디지털융복합연구 (Journal of Digital Convergence)

  • 제11권12호
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  • Pages.523-535
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  • 2013
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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노인의 성별에 따른 건강관련 삶의 질 영향요인

Gender Difference in Influencing Factors on Health related Quality of Life among the Elderly in Community

  • 투고 : 2013.10.08
  • 심사 : 2013.12.20
  • 발행 : 2013.12.28
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초록

본 연구의 목적은 노인의 건강관련 삶의 질에 대한 인구사회학적 및 건강관련 요인의 영향력을 성별에 따라 확인하기 위한 것이다. 이를 위해 제5기 2차년도 국민건강영양조사 자료를 이용하여 65세 이상 노인 1,598명의 자료를 SPSS 통계 프로그램을 이용하여 분석하였다. 연구결과 남자노인의 경우 교육수준과 월 소득, 활동제한, 주관적 건강상태, 만성질환 수가 영향요인이었고, 여자노인의 경우에는 연령, 활동제한, 주관적 건강상태, 우울, 스트레스가 영향요인이었다. 남녀노인 모두에서 활동제한과 주관적 건강상태가 건강관련 삶의 질의 강력한 영향요인이었고, 특히 남자노인과 달리 여자노인에서는 우울, 스트레스와 같은 정신 건강특성이 건강관련 삶의 질에 유의한 영향을 미쳤다. 따라서 향후 노인을 대상으로 건강관련 삶의 질 향상을 위한 프로그램을 기획할 때 이러한 노인의 성별 특성을 고려하여야 할 것이다.

Purpose: This study was to investigate the socio-demographic and health factors affecting on the health related quality of life (HRQoL) in elderly by gender. Methods: Data of the study were derived from the fifth Korean National Health and Nutrition Examination Survey (KNHANES V-2, 2011). The subjects were older adults aged 65 years or more (673 male and 925 female) and the number of the sample was 1,598. The authors analyzed the data with the SPSS/WIN 21.0 program. Results: For male, the affecting factors on the HRQoL were education level, monthly income, and number of chronic disease. For female, affecting factors on the HRQoL were depression, stress, and age. The activity limitation and subjective health showed statistically significant relationship with the HRQoL for both male and female. Conclusion: Health care providers should consider the gender difference when they plan to design program for the improvement of HRQoL for elderly in community.

