보건행정학회지 (Health Policy and Management)

  • 제29권4호
  • /
  • Pages.454-468
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  • 2019
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  • 1225-4266(pISSN)
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  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
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우리나라 노인의 신체기능 요인과 차별경험의 관련성 연구: 노인실태조사(2014, 2017) 자료 분석

Relationship between Physical Function Factors and Discrimination Experiences of the Elderly in Korea: The 2014 and 2017 National Survey on Living Conditions and Welfare Needs of Korean Older Persons

  • 이규희 (이대목동병원 임상시험센터) ;
  • 용왕식 (인천재능대학교 보건의료행정학과) ;
  • 유창훈 (연세대학교 보건대학원 보건정책학과) ;
  • 이용재 (연세대학교 대학원 경제학부) ;
  • 정우진 (연세대학교 보건대학원 보건정책학과)
  • Lee, Kyuhee (Clinical Trial Center, Ewha Womans University Mokdong Hospital) ;
  • Yong, Wangshik (Department of Health and Medical Administration, JEI University) ;
  • You, Changhoon (Department of Health Policy and Management, Yonsei University Graduate School of Public Health) ;
  • Lee, Yongjae (School of Economics, The Graduate School, Yonsei University) ;
  • Chung, Woojin (Department of Health Policy and Management, Yonsei University Graduate School of Public Health)
  • 투고 : 2019.07.05
  • 심사 : 2019.11.13
  • 발행 : 2019.12.31
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초록

Background: Supporting the elderly population is presented as a social issue, and it affects age discrimination, which forms a negative perception and avoids the elderly. Since age discrimination lowers the quality of life of the elderly and hinders social unity, it may be important to research related factors. This study examined the physical function as a factor that influences discrimination experiences and aimed to identify the relationship between physical function factors and discrimination experiences. Methods: In this study, we analyzed 20,225 elderly from the 2014 and 2017 survey of living conditions and welfare needs of Korean older persons, conducted nationwide among older than 65 years. Physical function factors are activities of daily living, instrumental activities of daily living, sight discomfort, hearing discomfort, chewing discomfort, and leg strength as factors of interest. We performed multivariable logistic regression that reflected survey characteristics, adjusting for socio-demographic factors, health related factors, and social-support factors. Results: The number of elderly who faced discrimination experiences was 1,175 (5.8%). The results showed that the odds ratio of facing a discrimination experience in the dependent group was significantly higher compared to the independent group when being transferring out of the room (4.05; 95% confidence interval [CI], 1.50-10.88) and difficulty in hearing (1.25; 95% CI, 1.05-1.49). Even with respect to chewing ability, which was significant in models 1 and 2, they face more discrimination experiences (1.30; 95% CI, 1.11-1.53). Conclusion: These research results indicate that an important strategy for preventing age discrimination is to understand the physical function conditions of the elderly and promote the physical functions of the elderly related to transferring, hearing, and chewing; it is necessary to develop a practical intervention plan that considers these aspects.

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