Loneliness among adult cancer survivors in the United States: prevalence and correlates

Abstract Loneliness is recognized as a significant public health concern, affecting quality of life and health outcomes, including cancer-related outcomes. Thus, it is essential to understand the prevalence and risk factors for loneliness in people with cancer. Through an exploratory analysis of sec...

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Main Authors: Christopher W. Wheldon, Avishek Choudhury, Bryan P. McCormick, Juan R. Albertorio-Díaz
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-85126-8
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author Christopher W. Wheldon
Avishek Choudhury
Bryan P. McCormick
Juan R. Albertorio-Díaz
author_facet Christopher W. Wheldon
Avishek Choudhury
Bryan P. McCormick
Juan R. Albertorio-Díaz
author_sort Christopher W. Wheldon
collection DOAJ
description Abstract Loneliness is recognized as a significant public health concern, affecting quality of life and health outcomes, including cancer-related outcomes. Thus, it is essential to understand the prevalence and risk factors for loneliness in people with cancer. Through an exploratory analysis of secondary data from the Health Information National Trends Survey, we investigated the prevalence and correlates of loneliness among adult cancer survivors (N = 1,234). An estimated 35.9% of participants experienced moderate to severe loneliness. In a series of multiple logistic regression models, we identified differences in sociodemographic, cancer-related factors, non-cancer comorbidities, social isolation, social support, and social media use behaviors in the odds of reporting moderate-severe loneliness. In our fully adjusted model, years since cancer diagnosis, fair-poor overall health, moderate-high psychological distress, and having children living in the household were all positively and independently associated with moderate-severe loneliness. In this same model, being married and reporting some types of social support were negatively associated with moderate-severe loneliness. This study underscores the multifaceted nature of loneliness among cancer survivors, revealing a complex interplay of demographic, health-related, and social factors.
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spelling doaj-art-709a43f3bf4649e49cf112f77ae196c32025-02-02T12:17:23ZengNature PortfolioScientific Reports2045-23222025-01-0115111310.1038/s41598-025-85126-8Loneliness among adult cancer survivors in the United States: prevalence and correlatesChristopher W. Wheldon0Avishek Choudhury1Bryan P. McCormick2Juan R. Albertorio-Díaz3Department of Social & Behavioral Sciences, College of Public Health, Temple UniversityIndustrial and Management Systems Engineering, West Virginia UniversityDepartment of Health & Rehabilitation Sciences, College of Public Health, Temple UniversityFoundation for Social ConnectionAbstract Loneliness is recognized as a significant public health concern, affecting quality of life and health outcomes, including cancer-related outcomes. Thus, it is essential to understand the prevalence and risk factors for loneliness in people with cancer. Through an exploratory analysis of secondary data from the Health Information National Trends Survey, we investigated the prevalence and correlates of loneliness among adult cancer survivors (N = 1,234). An estimated 35.9% of participants experienced moderate to severe loneliness. In a series of multiple logistic regression models, we identified differences in sociodemographic, cancer-related factors, non-cancer comorbidities, social isolation, social support, and social media use behaviors in the odds of reporting moderate-severe loneliness. In our fully adjusted model, years since cancer diagnosis, fair-poor overall health, moderate-high psychological distress, and having children living in the household were all positively and independently associated with moderate-severe loneliness. In this same model, being married and reporting some types of social support were negatively associated with moderate-severe loneliness. This study underscores the multifaceted nature of loneliness among cancer survivors, revealing a complex interplay of demographic, health-related, and social factors.https://doi.org/10.1038/s41598-025-85126-8
spellingShingle Christopher W. Wheldon
Avishek Choudhury
Bryan P. McCormick
Juan R. Albertorio-Díaz
Loneliness among adult cancer survivors in the United States: prevalence and correlates
Scientific Reports
title Loneliness among adult cancer survivors in the United States: prevalence and correlates
title_full Loneliness among adult cancer survivors in the United States: prevalence and correlates
title_fullStr Loneliness among adult cancer survivors in the United States: prevalence and correlates
title_full_unstemmed Loneliness among adult cancer survivors in the United States: prevalence and correlates
title_short Loneliness among adult cancer survivors in the United States: prevalence and correlates
title_sort loneliness among adult cancer survivors in the united states prevalence and correlates
url https://doi.org/10.1038/s41598-025-85126-8
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AT juanralbertoriodiaz lonelinessamongadultcancersurvivorsintheunitedstatesprevalenceandcorrelates