[vc_row css_animation="" row_type="row" use_row_as_full_screen_section="no" type="full_width" angled_section="no" text_align="left" background_image_as_pattern="without_pattern"][vc_column css=".vc_custom_1621365636104{padding-top: 10px !important;}"][vc_column_text]Loneliness is the uncomfortable feeling of social isolation that arises when an individual perceives that the quality or quantity of their social relationships is less than the quality or quantity of social relationships they desire. Loneliness can have a detrimental impact not only on wellbeing and health, but also on productivity and functioning in daily life. Loneliness is different from social isolation, which is an objective measure of the number of friends, family, or other social connections an individual has and the frequency of those connections. Loneliness is subjective and depends on how the individual feels about their situation. Social isolation and loneliness are public health issues that affect more than one-third of adults, with seniors most at risk for depression, substance abuse, and suicide triggered by feelings of isolation. Health risks associated with loneliness and social isolation are comparable to the dangers of smoking and obesity, increasing mortality risk by up to 30%. Given the links between loneliness and health status, there is a need for increased awareness among both the public and healthcare providers that loneliness is a condition that, like chronic pain, can afflict almost anyone. Loneliness is a significant predictor of poor health. In a 2010 AARP Research survey of adults age 45 and older, among respondents who rated their health as “excellent,” only 25% were likely to be lonely, compared to 55% for those who rated their health as “poor.” Loneliness is a common source of distress, suffering, and impaired quality of life for adults older than 60, and is a predictor of functional decline and death, according to a 2012 study. Some 19% of older adults report feeling lonely fairly frequently, according to a study on social connectedness based on data from the National Social Life Health and Aging Project. Relative to others, lonely adults tend to have lower incomes; are less likely to be married; live alone; and have poorer self-rated health, more physical limitations in carrying out daily activities, and fewer friends. They also socialize, volunteer, and participate in organized groups less frequently. According to an AARP initiative, causes of social isolation include poor physical and mental health, poorly designed communities, and major life events such as loss of friends or a partner. Risk factors include lack of transportation, mobility impairment, untreated hearing loss, and limited opportunity to engage with others. Health outcomes in older adults may be improved by promoting social engagement and helping seniors maintain interpersonal relationships, according to a 2012 study. Many older adults suffer from frequent feelings of loneliness, but others are relatively unscathed by loneliness, according to a 2017 study. Factors that combat loneliness are a support network of friends and family and improving physical problems that limit independence and the ability to get out and about. Current research suggests that immigrant, and lesbian, gay, bisexual populations experience loneliness more often than other groups. Latino immigrants, for example, “have fewer social ties and lower levels of social integration than US-born Latinos.” First-generation immigrants experience stressors that can...