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http://dx.doi.org/10.12799/jkachn.2016.27.4.358

Factors Influencing Health-related Quality of Life of Young Adults and Elderly with Multimorbiditiy: A Secondary Analysis of the 2013 Korea Health Panel Data  

Joe, Seunyoung (Korea Armed Forces Nursing Academy)
Lee, Insook (Department of Nursing, Changwon National University)
Park, Bohyun (Department of Nursing, Changwon National University)
Publication Information
Research in Community and Public Health Nursing / v.27, no.4, 2016 , pp. 358-369 More about this Journal
Abstract
Purpose: This study was to identify health-related quality of life of Korean young adults and elderly with multimorbidity and to examine factors influencing their health-related quality of life. Methods: Health-related quality of life was measured by the Korean version of the EQ-5D. Using a descriptive study, the study incorporated a secondary analysis of the Korean version of the EQ-5D data from the 8th wave of the Korea Health Panel Survey in 2013. Selected demographic data and the Korean version of the EQ-5D were analyzed using ${\chi}^2$-test, t-test, ANOVA and multiple regression analysis. Results: Education, drinking, type of health insurance, and number of chronic disease significantly affected the health-related quality of life in the young adults with multimorbidity. Educational level, occupational type, drinking, physical activity, number of chronic disease, unmet healthcare need and the type of multimorbidity significantly affected the health-related quality of life in the elderly with multimorbidity. Conclusion: The factors influencing health-related quality of life were different for young adults versus elderly with multimorbidity. Therefore, there is a need for age-specific health care programs that may improve health-related quality of life of adults with multimorbidity.
Keywords
Multimorbidity; Chronic disease; Quality of life; Young adults; Elderly;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Organization for Economic Cooperation and Development. Health reform: Meeting the challenge of ageing and multiple morbidities. Paris: Organization for Economic Cooperation and Development; 2011. 226 p.
2 Kim CH, Hwang I, Yoo WS. The common patterns of multimorbidity and its impact on healthcare cost in Korea. Health Policy and Management. 2014;24(3):219-227. http://dx.doi.org/10.4332/KJHPA.2014.24.3.219   DOI
3 Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: Cross-sectional study. Lancet. 2012;380(9836):37-43. http://dx.doi.org/10.1016/S0140-6736(12)60240-2   DOI
4 Lehnert T, Heider D, Leicht H, Heinrich S, Corrieri S, Luppa M, et al. Review: Health care utilization and cost of elderly persons with multiple chronic conditions. Medical Care Research and Review. 2011;68(4):387-420. http://dx.doi.org/10.1177/1077558711399580   DOI
5 Starfield B, Lemke KW, Herbert R, Pavlovich WD, Anderson G. Comorbidity and the use of primary care and specialist care in the elderly. Annals of Family Medicine. 2005;3(3):215-222. http://dx.doi.org/10.1370/afm.307   DOI
6 van Oostrom SH, Picavet HS, de Bruin SR, Stirbu I, Korevaar JC, Schellevis FG, et al. Multimorbidity of chronic diseases and health care utilization in general practice. BioMed Central Family Practice. 2014;15:1-9. http://dx.doi.org/10.1186/1471-2296-15-61   DOI
7 Nam SK, Shim OS. A study on the influence factors on quality of life of elderly with chronic disease. Journal of Welfare for the Aged. 2011;53:196-216.
8 Chung ES, Park MJ. Factor influencing unmet medical need of elders with chronic disease. The 3rd Korea Health Panel Conference; 2011 December 1; Seoul Foundation of Women and Family. Seoul: Korea Health Panel; 2011. 522 p.
9 Park S. Associations with physical activity, chronic disease, depression, and health-related quality of life. Korean Journal of Sport Science. 2014;25(2):249-258.   DOI
10 Jung YH. A report on the health related quality of life in Korea. Health and Welfare Policy Forum. 2011;182:6-14.
11 van den Bussche H, Koller D, Kolonko T, Hansen H, Wegscheider K, Glaeske G, et al. Which chronic diseases and disease combinations are specific to multimorbidity in the elderly? Results of a claims data based cross-sectional study in Germany. BioMed Public Health. 2011;11:1-9. http://dx.doi.org/10.1186/1471-2458-11-101   DOI
12 Goodman RA, Posner SF, Huang ES, Parekh AK, Koh HK. Defining and measuring chronic conditions: Imperatives for research, policy, program, and practice. Preventing Chronic Disease. 2013;10:1-16. http://dx.doi.org/10.5888/pcd10.120239   DOI
13 Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL. Conceptual model of health-related quality of life. Journal of Nursing Scholarship. 2005;37(4):336-342. http://dx.doi.org/10.1111/j.1547-5069.2005.00058.x   DOI
14 Korea Health Panel. Survey design: Sampling [Internet]. Seoul: Korea Health Panel. 2015 [cited 2016 May 17]. Available from: http://www.khp.re.kr:444/ver_2/02_josa/josa01.jsp
15 Lee SH, Yang SO. The effect of chronic musculoskeletal pain and depression on health-related quality of life by gender in community-dwelling older adults. Journal of Korean Academy of Community Health Nursing. 2010;21(1):21-30. http://dx.doi.org/10.12799/jkachn.2010.21.1.21   DOI
16 Nam HS, Kim KY, Kwon SS, Ko KW, Kind P. EQ-5D Korean valuation study using time trade of method. Research Report. Cheongju: Korea Centers for Disease Control and Prevention; 2007.
17 Joung EO, Kwon SB, Ahn OH. Coping with experiences in multiple chronic diseases in the rural elderly. Journal of Korean Academy of Community Health Nursing. 2007;18(1):32-41.
18 Fortin M, Lapointe L, Hudon C, Vanasse A, Ntetu A, Maltais D. Multimorbididty and quality of life in primary care: A systematic review. BioMed Central Health and Quality of Life Outcomes. 2004;2:1-12. http://dx.doi.org/10.1186/1477-7525-2-51   DOI
19 Lim JH. Analysis of unmet medical need status based on the Korean health panel. Health and Social Science. 2013;34:237-256.
20 Kim KS, Lee HO. Household catastrophic health expenditure and unmet needs depending on the types of health care system. Social Welfare Policy. 2012;39(4):255-279. http://dx.doi.org/10.15855/swp.2012.39.4.255   DOI