Life satisfaction among individuals 50 years or older:Why living arrangements matter?

Basu Rashmita , Luo Huabin , C. Steiner Adrienne

International Journal of Healthcare ›› 2022, Vol. 8 ›› Issue (2) : 19 -27.

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International Journal of Healthcare ›› 2022, Vol. 8 ›› Issue (2) : 19 -27. DOI: 10.5430/ijh.v8n2p19
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Life satisfaction among individuals 50 years or older:Why living arrangements matter?

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Abstract

Growing research recognizes the importance of evaluating life satisfaction in promoting psychological well-being (PWB) among middle-aged and older adults due to its heightened importance for public health relevance. The current study assessed the relationship between life satisfaction and living arrangement among U.S. adults aged 50 years or older and whether this relationship varies by gender. We used the Health and Retirement Study data from 2010-2014 (7,163 respondents), a nationally representative cohort of U.S. adults aged 50 years or older. The outcome variable was the measure of satisfaction with life on a continuous scale (1-7). The categorical independent variable was individuals’ living arrangements status (living with a spouse/partners (reference category), living alone, living with others; measured in the 2012 wave. We conducted a Generalized linear model in our regression analysis. Controlling for demographic, socioeconomic, and health-related factors, individuals who lived alone or lived with others had significantly lower life satisfaction (β = -0.21, 95% CI [-0.31, -0.11]) and (β = -0.23, 95% CI [-0.38, 0.08]) respectively, compared to those who lived with a spouse/partner. These findings suggest public health policies and programs may need to find ways to increase supportive resources for people living alone or living with others to promote life satisfaction, which is a protective factor for good health.

Keywords

Living arrangements / Older adults / Life satisfaction / Psychological well-being / Public policy

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Basu Rashmita, Luo Huabin, C. Steiner Adrienne. Life satisfaction among individuals 50 years or older:Why living arrangements matter?. International Journal of Healthcare, 2022, 8(2): 19-27 DOI:10.5430/ijh.v8n2p19

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References

[1]

Musich S, Wang SS, Schaeffer JA, et al. The additive impact of multiple psychosocial protective factors on selected health outcomes among older adults. Geriatric Nursing. 2021; 42(2): 502-508.PMid:32998841. https://doi.org/10.1016/j.gerinurse.2020.09.007

[2]

Diener E, Diener M. Cross-cultural correlates of life satisfaction and self-esteem. Culture and Well-being. Springer: Dordrecht; 2009;71-91 p. https://doi.org/10.1007/978-90-481-2352-0_4

[3]

Pavot W, Diener E. The satisfaction with life scale and the emerging construct of life satisfaction. The Journal of Positive Psychology. 2008; 3(2): 137-152. https://doi.org/10.1080/17439760701756946

[4]

Ohrnberger J, Fichera E, Sutton M. The dynamics of physical and mental health in the older population. The Journal of the Economics of Ageing. 2017; 9: 52-62. PMid:28580276. https://doi.org/10.1016/j.jeoa.2016.07.002

[5]

Sutipan P, Intarakamhang U, Macaskill A. The impact of positive psychological interventions on well-being in healthy elderly people. Journal of Happiness Studies. 2017; 18(1): 269-291. https://doi.org/10.1007/s10902-015-9711-z

[6]

Grant N, Wardle J, Steptoe A. The relationship between life satisfaction and health behavior: a cross-cultural analysis of young adults. International Journal of Behavioral Medicine. 2009; 16(3):259-268. PMid:19319695. https://doi.org/10.1007/s12529-009-9032-x

[7]

Kim ES, Delaney SW, Tay L, et al. Life satisfaction and subsequent physical, behavioral, and psychosocial health in older adults. The Milbank Quarterly. 2021; 99(1): 209-239. PMid:33528047.https://doi.org/10.1111/1468-0009.12497

[8]

Dong HJ, Larsson B, Dragioti E, et al. Factors associated with life satisfaction in older adults with chronic pain (PainS65+). Journal of Pain Research. 2020; 13: 475-489. PMid:32184652. https://doi.org/10.2147/JPR.S234565

