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여성노인의 건강관련 삶의 질 수준별 관련요인: 국민건강영양조사(2019년) 자료를 이용한 이차자료분석

Factors associated with levels of health-related quality of life in elderly women: secondary data analysis of the Korea National Health and Nutrition Examination Survey 2019

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초록

Purpose: The purpose of this study was to investigate factors related to the levels of health-related quality of life (HRQoL) in elderly women based on Wilson and Cleary’s HRQoL model. Methods: This study analyzed data from the eighth Korea National Health and Nutrition Examination Survey 2019 on 868 women over the age of 65 years. Based on the HRQoL model, parameters were categorized as personal, environmental, and physiological characteristics; symptom status; functional status; and perception of health status. The data were analyzed by quantile regression. Results: The overall level of HRQoL was 0.87. Factors related to HRQoL in the 10% quantile were higher education level, higher economic status, economic activity, more walking days, fewer diseases, lower stress, less activity limitation, and higher perceived health status. Factors related to the 25% quantile of HRQoL were more walking days, fewer diseases, less activity limitation, and higher perceived health status. Factors related to the 50% quantile were age, economic activity, more walking days, fewer disease, lower stress, less activity limitation, and higher perceived health status. Factors related to the 75% quantile of HRQoL were smoking, more walking days, fewer diseases, lower stress, less activity limitation, and higher perceived health status. Conclusion: While differing parameters were identified according to the level of HRQoL of elderly women in Korea, there were five common factors. Interventions that focus on increasing walking, mitigating diseases, stress, and activity limitations, and improving perceived health status can improve HRQoL.

Abstract

Purpose: The purpose of this study was to investigate factors related to the levels of health-related quality of life (HRQoL) in elderly women based on Wilson and Cleary’s HRQoL model. Methods: This study analyzed data from the eighth Korea National Health and Nutrition Examination Survey 2019 on 868 women over the age of 65 years. Based on the HRQoL model, parameters were categorized as personal, environmental, and physiological characteristics; symptom status; functional status; and perception of health status. The data were analyzed by quantile regression. Results: The overall level of HRQoL was 0.87. Factors related to HRQoL in the 10% quantile were higher education level, higher economic status, economic activity, more walking days, fewer diseases, lower stress, less activity limitation, and higher perceived health status. Factors related to the 25% quantile of HRQoL were more walking days, fewer diseases, less activity limitation, and higher perceived health status. Factors related to the 50% quantile were age, economic activity, more walking days, fewer disease, lower stress, less activity limitation, and higher perceived health status. Factors related to the 75% quantile of HRQoL were smoking, more walking days, fewer diseases, lower stress, less activity limitation, and higher perceived health status. Conclusion: While differing parameters were identified according to the level of HRQoL of elderly women in Korea, there were five common factors. Interventions that focus on increasing walking, mitigating diseases, stress, and activity limitations, and improving perceived health status can improve HRQoL.

참고문헌 (30)

