Longitudinal associations between living alone, childlessness and mental health and mortality in ageing adults in Thailand

Q1 Social Sciences Global Transitions Pub Date : 2024-01-01 DOI:10.1016/j.glt.2024.06.001
Supa Pengpid , Karl Peltzer , Dararatt Anantanasuwong , Wasin Kaewchankha
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Abstract

Background

This study aimed to evaluate the longitudinal relationships between living alone, being childless, and six mental health indicators and mortality in older adults in Thailand between 2015 and 2020.

Methods

We examined prospective cohort data from the Health, Aging and Retirement in Thailand (HART) study, which included participants 45 years of age and older (N = 2863) from three successive waves in 2015, 2017, and 2020. Mental health indicators were assessed by self-report. We used Generalized Estimating Equations analysis (GEE) to evaluate the longitudinal relationships between measures of living alone, childlessness and six mental health indicators and mortality.

Results

The proportion of living alone was 6.3 % and childlessness 9.9 % in 2015, while living alone only was 3.9 %, childlessness only 7.5 % and both living alone and childlessness 2.4 % in 2015. In the adjusted model, living alone only was among men positively associated with depressive symptoms, loneliness, poor quality of life and mortality, and among women only positively associated with poor quality of life. Childlessness only was among women positively associated with depressive symptoms, insomnia symptoms, loneliness, poor quality of life, poor self-rated mental health, and mortality, and among men with depressive symptoms, loneliness, poor quality of life and poor self-rated mental health. Both living alone and childlessness was among men associated with four mental health indicators (depressive symptoms, insomnia symptoms, loneliness, and poor quality of life), and among women two mental health indicators (loneliness and poor quality of life), all with higher odds ratios than in living alone only and childlessness only.

Conclusions

Living alone only, childlessness only and/or both living alone and childlessness were associated with several poor mental health indicators and/or mortality. Enhanced screening and management of living alone and being childless may improve mental health in Thailand.

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泰国老年人独居、无子女与心理健康和死亡率之间的纵向关系
背景本研究旨在评估2015年至2020年间泰国老年人独居、无子女、六项心理健康指标与死亡率之间的纵向关系。方法我们研究了泰国健康、老龄化和退休(HART)研究的前瞻性队列数据,其中包括2015年、2017年和2020年连续三次波次的45岁及以上参与者(N = 2863)。心理健康指标通过自我报告进行评估。我们使用广义估计方程分析(GEE)评估了独居、无子女和六项心理健康指标与死亡率之间的纵向关系。结果2015年独居比例为6.3%,无子女比例为9.9%,而2015年独居比例仅为3.9%,无子女比例仅为7.5%,独居和无子女比例均为2.4%。在调整模型中,男性独居与抑郁症状、孤独感、生活质量差和死亡率呈正相关,女性独居与生活质量差呈正相关。在女性中,无子女与抑郁症状、失眠症状、孤独感、生活质量差、自评精神健康状况差和死亡率呈正相关;在男性中,无子女与抑郁症状、孤独感、生活质量差和自评精神健康状况差呈正相关。在男性中,独居和无子女与四项心理健康指标(抑郁症状、失眠症状、孤独感和生活质量差)有关,在女性中,独居和无子女与两项心理健康指标(孤独感和生活质量差)有关,其几率比仅独居和无子女者高。加强对独居和无子女的筛查和管理可改善泰国人的心理健康。
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来源期刊
Global Transitions
Global Transitions Social Sciences-Development
CiteScore
18.90
自引率
0.00%
发文量
1
审稿时长
20 weeks
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