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농촌 노인의 사회적 고립이 치매에 미치는 영향: 전기노인과 후기노인 비교 분석

The Effect of Social Isolation on Dementia in rural elderly: Comparison Between Young-old and Old-old Group

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한국사회복지연구회 (Korean Association For Social Welfare Studies)|2017.06|사회복지연구 (Korean Journal of Social Welfare Studies)|제48권 제2호|pp. 143-171|DOI 10.16999/kasws.2017.48.2.143

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참고문헌

키워드

dementia치매농촌노인rural elderly객관적 사회적 고립주관적 사회적 고립objective social isolationsubjective social isolation
주제분류사회복지학

초록

다차원적인 사회적 고립은 신체적·정신적 건강 및 조기사망률과 밀접한 관계가 존재한다. 본 연구에서는 농촌 노인의 연령집단별 건강의 이슈 중 급속한 고령화로 인해 사회문제로 대두되고 있는 치매 발병과 객관적·주관적 사회적 고립의 상대적 영향력을 나타내는 주효과와 상호작용효과를 이항로지스틱회귀분석을 통해 살펴보았다. 분석자료는 다차원적인 사회적 고립 개념의 특성과 치매발병의 다양한 위험요인들을 충실히 반영하고 있는 KSHAP 1차년도 자료를 활용하였다(N=814). 분석결과, 선행연구에서 지적되어 온 다양한 치매발병 위험요인(심리사회적·병리적·건강행동·스트레스 및 인구사회적 변수 등)을 통제한 상태에서 전기노인의 경우 치매 발병에 객관적 사회적 고립의 주효과가 유의미한 영향이 존재한 반면, 후기노인의 경우 주관적 사회적 고립의 주효과가 치매 발병 확률을 높이는 것으로 나타났다. 정리하자면 치매 발병과 관련한 객관적·주관적 사회적 고립의 상대적인 영향력은 전기노인과 후기노인에 따라 다르게 나타났다. 한편 치매발병에 대한 객관적·주관적 사회적 고립의 상호작용효과는 전기노인과 후기노인 모두 유의미하게 나타나지 않았다. 본연구결과에 기초하여 농촌 노인 대상 객관적·주관적 사회적 고립 완화를 통한 치매 예방 및 최근 관심이 고조되고 는있 치매친화지역사회(dementia-friendly communities) 조성과 관련한 시사점에 대해 논의하였다

Abstract

Along with the well-established evidence on the negative effect of social isolation on physical·mental health and mortality, increasing attention has been paid to multi-dimensional nature of social isolation. In this study, the main effect and interaction effect of objective and subjective social isolation on heterogeneous age cohort related to the onset of dementia, which is becoming a social problem due to rapid aging of health issues, was examined through binary logistic regression analysis. Data came from the first wave of Korean Social Life, Health and Aging Project (KSHAP) (N= 814). Findings showed 1) in the young-old, objective isolation was a significant on the incidence of dementia, 2) in the old-old, subjective isolation increased the risk of dementia. In summary, the relative influence of objective and subjective social isolation related to the incidence of dementia varies depending on the young-old and old-old. On the other hand, the interaction effect of objective and subjective social isolation on dementia was not significant in both the young-old and old-old. Based on the findings, we discussed implications and suggestions for future research and relevant policy and program development(dementia-friendly communities) for ameliorating objective and subjective social isolation.

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