Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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A Study on the Determinants of the Elderly's ADL/IADL: Focused on the Comparison of Urban and Rural Areas

노인의 일상생활수행능력(ADL/IADL) 결정요인에 관한 연구: 도시와 농촌 비교를 중심으로

  • Lee, Sang-Boong (Center for Convergence Studies on Aging Society, Yonsei University) ;
  • Hur, Nam-Wook (Center for Convergence Studies on Aging Society, Yonsei University)
  • 이상붕 (연세대학교 고령화사회융복합연구센터) ;
  • 허남욱 (연세대학교 고령화사회융복합연구센터)
  • Received : 2021.01.26
  • Accepted : 2021.04.02
  • Published : 2021.04.30
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Abstract

This study examined the differentiation and influence of socio-demographic factors that affect the daily living ability of the elderly living in urban and rural areas. The research data is 「Korean Social Life, Health and Aging Project」. The analysis target was 400 urban elderly people (K-gu, Seoul: surveyed Apr. ~ Jun. 2017) and 524 rural elderly people (B-myeon, Gyeonggi-do: surveyed Dec. 2015 ~ Feb. 2016). The research methods included descriptive statistical analysis, chi-square test through cross-analysis, correlation analysis, and logit analysis. The summary of the research results is as follows. First, the ratio of 'complete independence' in ADL/IADL was 'ADL(city)> ADL(rural)> IADL(city)> IADL(rural)". Second, the probability that the elderly living in rural areas will experience a lower ADL level and lower IADL level was 7.1 times and 3.25 times higher than that of the urban elderly. Lastly, the statistically significant variable affecting the ADL level of urban elderly was depression, and the IADL level was gender, age, economic activity, spouse presence, and depression. Age and economic activity were statistically significant variables for the ADL level of the rural elderly, and the IADL level was gender, age, and economic activity.

본 연구의 목적은 도시와 농촌에 거주하는 노인을 대상으로 일상생활수행능력에 영향을 주는 사회인구학적 요인의 차별성과 영향력을 비교 분석하는 것이다. 연구자료는 패널 자료인 「한국인의 사회적 삶, 건강과 노화에 대한 조사」이며, 분석 대상은 도시 노인 400명(서울시 K구: 2017년 4월부터 2017년 6월까지 조사), 농촌 노인 524명(경기도 B면: 2015년 12월부터 2016년 2월까지 조사)이다. 연구방법은 기술 통계 분석, 교차 분석을 통한 카이제곱검정, 상관 분석, 로짓 분석을 실시한다. 연구결과를 요약하면 다음과 같다. 첫째, ADL/IADL의 '완전 자립'의 비율은 'ADL(도시) > ADL(농촌) > IADL(도시) > IADL(농촌)'의 모습을 보인다. 둘째, 농촌에 거주하는 노인이 도시 노인에 비교하여 낮은 ADL수준을 경험할 확률은 7.1배, 낮은 IADL 수준을 경험할 확률은 3.25배 높다. 마지막으로, 도시 노인의 ADL 수준에 영향을 통계적 유의미한 변수는 우울감이고, IADL 수준은 성별, 연령, 경제활동유무, 배우자 유무, 우울감이다. 농촌 노인의 ADL 수준은 연령과 경제활동유무가 통계적으로 유의미한 변수이며, IADL 수준은 성별, 연령, 경제활동유무이다.

