The Moderating Effect of Home-Based Welfare Facilities for Older Adults between ADL/IADL and Depressive Symptoms among Korean in Later Life

노인의 일상생활수행능력이 우울감에 미치는 영향에 대한 지역사회 재가노인복지시설의 조절효과

  • Joo, Susanna (Department of Child and Family Studies, Yonsei University) ;
  • Jun, Heyjung (Department of Child and Family Studies, Yonsei University) ;
  • Choi, Bomi (Department of Child and Family Studies, Yonsei University)
  • Received : 2017.11.29
  • Accepted : 2018.02.26
  • Published : 2018.02.28

Abstract

The purpose of this study is to investigate the moderating effect of home-based welfare facilities for older adults on the associations between the activities of daily living (ADL) / instrumental activities of daily living (IADL) and the depressive symptoms among Koreans in later life. Multilevel analysis was conducted with Korean Longitudinal Study of Aging 5th data and the public report about welfare facilities from Ministry of Health and Welfare in Korea. Samples were 4,139 older adults over 65 years old. The dependent variable was depressive symptoms, and individual level independent variables were ADL and IADL. The ratio of home-based welfare facilities out of 10,000 older adults in each city and province was the moderator. As a result, the effects of ADL on depressive symptoms vary according to the proportion of elderly welfare facilities out of the old population in the community. In specific, the older adults who live in the place where the elderly welfare facility rate was higher were less affected by ADL. Also, the more IADL people had, the more depressive symptoms they had. However, the interaction effect between IADL and the proportion of home-based welfare facilities was not significant. It suggests that delivering welfare services helping ADL through the home-based welfare facilities may be useful for decreasing depressive symptoms. Moreover, considering the proportion of facilities and older population will be helpful to make the welfare facilities efficiently work.

Acknowledgement

Supported by : 연세대학교 대학원