[9]

Trudel-Fitzgerald C, Millstein RA, von Hippel C, et al. Psychological well-being as part of the public health debate? Insight intodimensions, interventions, and policy. BMC Public Health. 2019; 19(1): 1-11. PMid:31856772. https://doi.org/10.1186/s12889-019-8029-x

[10]

Hughes ME, Waite LJ. Health in household context: Living arrangements and health in late middle age. Journal of Health and Social Behavior. 2002; 43(1): 1-21. https://doi.org/10.2307/3090242

[11]

Lin Y, Xiao H, Lan X, et al. Living arrangements and life satisfaction: mediation by social support and meaning in life. BMC Geriatrics. 2020; 20(1): 1-8. PMid:32293305. https://doi.org/10.1186/s12877-020-01541-8

[12]

Barger SD, Donoho CJ, Wayment HA. The relative contributions of race/ethnicity, socioeconomic status, health, and social relationships to life satisfaction in the United States. Quality of Life Research. 2009; 18(2): 179-189. PMid:19082871. https://doi.org/10.1007/s11136-008-9426-2

[13]

Zhang W, Braun KL, Wu YY. The educational, racial and gender crossovers in life satisfaction: Findings from the longitudinal Health and Retirement Study. Archives of Gerontology and Geriatrics. 2017; 73: 60-68. PMid:28779590. https://doi.org/10.1016/j.archger.2017.07.014

[14]

Papi S, Cheraghi M. Multiple factors associated with life satisfaction in older adults. Prezeglad Menopauzalny/Menopause Review. 2021; 20(2): 65. PMid:34321983. https://doi.org/10.5114/pm.2021.107025

[15]

Li H, Chi I, Xu L. Life satisfaction of older Chinese adults living in rural communities. Journal of Cross-Cultural Gerontology. 2013; 28(2): 153-165. PMid:23636831. https://doi.org/10.1007/s10823-013-9189-2

[16]

Thomas PA, Liu H, Umberson D. Family relationships and wellbeing. Innovation in Aging. 2017; 1(3): igx025. PMid:29795792.https://doi.org/10.1093/geroni/igx025

[17]

Feng L, Nyunt MSZ, Gao Q, et al. Cognitive frailty and adverse health outcomes: findings from the Singapore Longitudinal Ageing Studies (SLAS). Journal of the American Medical Directors Association. 2017; 18(3): 252-258. PMid:27838339. https://doi.org/10.1016/j.jamda.2016.09.015

[18]

Hays JC. Living arrangements and health status in later life: A review of recent literature. Public Health Nursing. 2002; 19(2): 136-151. PMid:11860599. https://doi.org/10.1046/j.1525-1446.2002.00209.x

[19]

Li LW, Zhang J, Liang J. Health among the oldest-old in China:which living arrangements make a difference? Social Science & Medicine. 2009; 68(2): 220-227. PMid:19019514. https://doi.org/10.1016/j.socscimed.2008.10.013

[20]

Ye X, Burnette D, Cheng Z. Living arrangements and subjective well-being among older adults in China. Innovation in Aging. 2017; 1(Suppl 1): 377. https://doi.org/10.1093/geroni/igx004.1369

[21]

Han WJ, Li Y, Whetung C. Who We Live With and How We Are Feeling: A Study of Household Living Arrangements and Subjective Well-Being Among Older Adults in China. Research on Aging. 2021; 43(9-10): 388-402. PMid:33054559. https://doi.org/10.1177/0164027520961547

[22]

Kharicha K, Iliffe S, Harari D, et al. Health risk appraisal in older people 1: are older people living alone an “at-risk” group? British Journal of General Practice. 2007; 57(537): 271-276.