키워드

참고문헌

  1. Statistics Korea, http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=26036 8, 2012.
  2. Statistics Korea, http://kosis.kr/nsportalStats/nsportalStats_0101Body.jsp?menuId=all, 2013.
  3. World Health Organization Quality of Life Group, Development of the WHOQOL: Rationale and current status. International Journal of Mental Health, Vol. 23, pp. 24-26, 1994. https://doi.org/10.1080/00207411.1994.11449286
  4. C. E. Ferrans, & M. J. Powes, Psychometric assessment of the quality of life index. Research in Nursing & Health, Vol. 14, pp. 179-186, 1992.
  5. K. R. Shin, Y. H. Kang, D. Y. Jung, & K. A. Choi, A study on the depression, somatic symptom, activities of daily living for the elderly women in an urban area. Journal of Korean Academy of Nursing, Vol. 37, No. 7, pp. 1131-1138, 2007. https://doi.org/10.4040/jkan.2007.37.7.1131
  6. K. R. Shin, Y. S. Byeon, Y. H. Kang, & J. W. Oak, A study on physical symptom, activity of daily living, and health-related quality of life in the community-dwelling older adults. Journal of Korean Academy of Nursing, Vol. 38, No. 3, pp. 437-444, 2008. https://doi.org/10.4040/jkan.2008.38.3.437
  7. B. J. DeLateur, The 29th Walter J. Zeiter Lecture. Quality of life: A patient-centered outcome. Archives of Physical Medicine and Rehabilitation, Vol. 78, pp. 237-239, 1997. https://doi.org/10.1016/S0003-9993(97)90026-5
  8. M. R. Borgaonka, & E. J. Irvine, Quality of life measurement in gastrointestinal and liver disorder. Gut, Vol. 47, pp. 444-454, 2000. https://doi.org/10.1136/gut.47.3.444
  9. E. E. Thomas, M. R. Colleen, & A. P. Jeanette, Chronic pain, depression, and quality of life: Correlations with gender, age, and number of pain types. Quality of Life Research, Vol. 12, No. 7, pp. 805, 2003.
  10. Statistics Korea, http://kosis.kr/wnsearch/totalSearch.jsp, 2013.
  11. S. G. Kwak, S. H. Park, & E. K. Kim, A study on the gendered perceptions and lived-experiences of aged women, age, and number of pain types. The Journal of Korean Association of Women's Studies, Vol. 24, No. 4, pp. 141-174, 2008.
  12. H. J. Moon, & I. S. Lee, Gender-based comparison of physical activity levels of older Korean adults with chronic disease. Journal of Korean Gerontological Nursing, Vol. 13, No. 2, pp. 120-130, 2011.
  13. H. J. Lee, & S. K. Kahng, The reciprocal relationship between cognitive functioning and depressive symptoms: Group comparison by gender. Korean Journal of Social Welfare Studies, Vol. 42, No. 2, pp. 179-203, 2011. https://doi.org/10.16999/kasws.2011.42.2.179
  14. C. S. Kim, & S. E. Kim, Perception of old age among aged men and women. Journal of the Korean Gerontological Society, Vol. 32, No. 1, pp. 103-114, 2012.
  15. Y. H. Jeong, A report on the health related quality of life in Korea. Health and Welfare Policy Forum, Vol. 182, pp. 6-14, 2011.
  16. H. R. Kim, Prevalence and risk factors of depression by gender in low income elders in urban community. Journal of Korean Gerontological Nursing, Vol. 14, No. 3, pp. 162-172, 2012.
  17. K. Y. Park, Factors influencing perceived health status in elders according to gender. Journal of Korean Gerontological Nursing, Vol. 11, No. 2, pp. 216-225, 2009.
  18. C. Baldus, K. Bridwell, J. Harrast, C. Shaffrey, S. Ondra, L. Lenke, F. Schwab, S. Mardjetko, S. Glassman, C. Edwards, T. Lowe, W. Horton, & D. Polly, The scoliosis research society health-related quality of life (SRS-30) age-gender normative data: an analysis of 1346 adult subjects unaffected by scoliosis. Spine, Vol. 36, No. 14, pp. 1154-1162, 2011. https://doi.org/10.1097/BRS.0b013e3181fc8f98
  19. A. Ferrer, F. Formiga, J. Almeda, J. Alonso, C. Brotons, & R. Pujol. Health-related quality of life in nonagenarians: Gender, functional status and nutritional risk as associated factors. Medicina Clinica, Vol. 134, No. 7, pp. 303-306, 2010. https://doi.org/10.1016/j.medcli.2009.06.070
  20. G. Low, & G. Gutman, Examining the role of gender in health-related quality of life: Perceptions of older adults with chronic obstructive pulmonary disease. Journal of Gerontological Nursing, Vol. 32, No. 11, pp. 42-49, 2006.
  21. K. Sylvia, & H. Beatrix, Gender differences in health-related quality of life among healthy aged and old-aged Austrians: Cross-sectional analysis. Gender Medicine, Vol. 5, No. 3, pp. 270-278, 2008. https://doi.org/10.1016/j.genm.2008.07.001
  22. U. W. Jayasinghe1, M. F. Harris1, J. Taggart1, B. Christl1, & D. A. Black, Gender differences in health-related quality of life of Australian chronically-ill adults: Patient and physician characteristics do matter. Health and Quality of Life Outcomes, 11:102. doi: http://www.hqlo.com/content/11/1/102, 2013. https://doi.org/10.1186/1477-7525-11-102
  23. J. G. Kim, An analysis on income-related health inequality of the aged applied to EQ-5D. Journal of the Korean Gerontological Society, Vol. 32, No. 3, pp. 759-776, 2012.
  24. J. Y. Kim, S. G. Lee, & S. K. Lee, The relationship between health behaviors, health status, activities of daily living and health-related quality of life in the elderly. Journal of the Korean Gerontological Society, Vol. 30, No. 2, pp. 471-484, 2010.
  25. H. S. Kim, A study on self-rated health, health promotion behavior, and health-related quality of life in the elderly. Journal of Korean Gerontological Nursing, Vol. 8, No. 2, pp. 117-127, 2006.
