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Health Status, Health Perception, and Health Promotion Behaviors of Low-income Community Dwelling Elderly  

Lee Tae-Wha (College of Nursing, Nursing Policy Research Institute, Yonsei University)
Ko Il-Sun (College of Nursing, Yonsei University)
Lee Kyung-Ja (College of Nursing, Yonsei University)
Kang Kyeong-Hwa (Nursing Policy Research Institute, Yonsei University)
Publication Information
Journal of Korean Academy of Nursing / v.35, no.2, 2005 , pp. 252-261 More about this Journal
Abstract
Purpose: The purpose of the study was to investigate the health status(present illness, ADL and IADL), health perception, and health promotion behaviors of low-income elderly who are receiving the visiting nurse service in the community. Method: The sample of the study was 735 elderly over 65years old with basic livelihood security, who were conveniently selected from 245 public health centers nation-wide. Data collection was done using a structured questionnaire through interviews by visiting nurses. Result: The average number of present illnesses in the study subjects was 4.18. The average scores of ADL and IADL were 15.903.39and 9.772.97 respectively, which indicates a relatively independent everyday life. However, $64.2\%$ of the subjects perceived their health status as 'not healthy'. In terms of health promotion behaviors, $77.8\%$ of the subjects had ceased smoking, $83.9\%$ stopped drinking, $56.4\%$ had a regular diet, $45.8\%$ received regular physical check-ups during the past two years, and $66\%$ received flu shots. Approximately $50\%$ of the subjects were practicing 3-4 health promotion behaviors. Significant factors associated with health promotion behaviors were ADL, IADL and self-efficacy. Conclusion: Health promotion programs which focus on regular diet, exercise, and regular physical check-ups should be developed to improve independence of everyday life and quality of life among low-income elderly.
Keywords
Low-income; Elderly; Health promotion; Health status;
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