Gyeong-Suk Jeon

Widowhood and Depressive Symptoms Among Korean Elders: The Role of Social Ties

OBJECTIVES This study examines the impact of social ties on the relationship between widowhood and depressive symptoms among the older Korean population. METHOD Data were derived from the baseline survey of the Korean Longitudinal Study of Aging. The sample consisted of 1,953 men and 2,469 women aged ≥60 years who were married and had at least 1 child. The 10-item Center for Epidemiological Studies Depression Scale was the outcome measure. Multiple linear regression was used to evaluate the influence of social ties as the mediators and moderators on the relationship between widowhood and depressive symptoms. RESULTS The quality of relationship between women and their children accounted for 51.52% of the difference in depressive symptoms between married and widowed women, but only 11.36% between married and widowed men. The interaction of widowhood and the quality of relationships with children was significant only among men, and the interaction of this status and cohabitation with married children was significant only among women. DISCUSSION The quality of relationship with children plays an important mediating role in the relationship between widowed status and depressive symptoms among Korean men and women elders. Cohabitation with children may buffer mental distress for such women, and qualitatively good relationships with children may be important as moderators for the mental health of older Korean men after bereavement.

Prospective Study on the Impact of Fear of Falling on Functional Decline among Community Dwelling Elderly Women

Fear of falling (FOF) is expected to have effects on functional decline in the elderly. In this study, we examined over 2 years the effect of change in FOF on functional decline in community dwelling elderly. We conducted a secondary analysis using data from elderly women, 70 years of age and older, who participated in the Korean Longitudinal Study of Aging (KLoSA). Participants were divided into four categories according to change in FOF between the 2010 and 2012 surveys. Multiple logistic regression analysis was conducted regarding the effects of changes in FOF on functional decline after controlling for variables as known risk factors for functional decline. Rates of functional decline were highest in the “consistently having FOF” group, whereas they were lowest in the “consistently no FOF” group in both 2010 and 2012. Characteristics independently associated with functional decline were change in FOF, depressive symptoms, low frequency of meeting friends, and fear-induced activity avoidance. Longer exposure to FOF was associated with an increased risk of functional decline. FOF is an important health problem that deserves attention in its own right. Public health approaches for elderly persons should address early detection, prevention, and intervention programs for FOF.

The Impact of Socioeconomic Factors on the Gender Differences of Disability and Subjective Health Among Elderly Koreans

OBJECTIVES Research on the gender differences of health among older Korean people has been limited compared with the research for other stages of life. This study first examined the patterns and magnitude of the gender differences of health in later life. Second, we examined the gender differences in the health of older men and women that were attributable to differing socioeconomic conditions. METHODS Using the nationally representative 2005 Korean National Health and Nutrition Examination Survey, the gender differences in disability and subjective poor health were assessed by calculating the age adjusted and gender-specific prevalence. Logistic regression analyses were used to assess if the differences between the men and women for health could be explained by differential exposure to socioeconomic factors and/or the differential vulnerability of men and women to these socioeconomic factors. RESULTS Our results indicated that older women were more likely than the men to report disability and poor subjective health. The health disadvantage of older women was diminished by differential experiences with socioeconomic factors, and especially education. The differences shrink as much as 43.7% in the case of disability and 35.4% in the case of poor subjective health by the differential exposure to educational attainment. Any differential vulnerability to socioeconomic factors was not found between the men and women, which means that socioeconomic factors may have similar effect on health in both genders. CONCLUSIONS Differential socioeconomic experience and exposure between the men and women might cause gender difference in health in old age Koreans.

Socio-demographic and Psychological Correlates of Posttraumatic Growth among Korean Americans with a History of Traumatic Life Experiences

Abstract This study examined socio‐demographic and psychological correlates of posttraumatic growth (PTG) among Korean Americans (KAs) with traumatic life experiences. A total of 286 KAs were included. Being a woman or having a lower annual household income had positive associations with PTG, while having no religion had a negative association with it. In addition, praying and visiting a mental health professional for coping with stress or for psychological problems was positively associated with PTG. Higher resilience scores increased PTG, while depressive symptoms decreased it. We suggest reinforcing help seeking behaviors and accessibility to care facilities, and gender specific strengthening programs for enhancing PTG among KAs. HighlightsKorean American women and those who had lower annual household income tended to report higher PTG.Resilience was positively related to PTG, while there was an inverse relationship between depressive symptoms and PTG.Praying and seeking help from mental health professionals were important coping strategies among KAs.Culturally‐appropriate mental health intervention programs should be developed to facilitate PTG among KAs.

Impact of Living Alone on Depressive Symptoms in Older Korean Widows

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.

Gender differences in exposure and vulnerability to psychosocial and behavioral factors of suicide attempt among Korean adolescents

This study examined gender differences in suicide attempts and their association with exposure and vulnerability to psychosocial, behavioral, and structural factors among Korean adolescents.