ArticleBMC psychology2023
Prevalence and associated factors of incident and persistent loneliness among middle-aged and older adults in Thailand.
Article in BMC psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Prevalence and risk factors for loneliness among individuals with diabetes: a systematic review and meta-analysis.Systematic reviews · 2025Pooled it
- Factors Related to Quality of Life Among Older Adults with Family Care Vulnerability in Semi-Urban Areas of Thailand.Journal of multidisciplinary healthcare · 2026Article
- Determinants of life satisfaction and depressive symptoms among older adults living alone: longitudinal national evidence from Thailand, 2015-2022.BMC psychology · 2025Article
- Loneliness and isolation: Are they associated with the wish for an earlier end of life?Geriatrics & gerontology international · 2025Article
- Hope and Loneliness as Predictors of Quality of Life Among Rural Older Adults in Thailand: A Cross-Sectional Study.International journal of environmental research and public health · 2025Article
- Factors Associated With the Intention to Use mHealth Among Thai Middle-Aged Adults and Older Adults: Cross-Sectional Study.JMIR human factors · 2025Article
- The Associations Between Physical Activity and Mental Health Problems in Middle-aged Indonesians.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- Longitudinal associations of loneliness with mental ill-health, physical ill-health, lifestyle factors and mortality in ageing adults in Thailand.BMC psychiatry · 2023Article
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Authors and funding
2 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of the study was to assess the prevalence and associated factors of incident and persistent loneliness in a prospective cohort study among middle-aged and older adults (≥ 45 years) in Thailand.
methodsLongitudinal data from the Health, Aging, and Retirement in Thailand (HART) study in 2015 and 2017 were analysed. Loneliness was assessed with one item from the Center for Epidemiological Studies Depression scale. Logistic regression was used to calculate predictors of incident and persistent loneliness.
resultsIn total, at baseline 21.7% had loneliness, 633 of 3696 participants without loneliness in 2015 had incident loneliness in 2017 (22.2%), and 239 of 790 adults had persistent loneliness (in both 2015 and 2017) (30.3%). In adjusted logistic regression analysis, low income (aOR: 1.27, 95% CI: 1.03 to 1.57), poor self-rated physical health status (aOR: 1.64, 95% CI: 1.27 to 2.12), hypertension (aOR: 1.34, 95% CI: 1.09 to 1.65), depressive symptoms (aOR: 1.97, 95% CI: 1.11 to 3.49), and having three or chronic conditions (aOR: 1.76, 95% CI: 1.19 to 2.60) were positively associated and a higher education (aOR: 0.74, 95% CI: 0.55 to 0.98) and living in the southern region of Thailand (aOR: 0.43, 95% CI: 0.30 to 0.61) were inversely associated with incident loneliness. Poor self-rated physical health status (aOR: 1.91, 95% CI: 1.26 to 2.88), and having three or more chronic diseases (aOR: 1.78, 95% CI: 1.07 to 2.98), were positively associated, and living in the southern region (aOR: 0.40, 95% CI: 0.25 to 0.65) was inversely associated with persistent loneliness.
conclusionMore than one in five ageing adults had incident loneliness in 2 years of follow-up. The prevalence of incident and/or persistent loneliness was higher in people with a lower socioeconomic status, residing in the central region, poor self-rated physical health status, depressive symptoms, hypertension, and a higher number of chronic diseases.
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