Gender differences in association between psychological distress and detailed living arrangements among Japanese older adults, aged 65–74 years

Purpose Past studies have shown that living alone is detrimental to older adults’ mental health. However, there has been little focus on how older adults’ psychological distress differed by more detailed living arrangement, as well as by gender. The present study investigates various living arrangem...

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Veröffentlicht in:Social Psychiatry and Psychiatric Epidemiology 2014-05, Vol.49 (5), p.823-830
Hauptverfasser: Kikuchi, Hiroyuki, Takamiya, Tomoko, Odagiri, Yuko, Ohya, Yumiko, Nakaya, Tomoki, Shimomitsu, Teruichi, Inoue, Shigeru
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container_issue 5
container_start_page 823
container_title Social Psychiatry and Psychiatric Epidemiology
container_volume 49
creator Kikuchi, Hiroyuki
Takamiya, Tomoko
Odagiri, Yuko
Ohya, Yumiko
Nakaya, Tomoki
Shimomitsu, Teruichi
Inoue, Shigeru
description Purpose Past studies have shown that living alone is detrimental to older adults’ mental health. However, there has been little focus on how older adults’ psychological distress differed by more detailed living arrangement, as well as by gender. The present study investigates various living arrangements in association with psychological distress among older men and women. Methods Data from community-dwelling Japanese older adults were collected through a mail survey ( n  = 1,807, aged 65–74 years, 51.5 % men). Psychological distress level was measured using Kessler’s six-item psychological distress scale. Living arrangements were categorized into four groups; “living with spouse only”, “living with spouse and other family”, “living with other family without spouse” or “living alone”. Multiple logistic regression analyses were used to examine the associations of living arrangements with psychological distress level. Results Older adults living alone were observed to have higher psychological distress. In addition, gender-stratified analyses showed that higher distress levels were observed among older men living with family, but without a spouse (OR: 2.85, 95 % CI: 1.51–5.39). In contrast, higher distress was observed among older women living with spouse and other family (OR: 1.53, 95 % CI: 1.03–2.28). Conclusions Psychological distress in older Japanese adults was associated with living arrangements, but such associations differed by gender. The association of living with a spouse on older men’s mental health was striking, while living with any family was found to be rather important for older women, aged 65–74 years.
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However, there has been little focus on how older adults’ psychological distress differed by more detailed living arrangement, as well as by gender. The present study investigates various living arrangements in association with psychological distress among older men and women. Methods Data from community-dwelling Japanese older adults were collected through a mail survey ( n  = 1,807, aged 65–74 years, 51.5 % men). Psychological distress level was measured using Kessler’s six-item psychological distress scale. Living arrangements were categorized into four groups; “living with spouse only”, “living with spouse and other family”, “living with other family without spouse” or “living alone”. Multiple logistic regression analyses were used to examine the associations of living arrangements with psychological distress level. Results Older adults living alone were observed to have higher psychological distress. In addition, gender-stratified analyses showed that higher distress levels were observed among older men living with family, but without a spouse (OR: 2.85, 95 % CI: 1.51–5.39). In contrast, higher distress was observed among older women living with spouse and other family (OR: 1.53, 95 % CI: 1.03–2.28). Conclusions Psychological distress in older Japanese adults was associated with living arrangements, but such associations differed by gender. The association of living with a spouse on older men’s mental health was striking, while living with any family was found to be rather important for older women, aged 65–74 years.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-013-0778-8</identifier><identifier>PMID: 24126557</identifier><identifier>CODEN: SPPEEM</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult and adolescent clinical studies ; Aged ; Analysis ; Anxiety disorders ; Biological and medical sciences ; Cultural heritage ; Epidemiology ; Family Characteristics ; Female ; Gender differences ; Health care ; Housing ; Humans ; Independent Living ; Japan ; Living arrangements ; Logistic Models ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Mental disorders ; Mental Health ; Middle Aged ; Miscellaneous ; Older people ; Original Paper ; Preventive medicine ; Psychiatry ; Psychological research ; Psychology. 