The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
권호 표지
DOI QR코드

DOI QR Code

Self-rated Health and its Associated Factors in the Elderly

노인의 주관적 건강상태와 관련요인에 관한 연구

  • Received : 2019.09.18
  • Accepted : 2019.10.22
  • Published : 2019.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study aimed to identify the self-rated health and its associated factors of the elderly. Study subjects were community-dwelling elderly of 60 or more. Survey was done by using questionnaire including general characteristics, lifestyle, and health related variables. Blood pressure, anthropometric variables, lipid profiles, and fasting glucose were checked. Descriptive statistics showed that good self-rated health was 78.2% in the elderly. Multiple logistic regressions revealed that good self-rated health was associated with disease(OR:10.83, 95% CI:2.47-47.43), depression(OR=2.50, 95% CI=1.20-5.18), and exercise(OR=3.01, 95% CI=1.40-6.47). Therefore, health promotion program considering associated factors of self-rated health should be developed.

본 연구는 노인이 주관적으로 평가하는 건강상태를 알아보고 이와 관련된 요인을 파악하기 위한 서술적 상관관계 연구이다. 연구 대상은 60세 이상의 재가 노인으로, 일반적 특성, 생활습관, 질병, 투약, 우울, 불면증 등의 건강관련 특성이 포함되어 있는 질문지를 이용하여 설문조사를 하였고, 혈압 측정 및 신체계측, 지질 및 공복 혈당을 측정하였다. 211명의 자료를 분석한 결과 주관적으로 건강한 편이라고 평가한 경우는 78.2%로 나타났으며 이와 관련된 요인은 질병(OR:10.83, 95% CI:2.47-47.43), 우울(OR=2.50, 95% CI=1.20-5.18), 운동(OR=3.01, 95% CI=1.40-6.47)으로 나타났다. 그러므로 신체적 질병, 우울과 같은 정신 건강문제 뿐 아니라 운동과 같은 생활습관을 고려한 노인 건강증진 프로그램 개발이 필요하다.

