지역사회 노인의 영양결핍 관련 사회경제 및 사회지지 요인
Socioeconomic and Social Support Factors of Malnutrition among Korean Elderly in the Community
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Objectives : The purpose of this study was to identify the prevalence of malnutrition and to explore its association with socioeconomic and social support factors among Korean elderly in the community. Methods : The study sample was a weighted population of 10,160 elderly who participated in the 2014 Korean Elderly Living Conditions and Welfare Survey. Multiple logistic regression analyses were performed to assess the association socioeconomic and social support factors have with malnutrition. Results : Of the Korean elderly 18.6% were at risk of malnutrition. Being uneducated (OR=1.40) and having a lower household income (OR=1.97) were significantly associated with malnutrition even after adjusting for other socio-demographic and health-related covariates. Elderly who lived alone (OR=1.86) and who had poor relationships with their children (OR=1.97) were at much higher risk of malnutrition than their counterparts. Their having poor relationships with acquaintances and poor social participation were also associated with malnutrition. Conclusions : Socioeconomic and social support resources are important factors in the nutritional status of the elderly.
Abstract
Objectives : The purpose of this study was to identify the prevalence of malnutrition and to explore its association with socioeconomic and social support factors among Korean elderly in the community. Methods : The study sample was a weighted population of 10,160 elderly who participated in the 2014 Korean Elderly Living Conditions and Welfare Survey. Multiple logistic regression analyses were performed to assess the association socioeconomic and social support factors have with malnutrition. Results : Of the Korean elderly 18.6% were at risk of malnutrition. Being uneducated (OR=1.40) and having a lower household income (OR=1.97) were significantly associated with malnutrition even after adjusting for other socio-demographic and health-related covariates. Elderly who lived alone (OR=1.86) and who had poor relationships with their children (OR=1.97) were at much higher risk of malnutrition than their counterparts. Their having poor relationships with acquaintances and poor social participation were also associated with malnutrition. Conclusions : Socioeconomic and social support resources are important factors in the nutritional status of the elderly.
참고문헌 (25)
- S. Iizaka, "Comprehensive assessment of nutritional status and associated factors in the healthy, community-dwelling elderly", Geriatrics and Gerontology International, 8(1), pp.24~31 (2008)
- M.I. Correia, "The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis", Clinical Nutrition, 22(3), pp.235~239 (2003)
- S.C. Howell, "Income, age, and food consumption", Gerontologist, 9(3), pp.1~122 (1969)
- J. Schilp, "High prevalence of undernutrition in Dutch community-dwelling older individuals", Nutrition, 28(11-12), pp.1151~1156 (2012)
- Department of Economic and Social Affairs, Population Division, "World Population Prospects: The 2012 Revision", pp.1~118 (2013)
- Health Statistics TrendⅡ, "B. K. Yang", ministry of health & welfare, korea centers for disease control & prevention, 1~237 (2015)
- Z.B. Wojszel, "Use of NSI Determine Checklist to assess the risk of malnutrition in persons of advanced old age living in rural areas", Progress in Health Sciences, 2(1), pp.68~75 (2012)
- Z.N. Kabir, "Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors", Public Health Nutrition, 9(8), pp.968~974 (2006)
- 전경숙, "노인의 장애 및 주관적 건강의 남녀차이와 사회경제적 요인의 영향", 예방의학회지, 42(3), pp.199~207 (2009), 대한예방의학회
- 전경숙, "노인의 사회 관계망 및 사회적 지지와 허약의 관계", Annals of geriatric medicine and research, 16(2), pp.84~94 (2012), 대한노인병학회
- 이유현, "노인에서 가구유형과 건강행태: 제 5기 국민건강영양조사(2010-2012)", 보건의료산업학회지, 8(4), pp.199~207 (2014), 보건의료산업학회
- E. Ramic, "The effect of loneliness on malnutrition in elderly population", Medical Archives, 65(2), pp.92~95 (2011)
- I. Feldblum, "Characteristics of undernourished older medical patients and the identification of predictors for undernutrition status", Nutrition Journal, 6(1), pp.37~45 (2007)
- 소은진, "노인의 에너지 섭취 부족과 관련된 사회환경요인 분석", Journal of Nutrition and Health, 48(4), pp.371~379 (2015), 한국영양학회
- Hyeon-HeeYu,In-SookKim, "Health Status, Dietary Patterns, and Living Habits of the Elderly in Jeon-ju", Nutritional Sciences, 5(2), pp.91~102 (2002), 한국영양학회
- M. Elia, "To screen or not to screen for adult malnutrition?", Clinical Nutrition, 24(6), pp.867~884 (2005)
- E. Grundy, "The socioeconomic status of older adults: How should we measure it in studies of health inequalities?", Journal of Epidemiol Community Health, 55(12), pp.895~904 (2001)
- Poverty Indicators of the Elderly and Implications, "S.Y. Won", national assembly research service, 1~4 (2016)
- J.S. House, "The social stratification of aging and health", Journal of Health and Social Behavior, 35, pp.213~234 (1994)
- 김선효, "우리나라 노년기의 건강기능식품 섭취 실태 및 관련 요인 조사", 한국식생활문화학회지, 26(1), pp.30~38 (2011), 한국식생활문화학회
- J.L. Locher, "Social isolation, support, and capital and nutritional risk in an older sample: ethnic and gender differences", Social Science & Medicine, 60, pp.747~761 (2005)
- 박진경, "독거 여자 노인의 식행동 , 우울정도와영양소 섭취량 실태에 관한 연구", 대한지역사회영양학회지, 8(5), pp.716~725 (2003), 대한지역사회영양학회
- 박경애, "서울 일개 교회 여자 노인의 영양상태, 건강상태와 영양소 섭취에 관한 연구", Journal of korean biological nursing science, 12(1), pp.39~47 (2010), 기초간호학회
- 진재문, "노인가구의 빈곤 실태와 소득이전 효과에 관한 연구: 빈곤율, 빈곤갭, 소득이전을 중심으로", 사회복지정책, 41(3), pp.239~258 (2014), 한국사회복지정책학회
- C. Boulos, "Social isolation and risk for malnutrition among older people", Geriatrics & Gerontology International, 17, pp.286~294 (2017)