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Living Arrangement, Social Connectedness, and Life Satisfaction among Korean Older Adults with Physical Disabilities: The Results from the National Survey on Persons with Disabilities

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Abstract

Life satisfaction is an important indicator of quality of life. We examined the association between living arrangement and life satisfaction among older adults with physical disabilities and the mediating and moderating roles of social connectedness. We used data from the 2011 National Survey on Persons with Disabilities, South Korea, and analyzed a sub-sample of adults aged 65 and older with physical disabilities. We employed multivariate regression analyses to assess life satisfaction by living arrangement, taking into account social connectedness (social participation and quality of social relations) as well as background characteristics including the degree of independence in activities of daily living. Types of living arrangement included living with a spouse, living alone, and living with others. Among older adults with physical disabilities, individuals living alone and living with others reported poorer life satisfaction than those living with a spouse. The relationship between living arrangement and life satisfaction was explained away when quality of family and friend relations were added to the multivariate regression model. The influence of the quality of friend relations on life satisfaction was greater for those living alone, presenting the moderating role of living arrangement. Higher risks of life dissatisfaction among Korean older adults living alone with physical disabilities are of major concern. The results suggest that quality of social relations is an important modifiable factor for life satisfaction in this population. It would be crucial for policy makers and practitioners to recognize the needs for meaningful social connection by living arrangement among older adults with physical disabilities.

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References

  • Baltes, P. B., & Baltes, M. M. (1990). Psychological perspectives on successful aging: The model of selective optimization with compensation. In P. B. Baltes & M. M. Baltes (Eds.), Successful aging: Perspectives from the behavioral sciences (pp. 1–34). Cambridge: Cambridge University Press.

    Chapter  Google Scholar 

  • Cornwell, E., & Waite, L. (2009). Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior, 50(1), 31–48. doi:10.1177/002214650905000103.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cornwell, B., Laumann, E. O., & Schumm, L. P. (2008). The social connectedness of older adults: A national profile. American Sociological Review, 73(2), 185–203. doi:10.1177/000312240807300201.

    Article  PubMed Central  PubMed  Google Scholar 

  • Diener, E., & Diener, M. (1995). Cross-cultural correlates of life satisfaction and self-esteem. Journal of Personality and Social Psychology, 68(4), 653–663. doi:10.1037/0022-3514.69.1.120.

    Article  PubMed  Google Scholar 

  • Diener, E., Oishi, S., & Lucas, R. E. (2009). Subjective well-being: The science of happiness and life satisfaction. In C. R. Snyder & S. Lopez (Eds.), Handbook of positive psychology (2nd ed., pp. 187–194). New York: Oxford University Press.

    Google Scholar 

  • Diener, E., Helliwell, J., & Kahneman, D. (2010). International differences in well-being. New York: Oxford University Press.

    Book  Google Scholar 

  • Emmett, T., & Alant, E. (2006). Women and disability: exploring the interface of multiple disadvantage. Development Southern Africa, 23(4), 445–460. doi:10.1080/03768350600927144.

    Article  Google Scholar 

  • Gee, E. M. (2000). Living arrangements and quality of life among Chinese Canadian elders. Social Indicators Research, 51(3), 309–329. doi:10.1023/A:1007036122117.

    Article  Google Scholar 

  • Gillespie, B. J., Lever, J., Frederick, D., & Royce, T. (2014). Close adult friendships, gender, and the life cycle. Journal of Social and Personal Relationhips. doi:10.1177/0265407514546977. Advance online publication.

    Google Scholar 

  • Green, L. R., Richardson, D. S., Lago, T., & Schatten-Jones, E. C. (2001). Network correlates of social and emotional loneliness in young and older adults. Personality and Social Psychology Bulletin, 27(3), 281–288. doi:10.1177/0146167201273002.

    Article  Google Scholar 

  • Hays, J. C. (2002). Living arrangements and health status in later life: a review of recent literature. Public Health Nursing, 19(2), 136–151. doi:10.1046/j.1525-1446.2002.00209.x.

    Article  PubMed  Google Scholar 

  • Jeong, S. S., & Kim, J. S. (2014). Comparison of health behaviors and health level between elders living alone and those living with a spouse. Global Health and Nursing, 4(1), 27–36.

    Google Scholar 

  • Kasper, J., & Pearson, J. L. (1995). Living arrangements, social integration, and personal control: correlates of life satisfaction among older people. Journal of Mental Health and Aging, 1(1), 21–34.

    Google Scholar 

  • Kharicha, K., Iliffe, S., Harari, D., Swift, C., Gillmann, G., & Stuck, A. E. (2007). Health risk appraisal in older people 1: are older people living alone an ‘at-risk’ group? British Journal of General Practice, 57(537), 271–276.

