Top

Gepubliceerd in:

04-01-2022

Loneliness and multiple health domains: associations among emerging adults

Auteurs: Lilian G. Perez, Daniel Siconolfi, Wendy M. Troxel, Joan S. Tucker, Rachana Seelam, Anthony Rodriguez, Regina A. Shih, Elizabeth J. D’Amico

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2022

Abstract

Emerging adults (18–25 years), particularly racially/ethnically diverse and sexual and gender minority populations, may experience loneliness following major life transitions. How loneliness relates to health and health disparities during this developmental period is not well understood. We examine associations of loneliness with physical (self-rated health), behavioral (alcohol/marijuana consequences; nicotine dependence), and health behavior outcomes (weekday and weekend sleep; trouble sleeping), and investigate moderating effects by sex, race/ethnicity, and sexual/gender minority (SGM) status. Adjusted models using cross-sectional data from 2,534 emerging adults, predominantly in California, examined associations between loneliness and each outcome and tested interactions of loneliness with sex, race/ethnicity, and SGM status. Higher loneliness was significantly associated with worse self-rated health, higher marijuana consequences, less weekday sleep, and greater odds of feeling bothered by trouble sleeping. None of the interactions were significant. Findings suggest that interventions to reduce loneliness may help promote healthy development among emerging adults across subgroups.

vorige artikel Psychosocial and behavioral correlates of weight loss 12 to 15 years after bariatric surgery

volgende artikel The role of self-evaluated pain sensitivity as a mediator of objectively measured pain tolerance in Native Americans: findings from the Oklahoma Study of Native American Pain Risk (OK-SNAP)

Alleen toegankelijk voor geautoriseerde gebruikers

Bruine de Bruin, W., Parker, A. M., & Strough, J. (2020). Age differences in reported social networks and well-being. Psychology and Aging, 35, 159–168. https://doi.org/10.1037/pag0000415CrossRefPubMed

Bu, F., Steptoe, A., & Fancourt, D. (2020). Who is lonely in lockdown? Cross-cohort analyses of predictors of loneliness before and during the COVID-19 pandemic. Public Health, 186, 31–34. https://doi.org/10.1016/j.puhe.2020.06.036CrossRefPubMed

Cacioppo, J. T., Hawkley, L. C., & Thisted, R. A. (2010). Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago health, aging, and social relations study. Psychology and Aging, 25, 453–463. https://doi.org/10.1037/a0017216CrossRefPubMedPubMedCentral

Cacioppo, S., Grippo, A. J., London, S., Goossens, L., & Cacioppo, J. T. (2015). Loneliness: Clinical import and interventions. Perspectives on Psychological Science, 10, 238–249. https://doi.org/10.1177/1745691615570616CrossRefPubMedPubMedCentral

Chen, P., & Jacobson, K. C. (2012). Developmental trajectories of substance use from early adolescence to young adulthood: Gender and racial/ethnic differences. Journal of Adolescent Health, 50, 154–163. https://doi.org/10.1016/j.jadohealth.2011.05.013CrossRef

Cho, H. J., Seeman, T. E., Kiefe, C. I., Lauderdale, D. S., & Irwin, M. R. (2015). Sleep disturbance and longitudinal risk of inflammation: Moderating influences of social integration and social isolation in the Coronary Artery Risk Development in Young Adults (CARDIA) study. Brain, Behavior, and Immunity, 46, 319–326. https://doi.org/10.1016/j.bbi.2015.02.023CrossRefPubMedPubMedCentral

Christiansen, J., Lund, R., Qualter, P., Andersen, C. M., Pedersen, S. S., & Lasgaard, M. (2020). Loneliness, social isolation, and chronic disease outcomes. Annals of Behavioral Medicine, 55, 203–215. https://doi.org/10.1093/abm/kaaa044CrossRef

