Feeling blue? The importance of a confidant for the well-being of older rural married Australian and American men

摘要

Older men have been described as relatively invisible in gerontological research, with knowledge about the well-being of older men in a rural and cross-cultural context limited. Thus, this research investigated the prevalence and predictors of mild depression, or “the blues,” among older married australian and American men living in rural areas. Comparable data from two separate studies, phone interviews for Americans (n=118) and a self-complete postal questionnaire for Australians (n=53), was integrated to determine whether the prevalence and predictors of mild depression, specifically demographic factors, health, pain, functional limitations and social networks, differed according to nationality. Approximately 20% of older rural men described themselves as recently “feeling blue” or “down in the dumps.” logistic regression analyses demonstrated that, for both older Australian and American men, mild depression was predicted by functional limitations and not having someone to trust and confide in. These findings emphasize the importance of friendships beyond the marital relationship for older married rural men. Unfortunately, the remoteness and isolation of rural life, combined with the “masculine culture of the bush” and men's resistance to share their feelings, may impede the formation of close friendships. As the first study to identify the predictors of mild depression for older married men in a rural cross-cultural context, this research highlights the importance of friendships for male well-being in rural Australia and America.