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The Health and Wellbeing of Older Women Living Alone in the UK: Is Living Alone a Risk Factor for Poorer Health?

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A Correction to this article was published on 14 September 2021

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Abstract

Older women are more likely to live alone in later life in the UK; however, relatively little is known as to how this has an association with poorer health. This paper attempts to fill this research gap, assessing if living alone is a risk factor for poorer health in later life. The Household Panel Survey data, wave 8 were used which was collected during 2017 in the United Kingdom. Women’s household types were divided into three types: living alone, living with a partner and living with others (not a partner). Seven health and wellbeing outcome variables were used. Descriptive analysis and regression analyses examined the role of living alone in predicting health and wellbeing, controlling for demographic and socioeconomic (SES) factors.

Results showed significant differences between the household types. However, living alone was not found to be a risk factor for poorer health once SES variables were included in the regression models. While there were differences in the health and wellbeing of the three household composition types, these differences were not found to be significant once demographic and socioeconomic variables were accounted for. Future UK policy should aim to reduce inequalities in SES throughout the life course to improve health and wellbeing in later life. Future research directions include a more detailed examination of the determinants of health of this population.

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Data Availability

Data held by UK Data Service at https://www.ukdataservice.ac.uk/

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References

  • Alaminos, E., & Ayuso, M. (2019). Estado civil, género, mortalidad y pensiones: Las desventajas de la soltería en la vejez / marital status, gender, mortality and pensions: The disadvantages of being single in old age. Revista Española De Investigaciones Sociológicas. https://doi.org/10.5477/cis/reis.165.3

    Article  Google Scholar 

  • Banks, L., Haynes, P., & Hill, M. (2009). Living in single person households and the risk of isolation in later life. International Journal of Ageing and Later Life, 4(1), 55–86. https://doaj.org/article/e318c29f4e2a461fa17089787479533c

  • Bergland, A., & Engedal, K. (2011). Living arrangements, social networks, health, mobility, and balance of older women. Physical & Occupational Therapy in Geriatrics, 29(2), 90–101. https://doi.org/10.3109/02703181.2010.541987

    Article  Google Scholar 

  • Bevan, G., Karanikolos, M., Exley, J., Nolte, E., Connolly, S., & Mays, N. (2014). The four health systems of the United Kingdom: How do they compare? Summary report. London. Available at: The four health systems of the UK: How do they compare? | The Nuffield Trust. Accessed January 2020.

  • Burdine, J. N., Felix, M. R., Abel, A. L., Wiltraut, C., & Musselman, Y. (2000). The SF-12 as a population health measure: An exploratory examination of potential for application. Health Services Research, 35(4), 885. The SF-12 as a population health measure: an exploratory examination of potential for application. (nih.gov).

  • Burholt, V., Windle, G., & Morgan, D. J. (2017). A social model of loneliness: The roles of disability, social resources, and cognitive impairment. The Gerontologist, 57(6), 1020. https://doi.org/10.1093/geront/gnw125

    Article  Google Scholar 

  • Cermakova, P., Nelson, M., Secnik, J., Garcia-Ptacek, S., Johnell, K., Fastbom, J., & Religa, D. (2017). Living alone with Alzheimer’s disease: Data from SveDem, the Swedish dementia registry. Journal of Alzheimer’s Disease, 58(4), 1265–1272. https://doi.org/10.3233/JAD-170102

    Article  Google Scholar 

  • Chandler, J., Williams, M., Maconachie, M., & Collett, T. (2003). Living alone: Its place in household formation and change. Sociological Research Online, 9(1), 1-13. http://www.socresonline.org.uk/9/3/chandler.html

  • Cheng, C-Y., & M.S.N., (2006). Living alone: The choice and health of older women. Journal of Gerontological Nursing, 32(9), p.16.

