보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제24권5호
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  • Pages.55-68
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  • 2007
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  • 1229-4128(pISSN)
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  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
권호 표지

한국 백세인, 팔순인, 환갑인의 장수요인의 차이

Differences in Longevity Factors amongst Korean Centenarians, Octogenarians, and Sexagenarians

  • Kim, Jong-In (Division of health and Welfare, Wonkwang University)
  • 발행 : 2007.12.30
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초록

이 연구의 목적은 한국의 백세인(100세 이상), 팔순인(80$\sim$89), 환갑인(60$\sim$69)의 3개 집단간의 수명요인의 차이를 규명하고자 시도되었다. 조사대상은 백세인의 109명을 포함하여 총 한국노인 389명이다. 수명요인은 건강행태와 심리적인 요인을 선정하여 분석하였다. 자료처리는 백세인과 2집단간의 차이를 로지스틱 회귀분석(logistic regression analysis)을 통하여 이루어졌다. 분석결과, 백세인과 팔순인의 여성들은 같은 남성에 비해 음주를 9배정도 억제하는 것으로 조사되었다. 백세인은 팔순인 보다 병원이용률의 경우 11배정도 낮은 것으로 분석되었다 (OR=11.48, CI=5.56, 23.70). 또한 하루에 2회 이상 웃는 백세인은 팔순인 보다 10배, 환갑인보다 12배 정도 많았다 (OR=11.59, CI=5.04, 26.63). 그밖에 백세인은 환갑인보다 미래에 대한 근심 걱정이 없으며, 오락에도 관심이 없는 것으로 분석되었다 (OR=12.49, CI=6.42, 24.32). 이와 같은 연구결과를 볼 때, 건강행태와 심리적인 반응이 장수요인으로 작용한 것으로 판단된다. 그러므로 노인건강은 절주, 금연, 정신건강을 중심으로 보건교육을 강구해야 할 것으로 사료된다.

The purpose of this study was to investigate differences in longevity factors for 3 age groups: centenarians, octogenarians, and sexagenarians. There were 389 elderly Korean subjects who participated in this study. This included 109 centenarians who participated in the 1-wave study that examined the longevity factors using the health behaviors and psychological reactions. The study that examined the longevity factors by using odds ratio of the logistic regression analysis. The major findings indicate that female centenarians and octogenarians scored the highest in abstinence from alcoholic drinking than males from these same 2 age groups (OR=9.04, CI=4.04, 20.24). Centenarians scored higher in non-visiting hospitals (OR=11.48, CI=5.56, 23.70) and showed little emotion when watching sad scenes, upon comparison with the younger 2 age groups. Also, centenarians scored higher in laughter (OR=11.59, CI=5.04, 26.63), showing no anxiety (OR=12.49, CI=6.42, 24.32), and displaying indifference towards games, when compared with the younger 2 age groups. The findings imply that Korean centenarian leads to a life of longevity is the result not only of psychological reactions but also of health behaviors. Also, these results support future studies of improvement of longevity factors.

키워드

참고문헌

  1. Evert J., Lawler E., Bogan H. and Perls T. 2003. Morbidity profiles of centenarians: Survivors, delayers, and escapers. Journal of Gerontology, Medical Sciences (58):232-237
  2. Bernstein AM, Willcox BJ, Tamaki H, Perls TT et al. 2004. First Autopsy Study of an Okinawan Centenarian: Absence of Many Age-Related Diseases. J. Gerontol. A Biol. Sci. Med. Sci. (59): 1195-1199
  3. Chipperfield JG, Perry RP, Weiner B. 2003. Discrete Emotions in Later Life. J. Gerontol. B. Psychol. Sci. Soc. Sci. (58): 23-P34
  4. Choi YH, Kim JH, Kim OK et al. 2003. Distributions of ACE and APOE Polymorphisms and Their Relations With Dementia Status in Korean Centenarians. J. Gerontol. A Biol. Sci. Med. Sci. (58): 227-231
  5. Earles JL, Kersten AW. 1998. Influences of age and perceived activity difficulty on activity recall. J. Gerontol. B. Psychol. Sci. Soc. Sci. (53): 324-328
  6. Ferraro, KF and Wilmoth JM. 2000. Measuring Morbidity: Disease Counts, Binary Variables, and Statistical Power. J. Gerontol. B. Psychol. Sci. Soc. Sci. (55): 173-189
  7. Hagberga B, Alfredsona BB, Poon LW, Hommac A. 2001. Cognitive functioning in centenarians: A coordinated analysis of results from three countries. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences (56): 141-151
  8. Kim JI. 2003b. Longevity factors of centenarians in Korea. Journal of Korean Society for Health Education and Promotion 20(4): 41-50.b
  9. Kim JI. 1998. Analysis of health factor for longevity of centenarians in Korea. Journal of the Korean Health & Welfare Society (1): 9-38
  10. Kim JI. 2003a. Lifestyle factors between gastric cancer and centenarians. Korean Association of Health and Medical Sociology (14): 233-247.a
  11. Kim JI. 2002b. Longevity and occupation. Age and Ageing 31 (6): 485-487 https://doi.org/10.1093/ageing/31.6.485
  12. Kim JI. 2002a. Social-environment factors by region of centenarians. Journal of the Korean Gerontological Society 21 (3): 157-168
  13. Kim JI. 2005. Social-environmental factors by region for cause of death of elderly people in Korea. Journal of the Korean Gerontological Society 25(2): 9-19
  14. Kim JI. 2007. Influence social-environment factors for region of centenarians. Journal of the Korean Gerontological Society 27(3): 635-647
  15. Korea National Statistical Office. 2007. Population projections for Korea. Seoul: Korea National Statistical Office
  16. Martin P, Long MV, and Poon LP. 2002. Age changes and differences in personality traits and states of the old and very old. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences (57): 144-152
  17. OECD. 2002. Review of the Korean Health Care System. Seoul: OECD
  18. Phillips LH, MacLean RD J, and Allen R. 2002. Age and the Understanding of Emotions: Neuropsychological and Sociocognitive Perspectives. J. Gerontol B. Psychol. Sci. Soc. Sci (57): 526-P530
  19. Selim AJ, Fincke G, Berlowitz DR, Miller DR, Qian SX et al. 2005. Comprehensive Health Status Assessment of Centenarians: Results From the 1999 Large Health Survey of Veteran Enrollees. J. Gerontol. A Biol. Sci. Med. Sci. (60): 515-519
  20. Smith OW. 1997. Centenarians: human longevity outliers. Gerontologist (37): 200-206
  21. United Nations. Population Ageing-2006. 2007. Department of Economic and Social Affairs, Population Division
  22. WHO. 2001. Men, Ageing and d Health. World Health Organization: 10-12
  23. Williams JE, Nieto FJ, Sanford CP et al. 2002. Theassociation between trait anger and incident stroke risk. American Heart Association, Inc. Stroke (33): 13-20
  24. Wink P, Scott J. 2005. Does Religiousness Buffer Against the Fear of Death and Dying in Late Adulthood? Findings From a Longitudinal Study. J. Gerontol. B. Psychol. Sci. Soc. Sci.(60): P207-P214
  25. Woodhouse, KW and James. 1985. Alcoholic liver disease in the elderly: presentation and outcome. Age and Ageing (14): 113-118
  26. World Health Organization. 2005. The world is fast ageing - have we noticed? Geneva: World Health Organization
  27. Zaranek RR, Chapleski EE. 2005. Casino Gambling Among Urban Elders: Just Another Social Activity? J. Gerontol. B Psychol. Sci. Soc. Sci. (60): 74-81