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http://dx.doi.org/10.5932/JKPHN.2020.34.3.341

Factors Affecting Instrumental Activities of Daily Living in Community-Dwelling Seniors: A Study Based on an Ecological Approach  

Hur, Jungyi (College of Nursing, Gachon University)
Yi, Yunjeong (Department of Nursing, Kyung-In Women's University)
Kim, Heegerl (College of Nursing, Gachon University)
Publication Information
Journal of Korean Public Health Nursing / v.34, no.3, 2020 , pp. 341-354 More about this Journal
Abstract
Purpose: This is a descriptive survey research study that identifies the intrapersonal, interpersonal, and organizational and community factors affecting the instrumental activities of daily living (IADL) in community-dwelling seniors. Methods: The study used data from a 2017 national survey of senior citizens, and includes 10,299 subjects aged 65 years or more. Complex sampling was performed to increase accuracy of the population, and hierarchical logistic regression was performed to identify the factors affecting IADL in seniors. Results: Amongst the organizational and community factors, we determined that the number of health centers, welfare facilities for senior citizens, hospital beds, and community sport facilities affected IADL in seniors, even after adjusting for intrapersonal and interpersonal factors. Conclusion: Helping seniors to maintain IADL independence for a longer duration is essential for their physical and social independence. Therefore, when establishing and developing policies for health promotion programs, efforts should be undertaken to actively reflect the level of IADL functions, and to create an accessible health and medical welfare environment by considering characteristics of senior citizens for operating programs.
Keywords
Aged; Instrumental activities of daily living; Ecological system;
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Times Cited By KSCI : 4  (Citation Analysis)
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