DOI QR코드

DOI QR Code

A Convergence Study on the Effect of Chronic Diseases and Quality of Life on Subjective Health Cognition in Single-Household Women Aged 60 or over

60세 이상 1인 가구 여성의 만성질환과 삶의 질이 주관적 건강인지에 미치는 영향에 대한 융합적 연구

  • Ryu, In-Hwa (School of Multidisciplinary Studies, Hallym University) ;
  • Kwon, Su-Jin (School of Multidisciplinary Studies, Hallym University) ;
  • Ham, Ji-Soo (School of Multidisciplinary Studies, Hallym University) ;
  • Jung, Deuk (School of Multidisciplinary Studies, Hallym University) ;
  • Lee, Jongseok (School of Multidisciplinary Studies, Hallym University)
  • 유인화 (한림대학교 융합인재학부) ;
  • 권수진 (한림대학교 융합인재학부) ;
  • 함지수 (한림대학교 융합인재학부) ;
  • 정득 (한림대학교 융합인재학부) ;
  • 이종석 (한림대학교 융합인재학부)
  • Received : 2021.06.11
  • Accepted : 2021.09.20
  • Published : 2021.09.28

Abstract

The purpose of this study was to provide a convergence suggestion of health care and social welfare services by empirically analyzing the effects of chronic diseases and quality of life on subjective health cognition in single-household women aged 60 or over. This study was based on the 2016-2019 Korea National Health and Nutrition Examination Survey, and 1,111 women who had been divorced or bereaved in single-household aged 60 or over were selected. As a result, it was arthritis that showed the largest average difference in subjective health cognition according to the prevalence of chronic diseases. And in the multiple regression analysis that was controlled for demographic characteristics, chronic disease had a negative (-) effect on subjective health cognition, and quality of life had a positive (+) effect on subjective health cognition. The negative (-) factor that had the greatest effect on subjective health cognition was diabetes(-0.084) among chronic diseases, and the positive (+) factor was mobility(+0.173) among the quality of life. Therefore, it suggests that health care services for chronic diseases should be strengthened in order to improve the subjective health cognition of single-person households over 60 years old, and social welfare policies to improve the quality of life should be considered together in a convergence.

본 연구는 60세 이상 1인 가구 여성의 만성질환과 삶의 질이 주관적 건강인지에 미치는 영향을 실증적으로 분석하여, 보건의료와 사회복지서비스의 융합적인 제언을 위한 목적으로 수행되었다. 이를 위해 국민건강영양조사 2016-2019 자료를 활용하였으며, 연구대상은 이혼 혹은 사별한 60세 이상 1인 가구의 여성 1,111명을 선정하였다. 연구결과, 만성질환 유병에 따른 주관적 건강인지의 평균 차이가 가장 크게 나타난 것은 관절염이었다. 그리고 인구사회학적 특성들을 통제한 다중회귀분석에서, 주관적 건강인지에 가장 큰 부적(-) 영향을 미치는 요인은 만성질환 가운데 당뇨병(-0.084)이었으며, 정적(+) 요인은 삶의 질 가운데 운동능력(+0.173)이었다. 따라서 60세 이상 1인 가구 여성의 주관적 건강인지를 향상시키기 위해 만성질환에 대한 보건의료서비스를 강화하고 삶의 질을 개선하기 위한 사회복지정책이 융합적으로 함께 고려되어야 함을 시사한다.

