• Claire K Ankuda, Ashwin Kotwal, Jennifer Reckrey, Krista L Harrison, and Katherine A Ornstein.
• Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine, New York, NY, USA. Claire.ankuda@mssm.edu.
• J Gen Intern Med. 2022 Apr 1; 37 (5): 117711821177-1182.

BackgroundHomebound older adults have heightened risks for isolation and negative health consequences, but it is unclear how COVID-19 has impacted them. We examine social contact and mood symptoms among previously homebound older adults during the COVID-19 pandemic.Design/SettingCross-sectional analysis using data from the National Health and Aging Trends Study (NHATS), a nationally-representative longitudinal study of aging in the USA.ParticipantsA total of 3,112 community-dwelling older adults in 2019 who completed the COVID-19 survey in the summer/fall of 2020.MeasurementsHomebound status was defined via self-report as rarely/never leaving home or leaving the house with difficulty or help in the prior month. We measured limited social contact during COVID-19 (in-person, telephone, video or email contacts ResultsAmong homebound older adults, 13.2% experienced limited social contact during COVID-19 vs. 6.5% of the non-homebound. Differences in social contact were greatest for contacts via email/text/social media: 54.9% of the homebound used this DiscussionIsolation among homebound older adults increased during COVID-19, partially due to differences in technology use. We must ensure that homebound persons have the connection and care they need including new technologies for communication during and beyond COVID-19.© 2022. The Author(s) under exclusive licence to Society of General Internal Medicine.

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