D’Amico, E. J., Parast, L., Osilla, K. C., Seelam, R., Meredith, L. S., Shadel, W. G., & Stein, B. D. (2019). Understanding which teenagers benefit most from a brief primary care substance use intervention. Pediatrics, 144, e20183014. https://doi.org/10.1542/peds.2018-3014CrossRefPubMed

D’Amico, E. J., Rodriguez, A., Tucker, J. S., Dunbar, M. S., Pedersen, E. R., Shih, R. A., Davis, J. P., & Seelam, R. (2020). Early and late adolescent factors that predict co-use of cannabis with alcohol and tobacco in young adulthood. Prevention Science, 21, 530–544. https://doi.org/10.1007/s11121-020-01086-7CrossRefPubMedPubMedCentral

D’Amico, E. J., Rodriguez, A., Tucker, J. S., Pedersen, E. R., & Shih, R. A. (2018). Planting the seed for marijuana use: Changes in exposure to medical marijuana advertising and subsequent adolescent marijuana use, cognitions, and consequences over seven years. Drug and Alcohol Dependence, 188, 385–391. https://doi.org/10.1016/j.drugalcdep.2018.03.031CrossRefPubMedPubMedCentral

D’Amico, E. J., Tucker, J. S., Miles, J. N., Ewing, B. A., Shih, R. A., & Pedersen, E. R. (2016). Alcohol and marijuana use trajectories in a diverse longitudinal sample of adolescents: Examining use patterns from age 11 to 17 years. Addiction, 111, 1825–1835. https://doi.org/10.1111/add.13442CrossRefPubMedPubMedCentral

D’Amico, E. J., Tucker, J. S., Miles, J. N., Zhou, A. J., Shih, R. A., & Green, H. D., Jr. (2012). Preventing alcohol use with a voluntary after-school program for middle school students: Results from a cluster randomized controlled trial of CHOICE. Prevention Science, 13, 415–425. https://doi.org/10.1007/s11121-011-0269-7CrossRefPubMedPubMedCentral

Dewalt, D. A., Thissen, D., Stucky, B. D., Langer, M. M., Morgan Dewitt, E., Irwin, D. E., Lai, J. S., Yeatts, K. B., Gross, H. E., Taylor, O., & Varni, J. W. (2013). PROMIS Pediatric Peer Relationships Scale: Development of a peer relationships item bank as part of social health measurement. Health Psychology, 32, 1093–1103. https://doi.org/10.1037/a0032670CrossRefPubMed

DiJulio, B., Hamel, L., Muñana, C., & Brodie, M. (2018). Loneliness and social isolation in the United States, the United Kingdom, and Japan: An international survey. https://www.kff.org/other/report/loneliness-and-social-isolation-in-the-united-states-the-united-kingdom-and-japan-an-international-survey/.

Doyle, D. M., & Molix, L. (2016). Disparities in social health by sexual orientation and the etiologic role of self-reported discrimination. Archives of Sexual Behavior, 45, 1317–1327. https://doi.org/10.1007/s10508-015-0639-5CrossRefPubMed

Dyal, S. R., & Valente, T. W. (2015). A systematic review of loneliness and smoking: Small effects, big implications. Substance Use and Misuse, 50, 1697–1716. https://doi.org/10.3109/10826084.2015.1027933CrossRefPubMed

Dzierzewski, J. M., Donovan, E. K., Kay, D. B., Sannes, T. S., & Bradbrook, K. E. (2020). Sleep inconsistency and markers of inflammation. Frontiers in Neurology, 11, 1042. https://doi.org/10.3389/fneur.2020.01042CrossRefPubMedPubMedCentral

Goosby, B. J., Bellatorre, A., Walsemann, K. M., & Cheadle, J. E. (2013). Adolescent loneliness and health in early adulthood. Sociol Inquiry, 83. https://doi.org/10.1111/soin.12018

