The Association Between Expectations Regarding Aging and Health-Promoting Behaviors Among Korean Older Adults

노화에 대한 기대수준이 노인의 건강증진행위에 미치는 영향

  • Kim, Su-Hyun (College of Nursing, Kyungpook National University)
  • Published : 2007.10.31

Abstract

Purpose: This study was performed to measure expectations regarding aging among community-residing older adults, identify sociodemographic characteristics associated with the level of expectations regarding aging, and examine whether expectations regarding aging were associated with health-promoting behaviors. Methods: Data was collected by using questionnaires of a short version of the Expectations Regarding Aging Survey (ERA-18) and Health Promoting Lifestyle Profile II (HPLP II) from 99 older adults who resided in the community of Kyunggi, Daegu, and Kyungpook province. Results: More than 75% of the participants reported that it was an expected part of aging to have more aches and pains, to become depressed, and to become more forgetful. The mean score of expectations regarding aging was $23.15{\pm}17.80$ (possible range 0-100). The old-old, women, those with less education, less monthly allowance and poor health status had lower expectations regarding aging than other elderly. After controlling for sociodemographic characteristics and perceived health, expectations regarding aging were independently associated with health-promoting behaviors in older adults. Conclusion: The findings demonstrate that older Korean adults have low expectations regarding aging, and expectations regarding aging influence health-promoting behaviors.