[23]

Administration for Community Living. 2020 profile of Profile of Older Americans. 2021. Available from: https://acl.gov/sites/default/files/Profile%20of%20OA/2020ProfileOlderAmericans_RevisedFinal.pdf

[24]

Gibson AK, Richardson VE. Living alone with cognitive impairment:Findings from the National Health and Aging Trends Study. American Journal of Alzheimer’s Disease & Other Dementias. 2017; 32(1):56-62. PMid:27831477. https://doi.org/10.1177/1533317516673154

[25]

Williams K, Umberson D. Marital status, marital transitions, and health: A gendered life course perspective. Journal of Health and Social Behavior. 2004; 45(1): 81-98. PMid:15179909. https://doi.org/10.1177/002214650404500106

[26]

Kang H, Michael YL. Social integration: How is it related to selfrated health? Advances in Aging Research. 2013; 2(1): 10-20.https://doi.org/10.4236/aar.2013.21002

[27]

Michael YL, Berkman LF, Colditz GA, et al. Living arrangements, social integration, and change in functional health status. American Journal of Epidemiology. 2001; 153(2): 123-131. PMid:11159156.https://doi.org/10.1093/aje/153.2.123

[28]

Henning-Smith C. Quality of life and psychological distress among older adults: The role of living arrangements. Journal of Applied Gerontology. 2016; 35(1): 39-61. PMid:24776792. https://doi.org/10.1177/0733464814530805

[29]

Zhou Z, Cai L, Zhuang M, et al. A longitudinal analysis of the association between the living arrangements and psychological well-being of older Chinese adults: the role of income sources. BMC Geriatrics. 2019; 19(1): 1-9. PMid:31822282. https://doi.org/10.1186/s12877-019-1371-0

[30]

Chan A, Malhotra C, Malhotra R, et al. Living arrangements, social networks and depressive symptoms among older men and women in Singapore. International Journal of Geriatric Psychiatry. 2011; 26(6):630-639. PMid:20677171. https://doi.org/10.1002/gps.2574

[31]

Do YK, Malhotra C. The effect of coresidence with an adult child on depressive symptoms among older widowed women in South Korea: An instrumental variables estimation. Journals of Gerontology:Series B. 2012; 67(3): 384-391. PMid:22421809. https://doi.org/10.1093/geronb/gbs033

[32]

Korinek K, Zimmer Z, Gu D. Transitions in marital status and functional health and patterns of intergenerational coresidence among China’s elderly population. Journals of Gerontology: Series B. 2011; 66(2): 260-270. PMid:21310771. https://doi.org/10.1093/geronb/gbq107

[33]

Henning-Smith C, Shippee T, Capistrant B. Later-life disability in environmental context: Why living arrangements matter. The Gerontologist. 2018; 58(5): 853-862. PMid:28379425. https://doi.org/10.1093/geront/gnx019

[34]

Henning-Smith C, Gonzales G. The relationship between living alone and self-rated health varies by age: evidence from the National Health Interview Survey. Journal of Applied Gerontology. 2020; 39(9): 971-980. PMid:30894044. https://doi.org/10.1177/0733464819835113

[35]

Weissman JD, Russell D.Relationships between living arrangements and health status among older adults in the United States, 2009-2014: findings from the National Health Interview Survey. Journal of Applied Gerontology. 2018; 37(1): 7-25. PMid:27353832.https://doi.org/10.1177/0733464816655439

[36]

Smith J, Ryan LH, Fisher GG, et al. HRS psychosocial and lifestyle questionnaire 2006-2016. Ann Arbor, MI: Survey Research Center, Institute for Social Research, University of Michigan, 2006-2016.2017.

[37]

Crosswell AD, Suresh M, Puterman E, et al. Advancing research on psychosocial stress and aging with the Health and Retirement Study: Looking back to launch the field forward. The Journals of Gerontology: Series B. 2020; 75(5): 970-980. PMid:30219831.https://doi.org/10.1093/geronb/gby106

[38]

Jivraj S, Nazroo J, Vanhoutte B, et al. Aging and Subjective Well-Being in Later Life. The Journals of Gerontology: Series B. 2014; 69(6): 930-41. PMid:24569002. https://doi.org/10.1093/geronb/gbu006

[39]

Ng ST, Tey NP, Asadullah MN. What matters for life satisfaction among the oldest-old? Evidence from China. PLoS One. 2017; 12(2):e0171799. PMid:28187153. https://doi.org/10.1371/journal.pone.0171799

