ArticleSocial science & medicine (1982)2022
Intersectional inequalities in loneliness among older adults before and during the early phase of the COVID-19 pandemic: A total population survey in the Swedish eldercare setting.
Article in Social science & medicine (1982), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- Intersectional inequalities in social-emotional problems among three-year-old children in Sweden: a population-based study.BMC public health · 2026Article
- Loneliness in older women: a multidimensional population-based study of social, health, and life-course factors.Frontiers in aging · 2026Article
- Loneliness as a sex-specific risk factor for cognitive aging.Frontiers in human neuroscience · 2026Review
- Facility-Level Variation of Resident Loneliness in Assisted Living and Associated Organizational Context Factors: A Repeated Cross-Sectional Study.International journal of geriatric psychiatry · 2025Article
- The association of financial resources and loneliness among older adults during a state of emergency.PloS one · 2025Article
- Exploring the determinants of subjective well-being among the elderly in Dongguan: a qualitative comparison of migrant and local residents.Frontiers in psychology · 2025Article
- Identifying groups at-risk to extreme heat: Intersections of age, race/ethnicity, and socioeconomic status.Environment international · 2024Article
- Consequences of contact restrictions for long-term care residents during the first months of COVID-19 pandemic: a scoping review.European journal of ageing · 2023Article
- Anxiety and Depression after Winter Storm Uri: Cascading Disasters and Mental Health Inequities.International journal of disaster risk reduction : IJDRR · 2023Article
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Authors and funding
4 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Loneliness among older adults is a public health problem that has received particular attention since the emergence of the COVID-19 pandemic. Studies to date have however found a rather modest psychosocial impact of the pandemic on older adults, and scarce research has analyzed this impact using a comprehensive equity lens. The present study used an intersectional approach to examine social inequalities in loneliness before and during the early phase of the pandemic among older adults receiving eldercare in Sweden. The study population (analytical N = 205,529) came from two waves (2019 and 2020) of a total population survey to all older adult (>65 years of age) home care recipients and nursing home residents in Sweden. Loneliness was self-reported by a single-item measure, and survey data were linked to population register data on age, gender, residential setting, income, and country of birth. Additive binomial regression models were used to estimate prevalence differences and discriminatory accuracy according to an analysis of individual heterogeneity and discriminatory accuracy (AIHDA) approach. Results showed inequalities in loneliness arising particularly in the intersection of country of birth, income, and residential setting. The inequalities widened slightly but ubiquitously following the emergence of the pandemic in 2020, with particularly nursing home residents emerging as a risk group. The discriminatory accuracy of inequalities was consistently low to moderate throughout the analyses but increased marginally during the pandemic in 2020. The study illustrates how social inequalities engenders heterogeneity in the psychosocial risk of older adults before and during the pandemic. These findings should stimulate more nuanced and equity-oriented depictions, research and policies about loneliness among older adults in the peri-pandemic era.
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