도시와 농촌지역 거주 노인의 사회활동, 우울 및 건강관련 삶의 질 간의 관계: 2019년 지역사회건강조사 자료활용
The Association of Social Participation and Depressive Symptoms with Health-Related Quality of Life among Older Adults Living in Urban and Rural Areas Using the Korea Community Health Survey 2019
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초록
Purpose: This study aimed to investigate the association of social participation and depressive symptoms with health-related quality of life (HRQoL) among older adults living in urban and rural areas. Methods: This secondary, cross-sectional study was conducted with a total of 66,765 adults aged ≥65 years (urban-26,485 and rural-40,280) who participated in the household and individual surveys of the Korea Community Health Survey 2019. Data on the main study variables including social participation, depressive symptoms, and HRQoL were collected from August 16 to October 31, 2019. Multiple linear regression was used to identify the factors affecting HRQoL in urban and rural older adults. Results: The proportion of social participation (χ²=354.69, p<.001) and the level of HRQoL (χ²=12.06, p<.001) were significantly higher in older adults living in urban area than those in rural area. However, there was no significant difference in depressive symptoms between older adults living in urban and rural areas. Multiple linear regression analysis showed that social participation and depressive symptoms were significant predictors of HRQoL in both urban and rural older adults. Conclusion: Our main finding highlights that active participation in social activities and management of depressive symptoms in older adults regardless of living arrangements are crucial to improve HRQoL in later life. Interventions to increase social participation include early assessment of depressive symptoms in the community to promote HRQoL. More longitudinal studies are needed to identify the factors associated with HRQoL between older adults living in urban and rural areas while considering neighborhood environment and living arrangements.
Abstract
Purpose: This study aimed to investigate the association of social participation and depressive symptoms with health-related quality of life (HRQoL) among older adults living in urban and rural areas. Methods: This secondary, cross-sectional study was conducted with a total of 66,765 adults aged ≥65 years (urban-26,485 and rural-40,280) who participated in the household and individual surveys of the Korea Community Health Survey 2019. Data on the main study variables including social participation, depressive symptoms, and HRQoL were collected from August 16 to October 31, 2019. Multiple linear regression was used to identify the factors affecting HRQoL in urban and rural older adults. Results: The proportion of social participation (χ²=354.69, p<.001) and the level of HRQoL (χ²=12.06, p<.001) were significantly higher in older adults living in urban area than those in rural area. However, there was no significant difference in depressive symptoms between older adults living in urban and rural areas. Multiple linear regression analysis showed that social participation and depressive symptoms were significant predictors of HRQoL in both urban and rural older adults. Conclusion: Our main finding highlights that active participation in social activities and management of depressive symptoms in older adults regardless of living arrangements are crucial to improve HRQoL in later life. Interventions to increase social participation include early assessment of depressive symptoms in the community to promote HRQoL. More longitudinal studies are needed to identify the factors associated with HRQoL between older adults living in urban and rural areas while considering neighborhood environment and living arrangements.
참고문헌 (30)
- "Population of the aged" (2021)[URL]
- David X Marquez, "A systematic review of physical activity and quality of life and well-being", Translational Behavioral Medicine, 10(5), pp.1098~1109 (2020), Oxford University Press (OUP)[DOI]
- "Life tables for Korea" (2021)[URL]
- Luis Miguel Rondón García, "The Impact of Quality of Life on the Health of Older People from a Multidimensional Perspective", Journal of Aging Research, 2018, pp.1~7 (2018), Hindawi Limited[DOI]
- WHO Group, "Development of the World Health Organization WHOQOL-BREF quality of life assessment", Psychological Medicine, 28(3), pp.551~558 (1998)
