{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T13:01:56Z","timestamp":1784034116666,"version":"3.55.0"},"reference-count":54,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2017,10,7]],"date-time":"2017-10-07T00:00:00Z","timestamp":1507334400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>We examined the relationship between living alone and the prevalence of depressive symptoms in older Korean widows and assessed the individual contributions of health, social ties, and socioeconomic factors to the development of depressive symptoms. The study was a secondary analysis using data from widows, 65 years of age and older, who participated in the Living Profiles of Older People Survey (LPOPS). A logistic regression analysis was used to evaluate the contributions of health, social ties, and socioeconomic factors to the development of depressive symptoms. Working status and equivalent household income were significantly associated with depressive symptoms in both those living with others and those living alone. Adjustment for health status and social ties did not change the impact of living alone on the prevalence of depressive symptoms. However, adjustment for equivalent household income eliminated the negative association between living alone and depressive symptoms. Our findings indicate that economic resources are more important than health and social ties for alleviating the negative impact of living alone on the development of depressive symptoms in older widows.<\/jats:p>","DOI":"10.3390\/ijerph14101191","type":"journal-article","created":{"date-parts":[[2017,10,9]],"date-time":"2017-10-09T11:25:35Z","timestamp":1507548335000},"page":"1191","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Impact of Living Alone on Depressive Symptoms in Older Korean Widows"],"prefix":"10.3390","volume":"14","author":[{"given":"Gyeong-Suk","family":"Jeon","sequence":"first","affiliation":[{"name":"Department of Nursing Science and Research Institute of Women, Mokpo National University, 1666 Yeongsan-ro, Cheonggye-myeon, Muan-gun, Jeonam 534-729, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyungwon","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Nursing, Korea National University of Transportation, 61 Daehak-ro, Jeungpyeong-gun Chungbuk 27909, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung-Il","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Public Health Science, Graduate school of Public Health and Institute of Health and Environment, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2017,10,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s12126-001-1016-3","article-title":"Late-life widowhood in the United States: New directions in research and theory","volume":"27","author":"Carr","year":"2001","journal-title":"Ageing Int."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1080\/13607860600641150","article-title":"Living alone and depression in Chinese older adults","volume":"10","author":"Chou","year":"2006","journal-title":"Aging Ment. Health"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1093\/geronb\/gbn002","article-title":"Living alone and depressive symptoms: The influence of gender, physical disability, and social support among Hispanic and non-Hispanic older adults","volume":"64","author":"Russell","year":"2009","journal-title":"J. Gerontol. B Psychol. Sci. Soc. Sci."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1111\/j.1479-8301.2012.00402.x","article-title":"Living alone is associated with depression among the elderly in a rural community in Japan","volume":"12","author":"Fukunaga","year":"2012","journal-title":"Psychogeriatrics"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1177\/0733464814530805","article-title":"Quality of life and psychological distress among older adults: The role of living arrangements","volume":"35","year":"2016","journal-title":"J. Appl. Gerontol."},{"key":"ref_6","unstructured":"United Nations, Department of Economic and Social Affairs, Population Division (2013). World Population Aging 2013, United Nations Publication. ST\/ESR.A\/348."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.4054\/DemRes.2015.32.43","article-title":"Long-term trends in living alone among Korean adults: Age, gender, and educational differences","volume":"32","author":"Park","year":"2015","journal-title":"Demogr. Res."},{"key":"ref_8","first-page":"294","article-title":"Elderly widows living alone: Is it a case of desertion, retraction, or locating space?","volume":"29","author":"Chinnappan","year":"2015","journal-title":"Indian J. Gerontol."},{"key":"ref_9","first-page":"271","article-title":"Health risk appraisal in older people: Are older people living alone an \u2018\u2018at-risk\u2019\u2019 group?","volume":"57","author":"Kharicha","year":"2007","journal-title":"Br. J. Gen. Pract."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1300\/J083v33n04_05","article-title":"Comparison between elderly Chinese living alone and those living with others","volume":"33","author":"Chou","year":"2000","journal-title":"J. Gerontol. Soc. Work"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/089826439200400101","article-title":"The influence of living alone on depression in elderly persons","volume":"4","author":"Dean","year":"1992","journal-title":"J. Aging Health."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1111\/j.1447-0594.2006.00351.x","article-title":"Subjective well-being as a predictor of all-cause mortality among middle-aged and elderly people living in an urban Japanese community: A seven-year prospective cohort study","volume":"6","author":"Iwasa","year":"2006","journal-title":"Geriatr. Gerontol. Int."