A2 Refereed review article in a scientific journal
National policy responses to address loneliness: A global scoping review of 194 WHO member states
Authors: Goldman, Nina; Alemdar, Melek; Megges, Herlind; Matsumoto, Naka; Schoenmakers, Eric; van den Berg, Pauline; Lasgaard, Mathias; Christiansen, Julie; Junttila, Niina; Goldman, Andreas; Draxl, Debora; El-Osta, Austen; Qualter, Pamela
Publisher: Elsevier
Publication year: 2026
Journal: Health Policy
Article number: 105553
Volume: 165
ISSN: 0168-8510
eISSN: 1872-6054
DOI: https://doi.org/10.1016/j.healthpol.2025.105553
Publication's open availability at the time of reporting: Open Access
Publication channel's open availability : Partially Open Access publication channel
Web address : https://doi.org/10.1016/j.healthpol.2025.105553
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/508473436
Self-archived copy's licence: CC BY
Self-archived copy's version: Publisher`s PDF
Background
Loneliness is associated with adverse physical and mental health outcomes. It affects individuals across all age groups and geographical regions.
ObjectiveTo characterise the extent that WHO Member States address loneliness, social isolation and social connection through national policies.
MethodsWe searched government websites using key terms. A matrix was used to extract data, followed by in-depth document analysis.
ResultsBy February 2025, only eight WHO Member States (Denmark, UK (England, Scotland, Wales), Finland, Germany, Netherlands, Sweden, Japan, USA) had policies directly addressing loneliness, social isolation or social connection. Policymakers validated the findings. Common policy aims included building a more connected society, addressing loneliness as a wider societal challenge rather than just an individual issue, and supporting both individuals and organisations to manage loneliness. Key recommendations in these policies often highlighted the need to increase knowledge through research, raise public awareness to reduce stigma, promote cross-sectoral collaboration, integrate loneliness into government policy and implement community-based approaches. National policies emerged following societal activism, initiatives from government departments or a large-scale research project.
ConclusionVarious policies are in place to help address loneliness at the national level. To maximise impact, policies require adequate funding. To date, none of the national policies had undergone rigorous evaluation concerning their effectiveness. This review highlights the growing political focus on loneliness and provides a starting point for those seeking to understand, develop or strengthen national strategies to address loneliness, social isolation or social connection.
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Funding information in the publication:
This research was commissioned and partly funded by the World Health Organization (WHO). Nina Goldman was supported by the Swiss National Science Foundation (SNSF), Bern (Grant #: 214225). Austen El-Osta is grateful for support from the National Institute for Health Research and Care Research (NIHR) Applied Research Collaboration Northwest London. The views expressed are those of the authors and not necessarily those of the WHO, SNSF, NHS or the NIHR or the Department of Health and Social Care.