Mental Health Status and Factors related on Mental Health Status of the Older Adults Living Alone in Mueang District, Khon Kaen Province

  • sarinrut Juntapim Khon Kaen University
  • Ampornpun Theranut Faculty of Nursing, Khon Kaen University
Keywords: mental health status, older adults living alone, urban community

Abstract

This descriptive research aimed to examine mental health status and factors related to mental health conditions among the elderly in urban communities. The study sample consisted of elderly people aged 60 years and over living alone in Muang district. Khon Kaen Province, 400 people selected according to the specified qualifications Data was collected between August and December 2020. The tools used for data collection consisted of general questionnaire. problem management questionnaire Family relationship assessment form Social Support Assessment and the short 15-item mental health index test for the elderly had an alpha coefficient. Cronbach were 0.92, 0.94, 0.93 and 0.97, respectively, data were analyzed by descriptive statistics and Pearson's correlation coefficient statistics.

The results showed that most of the sample group, 57.75 percent, had a score of mental health status below the norm. (Mental Health Score = 42.03, SD = 4.26) Gender factor Education level, income, health status, coping patterns were positively correlated with mental health status of the elderly alone (r= .16, r=.15, r=.13, r=.12, r. =.35, p < .05 respectively) Social support and family relationships were positively correlated with mental health status of the elderly alone at moderate level (r=.43 ,r=.57, p <.05, respectively).

Government agencies and other relevant organizations should be designed to assist in the provision of welfare and social support for the older adults living alone.