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1093\/ageing\/aft006","article-title":"The transition to living alone and psychological distress in later life","volume":"42","author":"Stone","year":"2013","journal-title":"Age Ageing"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1002\/gps.896","article-title":"Factors associated with depression in a representative sample of 14,217 people aged 75 and over in the United Kingdom: Results from the MRC trial of assessment and management of older people in the community","volume":"18","author":"Osborn","year":"2003","journal-title":"Int. J. Geriatr. Psychiatry"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1111\/j.1741-6612.2004.00044.x","article-title":"Relationship between living arrangements and the psychological well-being of older people in Hong Kong","volume":"23","author":"Ng","year":"2004","journal-title":"Am. J. Ageing"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1093\/aje\/153.2.123","article-title":"Living arrangements, social integration, and change in functional health status","volume":"153","author":"Michael","year":"2001","journal-title":"Am. J. Epidemiol."},{"key":"ref_17","first-page":"125","article-title":"Family tree and family therapy","volume":"40","author":"Goto","year":"1988","journal-title":"Jpn. Assoc. Fam. Ther."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"128","DOI":"10.3346\/jkms.2013.28.1.128","article-title":"Prevalence and correlates of depressive symptoms in Korean adults: results of a 2009 Korean community health survey","volume":"28","author":"Oh","year":"2013","journal-title":"J. Korea Med. Sci."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1017\/S0033291799008971","article-title":"The impact of widowhood on depression: Findings from a prospective survey","volume":"29","author":"Carnelley","year":"1999","journal-title":"Psychol. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1300\/J074v15n02_02","article-title":"Increased hospitalization risk for recently widowed older women and protective effects of social contacts","volume":"15","author":"Laditka","year":"2003","journal-title":"J. Women Aging"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2307\/3090242","article-title":"Health in household context: Living arrangements and health in late middle age","volume":"43","author":"Hughes","year":"2002","journal-title":"J. Health Soc. Behav."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1111\/j.1466-7657.2011.00946.x","article-title":"A comparison of the factors influencing life satisfaction between Korean older people living with family and living alone","volume":"59","author":"Shin","year":"2012","journal-title":"Int. Nurs. Rev."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"83","DOI":"10.6107\/JKHA.2011.22.6.083","article-title":"A study on the factors affecting decisions by the super-aged on their preference of living with their children and continuously living in their current houses","volume":"22","author":"Kwak","year":"2011","journal-title":"J. Korea Hous. Assoc."},{"key":"ref_24","first-page":"163","article-title":"The differences and determinants in the perception on old-age support across generations in Korea","volume":"29","author":"Seok","year":"2009","journal-title":"Health Soc. Welf. Rev."},{"key":"ref_25","unstructured":"Kim, M.R. (2008). The effect of parental expectation of filial responsibility, parental role expectation and intergenerational solidity on depressive symptoms and life satisfaction. Korea J. Fam. Soc. Work."},{"key":"ref_26","unstructured":"(2017, June 06). Living Profiles of Older People Survey. Available online: http:\/\/www.korea.kr\/archive\/expDocView.do?docId=36342."},{"key":"ref_27","unstructured":"(2017, June 06). Korea Statistics. Available online: https:\/\/www.narastat.kr\/ies\/iep\/index.do?sysId=001000610716&prdctnId=1200046&svyOdr=39."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1097\/YCO.0b013e328311cdae","article-title":"The many faces of geriatric depression","volume":"21","author":"Heok","year":"2008","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref_29","first-page":"273","article-title":"The validity and reliability of Korean Instrumental Activities of Daily Living (K-IADL) Scale","volume":"6","author":"Won","year":"2002","journal-title":"J. Korea Geriatr. Soc."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1300\/J018v05n01_09","article-title":"Geriatric depression scale (GDS)","volume":"5","author":"Yesavage","year":"1986","journal-title":"Clin. Gerontol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.jpsychores.2004.01.004","article-title":"Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients","volume":"57","author":"Bae","year":"2004","journal-title":"J. Psychosom. Res."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"2585","DOI":"10.1016\/j.socscimed.2003.09.008","article-title":"Gender differences in health: Canadian study of the psychosocial, structural and behavioral determinants of health","volume":"58","author":"Denton","year":"2004","journal-title":"Soc. Sci. Med."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Gillsj\u00f6, C.D., Schwartz-Barcott, D., and von Post, I. (2011). Home: The place the older adult cannot imagine living without. BMC Geriatr., 11.","DOI":"10.1186\/1471-2318-11-10"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1017\/S0144686X10001169","article-title":"The myth of independence for older Americans living alone in the Bay area of San Francisco: A critical reflection","volume":"31","author":"Portacolone","year":"2011","journal-title":"Ageing Soc."},{"key":"ref_35","first-page":"54","article-title":"Living Alone as a Lifestyle of Older People in New Zealand: Policy implications","volume":"10","author":"Moosa","year":"2014","journal-title":"Policy Q."