The association between living arrangements and subjective health and well-being among older adults in Thailand: a special focus on skip-generation households.

Content Provider	Europe PMC
Author	Thonglor, Romnalin Nakamura, Keiko Seino, Kaoruko
Copyright Year	2022
Abstract	Objectives: Older adults in skip-generation households (SGHs) play a valuable role in maintaining the cohesion of extended families in the absence of the middle generation.Little is known about the health and well-being of older adults in SGHs or how it varies depending on their age. This study aimed to examine 1) the association between living in SGHs andsubjective health and well-being and 2) the association between subjective health and well-being of older adults in SGHs across age groups.Methods: Drawing data from the 2017 national survey of older people, older adults aged ≥60 years without disability in activities of daily living (n=38,088) were included formultiple regression analyses. Living arrangements were classified into SGHs and non-SGHs. Subjective health was evaluated based on self-rated health, whereas subjective well-being wasevaluated using a happiness score. Ordinal logistic regression and linear regression models, stratified by age groups (young-old, 60–69; middle-old, 70–79; and old-old, ≥80), comparedsubjective health and well-being of older adults in SGHs and non-SHGs, while controlling for potential covariates.Results: Among older Thai adults, 10.1% lived in SGHs, and 11.1%, 9.5%, and 6.3% were among the young-old, middle-old, and old-old, respectively. Across age groups, olderadults living in SGHs reported better health status but worse well-being than those living in non-SGHs. Older adults from the old-old group living in SGHs seemed to report the best healthstatus, whereas those in the young-old and old-old groups tended to report the worst well-being. The direction of the association between living arrangements and subjective health andwell-being did not differ by age group.Conclusion: Better health status but worse well-being were observed in SGHs. Social sectors should pay attention to the well-being of these older adults.
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ISSN	1880487X
Journal	Journal of Rural Medicine : JRM [J Rural Med]
Volume Number	17
DOI	10.2185/jrm.2022-023
PubMed Central reference number	PMC9613374
Issue Number	4
PubMed reference number	36397800
e-ISSN	18804888
Language	English
Publisher	The Japanese Association of Rural Medicine
Publisher Date	2022-10-22
Access Restriction	Open
Rights License	This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: http://creativecommons.org/licenses/by-nc-nd/4.0/). ©2022 The Japanese Association of Rural Medicine
Subject Keyword	skip-generation household living arrangements subjective health and well-being older adults age differences
Content Type	Text
Resource Type	Article
Subject	Medicine