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Social isolation and loneliness among San Francisco Bay area older adults during the COVID‐19 shelter‐in‐place orders

Journal of the American Geriatrics Society Sep 27, 2020

Kotwal AA, Holt‐Lunstad J, Newmark RL, et al. - Via performing mixed‐methods, longitudinal phone‐based survey administered every 2 weeks at two community sites and an academic geriatrics outpatient clinical practice, researchers sought to analyze 1) experiences of social isolation and loneliness during shelter‐in‐place orders and 2) unmet health needs related to modifications in social interactions. Participants were 151 community‐dwelling older adults; on average 75 years old (SD = 10), 50% with hearing or vision impairment, 64% living alone, and 26% with difficulty in bathing. Social isolation was reported by participants in 40% of interviews, minimal video‐based socializing was reported in 76%, and minimal internet‐based socializing in 42%. Participants reported difficulty finding help with functional needs, including bathing, and had worsening of loneliness, which was associated with worsened depression and anxiety. There was improvement in rates of loneliness by time since shelter‐in‐place orders, however, loneliness persisted or worsened for a subgroup of participants. Findings here suggest the necessity for additional steps to address the psychological agonies and unmet medical needs of those with persistent loneliness or barriers to technology‐based social interaction.

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