Social Capital and Loneliness Among the Very Old Living at Home and in Institutional Settings: A Comparative Study
Abstract
OBJECTIVE: The aim of this study was to investigate the association between aspects of social capital and loneliness among the very old living at home and in institutional settings. METHOD: Half of those aged 85 years, and all 90- and 95-year-olds and older in urban and rural municipalities in northern Sweden and western Finland were invited to participate in a cross-sectional population-based study in 2005-2007. A sample of 483 participants who completed the study was included in the analyses. RESULTS: Loneliness was experienced by 55% percent of those living in institutional settings often or sometimes and 45% of those living in their own homes. Loneliness was closely related to living alone, to depression, and to region (northern Sweden). DISCUSSION: Social capital and loneliness are context dependent (i.e., geographical or living environment). Among the very old, the link between social capital resources and loneliness is also highly influenced by health status.
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This study did not find a significant association between living alone and loneliness.
“this study did not find a significant association.”
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 [27]
Among the oldest-old, social factors associated with loneliness include living alone, being institutionalised, having a small social network size, lower family functioning, reduced chatting with neighbours, and not using social media on the internet.
“Social factors associated with loneliness among the oldest old included living alone [4,18,27,36], institutionalised [11,27], having a small social network size [10], lower family functioning [36], reduced chatting with neighbours [36], and not using social media on the internet [30].”
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 [27]
Other studies among the oldest-old did not find significant gender differences, including in Shanghai, Germany, and Sweden/Finland.
“Similarly, other studies among the oldest-old did not find significant gender differences, including in Shanghai [36], Germany [8,10,11], and Sweden/Finland [18,27].”
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 [27]
Cites
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282 · see citing works
Bowling alone: the collapse and revival of American community
(2000) · Choice Reviews Online · doi:10.5860/choice.38-2454 · Cited by 28,717 · see citing works
Putnam, R. (2000) · doi:10.1145/358916.361990 · Cited by 17,114 · see citing works
The three worlds of welfare capitalism
(1990) · Choice Reviews Online · doi:10.5860/choice.28-1046 · Cited by 16,528 · see citing works
Making democracy work: civic traditions in modern Italy
(1993) · Choice Reviews Online · doi:10.5860/choice.30-6408 · Cited by 14,338 · see citing works
Sheikh (1986) · doi:10.1300/j018v05n01_09 · Cited by 7,236 · see citing works
UCLA loneliness scale (version 3): reliability, validity, and factor structure
Russell, D. W. (1996) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6601_2 · Cited by 5,800 · see citing works
Loneliness matters: a theoretical and empirical review of consequences and mechanisms
Hawkley, L. C., & Cacioppo, J. T. (2010) · Annals of Behavioral Medicine · doi:10.1007/s12160-010-9210-8 · Cited by 4,782 · see citing works
Katz, S. (1963) · JAMA · doi:10.1001/jama.1963.03060120024016 · Cited by 2,421 · see citing works
THE IMPACT OF CONFOUNDER SELECTION CRITERIA ON EFFECT ESTIMATION
Mickey, R. M., & Greenland, S. (1989) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115101 · Cited by 2,405 · see citing works
Loneliness: A Source Book of Current Theory, Research and Therapy
Blazer, D. G. (1983) · Journal of Gerontology · doi:10.1093/geronj/38.4.492 · Cited by 2,139 · see citing works
RE:“;THE IMPACT OF CONFOUNDER SELECTION CRITERIA ON EFFECT ESTIMATION”
Greenland, S., & Mickey, R. M. (1989) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115409 · Cited by 2,114 · see citing works
The Development of a Rasch-Type Loneliness Scale
de Jong-Gierveld, J., & Kamphuls, F. (1985) · Applied Psychological Measurement · doi:10.1177/014662168500900307 · Cited by 1,291 · see citing works
