Comparative Analysis of Health Behaviors, Health Status, and Medical Needs among One-Person and Multi- Person Household Groups: Focused on the Ageing Population of 60 or More
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Background: Among the issues caused by the increase of one-person households the health problems and primary medical needs of one-person elderly households among the issues with the increase in one-person households is very important. The purpose of this study was to identified health care needs and problems of one-person elderly households by comparing health behavior, health status, disease prevalence rate, and medical needs to one-person elderly households and multi-person households. Methods: Data were obtained from the 2017 Community Health Survey. In this study, 66,211 people who were over 60 years of age without missing variables were included in the final analysis. Results: One-person households showed poorer overall health behaviors, such as nutritional behaviors, exercise behaviors, drinking and smoking behaviors, and poorer subjective and objective health status than multi-person households. Furthermore, albeit the high requirement of medical services for mental health outcomes such as suicide attempts, the rate of not receiving services was also high indicating high barriers to receive and access health care. Conclusion: Comprehensive and direct comparison of health and medical factors revealed the medical vulnerability and unmet needs in terms of health promotion in the single-person elderly households. These results can be applied as the basic information to understand the needs and medical problems of these risk groups by primary medical doctors who predominantly treat single-person elderly households and can also be used as basic data for policy development in order to solve these unmet medical care needs.
Abstract
Background: Among the issues caused by the increase of one-person households the health problems and primary medical needs of one-person elderly households among the issues with the increase in one-person households is very important. The purpose of this study was to identified health care needs and problems of one-person elderly households by comparing health behavior, health status, disease prevalence rate, and medical needs to one-person elderly households and multi-person households. Methods: Data were obtained from the 2017 Community Health Survey. In this study, 66,211 people who were over 60 years of age without missing variables were included in the final analysis. Results: One-person households showed poorer overall health behaviors, such as nutritional behaviors, exercise behaviors, drinking and smoking behaviors, and poorer subjective and objective health status than multi-person households. Furthermore, albeit the high requirement of medical services for mental health outcomes such as suicide attempts, the rate of not receiving services was also high indicating high barriers to receive and access health care. Conclusion: Comprehensive and direct comparison of health and medical factors revealed the medical vulnerability and unmet needs in terms of health promotion in the single-person elderly households. These results can be applied as the basic information to understand the needs and medical problems of these risk groups by primary medical doctors who predominantly treat single-person elderly households and can also be used as basic data for policy development in order to solve these unmet medical care needs.
