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      Social isolation, loneliness and health in old age: a scoping review.

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          Abstract

          The health and well-being consequences of social isolation and loneliness in old age are increasingly being recognised. The purpose of this scoping review was to take stock of the available evidence and to highlight gaps and areas for future research. We searched nine databases for empirical papers investigating the impact of social isolation and/or loneliness on a range of health outcomes in old age. Our search, conducted between July and September 2013 yielded 11,736 articles, of which 128 items from 15 countries were included in the scoping review. Papers were reviewed, with a focus on the definitions and measurements of the two concepts, associations and causal mechanisms, differences across population groups and interventions. The evidence is largely US-focused, and loneliness is more researched than social isolation. A recent trend is the investigation of the comparative effects of social isolation and loneliness. Depression and cardiovascular health are the most often researched outcomes, followed by well-being. Almost all (but two) studies found a detrimental effect of isolation or loneliness on health. However, causal links and mechanisms are difficult to demonstrate, and further investigation is warranted. We found a paucity of research focusing on at-risk sub-groups and in the area of interventions. Future research should aim to better link the evidence on the risk factors for loneliness and social isolation and the evidence on their impact on health.

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          Author and article information

          Journal
          Health Soc Care Community
          Health & social care in the community
          Wiley-Blackwell
          1365-2524
          0966-0410
          May 2017
          : 25
          : 3
          Affiliations
          [1 ] London School of Economics and Political Science, Personal Social Services Research Unit, London, UK.
          Article
          10.1111/hsc.12311
          26712585
          77bcdcb6-04d3-4dd5-a8aa-811c4f606775
          History

          health,loneliness,mental health,older people,scoping review,social isolation

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