디지털융복합연구 (Journal of Digital Convergence)

  • 제19권2호
  • /
  • Pages.265-274
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  • 2021
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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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청력저하 여부에 따른 노인의 삶의 질 관련 요인: 국민건강영양조사 자료(2016-2018년) 분석

Comparison of quality of life and related factors according to hearing impairment in elders using the Korea National Health and Nutrition Examination Survey (2016-2018)

  • 투고 : 2020.12.08
  • 심사 : 2021.02.20
  • 발행 : 2021.02.28
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초록

본 연구는 청각저하 여부에 따른 노인의 삶의 질 관련 요인을 파악하고자 시도되었다. 제 7기 국민건강영양조사 자료를(KNHANES 2016-2018) 활용하여 65세 이상 노인을 청각저하 여부에 따라 분류하여 최종적으로 4,754명을 연구대상으로 하였다. 인구사회학적 특성, 건강 행태, 신체적 건강과 심리사회적 건강 특성(주관적 건강상태, 스트레스, 우울, 걷기운동, 근력운동, 활동제한, 의료 미충족 요구)을 조사하였다. 수집된 자료는 SPSS ver. 22.0를 이용하여 복합 표본 분석하였다. 청각저하 여부에 따라 노인의 삶의 질은 인구사회학적 특성, 건강 행태, 신체적 건강과 심리사회적 건강에 따라 차이가 있었다. 다중로지스틱회귀분석 결과, 청력저하가 없는 노인의 경우 결혼상태, 활동제한과 걷기운동이 삶의 질에 영향을 미치는 요인이었다. 청력저하가 있는 노인의 경우에는 걷기운동이 삶의 질에 영향을 미치는 요인이었다. 청력저하 노인의 삶의 질 향상을 위한 환경, 신체, 심리적 건강관리 및 운동이 포함된 다학제적 협력과 프로그램 개발 및 적용이 필요하다.

The Purpose of this paper was to explore the effect of hearing impairment on HRQOL in Korean elders. We carry out a cross-sectional analysis using nationally representative data from the KNHANES, 2016-2018. The survey was conducted on 4,754 elders who responded to questions about hearing impairment. Quality of life was compared between hearing impaired elders and elders with no hearing impairment using the t-test and chi-square test, and factors related to quality of life were analyzed by multivariate logistic regression using SPSS version 22.0. There was significant difference in quality of life between hearing impaired elders and elders with no hearing impairment. Walking exercise were identified as factors related to quality of life in elders with hearing impairment, while marriage status, walking exercise and limited movement were found to be related to quality of life among elders with no hearing impairment. In order to improve the HRQOL of elders with hearing impairment, multidisciplinary efforts and development of educational programs are required.

