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Association of selected health behaviors with perceived health, depressive symptom and fatalism among the aged 50-69 living in Seoul

서울지역의 50대와 60대의 건강행동과 우울, 운명론(Fatalism)의 관련성

  • Received : 2015.05.06
  • Accepted : 2015.06.18
  • Published : 2015.06.30

Abstract

Objectives: The purpose of this study was to investigate association of depressive symptom, fatalism with selected health behaviors among people aged 50-69 with no physical limitation in Seoul. Methods: In 2012, data were collected using a household based interview survey in Seoul. One person in each selected household aged between 50 and 69 was selected and responded. Data analysis was based on 1,190 subjects who answered they do not have any physical activity limitation. Results: Multiple logistic regression analysis showed significant association among variables including perceived health, depressive symptom and fatalism scores on some health behaviors. Multiple regression analysis showed that selected health risk behaviors(current smoking, monthly alcohol consumption, no regular health exam in two years) were significantly associated with depressive symptom and fatality scores in addition to demographic variables. The final regression model's adjusted R square was about 0.235. Conclusion: Demographic variables such as gender, age and socioeconomic status were significant variables in health behaviors and these behavioral factors were associated with perceived health, depressive symptom and fatalistic views. As a conclusion, depressive symptom and fatalism should be monitored and intervened in health education practice.