},{"key":"ref_36","unstructured":"Bellin, C.L. (2000). An Exploration of Women\u2019s Experience of Growing Older While Living Alone in a Rural Community. [Ph.D. Thesis, University of Washington]."},{"key":"ref_37","unstructured":"(2017, June 06). Yearly Publication for Poverty Figures. Available online: https:\/\/www.kihasa.re.kr\/common\/filedown.do?seq=38217."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1586\/14737167.2013.815409","article-title":"The effect of severity of depressive disorder on economic burden in a university hospital in Singapore","volume":"13","author":"Ho","year":"2013","journal-title":"Expert Rev. Pharmacoecon. Outcomes Res."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1002\/gps.1789","article-title":"Depression and chronic medical illnesses in Asian older adults: The role of subjective health and functional status","volume":"22","author":"Niti","year":"2007","journal-title":"Int. J. Geriatr. Psychiatry"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"181","DOI":"10.16999\/kasws.2012.43.3.181","article-title":"A study of the caregiving experience effects on caregivers\u2019 perception of old age care: Focusing on expectations for residence with children based on caregiving motives","volume":"43","author":"Ha","year":"2012","journal-title":"Korea Soc. Welf. Stud."},{"key":"ref_41","first-page":"5","article-title":"A longitudinal study on the typology of intergenerational relations in later life (2): Focused on the determining factors","volume":"34","author":"Yoo","year":"2011","journal-title":"Korea J. Fam. Soc. Work"},{"key":"ref_42","first-page":"89","article-title":"Determinants and regional patterns of parent-child coresidence among older Korean parents, 1985\u20132005","volume":"15","author":"Kim","year":"2009","journal-title":"J. Korea Soc. Rural Plan."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1016\/j.socscimed.2009.09.007","article-title":"Marital status, gender, and depression: Analysis of the baseline survey of the Korean Longitudinal Study of Ageing (KLoSA)","volume":"69","author":"Jang","year":"2009","journal-title":"Soc. Sci. Med."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"S323","DOI":"10.1093\/geronb\/62.5.S323","article-title":"Gender differences in correlates of mental health among elderly Koreans","volume":"62","author":"Jeon","year":"2007","journal-title":"J. Gerontol. B Psychol. Sci. Soc. Sci."},{"key":"ref_45","first-page":"41","article-title":"Living arrangement and the life satisfaction of Korean older adults; examining the mediating effects of parent-adult child relationship","volume":"29","author":"Lee","year":"2011","journal-title":"Health Soc. Sci."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1090","DOI":"10.1093\/ije\/30.5.1090","article-title":"Support from children, living arrangements, self-rated health and depressive symptoms of older people in Spain","volume":"30","author":"Zunzunegui","year":"2001","journal-title":"Int. J. Epidemiol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1177\/0164027515595442","article-title":"Depressive symptoms, transitions to widowhood, and informal support from adult children among older women and men in Japan","volume":"38","author":"Tiedt","year":"2016","journal-title":"Res. Aging"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1023\/A:1006600825693","article-title":"Living arrangements of older adults in the Netherlands and Italy: coresidence values and behavior and their consequences for loneliness","volume":"14","year":"1999","journal-title":"J. Cross Cult. Gerontol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1093\/geronb\/gbt084","article-title":"Widowhood and depressive symptoms among Korean elders: The role of social ties","volume":"68","author":"Jeon","year":"2013","journal-title":"J. Gerontol. B Psychol. Sci. Soc. Sci."},{"key":"ref_50","unstructured":"Puri, B., Hall, A., and Ho, R.C. (2014). Revision Notes in Psychiatry, CRC Press. [3rd ed.]."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1111\/hsc.12043","article-title":"A randomized controlled study to explore the effect of life story review on depression in older Chinese in Singapore","volume":"21","author":"Chan","year":"2013","journal-title":"Health Soc. Care Community"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1080\/13811118.2013.826153","article-title":"Elderly suicide with and without a history of suicidal behavior: Implications for suicide prevention and management","volume":"18","author":"Ho","year":"2014","journal-title":"Arch. Suicide Res."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1016\/j.jamda.2015.09.007","article-title":"Prevalence of Mental Health Disorders among Caregivers of Patients with Alzheimer Disease","volume":"16","author":"Sallim","year":"2015","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.jamda.2016.08.014","article-title":"The global prevalence of anxiety and depressive symptoms among caregivers of stroke survivors","volume":"18","author":"Loh","year":"2017","journal-title":"J. Am. Med. Dir. Assoc."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/14\/10\/1191\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T18:46:43Z","timestamp":1760208403000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/14\/10\/1191"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,7]]},"references-count":54,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2017,10]]}},"alternative-id":["ijerph14101191"],"URL":"https:\/\/doi.org\/10.3390\/ijerph14101191","relation":{"has-preprint":[{"id-type":"doi","id":"10.20944\/preprints201709.0075.v1","asserted-by":"object"}]},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,7]]}}}