Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Senior Citizen Centers Utilization: Role of Socio-Demographic Factors, Life Satisfaction and Health Condition in Korea

경로당 이용과 인구사회학적 요인, 삶의 만족도, 건강상태에 관한 연구

  • 송그룸 (연세대학교 연세글로벌헬스센터) ;
  • ;
  • 남은우 (연세대학교 연세글로벌헬스센터)
  • Received : 2020.08.02
  • Accepted : 2020.09.22
  • Published : 2020.09.30
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Abstract

목적: 한국은 지역사회 기반 통합 돌봄(커뮤니티케어)을 통해 노인들을 위한 보건 및 사회복지 서비스의 확대를 추진하고 있다. 본 연구는 노인의 경로당 이용에 대한 인구사회인적 요인, 삶의 만족도, 건강상태 등이 미치는 영향을 파악하고자 한다. 연구방법: 2017년 노인실태조사 자료를 이용하여, 횡단 분석 연구가 실시하였다. 이용패턴을 파악하기 위해 기술통계를 하였고, 경로당 이용과 관련된 요소들을 결정하기 위해서는 다변량 로지스틱 회귀분석을 실시하였다. 연구결과: 지난 12개월간 노인 1만299명 중 22.7%가 경로당을 이용하였다. 경로당을 이용하는 이유 중 가장 많은 응답은 경로당 동료들과 여가를 보내기 위함이었으며, 대상자의 95% 이상이 제공되는 서비스에 만족하고 있었다. 사회인구학적 특성에 대해서는 여성(AOR=1.20; 95% 신뢰 구간(CI), 1.05-1.38), 80세 이상 노인(AOR= 3.94, 95% CI, 3.30-4.71), 문맹자(AOR=5.27; 95% CI 3.80-7.30), 교육 수준이 낮거나 읍면 지역 출신(AOR=6.42; 95 % CI, 5.72-7.20)이 경로당을 이용할 가능성이 가장 높았다. 생활 만족도 부분에서는 재정적 만족도(AOR=1.21; 95% CI, 1.06-1.37), 문화에 대한 만족도(AOR=1.49; 95% CI, 1.24-1.79) 및 친구들과 사회에 대한 만족도(AOR=4.24; 95% CI, 3.17-5.66)가 높은 사람이 경로당을 더 많이 이용하는 것으로 나타났다. 질병이 없다는 응답자에 비해 만성 질환을 2개 이상 보유한자(AOR= 2.01; 95 % CI, 1.60-2.53)의 경로당 이용률이 2 배 더 높았다. 결론: 정부의 지역사회 기반 통합돌봄 정책 수립을 위하여 경로당 이용에 영향을 미치는 인구사회학적요인, 삶의 만족도, 건강상태와 관련된 요인들을 고려하여, 이용률을 높이고, 건강관리를 위한 통합 돌봄 시설이 될 수 있도록 하여야 할 것이다.