[40]

Tang F, Chen H, Zhang Y, et al. Employment and Life Satisfaction Among Middle- and Old-Aged Adults in China. Gerontology and Geriatric Medicine. 2018. PMid:30038952. https://doi.org/10.1177/2333721418778202

[41]

Allin S, Masseria C, Mossialos E. Measuring socioeconomic differences in use of health care services by wealth versus by income. American Journal of Public Health. 2009; 99(10): 1849-1855.PMid:19150899. https://doi.org/10.2105/AJPH.2008.141499

[42]

Pollack CE, Chideya S, Cubbin C, et al. Should health studies measure wealth: A systematic review. American Journal of Preventive Medicine. 2007; 33(3): 250-264. PMid:17826585. https://doi.org/10.1016/j.amepre.2007.04.033

[43]

Russell D. Living arrangements, social integration, and loneliness in later life: The case of physical disability. Journal of Health and Social Behavior. 2009; 50(4): 460-475. PMid:20099451. https://doi.org/10.1177/002214650905000406

[44]

Greenfield EA, Russell D. Identifying living arrangements that heighten risk for loneliness in later life: Evidence from the US National Social Life, Health, and Aging Project. Journal of Applied Gerontology. 2011; 30(4): 524-534. https://doi.org/10.1177/0733464810364985

[45]

Jin Q, Pearce P, Hu H. The study on the satisfaction of the elderly people living with their children. Soc Indic Res. 2018; 140(3): 1159-72.https://doi.org/10.1007/s11205-017-1803-1

[46]

Yigen H, Gunay O, Borlu A. Relationship between living arrangements,quality of life and depressive symptoms of older adults. Medicine Science. 2018; 7(1): 1-7. https://doi.org/10.5455/medscience.2017.06.8724

[47]

Wang H, Chen K, Pan Y, et al. Associations and impact factors between living arrangements and functional disability among older Chinese adults. PLoS One. 2013; 8(1): e53879. PMid:23342030.https://doi.org/10.1371/journal.pone.0053879

[48]

Koskinen S, Joutsenniemi K, Martelin T, et al. Mortality differences according to living arrangements. International Journal of Epidemiology. 2007; 36(6): 1255-1264. PMid:17971389. https://doi.org/10.1093/ije/dym212

[49]

Kolanowski AM, Van Haitsma K, Meeks S, et al. Affect balance and relationship with well-being in nursing home residents with dementia. American Journal of Alzheimer’s Disease & Other Dementias. 2014; 29(5): 457-462. PMid:24408751. https://doi.org/10.1177/1533317513518657

[50]

Kunzmann U, Little TD, Smith J. Is age-related stability of subjective well-being a paradox? Cross-sectional and longitudinal evidence from the Berlin Aging Study. Psychology and Aging. 2000; 15(3):511-526. PMid:11014714. https://doi.org/10.1037/0882-7974.15.3.511

[51]

Cheung F, Lucas RE. When does money matter most? Examining the association between income and life satisfaction over the life course. Psychology and Aging. 2015; 30(1): 120. PMid:25621741.https://doi.org/10.1037/a0038682

[52]

Hansen T. The age and well-being paradox revisited: a multidimensional perspective. Innovation in Aging. 2020; 4(Suppl 1): 459.https://doi.org/10.1093/geroni/igaa057.1485

[53]

Hansen T, Slagsvold B. The age and subjective well-being paradox revisited: A multidimensional perspective. Norsk Epidemiologi. 2012; 22(2).

[54]

Inal S, Subasi F, Ay SM, et al. The links between health-related behaviors and life satisfaction in elderly individuals who prefer institutional living. BMC Health Services Research. 2007; 7(1): 1-7.PMid:17326842. https://doi.org/10.1186/1472-6963-7-30

[55]

Lee H, Vlaev I, King D, et al. Subjective well-being and the measurement of quality in healthcare. Social Science & Medicine. 2013; 99: 27-34. PMid:24355467. https://doi.org/10.1016/j.socscimed.2013.09.027

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