Browse > Article
http://dx.doi.org/10.14400/JDC.2020.18.8.343

The Impact of Social Isolation on Health-related Quality of Life of Older Adults Living Alone  

Kim, Ahrin (Department of Nursing, College of Health and Medical Science, Cheongju University)
Publication Information
Journal of Digital Convergence / v.18, no.8, 2020 , pp. 343-351 More about this Journal
Abstract
The purpose of this study was to investigate social networks, loneliness, and sleep quality related to health-related quality of life in older adults living alone. Data were collected from 111 community-dwelling elderly. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regressions with IBM SPSS 26.0 program. In multiple regression analysis, physical component summary (PCS) was predicted by the level of education (β=.20, p=.020), social networks (β=.31, p=.012), and sleep quality (β=-.23, p=.011). The model including these variables accounted for 25.7% of the variance in the PCS. Mental component summary (MCS) was predicted by loneliness (β=-.37, p=.004). Loneliness accounted for 31.7% of the variance in the MCS. In order to enhance the health-related quality of life of the older adults living alone, the intervention program to resolve social isolation should be provided for them.
Keywords
Older Adult; Living Alone; Social Isolation; Social Networks; Loneliness; Health-related Quality of Life;
Citations & Related Records
Times Cited By KSCI : 9  (Citation Analysis)
연도 인용수 순위
1 D. Russell, L. A. Peplau, & C. E. Cutrona. (1980). The Revised UCLA Loneliness Scale: Concurrent and Discriminant Validity Evidence. Journal of Personality and Social Psychology, 39(3), 472-480. DOI : 10.1037//0022-3514.39.3.472   DOI
2 O. S. Kim. (1997). Korean Version of the Revised UCLA Loneliness Scale: Reliability and Validity Test. Journal of Korean Academy of Nursing, 27(4), 871-879.
3 D. J. Buysse, C. F. Reynolds, T. H. Monk, S. R. Berman, & D. J. Kupfer. (1989). The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research. Psychiatry Research, 28(2), 193-213. DOI : 10.1016/0165-1781(89)90047-4   DOI
4 J. E. Jr. Ware, M. Kosinski, D. M. Turner-Bowker, M. Sundaram, B. Gandek, & M. E. Maruish. (2009). SF-12v2 Health Survey: Administration Guide for Clinical Trial Investigators. Lincoln, RI: QualityMetric Incorporated.
5 S. B. Rafnsson, A. Shankar, & A. Steptoe. (2015). Longitudinal Influences of Social Network Characteristics on Subjective Well-being of Older Adults: Findings from the ELSA Study. Journal of Aging and Health, 27(5), 919-934. DOI : 10.1177/0898264315572111   DOI
6 J. Golden, R. M. Conroy, & B. A. Lawlor. (2009). Social Support Network Structure in Older People: Underlying Dimensions and Association with Psychological and Physical Health. Psychology, Health & Medicine, 14(3), 280-290. DOI : 10.1080/13548500902730135   DOI
7 S. Y. Sohn et al. (2017). Social Network Types among Older Korean Adults: Associations with Subjective Health. Social Science & Medicine, 173(C), 88-95. DOI : 10.1016/j.socscimed.2016.11.042   DOI
8 J. H. Lee, E. H. Kim, & S. R. Suh. (2018). The Relation Between Frailty, Social Support, and Health-related Quality of Life in Old-Old Elderly, Journal of the Korean Gerontological Society 38(4), 891-903. DOI: 10.31888/JKGS.2018.38.4.891   DOI
9 J. I. Kim. (2013). Levels of Health-related Quality of Life (EQ-5D) and Its Related Factors among Vulnerable Elders Receiving Home Visiting Health Care Services in Some Rural Areas. Journal of Korean Academy of Community Health Nursing, 24(1), 99-109.   DOI
10 J. D. Kim & M. H. Lee. (2020). The Impact of Social Network on Quality of Life among the Older Adults Collecting and Selling Wastepaper, Journal of Public Policy Studies, 37(1), 149-171.   DOI
11 J. W. Yoon & K. W. Um. (2015). A Study on the Moderating Effect of Female Elders' Positive Social Network Function on the Relationship Between the Frequency of Contacts with Social Networks and Successful Aging. Korean Journal of Gerontological Social Welfare, 69, 171-192.
12 S. W. Su & D. Wang (2019). Health-related Quality of Life and Related Factors among Elderly Persons under Different Aged Care Models in Guangzhou, China: A Cross-sectional Study. Quality of Life Research, 28(5), 1293-1303. DOI : 10.1007/s11136-019-02107-x   DOI
13 A. Shankar, A. McMunn, J. Banks, & A. Steptoe. (2011). Loneliness, Social Isolation, and Behavioral and Biological Health Indicators in Older Adults. Health Psychology, 30(4), 377-385. DOI: 10.1037/a0022826   DOI
14 Ministry of Health and Welfare. (2018). The Second Measures for Comprehensive Support for the Elderly Living Alone. Ministry of Health and Welfare (Online). http://www.mohw.go.kr/
15 Korea Institute for Health and Social Affairs. (2017). 2017 National Survey of Older Koreans. Sejong: Ministry of Health and Welfare.