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참고문헌

  1. Y. C. Tseng, S. H. Y. Liu, M. F. Lou & G. S. (2018). Huang. Quality of life in older adults with sensory impairments: a systematic review. Quality of Life Research, 27(8), 1957-1971. DOI : 10.1007/s11136-018-1799-2
  2. A. Ciorba., C. Bianchini, S. Pelucchi & A. Pastore. (2012). The impact of hearing loss on the quality of life of elderly adults. Clinical Interventions in Aging, 7(6), 159-163. DOI : /10.2147/CIA.S26059
  3. A. M. Goman & F. R. Lin. (2016). Prevalence of hearing loss by severity in the United States. American Journal of Public Health, 106(10), 1820-1822. DOI : 10.2105/AJPH.2016.303299
  4. H.-S. Li-Korotky. (2012). Age-related hearing loss: Quality of care for quality of life. The Gerontologist, 52(2), 265-271. DOI : 10.1093/geront/gnr159
  5. Statistics Korea. (2019). Population status and prospects of the world and korea. [Internet]. Daejeon: Statistics Korea. 2019 [cited 2020 November 8] Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=377226
  6. National Health Insurance Service. (2017). Regional gender transitions in later life (66 years old) physical functioning and activities of daily living of 1 st health screening in older adults. [Internet]. Daejeon: Statistics Korea. 2019 [cited 2020 November 8] Available from: http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35007_N031&conn_path=I2
  7. D. S. Dalton, K. J. Cruickshanks, B. K. Klein, R. Klein, T. L. Wiley & D. M. Nondahl. (2003). The impact of hearing loss on quality of life in older adults. The Gerontologist, 43(5), 661-668. DOI : 10.1093/geront/43.5.661
  8. D. S. Chen, D. J. Genther, J. Betz, F. R. Lin. (2014). Association between hearing impairment and self-reported difficulty in physical functioning. Journal of the American Geriatrics Society, 62, 850-856. DOI : 10.1111/jgs.12800
  9. Y. M. Lee. (2016). The influence of hearing disability on subjective memory complaint and depression in community-dwelling elderly. Journal of the Korean society for Wellness, 11(4), 277-287. DOI: 10.21097/ksw.2016.11.11.4.277 27
  10. D. W. Kim. T. Y. Lee, D. H. Choi. T. Y. Kim, H. C. Moon. (2016). Risk factors of age-related hearing loss, adults over 65 years in korea: Including the effect of the war participation. Korean Journal of Clinical Geriatrics, 17(2), 68-73. DOI : 10.15656/kjcg.2016.17.2.68
  11. Y. M. Lee, E. H. Ha. (2019). Effects of hearing handicap on depression and self-efficacy in the elderly at home. Journal of the Korea Academia-Industrial cooperation Society, 20(2), 571-579. DOI : 10.5762/KAIS.2019.20.2.571
  12. H. J. Kim, B. H. Kim, O. S. Kim. (2011). The effect of visual and hearing impairment on depression and cognitive function in community-dwelling elderly: The korean longitudinal study of aging 2008. Korean Journal of Adult Nursing, 23(6), 584-594.
  13. A. V. Hyams, M. M. Hay, F. Scogin. (2018). Hearing and quality of life in older adults. Journal of Clinical Psychology, 74(10), 1874-1883. DOI : 10.1002/jclp.22648
  14. A. E. M. Liljas et al. (2015). Socio-demographic characteristics, lifestyle factors and burden of morbidity associated with self-reported hearing and vision impairments in older British community-dwelling men: A cross-sectional study. Journal of Public Health, 38(2), e21-e28. DOI : 10.1093/pubmed/fdv095
  15. H. Tsuruoka, S. Masuda, K. Ukai, Y. Sakakura, T. Harada, Y. Majima. (2001). Hearing impairment and quality of life for the elderly in nursing homes. Auris Nasus Larynx, 28(1), 45-54. DOI : 10.1016/S0385-8146(00)00074-2
  16. S. Lazzarotto et al. (2019). Coping with age-related hearing loss: patient-caregiver dyad effects on quality of life. Health & Quality of Life Outcomes, 17(1), 1-8. DOI : 10.1186/s12955-019-1161-6
  17. C. Z. Carniel, J. C. F. de Sousa, C. D. da Silva, C. A. de U Fortunato-Queiroz, M. A. Hyppolito, P. L. D. Santos. (2017). Implications of using the hearing aids on quality of life of elderly. CoDAS, 29(5), e20160241. DOI : 10.1590/2317-1782/20172016241
  18. S. Moser, W. Luxenberger, W. Freidl. (2007). The influence of social support and coping on quality of life among elderly with age-related hearing loss. American Journal of Audiology, 26(2), 170-179. DOI : 10.1044/2017_AJA-16-0083
  19. E. Domagala-Zysk. (2019). Older persons with subjectively assessed hearing problems in Poland: Quality of life and coping strategies. American Annals of the Deaf, 164(3), 381-394. DOI : 10.1353/aad.2019.0020
  20. A. Yu, A.E.M. Liljas. (2019). The relationship between self-reported sensory impairments and psychosocial health in older adults: a 4-year follow-up study using the english longitudinal study of ageing. Public Health, 169, 140-148. DOI : 10.1016/j.puhe.2019.01.018
  21. J. Ha & D. Park. (2020). Factors affecting HRQOL in elders with hearing impairment : Based on the 2018 KNHNES. Journal of the Korea Convergence Society, 11(7), 97-104. DOI : 10.15207/JKCS.2020.11.7.097
  22. S. Y. Kim, H-J. Kim, E-K. Park, J. Joe, S. Sim, H. G. Choi. (2017). Severe hearing impairment and risk of depression: A national cohort study. PLoS ONE, 12(6), e0179973. DOI : 10.1371/journal.pone.0179973
  23. Y. H. Joo, K. d. Han, K. H. Park. (2015). Association of hearing loss and tinnitus with health related quality of life: The korea national health and nutrition examination survey. PLoS ONE, 10(6), e0131247. DOI : 10.1371/journal.pone.0131247
  24. S-H. Kim & J-Y. Oh. (2018). The Influence of Hearing Ability of Ordinary People on the Quality of Life. Health Policy and Management, 28(2), 162-167. DOI : 10.4332/KJHPA.2018.28.2.162
  25. Korea Centers for Disease Control and Prevention. Sixth korea national health and nutrition examination survey (KNHANES VII-1) raw data usage guideline [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2016 [cited 2020 September 1]. Available from: https://knhanes.cdc.go.kr/knhanes/sub03/sub03_06_02.do
  26. H. S. Oh. (2014). Important significant factors of health-related quality of life (EQ-5D) by age group in Korea based on KNHANES (2014). Journal of the Korean Data & Information Science Society. 28(3), 573-84. DOI : 10.7465/jkdi.2017.28.3.573
  27. K. S. Kim, E. Y. Shin, S. H. Joo. (2015). The effects of vision and hearing function on the quality of life in the elderly. Korean Journal of Vision Science., 17(4), 415-430. DOI : 10.17337/JMBI.2015.17.4.415D.
  28. J. S. Kim. (2015). Prevalence and factors associated with hearing loss and hearing aid use in korean elders. Iranian Journal of Public Health, 44(3), 308-317.