Are young adults with long-standing illness or disability at increased risk of loneliness? Evidence from the UK Longitudinal Household Study

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Background: Recent evidence has shown that young adults experience significant levels of loneliness, and those with long-standing illness or disability (LSID) may be particularly vulnerable. This study investigated whether young adults with LSID were more likely to experience loneliness than their ‘healthy’ peers, after accounting for key socio-contextual and health-related factors associated with loneliness.

Design and Methods: 
 The sample consists of 4510 16-24-year-old individuals from Wave 9 of the UK Household Longitudinal Study (UKHLS). Loneliness was measured using the UCLA 3-item loneliness scale, in addition to a direct indicator of frequency of loneliness. Correlation tests measured associations between both measures of loneliness and LSID. Ordinal logistic regression was used to examine the association between LSID and UCLA loneliness, after accounting for key demographic and socio-contextual variables.

 Results from the correlation tests demonstrated significant associations between LSID and both measures of loneliness. Results from the ordinal logistic regression models indicated that chronic illness was significantly associated with loneliness, after accounting for various demographic, social, and well-being factors. In addition, individuals with fewer close friends reported higher loneliness, as did those with poorer mental health, and low well-being scores. Younger participants, age brackets 16-18 and 19-21, were found to report higher loneliness than the individuals aged 22-24-year-old.

Conclusions: Overall, the study found significant evidence of associations between the presence of LSID and loneliness in young adults (16-24 years old), suggesting these individuals are at an increased risk of loneliness, and could be a focus for future public health interventions.


Department for Digital, Culture, Media and Sport [Internet]. A connected society: A strategy for tackling loneliness – laying the foundations for change. HM Government; 2018. Available from:

Beutel M, Klein E, Brähler E, et al. Loneliness in the general population: prevalence, determinants and relations to mental health. BMC Psychiatry 2017;17:97. DOI:

Pyle E, Evans D. Loneliness – What characteristics and circumstances are associated with feeling lonely? Analysis of characteristics and circumstances associated with loneliness in England using the Community Life Survey, 2016 to 2017. [Internet]. Office for National Statistics; 2018. Available from:

Luo Y, Hawkley L, Waite L, Cacioppo J. Loneliness, health, and mortality in old age: A national longitudinal study. Soc Sci Med 2012;74:907-14. DOI:

Thomas J. Insights into loneliness, older people and well-being [Internet]. Office for National Statistics; 2015. Available from:

Jopling K. Combatting loneliness one conversation at a time: A call to action. [Internet] Jo Cox Commission on Loneliness; 2017. Available from:

Snape D, Manclossi S. Children’s and young people’s experiences of loneliness: 2018 [Internet]. Office for National Statistics; 2018. Available from:

Richard A, Rohrmann S, Vandeleur C, et al. Loneliness is adversely associated with physical and mental health and lifestyle factors: Results from a Swiss national survey. PLoS One 2017;12:e0181442. DOI:

Luhmann M, Hawkley L. Age differences in loneliness from late adolescence to oldest old age. Dev Psychol 2016;52:943-59. DOI:

Action for Children [Internet]. ‘It Starts with Hello’, A report looking into the impact of loneliness in children, young people and families. Jo Cox Commission on Loneliness; 2017. Available from:

Aiden H. Isolation and loneliness: An overview of the literature. London: British Red Cross, 2016. Available from:

Hawkley L, Cacioppo J. Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Ann Behav Med 2010;40:218-27. DOI:

Carter B, Qualter P, Dix J. Social relationships, loneliness and adolescence. J Child Health Care 2015;19:421-2. DOI:

Victor C, Yang K. The prevalence of loneliness among adults: A case study of the United Kingdom. J Psycholy 2012;146:85-104. DOI:

University of Essex, Institute for Social and Economic Research. Understanding Society: Waves 1-9, 2009-2018 and Harmonised BHPS: Waves 1-18, 1991-2009. [data collection]. 12th Edition, 2019. UK Data Service. SN: 6614, Available from:

Maes M, Van den Noortgate W, Fustolo-Gunnink S, et al. Loneliness in children and adolescents with chronic physical conditions: A meta-analysis. J Pediatr Psychol 2017;42:622-35. DOI:

Bailey P, Hamilton A, Clissold R, et al. Young adults’ perspectives on living with kidney failure: a systematic review and thematic synthesis of qualitative studies. BMJ Open 2018;8:019926. DOI:

Understanding Society [Internet]. UK Household Longitudinal Study: Wave 1 -9, 2009-2018 User Guide. Colchester: University of Essex, 2019. Available from:

Understanding Society [Internet]. Cite the data, Ethical approval Statement. University of Essex, Institute for Social and Economic Research. [cited 20 April 2020]. Available from:

Office for National Statistics [Internet]. Testing of loneliness questions in surveys – Accessed: 17 Jan 2020. Available from:

Hughes M, Waite L, Hawkley L, Cacioppo J. A short scale for measuring loneliness in large surveys. Res Aging 2004;26:655-72. DOI:

Qualter P, Brown S, Rotenberg K, et al. Trajectories of loneliness during childhood and adolescence: Predictors and health outcomes. J Adolesc 2013;36:1283-93. DOI:

Office for National Statistics [Internet]. Exploring loneliness in children, Great Britain: 2018. London; 2019. Office for National Statistics. Available from:

Steed L, Boldy D, Grenade L, Iredell H. The demographics of loneliness among older people in Perth, Western Australia. Australas J Ageing 2007;26:81-6. DOI:

Grenade L, Boldy D. Social isolation and loneliness among older people: issues and future challenges in community and residential settings. Aust Health Rev 2008;32:468. DOI:

Ware J, Kosinski M, Keller S. A 12-item short-form health survey. Med Care 1996;34:220-33. DOI:

Goldberg DP, Williams P. A user's guide to the General Health Questionnaire. Basingstoke: NFER-Nelson; 1988.

Ejerskov C, Lasgaard M, Østergaard J. Teenagers and young adults with neurofibromatosis type 1 are more likely to experience loneliness than siblings without the illness. Acta Paediatr 2015;104:604-9. DOI:

Griffin J. The Lonely Society. Mental Health Foundation; 2010. Available from:

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