Keywords

References

  1. E. Rubio, A. Lazaro, A. Sanchez-Sanchez, "Social participation and independence in activities of daily living: A cross sectional study", BMC Geriatrics, Vol. 9, No. 26, 2009. DOI: https://doi.org/10.1186/1471-2318-9-26
  2. K. H. Kim, "The Impact of ADL Disability through Social Networks on Depression in Old Age", Korean Journal of Gerontological Social Welfare, Vol. 73, No. 2, pp.49-77, 2018. DOI: https://doi.org/10.21194/kjgsw.73.2.201806.49
  3. O. M. Back, "Factors associated with functional health outcomes in community", Journal of community welfare, No. 38, pp.1-27, 2011.
  4. E. J. Lee, H. J. Jun, "The moderating effect of marital satisfaction on the longitudinal relationship between functional dependency and depression", Family and Culture, Vol. 27, No. 1, pp.48-68, 2015. DOI: https://doi.org/10.21478/family.27.1.201503.003
  5. E. S. Shin, Y. C. Cho, "Relationship Between Depressive Symptoms and Physical Function(ADL, IADL) Among the Rural Elderlies", Korean Academy Industrial Cooperation Society, Vol. 13, No 1, pp.201-210, 2012. DOI: https://doi.org/10.5762/KAIS.2012.13.1.201
  6. Y. S. Song, N. K. Bae, Y. C. Cho, "Age-Related Physical Function(ADL, IADL) and its Related Factors of Elderly People in Korea", Korean Academy Industrial Cooperation Society, Vol. 16, No. 3, pp.2002-2020, 2015. DOI: https://doi.org/10.5762/KAIS.2015.16.3.2002
  7. J. Y. Yoon, "ADL and IADL of Community Dwelling Korean Elderly", Journal of the Korean Geriatrics Society, Vol. 5, No. 2, pp.139-150, 2001.
  8. S. Y. Park, "A Study on Depression, ADL, IADL, and QOL among Community-Dwelling, Low Income Elderly", Journal of Korean Public Health Nursing, Vo. 23, No 1, pp.78-90, 2009.
  9. J. F. Huang, R. H. Wong, C. C. Chen, I. Mao, C. Huang, "Trajectory of Depression Symptoms and Related Factors in Later Life: A Population Based Study", Journal of Affective Disorders, Vol. 133, No. 3, pp.499-508, 2011. DOI: https://doi.org/10.1016/j.jad.2011.04.048
  10. Y. J. Son, "Depression Study on the Elderly with Limitations in the Activities of Daily Living: The Moderating Effects of Help Types", The Journal of Korean Policy Studies, Vo. 18, No 3, pp.53-69, 2018.
  11. W. D. Sun, J. S. Oh, "Policy issues for maintaining the living activity function of elderly people". Health and Welfare Policy Forum, No. 149, pp.64-76, 2009.
  12. Y. J. Kim, M. K. Jung, "Predictors of Physical Health Trajectory among Middle and Older Adults". Journal of community welfare, No. 64, pp.1-24, 2018. DOI: https://doi.org/10.15300/jcw.2018.64.1.1
  13. S. B. Lee, "The Economic Status and Social Support of the Elderly: Focused on the Comparison Study of Urban and Rural Areas", OUGHTOPIA, Vol. 34, No. 1, pp.103-126, 2019. DOI: https://doi.org/10.32355/OUGHTOPIA.2019.05.34.1.103
  14. M. E. Lee, "An Analysis on Factors Affecting Korean Elderly People's ADL", The Korean Journal of Community Living Science, Vol. 21, No. 2, pp. 201-210, 2010.
  15. S. Katz, A. B. Ford, B. R. W. Moskowitz, B. A. Jackson, M. A. Jaffe, "Studies of illness in the aged: The index of ADL - A standardized measure of biological and psychological function", JAMA, Vol. 185, No. 12, pp.914-919, 1963. DOI: https://doi.org/10.1001/jama.1963.03060120024016
  16. J. W. Won, Y. K. No, S. Y. Kim, E. J. Lee, J. Y. Yoon, "Korea Activities of Daily Laving Scale and Korea Instrumental Activities of Daily Laving Scale", Annals of geriatric medicine and research, Vol. 6, No. 2, pp.107-120, 2002.
  17. M. P. Lawton, E. M. Brody, "Assessment of older people: Self-maintaining and instrumental activities of daily living", The Gerontologist, Vol. 9, No. 3, pp.179-186, 1969. https://doi.org/10.1093/geront/9.3_Part_1.179
  18. Y. H. Kang, M. Y. Kim, E. Lee, "The Relationship of Perceived Health Status, Activities of Daily Living and Nutrition Status in the Community", Journal of Korean Academy of Nursing, Vol. 38, No 1, pp.122-130, 2008. DOI: http://dx.doi.org/10.4040/jkan.2008.38.1.122
  19. K. S. Ahn, S. K. Park, Y. C. Cho, "Physical Function(ADL, IADL) and Related Factors in the Elderly People Institutionalized in Long-term Care Facilities", Korean Academy Industrial Cooperation Society, Vol. 17, No. 3, pp. 480-488, 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.3.480
  20. Y. K. Lim, B. W. Woo, Y. J. Cho, J. E. Oh, S. H. Hong, "Factors related to Activities of Daily Living of Elderly Patients", Journal of Soonchunhyang Medical Science, Vol. 14, No. 1, pp.97-108, 2008.
