Combating loneliness in South African cities: exploring public health through an urban planning lens
 
 
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City and Regional Planning, University of Cape Town, Cape Town, South Africa
 
 
Popul. Med. 2026;8(Supplement Supplement 1):A449
 
ABSTRACT
BACKGROUND:
Urban loneliness poses a significant public health challenge in South Africa, intensified by apartheid's spatial legacies that created isolated townships and fragmented communities in metropolitan cities like Johannesburg and Cape Town. This isolation contributes to mental health issues, including anxiety, depression, and social disconnection, disproportionately affecting low-income and marginalized groups amid rapid urbanization and socioeconomic divides. Public health data indicates rising loneliness rates, linked to car-centric designs, limited public spaces, and unequal access to amenities. This study investigates how urban planning policies address loneliness through spatial interventions that promote connectivity and social cohesion. Grounded in affect theory—drawing from Spinoza and Deleuze—it views urban spaces as affective environments that shape emotional interactions, enabling planning to foster positive encounters and communal vitality.

METHODS:
Employing a qualitative document analysis of secondary data, the study reviews key metropolitan planning policies, including Integrated Development Plans (IDPs), Municipal Spatial Development Frameworks (MSDFs), and national frameworks like SPLUMA (2013) and the National Development Plan. Documents from major cities (e.g., Cape Town's MSDF, Johannesburg's Corridors of Freedom) were examined for references to loneliness, isolation, or related themes such as social cohesion, public spaces, and inclusive design. Affect theory guides the analysis, assessing how policies modulate affective atmospheres to reduce isolation.

RESULTS:
Analysis reveals sporadic attention to loneliness in policies, often indirectly through emphases on mixed-use developments, green corridors, and transit-oriented designs aimed at enhancing encounters. However, explicit integration is limited, with MSDFs prioritizing economic and environmental goals over psychosocial health, missing opportunities for affect-informed interventions like communal hubs.

CONCLUSIONS:
Urban planning in South Africa can better combat loneliness by embedding affect theory into policies, mandating designs that facilitate social bonds. Recommendations include affective audits in IDPs/MSDFs to prioritize anti-isolation measures, advancing public health equity in metropolitan contexts
eISSN:2654-1459
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