Associations of loneliness and social isolation with physical and mental health among adolescents and young adults
Abstract
Aims: The present study investigates whether loneliness and social isolation are associated with poor physical and mental health among adolescents and young adults, and whether age and gender play a role in the associations of loneliness and social isolation with mental and physical health. Methods: This study used cross-sectional self-report data from the 2017 Danish Health and Morbidity Surveys titled ‘How are you?’ ( N = 19,890, M = 22.6 years). Results: Logistic regression analyses showed that loneliness and social isolation were independently associated with poor physical and mental health. Loneliness was associated with increased odds of asthma, migraine, osteoarthritis, rheumatoid arthritis, hypertension, slipped disc/back pain, tinnitus, long-term mental illness, depressive symptomatology, anxiety symptomatology and alcohol problems. Social isolation was associated with decreased odds of having migraine, osteoarthritis and alcohol problems, and an increased risk of long-term mental illness and depressive symptomatology. Small age and gender differences were detected. Conclusions: In adolescents and young adults, loneliness and social isolation were associated with poor mental health and loneliness with poor physical health. These findings highlight the need for targeted prevention and intervention initiatives to alleviate loneliness and social isolation.
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Previous studies have also spotlighted the close relationships between loneliness and externalizing problems, including hyperactivity, conduct problems and violent acts.
“Previous studies have also spotlighted the close relationships between loneliness and externalizing problems, including hyperactivity, conduct problems and violent acts.”
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 [44]
Cites
Loneliness and Social Isolation as Risk Factors for Mortality: A Meta-Analytic Review
Holt-Lunstad, J., Smith, T. B., Baker, M., Harris, T., & Stephenson, D. (2015) · Perspectives on Psychological Science · doi:10.1177/1745691614568352 · Cited by 6,043 · see citing works
BERKMAN, L. F., & SYME, S. L. (1979) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112674 · Cited by 5,341 · see citing works
A Short Scale for Measuring Loneliness in Large Surveys: Results From Two Population-Based Studies
Hughes, M. E., Waite, L. J., Hawkley, L. C., & Cacioppo, J. T. (2004) · Research on Aging · doi:10.1177/0164027504268574 · Cited by 4,781 · see citing works
Valtorta, N. K., Kanaan, M., Gilbody, S., Ronzi, S., & Hanratty, B. (2016) · Heart · doi:10.1136/heartjnl-2015-308790 · Cited by 1,971 · see citing works
Wang, J., Mann, F., Lloyd-Evans, B., Ma, R., & Johnson, S. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1736-5 · Cited by 1,494 · see citing works
Loneliness Across the Life Span
Qualter, P., Vanhalst, J., Harris, R., Van Roekel, E., Lodder, G., Bangee, M., Maes, M., & Verhagen, M. (2015) · Perspectives on Psychological Science · doi:10.1177/1745691615568999 · Cited by 1,080 · see citing works
Self-citationGroarke, J. M., Berry, E., Graham-Wisener, L., McKenna-Plumley, P. E., McGlinchey, E., & Armour, C. (2020) · PLOS ONE · doi:10.1371/journal.pone.0239698 · Cited by 727 · see citing works
Loneliness and Social Isolation
de Jong Gierveld, J., van Tilburg, T., & Dykstra, P. A. (2006) · The Cambridge Handbook of Personal Relationships · doi:10.1017/cbo9780511606632.027 · Cited by 640 · see citing works
Holt-Lunstad, J. (2017) · Public Policy & Aging Report · doi:10.1093/ppar/prx030 · Cited by 569 · see citing works
Social isolation, loneliness and depression in young adulthood: a behavioural genetic analysis
Matthews, T., Danese, A., Wertz, J., Odgers, C. L., Ambler, A., Moffitt, T. E., & Arseneault, L. (2016) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-016-1178-7 · Cited by 534 · see citing works
Estimation in Surveys with Nonresponse
Särndal, C., & Lundström, S. (2005) · Wiley eBooks · doi:10.1002/0470011351 · Cited by 499 · see citing works
Kessler, R. C., Birnbaum, H. G., Shahly, V., Bromet, E. J., Hwang, I. H., McLaughlin, K. A., Sampson, N. A., Andrade, L. H., de Girolamo, G., Demyttenaere, K., et al. (2009) · Depression and Anxiety · doi:10.1002/da.20634 · Cited by 477 · see citing works
McClelland, H., Evans, J. J., Nowland, R., Ferguson, E., & O'Connor, R. C. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.004 · Cited by 466 · see citing works
The transition to high school as a developmental process among multiethnic urban youth
Benner, A. D., & Graham, S. (2009) · Child Development · doi:10.1111/j.1467-8624.2009.01265.x · Cited by 411 · see citing works
Hawkley, L. C., & Cacioppo, J. T. (2007) · Current Directions in Psychological Science · doi:10.1111/j.1467-8721.2007.00501.x · Cited by 389 · see citing works
Youth-Onset Type 2 Diabetes Consensus Report: Current Status, Challenges, and Priorities
Nadeau, K. J., Anderson, B. J., Berg, E. G., Chiang, J. L., Chou, H., Copeland, K. C., Hannon, T. S., Huang, T. T.-K., Lynch, J. L., Powell, J., et al. (2016) · Diabetes Care · doi:10.2337/dc16-1066 · Cited by 381 · see citing works
Hakulinen, C., Pulkki-Råback, L., Virtanen, M., Jokela, M., Kivimäki, M., & Elovainio, M. (2018) · Heart · doi:10.1136/heartjnl-2017-312663 · Cited by 355 · see citing works
Loneliness, isolation and the health of older adults: do we need a new research agenda?
