규칙적 신체활동을 수행하지 않는 고령자의 주관적 건강평가에 영향을 미치는 요인
Determinants of Self-rated Health in Sedentary Older Adults
0
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
Purpose: The objective of this study were to examine the determinants of self-rated health, specially focused on the effect of functional capacity of community dwelling sedentary older adults on self-rated health. Method: The data has been collected from 654 community-dwelling sedentary older adults (mean age: 75 years) during the period from April to June in 2007. The data were collected by the in-person interview and direct measurement of functional capacity. The data were analyzed using chi-square test and multiple regression analysis with the SPSS 9.1 program. Result: The elderly rated their health as very good (3%), good (28%), fair (38%), poor (29%0, and very poor (2%). The higher average daily walk minutes (=0.12, p<.01), number of chair stand (=0.10, p<.05), scores of self-efficacy (=0.16, p<.001) and the lower number of disease (=-0.44, p<.001) show better self-rated health. Conclusion: Self-rated health is the most commonly used indicators in social epidemiology and geriatric research because it has been known as the good predictor of mortality and reflects health related disability. The finding suggested that daily walking habits, lower body strength, physical self-efficacy should be considered to improve the senior's self-perception of health. The community-based intervention associate increase these factors should be considered.
Abstract
Purpose: The objective of this study were to examine the determinants of self-rated health, specially focused on the effect of functional capacity of community dwelling sedentary older adults on self-rated health. Method: The data has been collected from 654 community-dwelling sedentary older adults (mean age: 75 years) during the period from April to June in 2007. The data were collected by the in-person interview and direct measurement of functional capacity. The data were analyzed using chi-square test and multiple regression analysis with the SPSS 9.1 program. Result: The elderly rated their health as very good (3%), good (28%), fair (38%), poor (29%0, and very poor (2%). The higher average daily walk minutes (=0.12, p<.01), number of chair stand (=0.10, p<.05), scores of self-efficacy (=0.16, p<.001) and the lower number of disease (=-0.44, p<.001) show better self-rated health. Conclusion: Self-rated health is the most commonly used indicators in social epidemiology and geriatric research because it has been known as the good predictor of mortality and reflects health related disability. The finding suggested that daily walking habits, lower body strength, physical self-efficacy should be considered to improve the senior's self-perception of health. The community-based intervention associate increase these factors should be considered.
참고문헌 (51)
- 김수영, "한국형 건강관련 삶의 질 측정도구의 개발", 가정의학회지, 21(3), pp.382~394 (2000)
- 부가청, "우리나라 중고령자의 주관적 건강상태- 독일, 스웨덴, 이탈리아와의 국가 간 비교연구 시론", 월간노동리뷰, 33, pp.66~85 (2007)
- 송미숙, "경로당 등록 노인의 주관적 건강수준과 관련요인", 한국노년학, 23(4), pp.127~142 (2003)
- 신은영, "노인의 인지된 건강상태에 관한 연구", 한국보건간호학회지, 10(2), pp.135~145 (1996)
- 이윤환, "노인의 주관적 건강평가에 영향을 미치는 요인", 한국노년학회, 18(2), pp.110~125 (1998)
- 이해정, "노인의 주관적 건강평가의 관련 요인", Korean Journal of Family Medicine, 23(10), pp.1210~1218 (2002), 대한가정의학회
- 조경희, "포괄적 노인평가의 개념과 내용", 가정의학회지, 26(4), pp.S293~S295 (2005)
- 2006년 사회통계조사, "통계청", ~ (2006)
- 홍승연, "한국 여성 고령자의 노인체력검사(Senior Fitness Test: SFT)결과의 외국 기준치 비교", 한국체육학회지, 47(5), pp.405~413 (2008), 한국체육학회
- American College of Sports Medicine, "ACSM position stand on exercise and physical activity for older adults", Med Sci Sports and Exs, 30(6), pp.992~1008 (1998)
- Angel, R., "Comparison of a Self-Reported and a Performance-Based Assessment of Mobility in the Hispanic Established Population for Epidemiological Studies of the Elderly", Research on Aging, 22(6), pp.715~737 (2000)
- Bautch, J.C., "Effects of exercise on knee joints with osteoarthritis: a pilot study of biologic markers", Arthritis Care & Research, 10(1), pp.48~55 (1997)
- Binder, E.F., "Effects of endurance exercise and hormone replacement therapy on serum lipids in older women", Journal of the American Geriatrics Society, 44(3), pp.231~236 (1996)
- Buchner, D.M., "The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults", J Gerontol A Biol Sci Med Sci, 52(4), pp.M218~M224 (1997)
- Caspersen, C.J., "Status of the 1990 physical fitness and exercise objectives--evidence from NHIS 1985", Public Health Rep, 101(6), pp.587~592 (1986)
- Caspersen, C.J., "Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research", Public Health Rep, 100(2), pp.126~131 (1985)
- Choi, Y.H., "Study on the development of physical health assessment tool and health status of Korean elderly", J Kor Acad Adult Nurs, 3, pp.70~96 (1991)
- Ettinger, W.H., "A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis", The Fitness Arthritis and Seniors Trial (FAST) JAMA, 277(1), pp.25~31 (1997)
