Department of Nursing, Sehan University, 1113 Samho-eup, Yeongam-gun, Jeollanam-do, 58447, Republic of Korea.
Red Cross College of Nursing, Chung- Ang University, 84 Heukseok-ro, Dongjak-Gu, Seoul, 06974, Republic of Korea.
BMC Geriatr. 2021 Feb 4;21(1):100. doi: 10.1186/s12877-021-02017-z.
In Korea, along with the rapid aging of the population, older adults' living arrangements have changed in various ways. In particularly, the happiness of older adults living alone warrants attention because they are more vulnerable to unhappiness than those living with families are. This study reports on the level of happiness among older adults in Korean and examines the potential mediating roles of depressive symptoms, present health status, socio-physical environment, social support networks, and social activities, and happiness in three different living arrangements, older adults living alone, with their spouse, or with their family.
Data for this study were extracted from the secondary data from the 2017 Korean Community Health Survey, a non-experimental, cross-sectional survey conducted among Korean individuals that were aged 65 and above (n = 14,687). The chi-square test, one-way ANOVA, and Logistic regression were used to explore the related factors of happiness among the three groups.
Findings revealed a significant difference in the happiness index among older adults living alone (6.22 ± 2.11), older adults living with their spouse (6.76 ± 1.99), and older adults living with their family (6.46 ± 1.94) (F = 88.69, p < .001). As the result of logistic regression, older adults living alone (odds ratio (OR) = 0.75, 95% confidence interval (CI) = 0.57-0.99) and those living with their family (OR = 0.80, 95% CI = 0.65-0.99) demonstrated greater happiness as the frequency of contact with their family increased. Older adults living with their spouse indicated an increase in happiness when their contact with friends was higher (OR = 0.69, 95% CI = 0.56-0.84).
It was recognized that factors influencing happiness differed according to older adults' living arrangements, thus suggesting that older adults' happiness could be facilitated through interventions that consider their circumstances, including living arrangements.
在韩国,随着人口老龄化的迅速发展,老年人的居住安排也发生了各种变化。特别是,独居老年人的幸福感值得关注,因为他们比与家人同住的老年人更容易感到不幸福。本研究报告了韩国老年人的幸福感水平,并探讨了抑郁症状、当前健康状况、社会-物理环境、社会支持网络和社会活动在三种不同居住安排(独居、与配偶同住或与家人同住)中对幸福感的潜在中介作用。
本研究的数据来自 2017 年韩国社区健康调查的二次数据分析,这是一项针对 65 岁及以上韩国个体的非实验性、横断面调查(n=14687)。采用卡方检验、单因素方差分析和 Logistic 回归分析探讨三组老年人幸福感的相关因素。
研究结果显示,独居老年人(6.22±2.11)、与配偶同住老年人(6.76±1.99)和与家人同住老年人(6.46±1.94)的幸福感指数存在显著差异(F=88.69,p<0.001)。Logistic 回归分析结果表明,独居老年人(比值比(OR)=0.75,95%置信区间(CI)=0.57-0.99)和与家人同住老年人(OR=0.80,95%CI=0.65-0.99)与家人的接触频率增加,幸福感更高。与配偶同住的老年人与朋友的接触频率增加时,幸福感也会增加(OR=0.69,95%CI=0.56-0.84)。
研究结果表明,影响幸福感的因素因老年人的居住安排而异,因此,考虑到老年人的情况,包括居住安排,通过干预措施可以促进老年人的幸福感。