Keywords

References

  1. Chou, K. L., & Chi, I. (2002). Successful aging among the young-old, old-old, and oldest-old chinese. Int J Aging Hum Dev, 54(1), 1-14 https://doi.org/10.2190/9K7T-6KXM-C0C6-3D64
  2. Chung, K. H., Han, K. H., Kim, J. S., & Lim, J. K. (2006). Critical approaches to 'successful aging' discourse. Seoul: Korea Institute for Health and Social Affairs
  3. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. 2nd ed., New Jersey: Lawrence Erlbaum Associates
  4. Ferketich, S., Phillips, L., & Verran, J. (1993). Development and administration of a survey instrument for cross-cultural research. Res Nurs Health, 16, 227-230 https://doi.org/10.1002/nur.4770160310
  5. Jeon, E. Y., & Kim, K. B. (2006). A study of factors that influence the promotion of healthy behavior in the elderly according to types of residency. J Korean Acad Nurs, 36(3), 475-483 https://doi.org/10.4040/jkan.2006.36.3.475
  6. Kart, C. (1981). Experiencing symptoms: Attribution and misattribution of illness among the aged. In M. Hug(Ed), Elderly patients and their doctors.(pp 70-78). New York: Springer
  7. Kim, H. J., Chae, S. O., Park, Y. S., & Woo, S. H. (2001). The relationship between perceived health status, health conception and health promoting behavior in the elderly. J Korea Community Health Nurs Acad Soc, 15(2), 262-274
  8. Kim, J. Y. (2004). Nurses' knowledge, attitudes, behavior related to the elderly. Unpublished master's thesis, Yonsei University, Seoul
  9. Kim, M. H., & Won, Y. H. (1999). Analysis on image of the elderly in newspaper advertisements: The establishments for new image of the elderly. J Korea Gerontol Soc, 19(2), 193-214
  10. Kim, M. H., Shin, K. R., Choi, H. K., & Kang, M. S. (2006). The factor of successful aging types in Korean elderly. J Korea Gerontol Soc, 26(1), 91-104
  11. Korea Institute for Health and Social Affairs (2007). Healthy aging. Retrieved June 15th, 2007, from Korea Institute for Health and Social Affairs Web site: http://www.kihasa.re.kr/html/jsp/news/news_05_view.jsp?bid=1&ano=734
  12. Korea National Statistical Office (2007). Population projections for Korea. Retrieved June 1st, 2007, from Korea National Statistical Office Web site: http://www.nso.go.kr/
  13. Levy, B. R., Slade, M. D., Kunkel, S. R., & Kasi, S. V. (2002). Longevity increased by positive self-perceptions of aging. J Pers Soc Pscyhol, 83, 261-270 https://doi.org/10.1037/0022-3514.83.2.261
  14. Munro, B. H. (2001). Statistical methods for health care research, 4th ed., Philadelphia: Lippincott
  15. Ory, M., Hoffman, M. K., Hawkins, M., Sanner, B., & Mockenhaupt, R. (2003). Challenging aging stereotypes. Am J Prev Med, 25(3Sii), 164-171 https://doi.org/10.1016/S0749-3797(03)00181-8
  16. Paik, J. E., & Choi, H. K. (2005). Successful aging according to Korean elderly: The definition, types, and predicting variables. J Korean Home Economics Assoc, 23(3), 1-16
  17. Penson, R. T., Daniels, K. J., & Lynch, T. J. (2004). Too old to care? Oncologist, 9, 343-352 https://doi.org/10.1634/theoncologist.9-3-343
  18. Rakowski, W., & Hickey, T. (1992). Mortality and the attribution of health problems to aging among older adults. Am J Public Health, 82(8), 1139-1141 https://doi.org/10.2105/AJPH.82.8.1139
  19. Resnick, B. (2000). Health promotion practices of the older adult. Public Health Nurs. 17(3), 160-168 https://doi.org/10.1046/j.1525-1446.2000.00160.x
  20. Rowe, J. W., & Kahn, R. L. (1987). Human aging: Usual and successful. Science, 237, 143-9 https://doi.org/10.1126/science.3299702
  21. Sarkisian, C. A., Steers, W. N., Hays, R. D., & Mangione, C. M. (2005). Development of the 12-item expectations regarding aging survey. Gerontologist, 45(2), 240-248 https://doi.org/10.1093/geront/45.2.240
  22. Sarkisian, C. A., Hays, R. D., & Mangione, C. M. (2002). Do older adults expect to age successfully? The association between expectations regarding aging and beliefs regarding healthcare seeking among older adults. J Am Geriatr Soc, 50(11) 1837-1843 https://doi.org/10.1046/j.1532-5415.2002.50513.x
  23. Sarkisian, C. A., Prohaska, T. R., Wong, M. D., Hirsch, S., & Mangione, C. M. (2005). The relationship between expectations for aging and physical activity among older adults. J Gen Intern Med, 20(10), 911-915 https://doi.org/10.1111/j.1525-1497.2005.0204.x
  24. Sarkisian, C. A., Shunkwiler S. M., Aguilar, I., & Moore, A. A. (2006). Ethnic differences in expectations for aging among older adults. J Am Geriatr Soc, 54(8), 1277-1282 https://doi.org/10.1111/j.1532-5415.2006.00834.x
  25. Seo, H. M. (2000). Construction of health promoting behaviors model in elderly. Unpublished doctoral dissertation, Seoul National University, Seoul
  26. Seo, H. M., & Hah, Y. S. (2004). A study of factors influencing on health promoting lifestyle in the elderly: Application of Pender's health promotion model. J Korean Acad Nurs, 34(7), 1288-1297 https://doi.org/10.4040/jkan.2004.34.7.1288
  27. Sohn, H. H. (2004). An ecological approach to study the health promotion behavior of the elderly in Kangseo-ku, Seoul. J Korean Home Economics Assoc, 42(12), 77-92
  28. Song, E. J. (2004). Knowledge and attitudes on the elderly among nurses and nursing students. Unpublished master's thesis, Ewha Womans University, Seoul
  29. The Ministry of Health and Welfare (2004). National report on the status and needs of welfare in the elderly
  30. Walker, S. N., & Hill-Polrecky, D. (1996). Psychometric evaluation of the Health-Promoting Lifestyle Profile-II. In Proceedings of the 1996 Scientific Session of the American Nurse Association's Council of Nurse Researchers (pp. 110), Washington D. C
  31. Woo, J. W. (2003). Successful aging. J Korean Geriatr Psychiatry, 7(2), 99-104