본문 바로가기
KERD
논문KCI 등재

장년의 건강관련 삶의 질 영향 요인: 생활습관 및 정신건강을 중심으로

Factors Influencing Health-related Quality of Life in the Middle-Aged: Focusing on Lifestyle Habits and Mental Health

김상미|박혜선
경영연구원 (Management Research Institute)|2023.12|의료경영학연구 (Health Service Management Review)|제17권 제4호|pp. 31-40

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

Middle-agedMental HealthHealth-related Quality of LifeLifestyle HabitsHRQOL

초록

Health-related quality of life (HRQOL) is a subjective evaluation of health encompassing various dimensions of physical, mental, and social well-being. The transition from middle age to older adulthood is marked by hormonal changes and physical aging, which can impact both physical and mental health. Consequently, it may also affect HRQOL. This study analyzed factors influencing HRQOL in middle-aged and older adults, with a focus on lifestyle habits and mental health. Data for this study were obtained from the 1st Korea Medical Panel Survey conducted collaboratively by the Korea Institute for Health and Social Affairs and the National Health Insurance Corporation in 2018. The study population included 3,474 individuals aged 50 to 64. Data analysis was carried out using STATA 17.0, with characteristics described through frequency, percentage, mean, and standard deviation. Differences in HRQOL were analyzed using t-tests and ANOVA, while factors influencing HRQOL were assessed through gamma regression analysis. The mean HRQOL score was 0.920 ± 0.630. Significant differences in HRQOL were observed based on gender, age, education level, marital status, income level, employment status, number of chronic illnesses, body mass index, alcohol consumption, sleep duration, self-rated health status, stress, feelings of despair, unmet needs, anxiety, depression, and suicidal tendencies Factors positively influencing HRQOL, in descending order of impact, included income level in the 5th tier (OR=1.026, 95% CI=1.016~1.036), income levels in the 2nd and 4th tiers (OR=1.021, 95% CI=1.012~1.031; OR=1.021, 95% CI=1.011~1.031), completing college or higher education (OR=1.020, 95% CI=1.013~1.028), income level in the 3rd tier (OR=1.018, 95% CI=1.009~1.028), and having employment (OR=1.015, 95% CI=1.011~1.020), and completing high school (OR=1.012, 95% CI=1.006~1.019). However, factors negatively influencing HRQOL, in descending order of impact, included having suicidal tendencies (OR=0.947, 95% CI=0.934~0.960), experiencing depression (OR=0.967, 95% CI=0.958~0.977), feeling a lot of despair (OR=0.972, 95% CI=0.955~0.990), experiencing high levels of anxiety (OR=0.979, 95% CI=0.969~0.990), having three or more chronic illnesses (OR=0.983, 95% CI=0.978~0.989), and experiencing high levels of stress (OR=0.990, 95% CI=0.980~0.999). This study contributes valuable evidence for the development of policies and programs aimed at supporting the healthy lives of the middle-aged population by understanding the impact of lifestyle habits and mental health on HRQOL.

Abstract

Health-related quality of life (HRQOL) is a subjective evaluation of health encompassing various dimensions of physical, mental, and social well-being. The transition from middle age to older adulthood is marked by hormonal changes and physical aging, which can impact both physical and mental health. Consequently, it may also affect HRQOL. This study analyzed factors influencing HRQOL in middle-aged and older adults, with a focus on lifestyle habits and mental health. Data for this study were obtained from the 1st Korea Medical Panel Survey conducted collaboratively by the Korea Institute for Health and Social Affairs and the National Health Insurance Corporation in 2018. The study population included 3,474 individuals aged 50 to 64. Data analysis was carried out using STATA 17.0, with characteristics described through frequency, percentage, mean, and standard deviation. Differences in HRQOL were analyzed using t-tests and ANOVA, while factors influencing HRQOL were assessed through gamma regression analysis. The mean HRQOL score was 0.920 ± 0.630. Significant differences in HRQOL were observed based on gender, age, education level, marital status, income level, employment status, number of chronic illnesses, body mass index, alcohol consumption, sleep duration, self-rated health status, stress, feelings of despair, unmet needs, anxiety, depression, and suicidal tendencies Factors positively influencing HRQOL, in descending order of impact, included income level in the 5th tier (OR=1.026, 95% CI=1.016~1.036), income levels in the 2nd and 4th tiers (OR=1.021, 95% CI=1.012~1.031; OR=1.021, 95% CI=1.011~1.031), completing college or higher education (OR=1.020, 95% CI=1.013~1.028), income level in the 3rd tier (OR=1.018, 95% CI=1.009~1.028), and having employment (OR=1.015, 95% CI=1.011~1.020), and completing high school (OR=1.012, 95% CI=1.006~1.019). However, factors negatively influencing HRQOL, in descending order of impact, included having suicidal tendencies (OR=0.947, 95% CI=0.934~0.960), experiencing depression (OR=0.967, 95% CI=0.958~0.977), feeling a lot of despair (OR=0.972, 95% CI=0.955~0.990), experiencing high levels of anxiety (OR=0.979, 95% CI=0.969~0.990), having three or more chronic illnesses (OR=0.983, 95% CI=0.978~0.989), and experiencing high levels of stress (OR=0.990, 95% CI=0.980~0.999). This study contributes valuable evidence for the development of policies and programs aimed at supporting the healthy lives of the middle-aged population by understanding the impact of lifestyle habits and mental health on HRQOL.

