Loneliness and isolation
in later life
Thomas Scharf
Professor of Social Gerontology, Newcastle University
@TomScharfNcl
AGE HAPPY!
SEARCH – Conference to celebrate 40 years of community work,
Newcastle Upon Tyne, 30 September 2019
Outline
•Understanding loneliness and
isolation
•What do we know about loneliness?
•Impacts
•Prevalence
•Responses
•Conclusions: some difficult questions
Quiz
1. What proportion of people aged
65 and over are often/always
lonely in England?
a) Under 10%
b) 10-19%
c) 20-29%
d) 30-39%
e) 40% or more
Quiz
2. What proportion of people aged
75 and over are never lonely in
England?
a) 14%
b) 24%
c) 34%
d) 44%
e) 54%
Quiz
3. Loneliness rates among older
people in the UK have increased
substantially since the 1940s
a) True
b) False
Quiz
4. Which of the following health
conditions are associated with
loneliness?
a) Sleep disorders
b) Cardiovascular disease
c) High blood pressure
d) Dementia
e) Depression
Quiz
5. In which of the following
countries/regions is loneliness in
later life most prevalent?
a) Western Europe (e.g. UK, Ireland,
Germany, France)
b) Southern Europe (e.g. Spain, Portugal,
Italy, Greece)
c) Northern Europe (e.g. Denmark,
Finland Norway, Sweden)
What do we know
about loneliness
and isolation?
1.
Loneliness ≠
social isolation
Loneliness
Social isolation
2.
social loneliness
vs
emotional
loneliness
Emotional loneliness
Well, since my baby left me
Well, I found a new place to
dwell
Well, it’s down at the end of
Lonely Street
At Heartbreak Hotel
Where I’ll be--where I get so
lonely, baby
Well, I’m so lonely
I get so lonely, I could die
Elvis Presley, Heartbreak Hotel, 1956
Livin’ alone
I think of all the friends I’ve
known
But when I dial the telephone
Nobody’s home
All by myself
Don’t want to be, all by myself
anymore
Eric Carmen, All By Myself, 1975
Social loneliness
3.
Duration of
loneliness
Transient Situational
Chronic Seasonal
Chronic loneliness
Now no one’s knocked upon
my door
For a thousand years or more
All made up and nowhere to go
Welcome to this one man show
The Police, So Lonely, 1978
Seasonal loneliness
Try to imagine a house that's not a home
Try to imagine a Christmas all alone
That's where I'll be since you left me
My tears could melt the snow
What can I do without you?
I've got no place, no place to go
It'll be lonely this Christmas without you
to hold
It'll be lonely this Christmas
Lonely and cold
Mud - Lonely This Christmas, 1974
Only 85 days until Christmas…
What are the
impacts of
loneliness?
Individual impacts
26% increased
risk of death
= 15
cigarettes a
day…
Individual impacts
•Physical health conditions
•sleep disorders, cardiovascular
disease, high blood pressure
etc.
•Mental health conditions
•dementia, depression, suicide
etc
Broader impacts
•Families, friends and neighbours
•Communities
•Society
•Care services
•GP consultations
•Emergency hospital admissions
•Institutional care
How many people
are lonely in later
life?
Prevalence of loneliness by age
Source: Community Life Survey, August 2016 to March 2017 (ONS, 2018)
•Surveys since the
1940s broadly
consistent
•7-10% of older people
in the UK often or
always lonely
Risk of loneliness greater…
•75 and over
•Living alone
•Widowed, divorced/separated,
never married
•Poor physical and/or mental health
•Low incomes
•Disadvantaged urban communities
National variation
Where is
there more
loneliness?
Difficult questions…
•Loneliness and/or social
isolation?
•Social and/or emotional
loneliness?
•When and where to intervene?
•Who to target?
•How to intervene without
stigmatising lonely people?
‘Risky’ responses
Contact
thomas.scharf@ncl.ac.uk
Thanks for
listening!
Any questions?

Tom scharf loneliness and isolation

Editor's Notes