DOI QR코드

DOI QR Code

노인의 배우자 유무가 신체와 정신건강에 미치는 융합 요인 분석 -국민건강영향조사 제8기 조사를 이용하여-

Analysis of Convergence Factors on Physical and Mental Health Status according to Existence of Spouses of the Elderly - The 8th Korea National Health and Nutrition Examination Survey(2019) -

  • 투고 : 2021.09.22
  • 심사 : 2021.11.20
  • 발행 : 2021.11.28

초록

본 연구는 노인의 배우자 유무에 따라 신체와 정신건강에 미치는 영향 요인을 확인하기 위해 제8기 1차(2019년)의 국민건강영양조사의 복합표본을 이용한 2차 자료 분석연구이다. 1,510명을 대상으로 𝜒2검정, 로지스틱 회귀분석과 선형회귀분석을 실시하였다. 연구결과 배우자 유무에 따라 일반적 특성(성별, 연령, 교육수준, 가구소득)과 건강관련 특성(흡연, 음주, 신체활동)을 보정한 결과 무배우자 집단과 비교하여 유배우자 집단의 경우, 관절염 진단 가능성은 약 0.673배 수준으로 낮았고(p=.010), 우울감 경험 가능성은 약 0.535배 수준으로 낮았으며(p=.003), 삶의 질은 약 0.023배 만큼 유의하게 높은 것으로 검증되었다(B=0.023, p=.040). 따라서 본 연구 결과는 노인의 배우자 유무가 건강상태 미치는 영향 요인을 확인하기 위한 기초자료로 활용할 수 있을 것이다.

This study is a secondary data analysis study that analyzed the data of the 8th Korea National Health and Nutrition Examination Survey(2019) to identify factors that affect physical and mental health status according to the presence or absence of a spouse of the elderly. 𝜒2 test, logistic and linear regression analysis were performed on 1,510 elderly aged 65 years or older. As a result of the study, general characteristics (gender, age, education level, household income) and health-related characteristics (smoking, drinking, and physical activity) were adjusted according to the spouse status. As a result, compared to those without a spouse, the probability of diagnosis of arthritis (OR=0.673, p=.010) and the Possibility of experiencing depression (OR=0.535, p=003) lower. It was confirmed that the quality of life was significantly higher (B=0.023, p=.040). The results of this study can be used as basic data to determine the factors that influence the health status of the elderly by existence of spouses.

키워드

과제정보

This work was supported by the National Research Foundation of Korea(NRF) grant funded by the Korea government(MSIP; Ministry of Science, ICT & Future Planning) (No. 2019R1G1A1010373).