  • Chou, K. L., Ho, A. H. Y., & Chi, I. (2006). Living alone and depression in Chinese older adults. Aging & Mental Health, 10(6), 583–591. https://doi.org/10.1080/13607860600641150

    Article  Google Scholar 

  • Clark, B., Chatterjee, K., Martin, A., & Davis, A.  (2019) How commuting affects subjective wellbeing Transportation. 1–29 https://doi.org/10.1007/s11116-019-09983-9

  • De Jong Gierveld, J., Keating, N., & Fast, J. E. (2015). Determinants of loneliness among older adults in Canada. Canadian Journal on Aging, 34(2), 125–136. https://doi.org/10.1017/S0714980815000070

    Article  Google Scholar 

  • De Jong Gierveld, J., & Van Tilburg, T. (1999). Living arrangements of older adults in the Netherlands and Italy: Coresidence values and behaviour and their consequences for loneliness. Journal of Cross-Cultural Gerontology, 14(1), 1–24. https://doi.org/10.1023/A:1006600825693

    Article  Google Scholar 

  • Department for Work and Pensions (DWP). (2014). Fuller Working Lives: a framework for action. Department for Work and Pensions. Fuller Working Lives: a framework for action - GOV.UK (www.gov.uk)

  • Department for Health and Social Care (DHSC). (2021). Integration and innovation: working together to improve health and social care for all. Department for Health and Social Care. Integration and innovation: working together to improve health and social care for all (HTML version) - GOV.UK (www.gov.uk)

  • DeSalvo, K. B., Bloser, N., Reynolds, K., He, J., & Muntner, P. (2006). Mortality prediction with a single general self-rated health question: A meta-analysis. Journal of General Internal Medicine, 21(3), 267–275. https://doi.org/10.1111/j.1525-1497.2005.00291

    Article  Google Scholar 

  • Di Gessa, G., Corna, L. M., Platts, L. G., Worts, D., McDonough, P., & Sacker, A. (2017). Is being in paid work beyond state pension age beneficial for health? Evidence from England using a life-course approach. Journal of Epidemiology and Community Health, 71(5), 431–438. https://doi.org/10.1136/jech-2016-208086

    Article  Google Scholar 

  • Dunatchik, A., Icardi, R., & Blake, M. (2019). Predicting unmet need for social care. Journal of Long-Term Care, 194-205. https://doi.org/10.31389/jltc.33

  • Dwyer, M., Gray, A., & Renwick, M. (2000). Factors affecting the ability of older people to live independently: A report for the international year of the older persons. Wellington: Ministry of Social Policy. Available at: Factors affecting the ability of older people to live independently (msd.govt.nz) Accessed 15th December 2019.

  • Estes, C. L., Biggs, S., & Phillipson, C. (2003). Social theory, social policy and ageing: A critical introduction (1st ed.). Open University Press.

    Google Scholar 

  • Forsman, A. K., Herberts, C., Nyqvist, F., Wahlbeck, K., & Schierenbeck, I. (2013). Understanding the role of social capital for mental wellbeing among older adults. Ageing & Society, 33(5), 804–825. https://doi.org/10.1017/S0144686X12000256

    Article  Google Scholar 

  • Foster, L., Tomlinson, M., Walker, A. (2018) Older people and social quality – what difference does income make? Ageing and Society 1–26. https://doi.org/10.1017/S0144686X1800048X

  • Fujino, Y., & Matsuda, S. (2009). Prospective study of living arrangement by the ability to receive informal care and survival among Japanese elderly. Preventive Medicine, 48(1), 79–85. https://doi.org/10.1016/j.ypmed.2008.10.014

    Article  Google Scholar 

  • Gaymu, J., Delbès, C., Springer, S., Binet, A., Désesquelles, A., Kalogirou, S., & Ziegler, U. (2006). Determinants of the living arrangements of older people in Europe/ déterminants des modes de vie des personnes âgées en Europe. European Journal of Population/Revue Européenne De Démographie, 22(3), 241–262. https://doi.org/10.1007/s10680-006-9004-7

    Article  Google Scholar 

  • Gaymu, J., & Springer, S. (2012). How does living alone or with a partner influence life satisfaction among older men and women in Europe? Population, 67(1), 43–69. https://www.jstor.org/stable/23358620

  • Goldberg, D. P. (1972). The detection of psychiatric illness by questionnaire; a technique for the identification and assessment of non-psychotic psychiatric illness. England; United Kingdom. https://doi.org/10.1017/S0033291700048613

  • Hank, K., & Wagner, M. (2013). Parenthood, marital status, and well-being in later life: Evidence from SHARE. Social Indicators Research, 114(2), 639–653. https://www.jstor.org/stable/24720268

  • Higgs, P., Hyde, M., Arber, S., & Blane, D. (2005). Dimensions of the inequalities in quality of life. In A. Walker (Ed.), Understanding quality of life in old age (1st ed., pp. 27). UK: McGraw-Hill Education (UK).

