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We sought to identify differences in feelings of loneliness, sadness, and social disconnection early in the pandemic across racial groups, and possible mitigating factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a cross\u2010sectional analysis using the weighted nationally\u2010representative Medicare Current Beneficiaries Survey COVID\u201019 supplement, collected summer 2020. We included all Medicare beneficiaries aged 65\u2009years and older who did not respond by proxy. We examined changes in loneliness, sadness, or feelings of social disconnection. Multivariable logistic regression models accounted for sociodemographic variables, access to primary care and the internet, and history of depression or dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 8125 beneficiaries, representative of 43.7 million Medicare beneficiaries, 22.6% reported loneliness or sadness, and 37.1% feeling socially disconnected. In fully\u2010adjusted models, Hispanic\/Latinx beneficiaries were most likely to report loneliness or sadness (OR\u00a0=\u00a01.3, CI: 1.02\u20131.65;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.02) and Black beneficiaries were least likely to report feeling socially disconnected (OR\u00a0=\u00a00.55; CI: 0.42\u20130.73;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Internet access was associated with increased odds of both (OR\u00a0=\u00a01.29, 95 CI: 1.07\u20131.56;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.009; and OR\u00a0=\u00a01.42, 95 CI: 1.24\u20131.63;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, respectively). Access to primary care was associated with lower odds of both (OR\u00a0=\u00a00.77, 95 CI: 0.61\u20130.96;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.02; and OR\u00a0=\u00a00.72, 95 CI: 0.61\u20130.87;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Loneliness, sadness, and feelings of social disconnection were common among older Medicare beneficiaries early in the COVID\u201019 pandemic. Differences by race\/ethnicity may be driven by different living structures and social networks, and warrant further study. Policy makers and clinicians should consider facilitating connection by phone or in person, as internet access did not diminish feelings of loneliness, particularly for those living alone. Access to primary care, and tools for clinicians to address loneliness should be prioritized.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17599","type":"journal-article","created":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T01:04:45Z","timestamp":1638320685000},"page":"329-340","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":56,"title":["Loneliness, sadness, and feelings of social disconnection in older adults during the\n                    <scp>COVID<\/scp>\n                    \u201019 pandemic"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9894-6501","authenticated-orcid":false,"given":"Louisa W.","family":"Holaday","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine Mount Sinai School of Medicine  New York New York USA"},{"name":"National Clinician Scholars Program Yale School of Medicine  New Haven Connecticut USA"},{"name":"VA Connecticut Healthcare System\u2014West Haven Campus  West Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol R.","family":"Oladele","sequence":"additional","affiliation":[{"name":"Section of General Medicine, Department of Internal Medicine, Yale School of Medicine Yale University  New Haven Connecticut USA"},{"name":"Equity Research and Innovation Center (ERIC), Yale School of Medicine Yale University  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6407-5501","authenticated-orcid":false,"given":"Samuel M.","family":"Miller","sequence":"additional","affiliation":[{"name":"National Clinician Scholars Program Yale School of Medicine  New Haven Connecticut USA"},{"name":"Department of Surgery Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria I.","family":"Due\u00f1as","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine Mount Sinai School of Medicine  New York New York USA"},{"name":"Division of Geriatrics, Department of Internal Medicine UCLA Medical School  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brita","family":"Roy","sequence":"additional","affiliation":[{"name":"Section of General Medicine, Department of Internal Medicine, Yale School of Medicine Yale University  New Haven Connecticut USA"},{"name":"Department of Chronic Disease Epidemiology Yale School of Public Health  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph S.","family":"Ross","sequence":"additional","affiliation":[{"name":"National Clinician Scholars Program Yale School of Medicine  New Haven Connecticut USA"},{"name":"Section of General Medicine, Department of Internal Medicine, Yale School of 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