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Decreasing patterns of depression in living alone across middle-aged and older men and women using a longitudinal mixed-effects model

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  • Baek, Jiwon
  • Kim, Go-Un
  • Song, Kijun
  • Kim, Heejung

Abstract

There is little evidence regarding the association between living arrangement and depression, and no studies have examined the age- and gender-specific differences in this association. The present study sought to examine the longitudinal changes in depression patterns between isolative living versus living in company among middle-aged and older men and women by obtaining data from waves 1–7 of the Korean Longitudinal Study of Aging (KloSA), which comprises a sample of persons at least 45 years of age in the Republic of Korea (2273 middle-aged and 1387 older men, 2805 middle aged and 1862 older women). Depression scores were based on the self-reported Center for Epidemiologic Studies Depression Scale (CES-D-10) short forms. Using mixed-effect linear regression models, we estimated depression patterns by living arrangement across age- and gender groups. Our findings from the mixed-effects model revealed that over a 14-year follow-up period, there were significant decreasing patterns of depression were among middle-aged men and women, and older men living alone compared to living with a spouse and living with others. However, living alone still had the highest depression compared to other living arrangement types. On the other hand, the depression of older women living alone changed to a level similar to those living with others during the follow-up period. In conclusion, these findings indicate that living alone significantly increases the risk of depression, but the risk decreases over time. Additionally, depression patterns by living arrangement proved to differ across age and gender groups.

Suggested Citation

  • Baek, Jiwon & Kim, Go-Un & Song, Kijun & Kim, Heejung, 2023. "Decreasing patterns of depression in living alone across middle-aged and older men and women using a longitudinal mixed-effects model," Social Science & Medicine, Elsevier, vol. 317(C).
    • Handle: RePEc:eee:socmed:v:317:y:2023:i:c:s027795362200819x
    DOI: 10.1016/j.socscimed.2022.115513
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    1. Milner, Allison & Krnjacki, Lauren & Butterworth, Peter & LaMontagne, Anthony D., 2016. "The role of social support in protecting mental health when employed and unemployed: A longitudinal fixed-effects analysis using 12 annual waves of the HILDA cohort," Social Science & Medicine, Elsevier, vol. 153(C), pages 20-26.
    2. Kristine J. Ajrouch & Alysia Y. Blandon & Toni C. Antonucci, 2005. "Social Networks Among Men and Women: The Effects of Age and Socioeconomic Status," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 60(6), pages 311-317.
    3. Keyes, C.L.M. & Simoes, E.J., 2012. "To flourish or not: Positive mental health and all-cause mortality," American Journal of Public Health, American Public Health Association, vol. 102(11), pages 2164-2172.
    4. Wendy Zhang & Nadia O’Brien & Jamie I Forrest & Kate A Salters & Thomas L Patterson & Julio S G Montaner & Robert S Hogg & Viviane D Lima, 2012. "Validating a Shortened Depression Scale (10 Item CES-D) among HIV-Positive People in British Columbia, Canada," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-5, July.
    5. Benjamin Cornwell, 2011. "Independence Through Social Networks: Bridging Potential Among Older Women and Men," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(6), pages 782-794.
    6. Kaplan, M.S. & McFarland, B.H. & Huguet, N. & Valenstein, M., 2012. "Suicide risk and precipitating circumstances among young, middle-aged, and older male veterans," American Journal of Public Health, American Public Health Association, vol. 102(S1), pages 131-137.
    7. Oshio, Takashi & Kan, Mari, 2019. "Which is riskier for mental health, living alone or not participating in any social activity? Evidence from a population-based eleven-year survey in Japan," Social Science & Medicine, Elsevier, vol. 233(C), pages 57-63.
    8. Isaac Sasson & Debra J. Umberson, 2014. "Editor's choice Widowhood and Depression: New Light on Gender Differences, Selection, and Psychological Adjustment," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 69(1), pages 135-145.
    9. Nakagomi, Atsushi & Shiba, Koichiro & Hanazato, Masamichi & Kondo, Katsunori & Kawachi, Ichiro, 2020. "Does community-level social capital mitigate the impact of widowhood & living alone on depressive symptoms?: A prospective, multi-level study," Social Science & Medicine, Elsevier, vol. 259(C).
    10. Ginevra Floridi & Nekehia T Quashie & Karen Glaser & Martina Brand, 2022. "Partner Care Arrangements and Well-Being in Mid- and Later Life: The Role of Gender Across Care Contexts [Societal and individual determinants of medical care utilization in the United States]," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 77(2), pages 435-445.
    11. Alan R Teo & HwaJung Choi & Marcia Valenstein, 2013. "Social Relationships and Depression: Ten-Year Follow-Up from a Nationally Representative Study," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-8, April.
    12. Gyeong-Suk Jeon & Soong-Nang Jang & Seon-Ja Rhee & Ichiro Kawachi & Sung-Il Cho, 2007. "Gender Differences in Correlates of Mental Health Among Elderly Koreans," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(5), pages 323-329.
    13. Gary R. Lee & Alfred DeMaris & Stefoni Bavin & Rachel Sullivan, 2001. "Gender Differences in the Depressive Effect of Widowhood in Later Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(1), pages 56-61.
    14. David Russell & John Taylor, 2009. "Living Alone and Depressive Symptoms: The Influence of Gender, Physical Disability, and Social Support Among Hispanic and Non-Hispanic Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(1), pages 95-104.
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