Cargando…

Factors related to subjective well-being among community-dwelling older adults living alone: A stratified analysis by sex and marital status from the JAGES

BACKGROUND: Previous cross-sectional studies suggest that negative health outcomes such as mortality, social isolation, loneliness, and depression among older adults living alone vary by sex and marital status, with men often worse off than women and unmarried people worse off than married people. H...

Descripción completa

Detalles Bibliográficos
Autores principales: Abe, Nana, Oe, Nanami, Tadaka, Etsuko, Ojima, Toshiyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443856/
https://www.ncbi.nlm.nih.gov/pubmed/37607183
http://dx.doi.org/10.1371/journal.pone.0289571
_version_ 1785093927741685760
author Abe, Nana
Oe, Nanami
Tadaka, Etsuko
Ojima, Toshiyuki
author_facet Abe, Nana
Oe, Nanami
Tadaka, Etsuko
Ojima, Toshiyuki
author_sort Abe, Nana
collection PubMed
description BACKGROUND: Previous cross-sectional studies suggest that negative health outcomes such as mortality, social isolation, loneliness, and depression among older adults living alone vary by sex and marital status, with men often worse off than women and unmarried people worse off than married people. However, limited evidence exists from longitudinal studies regarding whether positive health outcomes such as subjective well-being (SWB) also vary by sex and marital status. The focus by sex and marital status on the positive health outcomes and diverse profiles of older adults living alone is important for public health in the near future. Therefore, the purpose of this study was to identify changes in SWB over time and its associated factors by sex and marital status among older adults living alone in the community using a longitudinal study in a representative population. METHODS: This was a longitudinal study using data from the Japan Gerontological Evaluation Study. This study is the first to reveal differences in SWB and related factors over 3 years among older adults living alone in the community (n = 8,579) who were stratified by sex and marital status (married men, non-married men, married women, and non-married women). RESULTS: Women moved to higher levels of SWB than did men, and married individuals moved to higher levels of SWB than did unmarried individuals. Independent functioning factors and interpersonal factors were significantly associated with SWB for married men and married women, but for unmarried women, the association by interpersonal factors was more pronounced, and for unmarried men, only limited emotional support and health promotion activities were significant among the interpersonal factors. CONCLUSIONS: This study revealed that among older adults living alone, changes in SWB over time and the independent functioning factors and interpersonal factors associated with this change varied by sex and marital status among older people living alone. These findings are useful for policy-making and guiding intervention activities to promote SWB in a society in which the environment for older adults living alone is changing dramatically.
format Online
Article
Text
id pubmed-10443856
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-104438562023-08-23 Factors related to subjective well-being among community-dwelling older adults living alone: A stratified analysis by sex and marital status from the JAGES Abe, Nana Oe, Nanami Tadaka, Etsuko Ojima, Toshiyuki PLoS One Research Article BACKGROUND: Previous cross-sectional studies suggest that negative health outcomes such as mortality, social isolation, loneliness, and depression among older adults living alone vary by sex and marital status, with men often worse off than women and unmarried people worse off than married people. However, limited evidence exists from longitudinal studies regarding whether positive health outcomes such as subjective well-being (SWB) also vary by sex and marital status. The focus by sex and marital status on the positive health outcomes and diverse profiles of older adults living alone is important for public health in the near future. Therefore, the purpose of this study was to identify changes in SWB over time and its associated factors by sex and marital status among older adults living alone in the community using a longitudinal study in a representative population. METHODS: This was a longitudinal study using data from the Japan Gerontological Evaluation Study. This study is the first to reveal differences in SWB and related factors over 3 years among older adults living alone in the community (n = 8,579) who were stratified by sex and marital status (married men, non-married men, married women, and non-married women). RESULTS: Women moved to higher levels of SWB than did men, and married individuals moved to higher levels of SWB than did unmarried individuals. Independent functioning factors and interpersonal factors were significantly associated with SWB for married men and married women, but for unmarried women, the association by interpersonal factors was more pronounced, and for unmarried men, only limited emotional support and health promotion activities were significant among the interpersonal factors. CONCLUSIONS: This study revealed that among older adults living alone, changes in SWB over time and the independent functioning factors and interpersonal factors associated with this change varied by sex and marital status among older people living alone. These findings are useful for policy-making and guiding intervention activities to promote SWB in a society in which the environment for older adults living alone is changing dramatically. Public Library of Science 2023-08-22 /pmc/articles/PMC10443856/ /pubmed/37607183 http://dx.doi.org/10.1371/journal.pone.0289571 Text en © 2023 Abe et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Abe, Nana
Oe, Nanami
Tadaka, Etsuko
Ojima, Toshiyuki
Factors related to subjective well-being among community-dwelling older adults living alone: A stratified analysis by sex and marital status from the JAGES
title Factors related to subjective well-being among community-dwelling older adults living alone: A stratified analysis by sex and marital status from the JAGES
title_full Factors related to subjective well-being among community-dwelling older adults living alone: A stratified analysis by sex and marital status from the JAGES
title_fullStr Factors related to subjective well-being among community-dwelling older adults living alone: A stratified analysis by sex and marital status from the JAGES
title_full_unstemmed Factors related to subjective well-being among community-dwelling older adults living alone: A stratified analysis by sex and marital status from the JAGES
title_short Factors related to subjective well-being among community-dwelling older adults living alone: A stratified analysis by sex and marital status from the JAGES
title_sort factors related to subjective well-being among community-dwelling older adults living alone: a stratified analysis by sex and marital status from the jages
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443856/
https://www.ncbi.nlm.nih.gov/pubmed/37607183
http://dx.doi.org/10.1371/journal.pone.0289571
work_keys_str_mv AT abenana factorsrelatedtosubjectivewellbeingamongcommunitydwellingolderadultslivingaloneastratifiedanalysisbysexandmaritalstatusfromthejages
AT oenanami factorsrelatedtosubjectivewellbeingamongcommunitydwellingolderadultslivingaloneastratifiedanalysisbysexandmaritalstatusfromthejages
AT tadakaetsuko factorsrelatedtosubjectivewellbeingamongcommunitydwellingolderadultslivingaloneastratifiedanalysisbysexandmaritalstatusfromthejages
AT ojimatoshiyuki factorsrelatedtosubjectivewellbeingamongcommunitydwellingolderadultslivingaloneastratifiedanalysisbysexandmaritalstatusfromthejages