title: The prevalence and impact of risk factors for ethnic differences in loneliness.
abstract: Previous studies have demonstrated that loneliness is more frequently present in citizens of ethnic minority groups than in natives. The current study investigates whether ethnic differences in emotional and social loneliness between Moroccan, Turkish, Surinamese and Dutch adults living in the Netherlands are due to ethnic differences in the presence and/or impact of an array of possible risk factors, such as partnership, health and socioeconomic status.
  
  
  
  The data were collected in 2012 as a part of a general health questionnaire of the Public Health Services in the four major cities of the Netherlands, containing 20.047 Dutch, 1.043 Moroccan, 1.197 Turkish and 1.900 Surinamese respondents.
  
  
  
  Structural equation models showed that ethnic differences in emotional and social loneliness can be ascribed to ethnic differences in the prevalence and impact of several risk factors. Main findings were that all three ethnic minority groups reported feeling less healthy and more discriminated against than the Dutch group, which was related to increased loneliness. Perceived financial difficulties and people in the neighbourhood not getting along had more impact on feelings of loneliness for the Turkish group than loneliness for the other ethnic groups. Furthermore, members of the Turkish group were found more at risk to feel anxious or depressed, which was in turn related to increased loneliness.
  
  
  
  Policy makers are encouraged to develop multifaceted prevention strategies concerning those risk factors that are most changeable, thereby focusing per risk factor on those ethnic groups for which it is an important contribution to loneliness.
authors: Department of Epidemiology and Health Promotion, Public Health Service of Amsterdam, Amsterdam, The Netherlands ma.visser@amersfoort.nl.
authors: Marlies A
authors: MA
authors: Visser
authors: Department of Epidemiology and Health Promotion, Public Health Service of Amsterdam, Amsterdam, The Netherlands.
authors: Fatima
authors: F
authors: El Fakiri
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D005006:Ethnicity / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008132:Loneliness / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D009018:Morocco / Q000208:ethnology; D009426:Netherlands / Q000453:epidemiology; D011287:Prejudice / Q000208:ethnology; D015995:Prevalence; D012111:Residence Characteristics; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D013532:Suriname / Q000208:ethnology; D014421:Turkey / Q000208:ethnology