Green, L. R., Richardson, D. S., Lago, T., & Schatten-Jones, E. C. (2001). Network correlates of social and emotional loneliness in young and older adults. Personality and Social Psychology Bulletin, 27, 281–288. https://doi.org/10.1177/0146167201273002CrossRef

Hawkley, L. C., & Cacioppo, J. T. (2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40, 218–227. https://doi.org/10.1007/s12160-010-9210-8CrossRefPubMed

He, K., Kramer, E., Houser, R. F., Chomitz, V. R., & Hacker, K. A. (2004). Defining and understanding healthy lifestyles choices for adolescents. Journal of Adolescent Health, 35, 26–33. https://doi.org/10.1016/j.jadohealth.2003.09.004CrossRef

Holmes, L. M., Popova, L., & Ling, P. M. (2016). State of transition: Marijuana use among young adults in the San Francisco Bay Area. Preventive Medicine, 90, 11–16. https://doi.org/10.1016/j.ypmed.2016.06.025CrossRefPubMedPubMedCentral

Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: A meta-analytic review. PLoS Medicine, 7, e1000316. https://doi.org/10.1371/journal.pmed.1000316CrossRefPubMedPubMedCentral

Horigian, V. E., Schmidt, R. D., & Feaster, D. J. (2020). Loneliness, mental health, and substance use among US young adults during COVID-19. Journal of Psychoactive Drugs, 53, 1–9. https://doi.org/10.1080/02791072.2020.1836435CrossRefPubMed

Hughes, M. E., Waite, L. J., Hawkley, L. C., & Cacioppo, J. T. (2004). A short scale for measuring loneliness in large surveys: Results from two population-based studies. Research on Aging, 26, 655–672. https://doi.org/10.1177/0164027504268574CrossRefPubMedPubMedCentral

Irwin, M. R. (2019). Sleep and inflammation: Partners in sickness and in health. Nature Reviews Immunology, 19, 702–715. https://doi.org/10.1038/s41577-019-0190-zCrossRefPubMed

Johnson, E. O., & Breslau, N. (2001). Sleep problems and substance use in adolescence. Drug and Alcohol Dependence, 64, 1–7. https://doi.org/10.1016/s0376-8716(00)00222-2CrossRefPubMed

Kahler, C. W., Strong, D. R., & Read, J. P. (2005). Toward efficient and comprehensive measurement of the alcohol problems continuum in college students: The brief young adult alcohol consequences questionnaire. Alcoholism, Clinical and Experimental Research, 29, 1180–1189. https://doi.org/10.1097/01.alc.0000171940.95813.a5CrossRefPubMed

Kroenke, K., Spitzer, R. L., & Williams, J. B. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64, 258–266. https://doi.org/10.1097/00006842-200203000-00008CrossRefPubMed

Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B., Berry, J. T., & Mokdad, A. H. (2009). The PHQ-8 as a measure of current depression in the general population. Journal of Affective Disorders, 114, 163–173. https://doi.org/10.1016/j.jad.2008.06.026CrossRefPubMed

Larson, N., Laska, M. N., Story, M., & Neumark-Sztainer, D. (2015). Sports and energy drink consumption are linked to health-risk behaviours among young adults. Public Health Nutrition, 18, 2794–2803. https://doi.org/10.1017/S1368980015000191CrossRefPubMedPubMedCentral

Lauder, W., Mummery, K., Jones, M., & Caperchione, C. (2006). A comparison of health behaviours in lonely and non-lonely populations. Psychology, Health & Medicine, 11, 233–245. https://doi.org/10.1080/13548500500266607CrossRef

Lee, C. M., Cadigan, J. M., & Rhew, I. C. (2020). Increases in loneliness among young adults during the COVID-19 pandemic and association with increases in mental health problems. Journal of Adolescent Health, 67, 714–717. https://doi.org/10.1016/j.jadohealth.2020.08.009CrossRef

