Trajectories of Life Satisfaction and their Predictors among Korean Older Adults

Lim, Hyun J.; Min, Dae Kee; Thorpe, Lilian; Lee, Chel Hee

doi:10.1186/s12877-017-0485-5

Cited by 42 publications

(42 citation statements)

References 49 publications

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“…For instance, whereas some study that investigated life satisfaction in adulthood and late life reported that it peaked at age 65 [11], other reported just the inverse with a minimum at age 60 [12]. Results from longitudinal observations of life satisfaction in older population are further confusing as they report improvement [13], deterioration [14,15], or stability over time [16,17]. A terminal decline in life satisfaction has also been described four years before death [18].…”

Section: Introductionmentioning

confidence: 99%

Change in quality of life among community-dwelling older adults: population-based longitudinal study

et al. 2019

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Purpose. This population-based study aimed to determine five-year change in multidimensional QoL among community-dwelling older people, and to identify predictors of QoL change among demographic, socioeconomic and health characteristics. Methods. Data of the 2011 and 2016 annual assessments of 1,845 older men and women (age range 68-77 years) from the Lc65+ cohort study were used. QoL was assessed using a 28-item instrument yielding a QoL overall score and seven domain-specific QoL subscores. Additional ratings of QoL included a single item (excellent; very good; good; fair; poor), expected QoL in one year (better; worse; same as today), and retrospective assessment of QoL five-year change (better; worse; same as five years ago). The predictors of five-year change in the QoL score were assessed using linear regression, controlling for baseline QoL score. Results. All prospective and retrospective indicators of QoL converged towards a slight deterioration over five years. QoL subscores significantly decreased in domains "Close entourage" (P=0.004), "Social and cultural life" (P<0.001), "Esteem and recognition" (P=0.001), "Health and mobility" (P<0.001), and "Autonomy" (P<0.001), whereas "Material resources" (P=0.345) and "Feeling of safety" (P=0.380) remained stable. A stronger decrease in QoL was observed in the most vulnerable profiles at baseline in terms of demographic, socioeconomic and health characteristics. Changes in depressive symptoms and in disability-either worsening or improving-predicted QoL change in the expected direction. Conclusions. Age-related decline in QoL may be limited through the prevention of disability and depressive symptoms, and more generally by devoting special attention to vulnerable profiles.

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Section: Introductionmentioning

confidence: 99%

Change in quality of life among community-dwelling older adults: population-based longitudinal study

et al. 2019

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“…Depression is one of the most prevalent mental health problems and is associated with general health and quality of life, specifically in late adulthood [ 1 – 3 ]. Most older adults seem to be exposed to a high risk of depression because they experience a series of losses, such as the death of significant others, retirement, or health problems [ 4 – 6 ]. Bereavement of a loved one results in social isolation and loneliness, which are significant risk factors for poor mental health and low quality of life [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Health behaviors influencing depressive symptoms in older Koreans living alone: secondary data analysis of the 2014 Korean longitudinal study of aging

2018

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BackgroundGeriatric depression is a societal problem, specifically in those living alone in Korea. This study aims are to investigate (1) how sociodemographic factors, health status, and health behaviors are differently associated with depressive symptoms in older Koreans living alone compared to those living with others and (2) how living arrangements attenuated or strengthened the associations between four types of health behaviors and depressive symptoms.MethodsThis secondary data analysis was conducted using data from the 2014 Korean Longitudinal Study of Aging. A structured survey assessing sociodemographic factors, health status, and health behaviors was conducted with people aged 65 or older who lived alone (n = 1359) and living with others (n = 2864). A multiple linear regression with interaction terms was conducted between mean-centered health behaviors and the status of living alone. All statistical analyses were performed using SPSS Statistics 23.0, and the two-tailed level of significance was set at 0.05.ResultsThose living alone reported higher levels of depressive symptoms than those living with others (Mdiff = 2.129, SE = 0.005, p < 0.001). The variance of depressive symptoms explained by 13 variables was 18.1% for those living alone compared to 23.7% for those living with others. Compared to health behaviors, sociodemographic factors and health status more explained depressive symptoms, specifically with psychiatric disorders, pain, and impaired functionality as risk factors. Smoking, alcohol abstinence, physical inactivity, and social inactivity were associated with more depressive symptoms. Living arrangements moderated the association between depressive symptoms and each health behavior, except for physical inactivity (all p values < 0.001).ConclusionsOlder Koreans living alone were exposed to different risk factors for depressive symptoms compared to those living with others. Non-modifiable sociodemographic and health status factors were highly associated with depressive symptoms relative to health behaviors; thus, it is important to conduct early assessment and classification of vulnerable subgroups regarding geriatric depression. Specific assessment instruments should be prepared in practice according to living arrangements among older Koreans. Targeted interventions are essential to addressing living arrangements and modifying health behaviors to reduce smoking, alcohol consumption, and social inactivity, specifically in those living alone.

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“…As worldwide life expectancy increases, the issue of maintaining wellbeing at an advanced age is growing in importance, as evidence suggests that active engagement with life and positive wellbeing are protective factors for health as people age [ 1 , 2 , 3 , 4 ]. Studies of older people show that subjective wellbeing, in terms of life satisfaction, is affected by the individuals’ state of physical health [ 5 ], socioeconomic status, as well as social and family relationships [ 6 ]; nevertheless, neighborhood environments may also affect the wellbeing of older adults.…”

Section: Introductionmentioning

confidence: 99%

Associations between Perceived Neighborhood Walkability and Walking Time, Wellbeing, and Loneliness in Community-Dwelling Older Chinese People in Hong Kong

Cheung

Lau

et al. 2017

IJERPH

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This study examined the cross-sectional associations between perceived neighborhood walkability and walking time, physical activity, wellbeing, and loneliness, and examined which components of walkability were most strongly associated with better wellbeing and less loneliness in older adults. Participants were community-dwelling Chinese adults aged 60+ (n = 181). Walkability was measured using nine items selected from the Chinese version of the abbreviated Neighborhood Environment Walkability Scales (NEWS) and NEWS for Chinese Seniors. Outcomes were walking time, physical activity, wellbeing (life satisfaction, happiness, sense of purpose and meaning in life), and loneliness. The mean age of the participants was 71.7 ± 7.8 years. Walkability was positively associated with walking time (p = 0.001, p for trend <0.001) but not with physical activity. After adjusting for socio-demographic characteristics, health conditions, lifestyle, and negative life events, those who perceived their neighborhoods as walkable had higher scores for life satisfaction (p = 0.002) and happiness (p = 0.002), and lower scores for loneliness (p = 0.019), compared with those who perceived their neighborhoods as less walkable. However, perceived neighborhood walkability was not associated with sense of purpose and meaning in life. Among components of walkability, land use mix-access, infrastructure and safety for walking, and traffic safety showed the strongest associations with the measures of wellbeing. The results of this study support the importance of neighborhood walkability for health behavior and wellbeing of older adults. The wellbeing of older adults may be enhanced through the improvement of land use mix-access, infrastructure for walking, and traffic safety.

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Trajectories of Life Satisfaction and their Predictors among Korean Older Adults

Cited by 42 publications

References 49 publications

Change in quality of life among community-dwelling older adults: population-based longitudinal study

Change in quality of life among community-dwelling older adults: population-based longitudinal study

Health behaviors influencing depressive symptoms in older Koreans living alone: secondary data analysis of the 2014 Korean longitudinal study of aging

Associations between Perceived Neighborhood Walkability and Walking Time, Wellbeing, and Loneliness in Community-Dwelling Older Chinese People in Hong Kong

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