Journal article
Loneliness and isolation: Are they associated with the wish for an earlier end of life?
Geriatrics & gerontology international, Vol.25(10), pp.1291-1461
10/2025
PMID: 40812352
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Abstract
Aim: To examine the association of loneliness and social isolation with the desired age at death among middle-aged and older adults in Germany.
Methods: Data were taken from the German Aging Survey (wave 8: nationally representative sample of community-dwelling individuals aged ≥43 years; n = 3826). The mean age equaled 69.3 years (SD 11.3 years, 43–99 years). Loneliness and social isolation were both quantified using psychometrically sound and widely used tools. Several sociodemographic, lifestyle-related and health-related covariates were included in linear regression analysis (with robust standard errors).
Results: The mean desired age at death was 90.1 years (SD 8.0 years). Regressions showed that there was a robust association of loneliness (β = −1.47, P < 0.001) and social isolation (β = −1.49, P < 0.001) with lower desired age at death among the total sample, even after adjusting for a wide array of covariates. In the fully-adjusted model, such associations were also present among both men and women (with significant sex differences for the association between loneliness and the outcome; i.e., more pronounced association between loneliness and the desired age at death among men).
Conclusions: Loneliness (among men in particular) and social isolation were both associated with a lower desired age at death. This stresses the importance of tackling loneliness and social isolation in later life. It is of note that this is the very first study examining the association of loneliness and social isolation with the desired age at death. Thus, it can serve as a basis for future studies.
Details
- Title
- Loneliness and isolation: Are they associated with the wish for an earlier end of life?
- Creators
- André Hajek - University Medical Center Hamburg-EppendorfLarissa Zwar - Brock UniversityRazak M Gyasi - African Population and Health Research CenterDong Keon Yon - Kyung Hee University Medical CenterSupa Pengpid - Mahidol UniversityKarl Peltzer - Mahidol UniversityHans-Helmut König - University Medical Center Hamburg-Eppendorf
- Publication Details
- Geriatrics & gerontology international, Vol.25(10), pp.1291-1461
- Publisher
- John Wiley & Sons, Inc.; HOBOKEN
- Grant note
- Open Access funding enabled and organized by Projekt DEAL.
- Identifiers
- 991013308228602368
- Copyright
- © 2025 The Author(s). Geriatrics & Gerontology International published by John Wiley & Sons Australia, Ltd on behalf of Japan Geriatrics Society. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- Academic Unit
- National Centre for Naturopathic Medicine
- Language
- English
- Resource Type
- Journal article