Lee, T. K., Wickrama, K. A. S., O’Neal, C. W., & Prado, G. (2018). Identifying diverse life transition patterns from adolescence to young adulthood: The influence of early socioeconomic context. Social Science Research, 70, 212–228. https://doi.org/10.1016/j.ssresearch.2017.12.001CrossRefPubMed

Leigh-Hunt, N., Bagguley, D., Bash, K., Turner, V., Turnbull, S., Valtorta, N., & Caan, W. (2017). An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health, 152, 157–171. https://doi.org/10.1016/j.puhe.2017.07.035CrossRefPubMed

Lund, H. G., Reider, B. D., Whiting, A. B., & Prichard, J. R. (2010). Sleep patterns and predictors of disturbed sleep in a large population of college students. Journal of Adolescent Health, 46, 124–132. https://doi.org/10.1016/j.jadohealth.2009.06.016CrossRef

Maes, M., Qualter, P., Vanhalst, J., Van den Noortgate, W., & Goossens, L. (2019). Gender differences in loneliness across the lifespan: A meta-analysis. European Journal of Personality, 33, 642–654. https://doi.org/10.1002/per.2220CrossRef

Majeno, A., Tsai, K. M., Huynh, V. W., McCreath, H., & Fuligni, A. J. (2018). Discrimination and sleep difficulties during adolescence: The mediating roles of loneliness and perceived stress. Journal of Youth and Adolescence, 47, 135–147. https://doi.org/10.1007/s10964-017-0755-8CrossRefPubMed

Matthews, T., Danese, A., Caspi, A., Fisher, H. L., Goldman-Mellor, S., Kepa, A., Moffitt, T. E., Odgers, C. L., & Arseneault, L. (2019). Lonely young adults in modern Britain: Findings from an epidemiological cohort study. Psychological Medicine, 49, 268–277. https://doi.org/10.1017/S0033291718000788CrossRefPubMed

Matthews, T., Danese, A., Gregory, A. M., Caspi, A., Moffitt, T. E., & Arseneault, L. (2017). Sleeping with one eye open: Loneliness and sleep quality in young adults. Psychological Medicine, 47, 2177–2186. https://doi.org/10.1017/S0033291717000629CrossRefPubMedPubMedCentral

Matthews, T., Danese, A., Wertz, J., Odgers, C. L., Ambler, A., Moffitt, T. E., & Arseneault, L. (2016). Social isolation, loneliness and depression in young adulthood: A behavioural genetic analysis. Social Psychiatry and Psychiatric Epidemiology, 51, 339–348. https://doi.org/10.1007/s00127-016-1178-7CrossRefPubMedPubMedCentral

Morean, M. E., Krishnan-Sarin, S., Sussman, S., Foulds, J., Fishbein, H., Grana, R., & O’Malley, S. S. (2019). Psychometric evaluation of the E-cigarette dependence scale. Nicotine & Tobacco Research, 21, 1556–1564. https://doi.org/10.1093/ntr/ntx271CrossRef

National Academies of Sciences, Engineering, and Medicine,. (2019). The Promise of Adolescence: Realizing Opportunity for All Youth. The National Academies Press. https://doi.org/10.17226/25388

Owens, J., Adolescent Sleep Working Group, & Committee on Adolescence. (2014). Insufficient sleep in adolescents and young adults: An update on causes and consequences. Pediatrics, 134, e921–e932. https://doi.org/10.1542/peds.2014-1696

Pasch, K. E., Laska, M. N., Lytle, L. A., & Moe, S. G. (2010). Adolescent sleep, risk behaviors, and depressive symptoms: Are they linked? American Journal of Health Behavior, 34, 237–248. https://doi.org/10.5993/ajhb.34.2.11CrossRefPubMedPubMedCentral

Patrick, M. E., Bray, B. C., & Berglund, P. A. (2016). Reasons for marijuana use among young adults and long-term associations with marijuana use and problems. Journal of Studies on Alcohol and Drugs, 77, 881–888. https://doi.org/10.15288/jsad.2016.77.881

