 countries from 24 studies were included in meta-analyses. The pooled prevalence of loneliness for adolescents ranged from 9.2% (95% confidence interval 6.8% to 12.4%) in South-East Asia to 14.4% (12.2% to 17.1%) in the Eastern Mediterranean region. For adults, meta-analysis was conducted for the European region only, and a consistent geographical pattern was shown for all adult age groups. The lowest prevalence of loneliness was consistently observed in northern European countries (2.9%, 1.8% to 4.5% for young adults; 2.7%, 2.4% to 3.0% for middle aged adults; and 5.2%, 4.2% to 6.5% for older adults) and the highest in eastern European countries (7.5%, 5.9% to 9.4% for young adults; 9.6%, 7.7% to 12.0% for middle aged adults; and 21.3%, 18.7% to 24.2% for older adults). Conclusion: Problematic levels of loneliness are experienced by a substantial proportion of the population in many countries. The substantial difference in data coverage between high income countries (particularly Europe) and low and middle income countries raised an important equity issue. Evidence on the temporal trends of loneliness is insufficient. The findings of this meta-analysis are limited by data scarcity and methodological heterogeneity. Loneliness should be incorporated into general health surveillance with broader geographical and age coverage, using standardised and validated measurement tools. Systematic review registration: PROSPERO CRD42019131448.
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“Data based on nationally representative samples within World Health Organization regions pre-COVID-19 suggest that only 9.2% to 14.4% of adolescents experienced loneliness.16”
From A Longitudinal Study of Loneliness Before the End of the COVID-19 Pandemic: Trajectories, Predictors, and Impact on Chinese Adolescent Mental Health (2024) · cites this paper as [16]
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Macedo, C., Grecco, A. B. G., Giacon-Arruda, B. C. C., Kwiatkoski, M., Luchesi, B. M., & Martins, T. C. R. (2026) · Escola Anna Nery · doi:10.1590/2177-9465-ean-2025-0144en
Band, R. J., Ellis, J., Kinsella, K., James, E., Ciccognani, S., Breheny, K., Lawrence, M. M., Kandiyali, R., Ewings, S. M., & Rogers, A. E. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1701579
“The study compared the intervention with a wait-list control group for addressing loneliness and social isolation (50).”
Nilsson, A., Kajonius, P., Kjell, O., Dahlén, M., Schwartz, H. A., Case, B. W., Johnson, B. R., Lomas, T., Padgett, R. N., & VanderWeele, T. J. (2026) · SSM - Population Health · doi:10.1016/j.ssmph.2026.101913 · Cited by 1
“Further, lone-liness is typically not linearly related to age in other studies and contexts (Hawkley, Buecker, Kaiser, & Luhmann, 2022; Mund et al., 2020) and if it is linear, loneliness is typically thought to increase with age (Surkalim et al., 2022), including in Sweden (Dahlberg et al., 2015).”
KESUNYIAN DALAM PERADABAN MODEN
Kassim, F., Noor, N. A. M., & Yaacob, N. H. (2026) · International Journal of Law Government and Communication · doi:10.35631/ijlgc.1143016
Vasquez, C., D’souza, A. R., Nowland, R. A., Taylor, B. L., Adlington, K., Pearce, E., & Pitman, A. (2026) · BMC Psychiatry · doi:10.1186/s12888-026-08035-8
“This compares with loneliness estimates of around 3–12% among young and middle-aged men and women in European countries [56].”
Social media use, loneliness and emotional distress among young people in Europe
d’Hombres, B., Kovačič, M., & Martínez, B. C. (2026) · SSM - Mental Health · doi:10.1016/j.ssmmh.2026.100621 · Cited by 2
Олеговна, Е. С., Stepanova, E. O., & Drapkina, O. M. (2026) · Rational Pharmacotherapy in Cardiology · doi:10.20996/1819-6446-2026-3249
Lonely in church: The role of the God concept and attachmentPreprint
Mečkovský, F., Maliňáková, K., & Tavel, P. (2026) · Research Square · doi:10.21203/rs.3.rs-8650761/v1
Isolani, S., Costacurta, M., Winer, C., Grigoropoulos, I., Olivo, I., & Battista, S. D. (2026) · Sexuality Research and Social Policy · doi:10.1007/s13178-026-01340-7
Gender Differences in Loneliness Among Older Adults: An 8-Year Longitudinal Study
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Ezinne, N. E., Victor, V. B., Koomson, I., Mgbemena, N. C., & Osuagwu, U. L. (2026) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-026-02980-6
Metadata
- Authors
- Surkalim, D. L., Luo, M., Eres, R., Gebel, K., van Buskirk, J., Bauman, A., & Ding, D.
- Affiliations
- The University of Sydney (AU)
- Royal Children's Hospital (AU)
- University of Technology Sydney (AU)
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
- Corresponding author
- Ding, Ding
- ORCID
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2022-02-09
- Volume
- 376
- Pages
- e067068
- ISSN
- 1756-1833 (ISSN-L)
- PMC
- PMC8826180
- OpenAlex
- W4211106541
- Cited by
- 821
- References
- 87
- Citations by year
- 2026: 220 · 2025: 236 · 2024: 183 · 2023: 138 · 2022: 44
- FWCI
- 20.76
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- BMJ (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- RMIT Research Repository (RMIT University Library) (acceptedVersion, other-oa)
- Figshare (submittedVersion, cc-by-nc)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by-nc)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- loneliness, prevalence of loneliness, cross-national comparison, adolescents, young adults, middle-aged adults, older adults, temporal trends, WHO regions, loneliness and isolation
- MeSH terms
- Demography, Humans, Loneliness, Global Health, Prevalence
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