Skip to main content
Top
Published in: Social Psychiatry and Psychiatric Epidemiology 1/2015

01-01-2015 | Original Paper

Association between living arrangements and depressive symptoms among older women and men in South Korea

Authors: Dong Hoon Oh, Joon Hyuk Park, Hye Young Lee, Shin Ah Kim, Bo Youl Choi, Jung Hyun Nam

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 1/2015

Login to get access

Abstract

Purpose

We investigated the relationship between different types of living arrangements and depressive symptoms among older Korean women and men.

Methods

Data were obtained from a nationally representative cross-sectional health survey conducted in 2009 in South Korea. A total of 60,305 participants (34,172 women and 26,133 men) aged 60 years and older were included in the analysis. The living arrangements were categorised into six types as follows: (1) living with a spouse only; (2) living with a spouse in an extended family; (3) living with a spouse in a nuclear family; (4) living alone; (5) living without a spouse in an extended family; and (6) living without a spouse in a nuclear family. The Korean version of the Center for Epidemiologic Studies Depression Scale was used as the measurement tool for depressive symptoms. We used multiple regression analysis to estimate the effects of living arrangement on depressive symptoms.

Results

A total of 16.8 % of the total study population showed depressive symptoms. Living with a spouse only was the most common type of living arrangement (46.3 %). Women and men living with a spouse only were the least likely to have depressive symptoms. However, living without a spouse in a nuclear family and living alone were most strongly associated with depressive symptoms in women (OR 1.81; 95 % CI 1.64–2.00) and men (OR 2.71; 95 % CI 2.43–3.03), respectively.

