2020
DOI: 10.1111/jgs.16865
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Social Isolation and Loneliness Among San Francisco Bay Area Older Adults During the COVID‐19 Shelter‐in‐Place Orders

Abstract: Background/Objectives Physical distancing during the COVID‐19 pandemic may have unintended, detrimental effects on social isolation and loneliness among older adults. Our objectives were to investigate 1) experiences of social isolation and loneliness during shelter‐in‐place orders and 2) unmet health needs related to changes in social interactions. Design Mixed‐methods, longitudinal phone‐based survey administered every 2 weeks. Setting Two … Show more

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Cited by 280 publications
(355 citation statements)
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“…Consequently, social connections are essential to foster activity and PA in older adults and are an important component of PA group programs success [ 11 , 61 ]. Although during the first COVID-19 outbreak the population, especially older adults, may have progressively adapted to the new daily routines and limitations, this situation has a clear negative impact on social relationships and loneliness [ 62 , 63 , 64 ]. Tackling loneliness and social relationships requires specific implementation strategies [ 65 ], and these need to be adapted and implemented to promote the adherence to exercise programs [ 23 , 66 ], particularly in these challenging times.…”
Section: Discussionmentioning
confidence: 99%
“…Consequently, social connections are essential to foster activity and PA in older adults and are an important component of PA group programs success [ 11 , 61 ]. Although during the first COVID-19 outbreak the population, especially older adults, may have progressively adapted to the new daily routines and limitations, this situation has a clear negative impact on social relationships and loneliness [ 62 , 63 , 64 ]. Tackling loneliness and social relationships requires specific implementation strategies [ 65 ], and these need to be adapted and implemented to promote the adherence to exercise programs [ 23 , 66 ], particularly in these challenging times.…”
Section: Discussionmentioning
confidence: 99%
“…Because the CDC's recommendations for quarantining have necessitated physical distancing (Ayalon et al, 2020;Centers for Disease Control and Prevention, 2020), older adults may be at increased risk of loneliness and social isolation (Armitage & Nellums, 2020). In fact, research that has emerged concomitantly with the global spread of COVID-19 indicates that feelings of loneliness have increased since the beginning of the pandemic among several groups, including older adults, who reported an uptick in feelings of loneliness at the beginning of the pandemic (Kotwal et al, 2020;Luchetti et al, 2020). As a result, meaningful intergenerational relationships, and communication within those relationships, may buffer against loneliness and perceived social isolation among older adult grandparents (Ong et al, 2016).…”
Section: Discussionmentioning
confidence: 99%
“…In addition, many older adults during the pandemic have experienced exacerbated social isolation and feelings of loneliness due to disrupted in-person social activities. 21 The negative consequences of disrupted social and family connectedness, which include death in worst case scenarios, 19,20 This study has several limitations. First, we were only able to track state social-distancing measures and nursing home COVID-19 and non-COVID-19 outcomes starting in June due to the lack of national data in early period of the pandemic.…”
Section: Discussionmentioning
confidence: 97%
“…Concerns about the downside effect of prolonged social distancing restrictions have been expressed, although empirical evidence is limited on how these restrictions affect the physical and mental health outcomes of individuals. [14][15][16][17]21 Deaths in the US attributed to noninfectious causes, such as heart disease and dementia, increased throughout the spring and summer surges in COVID-19 cases, 14,15 possibly due to disruptions in medical care access and delivery subsequent to shelter-in-place orders. It is conceivable that compared to community-living older adults, nursing home residents are more vulnerable to disrupted care routines given their advanced ages, complex morbidity patterns, and highly impaired functional status.…”
Section: Discussionmentioning
confidence: 99%
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