16 World Heath Organization. (2020). WHOQOL: Measuring Quality of Life. WHO(Online). https://www.who.int/healthinfo/survey/whoqol-qualityoflife/en/
17 M. Sajid, A. Tonsi, & M. Baig. (2008). Health-related Quality of Life Measurement. International Journal of Health Care Quality Assurance, 21(4), 365-373. DOI: 10.1108/09526860810880162   DOI
18 C. A. Depp & D.V. Jeste. (2006). Definitions and Predictors of Successful Aging: A Comprehensive Review of Larger Quantitative Studies. The American Journal of Geriatric Psychiatry, 14(1), 6-20. DOI: 10.1097/01.JGP.0000192501.03069.bc   DOI
19 Y. Luo, L. C. Hawkley, L. J. Waite, & J. T. Cacioppo. (2012). Loneliness, Health, and Mortality in Old Age: A National Longitudinal Study. Social Science & Medicine, 74(6), 907-914. DOI: 10.1016/j.socscimed.2011.11.028   DOI
20 A. Hawton et al. (2011). The Impact of Social Isolation on The Health Status and Health-Related Quality of Life of Older People. Quality of Life Research, 20(1), 57-67. DOI:10.1007/s11136-010-9717-2   DOI
21 E. N. Kang. (2018). Labour Force Participation and Social Participation among Older Adults in Korea, Health and Welfare Policy Forum, 264, 44-55.
22 J. Golden et al. (2009). Loneliness, Social Support Networks, Mood and Wellbeing in Community‐ Dwelling Elderly. International Journal of Geriatric Psychiatry, 24(7), 694-700. DOI: 10.1002/gps.2181   DOI
23 E. Y. Shin. (2016). Relationships between Health Status, Physical Activity Level, Health related Quality of Life and Sleep Duration in the Elderly. Korean Public Health Research, 42(3), 53-65.   DOI
24 T. J. Holwerda, D. J. Deeg, A. T. Beekman, T. G. van Tilburg, M. L. Stek, C. Jonker, & R. A. Schoevers. (2014). Feelings of Loneliness, but not Social Isolation, Predict Dementia Onset: Results from the Amsterdam Study of the Elderly (AMSTEL). Journal of Neurology, Neurosurgery & Psychiatry, 85(2), 135-142. DOI: 10.1136/jnnp-2012-304479   DOI
25 H. Choi, M. R. Irwin, & H. J. Cho. (2015). Impact of Social Isolation on Behavioral Health in Elderly: Systematic Review. World Journal of Psychiatry, 5(4), 432-438. DOI: 10.5498/wjp.v5.i4.432   DOI
26 E. H. Kim & Y. K. Kim. (2010). Factors related to the Health Related Quality of Life among Institutionalized Elders. Korean Journal of Adult Nursing, 22(3), 281-290.
27 S. M. Moon. (2017). Gender Differences in The Impact of Socioeconomic, Health-Related, and Health Behavioral Factors on the Health-related Quality of Life of the Korean Elderly. Journal of Digital Convergence, 15(6), 59-271. DOI: 10.14400/JDC.2017.15.6.259   DOI
28 M. J. Kim & G. S. Song. (2020). The Effect of Mental Health on the Health-Related Quality of Life among the Elderly in Busan. Journal of Digital Convergence, 18(5), 269-277. DOI: 10.14400/JDC.2020.18.5.269   DOI
29 H. S. Kim. (2019). The Factors of Affecting on the Health-related Quality of Life for Young-Old and Old-Old in Women Living Alone. Journal of the Korean Applied Science and Technology, 36(1), 59-72. DOI: 10.12925/jkocs.2019.36.1.59   DOI
30 H. S. Kim. (2017). Effect Of Pain, Nutritional Risk, Loneliness, Perceived Health Status on Health-related Quality of Life in Elderly Women Living Alone. Journal of the Korea Convergence Society, 8(7), 207-218. DOI : 10.15207/JKCS.2017.8.7.207   DOI
31 J. Lubben & M. Gironda. (2003). Centrality of Social Ties to the Health and Well-being of Older Adults. In: L. F. Berkman & L. Harootyan (Eds.), Social Work and Health Care in an Aging Society (pp. 319-350). New York, NY: Springer.
32 J. S. Park & Y. J. Yu. (2016). Convergence Factors Influencing the Quality of Life in the Elderly People Living Alone, Journal of Digital Convergence, 14(11), 63-70. DOI : 10.14400/JDC.2016.14.11.63   DOI
33 A. Kim & O. Kim. (2015). The Path Model Based on Senescent Sleep Model for Sleep in Community-Dwelling Older Adults. Korean Journal of Adult Nursing, 27(2), 211-222. DOI : 10.7475/kjan.2015.27.2.211   DOI
34 F. Faul, E. Erdfelder, A. Buchner, & A. G. Lang. (2009). Statistical Power Analyses Using G*Power 3.1: Tests for Correlation and Regression Analyses. Behavior Research Methods, 41, 1149-1160. DOI : 10.3758/BRM.41.4.1149   DOI
35 M. Hong, B. L. Casado, & D. Harrington. (2011). Validation of Korean Versions of the Lubben Social Network Scales in Korean Americans. Clinical Gerontologist, 34(4), 319-334. DOI : 10.1080/07317115.2011.572534   DOI