BackgroundLoneliness affects approximately 35% of rural Australians with detrimental impacts on physical, emotional, and social health. This study aims to identify the factors associated with loneliness among adults in a rural Australian population. MethodsThe study was a web-based cross-sectional survey conducted between February and April 2023 among adults living in a rural Australian population. The survey, which was distributed using social media, consisted of 37 items including demographic information (17 items) and the UCLA Loneliness Scale Version 3 (20 items). Collected data were analysed using univariate and multivariable analysis to identify the factors associated with loneliness in this population. ResultsA total of 225 respondents, mostly aged 30–49yrs (42.7%) participated in this study. The majority were Australia-born (88.4%), females (79.6%), employed (70%) and a third of participants were married (34.7%) at the time of this study. The median loneliness score (55 [IQR 47.0–61.0]) was significantly lower among participants who took part in community, sporting or hobby groups (36.2%) compared to those who abstained from these activities (51.5, [IQR 45.3–58.0] vs 56.0 [IQR 48.0–62.0]; p = 0.037). However, this association was nullified, after adjusting for covariates. Those who rated their overall health as worse (i.e., ‘poor’ 62.5 [IQR 54.8–64.0]) had significantly higher median loneliness scores than those who self-rated their overall health as ‘excellent’ (46.0 [IQR 32.3–54.3]; p < 0.001). After adjusting for covariates, poorer self-rated overall health remained significantly associated with loneliness, in contrast to ratings of ‘good’, ‘very good’ and ‘excellent’. ConclusionsResults indicate that in this rural Australian population, loneliness is associated with worse self-reported overall health, whilst participation in social groups appear to ameliorate loneliness. Policy aimed at reducing loneliness should therefore facilitate measures that improve this population's physical and mental health.
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