Impact of COVID-19 pandemic on social isolation and loneliness among minority populations

Am J Med Sci. 2024 Jan;367(1):21-27. doi: 10.1016/j.amjms.2023.09.020. Epub 2023 Sep 26.

Abstract

Background: The impact of social isolation and loneliness (SIL) was heightened during the COVID-19 pandemic. Although the pandemic disproportionately affected racial/ ethnic minorities, no studies have investigated the ramifications of the pandemic on SIL among these populations. This study aimed to determine the prevalence and pervasiveness of SIL during the COVID-19 pandemic on minority communities.

Materials and methods: This was a single center, cross sectional study conducted by scientists from the University of Rochester Medical Center (URMC) working in collaboration with members of the Rochester community. Adult patients presenting to the emergency department at URMC who identified themselves as belonging to minority communities were asked to complete a survey that comprised questions from the Lubben Social Network Scale-6 and questions from the Campaign to End Loneliness Measurement Tool. We analyzed the percentage of SIL and conducted linear regression models to study the association between these outcomes and race/ ethnicity, age, gender, chronic disease status and the frequency of hospitalizations.

Results: A total of 1,029 subjects completed the survey. Social isolation was reported by 375 (37%) persons. Those of Latinx ethnicity had higher prevalence of social isolation (41%) compared to those of Black/African American race (36%) and also had higher degrees of isolation (14.8%) (15.42; p = 0.07). Loneliness was documented by 215 (21%) for the cohort with no differences based on race or ethnicity.

Conclusions: Social isolation was common among minority communities during the pandemic but loneliness was less pervasive. The study highlights the need to address the specific needs of these populations.

Keywords: Loneliness; Minority communities; Social determinants of health; Social isolation.

MeSH terms

  • Adult
  • Black or African American
  • COVID-19* / epidemiology
  • Cross-Sectional Studies
  • Hispanic or Latino
  • Humans
  • Loneliness*
  • Minority Groups*
  • Pandemics
  • Social Isolation*