Browse > Article
http://dx.doi.org/10.4332/KJHPA.2022.32.2.190

The Association between Household Type and Self-rated Health of the Elderly in Korea: Analysis of the National Survey of Older Koreans 2017  

Choi, Minji (Long-Term Care Insurance, National Health and Insurance Service)
Joo, Hye Jin (Department of Health Policy and Management, Graduate School of Public Health, Yonsei University)
Kim, Taehyun (Department of Healthcare Management, Graduate School of Public Health, Yonsei University)
Beck, Sang Sook (Graduate School of Public Health, Yonsei University)
Chung, Woojin (Department of Health Policy and Management, Graduate School of Public Health, Yonsei University)
Publication Information
Health Policy and Management / v.32, no.2, 2022 , pp. 190-204 More about this Journal
Abstract
Background: In Korea, the population is rapidly aging, and the types of households for the elderly are also diversifying. The self-rated health of the elderly is a valuable health indicator that can comprehensively represent the overall quality of life along with physical, mental, and functional health. On the other hand, studies on the association between household type and self-rated health of the elderly are still insufficient. Thus, this study analyzed the association between household type and self-rated health by gender in Korean older adults. Methods: Using data from the analysis of the National Survey of Older Koreans 2017, 10,299 elderly people aged 65 and over were targeted. For the accuracy of the analysis data, 9,910 people were selected as the study sample by excluding proxy responses, those diagnosed with dementia, and non-response. And technical analysis, univariate analysis using the Rao-Scott chi-square test, and logical regression analysis involving survey characteristics were conducted by gender. Results: According to the adjusted model with all variables, in both men and women, the odds ratio of self-rated health 'bad' in 'couple (with ill spouse)' was significantly higher than 'couple (with spouse)'. It was 2.54 (95% confidence interval [CI], 2.05-3.15) for men and 2.11 (95% CI, 1.70-2.62) for women. In addition, the odds ratio of self-rated health 'bad' in 'living with adult children' was 1.43 (95% CI, 1.09-1.87) for men and 1.42 (95% CI, 1.15-1.75) for women, which was more significant in women than men. Conclusion: This study states that there is an association between gender, household type, and self-rated health of the elderly, and the health of a spouse and cohabitation with children have a significant effect on self-rated health. As a result, in order to improve the health status of the elderly, health promotion and health care policies involving the characteristics of the elderly's gender and household type are needed.
Keywords
Elderly; Household type; Self-rated health;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Adjei NK, Brand T, Zeeb H. Gender inequality in self-reported health among the elderly in contemporary welfare countries: a cross-country analysis of time use activities, socioeconomic positions and family characteristics. PLoS One 2017;12(9):e0184676. DOI: https://doi.org/10.1371/journal.pone.0184676.   DOI
2 Lou VW, Lu N, Xu L, Chi I. Grandparent-grandchild family capital and self-rated health of older rural Chinese adults: the role of the grandparent-parent relationship. J Gerontol B Psychol Sci Soc Sci 2013;68(4):599-608. DOI: https://doi.org/10.1093/geronb/gbt040.   DOI
3 Yeom J, Park JS, Kim DH. A study of factors affecting self-rated health among Korean elderly: focusing on gender differences. J Korean Gerontol Soc 2012;32(4):1101-1118.
4 Im S, Kang M, Cho SI. Social network and health status among Korean elders social network and health status among Korean elders. J Welf Aged 2013;(59):281-308. DOI: https://doi.org/10.21194/kjgsw..59.201303.281.   DOI
5 Mellner C, Krantz G, Lundberg U. Symptom reporting and self-rated health among women in mid-life: the role of work characteristics and family responsibilities. Int J Behav Med 2006;13(1):1-7. DOI: https://doi.org/10.1207/s15327558ijbm1301_1.   DOI
6 Lee JH. The proportion of the elderly population is increasing, and the elderly poverty rate is the highest. Hankyoreh [Internet]. 2021 Sep 30 [cited 2022 Feb 22]. Available from: https://www.hani.co.kr/arti/economy/economy_general/1013181.html.
