Department of Psychiatry, College of Medicine, Ewha Womans University, 25, Magokdong-ro 2-gil, Gangseo-gu, Seoul, 07804, Korea.
BMC Psychiatry. 2020 Apr 15;20(1):169. doi: 10.1186/s12888-020-02586-0.
In this study, we aimed to compare the quality of life (QOL) of single mothers with that of married mothers and to identify the sociodemographic and psychological factors affecting single mothers' QOL. We identified the factors that were similar and different between single and married mothers.
We analyzed survey data obtained from 195 single mothers and 357 married mothers living in an urban community in South Korea. The QOL was assessed with the World Health Organization Quality of Life-abbreviated form (WHOQOL-BREF). All participants completed the following self-report questionnaires: the Global Assessment of Recent Stress, the Center for Epidemiologic Studies-Depression Scale, the Scale for Suicide Ideation, the Korean version of the Alcohol Use Disorder Identification Test, and the WHOQOL-BREF. These self-rating scales were used as continuous variables. Multiple linear regression analysis was performed to examine the association of quality of life with the sociodemographic and psychological factors for single and married mothers.
Single mothers showed lower QOL than married mothers. Older age, high income and education level, and professional job status were positively correlated with the QOL of single mothers. Residential instability, higher stress levels, depressive symptoms, suicidal ideation, and alcohol-related problems were negatively associated with the QOL of single mothers. Multiple regression analysis suggested that residential instability (public rental housing: β = - 10.779, p < 0.001; Jeonse rental housing: β = - 0.324, p = 0.01) and alcohol-related problems (β = - 0.522, p < 0.001) were independent factors affecting lower QOL, whereas professional job status (β = 8.452, p = 0.037) was independently associated with higher QOL in single mothers. However, these factors were not associated with the QOL of married mothers. Higher education level was independently associated with higher QOL in both groups (β = 3.149, p < 0.033 in single mothers, β = 12.052, p < 0.001 in married mothers).
Higher education level was associated with higher QOL in both groups. Unlike in married mothers, type of residence and occupation (related to the economic level) had a significant impact on QOL in single mothers. Alcohol-related problems were significantly correlated to QOL in single mothers compared to married mothers.
本研究旨在比较单身母亲和已婚母亲的生活质量（QOL），并确定影响单身母亲 QOL 的社会人口学和心理因素。我们确定了单身母亲和已婚母亲之间相似和不同的因素。
我们分析了来自韩国一个城市社区的 195 名单身母亲和 357 名已婚母亲的调查数据。使用世界卫生组织生活质量简表（WHOQOL-BREF）评估 QOL。所有参与者都完成了以下自评问卷：近期压力全球评估、流行病学研究中心抑郁量表、自杀意念量表、韩国版酒精使用障碍识别测试和 WHOQOL-BREF。这些自评量表被用作连续变量。进行多元线性回归分析，以检验生活质量与单身和已婚母亲的社会人口学和心理因素之间的关联。
单身母亲的 QOL 低于已婚母亲。年龄较大、高收入和教育水平以及专业工作状态与单身母亲的 QOL 呈正相关。居住不稳定、较高的压力水平、抑郁症状、自杀意念和与酒精相关的问题与单身母亲的 QOL 呈负相关。多元回归分析表明，居住不稳定（公共租赁住房：β=-10.779，p<0.001；Jeonse 租赁住房：β=-0.324，p=0.01）和与酒精相关的问题（β=-0.522，p<0.001）是影响单身母亲较低 QOL 的独立因素，而专业工作状态（β=8.452，p=0.037）与单身母亲较高 QOL 独立相关。然而，这些因素与已婚母亲的 QOL 无关。较高的教育水平与两组的较高 QOL 独立相关（单身母亲中为β=3.149，p<0.033，已婚母亲中为β=12.052，p<0.001）。
较高的教育水平与两组的较高 QOL 相关。与已婚母亲不同，居住类型和职业（与经济水平相关）对单身母亲的 QOL 有重大影响。与已婚母亲相比，与酒精相关的问题与单身母亲的 QOL 显著相关。
