Loneliness as a health risk: what you should know
Social Connection
Key points
- Loneliness is linked to about 26% higher risk of death; isolation to about 29%.
- Poor social relationships: 29% higher coronary heart disease risk and 32% higher stroke risk.
- Anyone can feel lonely, but older adults, people who have moved and people with chronic illness are especially vulnerable.
- Regular contact, shared activities and, if needed, psychological support help.
Loneliness versus isolation
Social isolation means objectively having few social contacts. Loneliness is the painful feeling that your connections are not enough. They often overlap but are not the same: some people live alone and feel connected, others are surrounded by people and feel lonely.
What the data say
Mortality. A meta-analysis of 70 studies with more than 3.4 million people found that loneliness was linked to a 26% higher risk of death, social isolation to 29% and living alone to 32% (Holt-Lunstad et al., 2015). An earlier meta-analysis found stronger social relationships were linked to 50% higher odds of survival (Holt-Lunstad et al., 2010).
Heart and stroke. A systematic review found that poor social relationships were linked to a 29% higher risk of coronary heart disease and a 32% higher risk of stroke (Valtorta et al., 2016).
Who is at risk
- older adults, especially after losing a partner;
- people who live alone;
- people who have moved, including immigrants and refugees;
- people with chronic illness, disabilities or caregiving duties;
- young adults, who report some of the highest rates of loneliness.
What helps
- Reach out regularly, even with short calls or texts.
- Join groups built around shared activities.
- Volunteer.
- Consider therapy if loneliness is tied to anxiety or depression.
Limits of the evidence
These studies are observational and cannot prove cause, but the links are strong and consistent.
Frequently asked questions
How common is loneliness in the U.S.?
The Surgeon General’s 2023 advisory noted that about half of U.S. adults report measurable levels of loneliness.
Can loneliness be treated?
Yes. Approaches include building social skills, group activities, therapy that addresses negative thoughts about relationships and community programs.
Sources
- Holt-Lunstad et al. (2015). Loneliness and Social Isolation as Risk Factors for Mortality. Perspectives on Psychological Science 10(2):227-237. doi:10.1177/1745691614568352
- Valtorta et al. (2016). Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. Heart 102(13):1009-1016. doi:10.1136/heartjnl-2015-308790
- Holt-Lunstad et al. (2010). Social Relationships and Mortality Risk: A Meta-analytic Review. PLoS Medicine 7(7):e1000316. doi:10.1371/journal.pmed.1000316
- U.S. Department of Health and Human Services. Our Epidemic of Loneliness and Isolation: The U.S. Surgeon General’s Advisory. www.hhs.gov
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Social Connection tools
Three-item loneliness scale (UCLA-3)
Three questions used in major U.S. studies of loneliness.
QuizDe Jong Gierveld loneliness scale (6 items)
Measures emotional and social loneliness.
QuizOslo Social Support Scale (OSSS-3)
Three questions about who you can count on.
PDF · WorksheetMy connections map
A worksheet for mapping your social network and planning contact.
PDF · Tracker"One get-together a week" tracker
A monthly tracker of social contact.
PDF · CardsFamily dinner conversation cards
24 questions for phone-free conversation at the table.