Association between living arrangements and depressive symptoms among older women and men in South Korea

Purpose We investigated the relationship between different types of living arrangements and depressive symptoms among older Korean women and men. Methods Data were obtained from a nationally representative cross-sectional health survey conducted in 2009 in South Korea. A total of 60,305 participants...

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Veröffentlicht in:Social Psychiatry and Psychiatric Epidemiology 2015-01, Vol.50 (1), p.133-141
Hauptverfasser: Oh, Dong Hoon, Park, Joon Hyuk, Lee, Hye Young, Kim, Shin Ah, Choi, Bo Youl, Nam, Jung Hyun
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container_title Social Psychiatry and Psychiatric Epidemiology
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creator Oh, Dong Hoon
Park, Joon Hyuk
Lee, Hye Young
Kim, Shin Ah
Choi, Bo Youl
Nam, Jung Hyun
description Purpose We investigated the relationship between different types of living arrangements and depressive symptoms among older Korean women and men. Methods Data were obtained from a nationally representative cross-sectional health survey conducted in 2009 in South Korea. A total of 60,305 participants (34,172 women and 26,133 men) aged 60 years and older were included in the analysis. The living arrangements were categorised into six types as follows: (1) living with a spouse only; (2) living with a spouse in an extended family; (3) living with a spouse in a nuclear family; (4) living alone; (5) living without a spouse in an extended family; and (6) living without a spouse in a nuclear family. The Korean version of the Center for Epidemiologic Studies Depression Scale was used as the measurement tool for depressive symptoms. We used multiple regression analysis to estimate the effects of living arrangement on depressive symptoms. Results A total of 16.8 % of the total study population showed depressive symptoms. Living with a spouse only was the most common type of living arrangement (46.3 %). Women and men living with a spouse only were the least likely to have depressive symptoms. However, living without a spouse in a nuclear family and living alone were most strongly associated with depressive symptoms in women (OR 1.81; 95 % CI 1.64–2.00) and men (OR 2.71; 95 % CI 2.43–3.03), respectively. Conclusions The prevalence of depressive symptoms are associated with the living arrangements of elderly Koreans. There are gender differences in these associations, that may stem from the different demands of social roles and relationships in the family.
doi_str_mv 10.1007/s00127-014-0904-2
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Methods Data were obtained from a nationally representative cross-sectional health survey conducted in 2009 in South Korea. A total of 60,305 participants (34,172 women and 26,133 men) aged 60 years and older were included in the analysis. The living arrangements were categorised into six types as follows: (1) living with a spouse only; (2) living with a spouse in an extended family; (3) living with a spouse in a nuclear family; (4) living alone; (5) living without a spouse in an extended family; and (6) living without a spouse in a nuclear family. The Korean version of the Center for Epidemiologic Studies Depression Scale was used as the measurement tool for depressive symptoms. We used multiple regression analysis to estimate the effects of living arrangement on depressive symptoms. Results A total of 16.8 % of the total study population showed depressive symptoms. Living with a spouse only was the most common type of living arrangement (46.3 %). Women and men living with a spouse only were the least likely to have depressive symptoms. However, living without a spouse in a nuclear family and living alone were most strongly associated with depressive symptoms in women (OR 1.81; 95 % CI 1.64–2.00) and men (OR 2.71; 95 % CI 2.43–3.03), respectively. Conclusions The prevalence of depressive symptoms are associated with the living arrangements of elderly Koreans. There are gender differences in these associations, that may stem from the different demands of social roles and relationships in the family.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-014-0904-2</identifier><identifier>PMID: 24912401</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Aged, 80 and over ; Analysis ; Cross-Sectional Studies ; Depression - epidemiology ; Depression, Mental ; Domestic relations ; Educational Status ; Epidemiology ; Female ; Gender differences ; Health care ; Health surveys ; Humans ; Living arrangements ; Male ; Marital Status ; Medicine ; Medicine &amp; Public Health ; Mental depression ; Mental disorders ; Mental health ; Middle Aged ; Nuclear family ; Older people ; Original Paper ; Prevalence ; Preventive medicine ; Psychiatry ; Psychological aspects ; Republic of Korea - epidemiology ; Residence Characteristics - classification ; Residence Characteristics - statistics &amp; numerical data ; Review boards ; Sex Factors ; Society ; Socioeconomic Factors ; Suicides &amp; suicide attempts ; Surveys ; Women ; Womens health</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2015-01, Vol.50 (1), p.133-141</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>COPYRIGHT 2015 Springer</rights><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c575t-6d4685887755eca85bb9e0783ee85e6ff781df8877546ad4b5cbc8f2fee6cc203</citedby><cites>FETCH-LOGICAL-c575t-6d4685887755eca85bb9e0783ee85e6ff781df8877546ad4b5cbc8f2fee6cc203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00127-014-0904-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00127-014-0904-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27926,27927,41490,42559,51321</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24912401$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oh, Dong Hoon</creatorcontrib><creatorcontrib>Park, Joon Hyuk</creatorcontrib><creatorcontrib>Lee, Hye Young</creatorcontrib><creatorcontrib>Kim, Shin Ah</creatorcontrib><creatorcontrib>Choi, Bo Youl</creatorcontrib><creatorcontrib>Nam, Jung Hyun</creatorcontrib><title>Association between living arrangements and depressive symptoms among older women and men in South Korea</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Purpose We investigated the relationship between different types of living arrangements and depressive symptoms among older Korean women and men. Methods Data were obtained from a nationally representative cross-sectional health survey conducted in 2009 in South Korea. A total of 60,305 participants (34,172 women and 26,133 men) aged 60 years and older were included in the analysis. The living arrangements were categorised into six types as follows: (1) living with a spouse only; (2) living with a spouse in an extended family; (3) living with a spouse in a nuclear family; (4) living alone; (5) living without a spouse in an extended family; and (6) living without a spouse in a nuclear family. The Korean version of the Center for Epidemiologic Studies Depression Scale was used as the measurement tool for depressive symptoms. We used multiple regression analysis to estimate the effects of living arrangement on depressive symptoms. Results A total of 16.8 % of the total study population showed depressive symptoms. Living with a spouse only was the most common type of living arrangement (46.3 %). Women and men living with a spouse only were the least likely to have depressive symptoms. However, living without a spouse in a nuclear family and living alone were most strongly associated with depressive symptoms in women (OR 1.81; 95 % CI 1.64–2.00) and men (OR 2.71; 95 % CI 2.43–3.03), respectively. Conclusions The prevalence of depressive symptoms are associated with the living arrangements of elderly Koreans. 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Methods Data were obtained from a nationally representative cross-sectional health survey conducted in 2009 in South Korea. A total of 60,305 participants (34,172 women and 26,133 men) aged 60 years and older were included in the analysis. The living arrangements were categorised into six types as follows: (1) living with a spouse only; (2) living with a spouse in an extended family; (3) living with a spouse in a nuclear family; (4) living alone; (5) living without a spouse in an extended family; and (6) living without a spouse in a nuclear family. The Korean version of the Center for Epidemiologic Studies Depression Scale was used as the measurement tool for depressive symptoms. We used multiple regression analysis to estimate the effects of living arrangement on depressive symptoms. Results A total of 16.8 % of the total study population showed depressive symptoms. Living with a spouse only was the most common type of living arrangement (46.3 %). Women and men living with a spouse only were the least likely to have depressive symptoms. However, living without a spouse in a nuclear family and living alone were most strongly associated with depressive symptoms in women (OR 1.81; 95 % CI 1.64–2.00) and men (OR 2.71; 95 % CI 2.43–3.03), respectively. Conclusions The prevalence of depressive symptoms are associated with the living arrangements of elderly Koreans. There are gender differences in these associations, that may stem from the different demands of social roles and relationships in the family.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24912401</pmid><doi>10.1007/s00127-014-0904-2</doi><tpages>9</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Analysis
Cross-Sectional Studies
Depression - epidemiology
Depression, Mental
Domestic relations
Educational Status
Epidemiology
Female
Gender differences
Health care
Health surveys
Humans
Living arrangements
Male
Marital Status
Medicine
Medicine & Public Health
Mental depression
Mental disorders
Mental health
Middle Aged
Nuclear family
Older people
Original Paper
Prevalence
Preventive medicine
Psychiatry
Psychological aspects
Republic of Korea - epidemiology
Residence Characteristics - classification
Residence Characteristics - statistics & numerical data
Review boards
Sex Factors
Society
Socioeconomic Factors
Suicides & suicide attempts
Surveys
Women
Womens health
title Association between living arrangements and depressive symptoms among older women and men in South Korea
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