지역사회 거주 중장년층의 건강정보 지향 관련 요인
Factors Influencing Health Information Orientation in Middle-aged Community-dwelling
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연구배경: 중장년층은 올바른 건강정보 활용 및 건강행위실천으로 건강한 노년으로 이행해야 하는 중요한 시기이다. 연구의 목적은 지역사회에 거주하는 중장년층을 대상으로 건강정보 지향의 수준을 알아보고 이에 영향을 미치는 인구사회학적 및 건강 관련요인을 파악하기 위함이다. 방법: 구조화된 설문지를 이용한 자가 기입식의 횡단적서술연구이다. 자료수집은 2014년 6월부터 7월까지로, 지역사회에 거주하는 만 40-64세 이하의 중장년층 465명을대상으로 하였다. 건강정보 지향에 영향을 미치는 요인은단계적 다중회귀분석을 실시하였다. 결과: 건강정보 지향의 수준은 건강정보 참여 수준이 평균 2.30±1.09점, 건강정보 걱정 수준이 평균 1.34±1.15점이었다. 회귀분석 결과 중장년층의 건강정보 지향에 영향을미치는 요인으로 건강정보 참여는 연령이 낮을수록(β =-0.094, P=0.048), 최종학력이 고졸 이상일수록(β=0.224, P<0.001) 높게 나타냈으며, 건강정보 걱정은 월평균 의료비지출이 많을수록(β=0.097, P=0.047) 높았다. 결론: 건강정보 지향 수준이 낮은 집단에 대해 인구사회학적 및 건강 관련 특성을 고려한 맞춤형 건강증진 교육프로그램 개발이 요구되며, 추후 중장년층을 대상으로 한건강정보 추구행위 영향요인 파악시 대상자 특성에 맞는도구개발 사용 및 다차원적 요인이 함께 고려되어야 할것이다.
Abstract
Background:It is important time for middle-aged because they should shift to a healthy elderly by utilization of correct health information and healthy behaviors. The aim of this study was to investigate the level of health information orientation (HIO) and identify the factors influencing HIO according to socio- demographic and health related characteristics of middle aged in community. Methods:A cross-sectional descriptive study was conducted by self-reported using structured questionnaires. The data was collected from June to July 2014 with 465 middle aged and 40 to 64 years old living in the community. Multiple stepwise regression analysis was used to examine the determinant of HIO. Results:In the two sub-domains of HIO, health information engagement mean score was 2.30±1.09 and the health information apprehension level was 1.34±1.15 on average (maximum 4 points). Regression analysis showed that the sub-domains of HIO, the level of health information engagement was significantly higher in the 40-49 age group than 50-64 age group (β=-0.094, P=0.048) and high school or above education level (β=0.224, P<0.001). Those who pay more than 100,000 won per month (β=0.097, P=0.047) were significantly high in the level of health information apprehension. Conclusions:In order to improve the level of HIO, it is necessary to implement tailored health promotion education considering the sociodemographic and health related characteristics of the subjects. It is required in the future, the development of tools and multidimensional factors that are appropriate for the middle-aged when identifying the factors influencing of health information orientation.