Keywords

References

  1. Chung K. 2017 National Survey of Older Koreans. Korea Institute for Health and Social Affairs. 2018 (survey report). Retrieved from (please write website)…..(Accessed on 2019.02.)
  2. Kim H. South Korea to expand caregiving to seniors in their homes. Yonhap, Nov. 20, 2018. Retrieved from: https://en.yna.co.kr/view/ AEN20181120006951320
  3. Lee T. Community-based home healthcare project for Korean older adults. Osong Public Health and Research Perspectives, 2013; 4(5), 233-239 https://doi.org/10.1016/j.phrp.2013.09.002
  4. Netuveli G, Blane D. Quality of life in older ages. British Medical Bulletin, 2008; 85(1), 113-126 https://doi.org/10.1093/bmb/ldn003
  5. Park JM. Health status and health services utilization in elderly Koreans. International Journal for Equity in Health, 2014; 13(1), 73 https://doi.org/10.1186/s12939-014-0073-7
  6. Ahn Y H, Kim M J. Health care needs of elderly in a rural community in Korea. Public Health Nursing, 21(2), 2004; 153-161 https://doi.org/10.1111/j.0737-1209.2004.021209.x
  7. Stoddart H, Whitley E, Harvey I, Sharp D. What determines the use of home care services by elderly people? Health & Social Care in the Community, 2002; 10(5), 348-360 https://doi.org/10.1046/j.1365-2524.2002.00380.x
  8. Jeon B, Kwon S. Health and long-term care systems for older people in the Republic of Korea: Policy challenges and lessons. Health Systems & Reform, 2017; 3(3), 214-223 https://doi.org/10.1080/23288604.2017.1345052
  9. Kim YS, Lee J, Moon Y, Kim KJ, Lee K, Choi J, Han SH. Unmet healthcare needs of elderly people in Korea. BMC Geriatrics, 2018; 18(1), 98 https://doi.org/10.1186/s12877-018-0786-3
  10. Kim HS, Harada K, Miyashita M, Lee EA, Park JK, Nakamura Y. Use of senior center and the health-related quality of life in Korean older adults. Journal of Preventive Medicine and Public Health, 2011; 44(4), 149 https://doi.org/10.3961/jpmph.2011.44.4.149
  11. Ashida S, Heaney CA. Social networks and participation in social activities at a new senior center: reaching out to older adults who could benefit the most. Act Adapt Aging 2006; 32(1):40-58 https://doi.org/10.1080/01924780802039261
  12. Welfare of Elderly. Seoul Metropolitan Government. Retrived from: http://english.seoul.go.kr/policy-information/welfare-health-security/welfare/3-welfare-for-elderly/. Accessed on 2020.09.08
  13. Kim H S, Miyashita M, Harada K, Park JH, So JM, & NakamuraY. Psychological, social, and environmental factors associated with utilization of senior centers among older adults in Korea. Journal of Preventive Medicine and Public Health, 2012; 45(4), 244 https://doi.org/10.3961/jpmph.2012.45.4.244
  14. Hacihasanoğlu R, Yildirim A, & Karakurt P. Loneliness in elderly individuals, level of dependence in activities of daily living (ADL) and influential factors. Archives of Gerontology and Geriatrics, 2012; 54(1), 61-66 https://doi.org/10.1016/j.archger.2011.03.011
  15. Wilson DM, Cohen J, Deliens L, Hewitt, JA, & Houttekier D. The preferred place of last days: results of a representative population-based public survey. Journal of Palliative Medicine, 2013; 16(5), 502-508 https://doi.org/10.1089/jpm.2012.0262
  16. Lee E, Kim J. Economic effect of home health care services for community-dwelling vulnerable populations. Journal of Korean Academy of Nursing, 2016; 46(4), 562-571 https://doi.org/10.4040/jkan.2016.46.4.562
  17. Yang JO, Lee HK. Factors influencing burnout in primary family caregivers of hospital-based home care patients. Journal of Korean Academy of Community Health Nursing, 2018; 29(1), 54-64 https://doi.org/10.12799/jkachn.2018.29.1.54
  18. Kim SH, Kim DH, Kim WS. Long-term care needs of the elderly in Korea and elderly long-term care insurance. Social Work in Public Health, 2010; 25(2), 176-184 https://doi.org/10.1080/19371910903116979
  19. Feng Q, Son J, ZengY. Prevalence and correlates of successful ageing: a comparative study between China and South Korea. European Journal of Ageing, 2015; 12(2), 83-94 https://doi.org/10.1007/s10433-014-0329-5
  20. Kwak C, Lee E, & Kim H. Factors related to satisfaction with long-term care services among low-income Korean elderly adults: A national cross-sectional survey. Archives of Gerontology and Geriatrics, 2017;69, 97-104 https://doi.org/10.1016/j.archger.2016.11.013
  21. Lee Y, Back JH, Kim J, Byeon H, Kim S, Ryu M. Clustering of multiple healthy lifestyles among older Korean adults living in the community. Geriatrics & Gerontology International, 2012; 12(3), 515-523 https://doi.org/10.1111/j.1447-0594.2011.00788.x