7 Jung KH. Old-age families in Korea: prospect and policy implications. Health Welf Policy Forum 2011;(175):35-44.
8 Kim J. Living arrangements and the distribution of multiple resources among Korean older adults. Korea J Popul Stud 2017;40(1): 1-28.
9 Jo KH, Lee HJ. Attitudes of elderly Koreans toward suicide: a Q-methodological approach. J Korean Acad Nurs 2006;36(6):905-916. DOI: https://doi.org/10.4040/jkan.2006.36.6.905.   DOI
10 Yi YH, Kim YJ, Cho DY. Family type and health behaviors in elderly: Korean National Health and Nutrition Examination Survey (KNHANES), 2010-2012. Korean J Health Serv Manag 2014;8(4):199-207. DOI: https://doi.org/10.12811/kshsm.2014.8.4.199.   DOI
11 Lee KJ, Park HS. A study on the perceived health status, depression, and activities of daily living for the elderly in urban areas. Korean J Women Health Nurs 2006;12(3):221-230.   DOI
12 Park Y, Kim CY, Hwang S. Interaction effects of income and unmet healthcare needs to subjective health status: using the Korea Health Panel, 2009-2014. Health Soc Sci 2018;(47):57-83.
13 Yeom JH, Chun M. The effects of self-rated health change of Korean older adults on the support change from their children: focusing on gender differences. J Korean Gerontol Soc 2016;36(1):151-172.
14 Cho DS. A study on health status of elderly women in urban area. Korean J Women Health Nurs 2006;12(1):61-69.   DOI
15 Bae Y, Kim H. Gender differences in factors affecting subjective health state among Korean elderly: analysis of 2012 and 2013 Korean National Health and Nutrition Examination Survey. J Korean Soc Integr Med 2015;3(4):79-90. DOI:https://doi.org/10.15268/ksim.2015.3.4.079.   DOI
16 Lee Y, Shinkai S. A comparison of correlates of self-rated health and functional disability of older persons in the Far East: Japan and Korea. Arch Gerontol Geriatr 2003;37(1):63-76. DOI: https://doi.org/10.1016/S0167-4943(03)00021-9.   DOI
17 Cruz MS, Araujo JA, Paixao AN. Family structure and its impacts on the restrictions of self-perception of elderly health levels in Brazil. Cien Saude Colet 2018;23(8):2751-2762. DOI: https://doi.org/10.1590/1413-81232018238.18102016.   DOI
18 An JY, An K, O'Connor L, Wexler S. Life satisfaction, self-esteem, and perceived health status among elder Korean women: focus on living arrangements. J Transcult Nurs 2008;19(2):151-160. DOI: https://doi.org/10.1177/1043659607313070.   DOI
19 Cho YS, Sohn SK. The elderly spouses' experiences of providing care for their bedridden patient at home. Korean J Adult Nurs 2017; 29(1):63-75. DOI: https://doi.org/10.7475/kjan.2017.29.1.63.   DOI
20 Nam S. A study on corelation between chronic disease and self-rated health in the Korean elderly: national survey of the living conditions and welfare needs of Korean older persons (2017) [master's thesis]. Seoul: Yonsei University; 2020.
21 Jun YS. Health status of the elderly in Korea according to the type of households [master's thesis]. Seoul: Ewha Womans University;2009.
22 Kang H, Cho Y. Socioeconomic status, social integration, and health inequalities of elderly Koreans. Korean J Sociol 2007;41(4):164-201.
23 Sung JS, Park CS. Health promoting behavior and health status in the elderly. J Korean Gerontol Nurs 2005;7(1):71-78.
24 Jeon GS. Gender differences in social factors of health in later life. J Korean Gerontol Soc 2008;28(3):459-475.
25 Cha EJ, Kim KH. Effects of subjective health status on life satisfaction among middle-aged and aged people in Korea: testing mediating effect of depression. Korean J Gerontol Soc Welf 2015;(70):53-80. DOI: https://doi.org/10.21194/kjgsw..70.201512.53.   DOI
26 Park KS. Influence of elderly cohabitation with children on successful aging with focus upon the moderating effect of gender. Korean J Gerontol Soc Welf 2020;75(4):175-206. DOI: https://doi.org/10.21194/kjgsw.75.4.202012.175.   DOI
27 Park N. Health status and health behavior of the elderly [unpublished master's thesis]. Daejeon: Chungnam National University; 2004.
