Evidence map›Paper›PMID 38600849›Full record

Observational studyAge and ageing2024

Long-term development of loneliness in older people and associations with stringency of COVID-19 measures: an observational cohort study.

Flurina Meier Schwarzer, Nicole Probst-Hensch, Marek Kwiatkowski, Marc Höglinger

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Age and ageing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

4 authors at 3 institutions in 1 country.

Flurina Meier SchwarzerWinterthur Institute of Health Economics, School of Management and Law, Zurich University of Applied Sciences, Winterthur 8401, Switzerland.
Nicole Probst-HenschDepartment of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Allschwil 4123, Switzerland.
Marek KwiatkowskiDepartment of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Allschwil 4123, Switzerland.
Marc HöglingerWinterthur Institute of Health Economics, School of Management and Law, Zurich University of Applied Sciences, Winterthur 8401, Switzerland.
University of Basel · CHSwiss Tropical and Public Health Institute · CHZHAW Zurich University of Applied Sciences · CH

Funding

Health Promotion SwitzerlandSwiss Federal Office of Public HealthUniversity of Zurich and from the Zurich University of Applied Sciences
6 · The paper itself

Abstract

backgroundMost longitudinal studies found heightened feelings of loneliness in older people in spring 2020 compared to times before the pandemic. However, longer-term effects are more disputed. We, therefore, investigated changes in loneliness in older people throughout the first 21 months of the COVID-19 pandemic in Switzerland and examined the association between the stringency of COVID-19 measures and feelings of loneliness.

methodsWe assessed loneliness (3-item University of California Los Angeles (UCLA) loneliness scale) in a nationally representative longitudinal observational online survey. Older people (65-79 years) were surveyed between March 2020 and December 2021. Proportions of people feeling lonely (UCLA loneliness scale >6) were compared in two stringent phases ('lockdown', Oxford University stringency index ≥55) and two less restricted phases. Additionally, we explored the situation of potentially more susceptible subgroups (living alone, women, chronic and mental diseases, low educational level and low income).

resultsPhases with stringent measures were associated with higher levels of loneliness in older people. People living alone, women, people with noncommunicable or mental disease diagnoses and lower income show consistently higher levels of loneliness. However, the differences are not accentuated in phases with more stringent measures. We found little differences between subgroups with varying educational levels.

conclusionsEven in a country with relatively less stringent COVID-19 measures like Switzerland, an increase in the proportion of older people that feel lonely could be found during phases with more stringent COVID-19 measures. Lockdown phases should, therefore, be accompanied by evidence-based interventions to relieve loneliness to avoid adverse short- and long-term consequences.

Indexed as

COVID-19LonelinessAgedCommunicable Disease ControlFemaleHumansLongitudinal StudiesPandemicslongitudinal studyolder peoplepandemicsocial isolationvulnerable subgroups

Identifiers

PMID38600849
PMCPMC11007266
OpenAlexW4394724969

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.