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인터넷을 이용하는 지역사회 노인의 e-헬스 리터러시 및 주관적 건강상태가 건강추구행동에 미치는 영향

The Effects of e-Health Literacy and Subjective Health Status on Health-seeking Behaviors of Elderly Using the Internet in the Community

  • 투고 : 2019.09.23
  • 심사 : 2020.01.20
  • 발행 : 2020.01.28

초록

본 연구의 목적은 노인 세대의 e-헬스 리터러시 수준과 주관적인 건강상태 및 건강추구행동 간의 관련성을 파악하는 것이다. 연구대상은 경로당과 노인복지관을 이용하는 노인 중 최근 1개월 이내 1회 이상 인터넷을 이용하는 102명을 편의표집하였다. 수집된 자료는 SPSS 25.0을 이용하여 분석하였다. 연구결과, 대상자의 일주일 평균 인터넷 이용 시간은 '3시간 미만'이 54.9%로 가장 많았다. 지역사회 노인의 e-헬스 리터러시(r=.349, p<.001)와 주관적 건강상태(r=.466, p<.001)는 건강추구행동과 양의 상관관계가 있으며, 대상자의 성별(β=.22, p=.012), 질병유형(β=.23, p=.013), 주관적 건강상태(β=.38, p<.001)가 건강추구행동에 영향을 미치는 요인으로 나타났다. 이러한 결과를 통해 인터넷을 사용하는 지역사회 노인의 e-헬스 리터러시 및 주관적 건강 수준을 높이고 건강추구행동 향상에 기여하기 위한 중재 프로그램 개발이 필요함을 알 수 있다.

The purpose of this study was to identify relationships among level of e-Health literacy, subjective health status and health-seeking behaviors. Subjects were 102 senior citizens who used the internet at least once in the last month and visited elderly community centers and welfare centers. Collected data were analyzed descriptive statistics, t-test, ANOVA, Pearson's Correlation Coefficient, and Multiple Regression using SPSS version 25.0. Fifty five percent of subjects responded the average weekly internet usage hours was 'less than 3 hours', The e-health literacy (r=.349, p<.001) and subjective health status (r=.466, p<.001) were positively correlated with health seeking behavior. Subjects' gender (β=.22, p=.012), type of disease (β=.23, p=.013) and subjective health status (β=.38, p<.001) had significant effects on health-seeking behaviors. The results suggest that the development of intervention programs to increase the level of e-Health literacy and subjective health status to improve of their health-seeking behaviors.

