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Background and Objectives: Relatively little research investigated whether experiences during young adulthood have long-lasting consequences for older age loneliness. This article examines whether deviations from culturally based scripts regarding family transitions represent risk factors for later-life loneliness. Moreover, it analyzes whether and in which conditions long-term associations between family transitions and loneliness differ across nations.Research Design and Methods: The analyses use micro-level data from the Generations and Gender Survey Wave 1 for 12 European countries. The sample comprises 61,082 individuals aged 50-85. The research questions are addressed using a step-wise approach based on linear regression analyses, meta-analyses, and meta-regressions.Results: Results show that never having lived with a partner and childlessness are most strongly related to later-life loneliness. Whereas early transitions are unrelated to later-life loneliness, the postponement of partnership, and parenthood are associated with higher levels of loneliness compared to having experienced these transitions "on-time". Childlessness is more strongly associated with later-life loneliness in more traditionalist countries than in less traditionalist ones.Discussion and Implications: This study reveals that individuals with non-normative family transitions are more exposed to loneliness in old age, and that this exposure is related to societal context. In traditionalist contexts, where people rely on families for support, older adults who have experienced non-normative family behavior, and childlessness in particular, may be particularly at risk of loneliness.

Background Household help is a community intervention in the Netherlands. Its primary goal is to provide professional help in doing domestic work. A secondary goal of the intervention is to alleviate loneliness. In 2007, a major health care reform and budget cut changed household help. After the reform alleviating loneliness is no longer an aim of the intervention. In this study we evaluate the effects of the policy change in household help on loneliness among older adults in the Netherlands. Methods We use SHARE data collected during the period 2004–2013 to compare levels of loneliness among older adults in the Netherlands and those in 9 other European countries (Austria, Belgium, Germany, Denmark, Italy, France, Sweden, Spain and Switzerland). We use a synthetic control method (SCM) based on aggregate data. To check the robustness of our results we also apply a difference-in-differences (DiD) estimator that allows us to estimate the effects of policy changes using individual level data. Results In 2004, the prevalence of loneliness ranged between 6.5% in the Netherlands and 15.4% in Italy. Loneliness increased with time for all observed countries. The increase between 2004 and 2013 was highest in France − 30.2%, Italy – 33. 4% and Belgium – 25.0%. The level of loneliness among older adults in the Netherlands increased after 2011. However, it is still lower than in other countries. There was no statistical significant difference in age between waves (67.36 ± 13.7 before 2011 to 68.55 ± 9.24 after 2011, p = 0.01). Based on the DiD estimator, there is no statistically significant difference in the incidence of loneliness between older adults in the Netherlands and those in the control countries. Conclusion Our results do not suggest that the policy change and budget cut in 2007 on household help has had an effect on loneliness. In absolute numbers, the prevalence of loneliness has increased since 2011, however we find no evidence that this can be attributed to the policy change. Electronic supplementary material The online version of this article (10.1186/s12889-018-6004-6) contains supplementary material, which is available to authorized users.

Background: Public health policy calls for intervention programmes to reduce loneliness in the ageing population. So far, numerous loneliness interventions have been developed, with effectiveness demonstrated for few of these interventions. The loneliness intervention described in this manuscript distinguishes itself from others by including multiple intervention components and targeting individuals and their environment. Intervention components included a mass media campaign, information meetings, psychosocial group courses, social activities organised by neighbours, and training of intermediaries. The aim of this manuscript is to study the effects of this integrated approach on initial and long-term outcomes. Methods: A quasi-experimental pre-test post-test intervention study was conducted among non-institutionalised elderly people aged 65 years and over to evaluate the effectiveness of the intervention by comparing the intervention community and the control community. Data on outputs, initial and long-term outcomes, and the overall goal were collected by self-administered questionnaires. Data of 858 elderly people were available for the analyses. To assess the effect linear regression analyses with adjustments for age, gender, church attendance, and mental health were used. In addition, the process evaluation provided information about the reach of the intervention components. Results: After two years, 39% of the elderly people were familiar with the intervention programme. The intervention group scored more favourably than the control group on three subscales of the initial outcome, motivation (�4.4%, 95% CI�8.3-�0.7), perceived social support (�8.2%, 95% CI�13.6-�2.4), and subjective norm (�11.5%, 95% CI�17.4-�5.4). However, no overall effects were observed for the long-term outcome, social support, and overall goal, loneliness. Conclusions: Two years after its initiation the reach of the intervention programme was modest. Though no effect of the complex intervention was found on social support and loneliness, more favourable scores on loneliness literacy subscales were induced.