Loneliness: Percentage of adults who feel lonely often or always or some of the time - WMCA

The percentage of adults (aged 16 and over) that responded to the question "How often do you feel lonely?" with "Always or often" or "Some of the time" ## Rationale At the beginning of 2018, the Prime Minister highlighted the issue of loneliness, announcing a Minister for Loneliness and committing to develop a national strategy to help tackle loneliness and a national measure for loneliness. The national strategy, [A Connected Society: A Strategy for Tackling Loneliness], was published on 15 October 2018. The commitments made by the Department of Health and Social Care (DHSC) and NHS England in the strategy identify loneliness to be a serious public health concern. In keeping with the Loneliness Strategy, loneliness is defined here as: “a subjective, unwelcome feeling of lack or loss of companionship. It happens when we have a mismatch between the quantity and quality of social relationships that we have, and those that we want.” This is based on a definition first suggested by Perlman and Peplau in 1981^{(1)}. Loneliness is a feeling that most people will experience at some point in their lives. When people feel lonely most or all of the time, it can have a serious impact on an individual’s well-being and their ability to function in society. Feeling lonely frequently is linked to early deaths and its health impact is thought to be on a par with other public health priorities like obesity or smoking. Lonely people are more likely to be readmitted to hospital or have a longer stay. There is also evidence that lonely people are more likely to visit a General Practitioner or Accident and Emergency and more likely to enter local authority funded residential care. At work, higher loneliness among employees is associated with poorer performance on tasks and in a team, while social interaction at work has been linked to increased productivity. Loneliness can affect anyone of any age and background. It is important to measure loneliness because the evidence on loneliness is currently much more robust and extensive on loneliness in older people, but much less for other age groups including children and young people. If more people measure loneliness in the same way, we will build a much better evidence base more quickly. That’s why the Prime Minister asked the Office for National Statistics (ONS) to develop national indicators of loneliness for people of all ages, suitable for use on major studies. When reporting the prevalence of loneliness, ONS advise using the responses from the direct question, “How often do you feel lonely?” The inclusion of the direct loneliness measure in the Public Health Outcomes Framework (PHOF) will help inform and focus future work on loneliness at both a national and local level, providing a focus to support strategic leadership, policy decisions and service commissioning. In this first set of data on loneliness prevalence at a local authority level, we have merged the two most frequent categories of feeling lonely (often or always and some of the time). This is due to small sample sizes and the limitations of this data will be explained in more detail in the caveats section. This will be replaced next year by a 2-year pooled dataset which will have large enough sample sizes to report chronic loneliness. Presenting the data this year will help local authorities to work preventatively to tackle chronic loneliness by showing whether a local area has higher than national average levels of loneliness. ^{(1)} Perlman D and Peplau LA (1981) 'Toward a Social Psychology of Loneliness', in Gilmour R and Duck S (eds.), Personal Relationships. 3, Personal Relationships in Disorder, London: Academic Press, pp. 31–56. ## Definition of numerator Weighted number of respondents aged 16 and over, with a valid response to the question "How often do you feel lonely" that answered "Always or often" or "Some of the time". Active Lives Adult Survey data is collected November to November. ## Definition of denominator Weighted number of respondents aged 16 and over, with a valid response to the question "How often do you feel lonely?".Denominator values in the Download data are unweighted counts. All analyses for this indicator have been weighted to be representative of the population of England.Active Lives Adult Survey data is collected November to November. ## Caveats Due to the sample size at local authority level, the "often or always" category is merged with the next most severe category of loneliness (people who respond as feeling lonely “some of the time”). Standard practice is to report the two categories separately. However, data from other sources shows a degree of volatility in the ratio between these categories at the local authority (LA) level. Therefore, there is a risk that when two local authorities are both reported as having 25% of people feeling lonely (often or always combined with some of the time), the actual figures for "often or always" might differ significantly. For example, one LA might have 24% often and always while another has only 3%, which would not be apparent in the combined category. This could lead to underestimation or overestimation of chronic loneliness levels by local authorities.