노인의 주관적 건강상태와 관련요인에 관한 연구 = Self-rated Health and its Associated Factors in the Elderly

다국어 초록 (Multilingual 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.

국문 초록 (Abstract)

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.

참고문헌 (Reference)

1 민주홍, "한국 노인의 사회참여가 주관적 건강 및 건강 변화에 미치는 영향에 대한 종단연구: 다양한 사회참여의 영향을 중심으로" 한국보건사회연구원 33 (33): 105-123, 2013

2 차경숙, "지역사회 노인의 성공적 노화 수준과 영향요인" 대한임상건강증진학회 19 (19): 39-48, 2019

3 고영미, "일반 독거노인과 저소득 독거노인간의 주관적 건강에 미치는 영향요인 차이: 서울시 일개 지역을 중심으로" 한국보건교육건강증진학회 30 (30): 41-53, 2013

4 문지현, "독거노인의 삶의 만족도 영향요인 탐색 연구" 한국콘텐츠학회 18 (18): 44-54, 2018

5 이윤정, "도시지역 독거노인의 주관적 건강상태, 자기효능감, 사회적지지가 건강행위에 미치는 영향" 국제문화기술진흥원 4 (4): 81-87, 2018

6 강월숙, "노인학대, 자아존중감, 일상생활수행능력(ADL) 및 정신사회적 요인과 노인 우울 간의 관련성" 한국보건사회학회 (29) : 153-183, 2011

7 남연희, "노인의 주관적인 건강상태에 영향을 미치는 요인에 관한 연구" 한국아동가족복지학회 16 (16): 145-162, 2011

8 정은선, "노인의 신체활동과 주관적 건강인식의 관련성" 아주대학교 보건대학원 2013

9 김지나, "노인건강운동프로그램 참여자의 주관적 건강인식과 일반정신건강 및 삶의 질의 관계" 강원대학교 교육대학원 2011

10 C. H. Bastien, "Validation of the Insomnia Severity Index as an outcome measure for insomnia research" 2 (2): 297-307, 2001

11 조용원, "Validation of a Korean Version of the Insomnia Severity Index" 대한신경과학회 10 (10): 210-215, 2014

12 M, Song, "The factors related to subjective and objective health levels for the elderly in South Korea" Chungnam National University 2016

13 Y. Choi, "The aged and health" Hyunmoonsa 2015

14 N. Y. Park, "Study on factors influence on subjective health conditions of the seniors-based on family and social participation-" Duksung Women’s University 2016

15 "Statistics Korea"

16 "Statistics Korea"

17 R. N. Rabia Khalaila, "Socioeconomic Status, Health Behaviors, Obesity and Self-Rated Health among Older Arabs in Israel" Springer Science and Business Media LLC 32 (32): 115-130, 2017

18 Wenhong Dong, "Self‐Rated Health Status and Risk of Ischemic Heart Disease in the China Kadoorie Biobank Study: A Population‐Based Cohort Study" Ovid Technologies (Wolters Kluwer Health) 6 (6): e006595-, 2017

19 M. O. Rahman, "Self-reported health among older Bangladeshis: how good a health indicator is it?" 43 (43): 856-863, 2003

20 H. Falk, "Self-rated health and its association with mortality in older adults in China, India and Latin America 10/66 Dementia Research Group study" 46 (46): 932-939, 2017

21 Aleksandra Szybalska, "Self-rated health and its association with all-cause mortality of older adults in Poland: The PolSenior project" Elsevier BV 79 : 13-20, 2018

22 Joseph W. Jones, "Self-rated health and depressive symptoms in older adults: A growth mixture modeling approach" Elsevier BV 79 : 137-144, 2018

23 G. Ambresin, "Self-Rated Health and Long-Term Prognosis of Depression" Annals of Family Medicine 12 (12): 57-65, 2014

24 Rianne M. van der Linde, "Self-Rated Health and Cardiovascular Disease Incidence: Results from a Longitudinal Population-Based Cohort in Norfolk, UK" Public Library of Science (PLoS) 8 (8): e65290-, 2013

25 Yu Chen, "Quality of life and related factors: a questionnaire survey of older people living alone in Mainland China" Springer Science and Business Media LLC 23 (23): 1593-1602, 2014

26 신철민, "Prevalence and Associated Factors of Depression in General Population of Korea: Results from the Korea National Health and Nutrition Examination Survey, 2014" 대한의학회 32 (32): 1861-1869, 2017

27 S. C. Confortin, "Positive self-rated health in the elderly: a population-based study in the South of Brazil" 31 (31): 1049-1060, 2015

28 Sarah Magalhães Medeiros, "Fatores associados à autopercepção negativa da saúde entre idosos não institucionalizados de Montes Claros, Brasil" FapUNIFESP (SciELO) 21 (21): 3377-3386, 2016

29 O. Stanojevic Jerkovic, "Determinants of self-rated health in elderly populations in urban areas in Slovenia, Lithuania and UK: findings of the EURO-URHIS 2 survey" 27 (27): 74-79, 2017

30 Weizhen Dong, "Determinants of self-rated health among shanghai elders: a cross-sectional study" Springer Science and Business Media LLC 17 (17): 807-, 2017

31 Jiaoli Cai, "Determinants of and socio-economic disparities in self-rated health in China" Springer Science and Business Media LLC 16 (16): 2017

32 Wen Hu, "Associations of chronic conditions, APOE4 allele, stress factors, and health behaviors with self-rated health" Springer Science and Business Media LLC 15 (15): 2015

33 B. S. Kee, "A preliminary study for the standardization of a geriatric depression scale short form–Korean version" 3 (3): 298-307, 1996