  • Hosseinpoor, A. R., Stewart Williams, J., Amin, A., Araujo de Carvalho, I., Beard, J., Boerma, T., Kowal, P., Naidoo, N., & Chatterji, S. (2012). Social determinants of self-reported health in women and men: understanding the role of gender in population health. PloS One, 7(4), e34799. https://doi.org/10.1371/journal.pone.0034799

  • Hughes, M. E., & Waite, L. J. (2002). Health in household context: Living arrangements and health in late middle age. Journal of Health and Social Behavior, 43(1), 1. https://doi.org/10.2307/3090242

    Article  Google Scholar 

  • Jahoda, M. (1982). Employment and unemployment. Cambridge University Press.

    Google Scholar 

  • Jakobsson, U. (2007). Using the 12-item short form health survey (SF-12) to measure quality of life among older people. Aging Clinical and Experimental Research, 19(6), 457. https://doi.org/10.1007/BF03324731

    Article  Google Scholar 

  • Khan, H., Hafford-Letchfield, T., & Lambert, N. (2018). Single women living alone in later life: A short review. In P. Dunk-West & T. Hafford-Letchfield (Eds.), Sexuality, sexual and gender identities and intimacy research in social work and social care: A lifecourse epistemology (pp. 155–175). Routledge.

    Chapter  Google Scholar 

  • Kharicha, K., Iliffe, S., Harari, D., Swift, C., Gillmann, G., & Stuck, A. E. (2007). Health risk appraisal in older people 1: are older people living alone an ‘atrisk’group?. British Journal of General Practice, 57(537), 271-276.

  • Kim, H., & Fredriksen-Goldsen, K. (2016). Living arrangement and loneliness among lesbian, gay and bisexual older adults. The Gerontologist, 56(3), 548–558. https://doi.org/10.1093/geront/gnu083

    Article  Google Scholar 

  • Kim, N., Kim, H., & Kwon, S. (2020). Factors associated with different numbers of health behaviors by living arrangements. BMC Public Health, 20(1), 1–11. https://doi.org/10.1186/s12889-020-09242-y

    Article  Google Scholar 

  • Kim, S., & Sok, S. (2013). Factors influencing the life satisfaction in the older Korean women living alone. Contemporary Nurse, 44(1), 111–119. https://doi.org/10.3928/00989134-20100202-01

    Article  Google Scholar 

  • Klinenberg, E. (2014). Going solo: The extraordinary rise and surprising appeal of living alone (2nd ed.). Gerald Duckworth & Co.

    Google Scholar 

  • Knies, G. (2018). Understanding Society-the UK household longitudinal study: Waves 1–8, user manual. Colchester, UK: University of Essex. 6614_UserGuide_hBHPS_v1 (essex.ac.uk)

  • Koehn, S., Neysmith, S., Kobayashi, K., & Khamisa, H. (2013). Revealing the shape of knowledge using an intersectionality lens: Results of a scoping review on the health and health care of ethnocultural minority older adults. Ageing & Society, 33(3), 437–464. https://doi.org/10.1017/S0144686X12000013

    Article  Google Scholar 

  • Lukaschek, K., Vanajan, A., Johar, H., Weiland, N., & Ladwig, K. (2017). “In the mood for ageing”: Determinants of subjective well-being in older men and women of the population-based KORA-age study. BMC Geriatrics, 17(1), 1–9. https://doi.org/10.1186/s12877-017-0513-5

    Article  Google Scholar 

  • Lynn, P., & Kaminska, O. (2010). Weighting strategy for understanding Society (No. 2010-05). Understanding Society at the Institute for Social and Economic Research.

  • Martikainen, P., Nihtilä, E., & Moustgaard, H. (2008). The effects of socioeconomic status and health on transitions in living arrangements and mortality: A longitudinal analysis of elderly Finnish men and women from 1997 to 2002. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63(2), S9–S109. https://doi.org/10.1093/geronb/63.2.S99

    Article  Google Scholar 

  • Marmot, M., & Bell, R. (2012). Fair society, healthy lives. Public health, 126, S4-S10.