  21. J. A. Choo, E. K. Kim, "Factors Associated with Self-related Health among and Elderly, Low-income Population", Journal of the Korean Data Analysis Society, Vol. 16, No. 3, pp.1615-1628, 2014.
  22. P. Lantz, J. House, R. Mero, D. Williams, "Stress, life events, and socioeconomic disparities in health: results from the americans' changing lives study", Journal of Health and Social Behavior, No. 46, 274-288, 2005. DOI: https://doi.org/10.1177/002214650504600305
  23. H. W. Chon, "Depression, Self-esteem, Activities of Daily Living and Life Satisfaction in the Community-dwelling Elderly", Journal of The Korean Society of Living Environmental System, Vol. 18, No. 6, pp.656-666, 2011.
  24. K. M. Yang, "Effects of Nutritional Status, Activities Daily Living, Instruments Activities Daily Living, and Social Network on the Life Satisfaction on the Elderly in Home", Journal of the Korean Applied Science and Technology, Vol. 36, No. 4, pp.1472-1484. 2019. DOI: http://dx.doi.org/10.12925/jkocs.2019.36.4.1472
  25. H. K. Lee, K. H. Lee, "Eating Habits, Sleep, Activities of Daily Living, and Cognitive Impairment of the Elderly in Urban Area", Journal of the Korean Data Analysis Society, Vol. 21, No. 3, pp.1569-1583, 2019. DOI: http://doi.org/10.37727/jkdas.2019.21.3.1569
  26. H. S. Nam, "Daily Life Performance Influencing Depression and Self-Esteem of the Rural Disabled Elderly", Journal of Agicultural Extension & Community Development, Vol. 27, No. 1, pp.1-16. 2020. DOI: http://doi.org/10.12653/jecd.2020.27.1.0001
  27. Y. S. Kim, Y. H. Nam, "Affecting Factors for Activity of Daily Living and Suicidal Ideation in Elderly Person with Disablity: Based on the 2017 Korean National Survey of the Disabled", Journal of Occupational Therapy for the Aged Dementia, Vol. 14, No. 2, pp.19-27. 2020. DOI: https://doi.org/10.34263/jsotad.2020.14.2.19
  28. M. S. Ko, "Comparative Analysis of Factors Related to Activities of Daily Living, Depression and Cognitive Function Between Elderly Living Alone and Elderly Living with Others", Journal of Humanities and Social Sciences 21, Vol. 11, No. 6, pp.2173-2187. 2020. DOI: http://dx.doi.org/10.22143/HSS21.11.6.153
  29. H. S. Jeong, J. H. Maeng, "The Moderrating with Social Support on Self-Neglect of Elderly Living Alone with Instrumental Activities of Daily Living: Users Based on the Basic Care Service for the Aged", Korean Journal of Care Management, Vol. 34, pp.117-138, 2020. DOI: http://dx.doi.org/10.22589/kaocm.2020.34.117
  30. S. H. Whang, J. W. Whang, "Subjective Health Status by degrees Conducting Activities of Daily Living", Journal of Convergence for Information Technology, Vol. 9, No. 8, pp.268-273. 2019. DOI: https://doi.org/10.22156/CS4SMB.2019.9.8.268
  31. H. S. Nho, J. S. Park, "Development of Screening Tools for Frail Elderly through Functional Fitness Test", Korean Journal of Growth and Development, Vol. 28, No. 4, pp.545-551. 2020. DOI: https://doi.org/10.34284/KJGD.2020.11.28.4.545
  32. J. Vermeulen, J. CL Neyens, E. van Rossum, M. D. Spreeuwenberg, Luc P. de Witte, "Predicting ADL disability in commuinty-dwelling elderly people using physical frailty indicatior: a systematic review", BMC geriatrics, Vol. 11, No. 1, pp.1-11, 2011. DOI: http://doi.org/10.1186/1471-2318-11-33
  33. S. J. Park, B. S. Park, Testing Reliability and Measurement Invariance of K-ADL. Health and Social Welfare Review, Vol. 37, No. 4, pp.98-124, 2017. DOI: https://doi.org/10.15709/hswr.2017.37.4.98
  34. J. Y. Hur, Y. J. Yi, H. G. Kim, "Factors Affecting Instrumental Activities of Daily Living in Community-Dwelling Seniors: A Study Based on an Ecological Approach", Journal of Korean Public Health Nousing, Vol. 34, No. 3, pp.341-354. 2020. DOI: http://dx.doi.org/10.5932/JKPHN.2020.34.3.341
  35. K. J. Lee, H. S. Park, "A Study on the Perceived Health Status, Depression, and Activities of Daily Living for the Elderly in Urban Areas", Korean Journal of Women Health Nursing, Vol. 12, No. 3, pp. 221-230, 2006. DOI: https://doi.org/10.4069/kjwhn.2006.12.3.221
  36. J. M. Lee, W. J. Kim, H. C. Choi, W. Lee, J. Sung, "The Korean social life, health and aging project-health examination cohort", Epidemiol Health, No. 36, 2014. DOI: https://doi.org/10.4178/epih/e2014003
  37. Y. Youm, E. O. Laumann, K. F. Ferraro, L. J. Waite, H. C. Kim, "Social network properties and self-rated health in later life: comparisons from the Korean social life, health, and aging project and the national social life, health and aging project", BMC geriatrics, Vol. 14, No. 1, pp.1-15, 2014. DOI: https://doi.org/10.1186/1471-2318-14-102