Kwak Yeunhee, Chung Haekyung, Kim Yoonjung
Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea.
Iran J Public Health. 2017 Nov;46(11):1512-1520.
This cross-sectional study examined the association between types of living arrangements, quality of life, and mental health of the Korean elderly.
We used secondary data analysis from the data of 4248 elderly people aged 65 yr or older that completed the Korea National Health and Nutrition Examination Survey (2010-2012). Data concerning participants' demographic characteristics, living arrangements, quality of life, and mental health were used. Data were analyzed using the SAS survey procedure.
The living arrangements were as follows: living alone=18.3%, living with a spouse only =44.5%, living with family without a spouse =13.4%, and living with family including a spouse=23.8%. Mobility, self-care, usual activity, pain/discomfort, and anxiety/depression significantly differed by living arrangement. In the final model corrected for covariance, for the elderly living with their families without a spouse compared to the elderly living with a spouse only, the odds ratios were the following: stress =1.40 (95% CI: 1.03-1.91), depression=1.48 (95% CI: 1.07-2.04), and suicidal ideation=1.48 (95% CI: 1.10-2.00). The odds ratio of suicidal ideation of elderly living alone compared to the elderly living with a spouse only was 1.32 (95% CI: 1.01-1.72). Finally, the elderly living with family without a spouse or living alone had an increased risk of stress, depression, and suicidal ideation. In addition, they had decreased health-related quality of life.
Health-related quality of life and mental health differ by living arrangement in elderly adults. Therefore, interventions to improve quality of life and mental health for the elderly who are living without a spouse are necessary.
本横断面研究调查了韩国老年人的居住安排类型、生活质量和心理健康之间的关联。
我们对4248名65岁及以上完成韩国国家健康与营养检查调查（2010 - 2012年）的老年人的数据进行二次数据分析。使用了有关参与者人口统计学特征、居住安排、生活质量和心理健康的数据。数据采用SAS调查程序进行分析。
居住安排如下：独居 = 18.3%，仅与配偶同住 = 44.5%，与无配偶的家人同住 = 13.4%，与包括配偶在内的家人同住 = 23.8%。流动性、自我护理、日常活动、疼痛/不适以及焦虑/抑郁在居住安排方面存在显著差异。在经协方差校正的最终模型中，与仅与配偶同住的老年人相比，与无配偶的家人同住的老年人的比值比分别为：压力 = 1.40（95%置信区间：1.03 - 1.91），抑郁 = 1.48（95%置信区间：1.07 - 2.04），自杀意念 = 1.48（95%置信区间：1.10 - 2.00）。与仅与配偶同住的老年人相比，独居老年人自杀意念的比值比为1.32（95%置信区间：1.01 - 1.72）。最后，与无配偶的家人同住或独居的老年人压力、抑郁和自杀意念的风险增加。此外，他们的健康相关生活质量下降。
老年人的健康相关生活质量和心理健康因居住安排而异。因此，有必要对无配偶居住的老年人采取干预措施以改善其生活质量和心理健康。
