Relationships of Social Networks to Health Status among the Urban Low-income Elderly

도시 취약계층 노인의 사회적 관계망과 건강수준과의 관계

  • Received : 2010.04.28
  • Accepted : 2010.06.11
  • Published : 2010.06.30

Abstract

Purpose: The purpose of this study was to investigate the relationships of social networks to health status among the urban low income elderly. Method: Using a sample of 598 elderly aged 65 years and higher, social networks, health status were measured by the Social Networks Scale (LSNS), Perceived Health Status, GDSSF-K, K-ADL respectively. The t-test, ANOVA and Tukey-test and Pearson's correlation analyses were performed using SPSS 18.0. Results: 41% of subjects didn't contact with relatives at least once a month. 56% of subjects saw or heard less than monthly from relative with whom they have the most contact. 47% didn't have relatives who one can rely on private matters. Social networks among the low income elderly significantly differed by marital status, health insurance type, economic status, regular exercise, living with family. Social networks were significantly correlated with perceived health status (r=.201), cognitive function (r=-.154) and depressive symptoms (r=-.301). Conclusion: Poor social networks were found in urban low income elderly. Poorer social networks were related to worse health status and more depressive symptoms. Interventions targeting at increasing social networks are urgently needed for low income elderly.

Keywords

References

  1. Amann, G. (1991). Social network and social support deficits in depressed patients: A result of distorted perception? European Archives of Psychiatry and Clinical Neuroscience, 241(1), 49-56. https://doi.org/10.1007/BF02193755
  2. Bassuk, S. S., Glass, T. A., & Berkman, L. F. (1999). Social disengagement and incident cognitive decline in community dwelling elderly persons. Annals of Internal Medicine, 131(3), 165-173. https://doi.org/10.7326/0003-4819-131-3-199908030-00002
  3. Berkman, L. F. (1995). The role of social relations in health promotion. Psychosomatic Medicine, 57(3), 245-254. https://doi.org/10.1097/00006842-199505000-00006
  4. Berkman, L. F., & Kawachi, I. (2000). Social Epidemiology. New York : Oxford University Press.
  5. Bloom, J. R. (1990). The relationship of social support and health. Social Science and Medicine, 30(5), 635-637. https://doi.org/10.1016/0277-9536(90)90162-L
  6. Choi, E. J. (2000). Social network, social support, mental health and physical health of the elderly. Society and Culture, 11, 185-203.
  7. Choi, Y. H., Ko, S. H., Ko, J. K., Kong, E. S., Kim, M. A., & Kim, M. H., et al. (2000). Health of the elderly. Seoul: Hyunmoonsa.
  8. Chung, K. H. (1995). The social networks of the elderly. Journal of the Korean Gerontological Society, 15(2), 52-68.
  9. Crooks, V. C., Lubben, J., Petitti, D. B., Little, D., & Chiu, V. (2008). Social network, cognitive function, and dementia incidence among elderly women. American Journal of Public Health, 98(7), 1221-1227. https://doi.org/10.2105/AJPH.2007.115923
  10. Haan, M. N. (1999). Can social engagement prevent cognitive decline in old age? Annals of Internal Medicine, 131(3), 220-221. https://doi.org/10.7326/0003-4819-131-3-199908030-00009
  11. Han, G. H., Kim, J. H., & Kim, K. M. (2003). Supportive and conflictual social network and mental health of the middle-aged in Korea : Does It vary by gender?. Journal of the Korean Gerontological Society, 23(2), 155-170.
  12. Hwang, M. Y. (1999). A study on the functioning of informal support networks of the urban low-income elderly. Journal of the Korean Gerontological Society, 19(2), 27-46.
  13. Jang, I. S., & Kim, S. M. (2002). The relationship between social network and death anxiety in elders. Journal of Korean Gerontological Nursing, 4(1), 80-92.
  14. Jang, Y. (2001). A study on the social networks of the low-income married women in urban area. Unpublished master's thesis. Seoul National University, Seoul.
  15. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korea Version. Journal of the Korean Neuropsychiatric Association, 35(2), 298-307.
  16. Kim, S., Jeon, K., So, A., Kim, H., Park, E., Son, G., & Son, S. (2007). Status of disease prevalence and development of health promotion strategies for rural older women. Seoul: Management Center for Health Promotion.
  17. Lee, M. S., Kim, D. K., Kim, E. Y., Na, B. J., & Sung, T. H. (2002). A study on the relationship between social support, social network and health behaviors among some rural peoples. Journal of Korean Society for Health Education and Promotion, 19(2), 73-98.
  18. Lee, T. W., Ko, I. S., Lee, K. J., & Kang, K. H. (2005). Health status, health perception, and health promotion behaviors of low-income community dwelling elderly. Journal of Korean Academy of Nursing, 35(2), 252-261. https://doi.org/10.4040/jkan.2005.35.2.252
  19. Lubben, J., & Gironda, M. (2003). Centrality of social ties to the health and well-being of older adults. In B. Berkman & L. Harootyan (Eds.), Social Work and Health Care in an Aging Society(pp. 319-350). New York: Springer.
  20. Oh, I. G., Oh, Y. S., & Kim, M. I. (2009). Effect of social networks on the depression of elderly females in Korea: analysis of the intermediating effect of health promoting behavior. Korean Journal of Family Welfare, 14(1), 113-136.
  21. Ok, S. H. (1992). Family problem of low income family in urban area. Seoul: How.
  22. Seeman, T. E. (1996). Social ties and health: the benefits of social integration. Annals of Epidemiology, 6(5), 442-451. https://doi.org/10.1016/S1047-2797(96)00095-6
  23. Seo, M. J., Kang, H. S., Im, N. Y., & Kim, C. S. (2003). Rehabilitation nursing. Seoul: Korea National Open University Press.
  24. Uemura, S., Saiki, C., Murayama, R., Kuriyama, T., Koyama, M., Takagi, H., et al. (1996). Relation among lifestyle, social network, blood pressure and serum lipid in the elderly. Nippon Eiseigaku Zasshi, 50(6), 1057-1066. https://doi.org/10.1265/jjh.50.1057
  25. Unger, J. B., McAvay, G., Bruce, M. L., Berkman, L., & Seeman, T. (1999). Variation in the impact of social network characteristics on physical functioning in elderly persons: MacArthur studies of successful aging. Journal of Gerontology: Series B: Psychological sciences and social sciences, 54B(5), S245-S251. https://doi.org/10.1093/geronb/54B.5.S245
  26. Won, C. W., Rho, Y. G., Kim, S. Y., Cho, B. R., & Lee, Y. S. (2002). The validity and reliability of Korean activities of daily living (K-ADL) scale. Journal of the Korean Geriatrics Society, 6(2), 98-106.
  27. Won, J. S., & Kim, K. H. (2008). Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. Journal of Korean Academic of Nursing, 38(1), 1-10. https://doi.org/10.4040/jkan.2008.38.1.1
  28. Yosiaki, S., Takeuchi, K., Ohta, A., Tajima, K., & Suzuki, S. (1999). Relationship between regular exercise and life style, social network, education and subjective symptoms in Japanese middle aged and elderly residents. Nippon Koshu Eisei Zasshi, 46(8), 624-37.