Evidence map›Paper›PMID 31203639›Full record

ArticleAmerican journal of health promotion : AJHP2019

Loneliness in the United States: A 2018 National Panel Survey of Demographic, Structural, Cognitive, and Behavioral Characteristics.

Liana DesHarnais Bruce, Joshua S Wu, Stuart L Lustig, Daniel W Russell, Douglas A Nemecek

Open access · hybridAbstract read
In one paragraph

Article in American journal of health promotion : AJHP, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
15.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 164 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Coronary Artery Disease and Loneliness: A Cross-Sectional Analysis using the Revised UCLA Loneliness Scale.The International journal of angiology : official publication of the International College of Angiology, Inc · 2026
    Article
  6. Article
  7. Observational
  8. Loneliness Subtypes and Their Association With Prevalent and Incident Dementia.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
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  12. Article
  13. Review
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  19. Article
  20. Ten Myths About the Effect of Social Media Use on Well-Being.Journal of medical Internet research · 2024
    Review

3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Liana DesHarnais BruceCigna Health and Life Insurance Company, Clinical Performance & Quality, Glendale, CA, USA.ORCID 0000-0003-1221-2441
Joshua S WuEdelman Intelligence, Rochester, NY, USA.
Stuart L LustigCigna Health and Life Insurance Company, Clinical Performance & Quality, Glendale, CA, USA.
Daniel W RussellCollege of Human Sciences, Iowa State University, Ames, IA, USA.
Douglas A NemecekCigna Health and Life Insurance Company, Clinical Performance & Quality, Glendale, CA, USA.
Cigna (United States) · USCampbell University · USIowa State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo inform health behavior intervention design, we sought to quantify loneliness and its correlates, including social media use, among adults in the United States.

designCross-sectional research panel questionnaire.

settingResponses were gathered from individuals in all 50 states surveyed via Internet from February 2018 to March 2018.

participantsA total of 20 096 US panel respondents aged 18+. MEASURES: The University of California at Los Angeles (UCLA) Loneliness Scale (theoretical score range = 20-80) was administered along with demographic, structural, cognitive, and behavioral items. ANALYSIS: After calibrating the sample to population norms, we conducted multivariable linear regression analysis.

resultsThe overall mean survey-weighted loneliness score was 44.03 (standard error = 0.09). Social support (standardized β [sβ] = -0.19) and meaningful daily interactions (sβ = -0.14) had the strongest associations with lower loneliness, along with reporting good relationships, family life, physical and mental health, friendships, greater age, being in a couple, and balancing one's daily time. Social anxiety was most strongly associated with greater loneliness (sβ = +0.20), followed by self-reported social media overuse (sβ = +0.05) and daily use of text-based social media (sβ = +0.03).

conclusionOur findings confirm that loneliness decreases with age, and that being in a relationship as well as everyday behavioral factors in people's control are most strongly related to loneliness. Population health promotion efforts to reduce loneliness should focus on improving social support, decreasing social anxiety, and promoting healthy daily behaviors.

Indexed as

BehaviorCognitionAdultAgedCross-Sectional StudiesDepressionFamily RelationsFemaleHumansLonelinessMaleMiddle AgedSurveys and QuestionnairesUnited Statesawarenessinterventionslonelinessmental healthmental illnessmind–body healthopportunitypopulation healthsocial mediasocial supportspiritual healthstrategies

Identifiers

PMID31203639
PMCPMC7323762
OpenAlexW2950508301

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.