- Fehir, J.S., "Self-rated health status, self efficacy, motivation, and selected demographics as determinants of healthpromoting life style", 박사, pp.1989
- Fillenbaum, G.G., "Social context and selfassessments of health among the elderly", J Health and Socl Behav, 20, pp.45~51 (1979)
- Ford, J., "Self-rated health and healthy lifestyle are the most important predictors of survival in elderly women", Age Ageing, (1), pp.afm171~afm117 (2007)
- Hassmen, P., "Physical exercise and psychological well-being: a population study in Finland", Prev Med, 30(1), pp.17~25 (2000)
- Hassmen, P., "Mood, physical working capacity and cognitive performance in the elderly as related to physical activity", Aging, 9(1;2), pp.136~142 (1997)
- Idler, E.L., "Self-ratings of health: do they also predict change in functional ability?", J Gerontol B Psychol Sci Soc Sci, 50(6), pp.S344~S353 (1995)
- Jette, A.M., "How measurement techniques influence estimates of disability in older populations", Soc Sci Med, 38(7), pp.937~942 (1994)
- Kaplan, G.A., "Perceived health status and morbidity and mortality: evidence from the Kuopio ischaemic heart disease risk factor study", Int J Epidemiol, 25(2), pp.259~265 (1996)
- King, A., "Group-vs home-based exercise training in healthy older men and women", A community-based clinical trial, 266(11), pp.1535~1542 (1991), JAMA
- King, A.C., "Moderate-intensity exercise and self-rated quality of sleep in older adults", A randomized controlled trial, 277(1), pp.32~37 (1997), JAMA
- Lawrence, R.H., "Disentangling the disablement process", J Gerontol B Psychol Sci Soc Sci, 51(4), pp.S173~S182 (1996)
- Lee, Y., "A comparison of correlates of self-rated health and functional disability of older persons in the Far East: Japan and Korea", Arch Gerontol Geriatr, 37(1), pp.63~76 (2003)
- Lee, Y., "The predictive value of self assessed general, physical, and mental health on functional decline and mortality in older adults", J Epidemiol Community Health, 54(2), pp.123~129 (2000)
- Martinson, B.C., "O'Connor PJ, Maciosek MV. Changes in physical activity and short-term changes in health care charges: a prospective cohort study of older adults", Prev Med, 37(4), pp.319~326 (2003)
- McGee, D.L., "Selfreported health status and mortality in a multiethnic US cohort", Am J Epidemioly, 149(1), pp.41~46 (1999)
- Mor, V., "Functional transitions among the elderly: patterns, predictors, and related hospital use", Am J Public Health, 84(8), pp.1274~1280 (1994)
- Mossey, J.M., "Self-rated health: a predictor of mortality among the elderly", Am J Public Health, 72(8), pp.800~808 (1982)
- Owen, N., "The descriptive epidemiology of sedentary lifestyle in adult Australians", Int J Epidemiol, 21, pp.305~310 (1992)
- Pijls, L.T., "Selfrated health, mortality, and chronic diseases in elderly men. The Zutphen Study, 1985-1990", Am J Epidemioly, 138(10), pp.840~848 (1993)
- Rikli, R.E., "Senior Fitness Test Manual" (2001), Human Kinetics
- Ro, S.O., "A study on the physical, mental and social factors influencing the health status of aged women in Korea", Kor J Women Health Nurs, 2(1), pp.47~58 (1996)
- Rodin, J., "Determinants of change in perceived health in a longitudinal study of older adults", J Gerontol, 47(6), pp.373~384 (1992)
- Shields, M., "Determinants of self-perceived health", Health Report, 13(1), pp.35~52 (2001)
- 신경림, "도시지역 여성노인의 건강관심도, 주관적 건강평가, 건강상태 및 건강증진행위와의 관계연구", Journal of Korean Academy of Nursing, 34(5), pp.869~880 (2004), 한국간호과학회
- Song, K.C., "Activities of daily living of elderly in a rural area and study for related factors", J Kor Geriatr Soc, 6(1), pp.29~40 (2002)
- Spiers, N., "Physical function and perceived health: cohort differences and interrelationships in older people", J Gerontol B Psychol Sci Soc Sci, 51(5), pp.S226~S233 (1996)
- Suh, S.R., "Stress, immune cells, physical status and depression of elderly", J Kor Acad Fundament Nurs, 3(1), pp.73~90 (2001)
- Suni, J.H., "Health-related fitness test battery for adults: associations with perceived health, mobility, and back function and symptoms", Arch Phys Med Rehabil, 79(5), pp.559~569 (1998)
- Tsuji, I., "The predictive power of self-rated health, activities of daily living, and ambulatory activity for cause-specific mortality among the elderly: a three-year follow-up in urban Japan", J Am Geriatr Soc, 42(2), pp.153~156 (1994)
- US Department of Health and Human Services, "Physical activity and health: A report of the Surgeon General" (1996), US Department of Health and Human Services, Center for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion
- Wang, G., "Inactivity-Associated medical costs among US adults with arthritis", Arthritis Rheum, 45(5), pp.439~445 (2001)
- Ware, J.E., "Standards for validating health measures: definition and content", J Chron Dis, 40, pp.473~480 (1987)
- Wilcox, V.L., "Self-rated health and physical disability in elderly survivors of a major medical event", J Gerontol B Psychol Sci Soc Sci, 51(2), pp.S96~S104 (1996)
