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Typologies of Loneliness, Isolation and Living Alone Are Associated with Psychological Well-Being among Older Adults in Taipei: A Cross-Sectional Study

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  • Hui-Chuan Hsu

    (School of Public Health, Research Center of Health Equity, College of Public Health, Taipei Medical University, Taipei 11031, Taiwan)

Abstract

Background: Loneliness, isolation, and living alone are emerging as critical issues in older people’s health and well-being, but the effects are not consistent. The purpose of this study was to examine the clustering of loneliness, isolation, and living alone, the risk factors and the associations with psychological well-being. Methods: The data were collected from the 2019 Taipei City Senior Citizen Condition Survey by face-to-face interviews and included a community-based sample ( n = 3553). Loneliness, isolation, and living arrangement were analyzed by cluster analysis to define Loneliness-Isolation-Living-Alone clusters. Multinomial logistic regression was used to examine the factors related to Loneliness-Isolation-Living-Alone clusters, and linear regression was used to examine association of clusters with psychological well-being. Results: Five clusters of older adults were identified and named as follows: Not Lonely-Connected-Others (53.4%), Not Lonely-Isolated-Others (26.6%), Not Lonely-Alone (5.0%), Lonely-Connected (8.1%), and Lonely-Isolated-Others (6.9%). Demographics, financial satisfaction, physical function, family relationship, and social participation were related to the Loneliness-Isolation-Living-Alone clusters. Compared with the Not Lonely-Connected-Others cluster, the Lonely-Connected cluster and Lonely-Isolated-Others cluster had higher depressive symptoms and lower life satisfaction, and the Not Lonely-Isolated-Others cluster reported lower life satisfaction; the Not Lonely-Alone cluster was not different. Discussion: Loneliness and isolation are negatively associated with psychological well-being, and living arrangement is not the determinant to loneliness or isolation. Older adults are suggested to strengthen their informal social support, and the government may encourage social care and create an age friendly environment to reduce loneliness and isolation.

Suggested Citation

  • Hui-Chuan Hsu, 2020. "Typologies of Loneliness, Isolation and Living Alone Are Associated with Psychological Well-Being among Older Adults in Taipei: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(24), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9181-:d:458886
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    References listed on IDEAS

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    1. Alica Bucher & Andreas B. Neubauer & Andreas Voss & Carolin Oetzbach, 2019. "Together is Better: Higher Committed Relationships Increase Life Satisfaction and Reduce Loneliness," Journal of Happiness Studies, Springer, vol. 20(8), pages 2445-2469, December.
    2. Soondool Chung & Haesang Jeon & Ahyoung Song & Ju-Hyun Kim, 2019. "Developmental Trajectories and Predictors of Social Exclusion Among Older Koreans: Exploring the Multidimensional Nature of Social Exclusion," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 144(1), pages 97-112, July.
    3. Hui-Chuan Hsu, 2020. "Associations of City-Level Active Aging and Age Friendliness with Well-Being among Older Adults Aged 55 and Over in Taiwan," IJERPH, MDPI, vol. 17(12), pages 1-17, June.
    4. Jens Klein & Olaf von dem Knesebeck & Daniel Lüdecke, 2020. "Social Inequalities and Loneliness as Predictors of Ageing Well: A Trend Analysis Using Mixed Models," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
    5. Lisanne Bergefurt & Astrid Kemperman & Pauline van den Berg & Aloys Borgers & Peter van der Waerden & Gert Oosterhuis & Marco Hommel, 2019. "Loneliness and Life Satisfaction Explained by Public-Space Use and Mobility Patterns," IJERPH, MDPI, vol. 16(21), pages 1-20, November.
    6. Dongdong Jiang & Yitan Hou & Jinwei Hao & Jiayi Zhou & Junfeng Jiang & Quan Wang, 2020. "Association between Personal Social Capital and Loneliness among Widowed Older People," IJERPH, MDPI, vol. 17(16), pages 1-11, August.
    7. Hershey, D.A. & Henkens, C.J.I.M. & van Dalen, H.P., 2010. "What drives retirement income worries in Europe? A multilevel analysis," Other publications TiSEM 4c3fd750-794a-47d2-aede-a, Tilburg University, School of Economics and Management.
    8. Mary Ann Jarvis & Anita Padmanabhanunni & Jennifer Chipps, 2019. "An Evaluation of a Low-Intensity Cognitive Behavioral Therapy mHealth-Supported Intervention to Reduce Loneliness in Older People," IJERPH, MDPI, vol. 16(7), pages 1-14, April.
    9. Adam B. Cohen & Kathryn A. Johnson, 2017. "The Relation between Religion and Well-Being," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 12(3), pages 533-547, September.
    10. Emiko Takagi & Yasuhiko Saito & Angelique Chan, 2020. "Gender differences in the association between social relationships and loneliness among older adults in Singapore," Journal of Population Research, Springer, vol. 37(3), pages 243-263, September.
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    2. Daniele Zaccaria & Stefano Cavalli & Barbara Masotti & Carla Gomes Da Rocha & Armin von Gunten & Daniela S. Jopp, 2022. "Social Isolation and Loneliness among Near-Centenarians and Centenarians: Results from the Fordham Centenarian Study," IJERPH, MDPI, vol. 19(10), pages 1-19, May.
    3. Chin-Chen Liu & Yi-Tung Lin & Kung-Chuan Cheng & Hsueh-Hsing Pan & Chou-Ping Chiou, 2022. "Predictors of Depression Level among Community-Dwelling Elderly Persons," IJERPH, MDPI, vol. 19(15), pages 1-9, August.
    4. Susan Ka Yee Chow & Florence M. F. Wong & Edward Kwok Yiu Choi, 2021. "Loneliness in Old Age, the Related Factors, and Its Association with Demographics and Districts of Residence," IJERPH, MDPI, vol. 18(17), pages 1-14, September.
    5. Lijuan Zhao & Lin Wu, 2022. "The Association between Social Participation and Loneliness of the Chinese Older Adults over Time—The Mediating Effect of Social Support," IJERPH, MDPI, vol. 19(2), pages 1-17, January.

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