The Influence of Living Alone on Depression in Elderly Persons

Dean, Alfred; Kolody, Bohdan; Wood, Patricia A.; Matt, Georg E.

doi:10.1177/089826439200400101

Cited by 151 publications

(116 citation statements)

References 30 publications

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“…Previous research indicates that the associations between solitary living and wellbeing outcomes among older persons are often moderated by factors such as gender, ethnicity, and social networks. For example, solo dwelling is more detrimental to the psychological health of men than of women (Dean et al 1992;Jeon et al 2007). Evidence suggests that women living alone are not necessarily socially alienated.…”

Section: Theoretical Perspectives On Elderly Solo Dwellingmentioning

confidence: 99%

“…Living alone has also been associated with slower reparative functions in the body. In explaining pathways that mediate these associations, there is a tendency to equate living alone with physical, and hence social, isolation and lack of adequate social support (Dean et al 1992;Yeh and Lo 2004). Living with spouse and/or children in multi-generational households is often assumed to facilitate material, emotional, and other instrumental support to older persons.…”

Section: Theoretical Perspectives On Elderly Solo Dwellingmentioning

confidence: 99%

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What does living alone really mean for older persons? A comparative study of Myanmar, Vietnam, and Thailand

Teerawichitchainan¹,

Knodel²,

Pothisiri³

2015

DemRes

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Section: Theoretical Perspectives On Elderly Solo Dwellingmentioning

confidence: 99%

Section: Theoretical Perspectives On Elderly Solo Dwellingmentioning

confidence: 99%

What does living alone really mean for older persons? A comparative study of Myanmar, Vietnam, and Thailand

Teerawichitchainan¹,

Knodel²,

Pothisiri³

2015

DemRes

View full text Add to dashboard Cite

“…greater expressive bonds; 20,21 . the greater impact of negative health events on women who live alone; 22 and . the decreased likelihood of living with a spouse (77% males vs 24% females) and thus having the associated supports and companionship.…”

Section: Gender Dierences In Aging Of the General Populationmentioning

confidence: 99%

Women with spinal cord injury and the impact of aging

et al. 2002

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Objectives: The objectives of this study were to describe what women with longstanding spinal cord injury (SCI) feel they are experiencing as they age, how they are coping and what they require in order to ensure their continued social and economic participation in society. Study design, methods and setting: A naturalistic approach was taken, incorporating three focus groups (n=10) and key informant interviews (n=19) of women with SCI ranging in age from 31 to 70 years and living in rural and urban communities in Ontario, Canada. Results: The women feel isolated and sense many of their key concerns are ignored or dismissed by health care and service providers. The common physical changes and concerns were gynecological/sexual and bowel and bladder issues. Socio-emotional changes with age included impact of their age-related changes on important relationships and re-evaluation of personal priorities. They articulated worries including declining health, increasing dependency and ®nancial stresses. Additional resources they need to age successfully include improved environmental accessibility, assistive devices, more¯exible and responsive attendant and household support, access to recreation and ®tness opportunities and peer and psychological support. Conclusions: Many of the issues raised by the women were consistent with the authors' previous examination of aging in men with SCI and women with disabilities. The most striking dierence was their profound sense of isolation and perceptions that health care and service providers were unprepared or unwilling to address the unique issues they face as women living and now aging with SCI. Sponsorship: This research was funded by the Ontario Neurotrauma Foundation.

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“…Financial needs, the impacts of financial inadequacy, and financial dependency may be greater (and not less) for elders who live with others (Waehrer & Crystal, 1995). This implies that living with others constitutes a situational deprivation vulnerability to incur financial strain even if living alone contributes to situational deprivation for incurring financial stress (Dean, Kolody, Wood, & Matt, 1992). For respondents who are not married or who live alone, sex signifies current and future perceptions of their own financial stress and strain.…”

mentioning

confidence: 99%

Use of an Income-Equivalence Scale to Understand Age-Related Changes in Financial Strain

Francoeur

2002

Res Aging

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Income-equivalence scales (IES) provide distinct advantages over poverty indices to adjust family income for differences in family size, including improved specification of hypothesized causal relationships involving objective measures of economic well-being. In a novel IES application, cancer patients' out-of-pocket health costs are adjusted for differences in family income and size and, along with five other subindices, contribute to an overall index of "objective family financial stress." Age-related changes are modeled simultaneously within relationships between overall objective family financial stress and subjective patient perceptions about financial strain. Among the findings, the impact of age on one area of subjective financial strain, "difficulty paying bills," is negative and curvilinear. Regardless of adjusted out-of-pocket costs, as age advances, patients appear increasingly likely to accommodate to financial stress by reporting less difficulty paying bills. This phenomenon could serve to mask and isolate older adults who are foregoing needed yet unaffordable medical care and prescriptions.The use of income-equivalence scales (IES) to adjust family income for differences in family size is described, with a novel application to derive out-of-pocket health costs that are adjusted for family income and family size. IES provide distinct advantages over the use of poverty indices. One important empirical advantage pertains to improved specification of hypothesized functional causal relationships involving objective measures of economic well-being.Causal relationships involving social structural variables and measures of objective and subjective economic well-being will be our initial focus for discussion. This will lead to a discussion and derivation of IES, which are necessary to specify this causal relationship. Then, in a unique application of IES, out-of-pocket health costs incurred by patients with recurrent cancer are adjusted for differences in family size and income and will be incorporated into an even broader index of overall objective family financial stress. Finally, curvilinear and moderated relationships based on this overall index and adult patient age will be tested in simultaneous causal relationships to three measures, in addition to a latent construct, of "subjective patient financial strain." Social Stratification as a Description of AccommodationAccording to social stratification theory and empirical findings, the social structural features reflected by demographic variables such as sex, race, and age interact over time to reflect different degrees of restrictions or barriers over access to economic resources and opportunities. This results in greater barriers within groups that are older, female, and/or a minority (Becker, 1971;Blau, 1977;Blau & Duncan, 1967;Chiswick & O'Neill, 1977;Corcoran & Duncan, 1978;Duncan, 1968;Foner, 1975;Lloyd & Niemi, 1979;Moody, 1994;Riley, Johnson, & Foner, 1972). Disadvantaged groups are more likely to experience fixed economic situations due ...

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The Influence of Living Alone on Depression in Elderly Persons

Cited by 151 publications

References 30 publications

What does living alone really mean for older persons? A comparative study of Myanmar, Vietnam, and Thailand

What does living alone really mean for older persons? A comparative study of Myanmar, Vietnam, and Thailand

Women with spinal cord injury and the impact of aging

Use of an Income-Equivalence Scale to Understand Age-Related Changes in Financial Strain

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