DOI QR코드

DOI QR Code

The effect of Health Inequality Factors on Health Level of the Rural Elderly

건강불평등 요인이 농촌노인의 건강수준에 미치는 영향

  • 최동희 (강릉영동대학교 간호학부) ;
  • 채영란 (강원대학교 의과대학 간호학과)
  • Received : 2017.01.31
  • Accepted : 2017.05.14
  • Published : 2017.05.31

Abstract

Purpose: This study aimed to analyze the relationships between the factors affecting health levels of the elderly in rural areas. Methods: Subjects were 257 elderly people residing in rural areas of six cities and Gangwon Province. Data was collected through questionnaires (demographic and socioeconomic status, social resources, health behaviors, physical environment, psychological tendency and general health levels) and was analyzed by using multiple regression and Sobel test. Results: The demographic and socioeconomic characteristics of the subjects exerted statistically significant influence on their social resources, health behaviors, physical environment, and psychological tendencies. The demographic and socioeconomic characteristics, social resources, health behaviors, physical environment, and psychological tendencies, in turn, exerted a statistically significant influence on the health level. The social resources had mediating effects on the relationship between income, one of the demographic and socioeconomic characteristics, and health level. The residential environments had mediating effects on the relationship between income and health level. The psychological tendency had mediating effects on the relationship between income and health level. Conclusion: This study suggests that income is an important factor affecting health level among rural elderly people. In addition, social resources, health behaviors, physical environment, and psychological tendencies among them also affect health level, so it is necessary to make strategies to improve these factors.

Keywords

References

  1. Statistics Korea. Population Projections for Korea:2010-2060(Based on the 2010 Census), Statistics Korea, Daejeon; 2013. p.1-348.
  2. An SA, Sim MY, Baek GJ, Jang RK, Yun SK, Park KS, et al. A study on elderly people in health inequality in vulnerable health areas centering around agriculture and fisheries areas. Journal of the Korean Gerontological Society. 2011; 31(3):673-689.
  3. Shin, HC. Kang, JY. Park, WS. Kim, SA. Health status and medical utilization of women in rural area. Journal of Agricultural Medicine & Community Health 2009;34(1):67-75. https://doi.org/10.5393/JAMCH.2009.34.1.067
  4. Korea Institute for Health and Social Affairs, Community Resources Organization Plan for the Health Promotion of Rural and Fishery Inhabitants, Seoul: 2013. p.1-546.
  5. Kim DB, Yoo BS, Lee JE. Health inequalities among the elderly : Mediation effect of social participation between educational level inequalities and self-rated health.depression. Korean Journal of Social Welfare Studies. 2012;43(1):117-142. https://doi.org/10.16999/kasws.2012.43.1.117
  6. The Korean Society for Equity in Health, Methods in Health Inequalities Measurement, Seoul, Hanul Publishing Group. 2008. p.1-374.
  7. Kang HW, Cho YT. Socioeconomic status, social integration, and health inequalities of elderly koreans. Korean Journal of Sociology. 2007;41(4):164-201.
  8. Kang EJ. Educational attainment and subjective unhealthiness-an exploration of the mediators. The Korean Journal of Health Economics and Policy. 2008; 14(1):51-74.
  9. House, JS. Undrestanding social factors and inequalities in health: 20th century progress and 21st century prospects. Journal of health and social behavior. 2002;125-142.
  10. WONCA. Classification commits. Functional status, measurementin primary care. Springer-Verlag New York Inc. 1988, p.1-267
  11. Choi MJ, Kwon JH. Social exclusion and income inequality of the rural elderly. Discourse and Policy Social Science. 2014;7(1):103-138.
  12. Lee CG. Health Inequalities and Counter Policies in Korea. The journal of Asiatic Studies. 2006;49(1):66-103.
  13. House JS, Lepkowski JM, Kinney AM, Mero RP, Kessler RC, Herzog AR. The social stratification of aging and health, Journal of Health and Social Behavior. 1994;35(3):213-234. http://dx.doi.org/10.2307/2137277
  14. Shim, NS. A study on the leisure activity of the aged that affects to mental health- foused on medication effect of personal relationship and social support [dissertation]. Seoul: Han Young Theological University; 2010. p. 1-141.
  15. Kim SY. A Study on the Factors which Influence Religious Participation of Old Age. Journal of Korea Gerontological Society. 1988;8(1):55-68.
  16. Kang YH, Kim MY, Lee GJ, Jung DK, Ma RW. A study of social support, loneliness, sleep quality, and perceived health status among community-dwelling older adults. Journal of Korean Public Health Nursing. 2012;26(2):303-313. http://dx.doi.org/10.5932/JKPHN.2012.26.2.303
  17. Kim, TM., Lee SG, Jeon SY. The Relations of Social Support to the Health Behaviors and Health Status in the Elderly. Korea Journal of Health Education and Promotion. 2006;23(3)99-119.
  18. Jee OS. A study on the improvement of residential environment for the aged in the rural community[master's thesis]. Seoul: Hanyang University; 2010. p. 1-85.
  19. Won HJ. The effects of leisure participation of Seoul metropolitan areas' senior residents on their loneliness, leisure satisfaction, and life satisfaction. Journal of the Korea Gerontological Society. 1994;14(2):90-104.
  20. Rosenberg. Society and the adolescent self-image. Princeton: Princeton University Press. 1965;148(0):804. http://dx.doi.org/10.1126/science.148.3671.804
  21. Lee MS. Structures of health inequalities of korean elderly: Analysis of korean longitudinal study of ageing. Korean Association of Health and Medical Sociology. 2009;25:5-32.
  22. Won JW, Rho YG, Kim SY, Cho BR, Lee YS. Validity and reliability of Korean Activities of Daily Living (K-ADL) scale. Journal of the Korean Geriatrics Society 2002;6(4):98-106.
  23. Kim JA. A study on the subjective well-being of elderly nursing homeresidents [dissertation]. Daegu: Kyungpook National University; 2010. p. 1-115.
  24. Kim SG. The influence of socioeconomic status on health outcomes in late adulthood. Journal of Social Sciences. 2004;19(2):17-29.
  25. Lee KJ, Park HS, A study on the perceived health status, depression, and activities of daily living for the elderly in urban areas. Korean Journal of Women Health Nursing. 2006;12(3):221-230.
  26. Shin KR, Kim JS, Kim JY. A comparison on self-rated health, health status, and health promotion behaviors between low income and non-low income elderly women. The Journal of Korean Academic Society of Adult Nursing. 2005;17(5): 732-742.
  27. Seo, YS. A Study on Health Status by Social-economic Status of Middle-aged and Elderly. Journal of Korea Gerontological Society. 2011;31(4):1135-1153.
  28. Kim SY, Kim SR, Lee JS. The effect on housing on health. Health and Social Science. 2013;34:109-133.
  29. Taft LB. Self-esteem in later stage: a nursing perspective. Advances in Nursing Science. 1985;8(1):77-84. https://doi.org/10.1097/00012272-198510000-00009
  30. Lee HJ, Kang SK, Lee JY. The effects of socioeconomic position and health behavior on geriatric depressive symptom. Journal of the Korean Geriatrics Society 2008;28(4):1129-1145.

Cited by

  1. 남녀 노인의 사회경제적 우울 불평등: 사회적 지지 자원의 기여 vol.31, pp.1, 2020, https://doi.org/10.12799/jkachn.2020.31.1.13