Gender differences in association between psychological distress and detailed living arrangements among Japanese older adults, aged 65-74 years

Hiroyuki Kikuchi, Tomoko Takamiya, Yuko Odagiri, Yumiko Ohya, Tomoki Nakaya, Teruichi Shimomitsu, Shigeru Inoue

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Purpose: Past studies have shown that living alone is detrimental to older adults' mental health. However, there has been little focus on how older adults' psychological distress differed by more detailed living arrangement, as well as by gender. The present study investigates various living arrangements in association with psychological distress among older men and women. Methods: Data from community-dwelling Japanese older adults were collected through a mail survey (n = 1,807, aged 65-74 years, 51.5 % men). Psychological distress level was measured using Kessler's six-item psychological distress scale. Living arrangements were categorized into four groups; "living with spouse only", "living with spouse and other family", "living with other family without spouse" or "living alone". Multiple logistic regression analyses were used to examine the associations of living arrangements with psychological distress level. Results: Older adults living alone were observed to have higher psychological distress. In addition, gender-stratified analyses showed that higher distress levels were observed among older men living with family, but without a spouse (OR: 2.85, 95 % CI: 1.51-5.39). In contrast, higher distress was observed among older women living with spouse and other family (OR: 1.53, 95 % CI: 1.03-2.28). Conclusions: Psychological distress in older Japanese adults was associated with living arrangements, but such associations differed by gender. The association of living with a spouse on older men's mental health was striking, while living with any family was found to be rather important for older women, aged 65-74 years.

Original languageEnglish
Pages (from-to)823-830
Number of pages8
JournalSocial psychiatry and psychiatric epidemiology
Volume49
Issue number5
DOIs
Publication statusPublished - 2014 May
Externally publishedYes

Keywords

  • K6
  • Living arrangement
  • Older adults
  • Population-based survey
  • Psychological distress

ASJC Scopus subject areas

  • Epidemiology
  • Health(social science)
  • Social Psychology
  • Psychiatry and Mental health

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