  • Michael, Y. L., Berkman, L. F., Colditz, G. A., & Kawachi, I. (2001). Living arrangements, social integration, and change in functional health status. American Journal of Epidemiology, 153(2), 123–131. https://doi.org/10.1093/aje/153.2.123

    Article  Google Scholar 

  • Minkler, M. (1996). Critical perspectives on ageing: New challenges for gerontology. Ageing and Society, 16(4), 467–487. https://doi.org/10.1017/S0144686X00003639

    Article  Google Scholar 

  • Moncatar, T. R., Nakamura, K., Rahman, M., & Seino, K. (2019). Health status and health facility utilization of community-dwelling elderly living alone in the Philippines: A nationwide cross-sectional study. Health, 11(11), 1554. https://doi.org/10.4236/health.2019.1111117

    Article  Google Scholar 

  • Nilsson, C.J., Lund, R., & Avlund, K. (2007). Cohabitation status and onset of disability among older Danes: is social participation a possible mediator?. Journal of Aging and Health, 20(2), 235-253.

  • Nolan, A., Whelan, A., McGuinness, S., & Maître, B. (2019). Gender, pensions and income in retirement. ESRI Research Series Number 87. September 2019. Archive of European Integration (pitt.edu)

  • Ocean, N., Howley, P., & Ensor, J. (2019). Lettuce be happy: A longitudinal UK study on the relationship between fruit and vegetable consumption and well-being. Social Science & Medicine, 222, 335–345. https://doi.org/10.1016/j.socscimed.2018.12.017

    Article  Google Scholar 

  • Office for National Statistics [ONS]. (2015). Housing and home ownership in the UK. Office for National Statistics.

  • Office for National Statistics, (ONS). (2019). Families and households. Basingstoke: Palgrave Macmillan, a Division of Macmillan Publishers Ltd. Families and households in the UK - Office for National Statistics (ons.gov.uk)

  • Pimouguet, C., Rizzuto, D., Schon, P., Shakersain, B., Angleman, S., Lagergren, M., Fratiglioni, L. and Xu, W. (2016). Impact of living alone on institutionalization and mortality: A population-based longitudinal study. European Journal of Public Health, 26(1), 182-187. http://dx.doi.org.ezproxy.uwl.ac.uk/https://doi.org/10.1093/eurpub/ckv052

  • Pinquart, M., & Sorensen, S. (2001). Influences on loneliness in older adults: A meta-analysis. Basic and Applied Social Psychology, 23(4), 245–266. https://doi.org/10.1207/S15324834BASP2304_2

    Article  Google Scholar 

  • Qu, L., & Weston, R. (2003). Family Trends: Ageing, Living Arrangements and Subjective Wellbeing. Family Matters, (66), 26-33.

  • Rahman, M. M., Khan, H. T., & Hafford-Letchfield, T. (2016). Correlates of socioeconomic status and the health of older people in the United Kingdom: A review. Illness, Crisis & Loss, 24(4), 195–216. https://doi.org/10.1177/1054137315608347

    Article  Google Scholar 

  • Rolls, L., Seymour, J. E., Froggatt, K. A., & Hanratty, B. (2011). Older people living alone at the end of life in the UK: Research and policy challenges. Palliative Medicine, 25(6), 650–657. https://doi.org/10.1177/0269216310373165

    Article  Google Scholar 

  • Saito, T., Murata, C., Aida, J., & Kondo, K. (2017). Cohort study on living arrangements of older men and women and risk for basic activities of daily living disability: Findings from the AGES project. BMC Geriatrics, 17(1), 183. https://doi.org/10.1186/s12877-017-0580-7

    Article  Google Scholar 

  • Sarkar, S., Shekhar, C., & Mondal, K. (2012). Living arrangements and health wellbeing among elderly women in India. Middle East Journal of Age and Ageing, 9(5), 29-36. Living-Arrangements-and-Health-Well-Being-among-Elderly-Women-in-India.pdf (researchgate.net)

  • Shim, H., Kim, S., Kim, M., Kim, B. S., Jeong, E., Lee, Y. J., & Won, C. W. (2020). Older men living with spouse and older women living with spouse and children have lower frailty prevalence: The Korean Frailty and Aging Cohort Study (KFACS). Annals of Geriatric Medicine and Research, 24(3), 204. https://doi.org/10.4235/2Fagmr.20.0058

  • Smith, K. J., & Victor, C. (2018). Typologies of loneliness, living alone and social isolation, and their associations with physical and mental health. Ageing and Society 1–22 https://doi.org/10.1017/S0144686X18000132

  • Snell, K. D. M. (2017). The rise of living alone and loneliness in history. Social History, 42(1), 2–28. https://doi.org/10.1080/03071022.2017.1256093

