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Determinants of the Self-Rated Health Status of the Elderly in Healthy City Wonju, Republic of Korea  

Nam, Eun-Woo (Healthy City Research Center, Institute of Health and Welfare, Yonsei University at Wonju)
Ikeda, Nayu (Institute for Health Metrics and Evaluation, University of Washington)
Green, Jackie (Institute of Health Promotion and Education, Leeds Metropolitan University)
Moon, Ji-Young (Healthy City Research Center, Institute of Health and Welfare, Yonsei University at Wonju)
Park, Myung-Bae (Healthy City Research Center, Institute of Health and Welfare, Yonsei University at Wonju)
Publication Information
Korean Journal of Health Education and Promotion / v.25, no.5, 2008 , pp. 65-77 More about this Journal
Abstract
Objectives: The purpose of this study was to examine factors associated with the self-rated health status of the elderly and whether these factors were different from younger adults. Methods: An interview survey was conducted on non-institutionalized adults in Wonju City, Korea. Determinants of self-rated health status were identified and compared between individuals aged 19 to 64 years and those aged 65 years and over, using an ordered logistic regression conducted separately on these two groups. Participants were 1,685 younger adults and 188 elderly people. Self-rated health status was measured along a continuous scale from 0 to 100 (0 for the worst and 100 for the best they could imagine) and then binned into 11 categories. Results: Self-rated health status of the elderly in Wonju was associated with household income, education, bereavement, adequate sleep, daily and social life being affected by poor health status, mobility, and anxiety and depression. Household income, adequate sleep, and participation in social activities were significant only in the elderly, while some factors associated with the self-rated health status of younger adults, such as rural dwelling, regular exercise, living alone, and skipping breakfast were not significant in the elderly. Conclusion: In order to improve the health of the elderly in Wonju City, it would be necessary to develop programs addressing those specific needs of the elderly and to integrate them effectively in the Healthy City projects.
Keywords
Healthy cities; Self-rated health status; Elderly; Korea;
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