키워드

참고문헌

  1. S. H. Kim. (2019.05.). 2018 Internet Usage Survey Report. Korea Internet & Security Agency (Online). https://www.kisa.or.kr/public/library/etc_View.jsp?regno=0011998&searchType=&searchKeyword=&pageIndex=1
  2. M. Y. Kim & H. J. Jun. (2016). Longitudinal Trends(2004-2014) of the Use and Non-use of Information Technology among Older Adults. Journal of the Korea Academia-Industrial cooperation Society, 17(6), 482-494. DOI : 10.5762/KAIS.2016.17.6.482
  3. C. Phellas. (2012). Aging in European societies: Healthy aging in Europe (Vol. 6). New York : Springer Science & Business Media.
  4. G. H. Jung. (2018). 2017 Elderly Survey Results Report. Seoul : Ministry of Health and Welfare.
  5. Korean Statistical Information Service. (2017.12.05). Life table. Statistical Office(Online). http://kosis.kr/index/index.do
  6. T. R. Huerta, D. M. Walker, T. Johnson & E. W. Ford. (2016). A time series analysis of cancer-related information seeking: Hints from the Health Information National Trends Survey (HINTS) 2003-2014. Journal of Health Communication, 21(9), 1031-1038. DOI : 10.1080/10810730.2016.1204381
  7. P. C. I. Pang, S. Chang, K. Verspoor & J. Pearce. (2016). Designing health websites based on users' web-based information-seeking behaviors: a mixed-method observational study. Journal of Medical Internet Research, 18(6), e145. https://doi.org/10.2196/jmir.5661
  8. G. Liobikiene & J. Bernatoniene. (2018). The determinants of access to information on the Internet and knowledge of health related topics in European countries. Health Policy, 122(12), 1348-1355. DOI : 10.1016/j.healthpol.2018.09.019
  9. S. M. Lee & Y. H. Nam. (2018). The Effect of e-Health literacy on Health Behavior in Health Science Majors. The Journal of Korean Society for School & Community Health Education, 19(2), 77-86. https://doi.org/10.35133/kssche.20180831.07
  10. C. D. Norman & H. A. Skinner. (2006). eHEALS: The eHealth literacy scale. Journal of Medical Internet Research, 8(4), e27. https://doi.org/10.2196/jmir.8.4.e27
  11. W. J. Cao et al. (2012). Factor analysis of a health-promoting lifestyle profile(HPLP): application to older adults in Mainland China. Archives of Gerontology and Geriatrics, 55(3), 632-638. https://doi.org/10.1016/j.archger.2012.07.003
  12. D. J. Park, M. S. Kwon & J. H. Choi. (2013). The Influence of Health Information Orientation, Attitude of Internet Health Information, and e-Health Literacy on Personal Health Behaviors. Journal of Public Relations, 17(3), 379-413. https://doi.org/10.15814/jpr.2013.17.3.379
  13. H. J. Lee. (2014). An Influencing Health Promoting Behavior of Perceived Health Status and Self-Efficacy according to major of college students. Journal of the Korea Academia-Industrial cooperation Society, 15(2), 989-999. DOI : 10.5762/KAIS.2014.15.2.989
  14. U. R. Im. (2014). Research concerning the influence personal e-health literacy has on the reliability of on-line medical information. master's dissertation. Hanyang University, Seoul.
  15. J. H. Jeong & J. S. Kim. (2014). Health Literacy, Health Risk Perception and Health Behavior of Elders. Journal of Korean Academy of Community Health Nursing, 25(1), 65-73. https://doi.org/10.12799/jkachn.2014.25.1.65
  16. H. J. Jeong & J. H. Bae. (2018). The Influence of Health Literacy and Social-Support on Medication Adherence in Eldery with Chronic Disease. Journal of digital convergence, 16(7), 419-428. https://doi.org/10.14400/JDC.2018.16.7.419
  17. S. J. Chang, E. J. Yang, H. J. Ryu, H. J. Kim & J. Y. Yoon. (2018). Cross-cultural Adaptation and Validation of the eHealth Literacy Scale in Korea. The Korean Academic Society of Adult Nursing, 30(5), 504-515. DOI : 10.7475/kjan.2018.30.5.504
  18. J. E. Ware. (1976). Scales for measuring general health perceptions. Health Services Research, 11(4), 396.
  19. D. L. Speake, M. E. Cowart & K. Pellet. (1989). Health perceptions and lifestyles of the elderly. Research in Nursing & Health, 12(2), 93-100. https://doi.org/10.1002/nur.4770120206
  20. Y. S. Hong. (1998). Barriers to Health-Seeking Behavior in Midlife Women. Korean Journal of Occupational Health Nursing, 7(2), 121-129.
  21. W. C. Kim. (2015). Influence of exercise self efficacy and perceived health status according to the stage of change for exercise behaviors in older adults. Journal of digital convergence, 13(11), 549-559. DOI : 10.14400/JDC.2015.13.11.549
  22. S. N. Walker, K. R. Sechrist & N. J. Pender. (1995). The health-promoting lifestyle profile II, College of Nursing, Omaha : University of Nebraska Medical Center.
  23. H. M. Seo & Y. S. Ha (2004). A Study of Factors Influencing on Health Promoting Lifestyle in the Elderly - Application of Pender"s Health Promotion Model. Journal of Korean Academy of Nursing, 34(7), 1288-1297. https://doi.org/10.4040/jkan.2004.34.7.1288
