J Agric Med Community Health.  2016 Dec;41(4):195-204. 10.5393/JAMCH.2016.41.4.195.

The Association between Hopelessness, Social Support and Community Integration and Depression among Elderly Living Alone

  • 1Department of Preventive Medicine, College of Medicine, Institute of Health Science, Gyeongsang National University, Korea. parkks@gnu.ac.kr
  • 2Agricultural Occupational Safety and Health Center, Gyeongsang National University Hospital, Korea.
  • 3Department of Social Welfare, Koje College, Korea.


OBJECTIVES: This study was performed to investigate the association between hopelessness, social support and community integration, and depression.
We analyzed data from a questionnaire administered to subjects aged 65 years or older living alone for a 2015 community mental health project in Gyeongnam S city. We used a correlation analysis and a hierarchical regression analysis to identify factors that affect depression.
When controlling for socio-demographic factors, hopelessness and community integration had significant effects on depression. That is, the higher the hopelessness (B=0.768, p<.001) and the lower the community integration (B=-0.163, p=.012), the higher the depression in elderly living alone .
There is a need for approaches at both the individual and social levels that consider and improve measures to prevent and reduce depression. Moreover, it is especially necessary to enhance community integration.


Community Integration; Depression; Hopelessness; Social Support
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