IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v340y2024ics0277953623007955.html
   My bibliography  Save this article

Experiences of loneliness in lower- and middle-income countries: A systematic review of qualitative studies

Author

Listed:
  • Akhter-Khan, Samia C.
  • van Es, Willemijn
  • Prina, Matthew
  • Lawrence, Vanessa
  • Piri, Ilayda
  • Rokach, Ami
  • Heu, Luzia C.
  • Mayston, Rosie

Abstract

Loneliness is understood as a subjective experience resulting from unmet social relationship expectations. As most loneliness research has been conducted in higher-income-countries, there is limited understanding of loneliness in relation to diverse cultural, economic, and socio-political factors. To address this gap, the present review systematically synthesises existing qualitative studies on the experience of loneliness and social relationship expectations in lower- and middle-income countries (LMICs). Between June and July 2022, six online databases (Embase, Ovid Medline, APA PsycINFO, Global Health, Web of Science, Google Scholar) were searched for peer-reviewed studies from LMICs on loneliness using qualitative methods. There were no restrictions on publication date, language, or study setting. Studies that solely focused on social isolation or were conducted with children (<16 years) were excluded. Risk of bias was assessed with the Critical Appraisal Skills Programme. After deduplication, a total of 7866 records were identified and screened for inclusion, resulting in 24 studies published between 2002 and 2022. The included studies represent data from 728 participants in 15 countries across West Africa (Ghana, Nigeria, Niger, Mali), East Africa (Uganda, Kenya), North Africa (Egypt), West Asia (Iran), South Asia (India, Pakistan, Sri Lanka) and Southeast Asia (Myanmar, Cambodia, Indonesia, Philippines). Data were analysed combining inductive and deductive coding, summarised using narrative synthesis, and examined by geographical region. Common features of loneliness included rejection, overthinking, and pain. Loneliness was related to depression across regions. Whereas loneliness tended to be distinguished from social isolation in studies from Africa, it tended to be related with being alone in studies from Asia. Poverty and stigma were common barriers to fulfilling social relationship expectations. This review illustrates how loneliness and expectations are contextually embedded, with some expectations possibly being specific to a certain culture or life stage, having implications for assessment of and interventions for loneliness worldwide.

