The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

Loneliness, social isolation, cardiovascular disease and mortality: a synthesis of the literature and conceptual framework

Loneliness, social isolation, cardiovascular disease and mortality: a synthesis of the literature and conceptual framework
Loneliness, social isolation, cardiovascular disease and mortality: a synthesis of the literature and conceptual framework

To conduct a systematic review and develop a conceptual framework on the mechanisms linking loneliness, social isolation, health outcomes and mortality. Electronic databases were systematically searched (PubMed, MEDLINE, Scopus and EMBASE) from inception to October 2018 followed by manual searching to identify research on loneliness, social isolation and mortality in adults published in the English language. Articles were assessed for quality and synthesised into a conceptual framework using meta-ethnographical approaches. A total of 122 articles were included. These collated observational designs examining mediators and moderations of the association in addition to qualitative studies exploring potential mechanisms were included. A framework incorporating 18 discrete factors implicated in the association between loneliness, social isolation and mortality was developed. Factors were categorised into societal or individual, and sub-categorised into biological, behavioural and psychological. These findings emphasise the complex multidirectional relationship between loneliness, social isolation and mortality. Our conceptual framework may allow development of more holistic interventions, targeting many of the interdependent factors that contribute to poor outcomes for lonely and socially isolated people.

health policy, health promotion, qualitative research, Social conditions and disease
0141-0768
185-192
Hodgson, Sam
6e051dfd-5283-4720-8c53-1fae01b34339
Watts, Isabella
dede721f-5080-42c9-ab99-024cf956b44d
Fraser, Simon
135884b6-8737-4e8a-a98c-5d803ac7a2dc
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1
Hodgson, Sam
6e051dfd-5283-4720-8c53-1fae01b34339
Watts, Isabella
dede721f-5080-42c9-ab99-024cf956b44d
Fraser, Simon
135884b6-8737-4e8a-a98c-5d803ac7a2dc
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1

Hodgson, Sam, Watts, Isabella, Fraser, Simon, Roderick, Paul and Dambha-Miller, Hajira (2020) Loneliness, social isolation, cardiovascular disease and mortality: a synthesis of the literature and conceptual framework. Journal of the Royal Society of Medicine, 113 (5), 185-192. (doi:10.1177/0141076820918236).

Record type: Review

Abstract

To conduct a systematic review and develop a conceptual framework on the mechanisms linking loneliness, social isolation, health outcomes and mortality. Electronic databases were systematically searched (PubMed, MEDLINE, Scopus and EMBASE) from inception to October 2018 followed by manual searching to identify research on loneliness, social isolation and mortality in adults published in the English language. Articles were assessed for quality and synthesised into a conceptual framework using meta-ethnographical approaches. A total of 122 articles were included. These collated observational designs examining mediators and moderations of the association in addition to qualitative studies exploring potential mechanisms were included. A framework incorporating 18 discrete factors implicated in the association between loneliness, social isolation and mortality was developed. Factors were categorised into societal or individual, and sub-categorised into biological, behavioural and psychological. These findings emphasise the complex multidirectional relationship between loneliness, social isolation and mortality. Our conceptual framework may allow development of more holistic interventions, targeting many of the interdependent factors that contribute to poor outcomes for lonely and socially isolated people.

Text
Loneliness Final (1) - Accepted Manuscript
Download (145kB)

More information

Accepted/In Press date: 20 March 2020
e-pub ahead of print date: 14 May 2020
Published date: May 2020
Keywords: health policy, health promotion, qualitative research, Social conditions and disease

Identifiers

Local EPrints ID: 441726
URI: http://eprints.soton.ac.uk/id/eprint/441726
ISSN: 0141-0768
PURE UUID: c7b701d4-7693-4a75-9604-5f57bd97746d
ORCID for Simon Fraser: ORCID iD orcid.org/0000-0002-4172-4406
ORCID for Paul Roderick: ORCID iD orcid.org/0000-0001-9475-6850
ORCID for Hajira Dambha-Miller: ORCID iD orcid.org/0000-0003-0175-443X

Catalogue record

Date deposited: 24 Jun 2020 16:49
Last modified: 10 Jan 2022 03:17

Export record

Altmetrics

Contributors

Author: Sam Hodgson
Author: Isabella Watts
Author: Simon Fraser ORCID iD
Author: Paul Roderick ORCID iD

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×