Lamidi Esther O, Nash Sue P
Department of Sociology, 14676University of Colorado Colorado Springs, CO, USA.
Department of Sociology, St. Mary's University, San Antonio, TX, USA.
J Appl Gerontol. 2022 May;41(5):1407-1420. doi: 10.1177/07334648221074685. Epub 2022 Feb 24.
Although living arrangements of American adults have changed significantly over the past decades, we know little about changes in the association between living arrangements and health. This study uses pooled data from 1997 to 2018 National Health Interview Survey to examine trends in living arrangements and health among middle-aged (ages 40-64) and older adults (ages 65-84). The results show that increasing share of middle-aged and older adults are living with persons other than their spouses or cohabiting partners, and this living arrangement is increasingly associated with poor health. Co-residence with persons other than spouses or cohabiting partners is particularly related to serious psychological distress among older adult women. Living alone in midlife is increasingly associated with poor health, but there has been little change in health of older adults living alone. The findings call for targeted policies and programs to address the needs of middle-aged and older adults in diverse living arrangements.
尽管在过去几十年里美国成年人的居住安排发生了显著变化，但我们对居住安排与健康之间关联的变化却知之甚少。本研究使用了1997年至2018年全国健康访谈调查的汇总数据，以考察中年（40 - 64岁）和老年人（65 - 84岁）的居住安排和健康趋势。结果显示，越来越多的中年人和老年人与配偶或同居伴侣以外的人一起生活，并且这种居住安排与健康状况不佳的关联日益增强。与配偶或同居伴侣以外的人共同居住尤其与老年女性的严重心理困扰有关。中年时独居与健康状况不佳的关联日益增强，但独居老年人的健康状况几乎没有变化。这些发现呼吁制定有针对性的政策和项目，以满足不同居住安排下中年人和老年人的需求。