Peltzer, K., & Pengpid, S. (2017). Loneliness: Its correlates and associations with health risk behaviours among university students in 25 countries. Journal of Psychology in Africa, 27, 247–255. https://doi.org/10.1080/14330237.2017.1321851CrossRef

Petitte, T., Mallow, J., Barnes, E., Petrone, A., Barr, T., & Theeke, L. (2015). A systematic review of loneliness and common chronic physical conditions in adults. Open Psychology Journal, 8, 113–132. https://doi.org/10.2174/1874350101508010113CrossRefPubMed

Read, J. P., Merrill, J. E., Kahler, C. W., & Strong, D. R. (2007). Predicting functional outcomes among college drinkers: Reliability and predictive validity of the Young Adult Alcohol Consequences Questionnaire. Addictive Behaviors, 32, 2597–2610. https://doi.org/10.1016/j.addbeh.2007.06.021CrossRefPubMed

Rhew, I. C., Cadigan, J. M., & Lee, C. M. (2021). Marijuana, but not alcohol, use frequency associated with greater loneliness, psychological distress, and less flourishing among young adults. Drug and Alcohol Dependence, 218, 108404. https://doi.org/10.1016/j.drugalcdep.2020.108404CrossRefPubMed

Richard, A., Rohrmann, S., Vandeleur, C. L., Schmid, M., Barth, J., & Eichholzer, M. (2017). Loneliness is adversely associated with physical and mental health and lifestyle factors: Results from a Swiss national survey. PLoS ONE, 12, e0181442. https://doi.org/10.1371/journal.pone.0181442CrossRefPubMedPubMedCentral

Segrin, C., & Passalacqua, S. A. (2010). Functions of loneliness, social support, health behaviors, and stress in association with poor health. Health Communication, 25, 312–322. https://doi.org/10.1080/10410231003773334CrossRefPubMed

Shadel, W. G., Edelen, M. O., Tucker, J. S., Stucky, B. D., Hansen, M., & Cai, L. (2014). Development of the PROMIS nicotine dependence item banks. Nicotine & Tobacco Research, 16, S190-201. https://doi.org/10.1093/ntr/ntu032CrossRef

Shovestul, B., Han, J., Germine, L., & Dodell-Feder, D. (2020). Risk factors for loneliness: The high relative importance of age versus other factors. PLoS ONE, 15, e0229087. https://doi.org/10.1371/journal.pone.0229087CrossRefPubMedPubMedCentral

Simons, J. S., Dvorak, R. D., Merrill, J. E., & Read, J. P. (2012). Dimensions and severity of marijuana consequences: Development and validation of the Marijuana Consequences Questionnaire (MACQ). Addictive Behaviors, 37, 613–621. https://doi.org/10.1016/j.addbeh.2012.01.008CrossRefPubMedPubMedCentral

Smith, K. J., Gavey, S., NE, R. I., Kontari, P., & Victor, C. (2020). The association between loneliness, social isolation and inflammation: A systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, 112, 519–541. https://doi.org/10.1016/j.neubiorev.2020.02.002

Sokol, R., Ennett, S., Gottfredson, N., & Halpern, C. (2017). Variability in self-rated health trajectories from adolescence to young adulthood by demographic factors. Preventive Medicine, 105, 73–76. https://doi.org/10.1016/j.ypmed.2017.08.015CrossRefPubMedPubMedCentral

The GenIUSS Group. (2014). Best Practices for Asking Questions to Identify Transgender and Other Gender Minority Respondents on Population-Based Surveys. The Williams Institute. https://williamsinstitute.law.ucla.edu/publications/geniuss-trans-pop-based-survey/.

