Evidence map›Paper›PMID 41919284›Full record

ArticleFrontiers in public health2026

Beyond words: the association of hugging with loneliness, social isolation, and social withdrawal. Evidence from the general adult population in Germany based on a cross-sectional survey.

André Hajek, Angelina R Sutin, Martina Luchetti, Yannick Stephan, Karl Peltzer, Supa Pengpid, Dong Keon Yon, Razak M Gyasi, Andrew Stickley, Antonio Terracciano and 1 more

Abstract read
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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

André HajekDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Hamburg, Germany.
Angelina R SutinDepartment of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FL, United States.
Martina LuchettiDepartment of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FL, United States.
Yannick StephanEuromov, University of Montpellier, Montpellier, France.
Karl PeltzerDepartment of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Supa PengpidDepartment of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Dong Keon YonCenter for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea.
Razak M GyasiAfrican Population and Health Research Center, Nairobi, Kenya.
Andrew StickleyDepartment of Preventive Intervention for Psychiatric Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.
Antonio TerraccianoDepartment of Geriatrics, Florida State University College of Medicine, Tallahassee, FL, United States.
Hans-Helmut KönigDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Thus far, no studies have focused on hugging and social disconnectedness outcomes comprehensively (loneliness, social isolation, social withdrawal) in the post-pandemic era. Our aim was to examine whether hugging is associated with loneliness, social isolation, and social withdrawal and whether these associations vary by gender. Methods: We used cross-sectional data collected via an online survey conducted in January 2025 (N = 3,270 adults aged 18 to 74 years across Germany). To ensure representativeness, a quota sampling method was employed based on gender, age, and federal state. Participants reported on their loneliness, social isolation, and social withdrawal and how many individuals they hugged each day. Linear regression models with robust standard errors were used. Results: After adjusting for multiple covariates, hugging on average one (or more) individuals per day (compared to lack of hugging) was associated with fewer feelings of loneliness, social isolation, and social withdrawal in the total sample. Among men, hugging was associated with reduced feelings of loneliness and social withdrawal but not social isolation; hugging was related to all three social disconnectedness metrics among women and the associations were stronger than for men, as indicated by corresponding interaction terms (hugging x gender). Conclusion: Our findings suggested an association between hugging frequency and measures of social disconnectedness, particularly among women. Efforts to increase the frequency of hugs, ideally to at least 2-3 individuals on average per day, may be beneficial for social outcomes, pending longitudinal and experimental evidence.

Indexed as

LonelinessSocial IsolationAdolescentAdultAgedCross-Sectional StudiesFemaleGermanyHumansMaleMiddle AgedSex FactorsSurveys and QuestionnairesYoung Adultembracinghikikomorihughugginglonelinesssocial exclusionsocial isolationsocial withdrawal

Identifiers

PMID41919284
PMCPMC13033772

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LicenceCC BY
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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.