Loneliness and associated factors among Brazilian adolescents: results of national adolescent school-based health survey 2015

Antunes, Juliana Teixeira; Machado, Ísis Eloah; Malta, Déborah Carvalho

doi:10.1016/j.jped.2021.04.004

Cited by 8 publications

(3 citation statements)

References 25 publications

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“…Of these, 76 estimates for 68 countries across 17 studies were included in meta-analysis ( fig 3 , fig 4 , fig 5 , fig 6 ), nearly all from the Global School-Based Student Health Survey. Five meta-analyses were conducted, one for each of the following WHO regions: Africa (five studies, 57 58 59 60 61 11 countries), the Americas (five studies, 62 63 64 65 66 26 countries), Eastern Mediterranean (two studies, 58 67 10 countries), South-East Asia (five studies, 58 68 69 70 71 nine countries), and Western Pacific (four studies, 58 71 72 73 12 countries). A meta-analysis was not performed for Europe owing to fewer comparable measures across a small number of countries with prevalence data for this age group.…”

Section: Resultsmentioning

confidence: 99%

The prevalence of loneliness across 113 countries: systematic review and meta-analysis

Surkalim

Luo

Eres

et al. 2022

BMJ

178

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Objectives To identify data availability, gaps, and patterns for population level prevalence of loneliness globally, to summarise prevalence estimates within World Health Organization regions when feasible through meta-analysis, and to examine temporal trends of loneliness in countries where data exist. Design Systematic review and meta-analysis. Data sources Embase, Medline, PsycINFO, and Scopus for peer reviewed literature, and Google Scholar and Open Grey for grey literature, supplemented by backward reference searching (to 1 September 2021) Eligibility criteria for selecting studies Observational studies based on nationally representative samples (n≥292), validated instruments, and prevalence data for 2000-19. Two researchers independently extracted data and assessed the risk of bias using the Joanna Briggs Institute checklist. Random effects meta-analysis was conducted in the subset of studies with relatively homogeneous research methods by measurement instrument, age group, and WHO region. Results Prevalence data were available for 113 countries or territories, according to official WHO nomenclature for regions, from 57 studies. Data were available for adolescents (12-17 years) in 77 countries or territories, young adults (18-29 years) in 30 countries, middle aged adults (30-59 years) in 32 countries, and older adults (≥60 years) in 40 countries. Data for all age groups except adolescents were lacking outside of Europe. Overall, 212 estimates for 106 countries from 24 studies were included in meta-analyses. The pooled prevalence of loneliness for adolescents ranged from 9.2% (95% confidence interval 6.8% to 12.4%) in South-East Asia to 14.4% (12.2% to 17.1%) in the Eastern Mediterranean region. For adults, meta-analysis was conducted for the European region only, and a consistent geographical pattern was shown for all adult age groups. The lowest prevalence of loneliness was consistently observed in northern European countries (2.9%, 1.8% to 4.5% for young adults; 2.7%, 2.4% to 3.0% for middle aged adults; and 5.2%, 4.2% to 6.5% for older adults) and the highest in eastern European countries (7.5%, 5.9% to 9.4% for young adults; 9.6%, 7.7% to 12.0% for middle aged adults; and 21.3%, 18.7% to 24.2% for older adults). Conclusion Problematic levels of loneliness are experienced by a substantial proportion of the population in many countries. The substantial difference in data coverage between high income countries (particularly Europe) and low and middle income countries raised an important equity issue. Evidence on the temporal trends of loneliness is insufficient. The findings of this meta-analysis are limited by data scarcity and methodological heterogeneity. Loneliness should be incorporated into general health surveillance with broader geographical and age coverage, using standardised and validated measurement tools. Systematic review registration PROSPERO CRD42019131448.

