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http://dx.doi.org/10.5932/JKPHN.2021.35.3.415

Exploration on the Health-related Factors of the Elderly in Rural Village based on the Social Ecological Model  

Yang, JuHyeon (Department of nursing, Changwon National University)
Park, Bohyun (Department of nursing, Changwon National University)
Publication Information
Journal of Korean Public Health Nursing / v.35, no.3, 2021 , pp. 415-429 More about this Journal
Abstract
Purpose: The purpose of this study was to explore the health-related factors of the elderly in rural village in-depth and comprehensively based on the socio-ecological model. Methods: The data were collected from 22 elderly people through four focus group interviews and analyzed by deductive content analysis using four themes of the socio-ecological model (SEM) as an analysis matrix. Results: A total of 10 categories corresponding to the four themes of SEM were derived as follows: Intrapersonal level, "Awareness of Aging and Health", "Inefficient practice of health behavior", and "Daunted self-efficacy", Interpersonal level, "Social relations maintenance", and "Changing sense of community", Community level, "Local resources requiring improvement", "Problems caused by regional characteristics", "Disadvantaged group", and "Leadership and residents participation", Public policy level, "Health-related facilities and programs". Conclusion: We proposed the development and application of intervention programs that combined individual activities to improve self-management capacity and group activities to enhance social support and solidarity for rural villagers.
Keywords
Rural health; Aged; Social Environment; Qualitative research;
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1 Kim, S. J. (2012). The study on physical, mental and social health of the senior citizens -Focusing on comparison between those living urban area and rural area. Unpublished master's thesis, Hanseo University, Seosan.
2 Kim, Y. J., & Yoo, T. H. (2020). A qualitative study on exploring the life of waste picking older adults using social capital theory. Journal of the Korean Gerontological Society, 40(6), 1173-1204. http://dx.doi.org/10.31888/JKGS.2020.40.6.1173   DOI
3 Ko, K. J. (2016). The influences of social networks on the life satisfaction of the rural and urban elderlies: The mediating effect of health promoting behavior. Unpublished master's thesis. Ewha Womans University, Seoul.
4 Kim, B. J. (2020). Comparison of work, transport, leisure-time physical activity, and health status in urban and rural adults. Journal of Health and Medical Science, 8(2). 1-12.
5 Morgan, D. L., Krueger, R. A., & Scannell, A. U. (1998). Planning focus groups. Thousand Oaks, CA: Sage.
6 National Health Insurance. (2018). Sleepless nights 'insomnia' number of medical personnel steadily rises. Retrieved September 20, 2021, from https://www.nhis.or.kr/nhis/together/wbhaea01600m01.do?mode=view&articleNo=125795
7 Chun, J. D., Ryu, S. Y., Han, M. A., & Park, J. (2013). Comparisons of health status and health behaviors among the elderly between urban and rural areas. Journal of Agricultural Medicine and community health, 38(3), 182-194. http://dx.doi.org/10.5393/JAMCH.2013.38.3.182   DOI
8 Chung, S. D., Kim, M. H., Ahn, J. H., & Ryu, J. Y. (2018). A qualitative study to improve human rights of older adults in rural areas. Korean Journal of Gerontological Social Welfare, 73(4), 115-149. http://dx.doi.org/10.21194/kjgsw.73.4.201812.115   DOI
9 Cumming, E., Henry, W. E., & Damianopoulos, E. (1961). A formal statement of disengagement theory. Growing old: The process of disengagement. New York: Basic Books, 210-218.
10 Solar, O., & Irwin, A. (2007). A conceptual framework for action on the social determinants of health (Social determinants of health discussion paper 2). Retrieved September 20, 2021, from http://www.who.int/sdhconference/resources/ConceptualframeworkforactiononSDH_eng.pdf
11 Yi, Y. J., & Kim, E. J. (2015). The effects of accessibility to medical facilities and public transportation on perceived health of urban and rural elderly: Using generalized ordered logic model. Journal of The Korean Regional Development Association, 27(1), 65-88.
