노인의 다차원적 건강과 사회경제적 계층화에 대한 연구
Multidimensional Health and Social Stratification in Later Old Age
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본 연구의 목적은 노인의 사회경제적 지위가 다차원적 건강에 미치는 영향력을 규명하는데 있다. 본 연구는 기존의 노년기 단일건강지표의 한계점을 지적하고 다차원적 건강유형으로 고려하였다. 분석자료는 2018년 7차 고령화연구패널조사(KLoSA)이며 분석은 영과잉포아송회귀, OLS, 다항로짓을 활용하였다. 분석 결과, 첫째, 노년기 다차원적 건강은 신체적, 정서적, 인지적 기능에서 30.32%(1영역), 14.91%(2영역 이상), 54.77%(문제없음)로 특정 유형이 관측되었다. 둘째, 사회경제적 지위집단에 따른 다차원적 건강의 차이가 확인되었다(심각한 감퇴 7유형은 SES 집단1과 집단 4간의 6.43배 격차). 셋째, 신체･정서유형은 사회경제적 지위(학력, 자산)와 관련성이 나타나지 않았다. 본 결과는 사회경제적 지위집단 낮은 노인에서 나타난 빈약한 다차원적 건강에 대한 개입전략이 중요함을 보여 준다.
Abstract
The purpose of this study is to examine the impact of the socioeconomic status of the elderly on multidimensional health. The study pointed that an existing single health indicator in later old age is insufficient and modeled as a multidimensional health perspective. The data is from 7th KLoSA (2018). Zero-inflated poisson regression, OLS, and multinomial logistic regression were used. In the result, first, the study showed that the distinct multidimensional health Types were observed at 30.32% (1 domain), 14.91% (2 or more domains), and 54.77% (none) in physical, emotional, and cognitive functions. Second, the elderly with lower education and poor assets were related to the serious health deterioration in their health(significantly declined Type 7 was a gap of 6.43 times between SES group 1 and group 4). Third, the conjoint Type of physical health (ADL/IADL) and mental health (depression) was not related to education level. The findings suggest the intervention strategies for poor health of later old age in lower socioeconomic groups.
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