    PubMed Central  PubMed  Google Scholar 

  • Kim, M., Kim, H. J., Hong, S., & Fredriksen-Goldsen, K. I. (2013). Health disparities among childrearing women with disabilities. Maternal and Child Health Journal, 17(7), 1260–1268. doi:10.1007/s10995-012-1118-4.

    PubMed  Google Scholar 

  • Lantz, P. M., House, J. S., Mero, R. P., & Williams, D. R. (2005). Stress, life events, and socioeconomic disparities in health: results from the Americans’ changing lives study. Journal of Health and Social Behavior, 46(3), 274–288. doi:10.1177/002214650504600305.

    Article  PubMed  Google Scholar 

  • Lau, D. T., & Kirby, J. B. (2009). The relationship between living arrangement and preventive care Use among community-dwelling elderly persons. American Journal of Public Health, 99(7), 1315–1321. doi:10.2105/Ajph.2008.151142.

    Article  PubMed Central  PubMed  Google Scholar 

  • Lee, S. Y., & Kim, E. J. (2012). The social support patterns and depression among the elderly living alone and their friends and neighbors. International Journal of Welfare for the Aged, 56, 137–164.

    Google Scholar 

  • Lee, E. K. O., & Lee, J. (2011). Gender differences in predictors of mental health among older adults in South Korea. International Journal of Aging & Human Development, 72(3), 207–223. doi:10.2190/Ag.72.3.C.

    Article  Google Scholar 

  • Levasseur, M., Desrosiers, J., & Noreau, L. (2004). Is social participation associated with quality of life of older adults with physical disabilities? Disability and Rehabilitation, 26(20), 1206–1213. doi:10.1080/09638280412331270371.

    Article  PubMed  Google Scholar 

  • Lin, P. C., Yen, M. F., & Fetzer, S. J. (2008). Quality of life in elders living alone in Taiwan. Journal of Clinical Nursing, 17(12), 1610–1617. doi:10.1111/j.1365-2702.2007.02081.x.

    Article  PubMed  Google Scholar 

  • Lucas, R. E., & Donnellan, M. B. (2012). Estimating the reliability of single-item life satisfaction measures: results from four national panel studies. Social Indicators Research, 105(3), 323–331. doi:10.1007/s11205-011-9783-z.

    Article  PubMed Central  PubMed  Google Scholar 

  • Mellor, D., Stokes, M., Firth, L., Hayashi, Y., & Cummins, R. (2008). Need for belonging, relationship satisfaction, loneliness, and life satisfaction. Personality and Individual Differences, 45(3), 213–218. doi:10.1016/j.paid.2008.03.020.

    Article  Google Scholar 

  • Michael, Y. L., Berkman, L. F., Colditz, G. A., & Kawachi, I. (2001). Living arrangements, social integration, and change in functional health status. American Journal of Epidemiology, 153(2), 123–131. doi:10.1093/aje/153.2.123.

    Article  PubMed  Google Scholar 

  • Miech, R. A., & Shanahan, M. J. (2000). Socioeconomic status and depression over the life course. Journal of Health and Social Behavior, 41(2), 162–176. doi:10.2307/2676303.

    Article  Google Scholar 

  • Min, K. C. (2011). The effects of the transfer income on poverty decrease of grandparents-grandchildren households: comparing grandparents-grandchildren with living alone, couple, and living with adulthood children. Journal of the Korea Gerontological Society, 31(2), 321–341.

    Google Scholar 

  • Ministry of Health & Welfare (2010). 2011 Minimum Cost of Living, National Basic Living Security Act 6–2. (Vol. 2010–65).

  • Ministry of Strategy and Finance. (2014). 2014 Budget Increase for Older Adults Living Alone [press release] Retrieved from http://www.mosf.go.kr/policy/policy02.jsp?boardType=general&hdnBulletRunno=60&sub_category=127&hdnFlag=1&hdnDiv=182&&actionType=view&runno=4019644

  • Minkler, M., & Fadem, P. (2002). “Successful aging:” A disability perspective. Journal of Disability Policy Studies, 12, 229–235. doi:10.1177/104420730201200402.

    Article  Google Scholar 

  • Mui, A. C., & Burnette, J. D. (1994). A comparative profile of frail elderly persons living alone and those living with others. Journal of Gerontological Social Work, 21(3–4), 5–26. doi:10.1300/J083V21N03_02.

    Article  Google Scholar 

  • Netuveli, G., Wiggins, R. D., Hildon, Z., Montgomery, S. M., & Blane, D. (2006). Quality of life at older ages: evidence from the English longitudinal study of aging (wave 1). Journal of Epidemiology & Community Health, 60(4), 357–363. doi:10.1136/jech.2005.040071.

