Abstract

The spread of COVID-19 is considered to have strengthened people’s awareness of others. Additionally, the COVID-19 pandemic has reduced connection with others among older adults and increased loneliness. This study aimed to investigate the factors affecting loneliness among older adults in rural areas during the COVID-19 pandemic by focusing on the connection with others. The target group included 932 rural Japanese adults, aged 65–74 years. An anonymous, self-administered questionnaire survey was conducted. Valid responses were obtained from 405 participants (valid response rate: 43.5%). A multiple regression analysis was performed using the forced entry method with loneliness as the dependent variable. The independent variables were those showing significant associations with loneliness based on the univariate analysis. Sex (β = −0.139), economic situation (β = −0.103), neighborhood ties (β = −0.260), independent view of self (β = −0.213), interdependent view of self (β = 0.171), and communication through phone (β = −0.128) were significantly associated with loneliness. Connection with others and subjective views of the relationship between self and others were associated with loneliness in situations where one was more aware of the behavior of oneself and others in an infectious disease pandemic.

Highlights

  • By 15 December 2021, COVID-19 had caused 270,031,622 infections and 5,310,502 deaths [1]

  • This study focused on older adults living in rural areas

  • The factors associated with loneliness in rural older adults during the COVID-19 pandemic were the basic attributes of sex and economic situation, connection with others through the neighborhood and communicating with friends through phone, and consciousness of others through independent and interdependent views of self

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Summary

Introduction

By 15 December 2021, COVID-19 had caused 270,031,622 infections and 5,310,502 deaths [1]. The number of people infected by COVID-19 has varied by country owing to varying waves of the infection. Japan has experienced five instances of a rapid increase in the number of infected people between February 2020 and October. This frequency was higher than the rest of the world. According to the WHO, older people are at higher risk of experiencing more serious illness from COVID-19 [3]. COVID-19 is a threat to older people, especially in Japan, where the aggravation rate is 25 and 47 times higher for those in their 60s and 70s, respectively, compared to those in their

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