BMJ Open (Apr 2023)

Experience of loneliness during the COVID-19 pandemic: a cross-sectional study of 50 968 adult Danes

  • Karina Banasik,
  • Christian Erikstrup,
  • Ole Birger Pedersen,
  • Kaspar Nielsen,
  • Henrik Hjalgrim,
  • Thomas Werge,
  • Sisse R Ostrowski,
  • Michael Schwinn,
  • Maria Didriksen,
  • Susanne Sækmose,
  • Lea AN Christoffersen,
  • Dorte Helenius,
  • Janna Nissen,
  • Kathrine A Kaspersen,
  • Khoa M Dinh,
  • Mie T Bruun,
  • Thomas F Hansen

DOI
https://doi.org/10.1136/bmjopen-2022-064033
Journal volume & issue
Vol. 13, no. 4

Abstract

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Objectives To examine the level of loneliness experienced during the COVID-19 pandemic in Denmark and to identify associated behavioural patterns and demographic factors.Design Cross-sectional cohort study.Setting Includes Danish active and former blood donors.Participants A questionnaire was sent to 124 307 active and former blood donors, of these a total of 50 968 participants completed the study questionnaire (response rate=41%).Primary and secondary outcome measures Subjective experience of loneliness was measured using the 3-item University of California, Los Angeles Loneliness Scale (UCLA-3). Besides the UCLA-3, the respondents answered items on sociodemographic and economic characteristics, items on precautionary measures taken to avoid COVID-19 infection as well as on COVID-19 anxiety.Results The participants indicated their experienced level of loneliness both before and during the pandemic. Comparing the two reports yielded a mean increase in loneliness scores of 14.1% (p<0.001). Exploratory factor analysis identified the factor well-being, which comprised three questionnaire items related to emotional heath, physical health and happiness. A high score on the factor well-being was associated with reduced levels of loneliness (coefficient=−0.47, 95% CI −0.49 to −0.46)). Furthermore, women were more likely than men to have experienced increased levels of loneliness during the pandemic (coefficient=0.27, 95% CI 0.25 to 0.29). Furthermore, a negative correlation between higher age and change in loneliness score was observed.Conclusions The findings document an increase in the level of experienced loneliness during the COVID-19 pandemic, particularly affecting individuals with low well-being, women and younger individuals.