Henning-Smith Carrie, Gonzales Gilbert
University of Minnesota, Minneapolis, MN, USA.
Vanderbilt University, Nashville, TN, USA.
J Appl Gerontol. 2020 Sep;39(9):971-980. doi: 10.1177/0733464819835113. Epub 2019 Mar 20.
Despite growing attention to the connection between living arrangements and health, less is known about how the health of individuals living alone varies by age. Using data from the 2016 National Health Interview Survey ( = 30,079), we estimated logistic regression models stratified by age group, comparing health by living arrangement and controlling for sociodemographic characteristics. Middle-aged adults living alone had higher odds of poor/fair self-rated health, compared with adults living with others (35-64 years of age: adjusted odds ratio [AOR] = 1.19, < .05). In contrast, older adults (65 years and older) living alone had significantly lower odds of reporting poor/fair health than their counterparts living with others (AOR = .70, < .001). The direction of association between self-rated health and other covariates did not differ by age group. The relationship between living alone and health varies by age and policies and programs designed to support the growing population of people living alone should be tailored accordingly.
尽管人们越来越关注居住安排与健康之间的联系，但对于独居个体的健康状况如何随年龄变化却知之甚少。利用2016年美国国家健康访谈调查（n = 30,079）的数据，我们估计了按年龄组分层的逻辑回归模型，比较了不同居住安排下的健康状况，并控制了社会人口学特征。与与他人同住的成年人相比，独居的中年成年人自评健康状况为差/一般的几率更高（35 - 64岁：调整后的优势比[AOR] = 1.19，P <.05）。相比之下，独居的老年人（65岁及以上）报告健康状况为差/一般的几率明显低于与他人同住的同龄人（AOR =.70，P <.001）。自评健康与其他协变量之间的关联方向在不同年龄组中没有差异。独居与健康之间的关系因年龄而异，因此，旨在支持日益增长的独居人口的政策和项目应相应地进行调整。