Valtorta, N., & Hanratty, B. (2012) · Journal of the Royal Society of Medicine · doi:10.1258/jrsm.2012.120128 · Cited by 343 · see citing works
Loneliness and physical activity: A systematic review
Pels, F., & Kleinert, J. (2016) · International Review of Sport and Exercise Psychology · doi:10.1080/1750984x.2016.1177849 · Cited by 303 · see citing works
Review: Alleviating loneliness in young people – a meta‐analysis of interventions
Eccles, A. M., & Qualter, P. (2021) · Child and Adolescent Mental Health · doi:10.1111/camh.12389 · Cited by 285 · see citing works
Self-citation“Where are all the lonely people?” A population-based study of high-risk groups across the life span
Lasgaard, M., Friis, K., & Shevlin, M. (2016) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-016-1279-3 · Cited by 282 · cited 6× · see citing works
“when significant associations were detected (Model 3A–3M), models were tested using the interaction terms of (1) loneliness, social isolation and age, and (2) loneliness, social isolation and gender, respectively (i.”
BackgroundMethodInfluentialSelf-citationHealth risks associated with social isolation in general and in young, middle and old age
Hämmig, O. (2019) · PLoS ONE · doi:10.1371/journal.pone.0219663 · Cited by 249 · see citing works
Loneliness, Social Isolation, and Chronic Disease Outcomes
Christiansen, J., Lund, R., Qualter, P., Andersen, C. M., Pedersen, S. S., & Lasgaard, M. (2020) · Annals of Behavioral Medicine · doi:10.1093/abm/kaaa044 · Cited by 236 · see citing works
Self-citationLoneliness, social isolation, their synergistic interaction, and mortality.
Beller, J., & Wagner, A. (2018) · Health Psychology · doi:10.1037/hea0000605 · Cited by 217 · see citing works
Larsen, F. B., Pedersen, M. H., Friis, K., Glümer, C., & Lasgaard, M. (2017) · PLoS ONE · doi:10.1371/journal.pone.0169426 · Cited by 180 · see citing works
Self-citationAdolescent Loneliness and Health in Early Adulthood
Goosby, B. J., Bellatorre, A., Walsemann, K., & Cheadle, J. E. (2013) · Sociological inquiry · doi:10.1111/soin.12018 · Cited by 171 · see citing works
Is asthma prevalence still increasing?
Lundbäck, B., Bäckman, H., Lötvall, J. O., & Rönmark, E. (2015) · Expert Review of Respiratory Medicine · doi:10.1586/17476348.2016.1114417 · Cited by 171 · see citing works
What Turns on a Migraine? A Systematic Review of Migraine Precipitating Factors
Peroutka, S. J. (2014) · Current Pain and Headache Reports · doi:10.1007/s11916-014-0454-z · Cited by 170 · see citing works
Beam, C. R., & Kim, A. J. (2020) · Psychological Trauma: Theory, Research, Practice, and Policy · doi:10.1037/tra0000774 · Cited by 169 · see citing works
Christensen, A. I., Lau, C. J., Kristensen, P. L., Johnsen, S. B., Wingstrand, A., Friis, K., Davidsen, M., & Andreasen, A. H. (2020) · Scandinavian Journal of Public Health · doi:10.1177/1403494820966534 · Cited by 142 · see citing works
Self-citationSports Participation, Sports Injuries and Osteoarthritis
Saxon, L., Finch, C. F., & Bass, S. L. (1999) · Sports Medicine · doi:10.2165/00007256-199928020-00005 · Cited by 129 · see citing works
A unified approach to loneliness
Fried, L., Prohaska, T., Burholt, V., Burns, A., Golden, J., Hawkley, L., Lawlor, B., Leavey, G., Lubben, J., O'Sullivan, R., et al. (2020) · The Lancet · doi:10.1016/s0140-6736(19)32533-4 · Cited by 128 · see citing works
Loneliness in the lives of Danish adolescents: Associations with health and sleep
Eccles, A. M., Qualter, P., Madsen, K. R., & Holstein, B. E. (2020) · Scandinavian Journal of Public Health · doi:10.1177/1403494819865429 · Cited by 125 · see citing works
Self-citationLoneliness in adolescence: Insights from Cacioppo's evolutionary model
Goossens, L. (2018) · Child Development Perspectives · doi:10.1111/cdep.12291 · Cited by 106 · see citing works