    Article  Google Scholar 

  • Park, J. H., Kim, K. W., Kim, M. H., Kim, M. D., Kim, B. J., Kim, S. K., et al. (2012). A nationwide survey on the prevalence and risk factors of late life depression in South Korea. Journal of Affective Disorders, 138(1–2), 34–40. doi:10.1016/j.jad.2011.12.038.

    Article  PubMed  Google Scholar 

  • Pinquart, M. (2003). Loneliness in married, widowed, divorced, and never-married older adults. Journal of Social and Personal Relationships, 20(1), 31–53. doi:10.1177/02654075030201002.

    Article  Google Scholar 

  • Pinquart, M., & Sorensen, S. (2011). Spouses, adult children, and children-in-Law as caregivers of older adults: a meta-analytic comparison. Psychology and Aging, 26(1), 1–14. doi:10.1037/A0021863.

    Article  PubMed  Google Scholar 

  • Ren, Q., & Treiman, D. J. (2014). Living arrangements of the elderly in China and consequences for their emotional well-being. Michigan: Population Studies Center, University of Michigan Institute for Social Research.

    Google Scholar 

  • Russell, D. (2009). Living arrangements, social integration, and loneliness in later life: the case of physical disability. Journal of Health and Social Behavior, 50(4), 460–475. doi:10.1177/002214650905000406.

    Article  PubMed  Google Scholar 

  • Russell, D., & Taylor, J. (2009). Living alone and depressive symptoms: the influence of gender, physical disability, and social support among Hispanic and Non-Hispanic older adults. Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 64(1), 95–104. doi:10.1093/geronb/gbn002.

    Article  Google Scholar 

  • Scherpenzeel, A. (1995). A question of quality: Evaluating survey questions by multitrade-multimethod studies. Amsterdam: nimmo.

    Google Scholar 

  • Shin, S. H., & Sok, S. R. (2012). A comparison of the factors influencing life satisfaction between Korean older people living with family and living alone. International Nursing Review, 59(2), 252–258. doi:10.1111/j.1466-7657.2011.00946.x.

    Article  PubMed  Google Scholar 

  • Sun, X. J., Lucas, H., Meng, Q. Y., & Zhang, Y. G. (2011). Associations between living arrangements and health-related quality of life of urban elderly people: A study from China. Quality of Life Research, 20(3), 359–369. doi:10.1007/s11136-010-9752-z.

    Article  PubMed  Google Scholar 

  • The Korea Institute for Health and Social Affairs. (2011a). The national survey on persons with disabilities Seoul. Korea: Ministry of Health & Welfare.

    Google Scholar 

  • The Korea Institute for Health and Social Affairs. (2011b). The national survey on the aged. Seoul, Korea: Ministry of Health & Welfare.

    Google Scholar 

  • The Korea Statistical Promotion Institute (2012). Explore Korea through Statistics 2012. Statistics Korea.

  • The Statistics Korea (2013). Report on older adult populatin statistics, 2013. Retrived from http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=308688

  • Thrane, C. (2006). Explaining educational-related inequalities in health: mediation and moderator models. Social Science & Medicine, 62(2), 467–478. doi:10.1016/j.socscimed.2005.06.010.

    Article  Google Scholar 

  • UN World Health Organization (2011). World Report on Disability. http://www.who.int/disabilities/world_report/2011/report.pdf?ua=1. Accessed May 22 2014.

  • Veenhoven, R. (1996). Developments in satisfaction-research. Social Indicators Research, 37(1), 1–46. doi:10.1007/Bf00300268.

    Article  Google Scholar 

  • Victor, C. R., & Bowling, A. (2012). A longitudinal analysis of loneliness among older people in Great Britain. The Journal of Psychology, 146(3), 313–331. doi:10.1080/00223980.2011.609572.

    Article  PubMed  Google Scholar 

  • Zaninotto, P., Falaschetti, E., & Sacker, A. (2009). Age trajectories of quality of life among older adults: results from the English longitudinal study of ageing. Quality of Life Research, 18(10), 1301–1309. doi:10.1007/s11136-009-9543-6.

    Article  PubMed  Google Scholar 

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Acknowledgments

This paper was supported by research funds of Chonbuk National University in 2013.

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Correspondence to Miok Kim.

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Kim, HJ., Hong, S. & Kim, M. Living Arrangement, Social Connectedness, and Life Satisfaction among Korean Older Adults with Physical Disabilities: The Results from the National Survey on Persons with Disabilities. J Dev Phys Disabil 27, 307–321 (2015). https://doi.org/10.1007/s10882-014-9418-9

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