  1. "Population projections for Korea" (2021)[URL]
  2. "Life expectancy at birth and disability adjusted life expectancy" (2021)[URL]
  3. Pei-Shan LI, "A Study of Physical Activity, Frailty, and Health-Related Quality of Life Among Community-Dwelling Older Adults in Taiwan", Journal of Nursing Research, 28(6), pp.e124~ (2020), Ovid Technologies (Wolters Kluwer Health)[DOI]
  4. 김영범, "노인의 건강상태, 건강행위, 사회관계가 건강 관련 삶의 질에미치는 영향: 가구유형별 분석", 지역사회간호학회지, 29(3), pp.310~321 (2018), 한국지역사회간호학회[DOI]
  5. Wilson IB, "Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes", JAMA, 273(1), pp.59~65 (1995)
  6. Aung Zaw Zaw Phyo, "Health-related quality of life and all-cause mortality among older healthy individuals in Australia and the United States: a prospective cohort study", Quality of Life Research, 30(4), pp.1037~1048 (2021), Springer Science and Business Media LLC[DOI]
  7. 조은하, "폐경여성의 폐경증상 정도에 따른 우울증상, 부부친밀감, 건강 관련 삶의 질", 글로벌 건강과 간호, 9(1), pp.1~9 (2019), 간호과학연구소[DOI]
  8. Hajian-Tilaki K, "Are gender differences in health-related quality of life attributable to sociodemographic characteristics and chronic disease conditions in elderly people?", Int J Prev Med, 8, pp.95~ (2017)[DOI]
  9. 박민정, "건강행위와 건강상태가 노인의 건강 관련 삶의 질에 미치는 영향: 2012년 한국의료패널 자료를 이용한 성별 분석", 지역사회간호학회지, 28(2), pp.118~128 (2017), 한국지역사회간호학회[DOI]
  10. 이현경, "한국 노인의 건강관련 삶의 질 및 정신건강과 자살생각과의 연관성", 대한보건연구, 38(1), pp.69~79 (2012), 사단법인 대한보건협회[DOI]
  11. 김경희, "70세 이상 후기노인의 사회적자본이 건강관련 삶의 질에 미치는 영향", 한국산학기술학회논문지, 16(6), pp.3889~3901 (2015), 한국산학기술학회[DOI]
  12. 김지희, "노인의 사회적 자본이 건강 관련 삶의 질에 미치는 영향 - 2019년 지역사회건강조사를 중심으로 -", 농촌의학.지역보건, 46(4), pp.280~294 (2021), 한국농촌의학.지역보건학회
  13. 안지숙, "한국 노인의 건강관련 삶의 질과 영향요인 추이", 한국보건간호학회지, 32(2), pp.275~287 (2018), 한국보건간호학회[DOI]
  14. Xuxi Zhang, "Association between physical, psychological and social frailty and health-related quality of life among older people", European Journal of Public Health, 29(5), pp.936~942 (2019), Oxford University Press (OUP)[DOI]
  15. Leonardo Koeser, "On the Use and Interpretation of Quantile Regression in Quality-of-Life Research", PharmacoEconomics, 32(2), pp.225~227 (2014), Springer Science and Business Media LLC[DOI]
  16. Yaacov Petscher, "Quantile Regression in the Study of Developmental Sciences", Child Development, 85(3), pp.861~881 (2013), Wiley[DOI]
  17. "Korea National Health and Nutrition Examination Survey" (2022)[URL]
  18. Yeon-Kyeng Lee, "South Korean Time Trade-Off Values for EQ-5D Health States: Modeling with Observed Values for 101 Health States", Value in Health, 12(8), pp.1187~1193 (2009), Elsevier BV[DOI]
  19. Lee SI, "Validity and reliability evaluation for EQ-5D in Korea" (2011), Korea Disease Control and Prevention Agency
  20. Lee YK, "Health and care of older adults in Korea", Health Welf Policy Forum, 264, pp.19~30 (2018)
  21. 윤은자, "중년과 노년의 자가 평가 건강수준 영향요인 비교", 한국콘텐츠학회 논문지, 16(2), pp.200~210 (2016), 한국콘텐츠학회[DOI]
  22. 배연희, "한국 노인의 성별에 따른 주관적 건강상태에 영향을 미치는 요인: 2012년~2013년 국민건강영양조사 자료 분석", 대한통합의학회지, 3(4), pp.79~90 (2015), 대한통합의학회[DOI]
  23. 강익원, "규칙적인 걷기운동 참여가 중년여성의 정신 건강 상태와 건강 관련 삶의 질에 미치는 영향 : 제 6기 국민건강영양조사를 중심으로", 한국웰니스학회지, 11(1), pp.207~215 (2016), 한국웰니스학회
  24. Kim CO, "Co-occurrence of chronic diseases and geriatric syndromes", Korean J Clin Geri, 19(1), pp.23~26 (2018)[DOI]
  25. 허원구, "노인의 삶의 만족도 발달궤적과 건강특성요인", 사회복지정책, 44(2), pp.297~318 (2017), 한국사회복지정책학회[DOI]
  26. 김신미, "노인 암환자의 건강관련 삶의 질 영향요인: 2015년 한국의료패널 자료 분석", 가정간호학회지, 27(2), pp.156~168 (2020), 한국가정간호학회[DOI]
  27. 김형기, "도시지역 독거노인의 스트레스가 삶의 질에 미치는 영향 : 사회적 지지의 매개효과를 중심으로", 한국산학기술학회논문지, 18(12), pp.443~451 (2017), 한국산학기술학회[DOI]
  28. 김봉금, "스트레스가 노인의 우울에 미치는 영향: 사회적 지지의 조절효과와 자아존중감의 매개효과를 중심으로", 한국콘텐츠학회 논문지, 19(6), pp.281~291 (2019), 한국콘텐츠학회[DOI]
  29. Takafumi Monma, "Age and sex differences of risk factors of activity limitations in Japanese older adults", Geriatrics & Gerontology International, 16(6), pp.670~678 (2015), Wiley[DOI]
  30. 하유정, "한국 노인의 성별에 따른 주관적 건강인식과 건강행위의 관계 – 국민건강영양조사 제7기 조사를 이용하여 -", 한국웰니스학회지, 16(1), pp.246~252 (2021), 한국웰니스학회[DOI]

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