The Korean Journal of Community Living Science (한국지역사회생활과학회지)

The Korean Society of Community Living Science (한국지역사회생활과학회)
권호 표지
DOI QR코드

DOI QR Code

Predictors of Korean Elderly People's Self-rated Health Status and Moderating Effects of Socio-Economic Position

사회경제적 지위가 노인의 주관적 건강상태에 미치는 영향과 건강요인 및 건강행태 요인의 조절효과

  • Lee, Mee Ae (Department Social Welfare, Hansei University) ;
  • Kim, Dae Chul (Economic Analyst, National Assembly Budget Office)
  • 이미애 (한세대학교 사회복지학과) ;
  • 김대철 (국회예산정책처 경제분석실)
  • Received : 2012.11.19
  • Accepted : 2013.02.27
  • Published : 2013.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to explore how health and health behavior factors moderate the relation between socio-economic position(SEP) and Korean elderly people's self-rated health status. The data sources are from the Korean Longitudinal Study of Aging(2008). The analysis sample consists of 4,040 cases. Analysis of the results shows that health characteristics such as ADL, MMSE, geriatric depression, and pain are significant predictors of self-rated health status. In addition, exercise and drinking alcohol also prove to be factors influencing self-rated health status. Health factor such as MMSE and health behavior factors such as drinking alcohol served as moderators of the influences of SEP on one's self-rated health status. For example, higher MMSE provides a slight increase to the positive relationship between SEP and self-rated health status. In addition, those who responded yes to drinking alcohol, compared to those who responded no, provides an increase to the positive relationship between SEP and one's self-rated health status.

Keywords

References

  1. Baron RM, Kenny DA(1986) The moderator-medicator variable distinction in social psychological research: Conceptual, strategic, and statistical consideration. J Pers Soc Psychol 51, 1173-1182 https://doi.org/10.1037/0022-3514.51.6.1173
  2. Berkman LF, Breslow L(1993) Health and ways of living: The Alameda county study. Oxford University Press, New York
  3. Chi SH, Oh HC, Kim YS(1994) Kangwha cohort 8 year follow-up: Self-rated health & mortality in elderly. Epidemiol Health 16(2), 178-180
  4. Fehir JS(1989) Self-rated health status, self efficacy, motivation, and selected demographics as determinants of health-promoting life style. Doctoral Dissertation, University of Texas at Austin
  5. Heo JH, Cho YT(2008) Activity limitations and health behaviors by socioeconomic status among the elderly Seoul population. J Korean Geron Soc 28(1), 87-104
  6. Himes CL(2000) Obesity, disease, and functional limitations in later life. Demogr 37, 73-82 https://doi.org/10.2307/2648097
  7. Hoeymans N, Feskens EJ, Kromhout D, Bos van denGAM(1997) Ageing and the relationship betweenfunctional status and self-rated health in elderlyman. Soc Sci Med 45, 1527-1536 https://doi.org/10.1016/S0277-9536(97)00089-0
  8. Kahng SK, Kwon TY(2008) An explaratory study on the effects of socioeconomic status on depressive symptoms across lifespan. Mental Health Soc Work 30, 332-355
  9. Kang YJ(2010) Moderating effects of family and school social capital on the relation between family income and academic achievement. Korean J Community Living Sci 21(3), 323-339
  10. Kim CY(2004) Socio-economic status, health, & health behavior. Health Welfare Policy Forum 92, 18-25
  11. Kim HS(2000) The elderly and deviant behavior (suicide). J Welfare Aged 10, 24-44
  12. Kim HR, Kang YH, Yoon KJ, Kim CS(2004) Socioeconomic Health Inequalities and Counter Policies in Korea. Institute of Korean Public Health, Seoul, Korea
  13. Kim SY, Ko SG, Kwon JH(2007) The moderating effect of social support and coping on widowed elderly. Korean J Clin Psychol 26(3), 573-596 https://doi.org/10.15842/kjcp.2007.26.3.002
  14. Ko MS, Seo IK(2011) Influences of the elderly's health status upon their stress and depression and moderating effects of social supports. Korean Public Health Res 37(1), 1-14
  15. Korea Institute for Health and Social Affairs(2011) Living State and Its Policy Implications of the Korean Elderly.
  16. Korea Labor Institute(2006) Korean longitudinal study of aging.
  17. Koukouli S, Vlachonikolis IG, Philalithis A(2001) Socio-demographic factors and self-reported functional status: The significance of social support. BMC Health Serv Res 2, 20-33
  18. Lee HJ, Kahng SK, Lee JY(2008) The effects of socioeconomic position and health behavior on geriatric depressive symptom. J Korean Geron Soc 28(4), 1129-1145
  19. Lee HJ, Seo JM, Ahn SH(2003) The role of social support in the relationship between stress and depression among family caregivers of older adults with dementia. J Korean Acad Nurs 33(6), 713-721
  20. Lee JS(2005) Social equity of non-smoking policy. Cancer Prev Res 10(3), 192-198
  21. Lee KJ, Park HS(2006) A study on the perceived health status, depression, and activities of daily living for the elderly in urban areas. Korean J Women Health Nurs 12(3), 221-230
  22. Lee PS, Lee YM, Yim JY, Whang RI, Park EY(2004) The elderly's stress, social support & depression. J Korean Acad Nurs 32(3), 477-484
  23. Lee SH, Ko JE(2009) Factors affecting the ability of older adults to identify symptoms of depression. J Korean Geron Soc 29(2), 529-546
  24. Lee SY, Seo I(1995) Relationship of health and health practices. Epidem Health 27, 48-63
  25. Lee YJ, Kim TH(1999) A study on the buffering effect of social support on the stress of the elderly who lives alone. J Korean Geron Soc 19(3), 79-93
  26. Luoh M, Herzog AR(2002) Individual consequences of volunteer and paid work in old age: Heath and mortality. J Health Soc Behavior 43, 490-509 https://doi.org/10.2307/3090239
  27. Lynch SM(2003) Cohort and life-course patterns in the relationship between education and health: A hierarchical approach. Demogr 40(2), 309-331 https://doi.org/10.1353/dem.2003.0016
  28. Murali V, Oyebode F(2004) Poverty, social inequality and mental health. Adv Psychiatr Treat 10, 216-224 https://doi.org/10.1192/apt.10.3.216
  29. National Statistical Office(2010) 2010 Population and Housing Census.
  30. Oh IG, Oh YS, Kim MI(2009) Effect of social networks on the depression of elderly femakes in Korea: Analysis of the intermediating effect of health promoting behavior. Korean J Fam Welfare 14(1), 113-136
  31. Oh YH, Bae HO, Kim YS(2006) A study on physical and mental function affecting self-perceived health of older persons in Korea. J Korean Geron Soc 26(3), 461-476
  32. Otiniano ME, Du XL, Ottenbacher K, Markides KS(2003) The effect of diabetes combined with stroke on disability, self-rated health, and mortality in older Mexican Americans. Academy Phys Med Rehab 84, 725-730 https://doi.org/10.1016/S0003-9993(02)04941-9
  33. Park JH, Cheong JH(2010) The influence of depression on the life satisfaction of the elderly people living alone: A mediating effect of problem drinking. J Welfare Aged 47, 309-330
  34. Randolff LS(1977) The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1, 385- 401 https://doi.org/10.1177/014662167700100306
  35. Scott WK, Macera CA, Cornman CB, Sharpe PA(1997) Functional health status as a predictor of mortality in men and women over 65. J Clin Epidem 50(3), 291-296 https://doi.org/10.1016/S0895-4356(96)00365-4
  36. Stroller EP(1984) Selk-assessment of hralth by the elderly: The impact of informal assistance. J Health Soc Behav 25, 260-270 https://doi.org/10.2307/2136424
  37. Townsend A, Miller B, Guo S(2001) Depressive symptomatology in middle-aged and older married couples: A dyadic analysis. J Geron 56, 352-364 https://doi.org/10.1093/geronb/56.6.S352
  38. Ware JE(1987) Standards for validating health measures: Definition and content. J Chronic Dis 40, 473-480 https://doi.org/10.1016/0021-9681(87)90003-8
  39. Yoon TH(2000) Health behavior among economic classes. Master thesis, Seoul National University

