| Literature DB >> 35083799 |
Abstract
While much attention has been given to loneliness as a public health and societal problem less consideration has been given to men's experiences, particularly in later life, and there is a limited evidence based on what works with supporting older men to counteract the impact of loneliness on their mental and social wellbeing. In this paper, we focus on the experiences of older men living alone in the community. Between 2017-2018 72 men residing in England (65-95 years) took part in the study and shared their accounts of experiencing and addressing loneliness on an everyday basis. We generated qualitative data through semi-structured interviews. Interview data were analysed thematically using the framework analysis approach. We present and discuss findings on the difficulties older men experience in responding to and discussing loneliness and the range of coping practices men applied within their home environments. Three core themes are presented: 1. Maintaining silence around loneliness and distress; 2. Getting on with it versus feeling stuck in loneliness and, 3. Temporary remedies and distractions from loneliness from within the home. Across men's accounts, 'the home' is constructed as a space of biographical connections with others as well as a restrictive environment of separation from others. In relation to help-seeking and efforts to break silence surrounding loneliness, the findings speak to the ways in which masculinities and social expectations attached to male roles complicate older men's varying attempts at help-seeking and underpin some of their everyday methods of coping with loneliness. The findings reiterate the importance of targeted individual support for older men, particularly for those feeling frozen in loneliness. Facilitators of group-based support for older men need to recognise the different and potentially conflicting positions older male service users may adopt in relation to help-seeking that are configured around masculine ideals but in diverging ways.Entities:
Keywords: ageing; community-based interventions; groups; loneliness; old age; older men; social isolation
Mesh:
Year: 2022 PMID: 35083799 PMCID: PMC9542843 DOI: 10.1111/hsc.13732
Source DB: PubMed Journal: Health Soc Care Community ISSN: 0966-0410
Interview schedule, question categories and sample questions
| Question categories (in sequence asked) | Sample questions asked |
|---|---|
| 1. Introduction and participant background |
Can you tell me a bit about where you grew up? How long have you lived in this area? ( What kinds of jobs have you had through your life? What hobbies and interests have you enjoyed doing in your life? Any voluntary activities? What about current hobbies /interests/ activities? Do you have any pets? If yes: how important are they to you? |
| 2. Social networks exercise |
Who do you spend most time with? What ways do you have of keeping in touch with them? (e.g. face to face, phone, text, email, Facebook) Are there any things that make it difficult to keep in contact with any of them? If so, what? Is there anything you would like to change about your contact with them? If so, what (type of contact, frequency, location, quality) Have there been any changes to your network over the last ten years? If so, what (grown, got smaller, circumstances, feelings) Who lives in the same household as you? And who lives in the immediate neighbourhood but not same household? And apart from these, who lives within 1 hr travelling distance? Who do you consider to be friends? Who do you consider to be family? Who would you confide in about personal problems or worries? Who would you approach for practice help and support? |
| 3. Experiences of loneliness |
How would you describe loneliness? How can it make other people feel? Have there been times when you have had similar feelings? If so, what did this look like? Can you tell me about what was happening in your life at those times? Are there particular times or situations when you are more likely to feel lonely? Has loneliness ever got to the point of becoming a problem in your life? (when? what happened?, how long did it last?) In terms of how often you have feelings associated with being lonely
|
| 4. Coping with loneliness |
When loneliness has been a problem in your life, what kinds of things have you found that help? What helps to combat loneliness or to feel less lonely? How? Who has been helpful in tackling loneliness? What makes them helpful? Who do you look forward to seeing and talking to day‐to‐day? What do you appreciate about their company? How do you connect with them (e.g. face to face, online / social media) |
| 5. Participation in group activities |
Thinking about all the groups and activities you take part in, what are they and what are they like? Where are they? What goes on there? How did you first hear about them? What were your views about them before you went there? What do you like about taking part? Who are the other people that take part? What things do you get out of taking part? Have there been any challenges about taking part? If so, what? (e.g. transport, finance, technology, disability) How do these groups compare with the contact with the people in the social convoy mapping exercise? Is there anything that has prevented you from taking part in a group that you would have wanted to take part in? If so, what? Are there other things you would like to do in a group, but which don't exist? What other people would you like to have in the group? What's the best thing about being involved in …. [group]? How would you recommend it to others? |
During interviews, we asked each participant to complete a social convoy mapping exercise to understand their social networks and what supports enable them to cope with stressful life‐situations and challenges (Antonucci, 2001). This illustrative method uses a diagram of three concentric circles to identify and explore the personal and situational characteristics of an individual's social network membership, and how important they are to them, both at the time of interview and ten years earlier (Antonucci, 1986). The sample questions above are about network members listed by participants.
These three questions (Do you ever feel that you lack companionship? Do you ever feel left out? Do you ever feel isolated from others?) were taken from the UCLA three‐item loneliness scale (Hughes, Waite, Hawkley, and Cacioppo, 2004). While not intended for qualitative research, these open‐ended questions were appealing as they invited participants to explore dimensions related to subjective feelings of loneliness, and were most beneficial when participants did not want to discuss loneliness or gave very brief responses to other loneliness questions.
Characteristics of participants living alone
| Total number living alone | 72 |
| Age range | 65–95 |
| Mean age | 76 |
| Ethnic background |
White British = 68 Asian = 4 |
| Sexual identity |
Heterosexual = 51 Gay |
Two gay men lived alone with their partners living in another household. One man was single but sharing his house with a part‐time lodger, therefore we included him in this sub‐sample.