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KMID : 1023720180730020009
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Journal of Welfare for the Aged
2018 Volume.73 No. 2 p.9 ~ p.47
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The Effects of Subjective Health Status and Loneliness on Depression among Older Adults：Focusing on Moderated Mediation Effects of Age-friendly Environments
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Kim Sue-Lynn
Kim Ju-Hyun
Chung Soon-Dool
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Abstract
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Health status and loneliness, respectively, are major factors influencing depression among older adults. Meanwhile, there is the possibility that health status indirectly affects depression via loneliness. With regard to this indirect effects, however, age-friendly environments can make differences by providing community resources which help to compensate weakness of declining physical function and limited social participation due to vulnerable health status. In this context, this study examined moderated mediation effects of age-friendly environments on the indirect path from subjective health status to depression through loneliness. 615 adults aged 50 years and over from nationally conducted ‘2017 age integration survey’ are analyzed. As a result, the tendency that poor subjective health status indirectly increased depression with mediated by loneliness was aggravated in less age-friendly environments. Consequently, the efforts to improve environmental conditions of less age-friendly communities are required first for the purpose of preventing older adults’ depression caused by poor health status and loneliness.
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KEYWORD
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Older adults, Age-friendly environments, Depression, Subjective health status, Loneliness, Moderated mediation effects
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