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Suffering from Loneliness Indicates Significant Mortality Risk of Older People
Open accessAbstract
Background. The harmful associates of suffering from loneliness are still in dispute. Objective. To examine the association of feelings of loneliness with all-cause mortality in a general aged population.Methods. A postal questionnaire was sent to randomly selected community-dwelling of elderly people (>74 years) from the Finnish National Population Register. The questionnaire included demographic characteristics, living conditions, functioning, health, and need for help. Suffering from loneliness was assessed with one question and participants were categorized as lonely or not lonely. Total mortality was retrieved from the National Population Information System.Results. Of 3687 respondents, 39% suffered from loneliness. Lonely people were more likely to be deceased during the 57-month follow-up (31%) than subjects not feeling lonely (23%, ). Excess mortality (, 95% ) of lonely people increased over time. After controlling for age and gender, the mortality risk of the lonely individuals was 1.33 (95% ) and after further controlling for subjective health 1.17 (). The excess mortality was consistent in all major subgroups.Conclusion. Suffering from loneliness is common and indicates significant mortality risk in old age.
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Socially isolated individuals are less likely to receive emergency and routine medical care owing to their smaller social network.
“Finally, in terms of social factors, socially isolated individuals are less likely to receive emergency and routine medical care owing to their smaller social network if they need help and have no means of transportation 90 .”
From A systematic review and meta-analysis of 90 cohort studies of social isolation, loneliness and mortality (2023) · cites this paper as [90]
The Introduction distinguishes social isolation from loneliness and mentions increased use of social and health services in studies of loneliness. Neither the Introduction nor the Discussion addresses whether socially isolated people receive less emergency or routine care because they lack contacts or transportation. Searches for those care-access and transportation claims found no supporting passage in our copy. (LLM, conf=0.77)
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Social isolation, loneliness and health in old age: a scoping review
Courtin, E., & Knapp, M. (2017) · Health & Social Care in the Community · doi:10.1111/hsc.12311 · Cited by 1,463
Loneliness, health, and mortality in old age: A national longitudinal study
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The Prevalence of Loneliness Among Adults: A Case Study of the United Kingdom
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A Longitudinal Analysis of Loneliness Among Older People in Great Britain
Victor, C. R., & Bowling, A. (2012) · The Journal of Psychology · doi:10.1080/00223980.2011.609572 · Cited by 322
Loneliness and stress-related inflammatory and neuroendocrine responses in older men and women
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Self-citationPrevalence of loneliness over ten years among the oldest old
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An investigation into the patterns of loneliness and loss in the oldest old – Newcastle 85+ Study
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Metadata
- Authors
- Tilvis, R. S., Laitala, V., Routasalo, P. E., & Pitkälä, K. H.
- Affiliations
- Helsinki University Hospital (FI)
- Central Union for the Welfare of the Aged, Malmin kauppatie 26, 00700 Helsinki, Finland
- University of Helsinki (FI)
- Corresponding author
- Tilvis, Reijo S.
- ORCID
- Pitkälä, Kaisu H.
- Venue
- Journal of Aging Research
- Publisher
- Hindawi Limited
- Published
- 2011
- Volume
- 2011
- Pages
- 1-5
- ISSN
- 2090-2204 (ISSN-L)
- 2090-2212
- PMC
- PMC3056243
- OpenAlex
- W2027602209
- Cited by
- 169
- References
- 5
- Citations by year
- 2026: 1 · 2025: 15 · 2024: 6 · 2023: 8 · 2022: 11 · 2021: 19 · 2020: 10 · 2019: 10 · 2018: 12 · 2017: 14 · 2016: 11 · 2015: 14 · 2014: 12 · 2013: 5 · 2012: 16
- FWCI
- 11.90
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Aging Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
- Keywords
- loneliness, all-cause mortality, older adults, excess mortality, self-rated health, community-dwelling older adults, mortality risk
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