Journal of Practical Engineering Education (실천공학교육논문지)

Korean Institute for Pratical Engineering Education (한국실천공학교육학회)
권호 표지
DOI QR코드

DOI QR Code

A Structural Equation Model for Quality of Life of Super-Aged Women

  • Received : 2022.11.30
  • Accepted : 2022.12.19
  • Published : 2022.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study aims to investigate the relationship between quality of life, activities of daily living, and depression among Korean super-aged women. In this study, the 7th (2018) data of the Korean Longitudinal Study of Aging (KLoSA) were used. The participants in this study were 363 super-aged women. The mean age was 88.67 years old. Quality of life was significantly related with Activities of daily living (ADL) (r = .34, p < .001), and depression (r = -.47, p < .001). The analysis of the hypothesized model showed a good fit to the data except for the χ2 value (χ2 = 38.8, df = 11, p < .001, CFI = .98, TLI = .96, RMSEA = 0.08). The hypothesized model explained 34% of the variance in super-aged women. The activities of daily living of elderly women had an indirect effect on quality of life via depression. Very old women with a high level of ADL were more likely to be feeling less depression, and elderly people who had less depression were likely to have a better quality of life. The findings thus highlight prevailing depression and activities of daily living as critical foci for clinical management strategies in super-aged women.

Keywords

Acknowledgement

Funding for this paper was provided by Namseoul University.

References

  1. Korean Statistical Information Service (KOSIS), 2022. [Online]. Available at: https://kosis.kr/visual/populationKorea/PopulationByNumber/PopulationByNumberMain.do?mb=N&menuId=M_1_4&themaId=D03. 
  2. B. Newman and P. Newman, Development through Life: A Psychosocial Approach, 9th ed., California: Brooks/Cole Publishing Company, 2005. 
  3. D. Weziak-Bialowolska and P. Bialowolski, "Bidirectional associations between meaning in life and the health, emotional ill-being and daily life functioning outcomes among older adults," Psychology & Health, pp. 1-17, 2022. 
  4. H. G. Kim, "Predictors of the quality of life among the oldest-old," Ph. D. dissertation, Myongji University, Seoul, 2018. 
  5. J. H. Park, S. Lim, J. Y. Lim, K. I. Kim, M. K. Han, I. Y. Yoon, J. M. Kim, Y. S. Chang, C. B. Chang, H. J. Chin, E. A. Choi, S. B. Lee, Y. J. Park, N. J. Paik, T. K. Kim, H. C. Jang, and K. W. Kim, "An overview of the Korean longitudinal study on health and aging," Psychiatry Investing, vol. 4, pp. 84-95, 2007. 
  6. H. H. Lee, "The effect of the degree of need for around help on daily life of the elderly with dementia on life satisfaction: Verification of the mediating effect of depression," Journal of the Korea Society of Computer and Information, vol. 30, no. 1, pp. 169-172, 2022. 
  7. D. Bae and E. Park, "Activities of daily living (ADL), instrumental activities of daily living (IADL), depressive symptoms, and life satisfaction among middle-aged people living in single-person households: an application of parallel process latent growth model," Journal of Families and Better Life, vol. 40, no. 1, pp. 11-25, 2022.  https://doi.org/10.7466/JFBL.2022.40.1.11
  8. N. R. Jun, J. H. Kim, J. T. Park, and J. H. Jang, "Association of number of teeth with ADL/IADL in Korean middle-aged and older adults: An analysis of the 7th Korean longitudinal study of aging," International Journal of Environmental Research and Public Health, vol. 19, pp. 1-13, 2022. 
  9. S. Hu and J. Kim, "Analysis of multi-level effectiveness on life satisfaction in old age at KLIPS 2006," Journal of the Korean Gerontological Society, vol. 31, no. 2, pp. 407-418, 2011. 
  10. M. Shin, "Depressive symptoms with cognitive dysfunction increase the risk of cognitive impairment: Analysis of the Korean Longitudinal Study of Aging (KLoSA), 2006-2018," International Psychogeriatrics, vol. 33, no. 8, pp. 791-801, 2021.  https://doi.org/10.1017/S1041610220003622
  11. Y. Yi and Y. H. Park, "Structural equation model of the relationship between functional ability, mental health, and quality of life in older adults living alone," PLoS One, vol. 17, no. 8, e0269003, 2022. 
  12. K. Andersen, A. Lolk, P. Kragh-Sorensen, and N. E. Petersen, "Depression and the risk of Alzheimer disease," Epidemiology, vol. 16, pp. 233-238, 2005.  https://doi.org/10.1097/01.ede.0000152116.32580.24
  13. A. Perianayagam, M. Prina, Y. Selvamani, D. Gudekar, S. Salvi, M. Varghese, and R. Dandona, "Sub-national patterns and correlates of depression among adults aged 45 years and older: findings from wave 1 of the longitudinal ageing study in India," The Lancet Psychiatry, vol. 9, no. 8, pp. 645-659, 2022.  https://doi.org/10.1016/S2215-0366(22)00186-9
  14. R. Paul, T. Muhammad, R. Rashmi, P. Sharma, and S. Srivastava, "Decomposing male-female gap in depressive symptoms among older adults: evidence from the longitudinal ageing study in india," Research Square, 2022. 
  15. T. Muhammad, A. E. Skariah, M. Kumar, and S. Srivastava, "Socioeconomic and health-related inequalities in major depressive symptoms among older adults: a Wagstaff's decomposition analysis of data from the LASI baseline survey 2017-2018," BMJ Open, vol. 12, no. 6, e054730, 2022. 
  16. A. I. Tavares, "Health and life satisfaction factors of Portuguese older adults," Archives of Gerontology and Geriatrics 99, 2022. 
  17. R. B. Kline, Principles and Practice of Structural Equation Modeling, 2nd ed., NY: Guilford Press, 2005. 
  18. H. N. Kim, E. J. Cha, and K. H. Kim, "Impact of activities of daily living on life satisfaction in old age: testing the mediating effect of depression," The Journal of Humanities and Social science, vol. 8, no. 2, pp. 457-480, 2017. 
  19. H. K. Kim, H. J. Lee, and S. M. Park, "Factors influencing quality of life in elderly women living alone," Journal of the Korea Gerontological Society, vol. 30, no. 2, pp. 279-292, 2010. 
  20. A. I. Berg, L. Hoffman, L. B. Hassing, G. E. McClearn, and B. Johansson, "What matters, and what matters most, for change in life satisfaction in the oldest-old? A study over 6 years among individuals 80+," Aging and Mental Health, vol. 13, no. 2, pp. 191-201, 2009.  https://doi.org/10.1080/13607860802342227
  21. S. B. Lee and N. W. Hur, "A study on the determinants of the elderly's ADL/IADL: Focused on the comparison of urban and rural areas," Journal of the Korea Academia-Industrial Cooperation Society, vol. 22, pp. 419-429, 2021. https://doi.org/10.5762/KAIS.2021.22.4.419