28 Park K. Factors related to the self-rated health status among Korean elderly: analysis of the 2016 Korean National Health and Nutrition Examination Survey. J Korean Diet Assoc 2018;24(4):344-360. DOI: https://doi.org/10.14373/JKDA.2018.24.4.344.   DOI
29 Jung JG, Yoon SJ, Ahn SK, Kim JS, Nam HS, Ku BJ, et al. Changes in poor self-rated health status among elderly Koreans over 10 years: Community Health Survey 2008-2017. Geriatr Gerontol Int 2020; 20(12):1190-1195. DOI: https://doi.org/10.1111/ggi.14069.   DOI
30 Lim HS, Lee MN. Comparison of health status and nutrient intake by household type in the elderly population. J Bone Metab 2019; 26(1):25-30. DOI: https://doi.org/10.11005/jbm.2019.26.1.25.   DOI
31 Yoon J. Adult, elderly psychology. Seoul: Chung-Ang Aptitude Publishing; 1999.
32 Baek HC, Choi YJ. Identifying the needs of home care patient's family caregivers. J Korean Acad Soc Home Care Nurs 2008;15(2):115-121.
33 DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P. Mortality prediction with a single general self-rated health question: a meta-analysis. J Gen Intern Med 2006;21(3):267-275. DOI: https://doi.org/10.1111/j.1525-1497.2005.00291.x.   DOI
34 Rhee KO, Lee MJ. A study on caregiving burden among family caregivers of impaired elderly. J Korean Gerontol Soc 2000;20(2):215-228.
35 Yun K, Lee YJ. Factors influencing depression in older adults according to family structure (older adults living with adult children, a spouse, or alone): data from the 2020 National Older Koreans data. J Korean Gerontol Nurs 2022;24(1):1-12. DOI: https://doi.org/10.17079/jkgn.2022.24.1.1.   DOI
36 You KS, Park HS. Comparison of health status between senior people living alone and those who live with their families. J Korean Gerontol Soc 2003;23(4):163-179.
37 Gee EM. Living arrangements and quality of life among Chinese Canadian elders. Soc Indic Res 2000;51(3):309-329. DOI: https://doi.org/10.1023/A:1007036122117.   DOI
38 Ko Y, Lee IS. Factors affecting the self-rated health of vulnerable elderly. J Korean Acad Community Health Nurs 2009;20(1):31-40.
39 Pinto JM, Fontaine AM, Neri AL. The influence of physical and mental health on life satisfaction is mediated by self-rated health: a study with Brazilian elderly. Arch Gerontol Geriatr 2016;65: 104-110. DOI: https://doi.org/10.1016/j.archger.2016.03.009.   DOI
40 Schnittker J, Bacak V. The increasing predictive validity of self-rated health. PLoS One 2014;9(1):e84933. DOI: https://doi.org/10.1371/journal.pone.0084933.   DOI
41 Mossey JM, Shapiro E. Self-rated health: a predictor of mortality among the elderly. Am J Public Health 1982;72(8):800-808. DOI: https://doi.org/10.2105/ajph.72.8.800.   DOI
42 Latham K, Peek CW. Self-rated health and morbidity onset among late midlife U.S. adults. J Gerontol B Psychol Sci Soc Sci 2013;68(1): 107-116. DOI: https://doi.org/10.1093/geronb/gbs104.   DOI
43 Lieber J, Clarke L, Timaeus IM, Mallinson PAC, Kinra S. Changing family structures and self-rated health of India's older population (1995-96 to 2014). SSM Popul Health 2020;11:100572. DOI: https://doi.org/10.1016/j.ssmph.2020.100572.   DOI
44 Lee YK. Trends in elderly households and their policy implications: 1994-2011. Health Welf Policy Forum 2014;(211):45-54.
