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The purpose of this paper is to investigate positive mental health (PMH) and factors related to it among those living alone in the sparsely populated area of the Lapland region.

The study utilises data from the Mental Health Survey of the Lapland region in Finland, covering 12 municipalities. The scores of short Warwick–Edinburgh Mental Well-Being Scale (sWEMWBS) were categorised into three levels of PMH. Logistic regression models were used to separately estimate the odds ratios for the high level of PMH compared with the moderate level of PMH and the low level of PMH compared with the moderate level.

Social support seemed to be very strongly associated with both low and high levels of PMH among people living alone. Participating in activities provided by organisations or societies decreased the odds of having low PMH. Among men, young age predicted low PMH.

The number of people living alone in Finland and other parts of Europe is increasing, yet there are few studies focusing on their positive mental health (PMH). Using scales such as sWEMWBS adds to the authors’ knowledge about the positive mental well-being of those living alone, especially in rural areas, thus making it possible to utilise mental health promotion interventions effectively and accordingly.

This study aims to explore how social support has reshaped the care of older adults living alone in northeast Thailand during the COVID-19 pandemic.

This study used a qualitative method using a narrative gerontological perspective with a descriptive design. Purposive sampling was conducted from 20 in-depth narrative interviews between November 2021 and February 2022 in Maha Sarakham province, northeast Thailand. Data transcriptions were performed using a narrative analytical process.

The in-depth narrative interviews indicated that older adults living alone during the coronavirus pandemic valued a comfortable life, a sense of place, favourable living arrangements, self-reliance, life goals and meaningful life. The gerontological analysis showed that social support for older adults living alone included a social safety net, networking, supporting needs, physical care and mental health responses to the COVID-19 pandemic.

To the best of the authors’ knowledge, this is the first qualitative narrative gerontological study to explore how social support reshaped the care of older adults living alone during the COVID-19 pandemic in northeast Thailand.

This study aims to describe the mental health status and factors related to the mental health status of older adults living alone.

This is a descriptive correlational study. Older adults living alone from the urban area of the Northeast of Thailand were recruited randomly from within a stratified sampling frame and received a questionnaire. Data were collected using a demographic form, way of coping, social support, family relationship, and Thai Mental Health Indicator-15 (TMHI-15). Data were analysed using descriptive statistics, Spearman's rank correlation coefficient, and Chi-square test.

The mental health status related to personal factors at p < 0.05 including gender, education level, income, health status, coping strategies, social support and family relationship are related to mental health status.

This study provides further empirical support for older adults who are living alone, especially females who have low income and have a disease. Consequently, policy on social support in older adults should be directed to developing a range of divergent intervention strategies.

This study requires some form of long-term care as well as utilization of treatment and support services, enhanced quality of life for older adults living alone.

This study requires some form of long-term care as well as utilization of treatment and support services, enhanced quality of life for older adults living alone.

This study provides further empirical support for older adults who are living alone.

The purpose of this paper is to examine the changes and consequences of the patterns of Chinese elderly population’s living arrangements. It contains information that can be considered for future policy making for the elderly and to gain a better understanding of the social transition in China.

Based on the analysis of the population census data in 2000 and 2010, the authors examined the changes and trends of the living arrangements of the elderly Chinese population. Furthermore, the authors analyzed factors influencing the Chinese elderly’s living arrangements according to the data acquired from the Chinese Longitudinal Healthy Longevity Survey.

First, the proportion of the elderly people living with children has been decreasing. Second, the proportions of elderly people “living alone” and “living with spouse independently” has largely increased. Third, the changes and trends showed differences between urban and rural regions.

By looking at the characteristics among elderly people with different living arrangement patterns, those that are “living alone” are typically in disadvantaged conditions, and thus special attention should be paid with regards to related research and policies for the elderly who are “living alone.”

Although coresidence with children when one becomes old is an ideal in Chinese society, the drastic socio-economic development in Taiwan has brought some fundamental changes to living arrangements of the elderly population. The purpose of this paper is to examine the relationship between family living arrangements and elderly health in Taiwan, given the secular trend of more elderly persons choosing to live with their spouse or to live independently.

The authors utilized panel data from the “1989 Survey of Health and Living Status of the Elderly in Taiwan” with follow-ups up to 2007 to examine how living arrangements of the elderly affect the risk of mortality using discrete-time hazard models. The authors stratified the analyses by the elderly’s preference to coreside with children, and examined whether the effects of living arrangement varied by age, controlling for sociodemographics, health status, health behaviors, and social relationships observed at the baseline.

The authors found that both the associations of living arrangements and coresidence preference with that mortality risk were largely weakened when controlling for other variables. Only among respondents expressing preference for coresidence were living arrangements associated with mortality risks, and these effects increased with age. For those who did not intend to live with children, the authors found no evidence suggesting living arrangements were associated with mortality risks. The dynamics of living arrangements among the elderly and elderly care policies in Taiwan are discussed for further research.

To the authors knowledge, no previous research has examined living arrangements and mortality risks with respect to coresidence preference.