  26. S. Y. Kim, & S. Y. Sohn, Factors related to health related quality of life in rural elderly women. Journal of Korean Gerontological Nursing, Vol 14, pp. 91-98, 2012.
  27. Y. S. Kim, H. Y. Jun, C. H. Kim, & S. H. Hwang, Comparison on the depression and quality of life in low-income elderly between urban and rural area. Journal of Korean Society of Living Environment System, Vol. 19, No. 1, pp. 42-50, 2012.
  28. H. Y. So, H. L. Kim, & K. O. Ju, Prediction model of quality of life in elderly based on ICF model. Journal of Korean Academy of Nursing, Vol. 41, No. 4, pp. 481-490, 2011. https://doi.org/10.4040/jkan.2011.41.4.481
  29. J. Yeom, J. S. Park, & D. H. Kim, A study of factors affecting self-rated health among Korean elderly: Focusing on gender differences. Journal of the Korean Gerontological Society, Vol. 32, No. 4, pp. 1101-1118, 2012.
  30. C. S. Kim, S. Kim, Perception of old age among aged men and women. Journal of the Korean Gerontological Society, Vol. 32, No. 1, pp. 103-114, 2012.
  31. H. Moon, I. Lee, Gender-based comparison of physical activity levels of older Korean adults with chronic disease. Journal of Korean Gerontological Nursing, Vol. 13, No. 2, pp. 120-130, 2011.
  32. J. M. Kim, M. S. Lee, H. J. Song, An analysis of risk factors for falls in the elderly by gender. Journal of Korean Society for Health Education and Promotion, Vol. 25, No. 2, pp. 1-18, 2008.
  33. Korea Centers for Disease Control and Prevention. The fifth Korea national health and nutrition examination survey (KNHANES V-2). http://knhanes.cdc.go.kr/knhanes/index.do, 2012.
  34. H. K. Lee, S. H. Lee, & E. W. Lee, Characteristics and factors related to problem drinking of the elderly in Korea. Journal of The Korea Society of Health Informatics and Statistics, Vol. 37, pp. 64-75, 2012.
  35. R. Rabin, & F. de Charro, EQ-5D: a measure of health status from the EuroQol Group. Annals Medicine, Vol. 33, pp. 337-343, 2001. https://doi.org/10.3109/07853890109002087
  36. S. H. Lee, & S. O. Yang, The effects of chronic musculoskeletal pain and depression on health-related quality of life by gender in community-dwelling older adults. Journal of Korean Academy of Community Health Nursing Vol. 21, No. 1, pp. 21-30, 2010. https://doi.org/10.12799/jkachn.2010.21.1.21
  37. Y. S. Byeon, The level of depression and participation in leisure activities in the elderly according to gender, Journal of Korean Gerontological Nursing, Vol. 8, No. 2, pp. 128-135, 2006.
  38. S. E. Widmalm, D. C. McKay, J. C. Radke, Y. Zhang, X. Wang, & M. Wang, Gender differences in low and high pain palpation thresholds in the TMJ and neck areas. The Journal of Craniomandibular Practice, Vol. 31, No. 2, pp. 92-99, 2013.
  39. P. S. Fry, & P. T. Wong, Pain management training in the elderly: Matching interventions with subjects' coping styles. Stress Medicine, Vol. 7, pp. 93-98, 1991. https://doi.org/10.1002/smi.2460070207
  40. T. Y. Lee, & J. K. Kim, Comparison of quality of life related with the level of activity and the grade of activity in the elderly residing among city, farmimg and fishing area. The Journal of the Korea Contents Association, Vol. 10, No. 2, pp. 402-411, 2010. https://doi.org/10.5392/JKCA.2010.10.2.402
  41. S. H. Hu, & J. D. Kim, Analysis of mullti-level effectiveness on life satisfaction in old age at KLIPS 2006. Journal of the Korean Gerontological Society, Vol. 31, No. 2, pp. 407-418, 2011.
  42. E. S. Yim, & K. H. No, The effects of related factors on health-related quality of life for the frail elderly. Journal of Korean Academy of Community Health Nursing, Vol. 21, No. 1, pp. 12-20, 2010. https://doi.org/10.12799/jkachn.2010.21.1.12
  43. S. Chan, S. Jia, H. Chiu, W. T. Chien, R. D. Thompson, Y. Hu, & L. Lam, Subjective health-related quality of life of Chinese older persons with depression in Shanghai and Hong Kong: relationship to clinical factors, level of functioning and social support. International Journal of Geriatric Psychiatry, Vol. 24, No. 4, pp. 355-362. doi: 10.1002/gps.2129, 2009.
  44. I. S. Stalbrand, T. Svensson, S. Elmstahl, V. Horstmann, B. Hagberg, O. Dehlin, & G. Samuelsson, Subjective health and illness, coping and life satisfaction in an 80-year-old Swedish population-implications for mortality. International Journal of Behavioral Medicine. Vol. 14, No. 3, pp. 173-180, 2007. https://doi.org/10.1007/BF03000189
  45. M. R. Song, E. K. Kim, & S. J. Yu, A study of ADL, social support, self-efficacy between the aged groups with and without depression. Korean Journal of Social Welfare Research, Vol. 24, pp. 61-80, 2010.
  46. J. I. Kim, Levels of health-related quality of life (EQ-5D) and Its related factors among vulnerable elders receiving home visiting health care services in some rural areas. Journal of Korean Academy of Community Health Nursing, Vol. 24, No, 1, pp. 99-109, 2013. https://doi.org/10.12799/jkachn.2013.24.1.99
  47. J. Y. Kim, S. G. Lee, & S. K. Lee, The relationship between health behaviors, health status, activities of daily living and health-related quality of life in the elderly. Journal of the Korean Gerontological Society, Vol. 30, No. 2, pp. 471-484, 2010.

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