    Article  Google Scholar 

  • Sok, S. R., & Yun, E. K. (2011). A comparison of physical health status, self-esteem, family support and health-promoting behaviours between aged living alone and living with family in Korea. Journal of Clinical Nursing, 20(11–12), 1606–1612. https://doi.org/10.1111/j.1365-2702.2010.03551.x

    Article  Google Scholar 

  • Sun, W., Watanabe, M., Tanimoto, Y., Shibutani, T., Kono, R., Saito, M., & Kono, K. (2007). Factors associated with good self-rated health of non-disabled elderly living alone in Japan: A cross-sectional study. BMC Public Health, 7(1), 297–9. https://doi.org/10.1186/1471-2458-7-297

    Article  Google Scholar 

  • Tang, N. K., Fiecas, M., Afolalu, E. F., & Wolke, D. (2017). Changes in sleep duration, quality, and medication use are prospectively associated with health and well-being: Analysis of the UK household longitudinal study. Sleep, 40(3). https://doi.org/10.1093/sleep/zsw079

  • Teguo, M. T., Simo-Tabue, N., Stoykova, R., Meillon, C., Cogne, M., Amieva, H., & Dartigues, J. F. (2016). Feelings of loneliness and living alone as predictors of mortality in the elderly: The PAQUID study. Psychosomatic Medicine, 78(8), 904–909. https://doi.org/10.1097/psy.0000000000000386

    Article  Google Scholar 

  • Timmins, N. (2013). The four UK health systems: Learning from each other. London: King's Fund The four UK health systems: Learning from each other (kingsfund.org.uk)

  • Toma, A., Hamer, M., & Shankar, A. (2015). Associations between neighborhood perceptions and mental well-being among older adults. Health & place, 34, 46-53.

  • Weston, R., & Qu, L. (2003). Ageing, living arrangements and subjective wellbeing. Family Matters, 1(66), 26. Family Trends: Ageing, Living Arrangements and Subjective Wellbeing | Family Matters (informit.org)

  • Weissman, J. D., & Russell, D. (2018). Relationships between living arrangements and health status among older adults in the United States, 2009-2014: Findings from the national health interview survey. Journal of Applied Gerontology, 37(1), 7-25. https://doi.org/10.1177/2F0733464816687496

  • Yang, H., Hagedorn, A., Zhu, H., & Chen, H. (2020). Mental health and well-being in older women in China: implications from the Andersen model. BMC Geriatrics, 20(1), 1–10. https://doi.org/10.1186/s12877-020-01639-z

    Article  Google Scholar 

  • Zali, M., Farhadi, A., Soleimanifar, M., Allameh, H., & Janani, L. (2017). Loneliness, fear of falling, and quality of life in community-dwelling older women who live alone and live with others. Educational Gerontology, 43(11), 582–588. https://doi.org/10.1080/03601277.2017.1376450

    Article  Google Scholar 

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Acknowledgments

The research benefits from an academic collaboration with the Oxford Institute of Population Ageing, University of Oxford, UK where Professor Hafiz Khan is an associate professorial fellow. Special thanks go to the anonymous reviewers and the editor of the journal for their helpful comments and suggestions.

Funding

This study was funded by a Vice-Chancellor’s Scholarship from the University of West London, Sponsor Licence No: VJVD7MND6.

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Authors and Affiliations

  1. The College of Nursing Midwifery and Healthcare, University of West London, London, England

    Cat Forward & Hafiz T. A. Khan

  2. Public Health Group, College of Nursing, Midwifery and Healthcare, University of West London, London, England

    Lee Usher

  3. The Graduate Centre, University of West London, London, England

    Pauline Fox

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  1. Cat Forward
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Contributions

Study design: HK CF & PF, data analysis: CF, HK & LU, manuscript preparation: CF, PF, HK and LU.

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Correspondence to Cat Forward.

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This study was approved by the College of Nursing Midwifery and Healthcare Research Ethics Panel at University of West London, Ref. No. UWL/REC/CNMH-00495.

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Forward, C., Khan, H.T.A., Fox, P. et al. The Health and Wellbeing of Older Women Living Alone in the UK: Is Living Alone a Risk Factor for Poorer Health?. Ageing Int 47, 392–414 (2022). https://doi.org/10.1007/s12126-021-09426-w

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