참고문헌 (33)

  1. 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
  2. 김민아, "건강행위와 신체건강 및 정신건강이 중년여성의 건강관련 삶의 질에 미치는 영향 : 2014년 한국의료패널 자료 이용", 가정간호학회지, 26(1), pp.72~80 (2019), 한국가정간호학회[DOI]
  3. 김성아, "연령대별 삶의 만족 영향요인 분석과 정책 과제", 보건복지포럼, pp.95~104 (2019)
  4. 김세운, "노인의 정신건강에 영향을 미치는 요인에 관한 연구: 가구특성 간 비교를 중심으로", 보건사회연구, 42(1), pp.335~355 (2022), 한국보건사회연구원[DOI]
  5. 김신미, "노인 암환자의 건강관련 삶의 질 영향요인: 2015년 한국의료패널 자료 분석", 가정간호학회지, 27(2), pp.156~168 (2020), 한국가정간호학회[DOI]
  6. 김예순, "장애인의 정신건강이 건강관련 삶의 질에 미치는 영향 - 제6기(2013) 국민건강영양조사 자료를 이용하여 -", 대한보건연구, 42(2), pp.31~43 (2016), 사단법인 대한보건협회[DOI]
  7. 김정현, "폐경기 여성의 신체활동 및 영양섭취와 건강관련요인과의 관련성 - 제 6기 국민건강영양조사 자료를 이용하여 -", 한국여성체육학회지, 30(2), pp.237~252 (2016), 한국여성체육학회[DOI]
  8. "한국 의료패널" (2023), 국민건강보험[URL]
  9. 권종선, "중노년 1인가구의 건강관련 삶의 질 영향요인", 문화기술의 융합, 5(1), pp.153~167 (2019), 국제문화기술진흥원[DOI]
  10. 동재용, "수면장애가 외래 진료서비스 이용에 미친 영향분석", 대한보건연구, 42(4), pp.11~20 (2016), 사단법인 대한보건협회[DOI]
  11. Park DooYong, "중년 성인의 사회심리적 스트레스와 신체활동 유형과의 연관성: 지역사회 기반의 코호트 연구", 대한스포츠의학회지, 41(3), pp.153~162 (2023), 대한스포츠의학회[DOI]
  12. 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]
  13. 박슬기, "20·30대 여성의 체형 과대인식에 따른 체중조절행위, 삶의 질, 식행동 및 영양소 섭취상태: 2010-2011년 국민건강영양조사 자료 이용", 대한지역사회영양학회지, 20(5), pp.362~374 (2015), 대한지역사회영양학회
  14. 방소연, "중년 여성의 신체 및 정신건강이 삶의 질에 미치는 영향", 한국산학기술학회논문지, 21(6), pp.161~169 (2020), 한국산학기술학회[DOI]
  15. 서혜영, "읍면／동별 정신 건강이 건강행태를 매개로 하여 삶의 질에 미치는 영향 -2016년 국민건강영양조사 데이터 활용", 예술인문사회 융합 멀티미디어 논문지, 9(8), pp.443~454 (2019), 사단법인 인문사회과학기술융합학회[DOI]
  16. 신승화, "교대근무 간호사의 건강증진행위가 수면의 질에 미치는 영향", 기본간호학회지, 21(2), pp.123~130 (2014), 기본간호학회[DOI]
  17. 신은희, "중년여성의 건강관련 삶의 질 구조모형", 박사, pp.2017
  18. 오영경, "중년 여성의 불안과 우울이 삶의 질에 미치는 영향에 대한 경로분석", 디지털융복합연구, 15(10), pp.579~588 (2017), 한국디지털정책학회[DOI]
  19. 오지연, "한국어판 단문형 국제신처활동설문(IPAQ)의 신뢰도와 타당도", Korean Journal of Family Medicine, 28(7), pp.532~541 (2007), 대한가정의학회
  20. 윤재희, "한국인 만성 질환과 건강 관련 삶의 질", 대한류마티스학회지, 11(3), pp.263~274 (2004), 대한류마티스학회
  21. 임준태, "수면 시간과 건강관련 삶의 질의 관련성-제 5기(2012년) 국민건강영양조사를 이용하여", Korean Journal of Family Practice, 5(3, suppl. 2), pp.283~290 (2015)
  22. 정영해, "전·후기 노인의 건강행위, 건강상태와 건강관련 삶의 질", 대한보건연구, 40(1), pp.55~64 (2014), 사단법인 대한보건협회[DOI]
  23. , 2023
  24. Bair Y. A, "Use of conventional and complementary health care during the transition to menopause: longitudinal results from the Study of Women's Health Across the Nation (SWAN)", Menopause (New York, N.Y.), 12(1), pp.31~39 (2005)
  25. , ~
  26. Li CC, "The lived experience of midlife women with major depression", Journal of Nursing Research, 25(4), pp.262~267 (2017)
  27. Maki, P M, "Guidelines for the Evaluation and Treatment of Perimenopausal Depression: Summary and Recommendations", Journal of women's health(2002), 28(2), pp.117~134 (2019)[DOI]
  28. Rabin R, "EQ-5D: a measure of health status from the EuroQol Group", Annals of medicine, 33(5), pp.337~343 (2001)
  29. Selivanova A, "The relationship between healthy behaviors and health outcomes among older adults in Russia", BMC Public Health, 14, pp.1183~ (1996)
  30. Son CH, "Health-related quality of life in consequences from frequency-quantity measures of alcohol consumption patterns", International Journal of Happiness and Development, 4(3), pp.236~260 (2018), Inderscience Enterprises Ltd
  31. Spilker B, "Quality of life and pharmacoeconomics in clinical trials", Lippincott-Raven Publishers
  32. Van Dyck, D, "Relationship of the perceived social and physical environment with mental health-related quality of life in middle-aged and older adults: mediating effects of physical activity", PloS one, 10(3), pp.e0120475~ (2015)
  33. Watson N F, "Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society", Sleep, 38(6), pp.843~844 (2015)