Keywords

References

  1. Statistics Korea. Available from : http://kosis.kr/conts/nsportalStats/nsportalStats_0102Body.jsp?menuId=10 [cited 2019 October 17]
  2. Statistics Korea. Available from : http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&vw_cd=&list_id=&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_pa th=E1 [cited 2019 October 17]
  3. Y. Choi, K. Shin, O. Kim, S. Ko, E. Gong, K. Kim, S. Kim, J. Shin, Y. Lee, J. Lee, D. Jeong, M. Cho, E. Hwang. The aged and health. Hyunmoonsa. 2015
  4. J. Min. "Effect of social engagement on self-rated health trajectory among Korean older adults", Health and Social Welfare Review, Vol. 33, No. 2, pp. 105-123, 2013 https://doi.org/10.15709/hswr.2013.33.4.105
  5. W. S. Kang, J. W. Moon, J. S. Park. "The relationship among abuse, self-esteem, ADL, psychosocial factors and depression in the elderly", Health and Social Science, Vol. 29, No 1, pp. 153-183, 2011
  6. N. Y. Park. Study on factors influence on subjective health conditions of the seniors-based on family and social participation-, Master's thesis, Duksung Women's University, 2016
  7. M, Song. The factors related to subjective and objective health levels for the elderly in South Korea, Master's thesis, Chungnam National University, 2016
  8. Y. J. Lee. "Influence of self-rated health status, self-efficacy and social support on health behavior in urban elderly people living alone", The Journal of the Convergence on Culture Technology, Vol. 4, No. 2, pp. 81-87, 2018 https://doi.org/10.17703/JCCT.2018.4.2.81
  9. W. Dong, X. F. Pan, C. Yu, J. Lv, Y. Guo, Z. Bian, L. Yang, Y. Chen, T. Wu, Z. Chen, A. Pan, L. Li; China Kadoorie Biobank Collaborative Group. "Self-rated health status and risk of ischemic heart disease in the China Kadoorie Biobank Study: a population-based cohort study", Journal of American Heart Association, Vol. 6, No. 9, pii:e006595, 2017, DOI: 10.1161/JAHA.117.006595
  10. R. M. van der Linde, N. Mavaddat, R. Luben, C. Brayne, R. K. Simmons, K. T. Khaw, A. L. Kinmonth. "Self-rated health and cardiovascular disease incidence: results from a longitudinal population-based cohort in Norfolk, UK", PLoS One, Vol. 8, No. 6, e65290. 2013, DOI: 10.1371/journal.pone.0065290
  11. W. Hu, J. Lu. "Associations of chronic conditions, APOE4 allele, stress factors, and health behaviors with self-rated health", BMC Geriatriatrics, Vol. 15, No. 137, 2015, DOI: 10.1186/s12877-015-0132-y
  12. H. Falk, I. Skoog, L. Johansson, M. Guerchet, R. Mayston, H. Horder, M. Prince, A. M. Prina. "Self-rated health and its association with mortality in older adults in China, India and Latin America 10/66 Dementia Research Group study", Age Ageing, Vol. 46., No. 6, pp. 932-939, 2017, DOI: 10.1093/ageing/afx126
  13. A. Szybalska, K. Broczek, M. Puzianowska-Kuznicka, P. Slusarczyk, J. Chudek, A. Skalska, M. Mossakowska. "Self-rated health and its association with all-cause mortality of older adults in Poland: The PolSenior project", Archives of Gerontology and Geriatrics, Vol. 79, pp. 13-20, 2018, DOI: 10.1016/j.archger.2018.07.016
  14. J. H. Moon, D. Kim. "Factors influencing life satisfaction in elderly living alone", The Journal of the Korea Contents Association, Vol. 18, No. 1, pp. 44-54, 2018 https://doi.org/10.5392/JKCA.2018.18.01.044
  15. M. O. Rahman, A. J. Barsky. "Self-reported health among older Bangladeshis: how good a health indicator is it?", Gerontologist, Vol. 43, No. 6, pp. 856-63, 2003 https://doi.org/10.1093/geront/43.6.856
  16. Y. Nam, J. Nam. "A study of the factors affecting the subjective health status of elderly people in Korea", Korean Journal of Family Welfare, Vol. 16, No. 4, pp. 145-162, 2011
  17. J. Kim. The relation of the quality of life between the subjective health recognition and the general mental health of the attendees participating in the elderly people's health sports program, Master's thesis, Kangwon National University, 2011
  18. C. H. Bastien, A. Vallieres, C. M. Morin, "Validation of the Insomnia Severity Index as an outcome measure for insomnia research", Sleep Medicine, Vol. 2, No. 4, pp. 297-307, 2001
  19. Y. W. Cho, M. L. Song, C. M. Morin, "Validation of a Korean version of the insomnia severity index," Journal of Clinical Neurology, Vol. 10, No. 3, pp. 210-215, 2014, DOI: 10.3988/jcn.2014.10.3.210
  20. B. S. Kee, "A preliminary study for the standardization of a geriatric depression scale short form-Korean version", Journal of Korean Neuropsychiatric Association, Vol. 3, No. 2, pp. 298-307, 1996
  21. R. N. Khalaila. "Socioeconomic status, health behaviors, obesity and self-rated health among older Arabs in Israel", Journal of Cross-Cultural Gerontology, Vol. 32, No. 1, pp. 115-130, 2017, DOI: 10.1007/s10823-016-9301-5
  22. S. M. Medeiros, L. S. Silva, J. A. Carneiro, G. C. Ramos, A. T. Barbosa, A. P. Caldeira. "Factors associated with negative self-rated health among non-institutionalized elderly in Montes Claros, Brazil", Ciencia & Saude Coletiva, Vol. 21, No. 11, pp. 3377-3386, 2016, DOI: 10.1590/1413-812320152111.18752015
  23. K. S. Cha, H. S. Lee, C. Kim, E. M. Kim. "The level of successful aging and influencing factors of the community elderly", Korean Journal of Health Promotion, No. 19, Vol. 1, pp. 39-48, 2019, DOI:10.15384/kjhp.2019.19.1.39
  24. Y. M. Ko, Y Cho. "Different influence of risk factors on self-rated health between the economically poor and non-poor elderly population living alone: based on one sub-area in Seoul", Korean Journal of Health Education and Promotion, Vol. 30, No. 2, pp. 41-53, 2013 https://doi.org/10.14367/kjhep.2013.30.2.041
  25. Y. Chen, A. Hicks, A. E. While. "Quality of life and related factors: a questionnaire survey of older people living alone in Mainland China", Quality of Life Research, Vol. 23, No. 5, pp. 1593-1602, 2014, DOI: 10.1007/s11136-013-0587-2
  26. W. Dong, J. Wan, Y. Xu, C. Chen, G, Bai, L. Fang, A. Sun, Y. Yang, Y. Wang. "Determinants of self-rated health among Shanghai elders: a cross-sectional study", BMC Public Health, Vol. 17, No. 1, pp. 807, 2017, DOI: 10.1186/s12889-017-4718-5
  27. S. C. Confortin, M. W. Giehl, D. L. Antes, I. J. Schneider, E. d'Orsi. "Positive self-rated health in the elderly: a population-based study in the South of Brazil", Cadernosos de Saude Publica, Vol. 31, No. 5, pp. 1049-1060, 2015, DOI: 10.1590/0102-311X00132014
  28. C. Shin, Y. Kim, S. Park, S. Yoon, Y. H. Ko, Y. K. Kim, S. H. Kim, S. W. Jeon, C. Han. "Prevalence and associated factors of depression in general population of Korea: results from the Korea National Health and Nutrition Examination Survey, 2014", Journal of Korean Medical Science, Vol. 32, No. 11, pp. 1861-1869, 2017, DOI: 10.3346/jkms.2017.32.11.1861
  29. J. W. Jones, T. Ledermann, E. B. Fauth. "Self-rated health and depressive symptoms in older adults: a growth mixture modeling approach", Archives of Gerontology and Geriatrics, Vol. 79, pp. 137-144, 2018, DOI: 10.1016/j.archger.2018.08.012
  30. J. Cai, P. C. Coyte, H. Zhao. "Determinants of and socio-economic disparities in self-rated health in China", International Journal for Equity in Health, Vol. 16, No. 1, 2017, DOI: 10.1186/s12939-016-0496-4
  31. G. Ambresin, P. Chondros, C. Dowrick, H. Herrman, J. M. Gunn. "Self-rated health and long-term prognosis of depression", Annals of Family Medicine, Vol. 12, No. 1, pp. 57-65, 2014, DOI: 10.1370/afm.1562
  32. E. S. Jeong. Association between physical activity and self-rated health in Korean Older Adults, Master's thesis, Aju University, 2012
  33. O. Stanojevic Jerkovic, S. Sauliune, L. Šumskas, C. A. Birt, J. Kersnik. "Determinants of self-rated health in elderly populations in urban areas in Slovenia, Lithuania and UK: findings of the EURO-URHIS 2 survey", European Journal of Public Health, Vol. 27(suppl_2), pp. 74-79, 2017, DOI: 10.1093/eurpub/ckv097