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Section: Resultsmentioning

confidence: 99%

The prevalence of loneliness across 113 countries: systematic review and meta-analysis

Surkalim

Luo

Eres

et al. 2022

BMJ

178

View full text Add to dashboard Cite

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“…At the individual level, factors such as old age, female gender [8], insomnia [18], suicidal thoughts, smoking, drinking alcohol [19], and feelings of depression and anxiety [20] have been reported. Interpersonal factors include weak peer relationships (victimization, few close friends, poorquality friendships), poor parental relations (inconsistent parenting style, lack of parental warmth and intimacy, conflicts with parents) [8], experience of bullying [19], and higher maternal education are also reported to increase the likelihood of loneliness [18]. Considering that loneliness may increase the likelihood of unexpected mental and emotional behavior among female adolescents, understanding these factors and reducing those that are modifiable may help lower the risk.…”

Section: Open Accessmentioning

confidence: 99%

“…At the individual level, factors such as old age, female gender [ 8 ], insomnia [ 18 ], suicidal thoughts, smoking, drinking alcohol [ 19 ], and feelings of depression and anxiety [ 20 ] have been reported. Interpersonal factors include weak peer relationships (victimization, few close friends, poor-quality friendships), poor parental relations (inconsistent parenting style, lack of parental warmth and intimacy, conflicts with parents) [ 8 ], experience of bullying [ 19 ], and higher maternal education are also reported to increase the likelihood of loneliness [ 18 ]. Considering that loneliness may increase the likelihood of unexpected mental and emotional behavior among female adolescents, understanding these factors and reducing those that are modifiable may help lower the risk.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with loneliness among Indonesian female adolescents: a cross-sectional study

Marthoenis

Dahlia

Nassimbwa³

2022

BMC Women's Health

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Background Loneliness, or the perception of social disconnectedness, is a public health concern and is reported to be a frequent experience during adolescence (10–19 years). This study investigates the prevalence of loneliness and associated health-risk behaviors among Indonesian female adolescents. Methods This was a cross-sectional study, data for which were extracted from the WHO’s Global School-based Student Health Survey (GSHS), which uses a globally standardized cross-sectional methodology to provide accurate data on behaviors and protective factors among students. Data from 4993 female students aged 13–17 years old from 74 schools were extracted from the 2015 survey in Indonesia and analyzed. Loneliness was used as a single measure, as happens in other studies using GSHS data. Descriptive analysis was done for age, socioemotional issues, health-risk behaviors, and contextual factors. This was followed by multiple logistic regression analysis to identify loneliness-associated factors. Results Approximately 6.5% of Indonesian female adolescents experience loneliness most of the time or always. Adolescents experiencing loneliness had a higher rate of sleep disturbance (37.6%), suicide ideation (21%), suicide plan (20.8%), smoking behavior (15%), and alcohol use (15.7%) than the general population. Multiple regression analysis confirms that adolescents who have no close friends, have been bullied during the past month, experience sleep disturbance, have had suicide ideation and suicide plans, are always feeling hungry, are exposed to passive smoking, and are engaged in a sedentary lifestyle are at a higher likelihood of suffering from loneliness (p < 0.05). On the other hand, having kind and helpful classmates served as a useful protection against loneliness (p < 0.05). Conclusions The rate of loneliness in Indonesian female adolescents is relatively lower than previously reported elsewhere. Several health-risk behaviors and contextual factors are associated with loneliness. It is important to gain insight into the exact interplay between factors and loneliness since that could inform future intervention development and lead to better well-being among female adolescents.

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Gender inequalities as contributors to dementia in Latin America and the Caribbean: what factors are missing from research?

Ribeiro

Crivelli

Leist

2023

The Lancet Healthy Longevity

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Loneliness and associated factors among Brazilian adolescents: results of national adolescent school-based health survey 2015

Cited by 8 publications

References 25 publications

The prevalence of loneliness across 113 countries: systematic review and meta-analysis

The prevalence of loneliness across 113 countries: systematic review and meta-analysis

Prevalence and factors associated with loneliness among Indonesian female adolescents: a cross-sectional study

Gender inequalities as contributors to dementia in Latin America and the Caribbean: what factors are missing from research?

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