Suggested Citation

  • Akhter-Khan, Samia C. & van Es, Willemijn & Prina, Matthew & Lawrence, Vanessa & Piri, Ilayda & Rokach, Ami & Heu, Luzia C. & Mayston, Rosie, 2024. "Experiences of loneliness in lower- and middle-income countries: A systematic review of qualitative studies," Social Science & Medicine, Elsevier, vol. 340(C).
    • Handle: RePEc:eee:socmed:v:340:y:2024:i:c:s0277953623007955
    DOI: 10.1016/j.socscimed.2023.116438
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953623007955
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2023.116438?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Haroz, E.E. & Ritchey, M. & Bass, J.K. & Kohrt, B.A. & Augustinavicius, J. & Michalopoulos, L. & Burkey, M.D. & Bolton, P., 2017. "How is depression experienced around the world? A systematic review of qualitative literature," Social Science & Medicine, Elsevier, vol. 183(C), pages 151-162.
    2. Kasedde, Susan & Doyle, Aoife M. & Seeley, Janet A. & Ross, David A., 2014. "They are not always a burden: Older people and child fostering in Uganda during the HIV epidemic," Social Science & Medicine, Elsevier, vol. 113(C), pages 161-168.
    3. Mayston, Rosie & Frissa, Souci & Tekola, Bethlehem & Hanlon, Charlotte & Prince, Martin & Fekadu, Abebaw, 2020. "Explanatory models of depression in sub-Saharan Africa: Synthesis of qualitative evidence," Social Science & Medicine, Elsevier, vol. 246(C).
    4. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
    5. Anupam Joya Sharma & Malavika A Subramanyam, 2020. "Psychological wellbeing of middle-aged and older queer men in India: A mixed-methods approach," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-25, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Paulina Schiappacasse & Bernhard Müller & Le Thuy Linh, 2019. "Towards Responsible Aggregate Mining in Vietnam," Resources, MDPI, vol. 8(3), pages 1-15, August.
    2. Pina Puntillo, 2023. "Circular economy business models: Towards achieving sustainable development goals in the waste management sector—Empirical evidence and theoretical implications," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 30(2), pages 941-954, March.
    3. R. Ebrahimi & S. Choobchian & H. Farhadian & I. Goli & E. Farmandeh & H. Azadi, 2022. "Investigating the effect of vocational education and training on rural women’s empowerment," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-11, December.
    4. Bárbara Galleli & Elder Semprebon & Joyce Aparecida Ramos dos Santos & Noah Emanuel Brito Teles & Mateus Santos de Freitas-Martins & Raquel Teodoro da Silva Onevetch, 2021. "Institutional Pressures, Sustainable Development Goals and COVID-19: How Are Organisations Engaging?," Sustainability, MDPI, vol. 13(21), pages 1-21, November.
    5. Sagarika Dey & Priyanka Devi, 2019. "Impact of TVET on Labour Market Outcomes and Women’s Empowerment in Rural Areas: A Case Study from Cachar District, Assam," Indian Journal of Human Development, , vol. 13(3), pages 357-371, December.
    6. Maria Sassi, 2020. "A SEM Approach to the Direct and Indirect Links between WaSH Services and Access to Food in Countries in Protracted Crises: The Case of Western Bahr-el-Ghazal State, South Sudan," Sustainability, MDPI, vol. 12(22), pages 1-13, November.
    7. Olga Stepanova & Magdalena Romanov, 2021. "Urban Planning as a Strategy to Implement Social Sustainability Policy Goals? The Case of Temporary Housing for Immigrants in Gothenburg, Sweden," Sustainability, MDPI, vol. 13(4), pages 1-17, February.
    8. Michel, Hanno, 2020. "From local to global: The role of knowledge, transfer, and capacity building for successful energy transitions," Discussion Papers, Research Group Digital Mobility and Social Differentiation SP III 2020-603, WZB Berlin Social Science Center.
    9. Hervé Corvellec & Johan Hultman & Anne Jerneck & Susanne Arvidsson & Johan Ekroos & Niklas Wahlberg & Timothy W. Luke, 2021. "Resourcification: A non‐essentialist theory of resources for sustainable development," Sustainable Development, John Wiley & Sons, Ltd., vol. 29(6), pages 1249-1256, November.
    10. Wilson Charles Wilson & Maja Slingerland & Frederick P. Baijukya & Hannah Zanten & Simon Oosting & Ken E. Giller, 2021. "Integrating the soybean-maize-chicken value chains to attain nutritious diets in Tanzania," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 13(6), pages 1595-1612, December.
    11. Jones, Lindsey & d'Errico, Marco, 2019. "Whose resilience matters? Like-for-like comparison of objective and subjective evaluations of resilience," World Development, Elsevier, vol. 124(C), pages 1-1.
    12. Bin Xue & Bingsheng Liu & Tao Liang & Dong Zhao & Tao Wang & Xingbin Chen, 2022. "A heterogeneous decision criteria system evaluating sustainable infrastructure development: From the lens of multidisciplinary stakeholder engagement," Sustainable Development, John Wiley & Sons, Ltd., vol. 30(4), pages 556-579, August.
    13. Sudheesh Ramapurath Chemmencheri, 2016. "Social Protection as a Human Right in South Asia," Indian Journal of Human Development, , vol. 10(2), pages 236-252, August.
    14. Ingrid Boas & Frank Biermann & Norichika Kanie, 2016. "Cross-sectoral strategies in global sustainability governance: towards a nexus approach," International Environmental Agreements: Politics, Law and Economics, Springer, vol. 16(3), pages 449-464, June.
    15. Joyeeta Gupta & Louis Lebel, 0. "Access and allocation in earth system governance: lessons learnt in the context of the Sustainable Development Goals," International Environmental Agreements: Politics, Law and Economics, Springer, vol. 0, pages 1-18.
    16. Kinyondo, Abel Alfred & Ntegwa, Magashi Joseph & Masawe, Cresencia Apolinary, 2022. "Socioeconomic Inequality in Maternal Healthcare Services: The Case of Tanzania," African Journal of Economic Review, African Journal of Economic Review, vol. 10(1), January.
    17. Francesco Bandarin & Enrico Ciciotti & Marco Cremaschi & Giovanna Madera & Paolo Perulli & Diana Shendrikova, 2020. "Which Future for Cities after COVID-19 An international Survey," Reports, Fondazione Eni Enrico Mattei, October.
    18. Thore, Sten, 2022. "Sustainable development goal deficits and the Covid 19 pandemic," Technological Forecasting and Social Change, Elsevier, vol. 174(C).
    19. Thilsted, Shakuntala Haraksingh & Thorne-Lyman, Andrew & Webb, Patrick & Bogard, Jessica Rose & Subasinghe, Rohana & Phillips, Michael John & Allison, Edward Hugh, 2016. "Sustaining healthy diets: The role of capture fisheries and aquaculture for improving nutrition in the post-2015 era," Food Policy, Elsevier, vol. 61(C), pages 126-131.
    20. Pilar Laguna-Sánchez & Pilar Abad & Concepción de la Fuente-Cabrero & Rocío Calero, 2020. "A University Training Programme for Acquiring Entrepreneurial and Transversal Employability Skills, a Students’ Assessment," Sustainability, MDPI, vol. 12(3), pages 1-17, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:340:y:2024:i:c:s0277953623007955. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.