Conclusions

The prevalence of depressive symptoms are associated with the living arrangements of elderly Koreans. There are gender differences in these associations, that may stem from the different demands of social roles and relationships in the family.
Literature
1.
go back to reference Park JH, Lee JJ, Lee SB, Huh Y, Choi EA, Youn JC, Jhoo JH, Kim JS, Woo JI, Kim KW (2010) Prevalence of major depressive disorder and minor depressive disorder in an elderly Korean population: results from the Korean Longitudinal Study on Health and Aging (KLoSHA). J Affect Disord 125(1–3):234–240. doi:10.1016/j.jad.2010.02.109 PubMedCrossRef Park JH, Lee JJ, Lee SB, Huh Y, Choi EA, Youn JC, Jhoo JH, Kim JS, Woo JI, Kim KW (2010) Prevalence of major depressive disorder and minor depressive disorder in an elderly Korean population: results from the Korean Longitudinal Study on Health and Aging (KLoSHA). J Affect Disord 125(1–3):234–240. doi:10.​1016/​j.​jad.​2010.​02.​109 PubMedCrossRef
3.
go back to reference Beekman AT, Penninx BW, Deeg DJ, de Beurs E, Geerling SW, van Tilburg W (2002) The impact of depression on the well-being, disability and use of services in older adults: a longitudinal perspective. Acta Psychiatr Scand 105(1):20–27PubMedCrossRef Beekman AT, Penninx BW, Deeg DJ, de Beurs E, Geerling SW, van Tilburg W (2002) The impact of depression on the well-being, disability and use of services in older adults: a longitudinal perspective. Acta Psychiatr Scand 105(1):20–27PubMedCrossRef
4.
go back to reference Charlson M, Peterson JC (2002) Medical comorbidity and late life depression: what is known and what are the unmet needs? Biol Psychiatry 52(3):226–235PubMedCrossRef Charlson M, Peterson JC (2002) Medical comorbidity and late life depression: what is known and what are the unmet needs? Biol Psychiatry 52(3):226–235PubMedCrossRef
7.
go back to reference Park JH, Lee JJ, Lee SB, Huh Y, Choi EA, Youn JC, Jhoo JH, Kim JS, Woo JI, Kim KW (2010) Prevalence of major depressive disorder and minor depressive disorder in an elderly Korean population: results from the Korean Longitudinal Study on Health and Aging (KLoSHA). J Affect Disord 125(1–3):234–240. doi:10.1016/j.jad.2010.02.109 PubMedCrossRef Park JH, Lee JJ, Lee SB, Huh Y, Choi EA, Youn JC, Jhoo JH, Kim JS, Woo JI, Kim KW (2010) Prevalence of major depressive disorder and minor depressive disorder in an elderly Korean population: results from the Korean Longitudinal Study on Health and Aging (KLoSHA). J Affect Disord 125(1–3):234–240. doi:10.​1016/​j.​jad.​2010.​02.​109 PubMedCrossRef
9.
go back to reference Horwath E, Johnson J, Klerman GL, Weissman MM (1992) Depressive symptoms as relative and attributable risk factors for first-onset major depression. Arch Gen Psychiatry 49(10):817–823PubMedCrossRef Horwath E, Johnson J, Klerman GL, Weissman MM (1992) Depressive symptoms as relative and attributable risk factors for first-onset major depression. Arch Gen Psychiatry 49(10):817–823PubMedCrossRef
13.
go back to reference Park JH, Kim KW, Kim MH, Kim MD, Kim BJ, Kim SK, Kim JL, Moon SW, Bae JN, Woo JI, Ryu SH, Yoon JC, Lee NJ, Lee DY, Lee DW, Lee SB, Lee JJ, Lee JY, Lee CU, Chang SM, Jhoo JH, Cho MJ (2012) A nationwide survey on the prevalence and risk factors of late life depression in South Korea. J Affect Disord 138(1–2):34–40. doi:10.1016/j.jad.2011.12.038 PubMedCrossRef Park JH, Kim KW, Kim MH, Kim MD, Kim BJ, Kim SK, Kim JL, Moon SW, Bae JN, Woo JI, Ryu SH, Yoon JC, Lee NJ, Lee DY, Lee DW, Lee SB, Lee JJ, Lee JY, Lee CU, Chang SM, Jhoo JH, Cho MJ (2012) A nationwide survey on the prevalence and risk factors of late life depression in South Korea. J Affect Disord 138(1–2):34–40. doi:10.​1016/​j.​jad.​2011.​12.​038 PubMedCrossRef
15.
go back to reference Zunzunegui MV, Beland F, Otero A (2001) Support from children, living arrangements, self-rated health and depressive symptoms of older people in Spain. Int J Epidemiol 30(5):1090–1099PubMedCrossRef Zunzunegui MV, Beland F, Otero A (2001) Support from children, living arrangements, self-rated health and depressive symptoms of older people in Spain. Int J Epidemiol 30(5):1090–1099PubMedCrossRef
17.
18.
go back to reference Chan A, Malhotra C, Malhotra R, Ostbye T (2011) Living arrangements, social networks and depressive symptoms among older men and women in Singapore. Int J Geriatr Psychiatry 26(6):630–639. doi:10.1002/gps.2574 PubMedCrossRef Chan A, Malhotra C, Malhotra R, Ostbye T (2011) Living arrangements, social networks and depressive symptoms among older men and women in Singapore. Int J Geriatr Psychiatry 26(6):630–639. doi:10.​1002/​gps.​2574 PubMedCrossRef
20.
go back to reference Kim KC, Kim S, Hurh WM (1991) Filial piety and intergenerational relationship in Korean immigrant families. Int J Aging Hum Dev 33(3):233–245PubMedCrossRef Kim KC, Kim S, Hurh WM (1991) Filial piety and intergenerational relationship in Korean immigrant families. Int J Aging Hum Dev 33(3):233–245PubMedCrossRef
21.