  24. H. J. Ryu. (2019). The association between e-Health literacy and health behaviors in elderly people. master's dissertation. Seoul National University, Seoul.
  25. S. J. Czaja et al. (2012). Factors influencing use of an e-Health website in a community sample of older adults. Journal of the American Medical Informatics Association, 20(2), 277-284.
  26. W. C. Kim (2015). Influence of exercise self efficacy and perceived health status according to the stage of change for exercise behaviors in older adults. Journal of Digital Convergence, 13(11), 549-559. DOI : 10.14400/JDC.2015.13.11.549
  27. Y. C. Song. (2018). Relationship among Depression, Perceived Health Status, and Subjective Memory Impairment in Urban Low-Income Old Adults. Health & Nursing, 30(2), 11-20. https://doi.org/10.29402/HN30.2.2
  28. S. H. Yi. (2014). Subjective Health Status and Health Promoting Behaviors of Grandparents Raising Their Preschool Grandchildren. master's dissertation. Catholic University of Pusan, Pusan.
  29. B. Tennant et al. (2015). eHealth literacy and web 2.0 health information seeking behaviors among baby boomers and older adults. Journal of Medical Internet Research, 17(3), e70. https://doi.org/10.2196/jmir.3992
  30. S. W. Ryu & Y. J. Ha. (2004). Usage of Health Information on the Internet . Health and Welfare Policy Forum, 2004(11), 71-87.
  31. J. A. Gazmararian, M. V. Williams, J. Peel & D. W. Baker. (2003). Health literacy and knowledge of chronic disease. Patient Education and Counseling, 51(3), 267-275. https://doi.org/10.1016/S0738-3991(02)00239-2
  32. S. S. Lee, H. J. Son, D. S. Lee & H. W. Kang. (2017). The Influence of e-Health Literacy, Subjective Health Status, and Health Information Seeking Behavior on the Internet on Health Promoting Behavior. Journal of the Korean Society for Wellness, 12(4), 55-67. DOI : 10.21097/ksw.2017.11.12.4.55
  33. W. K. Kim. (2012). The relationship among health promotion behavior, health status, and quality of life of elderly. Korean Journal of Sports Science, 21(5), 89-98.
  34. S. J. Park & Y. H. Lee. (2016). Effects of Perceived Health Status, Health Attitude, and Health Concern on Health Promoting Behavior in Adults. The Korea Contents Society, 16(12), 192-202.
  35. H. S. Jeong & O. S. Kim. (2013). Anxiety, Depression and Health Behavior of Elderly with Chronic Diseases. Health & Nursing, 25(2), 35-46.
  36. R. Wang et al. (2019). Prevalence of tobacco related chronic diseases and its role in smoking cessation among smokers in a rural area of Shanghai, China: a cross sectional study. BMC Public Health, 19(1), 753. https://doi.org/10.1186/s12889-019-7110-9
  37. M. S. Lee. (2017). Health Literacy and Health Behaviors among Older Adults with Cardio-cerebrovascular Disease Residing in Rural Areas. The Korean Academic Society of Adult Nursing, 29(3), 256-265. DOI : 10.7475/kjan.2017.29.3.256
  38. G. R. Rios. (2013). eHealth literacy and older adults: a review of literature. Topics in Geriatric Rehabilitation, 29(2), 116-125. https://doi.org/10.1097/TGR.0b013e31827ec0bd
  39. J. W. Park & M. Y. Kim. (2017). A Comparison Study of e-health Literacy and Self-care Agency between Nursing Students and Non-health Department Women College Students. Journal of Korean Academy of Nursing Administration, 23(4), 439-449. https://doi.org/10.11111/jkana.2017.23.4.439
  40. M. S. Jeon. (2015). An Analysis on the Structural Relations of the health status, future prospects, health promoting behavior and quality of life With the Elderly Using In-Home Services for the Elderly. Journal of Community Welfare, 54, 131-151. https://doi.org/10.15300/jcw.2015.54.3.131
  41. J. M. Ocampo. (2010). Self-rated health: importance of use in elderly adults. Colomvia Medica, 41(3), 257-289.
  42. M. I. Kim, S. W. Lee & H. J. Kim. (2013). A Study on the Self-rated Health of the Elderly in Seoul According to Their Preparation for Old Age Using Hierarchical Linear Model (HLM). Health and Social Welfare Review, 33(3), 327-360. https://doi.org/10.15709/hswr.2013.33.3.327
  43. H. Y. Kim. (2010). Community Inequalities in Health : The Contextual Effect of Social Capital, Korean Sociological Association, 44, 59-92.
  44. N. G. Choi & D. M. DiNitto. (2013). The digital divide among low-income homebound older adults: Internet use patterns, eHealth literacy, and attitudes toward computer/Internet use. Journal of Medical Internet Research, 15(5), e93. https://doi.org/10.2196/jmir.2645
  45. N. T. Artinian et al. (2010). Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: a scientific statement from the American Heart Association. Circulation, 122(4), 406-441. DOI : 10.1161/CIR.0b013e3181e8edf1