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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Quality of Life and Its Related Factors Among Metropolitan-dwelling Older Adults

도시지역 재택 고령자의 삶의 질(Quality of Life) 및 관련요인

  • Ham, Seok-Pil (Department of Human Care, Graduate School of Namseoul University) ;
  • Kim, Beom-Ho (Department of Alternative Treatment, Graduate School of Namseoul University)
  • 함석필 (남서울대학교 대학원 휴먼케어학과) ;
  • 김범호 (남서울대학교 복지경영대학원 대체치유학과)
  • Received : 2021.02.01
  • Accepted : 2021.05.07
  • Published : 2021.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to examine the relationships between quality of life and demographic characteristics and health-related behavioral characteristics, and their relevance to variables that represent health conditions among metropolitan-dwelling older adults. The study subjects were 380 senior citizens aged 65 or older living in the D metropolitan area, and data collection was conducted by visiting them for interviews in June 2019. A binomial logistic regression analysis was performed to examine the relationship between independent variables (demographic characteristics, health-related behavioral characteristics, health condition variables) and the dependent variable (quality of life) while controlling for gender and age. As a result, the factors related to quality of life for those surveyed were education level, spousal status, living status, bear for living expenses, average monthly allowance, satisfaction with daily life, evaluation of sleep quality, smoking and eating habits, amount of regular exercise, hobbies, subjective health status, physical disability (if any), hearing ability, visual acuity, mastication ability, urinary incontinence (present or not), and amnesia. The above results suggest that quality of life for the elderly living in urban areas is significantly related to variables that indicate demographic characteristics, health-related behavioral characteristics, and health condition.

본 연구는 도시 지역 재택 고령자들의 삶의 질과 인구사회학적 특성, 건강관련행위특성 및 건강상태를 나타내는 변수들과의 관련성을 검토할 목적으로 시도하였다. 조사대상은 D광역시에 거주하고 있는 65세 이상 고령자 380명으로 하였으며, 2019년 6월에 조사대상자들을 직접 방문하여 면접조사 하였다. 자료의 분석은 삶의 질을 종속변수로, 인구사회학적 특성, 건강관련행위특성 및 건강상태를 독립변수로 하여 2분형로지스틱회귀분석을 실시하였다. 연구결과, 조사대상자의 삶의 질에 관련된 요인으로는 학력, 배우자 유무, 동거가족유무, 생활비 부담여부, 한 달 평균용돈, 일상생활만족도, 주관적인 수면의 질, 흡연상태, 규칙적 식사여부, 규칙적 운동여부, 취미활동여부, 주관적 건강상태, 신체의 부자유 유무, 청력상태, 시력상태, 치아 상태, 요실금유무 및 건망증유무가 유의한 변수로 선정되었다. 위와 같은 결과는 도시지역에 거주하고 있는 재택 고령자의 삶의 질은 인구사회학적 특성, 건강관련행위특성 및 건강상태를 나타내는 여러 요인들과 유의한 관련성이 있음을 시사하고 있다. 따라서 고령자의 삶의 질은 개인의 인구사회학적 속성뿐만 아니라 일상생활에서의 건강관련행위나 건강상태에 관련된 여러 요인들이 관련되어 있음을 고령자들에게 인지시키고, 삶의 질을 높일 수 있는 프로그램을 구축하여 홍보할 필요가 있다고 생각된다.

