Loneliness is a known risk factor for physical decline and mortality among older adults. Further, loneliness is distinct from social isolation and has its own unique effects on health. Yet little research has examined the potential dyadic impacts of loneliness for health among married older couples. Although marital status can protect against loneliness, this benefit is contingent upon marital quality. Moreover, loneliness can be ?contagious? within older adults? marriages, spreading from one partner to the other. Thus, married older adults in lower-quality marriages ? or who have lonely partners ? are at heightened risk of experiencing loneliness themselves. Therefore, loneliness may lead to downstream harms to health for both partners in a marriage. Potential mechanisms for such effects include: (a) stress, anxiety, or other negative health- harming experiences that result from having a lonely partner; (b) from the contagion of loneliness itself within marriage, and its consequent harms to health for each individual dyad member; and (c) from the contagion of deleterious health behaviors that result from experiencing loneliness. Using multi-wave longitudinal dyadic data from the 2006-2016 waves of the Health and Retirement Study, the proposed research will explore each of these potential pathways in turn, in order to demonstrate not only whether but also how loneliness gets ?under the skin? to impair older adults? health in a dyadic context. Findings will inform future research, policy, and practice concerning the reduction of loneliness and promotion of healthy aging among the older population.

Public Health Relevance

Loneliness is associated with physical health declines and mortality among older adults, and it is distinct from social isolation in both its experience and its effects. However, little research has examined loneliness within a dyadic context among married older adults. Findings from the proposed research will highlight the biological mechanisms whereby loneliness damages health for individuals and their spousal partners in later life, enhancing the efforts of policymakers and practitioners to reduce loneliness and its attendant health harms among the older population.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Small Research Grants (R03)
Project #
1R03AG064283-01
Application #
9808160
Study Section
Social Sciences and Population Studies B Study Section (SSPB)
Program Officer
Gerald, Melissa S
Project Start
2019-08-01
Project End
2021-05-31
Budget Start
2019-08-01
Budget End
2020-05-31
Support Year
1
Fiscal Year
2019
Total Cost
Indirect Cost
Name
University of Massachusetts Boston
Department
Other Health Professions
Type
Graduate Schools
DUNS #
808008122
City
Boston
State
MA
Country
United States
Zip Code
02125