참고문헌

  1. Statistics Korea. (2020). 2020 Elderly statistics. http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=385322
  2. H. S. So, H. J. Hwang & E. M. Kim. (2019). The Impact of Medical Utilization on Subjective Health and Happiness Index and Quality of Life according to the Economic Level of the Elderly. Journal of the Korea Academia-Industrial cooperation Society, 20(3), 544-552. DOI : 10.5762/KAIS.2019.20.3.544
  3. K. M. Yang & S. Y. Bang. (2015). Factors of Suicidal Ideation among Elderly People with and without Spouses. The Korean Society of Stress Medicine, 23(1), 27-37, DOI : 10.17547/kjsr.2015.23.1.27
  4. C. M. Proulx & L. A. Snyder-Rivas. (2013). The longitudinal associations between marital happiness, problems, and self-rated health. Journal of the Division of Family Psychology of the American Psychological Association (Division 43), 27(2), 194-202. DOI : 10.1037/a0031877
  5. D. Umberson, R. Crosnoe & C. Reczek. (2010). Social Relationships and Health Behavior Across Life Course. Annual review of sociology, 36, 139-157. DOI : 10.1146/annurev-soc-070308-120011
  6. E. N. Kang & M. H. Lee. (2018). Identifying the Effect of Living Alone on Life in Later Adulthood: Comparison between Living Alone and Those Living with Others with a Propensity Score Matching Analysis. Health and Social Welfare Review, 38(4), 196-226. DOI : 10.15709/hswr.2018.38.4.196
  7. H. S. Bae. (2011). A Study on Older Adults' Use of Social Services by Types of Elderly Households and Factors Affecting Service Utilization. Social Science Research Review, 27(3), 1-24.
  8. K. H. Jung. (2011). Living conditions and policy tasks for the elderly living alone. Issue & Focus, 72, 1-8.
  9. J. W. Rowe & R. L. Kahn. (1987). Human aging: usual and successful. Science(New York, N.Y.), 237(4811), 143-149. DOI : 10.1126/science.3299702
  10. S. M. Moon. (2017). Gender differences in the impact of socioeconomic, health-related, and health behavioral factors on the health-related quality of life of the Korean elderly. Journal of Digital Convergence, 15(6), 259-271. DOI : 10.14400/JDC.2017.15.6.259
  11. D. M. Yeum & J. S. Jung. (2014). Research on Subjective Health Status and Satisfaction with Life of Elderly: focused on the mediating effect of depression and the moderating effect of social networking. Social Science Research Review, 30(4), 27-50.
  12. J. M. Ocampo. (2010). Self-rated health: Importance of use in elderly adults. Colombia Medica, 41(3), 275-289. https://doi.org/10.25100/cm.v41i3.715
  13. J. L. Ramkumar, T. Quah, L. S. Wong, C. C. Yeo, A. Nieh, Shankar & T. Y. Wong. (2009). Self-rated health, associated factors and diseases: a community-based cross-sectional study of Singaporean adults aged 40 years and above. Annals of the Academy of Medicine, Singapore, 38(7), 606-607. https://doi.org/10.47102/annals-acadmedsg.V38N7p606
  14. C. Darviri, A. K. Artemiadis, X. Tigani & E. C. Alexopoulos. (2011). Lifestyle and self-rated health: a cross-sectional study of 3,601 citizens of Athens, Greece. BMC public health, 11, 619. DOI : 10.1186/1471-2458-11-619
  15. O. J. Rhee. (2017). Meta-analysis of the Factors Related to Self-rated Health among Elderly -Focused on Psychological Dispositions, Social-Economic Status-. The Journal of the Korea Contents Association, 17(4), 424-433. DOI : 10.5392/JKCA.2017.17.04.424
  16. Korea Institute of Health and Social Studies. (2013). Compound Chronic Disease Analysis of the Elderly: Focusing on Outpatient Use. Sejong : Korea Institute of Health and Social Studies.
  17. J. H. Kim. (2021). 3 out of 10 seniors have 3 or more chronic diseases, followed by high blood pressure, diabetes, and hyperlipidemia. Medical Tribune. http://www.medical-tribune.co.kr/news/articleView.html?idxno=100583
  18. S. K. Kahng & H. S. Jeon. 2013. An Exploratory Study on Age Differences in Health Trajectory and its Predictors : Using Korean Welfare Panel Study from W1 to W7. Journal of Social Science, 24(3), 61-84. DOI : 10.16881/jss.2013.07.24.3.61
  19. M. H. Kim & S. H. Kim. (2002). A Study on Factors Causing the Burden of Medical Expenses to The Elderly with Chronic Disease. Korean Journal of Social Welfare, 48, 150-178.
  20. Statistics Korea. (2017). Statistics of elderly in korea. Daejeon: Statistics. https://kosis.kr/search/search.do
  21. Y. J. Kim. (2009). Comparison of health habits, erceived stress, depression and suicidal thinking by gender between elder living alone and those living with others. Journal of orean Academy of Fundamentals Nursing, 16(3), 333-344.
  22. E. N. Kang & M. H. Lee. (2018). Identifying the Effect of Living Alone on Life in Later Adulthood: Comparison between Living Alone and Those Living with Others with a Propensity Score Matching Analysis. Health and Social Welfare Review, 38(4), 196-226. DOI: 10.15709/hswr.2018.38.4.196