Keywords

References

  1. National Statistical Office. Statistics of Residence Registration Population in 2018.
  2. Van Dam FSAM, Somers R, Van Beek-COuzijn AL."Quality of life: some theoretical issues", J Clin Pharmacology, Vol,21, pp166-168, 1981.
  3. Kai I et al. "Quality of life: A possible health index for the elderly. Asia-Pac J Public Health, 5:22Burckhardt CS. The impact of arthritis on quality of life". Nursing Research, 1985; Vol.34, No.1, pp.111-227, 1991.
  4. Burckhardt CS. "The impact of arthritis on quality of life". Nursing Research, Vol.34, No.1, pp.11, 1985. https://doi.org/10.1097/00006199-198501000-00003
  5. Magilvy JK. "Quality of life hearing impaired older women". Nursing Research, No.3, pp.140-144, 1985.
  6. Larson R. "Thirty years of research on the subjective well-bing of older Americans". J Gerontol, Vol.133, pp.109-125, 1987.
  7. Klenmark DL, Roff LL. "Fear of personal aging and subjective well-being in later life". J of Gerontology, Vol.39, pp.756-758, 1984. https://doi.org/10.1093/geronj/39.6.756
  8. Fernandez-Ballesteros R, Zamarron MD, Ruiz MA. "The contribution of socio -demographic and psychosocial factors to life satisfaction". Aging and Society, Vol.21, pp.25-43, 2001. https://doi.org/10.1017/S0144686X01008078
  9. Noh YJ, Kim CK. "Comparisons of physical Fitness, Self Efficacy, Instrumental Activities of Daily Living, and Quality of Life between Institutionalized and Noninstitutionalized Elderly". Journal of Korean Academy of Nursing, Vol.25, No.2, pp.259-278, 1995. DOI: https://doi.org/10.4040/jkan.1995.25.2.259
  10. Lim ES, Lee KJ. "Effect of physical ability, depression and social support on quality of life in low income elders living at home", J Korean Gerontol Nurs, Vol.5, No.1, pp.38-49, 2003. DOI:http://dx.doi.org/10.17079/jkgn.2003.05.1.38
  11. Faul F, Erdfelder E, Lang AG, Buchner Al. "G*power 3: A flexible statistical power analysis program for the social, behavioral, and science", Behavior Research Methods, Vol.32, No.2, pp.175-191, 2007. DOI: https://doi.org/10.3758/BF03193146
  12. Breslow L, Belloc NB. "Relationship of physical health status and health practices". Prev Med, Vol.1, pp.409-421, 1972. https://doi.org/10.1016/0091-7435(72)90014-X
  13. The WHOQOL Group. "Development of the world health organization WHOQOL-BREF quality of life assessment". Psychological Medicine, 28:551-558, 1998. DOI:https://doi.org/10.1017/S0033291798006667
  14. Min SK, Lee CI, Kim KI, et al. "Development of Korean version of WHO quality of life scale abbreviated version(WHOQOL-BREF)". Journal of The Korean Neuropsychiatric Association, Vol.39, No.3, pp.571-579, 2000.
  15. Low G, Molzahn AE. "Predictors of quality of life in old age: Across-validation study". Res Nurs Health, Vol.30, No.2, pp.141-150, 2007. https://doi.org/10.1002/nur.20178
  16. Yamazaki S, Fukuhara S, suzukamo Y. "Household income is strongly associated with health-related quality of life among Japanese men but not women". Public Health, Vol.119, No.7, pp.561-567, 2005. https://doi.org/10.1016/j.puhe.2004.07.014
  17. Kim HS. Park JY, Kwon IS, Cho YC. "Quality of life and its association with hysical and mental function in the elderly people affiliated with long-term care insurance services". Journal of the Korea Academia-Industrial Cooperation Society, Vol.11, No.10, pp.3808-3819, 2010. DOI:https://doi.org/10.5762/KAIS.2010.11.10.3808
  18. Shin MW, Ahn KS, Cho YC. "Factors related to Quality of Life in the Elderly People in Long-term Care Centers". Journal of the Korea Academia-Industrial Cooperation Society, Vol.18, No.6, pp.524-537, 2017. DOI:https://doi.org/10.5762/KAIS.2017.18.6.524
  19. Lim YA, Cho YC. "Covariance structure analysis of the influence of social support, physical and mental health status on quality of life among the elderly at care facilities". Journal of the Korea Academia-Industrial Cooperation Society, Vol.18, No.8, pp.210-220, 2017. DOI: http://doi.org/10.5762/KAIS.2017.18.8.210
  20. Sherbourne D, Stewart AL. "The MOS social support survey". Soc Sci Med, Vol.32, No.6, pp.705-714, 1991. https://doi.org/10.1016/0277-9536(91)90150-B
  21. Fukuda H, Kida K, Kimura Y, Nishizawa Y, et al. "Well-being and depression in residents of a provincial city 65 years old or older". Japanese Journal of Public Health, Vol.49, No.2, pp.97-105, 2002.
  22. Kang LJ. "The Effects of Related Factors on Quality of Life for the Elderly". Journal of Korean Home Management Association, 26(5):129-142, 2008. DOI:http://dx.doi.org/10.7466/JKHMA.2008.26.5.129Kang
  23. Yang SO, Cho HR, Lee SH. "A Comparative Study on Influencing Factors of Health Related Quality of Life of the Elderly in Senior Center by Region : Focus on Urban and Rural Areas". Journal of Digital Convergence, Vol.12, No.1, pp.501-910, 2014. DOI:http://dx.doi.org/10.14400/JDPM..2014.12.1.501
  24. Lim MK, Kim MH, Shin YJ, et al. "Social Support and Self-rated Health Status in a Low Income Neighborhood of Seoul, Korea". The Korean Society for Preventive Medicine, Vol.36, No.1, pp.54-62, 2003.
  25. Burstron K, Johannesson M, Diderichsen F. "Swedish population health-related quality of life results using the EQ-5D". Qual Life Res, Vol.10, No.7, pp.621-63, 2001. https://doi.org/10.1023/A:1013171831202
  26. Picavet HSJ, Hoeymans N. "Health-related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 study". Ann Rheum Dis, Vol.63, pp.723-729, 2004. https://doi.org/10.1136/ard.2003.010769
  27. Choi JS, Kwon SO, Paik HY. "Health-Related Quality of Life by Socioeconomic Factors and Health-related Behaviors of the Elderly in Rural Area". Korean J of Rural Med, Vol.29, No.1, pp.29-41, 2004. DOI:https://doi.org/10.5393/JAMCH.2004.29.1.029
  28. Lim JY, Park J, Kang MK, Ryu SY. "Quality of Life and Its Associated Factors among Some Elderly Residents Using a Hall for the Aged in a Community". Journal of Preventive Medicine and Public Health, Vol.40, No.5, pp.337-344, 2007. https://doi.org/10.3961/jpmph.2007.40.5.337