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Multiple long-term conditions, loneliness and social isolation: a scoping review of recent quantitative studies

Abstract:
Background
Multiple long-term conditions (MLTC), loneliness and social isolation are common in older adults. Recent studies have explored the association of MLTC with loneliness and social isolation. This scoping review aimed to map this current evidence and identify gaps in the literature.
Methods
A scoping review was conducted following the PRISMA guidelines for scoping reviews. Ovid Medline, Embase, CINAHL, The Cochrane Library, PsycInfo, and Bielefeld Academic Search Engine were searched for studies published between January 2020-April 2023. Quantitative studies, published in any language, that assessed the association of MLTC with loneliness and/or social isolation were included.
Results
1827 records were identified and screened. Of these, 17 met inclusion criteria. Most studies were cross-sectional and based on older adults. Studies were conducted in Europe, the US, Canada, and low- and middle-income countries. Ten studies focused on the association between MLTC and loneliness, six assessed the association between MLTC and social isolation and one examined associations with both loneliness and social isolation. Most studies reported a significant cross-sectional association of MLTC with loneliness, but there was weaker evidence for a longitudinal association between MLTC and loneliness and an association between MLTC and social isolation. Studies were heterogenous in terms of measures and definitions of loneliness/social isolation and MLTC, confounders adjusted for, and analytical models used, making comparisons difficult.
Conclusions
Further population-based longitudinal studies using consistent measures and methodological approaches are needed to improve understanding of the association of MLTC with both loneliness and social isolation.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1016/j.archger.2024.105347

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Oxford college:
Exeter College
Role:
Author
ORCID:
0000-0002-6170-4402


Publisher:
Elsevier
Journal:
Archives of Gerontology and Geriatrics More from this journal
Volume:
120
Article number:
105347
Publication date:
2024-01-26
Acceptance date:
2024-01-22
DOI:
EISSN:
1872-6976
ISSN:
0167-4943
Pmid:
38309103


Language:
English
Keywords:
Pubs id:
1648447
Local pid:
pubs:1648447
Deposit date:
2024-02-28

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