Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Impact of Medical Utilization on Subjective Health and Happiness Index and Quality of Life according to the Economic Level of the Elderly

노인의 경제적 수준에 따른 의료이용이 주관적 건강수준과 행복감 지수 및 삶의 질에 미치는 영향

  • So, Kwon-Seob (Dept. of Healthcare & Welfare, Konyang Cyber University) ;
  • Hwang, Hye-Jeong (Dept. of Healthcare & Welfare, Konyang Cyber University) ;
  • Kim, Eun-Mi (Dept. of Counseling Psychology, Konyang Cyber University)
  • 소권섭 (건양사이버대학교 보건의료복지학과) ;
  • 황혜정 (건양사이버대학교 보건의료복지학과) ;
  • 김은미 (건양사이버대학교 상담심리학과)
  • Received : 2019.01.02
  • Accepted : 2019.03.08
  • Published : 2019.03.31
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Abstract

The purpose of this study was to find concrete measures to improve the subjective health level, happiness and quality of life of the elderly according to economic level and to propose social and policy alternatives accordingly. As a research method, 63,929 elderly people aged 65 or older were surveyed using the Community Health Survey (Indicator Bank) _v09, and the frequency of health use by economic level, subjective health level, euphoria and quality of life Analysis and Chi square analysis and independent t-test. Multi variate logistic regression analysis was performed with subjective health level as a dependent variable and multiple linear regression analysis was performed to determine the factors affecting euphoria and quality of life. The results of the study are as follows. In the case of recipients, medical use was lower than that of non-recipients, lower education level, female age of 75 years or older, and less stress, In case of present or past recipients, the result of non - receipt increased as the subjective health level was worse, and the non - recipient had higher euphoria and quality of life. As a result, there is a need for alternatives to increase opportunities for medical use among the recipients, with particular attention being paid to women and elderly people over 75 years old. It is expected to be used as a basic data to effectively improve the health promotion, happiness and quality of life of the elderly people of low income group.

이 연구는 경제적 수준에 따라 노인들의 주관적 건강수준과 행복감 및 삶의 질을 높이기 위한 구체적인 방안을 모색하고 그에 따른 사회적 정책적 대안을 제시하고자 실시하였다. 연구방법으로는 지역사회건강조사_지표뱅크(2015)_v09를 이용하여 65세 이상 노인 63,929명을 대상으로 경제적 수준에 따른 건강이용 정도가 주관적 건강수준과 행복감 및 삶의 질에 미치는 영향에 대해 빈도분석 및 카이제곱 분석과 독립표본 t-검정을 실시하였으며, 주관적 건강수준을 종속변수로 다중로지스틱 회귀분석을 실시하였으며, 행복감과 삶의 질에 미치는 영향요인을 파악하기 위해서는 다중 선형회귀분석을 실시하였다. 연구결과는 다음과 같다. 수급자의 경우 의료이용은 비수급자에 비해 낮았고, 교육수준이 낮을수록, 여성일 경우, 나이가 75세 이상, 스트레스를 많이 느낄수록 낮은 의료이용을 보였다. 현재 또는 과거 수급자인 경우 미수진 한 결과는 주관적 건강수준이 나쁠수록 증가하였고, 비수급자의 경우 행복감과 삶의 질은 높았다. 결과적으로 수급 대상자의 의료이용에 대한 기회를 늘릴 수 있는 대안이 필요하며, 그 중에서도 여성과 75세 이상 노인에 대한 각별한 사회적 관심이 필요하다. 추후 저소득층 노인인구의 건강증진 및 행복감 및 삶의 질을 효과적으로 향상시킬 수 있는 기초자료로 활용될 것으로 기대된다.

Keywords

Table 1. General characteristics of the study subjects

SHGSCZ_2019_v20n3_544_t0001.png 이미지

Table 2. Medical use according to economic level(current or past recipients)

SHGSCZ_2019_v20n3_544_t0002.png 이미지

Table 3. Medical use according to economic level (not a basic livelihood recipient)

SHGSCZ_2019_v20n3_544_t0003.png 이미지

Table 4. Decomposition of chronic disease according to economic level

SHGSCZ_2019_v20n3_544_t0004.png 이미지

Table 5. The effect of medical use on subjective health level and happiness index according to economic level

SHGSCZ_2019_v20n3_544_t0005.png 이미지

Table 6. The effect of medical use on subjective health level and happiness index according to economic level

SHGSCZ_2019_v20n3_544_t0006.png 이미지

Table 7. Multivariate logistic regression analysis with adverse dependent variables on subjective health levels

SHGSCZ_2019_v20n3_544_t0007.png 이미지

Table 8. Multiple regression analysis of euphoria index as dependent variables

SHGSCZ_2019_v20n3_544_t0008.png 이미지

Table 9. Multiple regression analysis of EQ-5D as dependent variables

SHGSCZ_2019_v20n3_544_t0009.png 이미지

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