Cited by

  1. Korean Welfare Panel Data: A Computational Bayesian Method for Ordered Probit Random Effects Models vol.21, pp.1, 2014, https://doi.org/10.5351/CSAM.2014.21.1.045
  2. The Need for, Satisfaction with, and Availability of Local Healthcare Services for Elderly Individuals Receiving Home-Care Services vol.26, pp.1, 2015, https://doi.org/10.7856/kjcls.2015.26.1.5
  3. Economic Activity and Health Conditions in Adults Aged 65 Years and Older: Findings of the Korean National Longitudinal Study on Aging vol.5, pp.4, 2017, https://doi.org/10.3390/healthcare5040063
  4. 노인우울이 건강만족도에 미치는 영향과 소득수준의 조절효과 vol.25, pp.4, 2014, https://doi.org/10.7856/kjcls.2014.25.4.461
  5. Determinants of Health Satisfaction of the Elderly People : Focusing on Moderating Effects of Available Resources vol.15, pp.1, 2015, https://doi.org/10.35224/kapd.2015.15.1.004
  6. 스트레스 경험 유무에 따른 질병 및 활동제약이 고연령층 우울증에 미치는 영향에 관한연구: 국민건강영양조사 자료분석 vol.33, pp.1, 2013, https://doi.org/10.14367/kjhep.2016.33.1.13
  7. The Effect of Health Status on the Economic Security of Korean elders vol.19, pp.2, 2013, https://doi.org/10.17053/jcc.2016.19.2.007
  8. 노인의 주관적 건강상태 관련 요인에 대한 메타분석 -사회경제적 지위, 심리사회적 요인 중심으로- vol.17, pp.4, 2013, https://doi.org/10.5392/jkca.2017.17.04.424
  9. 한국노인의 주관적 건강상태 인식 관련 요인 - 2016 국민건강영양조사 자료 분석 - vol.24, pp.4, 2018, https://doi.org/10.14373/jkda.2018.24.4.344
  10. Analysis of Multivariate Latent Growth Model of Social Activity, Health Status, and Depression in the Elderly vol.43, pp.4, 2013, https://doi.org/10.26446/kjlrp.2019.12.43.4.1
  11. 성별에 따른 강박증상의 위험요인으로서 주관적 건강상태 vol.13, pp.4, 2013, https://doi.org/10.12811/kshsm.2019.13.4.243
  12. Social participation, health‐related behavior, and depression of older adults living alone in Korea vol.14, pp.1, 2020, https://doi.org/10.1111/aswp.12193
  13. 연령 집단별 노인의 주관적 건강인식이 삶의 만족도에 미치는 영향과 사회활동참여의 매개효과 vol.20, pp.7, 2013, https://doi.org/10.5392/jkca.2020.20.07.127
  14. Low Self-Rated Health as A Risk Factor for Depression in South Korea: A Survey of Young Males and Females vol.9, pp.4, 2021, https://doi.org/10.3390/healthcare9040452