Yamada Ken, Teerawichitchainan Bussarawan
Faculty of Economics, Kyoto University, Japan. School of Economics and
School of Social Sciences, Singapore Management University.
J Gerontol B Psychol Sci Soc Sci. 2015 Nov;70(6):957-68. doi: 10.1093/geronb/gbv059. Epub 2015 Aug 25.
We examine the relationship between living arrangements and psychological well-being of the older adults in Vietnam, where there is an influence of Confucian values and a lack of close substitutes for family care of the older adults, by exploiting a great deal of regional variation in economic development. We also examine the role of living arrangements in well-being differentials across regions.
We estimate a triangular simultaneous-equation discrete-response model, which accounts for the simultaneity between living arrangements and psychological well-being (happiness, depression, loneliness, poor appetite, and sleep disorder), using a nationally representative sample of 2,225 adults aged 60 and older drawn from the 2011 Vietnam Aging Survey.
Intergenerational coresidence significantly increases the psychological well-being of the older adults in Vietnam. The results are fairly robust, even after taking quasi-coresidence into account, decomposing the psychological well-being index into each affect and symptom, and splitting the sample by gender.
Changes in living arrangements induced by differences in labor market opportunities in neighboring regions have resulted in significant differences in psychological well-being among the older adults. The findings point to the need for attention to the mental health of elderly parents left behind in less economically developed regions.
通过利用经济发展中大量的区域差异，我们考察越南老年人的生活安排与心理健康之间的关系，在越南，儒家价值观有影响且缺乏家庭养老的紧密替代方式。我们还考察生活安排在各地区幸福感差异中的作用。
我们使用从2011年越南老龄化调查中抽取的2225名60岁及以上成年人的全国代表性样本，估计一个三角联立方程离散响应模型，该模型考虑了生活安排与心理健康（幸福、抑郁、孤独、食欲不振和睡眠障碍）之间的同时性。
代际同住显著提高了越南老年人的心理健康水平。即使考虑了准同住情况，将心理健康指数分解为每种情感和症状，并按性别划分样本后，结果仍然相当稳健。
邻近地区劳动力市场机会差异导致的生活安排变化，造成了老年人心理健康的显著差异。研究结果表明需要关注经济欠发达地区留守老年父母的心理健康。