go back to reference Jeon GS, Jang SN, Rhee SJ, Kawachi I, Cho SI (2007) Gender differences in correlates of mental health among elderly Koreans. J Gerontol B Psychol Sci Soc Sci 62(5):S323–S329PubMedCrossRef Jeon GS, Jang SN, Rhee SJ, Kawachi I, Cho SI (2007) Gender differences in correlates of mental health among elderly Koreans. J Gerontol B Psychol Sci Soc Sci 62(5):S323–S329PubMedCrossRef
22.
go back to reference Kim YT, Choi BY, Lee KO, Kim H, Chun JH, Kim SY, Lee DH, Ghim YA, Lim DS, Kang YW, Lee TY, Kim JS, Jo H, Kim Y, Ko YS, Seo SR, Park NR, Lee JK (2012) Overview of Korean community health survey. J Korean Med Assoc 55(1):74–83. doi:10.5124/jkma.2012.55.1.74 CrossRef Kim YT, Choi BY, Lee KO, Kim H, Chun JH, Kim SY, Lee DH, Ghim YA, Lim DS, Kang YW, Lee TY, Kim JS, Jo H, Kim Y, Ko YS, Seo SR, Park NR, Lee JK (2012) Overview of Korean community health survey. J Korean Med Assoc 55(1):74–83. doi:10.​5124/​jkma.​2012.​55.​1.​74 CrossRef
23.
go back to reference Santor DA, Gregus M, Welch A (2006) Focus article: eight decades of measurement in depression. Meas Interdiscip Res Perspect 4(3):135–155CrossRef Santor DA, Gregus M, Welch A (2006) Focus article: eight decades of measurement in depression. Meas Interdiscip Res Perspect 4(3):135–155CrossRef
24.
go back to reference Radloff LS (1977) The CES-D scale a self-report depression scale for research in the general population. Appl Psychol Meas 1(3):385–401CrossRef Radloff LS (1977) The CES-D scale a self-report depression scale for research in the general population. Appl Psychol Meas 1(3):385–401CrossRef
25.
go back to reference Cho MJ, Nam JJ, Suh GH (1998) Prevalence of symptoms of depression in a nationwide sample of Korean adults. Psychiatry Res 81(3):341–352PubMedCrossRef Cho MJ, Nam JJ, Suh GH (1998) Prevalence of symptoms of depression in a nationwide sample of Korean adults. Psychiatry Res 81(3):341–352PubMedCrossRef
26.
go back to reference Piccinelli M, Wilkinson G (2000) Gender differences in depression. Critical review. Br J Psychiatry 177:486–492PubMedCrossRef Piccinelli M, Wilkinson G (2000) Gender differences in depression. Critical review. Br J Psychiatry 177:486–492PubMedCrossRef
27.
go back to reference Russell D, Taylor J (2009) Living alone and depressive symptoms: the influence of gender, physical disability, and social support among Hispanic and non-Hispanic older adults. J Gerontol B Psychol Sci Soc Sci 64(1):95–104. doi:10.1093/geronb/gbn002 PubMedCrossRef Russell D, Taylor J (2009) Living alone and depressive symptoms: the influence of gender, physical disability, and social support among Hispanic and non-Hispanic older adults. J Gerontol B Psychol Sci Soc Sci 64(1):95–104. doi:10.​1093/​geronb/​gbn002 PubMedCrossRef
32.
go back to reference Kim CS, Rhee KO (1997) Variations in preferred living arrangements among Korean elderly parents. J Cross Cult Gerontol 12(2):189–202PubMedCrossRef Kim CS, Rhee KO (1997) Variations in preferred living arrangements among Korean elderly parents. J Cross Cult Gerontol 12(2):189–202PubMedCrossRef
33.
go back to reference Chung K (2012) Analysis of the survey of living conditions and welfare needs of Korean older persons. Korea Institute for Health and Social Affairs (KIHASA), Seoul Chung K (2012) Analysis of the survey of living conditions and welfare needs of Korean older persons. Korea Institute for Health and Social Affairs (KIHASA), Seoul
34.
go back to reference Silverstein M, Bengtson VL (1994) Does intergenerational social support influence the psychological well-being of older parents? The contingencies of declining health and widowhood. Soc Sci Med 38(7):943–957PubMedCrossRef Silverstein M, Bengtson VL (1994) Does intergenerational social support influence the psychological well-being of older parents? The contingencies of declining health and widowhood. Soc Sci Med 38(7):943–957PubMedCrossRef
36.
go back to reference Baker LA, Silverstein M, Putney NM (2008) Grandparents raising grandchildren in the United States: changing family forms, stagnant social policies. J Soc Soc Policy 7:53–69PubMedCentralPubMed Baker LA, Silverstein M, Putney NM (2008) Grandparents raising grandchildren in the United States: changing family forms, stagnant social policies. J Soc Soc Policy 7:53–69PubMedCentralPubMed
39.
go back to reference Lee MA, Weber MJ (2000) The effects of elderly Korean’s individual characteristics of living arrangements. Hous Soc 27(2):46–60 Lee MA, Weber MJ (2000) The effects of elderly Korean’s individual characteristics of living arrangements. Hous Soc 27(2):46–60
Metadata
Title
Association between living arrangements and depressive symptoms among older women and men in South Korea
Authors
Dong Hoon Oh
Joon Hyuk Park
Hye Young Lee
Shin Ah Kim
Bo Youl Choi
Jung Hyun Nam
Publication date
01-01-2015
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 1/2015
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0904-2

Other articles of this Issue 1/2015

Social Psychiatry and Psychiatric Epidemiology 1/2015 Go to the issue