한국 독거 중고령자의 사회적 활동 참여가 건강관련 삶의 질에 미치는 영향
The Impact of Social Activity Participation on Health-related Quality of Life among Older Koreans Living Alone
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This study aims to determine the impact of social activity participation on health-related quality of life (HRQoL) among older Koreans living alone. Methods: We analyzed the data of 27,261 Korean adults aged 50 years and older, who participated in the 2019 Community Health Survey. HRQoL was measured as EuroQol-5 dimension (EQ-5D) using five questions regarding mobility, self-care, usual activities, pain/discomfort, and anxiety/depres- sion. The study subjects were characterized using descriptive statistics. The t-test and ANOVA test were used to compare the mean EQ-5D indices between groups. Three multiple regression models were run to examine the impact of participating in social activities (friendship, leisure, religious, and volunteering) on EQ-5D indices. Results: The mean age of all respondents was 68.2 years old. The majority (66.1%) were women. 28.7% of respondents rated themselves to be unhealthy. 47.5% and 20.8% participated in friendship and leisure activities, respectively. On average, men had higher EQ-5D indices than women (0.908 vs. 0.849, p < 0.001). The EQ-5D index was highest among participants who perceive themselves to be very healthy (Mean = 0.969, p < 0.001). The EQ-5D index was positively associated with only friendship and leisure activities (B = 0.024 and 0.011, respectively, p < 0.001). Conclusions: Among all types of social activities, only friendship and leisure activities may influence the HRQoL of older adults living alone. Therefore, the role of these activities should be emphasized in developing interventions to improve the HRQoL of the vulnerable population.
Abstract
Objectives: This study aims to determine the impact of social activity participation on health-related quality of life (HRQoL) among older Koreans living alone. Methods: We analyzed the data of 27,261 Korean adults aged 50 years and older, who participated in the 2019 Community Health Survey. HRQoL was measured as EuroQol-5 dimension (EQ-5D) using five questions regarding mobility, self-care, usual activities, pain/discomfort, and anxiety/depres- sion. The study subjects were characterized using descriptive statistics. The t-test and ANOVA test were used to compare the mean EQ-5D indices between groups. Three multiple regression models were run to examine the impact of participating in social activities (friendship, leisure, religious, and volunteering) on EQ-5D indices. Results: The mean age of all respondents was 68.2 years old. The majority (66.1%) were women. 28.7% of respondents rated themselves to be unhealthy. 47.5% and 20.8% participated in friendship and leisure activities, respectively. On average, men had higher EQ-5D indices than women (0.908 vs. 0.849, p < 0.001). The EQ-5D index was highest among participants who perceive themselves to be very healthy (Mean = 0.969, p < 0.001). The EQ-5D index was positively associated with only friendship and leisure activities (B = 0.024 and 0.011, respectively, p < 0.001). Conclusions: Among all types of social activities, only friendship and leisure activities may influence the HRQoL of older adults living alone. Therefore, the role of these activities should be emphasized in developing interventions to improve the HRQoL of the vulnerable population.
참고문헌 (39)
- "Elderly statistics, 2021" (2021)[URL]
- 김아린, "독거노인의 사회적 고립이 건강관련 삶의 질에 미치는 영향", 디지털융복합연구, 18(8), pp.343~351 (2020), 한국디지털정책학회[DOI]
- 정경희, "노년기 독거 현황과 정책적 대응 전략", 보건복지 Issue & Focus, 300, pp.1~8 (2015), 한국보건사회연구원[DOI]
- J. W. Rowe, "Successful Aging", The Gerontologist, 37(4), pp.433~440 (1997), Oxford University Press (OUP)[DOI]
- Jiyun KIM, "Social Support and Health-Related Quality of Life Among Elderly Individuals Living Alone in South Korea: A Cross-Sectional Study", Journal of Nursing Research, 26(5), pp.316~323 (2018), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 김예성, "노인의 독거여부에 따른 건강증진행위와 신체적 정신적 건강에 관한 연구", 보건사회연구, 34(3), pp.400~429 (2014), 한국보건사회연구원[DOI]
- M. Joseph Sirgy, "The Quality-of-Life (QOL) Research Movement: Past, Present, and Future", Social Indicators Research, 76(3), pp.343~466 (2006), Springer Science and Business Media LLC[DOI]