This study was aimed at assessing the anthropometry and the nutritional status of a sample of the elderly in Turkey. It was designed as a cross‐sectional study using the mini nutritional assessment (MNA) scores to assess the nutritional status of the elderly living alone, with their family, and in nursing homes.

The work was planned and carried out so as to assess nutritional status and MNA of 429 elderly people, aged 65 years and over living with their family (n  =  246), in nursing homes (n  =  127) or alone (n  =  56). Body weight, height, mid upper arm and calf circumference of elderly people was measured and they were asked personal questions. The list of questions included if the person pursues an independent life, the number of meals and food groups they consumed, the answers of which were scored and then assessed. With regard to MNA scale, a score of <17 is regarded as an indication of malnutrition, 17–23.5 indicates a sign for malnutrition risk and 24 and higher signifies normal level. The data were analysed with SPSS 10.0 for Windows. Means, standard deviations and cross tabulation tables were used as descriptive statistics. Pearson's correlation coefficients were determined in correlation analysis.

A statistical analysis of the scores shows that 5.4 per cent of the elderly people living alone, 2.4 per cent of those living in nursing homes and 0.4 per cent living with families could be regarded as malnourished. It was also found that elderly people living in nursing homes have more risk for malnutrition. MNA scores, based on measurements such as body weight, BMI (body mass index) and mid upper arm indicated a significant correlation with the malnutrition.

MNA appears to be a practical and reliable method to assess the nutritional status of elderly people and more importance should be attached to those living alone or in nursing homes to prevent their nutritional problems.

Assesses the nutritional status of the elderly living alone, with their family or in nursing homes in Turkey.

This study aims to describe the lived experiences among older persons with disability during the coronavirus pandemic in rural Ghana.

This study is based on a qualitative methodology consistent with a phenomenological approach. Semi-structured interviews were conducted with 20 participants. Thematic analysis was used for data analysis.

During the pandemic, care rendered to older persons with disabilities by their caregivers easily declined because of the lockdown measure. This made the participants suffer in profound loneliness and hunger, and forced some to generate suicidal thoughts. On the other hand, the participants who lived with their family members were also kept indoors for several weeks to reduce their chances of contracting the virus. This was because participants’ family members loosed confidence in the Ghanaian health-care system in protecting their older relatives.

To the best of the author’s knowledge, this is the first study to explore the experiences of older persons with disabilities during coronavirus disease 2019 in rural Ghana. The Ghanaian Government should consider formalized care to ensure continued care of older persons with disabilities especially during pandemics and future related uncertainties.

Although competence to live alone is typically associated with measures of activities of daily living, such measures fail to capture problematic situations that older people face in daily life. In particular, little is known about how older homebound women handle potentially harmful incidents. During a descriptive phenomenological study of the experience of reaching help quickly (RHQ) with 40 older homebound women, 33 women spontaneously reported 139 incidents (falls, “tight spots,” near-falls, health problems, and unwanted visitors) that they managed alone. The purpose of this secondary phenomenological analysis of RHQ project data was to describe the experience of those women with handling “close-calls.” Data yielded a typology of close-call incidents and five components of the phenomenon, managing a close-call. In addition to self-directed intentions to lessen the impact of each incident, there were four component phenomena relative to help-seeking, ranging from no mention of need for help (70% of incidents) to managing without desired or solicited help (6% of incidents). Contextual factors, including availability of potential helpers and access to help-seeking devices, influenced intentions in close-calls. Findings are springboards for further research and stimuli for new approaches to practice. Researchers should broaden the focus of competence assessment to take in empirical situations. Further work should be done to explore how older people appraise their status following close-calls and how they move from self-management to consideration of help-seeking and in some cases, on to active help-seeking. Because few close-calls were reported, practitioners could use our typology as an assessment protocol during routine visits. Practitioners can elicit self-management intentions relative to a particular close-call and build dialogue around those intentions, thereby bolstering ability of older women to manage close-calls effectively.

The purpose of this paper is to investigate factors associated with loneliness amongst people aged 55 and over living in Coventry, a medium-sized city in the Midlands, UK.

Quantitative community survey of residents, involving postal and online questionnaire and distribution of questionnaire to local community resources used by older people and “ballot boxes” for completed questionnaires in these locations.

Using multivariate regression analysis the study found that living alone, not enjoying life, needing help with personal care and not being in touch with people as often as liked all predicted loneliness.

Survey was commissioned by a range of local statutory and voluntary sector providers and had a wider focus than loneliness. Some evidence of under-representation of males, minority ethnic groups and possibly people from lower socio-economic groups is reported. Further qualitative research is needed to better understand consequences and causes of loneliness.

The study identified factors associated with loneliness that could be used to identify people who may be lonely in general or, for example, NHS or social care service populations.

Loneliness is slowly becoming more recognised as a social problem in its own right and a contributory factor in poor health and well-being. This paper explores a the relationship between lonely and “not lonely” people and a range of factors clustered within the four thematic areas of demographic background, reported health and well-being, access to personal resources and use of community resources of survey participants.