관련 논문AI추천

건강행위와 신체건강 및 정신건강이 중년여성의 건강관련 삶의 질에 미치는 영향 : 2014년 한국의료패널 자료 이용김민아, 문지현, 최소은한국가정·방문간호학회 · 가정·방문간호학회지2019 · 제26권 제1호중년남성의 경제활동 참여에 따른 건강행위와 건강상태가 건강관련 삶의 질에 미치는 영향: 2017년 한국의료패널 자료 이용위휘, 박민정다문화건강학회 · 다문화건강학회지2022 · 제12권 제2호Factors influencing health-related quality of life in middle-aged by stress perception권명진, 김선애중소기업융합학회 · 융합정보논문지2021 · 제11권 제7호우리나라 성인의 건강상태 및 건강행태가 건강관련 삶의 질에 미치는 영향김경화, 이상구보건의료산업학회 · 보건의료산업학회지2020 · 제14권 제1호Factors Influencing Health-related Quality of Life in Adult Women도은영, 홍연란, 황진섭한국보건정보통계학회 · 보건정보통계학회지2024 · 제49권 제2호Factors Influencing Middle-Aged Men's Health-Related Quality of Life: The 8th National Health and Nutrition Survey강수미, 김미경(사)위기관리이론과실천 · Journal of Safety and Crisis Management2022 · 제12권 제11호

이 간행물의 다른 논문 (3건)

Welfare Loss of Bundling Discount and Cost Containment Strategies for Hospitals신상우, 장혜정pp. 1-14비대면 의료 서비스 품질과 의료환경 품질이 서비스만족도에 미치는 영향에 관한 연구김진남, 최정묵pp. 15-29웨어러블 디바이스가 건강한 생활습관 변화에 미치는 영향: 스마트워치 건강관리 기능들 중심으로김상만, 루메이사pp. 41-49
원문 보기