Thompson, K., Roemer, A., & Leadbeater, B. (2015). Impulsive personality, parental monitoring, and alcohol outcomes from adolescence through young adulthood. Journal of Adolescent Health, 57, 320–326. https://doi.org/10.1016/j.jadohealth.2015.05.005CrossRef

Troxel, W. M., Rodriguez, A., Seelam, R., Tucker, J. S., Shih, R. A., & D’Amico, E. J. (2019). Associations of longitudinal sleep trajectories with risky sexual behavior during late adolescence. Health Psychology, 38, 716–726. https://doi.org/10.1037/hea0000753CrossRefPubMedPubMedCentral

Troxel, W. M., Shih, R. A., Ewing, B., Tucker, J. S., Nugroho, A., & D’Amico, E. J. (2017). Examination of neighborhood disadvantage and sleep in a multi-ethnic cohort of adolescents. Health & Place, 45, 39–45. https://doi.org/10.1016/j.healthplace.2017.03.002CrossRef

Tucker, J. S., Orlando, M., & Ellickson, P. L. (2003). Patterns and correlates of binge drinking trajectories from early adolescence to young adulthood. Health Psychology, 22, 79–87. https://doi.org/10.1037//0278-6133.22.1.79CrossRefPubMed

US Census Bureau. (2018). Families & living arrangements. https://www.census.gov/topics/families.html.

VanderWeele, T. J., Hawkley, L. C., Thisted, R. A., & Cacioppo, J. T. (2011). A marginal structural model analysis for loneliness: Implications for intervention trials and clinical practice. Journal of Consulting and Clinical Psychology, 79, 225–235. https://doi.org/10.1037/a0022610CrossRefPubMedPubMedCentral

von Soest, T., Luhmann, M., & Gerstorf, D. (2020). The development of loneliness through adolescence and young adulthood: Its nature, correlates, and midlife outcomes. Developmental Psychology, 56, 1919–1934. https://doi.org/10.1037/dev0001102CrossRef

Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233. https://doi.org/10.1097/00005650-199603000-00003CrossRefPubMed

Wolfson, A. R., Carskadon, M. A., Acebo, C., Seifer, R., Fallone, G., Labyak, S. E., & Martin, J. L. (2003). Evidence for the validity of a sleep habits survey for adolescents. Sleep, 26, 213–216. https://doi.org/10.1093/sleep/26.2.213CrossRefPubMed

Wu, S., Wang, R., Zhao, Y., Ma, X., Wu, M., Yan, X., & He, J. (2013). The relationship between self-rated health and objective health status: A population-based study. BMC Public Health, 13, 320. https://doi.org/10.1186/1471-2458-13-320CrossRefPubMedPubMedCentral

Zhaoyang, R., Sliwinski, M. J., Martire, L. M., & Smyth, J. M. (2019). Social interactions and physical symptoms in daily life: Quality matters for older adults, quantity matters for younger adults. Psychology & Health, 34, 867–885. https://doi.org/10.1080/08870446.2019.1579908CrossRef

Titel: Loneliness and multiple health domains: associations among emerging adults
Auteurs: Lilian G. Perez
Daniel Siconolfi
Wendy M. Troxel
Joan S. Tucker
Rachana Seelam
Anthony Rodriguez
Regina A. Shih
Elizabeth J. D’Amico
Publicatiedatum: 04-01-2022
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2022
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-021-00267-1

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 2/2022

Changes in physical activity associated with the COVID-19 pandemic in individuals with overweight and obesity: an interrupted time series analysis with historical controls

The role of self-evaluated pain sensitivity as a mediator of objectively measured pain tolerance in Native Americans: findings from the Oklahoma Study of Native American Pain Risk (OK-SNAP)

Psychosocial profiles and longitudinal achievement of optimal cardiovascular risk factor levels: the Coronary Artery Risk Development in Young Adults (CARDIA) study

Healthy or not? The impact of conflicting health-related information on attentional resources

Psychosocial and behavioral correlates of weight loss 12 to 15 years after bariatric surgery

U.S. Vietnamese parents’ HPV vaccine decision-making for their adolescents: an exploration of practice-, provider-, and patient-level influences