참고문헌 (30)
- Shin NM, "Self-management program for heart healthy behavior among middle- and old-aged Korean women at risk for metabolic syndrome", J Cardiovasc Nurs (2017)
- "Prevalence of metabolic syndrome by age, sex and risk factors in Korea 2015" (2017)[URL]
- "Cancer incidence by age group 2014" (2016)[URL]
- Jessup RL, "Health literacy of recently hospitalised patients: a cross-sectional survey using the Health Literacy Questionnaire(HLQ)", BMC Health Serv Res, 17(1), pp.52~ (2017)
- Bakker CJ, "Measuring the health literacy of the Upper Midwest", J Med Libr Assoc, 105(1), pp.34~43 (2017)
- 전범수, "페이스북의 이용동기와 이용효과의 차이, 긍정적·부정적 효과 결정요인: 2030대와 4050대의 페이스북 대인 네트워크 변화, 중독을 중심으로", 한국소통학보, (24), pp.112~140 (2014), 한국소통학회
- Dutta-Bergman MJ., "Primary sources of health information:Comparisons in the domain of health attitudes, health cognitions, and health behaviors", Health Commun, 16(3), pp.273~288 (2004)
- Basu A, "The relationship between health information seeking and community participation: the roles of health information orientation and efficacy", Health Commun, pp.70~79 (2008)
- Howell JL, "Reducing information avoidance through affirmation", Psychol Sci, 23(2), pp.141~145 (2012)
- McQueen A, "Construct definition and scale development for defensive information processing: an application to colorectal cancer screening", Health Psychol, 32(2), pp.190~202 (2013)
- DuBenske LL, "Psychometric evaluation of the health information orientation scale: a brief measure for assessing health information engagement and apprehension", J health Psychol, 14(6), pp.721~730 (2009)
- Suziedelyte A., "How does searching for health information on the Internet affect individuals' demand for health care services?", Soc Sci Med, 75(10), pp.1828~1835 (2012)
- James DC, "eHealth literacy, online help-seeking hehavior, and willingness to participate in mHealth chronic disease research among African Americans, Florida, 2014-2015", Prev Chronic Dis, 13, pp.E156~ (2016)
- Tan SS, "Internet health information seeking and the patient-physician relationship: a systematic review", J Med Internet Res, 19(1), pp.e9~ (2017)
- 손연정, "고혈압 환자의 건강정보 활용능력이 질병관련 지식 및 자가간호 이행에 미치는 영향", 기본간호학회지, 19(1), pp.6~15 (2012), 기본간호학회
- 김경자, "일부도시 입원 아동 부모의 건강정보원에 대한 신뢰도와 전자 건강문해력이 건강정보지향에 미치는 영향", 디지털융복합연구, 14(6), pp.295~307 (2016), 한국디지털정책학회[DOI]
- 박동진, "개인의 건강정보지향, 인터넷 건강정보에 대한 태도, e-헬스 리터러시 수준과 건강 관련 행위의 관계", 홍보학연구, 17(3), pp.379~413 (2013), 한국PR학회
- Feinberg I, "Examining associations between health information seeking behavior and adult education status in the U.S.: an analysis of the 2012 PIAAC Data", PloS One, 11(2), pp.e0148751~ (2016)
- Rufus Wale Ojewola, "Lower Urinary Tract Symptoms: Prevalence, Perceptions, and Healthcare-Seeking Behavior amongst Nigerian Men", The World Journal of Men's Health, 34(3), pp.200~208 (2016), 대한남성과학회
- Nölke L, "Sociodemographic and health-(care)related characteristics of online health information seekers: a cross-sectional German study", BMC Public Health, 15, pp.31~ (2015)
- Miller SM., "Monitoring and blunting: validation of a questionnaire to assess styles of information seeking under threat", J Pers Soc Psychol, 52(2), pp.345~353 (1987)
- Loiselle CG., "Self-evaluation and health information-seeking: a study of self-assessment and self-protection motives", pp.1995
- McQueen A, "Construct definition and scale development for defensive information processing: an application to colorectal cancer screening", Health Psychol, 32(2), pp.190~202 (2013)
- 문인오, "간호 대학생의 건강정보추구행동이 건강증진행위실천에 미치는 영향", 한국보건간호학회지, 29(2), pp.231~243 (2015), 한국보건간호학회
- Fiksdal AS, "online health information searching: a qualitative approach to exploring consumer perspectives", J Med Internet Res, 16(10), pp.e224~ (2014)
- Knapp C, "Internet use and eHealth literacy of low-income parents whose children have special health care needs", J Med Internet Res, 13(3), pp.e75~ (2011)
- Berkman ND, "Health literacy: what is it?", J Health Commun, 15(Suppl 2), pp.9~19 (2010)
- Lalazaryan A, "A review of models and theories of health information seeking behavior", Int J Health Syst Disaster Manage, 2(4), pp.193~203 (2014)
- McCloud RF, "Class, race and ethnicity and information avoidance among cancer survivors", Br J Cancer, 108(10), pp.1949~1956 (2013)
- Burke KE, "Factors associated with perceived health in older adult Irish population", Aging Ment Health, 16(3), pp.288~295 (2012)