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References

1. World Health Organisation. Aging and life-course [Databsed on the Internet].2018 [cited 2018 December 20 ]. Availiable from : http://www.who.int/ageing/en.com.
2. World Health Organisation. The mental health of older adults[Databsed on the Internet]. 2018 [cited 2018 December 20 ]. Availiable from http://www.who.int/news- room/fact-sheets/detail/mental-health-of-older-adults .
3. Statistical Office of Thailand. Report on the 2017 survey of the older persons in Thailand [Databsed on the Internet]. [cited 2018 December 20]. Availiable from http://www.nso.go.th/sites/2014en/Survey/ social/domographic/OlderPersons/2017/Full%20 Report_080618.pdf
4. National Statistical Office Office of the Prime Minister. Thailand's key statistical data collection [Databsed on the Internet].2020 [cited 2017 December 20 ]. Availiable from Source : http : //www.nso.go.th.
5. Knodel J, Teerawichitchainan B, Prachuabmoh V, Pothisiri W. The situation of Thailand’s older population: An update based on the 2014 survey of older persons in Thailand. Institute for Social Research, Population Study Center, University of Michigan; 2015.
6. George L.K. Still happy after all these years : Research frontiers on sugbjectivewell-being in later life. Journal Gerontology Social Sciology 2010; 65 (4) : 229-331.
7. Williams L, Zhang R, Packard K.C. Factors affecting the physical and mental health of older adults in China: the importance of marital status, child proximity, and gender. SSM Popul Health 2017; 3: 20–36.
8. Gray R.S, Rukumnuaykit P.l, Kittisuk-sathit S, Thongtha V. Inner happiness among Thai elderly. Journal Cross Cultural Gerontology 2008; 23 : 211-224.
9. Collin, A.L., Goldman, N, and Rodriguez, G. Is positive well-being protective of mobility limitation among older abults?, J. Gerontol. Psychol. Sci. 2008, 63 : 321-327.
10. Chuanwan S. The situation in Aging living alone. The situation in Aging Report.Bangkok.2018.
11. Lazarus R.S, Folkman S. The Concept of coping, In Monat, A. and Lazarus R.S. (Eds.). Stress and Coping an Anthology, 3rd Ed., Columbia University Press, New York ; 1991.
12. Elliott S, Painter J, Hudson S. Living alone and fall risk factors in community-dwelling middle age and older adults. Journal of Community Health 2019; 34:301–310.
13. Gaymu J, Springer S, Stringer L. How does living alone or with a partner influence life satisfaction among older men and women in Europe? Population 2012; 67: 43–69.
14. Lazarus R.S, Folkman S.The Concept of coping, In Monat, A. and Lazarus, R.S. (Eds.). Stress and Coping an Anthology, 3rd Ed., Columbia University Press, New York; 1991.
15. Weinert C. Measuring social support: PRQ2000. In O.Strickland & C. Dilorio (Eds.), Measurement of nursing outcome (pp. 161–172). New York: Springer; 2003.
16. Friedman M.M. Family nursing :theory and assessment. 2nded. New York: Appleton- Century Crofs; 1986.
17. Polit D, Hungler B. Nursing Research: Principle and Method, 7th ed.; Philadelphia: Lippincott Company, USA ; 2004.
18. Mongkol A, Yongyut Y, Tangseree T, Hatpana W, RomSai P, Jutha W. (2009). Development and testing of Thai mental health indicators . The community printing press; 2007.
19. Lee M, Kim K. Prevalence and risk factors for self-neglect among older adults living alone in South Korea. Internaltional Journal Aging Human Development 2014;78(2) : 115-131.
20. Meemon N, Paek S. C. Factors associated with unmet need for healthcare among older adults in Thailand. Asia-Pacific Social Science Review 2019; 19(2): 180–191.
21. Mouodi, S., Bijani, A., Hosseini, S. R., & Hajian-Tilaki, K. (2016). Gender differences in the health status of elderly living alone compared to those who are not alone: Evidence of the AHAP study, North of Iran. Caspian Journal of Internal Medicine2016; 7(2): 126– 132.
22. Pao-Chen, Lin., & Hsiu-Hung, Wang. Factors associated with depressive symptoms among older adults living alone: An analysis of sex difference, Aging & Mental Health2011; 15(8), 1038-1044.
23. Wee L.E, Yong Y.Z, Chng M. X.Individual and area-level socioeconomic status and their association with depression amongst community-dwelling older adults in Singapore. Aging Ment Health 2014; 18 (3) : 628–64.
24. Razak, M. G., Kabila, A. & Samuel, A. G.( 2020). How do lifestyle choices affect the link between living alone and psychological distress in older age? The result from the AgeHeaPsyWel- HeaSeeB Study.BMC Public Health,20, doi.org/10.1186/s12889-020-08870-8.
25. Doubova S. V, Pérez-Cuevas R, Espinosa-Alarcón P, Flores-Hernández S. (2010). Social network types and functional dependency in older adults in Mexico. BMC Public Health 2010; 10:104-114.
26. Evans I. E. M, Llewellyn D. J, Matthews F. E, Woods R. T, Brayne C, Clare L. Living alone and cognitive function in later life. Archives of Gerontology and Geriatrics 2019; 81:143-154.
27. George L.K. Still happy after all these years: Research frontiers on subjective well-being in later life, Journal Gerontology Social Science 2010; 65: 229-331.
28. Gyasib R.M, Yeboah A. A, Mensah C.M, Ouedraogo R, Addae E.A. Neighborhood, social isolation and mental health outcome among older people in Ghana. (2019), Journal Affect Disorder 2019; 159:154– 163.
29. Huang L. H, Lin Y. C. The health status and needs of community elderly living alone. Journal of Nursing Research 2002; 10(3), 227–236.
30. Huxhold O, Fiori K.L, Windsor T.D.(2013). The dynamic interplay of social network characteristics, subjective well-being, and health: The costs and benefits of socio-emotional selectivity. Psychology Aging 2013; 28 :3–16.
31. Jacob L, Haro J.M, Koyanagi A. Relationship between living alone and common mental disorders in the 1993, 2000 and 2007 National Psychiatric Morbidity Surveys. PLoS One2019;4 (5) :11-15.
32. Kharicha K, Iliffe S, Harari D, Swift C, Gillmann G, Stuck A. E. Health risk appraisal in older people : Are older people living alone an ‘at-risk’ group?. British Journal of General Practice 2007; 57(537), 271–276.
33. Somboonsit C. Relationship between Demographic Factors in activities in everyday life with satisfaction in the life of the older adults, Master's Thesis, Mahidol University, Bangkok; 2009.
34. Kullanit A, Taneepanichskul N.Transportation barriers on healthcare utilization among elderly population living in Mahasarakham Province, Thailand. Journal of Health Research2017; 31 (Suppl.2): S233–S238.
35. Stone J, Evandrou M, Falkngham J. The transition to living alone and psychological distress in later life. Age Ageing 2013; 42:366-72.
36. Tong H.M, Lai D.W, Zeng Q. Effects of social exclusion on depressive symptoms: older adults Chinese living alone in Shanghai, China. Journal Cross Cultural Gerontology 2011; 26: 349–364.
Published
2021-09-30