Living Arrangements of Elderly: Evidence from Household Income Expenditure Survey

Living Preference Modifies the Associations of Living Arrangements With Loneliness Among Community-Dwelling Older Adults

Objectives

Living arrangement has been reported to have a significant influence on feelings of loneliness in older adults, but their living preferences may confound the association. This study aimed to investigate whether the associations of living arrangements with loneliness differ in community-dwelling older adults according to different living preferences.

Methods

In the 2008/2009 (baseline) and 2011/2012 (follow-up) waves of the Chinese Longitudinal Healthy Longevity Survey, living arrangements [living with children mainly (LWC), living with spouse only (LWS), and living alone (LA)], living preferences [preferring living with children (PreLWC) and preferring living alone/only with spouse (PreLA)], and feelings of loneliness were assessed. The effect modifications of living preferences in the associations of living arrangements with loneliness were estimated using logistic regression models, and corresponding odds ratios (ORs) were calculated.

Results

Living preferences significantly modified the associations of living arrangements with loneliness at baseline (p for interaction = 0.009 for LWS and = 0.015 for LA). Compared with LWC, LWS was protective for loneliness only in the PreLA older adults at baseline (OR = 0.53, 95% CI = 0.45–0.64, p < 0.001), and LA was significantly associated with loneliness especially in the PreLWC older adults, compared with their PreLA counterparts (at baseline, ORs = 2.89 vs. 2.15; at follow-up, ORs = 1.68 vs. 1.51).

Conclusion

Living preference modifies the associations of living arrangements with loneliness, and those who prefer living with children but live alone are more likely to feel lonely. It is recommended that living preferences should be considered when managing loneliness in community-dwelling older adults.

Do Living Arrangements and Social Network Influence the Mental Health Status of Older Adults in Malaysia?

Living arrangement has been reported to have a significant influence on several mental health statuses of older adults, but their social network may confound this association. This study is aimed at examining the interactive effect of living arrangements and social network on the mental health status among older adults in Malaysia. A total of 2,188 Malaysian older adults living nationwide were included in this cross-sectional study. Participants were classified into four groups according to their living arrangements (living alone or not living alone) and social network size (assessed using Lubben's Social Network Scale-6). Poor social network was defined as the lowest quartile (fourth quartile) of the score. Mental health statuses, which include flourishing in life, life satisfaction, cognitive functions, loneliness, depression, and perceived stress, were measured. Multiple linear regression models, adjusted for age, gender, education, and comorbidities, revealed that a good social network was significantly associated with an increase on the flourishing scale scores, regardless of living arrangements. Not living alone and having good social network was significantly associated with increased Montreal Cognitive Assessment scores and decreased loneliness scores. This study found that living arrangements are not always a risk factor for the mental health status of older adults. However, it may be confounded by the level of their social networks. The results suggested that the effects of social network may exceed the impact of living arrangements. It is recommended that health professionals pay more attention to the social networks of older Malaysians to harness its benefits in improving their mental health status.

Psychometric assessment of the Bahasa Malaysia version of the Older Americans Resources and Services-Instrumental Activities of Daily Living

OBJECTIVE

This study aimed to determine the psychometric properties of the Bahasa Malaysia (BM) version of the Older Americans Resources and Services-Instrumental Activities of Daily Living (OARS-IADL) questionnaire among older persons in Malaysia.

METHODS

The English version of OARS-IADL was translated to BM. The psychometric properties of the BM version of OARS-IADL were tested among older persons attending a health-care facility.

RESULTS

Two hundred and seventy-one older persons participated in the study. The mean age of participants was 67.7 ± 6.1 years. Internal consistency of the items was good (Cronbach's alpha, >0.7). Exploratory factor analysis revealed a single dimension with item factor loadings of >0.5. Confirmatory factor analysis results confirmed a single-factor model (AVE > 50%, CR > 0.7 and CR > AVE).

CONCLUSION

The BM version of the OARS-IADL questionnaire is a valid and reliable instrument that can be used to assess the IADL among older persons in Malaysia.

Adults and Social Supports for Older Parents in Peri-Urban Ibadan, Nigeria

Introduction: The absence of comprehensive supports systems for older persons in Nigeria has put them on psychosocial challenges at old age. Thus, this study profiled the social supports provided by the adults to older persons in Ibadan, Southwestern Nigeria.

Methods: This cross-sectional study utilized mixed method approach to administer a standardized questionnaire among 460 consented adults who had older parents, and conducted twelve in-depth interviews (IDIs) among male and female participants in Apete, a peri-urban community in Ibadan, Nigeria. Quantitative and qualitative data were analyzed respectively using SPSS ver. 20 and content analysis.

Results: Most (67.2%) of the respondents were females, and 77.2% were not living with their older parents. Older parents of 32.4% of the respondents relied on children as a source of income, whereas nearly half (47.0%) of the respondents perceived the care of the elderly as government responsibility. Financial care (48.5%) from significant others was perceived the most unmet social needs of the elderly, while lack of money (44.6%) was perceived the cause of the unmet social needs of the elderly. There was significant relationship (χ² = 0.056) between the average monthly income and the time frame the children give money to older parents.

Conclusion: There exist social supports to the elderly in peri-urban Nigeria. The social support systems available to the elderly were influenced by the culture, blessing/prayer-needs from parents, and reciprocity factors.

Living Standards in One-Person Households of the Elderly Population

The number of one-person households of the elderly continues to rise in developed countries. The study assesses the standard of living in this type of households. The aim of this study is to explore the standard of living of single older adults (60+) in Poland by focusing on the relationship between demographic and socio-economic factors as well as their objective financial situation and subjective satisfaction on their financial and consumption standards. To evaluate the standard of living in one-person households run by people aged 60 and over, the aggregate (composite) indicator was designed, based on the Economic Living Standard Index method. The key issues relating to multifaceted aspects of sustainable development are both the level and the quality of life. It can be concluded that the elderly people running one-person households constitute a group that is heterogeneous due to their different socio-economic and demographic characteristics, which in turn affect their various living standards. The highest standard of living can be noticed in the households run by white-collar workers, self-employed persons and well educated persons. The lowest standard of living can be observed in the households run by groups of people including farmers, people having income from social sources (without pensions), living on supplementary welfare allowance and persons with lower education level (secondary, primary or less). Remedial measures should be taken for these social groups. The key factors determining the standard of living in one-person households of the elderly are socioeconomic status and education level.