Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Factors affecting the Health Promotion Behaviors of the Low-Income Elderly Living Alone -Focusing on the Mediating Effect of Social Support

저소득 독거노인의 건강증진행위에 관한 융합적 연구 -사회적 지지의 매개효과를 중심으로-

  • 조성희 (협성대학교 사회복지학과)
  • Received : 2015.10.14
  • Accepted : 2015.12.20
  • Published : 2015.12.28
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Abstract

This study aimed to examine the mediating effect of social support in the influence of depression on the health promotion behavior of low-income elderly living alone. The data were collected from 294 elderly recipients of national basic livelihood security who are living alone and the data were analyzed by path analysis. The results were that depression and social support had direct effect on health promotion behaviors and depression had indirect effect on health promotion behaviors through mediating effect of social support. Results showed the importance of depression and social support in the health promotion behaviors of the low-income elderly living alone, which should be considered in the intervention. On the basis of the results, practical suggestions to increase the health promotion behaviors of the low-income elderly living alone were discussed.

본 연구는 저소득 독거노인들을 대상으로 우울이 건강증진행위에 미치는 영향력에 있어서 사회적 지지의 매개효과를 검증하고자 하였다. 이를 위해 경기도 지역 거주 국민기초생활수급권을 가진 독거노인 294명의 자료를 활용하여 연구를 수행하였다. 경로분석을 통해 건강증진행위에 대한 우울과 사회적 지지의 직접적인 영향력과 우울이 사회적 지지를 매개하여 나타내는 간접적인 영향력을 검증하였다. 연구결과 저소득 독거노인의 우울과 사회적 지지는 건강증진행위에 직접적인 영향력을 갖고 있었고, 우울은 사회적 지지를 매개하는 간접적인 영향력도 갖고 있었다. 이를 통해 저소득 독거노인의 건강증진행위에 우울과 사회적 지지가 갖는 의미를 다시 확인할 수 있었고, 특히 건강증진행위에 있어서 우울과 사회적 지지가 갖는 관계에 대한 이해를 바탕으로 하여 개입방법을 모색해야 함을 확인할 수 있었다. 연구결과를 바탕으로 저소득 독거노인의 건강증진행위를 향상시키기 위한 제언들을 제시하였다.

