지역사회 노인의 내재적 역량과 지역사회 계속거주 의향
Intrinsic Capacity and Willingness Toward Aging in Place among Community-dwelling Older Adults
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Purpose: This study aimed to evaluate community-dwelling older adults’ levels of intrinsic capacity and willingness toward Ageing in Place (AIP). Methods: This secondary data analysis included data from 9,737 (weighted-n=7,477,866) older adults who participated in the 2020 Korean Elderly Survey. Intrinsic capacity encompasses several aspects, including locomotor capacity, depressive symptoms, cognitive capacity, vitality, and sensor y capacity. Willingness toward AIP was categorized into three groups: the positive attitude group, who wish to stay in the community even if their health declines; the neutral attitude group, who are open to moving to a facility if their health worsens; and the facility living preference group, who prefer to relocate to a facility. Results: The proportions of the positive AIP, neutral AIP, and facility preference groups were 68.7%, 27.4%, and 3.9%, respectively. Among the five intrinsic capacity components, sensory impairment was the most prevalent, followed by depressive symptoms, cognitive impairment, mobility loss, and undernutrition. Depressive symptoms and mobility loss were the most prevalent in the facility living preference group. Conclusion: These findings emphasize the importance of enhancing intrinsic capacity to increase the willingness toward AIP of community-dwelling older adults through early comprehensive screening of intrinsic capacity in older adults.
Abstract
Purpose: This study aimed to evaluate community-dwelling older adults’ levels of intrinsic capacity and willingness toward Ageing in Place (AIP). Methods: This secondary data analysis included data from 9,737 (weighted-n=7,477,866) older adults who participated in the 2020 Korean Elderly Survey. Intrinsic capacity encompasses several aspects, including locomotor capacity, depressive symptoms, cognitive capacity, vitality, and sensor y capacity. Willingness toward AIP was categorized into three groups: the positive attitude group, who wish to stay in the community even if their health declines; the neutral attitude group, who are open to moving to a facility if their health worsens; and the facility living preference group, who prefer to relocate to a facility. Results: The proportions of the positive AIP, neutral AIP, and facility preference groups were 68.7%, 27.4%, and 3.9%, respectively. Among the five intrinsic capacity components, sensory impairment was the most prevalent, followed by depressive symptoms, cognitive impairment, mobility loss, and undernutrition. Depressive symptoms and mobility loss were the most prevalent in the facility living preference group. Conclusion: These findings emphasize the importance of enhancing intrinsic capacity to increase the willingness toward AIP of community-dwelling older adults through early comprehensive screening of intrinsic capacity in older adults.
참고문헌 (27)
- "2023 Statistics on the aged" (2023)[URL]
- Fiscal challenges and inclusive growth in ageing societies, "Rouzet D", Organization for Economic Co-operation and Development (OECD), ~, pp.27 (2019)
- 2022 National health insurance statistical yearbook, "Kang JG", National Health Insurance Sevice, ~, pp.11-B50928-000001-10 (2023)
- "Healthy places terminology: aging in place" (2019)[URL]
- Dye CJ, "Advice from rural elders : what it takes to age in place", Educational Gerontology, 37(1), pp.74~93 (2010)[DOI]
- Guo KL, "The U. S. long-term care system : development and expansion of naturally occurring retirement communities as an innovative model for aging in place", Ageing International, 37, pp.210~227 (2012)[DOI]
- Cho MS, "Factors associated with aging in place among community-dwelling older adults in Korea : findings from a national survey", International Journal of Environmental Research and Public Health, 20(3), pp.2740~ (2023)[DOI]
- Corneliusson L, "Residing in sheltered housing versus ageing in place-Population characteristics, health status and social participation", Health & Social Care in the Community, 27(4), pp.e313~e322 (2019)[DOI]
- "World report on ageing and health" (2015)[URL]
- "Integrated care for older people: guidelines on community-level interventions to manage declines in intrinsic capacity" (2017)[URL]
- Chung SD, "Factors influencing depression : a comparison among babyboomers, the pre-elderly, and the elderly", Journal of Welfare for the Aged, 52, pp.305~324 (2011)[DOI]
- Ma L, "Integrated care for older people screening tool for measuring intrinsic capacity : preliminary findings from ICOPE pilot in China", Frontiers in Medicine, 7, pp.576079~ (2020)[DOI]
- Leung AY, "Intrinsic capacity of older people in the community using WHO Integrated Care for Older People(ICOPE)framework : a cross-sectional study", BMC Geriatrics, 22, pp.304~ (2022)[DOI]
- "2020 The Korean elderly survey" (2021)[URL]
- Suggestion of longterm care system reform in view of aging in place(AIP), "Lee YK", Korea Institute for Health and Social Affairs, ~, pp.2017-26 (2017)
- Lee YH, "Determinants of selfrated health among the Korean elderly living in the community", Journal of Korea Gerontological Society, 18(2), pp.110~124 (1998)
- "Median income and livelihood/medical benefit selection criteria and minimum security level as of 2020" (2019)[URL]
- Lum TY, "Neighborhood support and aging-in-place preference among low-income elderly Chinese city-dwellers", Journals of Gerontology. Series B, 71(1), pp.98~105 (2016)[DOI]
- Donna DI, "Medical surgical nursing, concepts for interprofessional collaborative care" (2019), Elsevier
- Song MS, "Factors affecting 3~5 grade beneficiaries'preferences for utilization of facility care in longterm care insurance", Korean Journal of Gerontological Social Welfare, 73(4), pp.281~301 (2018)[DOI]
- Song MS, "Establishment of data-base prediction indicators for risk group of elderly living alone", Journal of the Korean Gerontological Society, 42(2), pp.273~303 (2022)[DOI]
- "Information on mental health project 2022" (2022)[URL]
- Chu SK, "The effects of an aerobic exercise program on mobility, fall efficacy, balance, and stress in the elderly at senior centers", Journal of Korean Academy of Community Health Nursing, 23(1), pp.22~30 (2012)
- "2023 resident-autonomous public service construction project health and welfare service manual for towns, villages" (2023)[URL]
- Ha SC, "The effects of perception of lonely death risk and preparation for lonely death on preference for institutional care among the elderly living alone", Korean Journal of Gerontological Social Welfare, 74(3), pp.147~176 (2019)[DOI]
- Park JB, "A study on aging in place and social relational factors", Journal of Korea Real Estate Society, 38(4), pp.5~21 (2020)[DOI]
- "Institute of gerontology annual report 2022" (2023)[URL]