- 안지숙, "한국 노인의 건강관련 삶의 질과 영향요인 추이", 한국보건간호학회지, 32(2), pp.275~287 (2018), 한국보건간호학회[DOI]
- Aghnia Rizki Hidayati, "Elderly Profile of Quality of Life Using WHOQOL-BREF Indonesian Version: A Community-Dwelling", Althea Medical Journal, 5(2), pp.105~110 (2018), International Journal of Integrated Health Sciences (IJIHS)[DOI]
- Encarnación Blanco-Reina, "Factors Associated with Health-Related Quality of Life in Community-Dwelling Older Adults: A Multinomial Logistic Analysis", Journal of Clinical Medicine, 8(11), pp.1810~ (2019), MDPI AG[DOI]
- 이현민, "노인1인가구의 삶의 만족에 영향을 미치는 고령친화 지역사회환경 요인", 보건사회연구, 42(2), pp.262~279 (2022), 한국보건사회연구원[DOI]
- Levasseur M, "Social participation needs of older adults living in a rural regional county municipality : Toward reducing situations of isolation and vulnerability", BMC Geriatrics, 20(1), pp.1~12 (2020)[DOI]
- T. Muhammad, "Decomposing rural–urban differences in successful aging among older Indian adults", Scientific Reports, 12(1), pp.1~14 (2022), Springer Science and Business Media LLC[DOI]
- Zhiying Zhou, "Urban-rural difference in the associations between living arrangements and the health-related quality of life (HRQOL) of the elderly in China—Evidence from Shaanxi province", PLOS ONE, 13(9), pp.e0204118~ (2018), Public Library of Science (PLoS)[DOI]
- JiYeon Choi, "Social Activities and Health-Related Quality of Life in Rural Older Adults in South Korea: A 4-Year Longitudinal Analysis", International Journal of Environmental Research and Public Health, 17(15), pp.5553~ (2020), MDPI AG[DOI]
- Danxia Liu, "Attitudes toward aging, social support and depression among older adults: Difference by urban and rural areas in China", Journal of Affective Disorders, 274, pp.85~92 (2020), Elsevier BV[DOI]
- Eric M. Vogelsang, "Older adult social participation and its relationship with health: Rural-urban differences", Health & Place, 42, pp.111~119 (2016), Elsevier BV[DOI]
- Priscila Yukari Sewo Sampaio, "The association of activity and participation with quality of life between Japanese older adults living in rural and urban areas", Journal of Clinical Gerontology and Geriatrics, 4(2), pp.51~56 (2013), Elsevier BV[DOI]
- Lidia Engel, "The impact of depression on health-related quality of life and wellbeing: identifying important dimensions and assessing their inclusion in multi-attribute utility instruments", Quality of Life Research, 27(11), pp.2873~2884 (2018), Springer Science and Business Media LLC[DOI]
- Young-Mee Kim, "Regular Exercise and Depressive Symptoms in Korean Older Adults", International Journal of Environmental Research and Public Health, 18(1), pp.303~ (2021), MDPI AG[DOI]
- Ga Eun Kim, "Increased prevalence of depression in South Korea from 2002 to 2013", Scientific Reports, 10(1), pp.1~9 (2020), Springer Science and Business Media LLC[DOI]
- Jonathan Purtle, "Urban–Rural Differences in Older Adult Depression: A Systematic Review and Meta-analysis of Comparative Studies", American Journal of Preventive Medicine, 56(4), pp.603~613 (2019), Elsevier BV[DOI]
- 정민호, "사회자본이 농촌 거주 노인의 우울 상태에 미치는 영향: 2019년도 지역사회건강조사를 이용한 단면연구", Journal of Korean Academy of Nursing, 52(2), pp.144~156 (2022), 한국간호과학회
- dos Santos Tavares DM, "Quality of life of elderly. Comparison between urban and rural areas", Investigación Educación en Enfermería, 32(3), pp.401~413 (2014)
- Qiuju Guo, "Social participation and depressive symptoms among Chinese older adults: A study on rural–urban differences", Journal of Affective Disorders, 239, pp.124~130 (2018), Elsevier BV[DOI]
- 박승진, "한글판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 신뢰도와 타당도", 대한불안의학회지, 6(2), pp.119~124 (2010), 대한불안의학회
- Han, C., "Validation of the Patient Health Questionnaire-9 Korean version in the elderly population : the Ansan Geriatric study", Comprehensive psychiatry, 49(2), pp.218~223 (2008)
- "EQ-5D-3L" (2011)[URL]
- Yeon-Kyeng Lee, "South Korean Time Trade-Off Values for EQ-5D Health States: Modeling with Observed Values for 101 Health States", Value in Health, 12(8), pp.1187~1193 (2009), Elsevier BV[DOI]
- "Community health survey" (2019)[URL]
- Lisa Carver, "A Scoping Review: Social Participation as a Cornerstone of Successful Aging in Place among Rural Older Adults", Geriatrics, 3(4), pp.75~ (2018), MDPI AG[DOI]
- Ajay Risal, "Quality of life and its predictors among aging people in urban and rural Nepal", Quality of Life Research, 29(12), pp.3201~3212 (2020), Springer Science and Business Media LLC[DOI]