Keywords

References

  1. Statistics Korea: http://kostat.go.kr. 2015.09.25.
  2. Y. M. Ko. Factors affecting the health status of elderly living alone in community. Phd. dissertation, p. 2, Seoul National University. 2013.
  3. J. H. Kim, W. M. Kang, & D. M. Yeum, An Study on Anti-Poverty & Income Inequality Effectiveness of Income Transfer: Focusing on the Single & Spousal Elderly Households. Social Welfare Policy, Vol. 42, No. 1, pp.135-159, 2015.
  4. H. R. Kim, Comparison of Prevalence of Depression and Its Risk Factors among the Elderly Female and Male Living Alone in Korea. Korean Public Health Research, Vol. 40, No. 1, pp.13-27, 2014.
  5. J. S. Park, & H. R. Lee, A Comparative on a Study a Health Promoting Lifestyle and Perceived Health Status between High and Low Income Elderly. The Journal of Korean Community Nursing, Vol. 14, No. 1, pp.157-166, 2003.
  6. H. J. Choi, & J. H. Yoo, The Effect of Depression and Self-efficacy on Health Promotion Behavior among the Elderly Living Alone in Rural Area. Journal of East-West Nursing Research, Vol. 17, No. 2, pp.149-155, 2011.
  7. S. H. Joung, The Study on the Living-Alone Experience of Elderly Men. Korean Journal of Social Welfare, Vol. 63, No. 3, pp.29-53, 2014.
  8. J. S. Kim, Theoretical Review of the Comprehensive Regional Care for the Older Adults: Health Concept and Care System. Korean Journal of Research in Gerontology, Vol. 23, pp.79-102, 2014.
  9. N. J. Pender, C. L. Murdaugh, & M. A. Parsons, Health Promotion in Nursing Practice(7th Edition). Prentice Hall, NJ, 2014.
  10. N. J. Pender(1996), Health Promotion in Nursing Practice(3rd Edition.). Prentice Hall, NJ, 1996.
  11. H. J. Oh, & D. H. Kim, Research on The Influential Factors in Senior Citizens' Health Promotion Behaviors. Health and Social Science, Vol. 32, pp.173-197, 2012.
  12. S. J. Yu, K. C. Lim, H. M. Seo, E. H. Kong, & J. H. Kim, Powerlessness in Community-dwelling Older Korean Adults: Association of Depression, Stress, Social Support, Health Promotion Behavior & Activities of Daily Living. Journal of Korean Gerontological Nursing, Vol. 15 No. 2, pp. 103-111, 2013.
  13. H. S. Jeong, & O. S. Kim, Anxiety, Depression and Health Behavior of Elderly with Chronic Diseases. Nursing Science, Vol. 25, No. 2, pp.35-46, 2013.
  14. D. H. Yun, The Influence of the Elderly's Lifestyle on the Health Promotion Behavior. Health and Welfare, Vol. 16, pp. 23-36, 2014. https://doi.org/10.23948/kshw.2014.12.16.23
  15. K. B. Kim, H. A. Kim, & S. H. Sok, A Study on Health Perception, Health Knowledge, and Health Promoting Behavior in the Elderly. Journal of East-West Nursing Research, Vol.14 No.1, pp. 56-67, 2008.
  16. M. H. Kim, & D. H. Lee, The relation ship between the demographic-sociological characteristic and health promotion behavior of the elderly. Journal of the Korean Academy of Health and Welfare for Elderly, Vol. 5, No. 1, pp. 19-35, 2013.
  17. H. E. Ko, M. H. Oh, J. Y. Baek, & J. S. Lee, The Relationship Between Body Functions and Activities and the Participation of Community-Dwelling Elderly Persons: Based on ICF. Journal of Korean Society of Occupational Therapy, Vol.20, No.4, pp.15-28, 2012
  18. W. S. An, & C. M. Heo, Relationship among Social Support, Subjective Health and Health Promotion Behavior of Elderly Participant in Physical Activity Program. Journal of Sport and Leisure Studies, Vol. 58. pp. 763-773, 2014.
  19. J. S. Park, & H. R. Kim, A Comparative Study on a Health Promoting Lifestyle and Perceived health Status between High and Low Income Elderly. The Journal of Korean Community Nursing, Vol.14, No.1, pp. 157-166. 2003.
  20. Y. S. Kim, The Study of the Impact of the Family Type on the Health Promoting Behavior and Physical and Mental Health of Elderly People. Health and Social Welfare Review, Vol. 34, No. 3, pp.400-429, 2014. https://doi.org/10.15709/hswr.2014.34.3.400
  21. H. S. Kim. A study of Influential Factors on Health Promoting Behavior among Korean Seniors in Community. Phd. dissertation, p. 38, Soongsil University. 2009.
  22. Y. H. Choi, & S. Y. Kim, Development of Health Behavior Assessment Tool of the Korean Elders. The Journal of Korean Academy of Nursing, Vol.27, No.3, pp. 601-613, 1997.
  23. J. S. Lim. The exploration of possible selves and the relationships of life satisfaction and depression among Korean adults. Phd. dissertation, p. 48, Ewha Womans University. 2012.
  24. J. I. Sheikh, & J. A. Yesavage, Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontology : A Guide to Assessment and Intervention, The Haworth Press, NY:, 1986.
  25. B. S. Kee, A Preliminary Study for the Standardization of Geriatric Depression Scale Short Form-Korea Version. Journal of the Korean Neuropsychiatric Association, Vol.35, No.2, pp. 298-307, 1996.
  26. J. S. Im. Analyses of Psycho-Social Determinants of Health Promotion Behavior in Elderly Sport Participants. Phd. dissertation, pp. 20-21, Chung-Ang University. 2012.
  27. J. W. Park. A Study to Development a Scale of Social Support. Phd. dissertation, pp. 105-112, Yonsei University. 1985.