Keywords

References

  1. Y. K. Kang & R. H. Kim. (2020). 2020 single-person households based on statistics. Daejeon : KOSTAT.
  2. M. R. Byun. (2015). Single person household and urban policy in seoul. Korean Journal Of Culture And Social Issues, 21(3), 551-573. DOI : 10.20406/kjcs.2015.08.21.3.551
  3. Y. B. Lee. (2017). One-person households and their policy implications. Sejong : KIHASA.
  4. S. D. Jeong. (2018). Aging policy from gender perspective. Seoul : KWDI.
  5. Y. S. Song. (2015). Current conditions of single-household female elderly and improvement measures at policy level. Ewha Journal Of Gender And Law, 7(2), 33-72. DOI : 10.22791/ewhagl.2015.7.2.002
  6. Y. K. Kim, Y. B. Lee, S. E. Choi, K. H. Kim & S. E. Lim. (2015). The diversification of family structure and the role of families and governments in family support. Sejong : KIHASA.
  7. M. K. Park & K. Y. Cho. (2021). The effect of transition to living with chronic diseases on depressive symptoms. Journal Of The Korea Academia-Industrial Cooperation Society, 22(2), 354-361. DOI : 10.5762/KAIS.2021.22.2.354
  8. Y. Jin, Y. J. Lee, T. H. Kim, S. J. Lim & W. J. Chung. (2020). Associations between chronic diseases and depression in the Korean elderly: a gender-specific analysis. Health Policy And Management, 30(2), 231-244. DOI : 10.4332/KJHPA.2020.30.1.231
  9. M. S. Song, E. J. Lee & N. Y. Yang. (2021). Effects of health promotion program on physical fitness and quality of life of elderly women receiving home visiting health care services. Journal Of Muscle and Joint Health, 28(1), 1-9. DOI: 10.5953/JMJH.2021.28.1.1
  10. H. S. Lee. (2014). The factors influencing health-related quality of life in the elderly - focused on the general characteristics, health habits, mental health, chronic diseases, and nutrient intake status: data from the fifth Korea national health and nutrition examination survey (KNHANES V), 2010-2012. Korean Journal Of Community Nutrition, 19(5), 479-489. DOI : 10.5720/kjcn.2014.19.5.479
  11. N. R. Lee. (2020). Analysis of factors affecting the perceived health conditions of the elderly in Korea. Journal Of The Korea Entertainment Industry Association, 14(4), 341-347. DOI : 10.21184/jkeia.2020.6.14.4.341
  12. B. D. Hwang & Y. J. Kim. (2020). Factors affecting the self-rated health level of the elderly. The Korean Journal Of Health Service Management, 14(3), 145-156. DOI : 10.12811/kshsm.2020.14.3.145
  13. S. A. Hong, M. J. Sung, J. H. Choi, J. W. Kim & S. J. Kim. (2017). Family policies implications in the context of an increase in one-person households. Seoul : KWDI.
  14. Y. H. Bae & H. N. Kim. (2015). Gender differences in factors affecting subjective health state among Korean elderly: analysis of 2012 and 2013 Korean national health and nutrition examination survey. Journal Of The Korean Society Of Integrative Medicine, 3(4), 79-90. DOI : 10.15268/ksim.2015.3.4.079
  15. J. A. Jung. (2020). Oral health and health related quality of life(EQ-5D) for the elderly: The 7th national health and nutrion survey. Health & Welfare, 22(4), 121-145. DOI : 10.23948/kshw.2020.12.4.121
  16. S. M. Park. (2011). Effects of health status on life-satisfaction of the elderly: focusing on the mediating and moderating effects of social activities and economic activities. Korean Journal Of Gerontological Social Welfare, 53, 305-332. DOI : 10.21194/kjgsw..53.201109.291
  17. K. H. Jung. (2011). The living conditions and policy tasks of elderly living alone. Sejong : KIHASA.
  18. H. S. Kim (2010). Chronic disease trends and management. Daejeon : KOSTAT.
  19. D. B. Kim, B. S. Yoo & J. E. Lee. (2012). Health inequalities among the elderly : mediation effect of social participation between educational level inequalities and self-rated health.depression. Korean Journal Of Social Welfare Studies, 43(1), 117-142. DOI : 10.16999/kasws.2012.43.1.117
  20. E. J. Kim, H. Kim & J. Y. Yoon. (2019). Trajectories of self-rated health among one-person households: a latent class growth analysis. Journal Of Korean Academy Of Community Health Nursing, 30(4), 449-459. DOI : 10.12799/jkachn.2019.30.4.449
  21. S. G. Kim. (2009). Why do women have worse self-rated health?. The Women's Studies, 76(1), 177-199. DOI: 10.33949/tws.2009..1.006
  22. Y. H. Choi. (2018). Is self-rated health a sufficient proxy for true health?. Korean Journal Of Gerontological Social Welfare, 73(4), 7-28. DOI: 10.21194/kjgsw.73.4.201812.7
  23. S. Y. Bae, D. S. Ko, J. S. Noh, B. H. Lee, H. S. Park & J. Park. (2010). Relation of physical activity and health-related quality of life in the Korean elderly. The Journal Of The Korea Contents Association, 10(10), 256-266. DOI : 10.5392/JKCA.10.10.255
  24. K. O. Kim. (2019). Developing physical activity promotion plans for older adults who live alone with low-income based on socio-ecological model: a mixed method study. The Korean Journal Of Physical Education, 58(2), 15-34. DOI : 10.23949/kjpe.2019.03.58.2.15
  25. Y. J. Lee, N. Y. An & S. K. Shin. (2018). Effects of long term participation physical activity program on senior fitness and happiness index in elderly women. The Korea Journal Of Sports Science, 27(2), 1195-1205. DOI : 10.35159/kjss.2018.04.27.2.1195