참고문헌 (30)
- 조영경, "1인 가구와 다인 가구의 사회경제적 수준, 건강 행태와대사증후군에서의 차이: 성별과 세대에 따른 분석", Korean Journal of Family Practice, 9(4), pp.373~382 (2019), 대한가정의학회[DOI]
- "Household projections 2010-2035" (2012)[URL]
- Policy implications of changes in family structure: focused on the increase of single person households in Korea, "Jung KH", Korea Institute for Health and Social Affairs, ~ (2012)
- "Ratio of elderly people" (2020)[URL]
- 박지선, "독거노인의 삶의 질에 영향을 미치는 융복합적 요인", 디지털융복합연구, 14(11), pp.63~70 (2016), 한국디지털정책학회[DOI]
- 문지현, "독거노인의 삶의 만족도 영향요인 탐색 연구", 한국콘텐츠학회 논문지, 18(1), pp.44~54 (2018), 한국콘텐츠학회[DOI]
- "Welfare costs of 6 trillion won for the people born in 1955…“The elderly medical expenses are bombs.”" (2020)[URL]
- 장재선, "일부 노인들의 건강관련 생활습관, 식습관, 영양지식 및 식품섭취에 관한 비교 연구", 한국식품영양학회지, 28(6), pp.1056~1064 (2015), 한국식품영양학회
- 강희철, "독거 여성 노인과 가족 동거 여성 노인의 양생 실천 수준과 불안, 우울, 인지기능에 대한 비교 연구", 동의신경정신과학회지, 25(2), pp.123~132 (2014), 대한한방신경정신과학회
- 김경숙, "독거노인과 가족동거노인의 건강상태와 건강행위 경험이 건강 관련 삶의 질에 미치는 영향: 2014 지역사회 건강조사 자료 활용", 지역사회간호학회지, 28(1), pp.78~87 (2017), 한국지역사회간호학회[DOI]
- 정은서, "독거노인과 가족동거노인의 건강 및 구강건강상태에 관한 연구 - 국민건강영양조사 제 6기 2차년도(2014) 자료를 이용하여 -", 한국치위생학회지, 17(1), pp.99~110 (2017), 한국치위생학회[DOI]
- 석소현, "독거노인과 가족동거노인의 신체적 건강상태, 가족지지 및 생활만족도에 관한 비교 연구", 지역사회간호학회지, 19(4), pp.564~574 (2008), 한국지역사회간호학회
- 박보영, "부부가구와 1인가구 노인의 정신건강 비교 - 성별 및 인구사회학적 특성을 중심으로 -", 한국보건간호학회지, 30(2), pp.195~205 (2016), 한국보건간호학회
- 한삼성, "독거노인과 부부노인의 우울감 및 자살생각 경험", 보건의료산업학회지, 6(3), pp.29~38 (2012), 보건의료산업학회
- 전경숙, "결혼상태가 우울 및 자살생각에 미치는 영향 - 연령별 성별 차이를 중심으로 -", 보건의료산업학회지, 5(3), pp.179~190 (2011), 보건의료산업학회
- 김혜령, "한국 독거노인과 비독거노인의 우울 위험요인 비교", Journal of The Korean Data Analysis Society, 16(1), pp.463~477 (2014), 한국자료분석학회
- 손정남, "독거노인과 비독거노인의 자살생각 관련요인", 정신간호학회지, 21(2), pp.118~126 (2012), 한국정신간호학회[DOI]
- 김영주, "남녀별 독거노인과 동거노인의 건강습관, 스트레스, 우울, 자살생각 비교", 기본간호학회지, 16(3), pp.333~344 (2009), 기본간호학회
- Community Health Survey, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, Ministry of Health and Welfare, ~ (2017)
- 이하나, "중년 1인가구와 다인가구의 건강행태 및 질병 이환 비교", 보건사회연구, 39(3), pp.380~407 (2019), 한국보건사회연구원[DOI]
- 김진구, "가족형태가 노인의 건강행위에 미치는 영향", 노인복지연구, (51), pp.35~56 (2011), 한국노인복지학회[DOI]
- 김예성, "독거노인의 생산적여가활동 참여에 따른 신체적 정신적 건강과 자살생각에 관한 연구: 서울지역 저소득 독거노인들을 대상으로", 보건사회연구, 35(4), pp.344~374 (2015), 한국보건사회연구원[DOI]
- 문정화, "독거노인의 미충족 의료와 영향요인: 취약계층 행동모델 적용", 보건사회연구, 36(2), pp.480~510 (2016), 한국보건사회연구원[DOI]
- Rihmer Z, "Strategies of suicide prevention: focus on health care", J Affect Disord, 39, pp.83~91 (1996)
- 배상빈, "의학적 측면의 자살방지 대책: 외국 사례를 중심으로", 대한의사협회지, 54(4), pp.386~391 (2011), 대한의사협회
- 정명희, "주변인의 자살경험이 노인의 자살생각, 자살계획, 자살시도에 미치는 영향에 관한 연구", 노인복지연구, 72(1), pp.305~333 (2017), 한국노인복지학회[DOI]
- Lee JH, "The role of primary care physicians to reduce suicide", Korean J Fam Pract, 3, pp.240~244 (2013)
- Luoma JB, "Contact with mental health and primary care providers before suicide: a review of the evidence", Am J Psychiatry, 159, pp.909~916 (2002)
- Ryu KS, Park HS, "Comparison of health status between senior people living alone and those who live with their families", J Korea Gerontol Soc, 23, pp.163~179 (2003)
- Kim HK, "Living alone of older persons and policy implications" (2011), Korea Institute for Health and Social Affairs