Influences on Loneliness in Older Adults: A Meta-Analysis
Pinquart, M., & Sorensen, S. (2001) · Basic and Applied Social Psychology · doi:10.1207/s15324834basp2304_2 · Cited by 1,036 · see citing works
De Jong Gierveld, J., & Van Tilburg, T. (2010) · European Journal of Ageing · doi:10.1007/s10433-010-0144-6 · Cited by 791 · see citing works
Being alone in later life: Loneliness, social isolation and living alone
Victor, C., Scambler, S., Bond, J., & Bowling, A. (2000) · Reviews in Clinical Gerontology · doi:10.1017/s0959259800104101 · Cited by 730 · see citing works
Predictors and subjective causes of loneliness in an aged population
Savikko, N., Routasalo, P., Tilvis, R. S., Strandberg, T. E., & Pitkälä, K. H. (2005) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2005.03.002 · Cited by 641 · see citing works
Older adult loneliness: myths and realities
Dykstra, P. A. (2009) · European Journal of Ageing · doi:10.1007/s10433-009-0110-3 · Cited by 632 · see citing works
A review of loneliness: concept and definitions, determinants and consequences
Gierveld, J. D. J. (1998) · Reviews in Clinical Gerontology · doi:10.1017/s0959259898008090 · Cited by 632 · see citing works
Social capital and health: Does egalitarianism matter? A literature review
Islam, M. K., Merlo, J., Kawachi, I. I., Lindström, M., & Gerdtham, U. (2006) · International Journal for Equity in Health · doi:10.1186/1475-9276-5-3 · Cited by 606 · see citing works
Age and loneliness in 25 European nations
YANG, K., & VICTOR, C. (2011) · Ageing and Society · doi:10.1017/s0144686x1000139x · Cited by 540 · see citing works
The Handbook of Social Capital
Osborne, S. P. (2009) · Public Management Review · doi:10.1080/14719030902860360 · Cited by 491 · see citing works
Social Isolation and Loneliness in Old Age: Review and Model Refinement
Wenger, G. C., Davies, R. B., Shahtahmasebi, S., & Scott, A. (1996) · Ageing and Society · doi:10.1017/s0144686x00003457 · Cited by 439 · see citing works
Social Network Type and Subjective Well-being in a National Sample of Older Americans
Litwin, H., & Shiovitz‐Ezra, S. (2010) · The Gerontologist · doi:10.1093/geront/gnq094 · Cited by 418 · see citing works
Cross-National Differences in Older Adult Loneliness
Fokkema, T., Gierveld, J. D. J., & Dykstra, P. A. (2011) · The Journal of Psychology · doi:10.1080/00223980.2011.631612 · Cited by 372 · see citing works
Social Contacts and Their Relationship to Loneliness among Aged People – A Population-Based Study
Routasalo, P. E., Savikko, N., Tilvis, R. S., Strandberg, T. E., & Pitkälä, K. H. (2006) · Gerontology · doi:10.1159/000091828 · Cited by 369 · see citing works
Social capital as a resource for mental well-being in older people: A systematic review
Nyqvist, F., Forsman, A. K., Giuntoli, G., & Cattan, M. (2012) · Aging & Mental Health · doi:10.1080/13607863.2012.742490 · Cited by 359 · see citing works
Self-citationThe social capital of older people
Gray, A. (2008) · Ageing and Society · doi:10.1017/s0144686x08007617 · Cited by 335 · see citing works
Depressive symptoms in late life: a 10-year follow-up
Heikkinen, R.-L., & Kauppinen, M. (2004) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2003.10.004 · Cited by 319 · see citing works
Hooghe, M., & Stolle, D. (2003) · Palgrave Macmillan US eBooks · doi:10.1057/9781403979544 · Cited by 293 · see citing works
Loneliness in Married, Widowed, Divorced, and Never-Married Older Adults
Pinquart, M. (2003) · Journal of Social and Personal Relationships · doi:10.1177/02654075030201002 · Cited by 286 · see citing works
Loneliness among older Europeans
Sundström, G., Fransson, E. I., Malmberg, B., & Davey, A. (2009) · European Journal of Ageing · doi:10.1007/s10433-009-0134-8 · Cited by 270 · see citing works
Generating Social Capital. Civil Society and Institutions in Comparative Perspective.
Hooghe, M., & Stolle, D. (2003) · Cited by 261 · see citing works
Factors Associated With Loneliness of Noninstitutionalized and Institutionalized Older Adults
Prieto-Flores, M.-E., Forjaz, M. J., Fernández‐Mayoralas, G., Rojo‐Pérez, F., & Martínez‐Martín, P. (2010) · Journal of Aging and Health · doi:10.1177/0898264310382658 · Cited by 218 · see citing works
Changes in and factors related to loneliness in older men. The Zutphen Elderly Study.