Loneliness in Children and Adolescents With Chronic Physical Conditions: A Meta-Analysis
Maes, M., Noortgate, W. V. D., Fustolo-Gunnink, S. F., Rassart, J., Luyckx, K., & Goossens, L. (2017) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsx046 · Cited by 102 · see citing works
Waters, S. K., Lester, L., Wenden, E. J., & CROSS, D. S. (2012) · Australian Journal of Guidance and Counselling · doi:10.1017/jgc.2012.26 · Cited by 92 · see citing works
The fourth dimension: A motoric perspective on the anxiety–performance relationship
Carson, H. J., & Collins, D. J. (2015) · International Review of Sport and Exercise Psychology · doi:10.1080/1750984x.2015.1072231 · Cited by 86 · see citing works
van Dulmen, M. H. M., & Goossens, L. (2013) · Journal of Adolescence · doi:10.1016/j.adolescence.2013.08.001 · Cited by 74 · see citing works
Social isolation, drunkenness, and cigarette use among adolescents
Niño, M., Cai, T., & Ignatow, G. (2015) · Addictive Behaviors · doi:10.1016/j.addbeh.2015.10.005 · Cited by 50 · see citing works
Kraav, S., Awoyemi, O., Junttila, N., Vornanen, R., Kauhanen, J., Toikko, T., Lehto, S. M., Hantunen, S., & Tolmunen, T. (2020) · Aging & Mental Health · doi:10.1080/13607863.2020.1830945 · Cited by 48 · see citing works
Zierau, F., Hardt, F., Henriksen, J. H., et al. (2005) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.1080/00365510500333445 · Cited by 47 · see citing works
Reducing social isolation through formal youth mentoring: opportunities and potential pitfalls
Keller, T. E., Perry, M., & Spencer, R. (2020) · Clinical Social Work Journal · doi:10.1007/s10615-019-00727-x · Cited by 44 · see citing works
Thompson, T., Rodebaugh, T. L., Bessaha, M. L., & Sabbath, E. L. (2019) · Clinical Social Work Journal · doi:10.1007/s10615-019-00730-2 · Cited by 29 · see citing works
Loneliness, social isolation, and chronic disease outcomes
Christiansen, J. A., Lund, R., Qualter, P., et al. (2020) · European Journal of Public Health · doi:10.1093/eurpub/ckaa166.1045 · Cited by 22 · see citing works
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Jong, A., Odoi, C. M., Lau, J., & J.Hollocks, M. (2024) · Journal of Attention Disorders · doi:10.1177/10870547241229096 · Cited by 29 · see citing works
Cipolletta, S., Tedoldi, I., & Tomaino, S. C. M. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1497544 · Cited by 11 · see citing works
Wang, J., Zhang, W., Song, P., Wang, T., Yao, Y., Chen, Y., Lin, H., Yang, X., Chen, X., & Fu, C. (2024) · Psychology Research and Behavior Management · doi:10.2147/prbm.s484113 · Cited by 4 · see citing works
- Authors
- Christiansen, J., Qualter, P., Friis, K., Pedersen, S., Lund, R., Andersen, C., Bekker-Jeppesen, M., & Lasgaard, M.
- Affiliations
- University of Southern Denmark (DK)
- University of Manchester (GB)
- Central Denmark Region (DK)
- Department of Psychology, University of Southern Denmark, Odense, Denmark
- University of Copenhagen (DK)
- Center for Clinical Research and Prevention (DK)
- Venue
- Perspectives in Public Health
- Publisher
- SAGE Publications
- Published
- 2021-06-19
- Volume
- 141
- Issue
- 4
- Pages
- 226-236
- ISSN
- 1757-9139 (ISSN-L)
- 1757-9147
- OpenAlex
- W3173641832
- Cited by
- 241
- References
- 44
- Citations by year
- 2026: 53 · 2025: 62 · 2024: 69 · 2023: 40 · 2022: 15 · 2021: 1
- FWCI
- 17.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Perspectives in Public Health (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- loneliness, social isolation, adolescents, young adults, physical health, mental health, depressive symptoms, anxiety, alcohol problems, long-term mental illness, age differences, gender differences, chronic disease
- MeSH terms
- Adolescent, Mental Disorders, Cross-Sectional Studies, Health Status, Humans, Loneliness, Social Isolation, Young Adult
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