Keywords

References

  1. Belloc, N. B., & Breslow, L.(1972). Relationship of physical health status and health practices. Preventive Medicine, 1(3), 409-421. https://doi.org/10.1016/0091-7435(72)90014-X
  2. Choi J., Kang J., & Lee, H. (2014). Lifestyle, diet, self-care, and diabetes fatalism of diabetic patients with and without diabetes foot. Korean J Community Nutr 19(3), 241-249. https://doi.org/10.5720/kjcn.2014.19.3.241
  3. Chung, K., Yum, J. H., Hwang N. H., Kim, J. S., Lee, K. R., & Oh, S. H. (2013). Quality of Life of Middle-aged and Older Persons, Report No. 2013-31-14, Korea Institute for Health and Social Affairs.
  4. Chung, S. Y., Kim, K. W., Chang, Y. R., Kwon, H. T., Kim, Y. I., Huh, B. R., & Cho, B. L.(2007) Relationship between the awareness and health behavior in middle-aged Koreans, Korean Journal of Family Medicine, 28(11), 845-852.
  5. Davison C., Frankel S. & Smith G.D. (1992) The limites of lifestyle: re-assessming the 'fatalism' in the popular culture of illness prevention, Soc. Sci. Med. 34(6), 675-685. https://doi.org/10.1016/0277-9536(92)90195-V
  6. Drew, E. M. & Schoenberg, N. E., Deconstructing Fatalism: Ethnographic Perspectives on Women's Decision Making about Cancer Prevention and Treatment, Medical Anthropology Quarterly, 25(2), 164-182. https://doi.org/10.1111/j.1548-1387.2010.01136.x
  7. Egede, L. E. & Bonadonna, R. J. (2003) Diabetes self-management in African americans: an exploration of the role of fatalism. The Diabetes Educator, 29(1), 105-115. https://doi.org/10.1177/014572170302900115
  8. Espinosa de Los Monteros K. & Gallo, L. C. (2011) The relevance of fatalism in the study of Latinas' cancer screening behavior: a systematic review of the literature. Int J Behav Med. 2011 Dec, 18(4), 310-318. https://doi.org/10.1007/s12529-010-9119-4
  9. Franklin, M. D., Schlundt, D. G., McClellan, L. H., Kinebrew, T., Sheats, J., Belue, R., Brown, A., Smikes, D., Patel, K., & Hargreaves, M.(2007) Religious fatalism and its association with health behaviors and outcomes, Am J Health Behav, 31(6), 563-572. https://doi.org/10.5993/AJHB.31.6.1
  10. Hall A. G., Khoury A. J., Lopez E. D., Lisovicz, N., Avis-Williams, A.., & Mitra, A. (2008). Breast cancer fatalism: the role of women's perceptions of the health care system. Journal of Health care for the Poor and Underserve, 19(4), 1321-1335. https://doi.org/10.1353/hpu.0.0091
  11. Jung, Y.-H., & Ko, S. (2014). Path Analysis on Health Perception, Health behavior, Health Status for Reduction of Health Practice related Diseases, Report No. 2014-09-1, Korea Institute for Health and Social Affairs.
  12. Jung, Y.-H., Suh, M. K., Lee, J. T., Jung, H. S., Ko, S., Chae, S. M., & Kim, M. H. (2006) Determinants of Health in Korea, Korea Institute for Health and Social Affairs, Health Promotion Foundation.
  13. Kang, J.-Y., Jee, Y.-S., Kim M.-H., Kim, Y.-P.(2009) Effects of Exercise-Participated Rate on Self-Perceived Health Status and Depression Degrees in Silver Town Elderly, Korean J Health Promot Dis Prev, 9(2), 114-121.
  14. Keeley, B., Wright L., and Condit C.M. (2009) Functions of health fatalism: fatalistic talk as face saving, uncertainty management, stress relief and sense making, Sociology of health & Illness, 31(5), 734-747. https://doi.org/10.1111/j.1467-9566.2009.01164.x
  15. Kim, J.S. & Cho B. (2010) Association between Self-Perceived Health Status and Health Related Behavior in Routine Health Examinees, Korean J Fam Med. 31, 688-696. https://doi.org/10.4082/kjfm.2010.31.9.688
  16. Kim M.H., Chung S.D., Park H.J. (2014) Comparative analysis on the physical health and psycho-social characteristics of babyboomers of Korea, US and UK, Journal of the Korean Data Analysis Society, 16(2B), 987-1005.
  17. Kwon, E., Kim, H., Joe, S. H., Ko, S. D., & Cho H. I. (2014) Association of menopausal status, psychological factors, health behaviors and depressive symptoms of middle-aged Korean women, Health and Social Science, 35, 25-54.
  18. Lalonde, M.(1974). A New Perspective on the Health of Canadians, Ottawa.
  19. Lee, H.-J., Kahng, S.-K., & Lee, J.-Y. (2008). The effects of socioeconomic position and health behavior on geriatric depressive symptom, Journal of the Korean Grontological Society, 28(4), 1129-1145.
  20. Lee, J. S. & Lee, I. S.(2005) A study of impacts of health promotion activities and socio-economic status on health status of the aged. Journal of Welfare for the Aged, 27(Spring), 231-253.
  21. Liang W., Wang J.H., Chen M-Y, Feng S., Lee M., Schwartz M.D., Pasick R.J., Mandelblatt J.S.(2008) Developing and validating a measure of Chinese cultural views of health and cancer, Health Education & Behavior,Jun, 35(3), 361-375. https://doi.org/10.1177/1090198106294893
  22. Mayo, R. M., Ureda J. R., & Parker, V. G.(2001) Importance of Fatalism in understanding mammography screening in rural elderly women, Journal of Women & Aging, 13(1), 57-72. https://doi.org/10.1300/J074v13n01_05
  23. Miles, A., Rainbow, S. & von Wagner C. (2011) Cancer faralism and poor self-rated health mediate the association betweeen socioeconomic status and uptake of colorectal cancer screening in England. Cancer Epidemiol Biomarkers Prev 20, 2132-2140. https://doi.org/10.1158/1055-9965.EPI-11-0453
  24. Ministry of Health and Welfare (2010) Health Plan 2020: Seoul, Korea.
  25. Patrizia Rinaldi, Patrizia Mecocci, Claudia Benedetti, Sara Ercolani, Mario Bregnocchi, Giuseppe Menculini, Marco Catani, Umberto Senin, and Antonio Cherubini.(2003) Validation of the Five-Item Geriatric Depression Scale in Elderly Subjects in Three Different Settings, JAGS 51, 694-698. https://doi.org/10.1034/j.1600-0579.2003.00216.x
  26. Park E. J., Jun, J., & Kim, N. S. (2015) The association of multiple risky health behaviors with self-reported poor health, stress, and depressive symptom, Health and Social Welfare Review, 35(1), 136-157. https://doi.org/10.15709/hswr.2015.35.1.136
  27. Park H. J., Lim J. E., & Kim D. H.(1997) Health Education Principles- Health Behavior Theory and Health Promotion, Sinkwang Press, Seoul, Korea.
  28. Rho, B. & Mo, S. (2007) The effect of levels and Dimensions of social support on Geriatric Depression, Journal of the Koean Gerontological Society. 27(1), 53-69.
  29. Rinaldi P, Mecocci, P., Benedetti C., Ercolani S. Bregnocchi M., Menculini G. Catani M. Senin U., & Cherubini A. (2003) Validation of the five-item Geriatric Depression scale in elderly subjects in three different settings, JAGS 51: 694-698. https://doi.org/10.1034/j.1600-0579.2003.00216.x
  30. Ryu, J. Y. (2006) The effect of demographic variables on the life-satisfaction of the olders: work, health and relationships, Welfare Administration Study, Anyang University, 22, 241-254.
  31. Seow, A., Huang, J., & Straughan, P. (2000) Effects of social support, regular physidian and health-related attitudes on cervical cancer screening in an Asian population. Cancer Causes and Control, 11, 223-230. https://doi.org/10.1023/A:1008954606992
  32. Straughan, P. T., & Seow, A. (1998) Fatalism reconceptualized: a concept to predict health screening behavior, Journal of Gender, culture and Health. 3(2), 85-100. https://doi.org/10.1023/A:1023278230797
  33. Straughan, P. T., & Seow, A. (2000) Attitudes as barriers in breast screening: a prospective study among Singapore women, Social Science & Medicine, 51, 1695-1703. https://doi.org/10.1016/S0277-9536(00)00086-1
  34. Yim, H. J., Park, H. A., Kang, J. H., Kim, K. W., Cho, Y. G., Hur Y. I., & Sung, E. J. (2012) Marital status and health behaviors in middle-aged Korean adults: from the 2007-2010 Korea National Health and Nutrition Examination Survey, Korean J Health Promot, 12(4), 178-186.