- John E. Ware, "Standards for validating health measures: Definition and content", Journal of Chronic Diseases, 40(6), pp.473~480 (1987), Elsevier BV[DOI]
- Carol Estwing Ferrans, "Conceptual Model of Health‐Related Quality of Life", Journal of Nursing Scholarship, 37(4), pp.336~342 (2005), Wiley[DOI]
- Seon-Ha Kim, "The EQ-5D-5L valuation study in Korea", Quality of Life Research, 25(7), pp.1845~1852 (2016), Springer Science and Business Media LLC[DOI]
- 강은나, "은퇴전환기 중고령자 특성과 삶의 만족변화", 보건복지 Issue & Focus, 236, pp.1~8 (2014), 한국보건사회연구원[DOI]
- Kang E, "Single-person households in South Korea and their policy implications", Health Welf Policy Forum, 234, pp.47~56 (2016)
- 홍주연, "성별에 따른 65세 이상 노인의 삶의 질에 관한 연구", 한국콘텐츠학회 논문지, 18(8), pp.616~626 (2018), 한국콘텐츠학회[DOI]
- 박애란, "일 지역 노인의 주관적 건강상태, 사회활동, 가족지지가 주관적 삶의 질에 미치는 영향", 한국콘텐츠학회 논문지, 17(3), pp.212~221 (2017), 한국콘텐츠학회[DOI]
- 김성아, "The Determinants of Life Satisfaction in Different Age Groups and Their Policy Implications", 보건복지포럼, 2019(4), pp.95~104 (2019), 한국보건사회연구원[DOI]
- Hans-Helmut König, "Health status of the advanced elderly in six european countries: results from a representative survey using EQ-5D and SF-12", Health and Quality of Life Outcomes, 8(1) (2010), Springer Science and Business Media LLC[DOI]
- Xiaojie Sun, "Associations between living arrangements and health-related quality of life of urban elderly people: a study from China", Quality of Life Research, 20(3), pp.359~369 (2010), Springer Science and Business Media LLC[DOI]
- Young Choi, "Effects of a change in social activity on quality of life among middle-aged and elderly Koreans: Analysis of the Korean longitudinal study of aging (2006-2012)", Geriatrics & Gerontology International, 17(1), pp.132~141 (2016), Wiley[DOI]
- 문성미, "노인의 사회경제적 상태, 건강상태, 건강행태와 건강관련 삶의 질의 관계: 성별 차이를 중심으로", 디지털융복합연구, 15(6), pp.259~271 (2017), 한국디지털정책학회[DOI]
- Nestor Asiamah, "Social engagement and physical activity: Commentary on why the activity and disengagement theories of ageing may both be valid", Cogent Medicine, 4(1), pp.1289664~ (2017), Informa UK Limited[DOI]
- 황남희, "한국 노년층의 여가활동 유형화 및 영향요인 분석", 보건사회연구, 34(2), pp.37~69 (2014), 한국보건사회연구원[DOI]
- 노은영, "노인의 동아리 활동과 삶의 변화에 대한 질적 사례 연구: 활동이론을 중심으로", 서울도시연구, 16(1), pp.169~185 (2015), 서울연구원[DOI]
- 조명희, "규칙적인 여가활동이 노인의 건강관련 삶의 질에 미치는 영향 : 신체적 여가활동을 중심으로", 한국여가레크리에이션학회지, 44(4), pp.77~91 (2020), 한국여가레크리에이션학회[DOI]
- Jeong EH, "The relationship among leisure activities, depression and quality of life in community-dwelling elderly Koreans", Gerontol Geriatric Med, 6, pp.2333721420923449~ (2020)[DOI]
- 최미리, "노인의 여가스포츠활동 참가에 따른 생활스트레스와 우울의 관계에서 회복탄력성의 완충효과", 한국체육학회지, 51(1), pp.75~90 (2012), 한국체육학회
- 안종철, "농촌 노인의 사회활동 및 여가활동이 주관적 삶의 질에 미치는 영향", 한국콘텐츠학회 논문지, 14(4), pp.189~210 (2014), 한국콘텐츠학회[DOI]
- Harold G Koenig, "Research on Religion, Spirituality, and Mental Health: A Review", The Canadian Journal of Psychiatry, 54(5), pp.283~291 (2009), SAGE Publications[DOI]
- Syazwan Nazri Amir, "Impact of Religious Activities on Quality of Life and Cognitive Function Among Elderly", Journal of Religion and Health, 61(2), pp.1564~1584 (2021), Springer Science and Business Media LLC[DOI]
- 강은나, "도시지역 1인가구 중고령자의 여가활동유형과 우울수준", 보건사회연구, 37(2), pp.184~215 (2017), 한국보건사회연구원[DOI]
- Luccas Melo de Souza, "Qualidade de vida e trabalho voluntário em idosos", Revista da Escola de Enfermagem da USP, 45(3), pp.665~671 (2011), FapUNIFESP (SciELO)[DOI]
- 신원우, "노인의 신체 및 정신 건강 문제와 생활만족도간의 관계 : 자원봉사활동 참여의 조절효과를 중심으로", 노인복지연구, (54), pp.135~163 (2011), 한국노인복지학회[DOI]
- Siegrist J, "Participation in socially productive activities and quality of life in early old age : Findings from SHARE", J Eur Soc Policy, 19(4), pp.317~326 (2009)[DOI]
- 「Futures Brief」 Retirement system and improvement tasks, "Jeong HY", National Assembly Future Institute, 23~22 (2023)
- Community Health Survey, 2019, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2020)
- Brooks R, "The measurement and valuation of health status using EQ-5D: A European perspective: evidence from the EuroQol BIOMED Research Programme" (2013), Springer Science & Business Media
- 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]
- 이소정, "우리나라 노인의 사회참여 유형분석", 한국인구학, 32(1), pp.71~91 (2009), 한국인구학회
- 홍성표, "중고령자 1인가구 삶의 만족도 변화 및 영향 요인 분석: 중고령자 다인가구와 비교 분석", 보건사회연구, 42(2), pp.7~27 (2022), 한국보건사회연구원[DOI]
- Amand F. Schmidt, "Linear regression and the normality assumption", Journal of Clinical Epidemiology, 98, pp.146~151 (2018), Elsevier BV[DOI]