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Living arrangements, changes in living arrangements, and survival among community dwelling older adults

Author

Listed:
  • Davis, M.A.
  • Moritz, D.J.
  • Neuhaus, J.M.
  • Barclay, J.D.
  • Gee, L.

Abstract

Objectives. This study examines whether living arrangements and changes in living arrangements are associated with survival among older community- dwelling adults, and whether differences in health status account for observed differences in survival. Methods. The sample consisted of 51185 persons aged 70 years or older who had participated in the Longitudinal Study of Aging in 1984 and 1986. Proportional hazards models were used to examine associations of survival time through 1990 with living arrangements in 1984 and with changes in living arrangements from 1984 to 1986. Results. Women who lived with someone other than a spouse at baseline or who changed from living with a spouse to living with someone other than a spouse were at greater risk of dying than women in other living arrangements, independent of health status or functioning. Among men, survival time was not generally associated with baseline living arrangements. Conclusions. Older adults who live alone or who change from living with someone to living alone do not have an increased mortality risk. However, living with or changing to living with someone other than a spouse may be associated with increased mortality risk.

Suggested Citation

  • Davis, M.A. & Moritz, D.J. & Neuhaus, J.M. & Barclay, J.D. & Gee, L., 1997. "Living arrangements, changes in living arrangements, and survival among community dwelling older adults," American Journal of Public Health, American Public Health Association, vol. 87(3), pages 371-377.
    • Handle: RePEc:aph:ajpbhl:1997:87:3:371-377_7
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    Citations

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    Cited by:

    1. Cigno, A., 2016. "Conflict and Cooperation Within the Family, and Between the State and the Family, in the Provision of Old-Age Security," Handbook of the Economics of Population Aging, in: Piggott, John & Woodland, Alan (ed.), Handbook of the Economics of Population Aging, edition 1, volume 1, chapter 0, pages 609-660, Elsevier.
    2. Moisés H. Sandoval & Marcela E. Alvear Portaccio, 2022. "Marital Status, Living Arrangements and Mortality at Older Ages in Chile, 2004–2016," IJERPH, MDPI, vol. 19(21), pages 1-15, October.
    3. Maruyama, Shiko, 2015. "The effect of coresidence on parental health in Japan," Journal of the Japanese and International Economies, Elsevier, vol. 35(C), pages 1-22.
    4. Parker, Susan W., 1999. "Elderly Health and Salaries in the Mexican Labor Market," IDB Publications (Working Papers) 3259, Inter-American Development Bank.
    5. Hui Wang & Kun Chen & Yifeng Pan & Fangyuan Jing & He Liu, 2013. "Associations and Impact Factors between Living Arrangements and Functional Disability among Older Chinese Adults," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-7, January.
    6. Liu, Guangya & Dupre, Matthew E. & Gu, Danan & Mair, Christine A. & Chen, Feinian, 2012. "Psychological well-being of the institutionalized and community-residing oldest old in China: The role of children," Social Science & Medicine, Elsevier, vol. 75(10), pages 1874-1882.
    7. Michel Poulain & Luc Dal & Anne Herm, 2020. "Trends in living arrangements and their impact on the mortality of older adults: Belgium 1991‒2012," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 43(15), pages 401-430.
    8. Min Gao & Yanyu Li & Shengfa Zhang & Linni Gu & Jinsui Zhang & Zhuojun Li & Weijun Zhang & Donghua Tian, 2017. "Does an Empty Nest Affect Elders’ Health? Empirical Evidence from China," IJERPH, MDPI, vol. 14(5), pages 1-20, April.
    9. Freda Yanrong Wang, 2022. "Causal Inference Between the Health Status and Living Arrangements of Elderly People in China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 159(3), pages 1155-1178, February.
    10. Gu, Danan & Dupre, Matthew E. & Liu, Guangya, 2007. "Characteristics of the institutionalized and community-residing oldest-old in China," Social Science & Medicine, Elsevier, vol. 64(4), pages 871-883, February.
    11. Turner, Alex J. & Nikolova, Silviya & Sutton, Matt, 2016. "The effect of living alone on the costs and benefits of surgery amongst older people," Social Science & Medicine, Elsevier, vol. 150(C), pages 95-103.
    12. Long Hoang Nguyen & Hai Minh Vu & Giang Thu Vu & Tung Hoang Tran & Kiet Tuan Huy Pham & Binh Thanh Nguyen & Hai Thanh Phan & Hieu Ngoc Nguyen & Bach Xuan Tran & Carl A. Latkin & Cyrus S. H. Ho & Roger, 2019. "Prevalence and Factors Associated with Psychological Distress among Older Adults Admitted to Hospitals After Fall Injuries in Vietnam," IJERPH, MDPI, vol. 16(22), pages 1-9, November.
    13. Liliana E. Pezzin & Robert A. Pollak & Barbara S. Schone, 2007. "Efficiency in Family Bargaining: Living Arrangements and Caregiving Decisions of Adult Children and Disabled Elderly Parents," CESifo Economic Studies, CESifo, vol. 53(1), pages 69-96, March.
    14. Angelique Chan & Prassanna Raman & Stefan Ma & Rahul Malhotra, 2015. "Loneliness and all-cause mortality in community-dwelling elderly Singaporeans," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 32(49), pages 1361-1382.
    15. Li, Lydia W. & Zhang, Jiaan & Liang, Jersey, 2009. "Health among the oldest-old in China: Which living arrangements make a difference?," Social Science & Medicine, Elsevier, vol. 68(2), pages 220-227, January.
    16. Shiko Maruyama, 2012. "Inter Vivos Health Transfers: Final Days of Japanese Elderly Parents," Discussion Papers 2012-20, School of Economics, The University of New South Wales.
    17. Feng, Zhixin & Jones, Kelvyn & Wang, Wenfei Winnie, 2015. "An exploratory discrete-time multilevel analysis of the effect of social support on the survival of elderly people in China," Social Science & Medicine, Elsevier, vol. 130(C), pages 181-189.

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