Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Barriers to Health Behaviors in Male and Female Elderly People in Korea

한국 남녀노인의 건강행위 수행 방해요인에 관한 연구

  • Eun, Young (College of Nursing, Gerontological Health research Center, Gyeongsang National University) ;
  • Song, Mee-Soon (College of Nursing, Seoul National University) ;
  • Gu, Mee-Ock (College of Nursing, Gerontological Health research Center, Gyeongsang National University)
  • 은영 (경상대학교 간호대학 건강과학연구소 노인건강연구센터) ;
  • 송미순 (서울대학교 간호대학) ;
  • 구미옥 (경상대학교 간호대학 건강과학연구소 노인건강연구센터)
  • Published : 2008.04.30
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Abstract

Purpose: This study was done to investigate the practice level of 14 health behaviors between male (N=139) and female (N=175) elderly and to identify the barriers to each health behavior of elderly people in Korea. Methods: Data were collected from 314 elderly people (65yr and older) living in metropolitan, urban, and rural areas. Descriptive statistics, $x^2$-test and ordinal logistic regression were used in data analysis using the SPSS Win 15 version. Results: 1) The performances were different in some health behaviors between male and female elderly people. Male elderly showed better performances in balanced diet, regular exercise, and more than 30 min of exercise, while female elderly showed better performances in restriction of fat and cholesterol, restriction on alcohol, and smoking. There were no differences in stress management and health prevention behaviors between the two groups. 2) The common significant barriers in health behaviors of the elderly in Korea were the lack of habit and physical discomfort. However, the lack of perceived benefit was a significant barrier in male elderly. Lack of time and lack of family support were significant barriers in female elderly people in Korea. Conclusion: These results suggest that tailored strategies should be developed considering the gender difference to reduce the main barriers of each health behavior in order to improve the health status of elderly people.

Keywords

References

  1. Bardenheier, B. H., Wortley, P. M., Winston, C. A., Washington, M. L., Lindley, M. C., & Sapsis, K. (2006). Do patterns of knowledge and attitudes exist among unvaccinated seniors? American Journal of Health Behavior, 30, 675-683 https://doi.org/10.5993/AJHB.30.6.13
  2. Eun, Y., Gu, M. O., Kim, E. S., & Kang, Y. S. (2001). A comparative study of health state and need of health-related service between elderly attending senior welfare center and elderly attending a senior citizens' club. Journal of Korean Gerontological Nursing Society, 3, 7-21
  3. Eun, Y. O., & Gu, M. O. (1999). A study of the relationships among health promoting behaviors, health locus of control (HLOC), and response patterns to HLOC in Korean elderly. Journal of Korean Academy of Nursing, 29, 625-638 https://doi.org/10.4040/jkan.1999.29.3.625
  4. Eun, Y., Kim, J. H., Kim, J. I., Kim, H. J., Kim, H. S., Oh, J. J., et al. (2004). A comparative study on barrier factors in health behaviors of urban vs rural elderly. Journal of Korean Academy of Adult Nursing, 16, 531-544
  5. Gu, M. O. (2006). A review of research on health promoting behaviors of Korean older adults. Perspectives in Nursing Science, 3, 17-34
  6. Gu, M. O., & Eun, Y. (2002). Health promoting bahaviors of older adults compared to young and middle aged adults in Korea. Journal of Gerontological Nursing, 28(5), 46-53
  7. Gu, M. O., Kim, J. H., Kim, J. I., Kim, H. J., Kim, H. S., Oh, J. J., et al. (2003). A study on the barriers to health behavior in elderly people in Korea. Journal of Korean Gerontological Nursing Society, 5, 117-126
  8. Heidrich, S. M. (1998). Health promotion in old age. Annual Review of Nursing Research, 16, 173-195
  9. Kim, C. G. (2002). Factors influencing health promoting behaviors of the elderly. Journal of Korean Academy of Community Health Nursing, 321-331
  10. Kim, C. G., & Sung, M. S. (2002). Factors influencing health promotion behaviors with elderly: health concepts and family supporting. Journal of Korean Academy of Fundamentals of Nursing, 9, 133-143
  11. Kim, S. H. (2007). The association between expectations regarding aging and health promoting behaviors among Korean older adults. Journal of Korean Academy of Nursing, 37, 932-940 https://doi.org/10.4040/jkan.2007.37.6.932
  12. Kim, J. S. (1999). Middle and long term development planning of elderly health and welfare for the 21st century of the very old society. Seoul: The Ministry of Health and Welfare
  13. Korea National Statistical Office. (2006). Statistical report, Retrieved from http://www.nso.go.kr
  14. Kwong, E. W., & Kwan, A. Y. (2007). Participation in health-promoting behavior: Influences on community-dwelling older Chinese people. Journal of Advanced Nursing, 57, 522-534 https://doi.org/10.1111/j.1365-2648.2006.04132.x
  15. Lee, T. W., Ko, L. S., & Lee, K. J. (2006). Health promotion behaviors and quality of life among community dwelling elderly in Korea: A cross sectional survey. International Journal of Nursing Studies, 43, 293-300 https://doi.org/10.1016/j.ijnurstu.2005.06.009
  16. National Health Insurance Corporation. (2006). Statistical report. Retrieved from http://www.nhic.or.kr
  17. Park, S. O., Baek, H. J., Kim, C, M., Moon, J. H., Choi, S. Y., Kim, J. S., et al. (2003). The relationship among health promoting lifestyle, self esteem and social support of elderly people. Journal of Korean Academy of Community Health Nursing, 14, 144-156
  18. Park, Y. J., Lee, S. J., Park, E. S., & Chang, S. O. (1999). A prediction model for health promoting behavior of the Korean elderly. Journal of Korean Academy of Nursing, 29, 281-292 https://doi.org/10.4040/jkan.1999.29.2.281
  19. Pastorino, C. A., & Dicky, T. (1990). Health promotion for the elderly, issues and programming planning. Orthopedic Nursing, 9(6), 36-42 https://doi.org/10.1097/00006416-199011000-00007
  20. Pender, N. J., Murdaugh, C., & Parsons, M. A. (2006). Health Promotion in Nursing Practice (5th ed.). Upper Saddle River, NJ: Pearson/Prentice-Hall, 39
  21. Shin, S. R. (2006). Analysis of smoking and smoking cessation related nursing research in Korea and its future direction. Journal of Korean Academy of Nursing, 36, 415-425 https://doi.org/10.4040/jkan.2006.36.2.415
  22. Song, Y. S., Lee, M. R., & Ahn, E. K. (1997). The study on health promoting lifestyle of the elderly. Journal of Korean Academy of Nursing, 27, 541-549
  23. Unden A. L., & Elofssons S. (2006). Do different factors explain selfrated health in men and women? Gender Medicine, 3, 295-308 https://doi.org/10.1016/S1550-8579(06)80218-4
  24. United States Special Committee on Aging. (1987). Health status and Health services utilization. In Aging America: Trends and Projections. Washington, D.C: U.S. Department of Health and Human Services