Oh Dong Hoon, Park Joon Hyuk, Lee Hye Young, Kim Shin Ah, Choi Bo Youl, Nam Jung Hyun
Department of Psychiatry, College of Medicine, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, 133-791, Republic of Korea,
Soc Psychiatry Psychiatr Epidemiol. 2015 Jan;50(1):133-41. doi: 10.1007/s00127-014-0904-2. Epub 2014 Jun 10.
We investigated the relationship between different types of living arrangements and depressive symptoms among older Korean women and men.
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.
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.
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.
我们研究了韩国老年女性和男性不同居住安排类型与抑郁症状之间的关系。
数据来自2009年在韩国进行的一项具有全国代表性的横断面健康调查。分析纳入了总共60305名60岁及以上的参与者（34172名女性和26133名男性）。居住安排分为以下六种类型：（1）仅与配偶同住；（2）在大家庭中与配偶同住；（3）在核心家庭中与配偶同住；（4）独居；（5）在大家庭中无配偶同住；（6）在核心家庭中无配偶同住。采用韩国版流行病学研究中心抑郁量表作为抑郁症状的测量工具。我们使用多元回归分析来估计居住安排对抑郁症状的影响。
在全部研究人群中，共有16.8%的人表现出抑郁症状。仅与配偶同住是最常见的居住安排类型（46.3%）。仅与配偶同住的女性和男性患抑郁症状的可能性最小。然而，在核心家庭中无配偶同住和独居分别与女性（OR 1.81；95% CI 1.64 - 2.00）和男性（OR 2.71；95% CI 2.43 - 3.03）的抑郁症状关联最为强烈。
抑郁症状的患病率与韩国老年人的居住安排有关。这些关联存在性别差异，可能源于家庭中社会角色和关系的不同需求。