45 Ocampo JM. Self-rated health: importance of use in elderly adults. Colomb Med 2010;41(3):275-289. DOI: https://doi.org/10.25100/cm.v41i3.715.   DOI
46 Bailis DS, Segall A, Chipperfield JG. Two views of self-rated general health status. Soc Sci Med 2003;56(2):203-217. DOI: https://doi.org/10.1016/s0277-9536(02)00020-5.   DOI
47 Jylha M. What is self-rated health and why does it predict mortality?: towards a unified conceptual model. Soc Sci Med 2009;69(3): 307-316. DOI: https://doi.org/10.1016/j.socscimed.2009.05.013.   DOI
48 Wu S, Wang R, Zhao Y, Ma X, Wu M, Yan X, et al. The relationship between self-rated health and objective health status: a population-based study. BMC Public Health 2013;13:320. DOI: https://doi.org/10.1186/1471-2458-13-320.   DOI
49 Sudha S, Suchindran C, Mutran EJ, Rajan SI, Sarma PS. Marital status, family ties, and self-rated health among elders in South India. J Cross Cult Gerontol 2006;21(3-4):103-120. DOI: https://doi.org/10.1007/s10823-006-9027-x.   DOI
50 Roustit C, Campoy E, Renahy E, King G, Parizot I, Chauvin P. Family social environment in childhood and self-rated health in young adulthood. BMC Public Health 2011;11:949. DOI: https://doi.org/10.1186/1471-2458-11-949.   DOI
51 Kim JG. Factors affecting the choice of medical care use by the elderly person. J Welf Aged 2008;(39):271-300. DOI: https://doi.org/10.21194/kjgsw..39.200803.271.   DOI
52 Idler EL, Kasl S. Health perceptions and survival: do global evaluations of health status really predict mortality? J Gerontol 1991;46(2): S55-S65. DOI: https://doi.org/10.1093/geronj/46.2.s55.   DOI
53 Fritzell SC, Gahler HM. Family structure, child living arrangement and mothers' self-rated health in Sweden: a cross-sectional study. Int J Health Serv 2017;47(2):298-311. DOI: https://doi.org/10.1177/0020731416685493.   DOI
54 Song YL, Nam EW. The influence of social capital and health behaviors on self-rated health in South Korea. J Korean Soc Health Educ Promot 2009;26(3):1-13.
55 Liu J, Luo Y, Haller W, Vander Mey B, Granberg E. Neighborhood environments and self-rated health in Mainland China, Japan and South Korea. PLoS One 2018;13(9):e0204910. DOI: https://doi.org/10.1371/journal.pone.0204910.   DOI
56 Lee SM, Kim HK. Elderly husbands' caregiving for their sick wives: narratives of husbands and wives. Fam Cult 2009;21(4):63-94. DOI: https://doi.org/10.21478/family.21.4.200912.004.   DOI
57 Kim CS, Choi HJ. Satisfaction on marital relationship of husband and wife in old age. Korea J Popul Stud 2011;34(2):1-15.
58 Kim D, Yoo B, Min J. Analysis of factors affecting health inequalities among Korean elderly. Korean J Soc Welf Stud 2011;42(3):267-290. DOI: https://doi.org/10.16999/kasws.2011.42.3.267.   DOI
59 Jin Y, Lee Y, Kim TH, Lim S, Chung W. Associations between chronic diseases and depression in the Korean elderly: a gender-specific analysis. Health Policy Manag 2020;30(2):231-244. DOI: https://doi.org/10.4332/KJHPA.2020.30.1.231.   DOI
60 Feng Z, Wang WW, Jones K. A multilevel analysis of the role of the family and the state in self-rated health of elderly Chinese. Health Place 2013;23:148-156. DOI: https://doi.org/10.1016/j.healthplace.2013.07.001.   DOI
61 Kim JG. The impact of family type on health behavior of elderly people. J Welf Aged 2011;(51):35-56. DOI: https://doi.org/10.21194/kjgsw..51.201103.35.   DOI
62 Idler EL, Angel RJ. Self-rated health and mortality in the NHANES-I Epidemiologic Follow-up Study. Am J Public Health 1990;80(4): 446-452. DOI: https://doi.org/10.2105/ajph.80.4.446.   DOI
63 Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 1997;38(1): 21-37. DOI: https://doi.org/10.2307/2955359.   DOI
64 Ross CE, Bird CE. Sex stratification and health lifestyle: consequences for men's and women's perceived health. J Health Soc Behav 1994;35(2):161-178. DOI: https://doi.org/10.2307/2137363.   DOI