Tijhuis, M., de Jong-Gierveld, J., Feskens, E., & Kromhout, D. (1999) · Age and Ageing · doi:10.1093/ageing/28.5.491 · Cited by 209 · see citing works
Social Network, Social Support, and Loneliness in Older Persons with Different Chronic Diseases
Penninx, B. W. J. H., van Tilburg, T. G., Kriegsman, D. M. W., Boeke, A. J. P., Deeg, D. J. H., & van Eijk, J. T. M. (1999) · Journal of Aging and Health · doi:10.1177/089826439901100202 · Cited by 199 · see citing works
Social capital, the miniaturisation of community and self-reported global and psychological health
Lindström, M. (2003) · Social Science & Medicine · doi:10.1016/j.socscimed.2003.11.006 · Cited by 198 · see citing works
Tijdschrift voor Gerontologie en Geriatrie
(2023) · Tijdschrift voor Gerontologie en Geriatrie · doi:10.1007/12439.1875-6832 · Cited by 183 · see citing works
Drageset, J., Kirkevold, M., & Espehaug, B. (2010) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2010.09.008 · Cited by 179 · see citing works
Measuring loneliness in later life: a comparison of differing measures
Victor, C., Grenade, L., & Boldy, D. (2005) · Reviews in Clinical Gerontology · doi:10.1017/s0959259805001723 · Cited by 179 · see citing works
Social Capital and Physical Health
Kim, D. J., Subramanian, S. V., & Kawachi, I. I. (2007) · Springer eBooks · doi:10.1007/978-0-387-71311-3_8 · Cited by 169 · see citing works
The Social World of Older People: Understanding Loneliness and Social Isolation in Later Life
Victor, C. R., Scambler, S., & Bond, J. (2009) · doi:10.25405/ncl.34082598 · Cited by 168 · see citing works
Tsai, H.-H., & Tsai, Y.-F. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1678 · Cited by 167 · cited 1× · see citing works
“…those living in institutions (Drageset, Kirkevold, & Espehaug, 2011; Savikko, Routasalo, Tilvis, Strandberg, & Pitkälä, 2005; Tijhuis et al., 1999; Tsai & Tsai, 2011), although the significance of social resources among those living in their own homes compared with those living in institutions…”
BackgroundGrut, M., Fratiglioni, L., Viitanen, M. H., & Winblad, B. G. (1993) · Acta Neurologica Scandinavica · doi:10.1111/j.1600-0404.1993.tb05514.x · Cited by 166 · see citing works
Stephens, C. V., Alpass, F., Towers, A., & Stevenson, B. (2011) · Journal of Aging and Health · doi:10.1177/0898264311400189 · Cited by 161 · see citing works
Individual Experiences as Cultural – a Cross-cultural Study on Loneliness Among the Elderly
Jylhä, M., & Jokela, J. (1990) · Ageing and Society · doi:10.1017/s0144686x00008308 · Cited by 154 · see citing works
Loneliness among elderly people living in Stockholm: a population study
Holmén, K., Ericsson, K., Andersson, L. F., & Winblad, B. G. (1992) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1992.tb01817.x · Cited by 152 · see citing works
Self-citationThe Oldest Old, ADL, Social Network, and Loneliness
Bondevik, M., & Skogstad, A. (1998) · Western Journal of Nursing Research · doi:10.1177/019394599802000305 · Cited by 148 · see citing works
Meaningful social interactions between older people in institutional care settings
Hubbard, G., Tester, S., & DOWNS, M. G. (2003) · Ageing and Society · doi:10.1017/s0144686x02008991 · Cited by 148 · see citing works
Understanding the role of social capital for mental wellbeing among older adults
Forsman, A. K., Herberts, C., Nyqvist, F., Wahlbeck, K., & Schierenbeck, I. (2012) · Ageing and Society · doi:10.1017/s0144686x12000256 · Cited by 101 · see citing works
Self-citationFurther evidence of the reliability and validity of the body esteem scale
Franzoi, S. L. (1994) · Journal of Clinical Psychology · doi:10.1002/1097-4679(199403)50:2 · Cited by 99 · see citing works
Do the sources of the urban elderly's social support determine its psychological consequences?
Felton, B. J., & Berry, C. A. (1992) · Psychology and Aging · doi:10.1037//0882-7974.7.1.89 · Cited by 84 · see citing works
Loneliness and Depression among Elderly Nursing Home Patients
Fessman, N., & Lester, D. (2000) · The International Journal of Aging and Human Development · doi:10.2190/5vy9-n1vt-vbfx-50rg · Cited by 78 · see citing works
Quality of nursing home care assessed by competent nursing home patients
Mattiasson, A., & Andersson, L. F. (1997) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1997.tb00803.x · Cited by 77 · see citing works
Self-citationPhysical Activity and Related Factors Among Nursing Home Residents
Ruuskanen, J., & Parkatti, T. (1994) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1994.tb06593.x · Cited by 71 · see citing works
Do the sources of the urban elderly's social support determine its psychological consequences?
