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Association between Loneliness and Depression among Community-Dwelling Older Women Living Alone in South Korea: The Mediating Effects of Subjective Physical Health, Resilience, and Social Support

Author

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  • Young Mi Lim

    (Department of Nursing, Yonsei University Wonju College of Medicine, Wonju 26426, Korea)

  • Juha Baek

    (Department of Health Care Policy Research, Korea Institute for Health and Social Affairs, Sejong-si 30146, Korea)

  • Sungmin Lee

    (Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University, College Station, TX 77840, USA)

  • Jung Sug Kim

    (Department of Nursing, Yeoju Institute of Technology, Yeoju 12652, Korea)

Abstract

Social isolation and loneliness are the key risk factors for depression in late life. Older adults living alone and socially isolated are at greater risk for physical and mental health. This study aims to examine the mediating effects of subjective physical health, resilience, and social support on the association between loneliness and depression among the elderly female population living alone in South Korea. We included a total of 308 older women aged 60 years or older who live alone in a medium-sized city in South Korea. The survey data was collected using the validated survey instruments between November 2015 and April 2016. A parallel mediation model was performed to investigate whether physical health, resilience, and social support had mediating effects on the association of loneliness with depression. The findings of this study showed that loneliness was directly and indirectly associated with depression through its association with the subjective physical health, resilience, and social support among the older female population living alone. Our results suggest the importance of supporting community-based programs to improve physical and mental health of the elderly people as a way to minimize the level of loneliness and prevent depression.

Suggested Citation

  • Young Mi Lim & Juha Baek & Sungmin Lee & Jung Sug Kim, 2022. "Association between Loneliness and Depression among Community-Dwelling Older Women Living Alone in South Korea: The Mediating Effects of Subjective Physical Health, Resilience, and Social Support," IJERPH, MDPI, vol. 19(15), pages 1-13, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9246-:d:874362
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    References listed on IDEAS

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    1. Gerst-Emerson, K. & Jayawardhana, J., 2015. "Loneliness as a public health issue: The impact of loneliness on health care utilization among older adults," American Journal of Public Health, American Public Health Association, vol. 105(5), pages 1013-1019.
    2. Xinshu Zhao & John G. Lynch & Qimei Chen, 2010. "Reconsidering Baron and Kenny: Myths and Truths about Mediation Analysis," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 37(2), pages 197-206, August.
    3. Haewon Byeon, 2019. "Relationship between Physical Activity Level and Depression of Elderly People Living Alone," IJERPH, MDPI, vol. 16(20), pages 1-10, October.
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    Cited by:

    1. Dominik Borawski, 2022. "The Mediating Role of Positive Orientation in the Relationship between Loneliness and Meaning in Life," IJERPH, MDPI, vol. 19(16), pages 1-8, August.
    2. Qinqin Jiang & Zhe Zhao & Yijun Liu & Zhenbang Wei & Yan Bing & Feng Zhang & Jiahao Liu & Lei Gao & Jinhai Sun & Lei Yuan, 2024. "Decomposition analysis of the difference in depressive symptoms between urban and rural employed people in China: Unpaid work plays an important role," International Journal of Social Psychiatry, , vol. 70(2), pages 340-354, March.
    3. John Rodwell, 2022. "Health Need Factors Are the Key Drivers of Hospitalization among the Elderly Living Alone: An Analysis of Longitudinal Data," IJERPH, MDPI, vol. 19(22), pages 1-12, November.

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