Korean J Health Promot.  2020 Sep;20(3):102-107. 10.15384/kjhp.2020.20.3.102.

Association between Living Alone and Multimorbidity in the Elderly

Affiliations
  • 1Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
  • 2Department of Family Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea

Abstract

Background
The relationship between solitary life and multimorbidity among older people in Korea is not clear. We aimed to examine the association between solitary life and the prevalence of multimorbidity among Korean older people.
Methods
We analyzed the data from the Korea National Health and Nutrition Examination Survey Ⅶ (2016-2018) using multivariable logistic regression analysis. The study included 4,244 individuals aged ≥60 years.
Results
Multimorbidity was reported in 31.0% of the participants. The rate of multimorbidity was significantly higher in older people living alone compared to those living with their families. After adjusting for confounding variables such as age, sex, smoking status, alcohol consumption, body mass index (BMI), educational level, and personal income, older people living alone were significantly associated with higher risks of having multimorbidity compared to those living with their families (odds ratio, 1.24; 95% confidence interval, 1.04-1.48).
Conclusions
Since there is a risk of multimorbidity in older people living alone, it is necessary to examine whether multimorbidity exists in older people living alone.

Keyword

Aged peolple; Living alone; Chronic disease; Multimorbidity

Figure

  • Fig. 1. Study profile.


Reference

1. Shin HY, Lee JY, Song J, Lee S, Lee J, Lim B, et al. Cause-of-death statistics in the Republic of Korea, 2014. J Korean Med Assoc. 2016; 59(3):221–32.
Article
2. You KS, Park HS. Compison of health status between senior people living alone and those who live with their families. JKGS. 2003; 23(4):163–79.
3. Park YD. A study on the social welfare service of the elderly living alone in the protection of life [dissertation]. Seoul: Dongguk University;1997. Korean.
4. Joo SS, Yoon SR. A comparative study on the general health between the couple and single aged. J Korean Gerontol Soc. 1993; 13:55–62.
5. Steinbach U. Social networks, institutionalization, and mortality among elderly people in the United States. J Gerontol. 1992; 47(4):S183–90.
Article
6. Fortin M, Stewart M, Poitras ME, Almirall J, Maddocks H. A systematic review of prevalence studies on multimorbidity: toward a more uniform methodology. Ann Fam Med. 2012; 10(2):142–51.
Article
7. Kim CH, Lee MR, Yoo WS. Common combinations of chronic diseases in multimorbidity and their effect on healthcare cost in Korea. KJHEP. 2014; 20(4):81–102.
8. Lehnert T, Heider D, Leicht H, Heinrich S, Corrieri S, Luppa M, et al. Review: health care utilization and costs of elderly persons with multiple chronic conditions. Med Care Res Rev. 2011; 68(4):387–420.
Article
9. Kim CH, Hwang I, Yoo WS. The common patterns of multimorbidity and its impact on healthcare cost in Korea. Health Policy and Management. 2014; 24(3):219–27.
Article
10. Brody EM. Long-term care of older people: a practical guide. 1st ed. New York: Human Sciences Press;1977. p. 103–112.
11. Kim YI, Kim YY, Yoon JL, Won CW, Ha S, Cho KD, et al. Cohort Profile: national health insurance service-senior (NHIS-senior) cohort in Korea. BMJ Open. 2019; 9(7):e024344.
Article
12. Choi YS. Chronic disease regular doctors pilot project model development. Wonju: National Health Insurance Service;2009.
13. Jung YH, Ko S, Kim EJ. A study on the effective chronic disease management. Sejong: Korean Institute for Health and Social Affairs;2013.
14. United States US Department of Health, Education, and Welfare, Public Health Service, Health Resources Administration. Hyattsville: National Center for Health Statistics;2002.
15. van den Akker M, Buntinx F, Roos S, Knottnerus JA. Problems in determining occurrence rates of multimorbidity. J Clin Epidemiol. 2001; 54(7):675–9.
Article
16. van Weel C, Schellevis FG. Comorbidity and guidelines: conflicting interests. Lancet. 2006; 367(9510):550–1.
Article
17. Smith SM, O'Kelly S, O'Dowd T. GPs' and pharmacists' experiences of managing multimorbidity: a ‘Pandora's box’. Br J Gen Pract. 2010; 60(576):285–94.
Article
18. Guthrie B, Payne K, Alderson P, McMurdo ME, Mercer SW. Adapting clinical guidelines to take account of multimorbidity. BMJ. 2012; 345:e6341.
Article
19. World Health Organization (WHO). Global action plan for the prevention and control of NCDs 2013-2020 [Internet]. Geneva: WHO;2020. [Accessed 2020 Feb 20]. Available from: https://www.who.int/nmh/events/ncd_action_plan/en/.
20. Sok SR. A comparative study on physical health status, family support, and life satisfaction between the aged living alone and living with family. J Korean Acad Community Health Nurs. 2008; 19(4):564–74.
21. Kim YS. The study of the impact of the family type on the health promoting behavior and physical and mental health of elderly people. Health Soc Welf Rev. 2014; 34(3):400–29.
22. Kim OH. Analysis of effects which social supports and cohabiting influence on the elderly's mental health. J Scie Res. 2013; 22:235–56.
23. Han HK, Lee YR. A study on factors impacting on the mental health level of the elderly people living alone. J Korean Gerontol Soc. 2009; 29(3):805–22.
24. Choi Y. Economic and health status, social support and depression of the elderly living alone. Social Science Research Review. 2008; 24(4):103–23.
25. Bae SH. Study of the female elderly person who live alone in the farm and fishing village on the relationship between their exchange degree of social support and depression [dissertation]. Seosan: Hanseo University;2007. Korean.
26. Kim SH, Kang HJ, Kim YJ. The effects of a social network for female elders living alone in rural and fishing villages on their quality of life. Korean J Fam Welf. 2008; 13(3):51–71.
27. Kim TH, Jun GY. A study on the conjugal support, the share of household activities and marital adjustment in old age. JKGS. 1997; 17:167–82.
28. Kim TH, Kim SJ. A study on the solidarity between the elderly and their three generations, and depression of the elderly. J Korean Gerontol Soc. 1996; 16(1):110–29.
Full Text Links
  • KJHP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr