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http://dx.doi.org/10.12799/jkachn.2020.31.2.212

Analysis of the Types and Affecting Factors of Older People's Health-related Quality of Life, Using Latent Class Analysis  

Jang, Sun-Hee (Department of Nursing, Changshin University)
Yeum, Dong-Moon (Department of Social Welfare, Changshin University)
Publication Information
Research in Community and Public Health Nursing / v.31, no.2, 2020 , pp. 212-221 More about this Journal
Abstract
Purpose: This study aims to identify the types of health-related quality of life (QoL) based on the EuroQoL 5 Dimensions among community older people and predict the factors affecting these types. Methods: This study used data from the 2016 Korea Health Panel Survey, whose participants included 3,848 older people. The data were analyzed using the software jamovi 1.2.17 and Mplus 8.2 for latent class analysis. Results: The subgroups of the older people's health-related QoL were identified as three latent classes: General stable type (43.9%), pain-related low type (35.0%), and general low type (21.1%). The types and characteristics of health-related QoL among the latent classes differed. Comparing the difference between the general low type and general stable type, the subjects showed higher probability of belonging to the general stable type when they were men, younger, higher education level, employment, better subjective health, lower BMI and stress level, and no suicidal ideation. A comparison between the general low type and the pain-related low type showed that the subjects were more likely to be classified as the pain-related low type when they were younger, higher education, employment, and better subjective health. Conclusion: The results showed a significant heterogeneity in the types of health-related QoL among community older people, and the predictors for each type were not the same. These findings present basic data for cultivating nursing interventions that enhance health-related QoL.
Keywords
Quality of life; Latent class analyses; Aged;
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1 Kim JI. Levels of health-related quality of life (eq-5d) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas. Journal of Korean Academy of Community Health Nursing. 2013;24(1):99-109. https://doi.org/10.12799/jkachn.2013.24.1.99   DOI
2 Statistics Korea. Population projections for Korea [Internet]. Daejeon: Statistics Korea; 2017 [cited 2019 March 28]. Available from:http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA003&vw_cd=MT_ZTITLE&list_id=A41_10&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE
3 Korea economic research institute. Household poverty is deepening, and the reason is aging and the elderly poverty rate [Internet]. Seoul: Korea economic research institute; 2019 [cited 2019 February 13]. Available from:http://www.keri.org/web/www/news_02?p_p_id=EXT_BBS&p_p_lifecycle=0&p_p_state=normal&p_p_mode=view&p_p_col_id=column-1&p_p_col_count=1&_EXT_BBS_struts_action=%2Fext%2Fbbs%2Fview_message&_EXT_BBS_sCategory=&_EXT_BBS_sKeyType=&_EXT_BBS_sKeyword=&_EXT_BBS_curPage=1&_EXT_BBS_optKeyType1=&_EXT_BBS_optKeyType2=&_EXT_BBS_optKeyword1=&_EXT_BBS_optKeyword2=&_EXT_BBS_sLayoutId=0&_EXT_BBS_messageId=355432
4 Ro YJ, Kim CG. Comparisons of physical fitness, self efficacy, instrumental activities of daily living, and quality of life between institutionalized and noninstitutionalized elderly. Journal of Korean Academy of Nursing. 1995;25(2):259-278.
5 Evans RW, Manninen DL, Garrison LP Jr, Hart LG, Blagg CR, Gutman RA, et al. The quality of life of patients with end-stage renal disease. The New England Journal of Medicine. 1985;312 (9):553-559. https://doi.org/10.1056/NEJM198502283120905   DOI
6 Goodman LA. Exploratory latent structure analysis using both identifiable and unidentifiable models. Biometrika. 1974;61(2):215-231. https://doi.org/10.2307/2334349   DOI
7 Ju ES, Choi JS. Identifying latent classes of risk factors for coronary artery disease. Journal of Korean Academy of Nursing. 2017;47(6):817-827. https://doi.org/10.4040/jkan.2017.47.6.817   DOI
8 Kin TH. Validity and reliability evaluation for EQ-5D in the general population of South Korea[dissertation]. [Ulsan]: University of Ulsan; 2012. 69 p.
9 Shin SI, Kim YH. A meta-analysis on related variables of elders' quality of life. Korean Journal of Counseling. 2013;14(6):3673-3690. https://doi.org/10.15703/kjc.14.6.201312.3673   DOI
10 Kim KS. Effects of the health status and health behavior on health-related quality of life of the elderly living alone and living with their families: Using data from the 2014 community health survey. Journal of Korean Academy of Community Health Nursing. 2017;28(1):78-87. https://doi.org/10.12799/jkachn.2017.28.1.78   DOI
11 Kang SY, Park IH. Construction of a model of quality of life in longevity region dwelling elders. Journal of Korean Academy of Community Health Nursing. 2013;24(3):302-313. https://doi.org/10.12799/jkachn.2013.24.3.302   DOI
12 Park MJ. Effect of latent class typologies of social activities on depression among older adults: Comparison between poverty and non-poverty groups. Journal of Welfare for the Aged Institute. 2017;72(2):191-214.
13 Kim YB, Lee SH. Effects of the elderly's health statuses, health behavior, and social relations on their health-related quality of life: Focusing on family types. Journal of Korean Academy of Community Health Nursing. 2018;29(3):310-321. https://doi.org/10.12799/jkachn.2018.29.3.310   DOI
14 Hyun HJ, Chang AK, Yu SJ, Park YH. Comparison of comprehensive health status and health-related quality of life between institutionalized older adults and community dwelling older adults. Journal of Korean Academy of Community Health Nursing. 2012;23(1):40-50. https://doi.org/10.12799/jkachn.2012.23.1.40   DOI
15 Kim SY, Kim MI, Chang SJ, Moon KJ. Identification and prediction of patterns of health promoting behaviors among the elderly. Health and Social Welfare Review. 2017;37(2):251-286. https://doi.org/10.15709/hswr.2017.37.2.251   DOI
16 Jung BD. A study on the latent class analysis of types of elderly people's leisure activities. Social Science Research Review. 2017;33(4):163-180. https://doi.org/10.18859/ssrr.2017.11.33.4.163   DOI
17 Jung T, Wickrama KAS. An introduction to latent class growth analysis and growth mixture modeling. Social and Personality Psychology Compass. 2008;2(1):302-307. https://doi.org/10.1111/j.1751-9004.2007.00054.x   DOI
18 EuroQoL Group. A new facility for the measurement of health related quality of life. Health Policy. 1990;16(3):199-208. https://doi.org/10.1016/0168-8510(90)90421-9   DOI
19 Iwamoto DK, Corbin W, Fromme K. Trajectory classes of heavy episodic drinking among Asian American college students. Society for the Study of Addiction. 2010;105(11):1912-1920. https://doi.org/10.1111/j.1360-0443.2010.03019.x   DOI
20 Christian G. Data analysis with Mplus. 1st ed. Kim JS, Han JN, translator. New York, NY: The Guilford press; 2012.
21 Hill KG, White HR, Chung IJ, Hawkins JD, Catalano RF. Early adult outcomes of adolescent binge drinking: person and variable centered analyses of binge drinking trajectories. Alcoholism, Clinical and Experimental Research. 2000;24(6):892-901.   DOI
22 Park MJ, Choi SE. The effects of health behavior and health status on heath-related quality of life in older people: Gender analysis by using the 2012 Korea health panel data. Journal of Korean Academy of Community Health Nursing. 2017;28(2):118-128. https://doi.org/10.12799/jkachn.2017.28.2.118   DOI
23 Sul MS, Choi HJ. A study on policies to promote aging society and the elderly health. The Korea Journal of Sports Science. 2016;25(1):99-108.
24 Cho YS, Yeum DM. Latent class analysis for health-related quality of life in the middle-aged male in south Korea. Journal of Korean Academy of Nursing. 2018;49(1):104-112. https://doi.org/10.4040/jkan.2019.49.1.104
25 Shin SJ. Patterns of health-related quality of life and factors associated with health risks among Korean adults [dissertation]. [Seoul]: Seoul National University; 2010. 194 p.
26 Joe SY, Lee IS, Park BH. Factors influencing health-related quality of life of young adults and elderly with multimorbiditiy:A secondary analysis of the 2013 Korea health panel data. Journal of Korean Academy of Community Health Nursing. 2016;27(4):358-369. https://doi.org/10.12799/jkachn.2016.27.4.358   DOI
27 Kim HG, Lee HJ, Park SM. Factors influencing quality of life in elderly women living alone. Journal of the Korea Gerontological Society. 2010;30(2):279-292.
28 Park YR, Son YJ. Relationship of satisfaction with appearance, self-esteem, depression, and stress to health related quality of life in women across the lifespan. Journal of the Korean Academy of Fundamentals of Nursing. 2009;16(3):353-361.
29 Sun WD. Policy issues in elderly health and long-term care policy. Health And Welfare Policy Forum. 2016;239:34-48.