  23. M. Karimi & J. Brazier. (2016). Health, health-related quality of life, and quality of life: what is the difference?. Pharmacoeconomics, 34(7), 645-649. https://doi.org/10.1007/s40273-016-0389-9
  24. G. Padilla, M. Grant, R. Ferrell & A, Presant. (1996). Quality of life: Cancer. In. Spilker B. Quality of life and pharmacoeconomics in clinical trials. 2nd edition. New York: Raven Pressk.
  25. I. Barofsky. (2011). Quality: its definition and measurement as applied to the medically ill. Springer Science & Business Media. 43.
  26. J. S, Yoon, D. S. Ko & Y. S. Won. (2016). Relationship Between Perceived Health Status, Future Time Perspective, Health Promoting Behaviors and Quality of Life in the Elderly, Journal of the Korean Gerontological Society, 36(4), 1191-1206. DOI : 10.17999/SOHE.2016.61.02
  27. J. I. Kim. (2017). The Factors Affecting Health-related Quality of Life in Urban Working Elderly. Journal of Digital Convergence, 15(11), 385-394. DOI : 10.14400/JDC.2017.15.11.385
  28. S. W. Han & J. K. Park. (2014). Factors Affecting the Health Related Quality of Life among the Vulnerable Female Elderly in Home. Journal of the Korean Data Analysis Society, 16(3), 1629-1640. DOI : 10.14257/ijbsbt.2015.7.6.08
  29. K. O. Cho & S. N. Nam. (2013). Relationship between Physical Activity and Health-related Life Quality according to Gender in Korean Elderly People. Journal of the Korean Gerontological Society, 33(4), 775-785.
  30. S. Y. Shin. (2009). Factors Related to the Health Related Quality of Life in Elderly Women. Korean J Women Health Nurs, 15(2), 99-107. https://doi.org/10.4069/kjwhn.2009.15.2.99
  31. J. A. Harvey, S. F. Chastin & D. A. Skelton. (2015). How sedentary are older people? a systematic review of the amount of sedentary behavior. Journal of Aging and Physical Activity, 471-487. DOI : 10.1123/japa.2014-0164
  32. OECD. (2017). Health at a Glance 2017: OECD Indicators. Paris : OECD Publishing. DOI : 10.1787/health_glance-2017-en
  33. J. Y. Lee & J. S. Kim. (2013). The Effect of Economic Activity Participation on the Subjective Medical Expense Level of the Elderly. The 3rd Korea Medical Panel Conference, 425-435.
  34. S. J. Yu, C. Y. Gang & Y. R. Kim. (2015). The Relationship between Health Status and Quality of Life in Korean Elderly: Focused on Subjective, Physical, and Mental Health Status. The Korean Society of Health Service Management, 9(2), 47-56. https://doi.org/10.12811/kshsm.2015.9.2.047
  35. The seventh Korea National Health and Nutrition Examination Survey (KNHANES VIII-1). (2019). Korea Disease Control and Prevention Agency.
  36. M. J. Kwak & H. S. Lee. (2014). Effects Economic Factors Influencing on Life Satisfaction according to Marital Status: Focused on Modulating Effects of Psychological Factors. Financial Planning Review, 7(2), 65-94.
  37. J. Y. Hong. (2018). A Study on How Living Alone or with a Partner Affects the Elderly's Life Characteristics. The Journal of the Korea Contents Association, 18(11), 623-633. DOI : 10.5392/JKCA.2018.18.11.623
  38. H. S. Choi. (2019). A Study on the Senior Quality of Life Factors. Journal of the Korea Academia-Industrial cooperation Society, 20(12), 314-321. DOI : 10.5762/KAIS.2019.20.12.314
  39. J. J. Park. (2017). A Study on the Relationship between Lifestyle and Health Status of Smoking and Drinking in the Elderly. The Korea Journal of Sport, 15(1), 417-428. https://doi.org/10.35159/kjss.2017.06.26.3.417
  40. Y. B. Kim & S. H. Lee. (2018). Effects of the Elderly's Health Statuses, Health Behavior, and Social Relations on Their Health-related Quality of Life: Focusing on Family Types. Journal of Korean Academy of Community Health Nursing, 29(3), 310-321. DOI : 10.12799/jkachn.2018.29.3.310
  41. J. J. Kim. (2014). A Comparative Study on Influencing Factors of Quality of Life for Elders Depending on Bereavement of the Spouse. Journal of community welfare, 49, 137-159. DOI : 10.15300/jcw.2014.49.2.137
  42. M. J. Kwon. (2021). Factors influencing convergence quality of life of the elderly according to economic activity. Journal of the Korea Convergence Society, 12(5), 345-354. DOI : 10.15207/JKCS.2021.12.5.345
  43. H. J. Lee & E. H. Jung. (2016). Socioeconomic Status and Elderly Health in Life Course Perspective: Testing of Multi-mediational Effects of Socioeconomic Status in Early Adult and Middle Aged. Health and Social Welfare Review, 36(3), 53-84. DOI : 10.15709/hswr.2016.36.3.53
  44. H. Na, S. H. Bae & M. Kim. (2015). Suicidal ideation in older adults with osteoarthritis: Data from the Korea National Health and Nutrition Examination survey. Journal of Muscle and Joint Health, 22(2), 138-47. DOI : 10.5953/JMJH.2015.22.2.13