12 Lee, H. K., Kim, M. S., Choi, S. S., & Choi, M. K. (2014). Eco-systematic analysis on the factors related to the Korean elderly suicide ideation. Health and Social Welfare Review, 34(3), 430-451. http://dx.doi.org/10.15709/hswr.2014.34.3.430   DOI
13 Guba, E. G., & Lincoln, Y. S. (1989). Fourth generation evaluation. Newbury Park, CA: Sage.
14 Choi, K. S. (2016). A multilevel analysis on the association between socioeconomic factors of region and residents' health. Korean Journal of Local Government & Administration Studies, 30, 403-425.   DOI
15 Bae, E. S., & Park, H. K. (2016). The effect of sense of community on the degree of community participation in urban-rural complex areas - With focus on comparison between the residents in urban and rural areas -. Journal of Community Welfare, 58, 173-199. http://dx.doi.org/10.15300/jcw.2016.58.3.173   DOI
16 Brofenbrenner, U. (1979). The ecology of human development. Cambridge, MA: Harvard University Press.
17 Lee, J. Y., & Kim, J. S. (2012). The influence of the meaning of work on the meaning of life in the elderly work project participants: Focusing on mediating effects of support expectation attitude. Korean Journal of Gerontological Social Welfare, 0(58), 353-381. https://dx.doi.org/10.21194/kjgsw..58.201212.353   DOI
18 Statistics Korea. (2020). The structural change of agriculture in the statistical analysis. Retrieved September 20, 2021, from http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=386238&pageNo=&rowNum=10&amSeq=&sTarget=&sTxt
19 Chang, I. S., & Kim, H. S. (2013). Factors influencing the well-being of elderly by multilevel analysis. Journal of the Korean Regional Science Association, 29(3), 19-42
20 Cho, M. H., & Park, J. Y. (2015). A study on the actual conditions of the rural elderly and the improvement of policy. Naju: Korea Rural Economic Institute.
21 Choi, Y. H. (2001). A comparative study on health-promoting behavior, life satisfaction and self-esteem of the young and old old. Journal of Korean Academy of Community Health Nursing, 12(2), 428-436.
22 Lee H. S., & Park, E. Y. (2014). Comparing the environment for elderly pedestrians among different-sized cities of Gyeonggi Province in Korea. International Journal of Urban Sciences, 18(1), 76-89. https://dx.doi.org/10.1080/12265934.2013.863449   DOI
23 Ha, Y. J., Kwon, S. J., Kwak, Y. H. (2021). Association between self-rated health and health behaviors among Korean older adults by gender - The 7th Korea National Health and Nutrition Examination survey -. Journal of the Korean society for Wellness, 16(1), 246-252.   DOI
24 Heo, H. H., Che, X. H., Chung, H., Kim, J. S., Jo, M., Moon, D., Cha S., Yu, S. (2015). Effects of socio-ecological factors on mental health of the residents in a single room occupancy (Jjok-bang) of South Korea. Korean Journal of Health Education and Promotion, 32(2), 39-52. http://dx.doi.org/10.14367/kjhep.2015.32.2.39   DOI
25 Kim, Y. (2006). A study on North Korean defectors' mental health: an application of a stress process model. Unpublished doctoral dissertation, Seoul National University, Seoul.
26 McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health education quarterly, 15(4), 351-377.   DOI
27 Shin, O. S. (2019). The effect of daily stress on depression in female seniors in rural communities and the moderating effect of psychological wellbeing. Journal of the Korean Academy of Health and Welfare for Elderly, 11(1), 57-81.
28 Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for quality in health care, 19(6), 349-357. https://dx.doi.org/10.1093/intqhc/mzm042   DOI
29 Yoo, Y. S. (2016). Factors that influence social relations in elderly people participating in the senior employment project: Focusing on the job satisfaction and self-esteem. The Journal of the Korea Contents Association, 16(7), 231-241. http://dx.doi.org/10.5392/JKCA.2016.16.07.231   DOI
30 Elo, S., & Kyngas, H. (2008). The qualitative content analysis process. Journal of advanced nursing, 62(1), 107-115. http://doi.org/10.1111/j.1365-2648.2007.04569.x   DOI