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However, there has been little focus on how older adults’ psychological distress differed by more detailed living arrangement, as well as by gender. The present study investigates various living arrangements in association with psychological distress among older men and women. Methods Data from community-dwelling Japanese older adults were collected through a mail survey ( n  = 1,807, aged 65–74 years, 51.5 % men). Psychological distress level was measured using Kessler’s six-item psychological distress scale. Living arrangements were categorized into four groups; “living with spouse only”, “living with spouse and other family”, “living with other family without spouse” or “living alone”. Multiple logistic regression analyses were used to examine the associations of living arrangements with psychological distress level. Results Older adults living alone were observed to have higher psychological distress. In addition, gender-stratified analyses showed that higher distress levels were observed among older men living with family, but without a spouse (OR: 2.85, 95 % CI: 1.51–5.39). In contrast, higher distress was observed among older women living with spouse and other family (OR: 1.53, 95 % CI: 1.03–2.28). Conclusions Psychological distress in older Japanese adults was associated with living arrangements, but such associations differed by gender. The association of living with a spouse on older men’s mental health was striking, while living with any family was found to be rather important for older women, aged 65–74 years.</description><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Analysis</subject><subject>Anxiety disorders</subject><subject>Biological and medical sciences</subject><subject>Cultural heritage</subject><subject>Epidemiology</subject><subject>Family Characteristics</subject><subject>Female</subject><subject>Gender differences</subject><subject>Health care</subject><subject>Housing</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Japan</subject><subject>Living arrangements</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Older people</subject><subject>Original Paper</subject><subject>Preventive medicine</subject><subject>Psychiatry</subject><subject>Psychological research</subject><subject>Psychology. 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Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Residence Characteristics</topic><topic>Sex Factors</topic><topic>Socioeconomic Factors</topic><topic>Spouses</topic><topic>Stress (Psychology)</topic><topic>Stress, Psychological - ethnology</topic><topic>Suburban areas</topic><topic>Surveys</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kikuchi, Hiroyuki</creatorcontrib><creatorcontrib>Takamiya, Tomoko</creatorcontrib><creatorcontrib>Odagiri, Yuko</creatorcontrib><creatorcontrib>Ohya, Yumiko</creatorcontrib><creatorcontrib>Nakaya, Tomoki</creatorcontrib><creatorcontrib>Shimomitsu, Teruichi</creatorcontrib><creatorcontrib>Inoue, Shigeru</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kikuchi, Hiroyuki</au><au>Takamiya, Tomoko</au><au>Odagiri, Yuko</au><au>Ohya, Yumiko</au><au>Nakaya, Tomoki</au><au>Shimomitsu, Teruichi</au><au>Inoue, Shigeru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gender differences in association between psychological distress and detailed living arrangements among Japanese older adults, aged 65–74 years</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiatry Psychiatr Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>49</volume><issue>5</issue><spage>823</spage><epage>830</epage><pages>823-830</pages><issn>0933-7954</issn><eissn>1433-9285</eissn><coden>SPPEEM</coden><abstract>Purpose Past studies have shown that living alone is detrimental to older adults’ mental health. However, there has been little focus on how older adults’ psychological distress differed by more detailed living arrangement, as well as by gender. The present study investigates various living arrangements in association with psychological distress among older men and women. Methods Data from community-dwelling Japanese older adults were collected through a mail survey ( n  = 1,807, aged 65–74 years, 51.5 % men). Psychological distress level was measured using Kessler’s six-item psychological distress scale. Living arrangements were categorized into four groups; “living with spouse only”, “living with spouse and other family”, “living with other family without spouse” or “living alone”. Multiple logistic regression analyses were used to examine the associations of living arrangements with psychological distress level. Results Older adults living alone were observed to have higher psychological distress. In addition, gender-stratified analyses showed that higher distress levels were observed among older men living with family, but without a spouse (OR: 2.85, 95 % CI: 1.51–5.39). In contrast, higher distress was observed among older women living with spouse and other family (OR: 1.53, 95 % CI: 1.03–2.28). Conclusions Psychological distress in older Japanese adults was associated with living arrangements, but such associations differed by gender. The association of living with a spouse on older men’s mental health was striking, while living with any family was found to be rather important for older women, aged 65–74 years.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24126557</pmid><doi>10.1007/s00127-013-0778-8</doi><tpages>8</tpages></addata></record>
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subjects Adult and adolescent clinical studies
Aged
Analysis
Anxiety disorders
Biological and medical sciences
Cultural heritage
Epidemiology
Family Characteristics
Female
Gender differences
Health care
Housing
Humans
Independent Living
Japan
Living arrangements
Logistic Models
Male
Medical sciences
Medicine
Medicine & Public Health
Mental disorders
Mental Health
Middle Aged
Miscellaneous
Older people
Original Paper
Preventive medicine
Psychiatry
Psychological research
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Residence Characteristics
Sex Factors
Socioeconomic Factors
Spouses
Stress (Psychology)
Stress, Psychological - ethnology
Suburban areas
Surveys
Women
title Gender differences in association between psychological distress and detailed living arrangements among Japanese older adults, aged 65–74 years
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