Felton, B. J., & Berry, C. A. (1992) · Psychology and Aging · doi:10.1037/0882-7974.7.1.89 · Cited by 66 · see citing works
Bondevik, M., & Skogstad, A. (1996) · The International Journal of Aging and Human Development · doi:10.2190/9c14-nhux-xqpl-ga5j · Cited by 64 · see citing works
Forsman, A. K., Nyqvist, F., & Wahlbeck, K. (2011) · Scandinavian Journal of Public Health · doi:10.1177/1403494811418281 · Cited by 64 · see citing works
Self-citationCarpenter, B. D. (2002) · Journal of Applied Gerontology · doi:10.1177/073346480202100301 · Cited by 63 · see citing works
Depressive symptoms in late life
Heikkinen, R., Berg, S., & Avlund, K. (1995) · Journal of Cross-Cultural Gerontology · doi:10.1007/bf00972332 · Cited by 51 · see citing works
Loneliness and Ageing: Comparative Perspectives
Jylhä, M. K., & Saarenheimo, M. (2010) · SAGE Publications Ltd eBooks · doi:10.4135/9781446200933.n24 · Cited by 51 · see citing works
Dykstra, P. A., & Gierveld, J. D. J. (1999) · PubMed · Cited by 43 · see citing works
Social Capital and Health in the Oldest Old
Nyqvist, F., Gustavsson, J. M. C., & Gustafsson, Y. (2006) · International Journal of Ageing and Later Life · doi:10.3384/ijal.1652-8670.061191 · Cited by 43 · see citing works
Self-citationImpact of Social Capital on 8-Year Mortality Among Older People in 34 Danish Municipalities
Poulsen, T., Siersma, V., Lund, R., Christensen, U., Vass, M., & Avlund, K. (2012) · Journal of Aging and Health · doi:10.1177/0898264312454574 · Cited by 11 · see citing works
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Hajek, A., Volkmar, A., & König, H.-H. (2025) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-023-02602-0 · Cited by 39 · see citing works
Hajek, A., Gyasi, R. M., & König, H.-H. (2024) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2024.105443 · Cited by 22 · see citing works
Lampinen, J., Conradsson, M., Nyqvist, F., Olofsson, B., Gustafson, Y., Nilsson, I., & Littbrand, H. (2022) · European Journal of Ageing · doi:10.1007/s10433-022-00729-8 · Cited by 21 · see citing works
Self-citationPengpid, S., Peltzer, K., Hajek, A., & Gyasi, R. M. (2025) · International Psychogeriatrics · doi:10.1016/j.inpsyc.2024.100019 · Cited by 8 · see citing works
- Authors
- Nyqvist, F., Cattan, M., Andersson, L., Forsman, A. K., & Gustafson, Y.
- Affiliations
- Finnish Institute for Health and Welfare (FI)
- Northumbria University (GB)
- Linköping University (SE)
- Umeå University (SE)
- Venue
- Journal of Aging and Health
- Publisher
- SAGE Publications
- Published
- 2013-08-29
- Volume
- 25
- Issue
- 6
- Pages
- 1013-1035
- ISSN
- 0898-2643 (ISSN-L)
- 1552-6887
- OpenAlex
- W2105306662
- Cited by
- 130
- References
- 64
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 15 · 2023: 11 · 2022: 16 · 2021: 16 · 2020: 15 · 2019: 7 · 2018: 11 · 2017: 5 · 2016: 8 · 2015: 6 · 2014: 2
- FWCI
- 6.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Aging and Health (publishedVersion)
- PubMed (publishedVersion)
- Northumbria Research Link (Northumbria University) (submittedVersion)
- Åbo Akademi University Research Portal (submittedVersion)
- STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- social capital, loneliness, oldest old, institutionalized elderly, living at home, living alone, depression, regional variation, health status, urban-rural differences
- MeSH terms
- Aged, 80 and over, Cross-Sectional Studies, Female, Finland, Homes for the Aged, Humans, Institutionalization, Loneliness, Male, Risk Factors, Social Support, Sweden, Independent Living
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