Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지
DOI QR코드

DOI QR Code

The Relationships between Social Determinants of Health and Health-related Quality of Life among the Community-dwelling Elderly

일 지역 노인의 사회적 건강결정인자와 건강 관련 삶의 질과의 관계

  • Kim, Junghee (College of Nursing, Yonsei University) ;
  • Lee, Hyeonkyeong (College of Nursing, Nursing Policy Research Institute, Yonsei University) ;
  • Lee, Chung Yul (College of Nursing, Nursing Policy Research Institute, Yonsei University) ;
  • Cho, Eunhee (College of Nursing, Nursing Policy Research Institute, Yonsei University)
  • 김정희 (연세대학교 간호대학) ;
  • 이현경 (연세대학교 간호대학, 간호정책연구소) ;
  • 이정열 (연세대학교 간호대학, 간호정책연구소) ;
  • 조은희 (연세대학교 간호대학, 간호정책연구소)
  • Received : 2014.09.16
  • Accepted : 2014.11.24
  • Published : 2014.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to examine the social determinants of health (SDH) associated with health-related quality of life (HQOL) among the community-dwelling elderly, based on the conceptual framework of the Commission on Social Determinants of Health (CSDH). Methods: A survey was conducted with 199 elders aged 65 years or older sampled through convenient sampling. Data were collected through face to face interviews by trained interviewers using a structured questionnaire, which included scales of the residential area, social support, sense of community, social network, health behaviors, and HQOL. Data were analyzed by ANOVA and stepwise multivariate regression. Results: Major SDH affecting HQOL included the participants' residential area, sense of community, and health behavior. The HQOL of the elderly residing in the B area with a low rate of basic livelihood security recipients was higher than that of those residing in other areas. Conclusion: CSDH framework was useful to determine the factors associated with HQOL among the community-dwelling elderly. In addition to their health behavior, their sense of community was found to be a SDH of HQOL, indicating the need of health promotion programs tailored to the characteristics of residential areas and strategies to enhance involvement in community activities.

Keywords

References

  1. Statistics Korea. 2014 Elderly statistics [Internet]. Seoul: Statistics Korea. 2014 [cited 2014 September 29]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&bSeq=&aSeq=330349&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=
  2. Ware J, Kosinski M, Dewey J, Gandek B. How to score and interpret single-item health status measures: A manual for users of the SF-8 health survey (with a supplement on the SF-6. Health survey). Lincoln, RI: Quality Metric Incorporated; 2001. 220 p.
  3. Kim SY, Sohn SY. Factors related to health related quality of life in rural elderly women. Journal of Korean Gerontological Nursing. 2012;14(2):91-98.
  4. Kim JY, Lee SG, Lee SK. The relationship between health behaviors, health status, activities of daily living and health-related quality of life in the elderly. Journal of the Korean Gerontological Society. 2010;30(2):471-484.
  5. 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. http://dx.doi.org/10.12799/jkachn.2013.24.1.99
  6. Commission on Social Determinants of Health. Closing the gap in a generation: Health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva, Switzerland: World Health Organization; 2008. Report No.: ISBN 978 92 4 156370 3.
  7. Solar O, Irwin A. A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy and Practice). Geneva, Switzerland: World Health Organization; 2010. Report No.: ISBN 978 92 4 150085 2.
  8. Gattino S, Piccoli N, Fassio O, Rollero C. Quality of life and sense of community. A study on health and place of residence. Journal of Community Psychology. 2013;41(7):811-826. http://dx.doi.org/10.1002/jcop.21575
  9. Cohen S, Hoberman HM. Positive events and social supports as buffers of life change stress. Journal of Applied Social Psychology. 1983;13(2):99-125. https://doi.org/10.1111/j.1559-1816.1983.tb02325.x
  10. Pretty G, Bishop B, Fisher A, Sonn C. Psychological sense of community and its relevance to well-being and everyday life in Australia. The Australian Community Psychologist. 2007;19(2):6-25.
  11. Kim KJ, Kim SS. A study on the residents' sense of community in Korea. Community Development Review. 1998;23(2):211-232.
  12. Oh YE, Lee JH. The effects of social network size and a sense of community on the loneliness of rural elderly-only households. Journal of Community Welfare. 2012;43:555-580.
  13. EuroQol Group. EQ-5D-3L (Korean version for South Korea) [internet]. Netherlands: EuroQol Group. 2003 [cited 2014 March 28]. Available from: http://www.euroqol.org/eq-5d-products/how-to-obtain-eq-5d.html
  14. Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS, et al. South Korean time trade off values for eq 5d health states: Modeling with observed values for 101 health states. Value in Health. 2009;12(8):1187-1193. http://dx.doi.org/10.1111/j.1524-4733.2009.00579.x
  15. Song MS. Construction of a functional status prediction model for the elderly [dissertation]. [Seoul]: Seoul National University; 1991. 141 p.
  16. Lubben J, Gironda M, Lee A. Refinements to the lubben social network scale: The LSNS-R. The Behavioral Measurements Letter. 2002;7:2-11.
  17. Hong M, Casado BL, Harrington D. Validation of Korean versions of the lubben social network scales in Korean Americans. Clinical gerontologist. 2011;34(4):319-334. http://dx.doi.org/10.1080/07317115.2011.572534
  18. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: Development and psychometric characteristics. Nursing Research. 1987;36(2):76-81. http://dx.doi.org/10.1097/00006199-198703000-00002
  19. Hong YA. (The) effect of health screening on health promotion behaviors in the elderly [master's thesis]. [Seoul]: Yonsei University; 2003. 61 p.
  20. Ministry of Health and Welfare. 2012 National health statistics: The fifth korean national health and nutrition examination survey [internet]. [Seoul]: Ministry of Health and Welfare. 2013 [cited 2013 December 24] Available from: https://knhanes.cdc.go.kr/knhanes/index.do
  21. Boltz M. Evidence-based geriatric nursing protocols for best practice. 4th ed. NY: Springer Publishing Company; 2012. 2037 p.
  22. Seodaemun-gu Health Center. 2014 Implementation plan(the fifth regional health planning) [internet]. Seoul: Seodaemungu Health Center. 2014 [cited 2014 March 25]. Available from: http://health.sdm.go.kr/guide/ntc/ntcLst.do?BOARDCODE=BD07120000&gMenuCode=BD07120000
  23. Seodaemun-gu. The 28th statistical yearbook of Seodaemun 2013 [Internet]. Seoul: Seodaemun-gu. 2014 [cited 2014 January 16]. Available from: http://hj2-dong.sdm.seoul.kr/admininfo/regulations/statisticsdata.do
  24. Murata C, Yamada T, Chen C-C, Ojima T, Hirai H, Kondo K. Barriers to health care among the elderly in Japan. International Journal of Environmental Research and Public Health. 2010;7(4):1330-1341. http://dx.doi.org/10.3390/ijerph7041330
  25. Kitchen P, Williams A, Chowhan J. Sense of community belonging and health in Canada: A regional analysis. Social Indicators Research. 2012;107(1):103-126. http://dx.doi.org/10.1007/s11205-011-9830-9
  26. Hystad P, Carpiano RM. Sense of community-belonging and health-behaviour change in Canada. Journal of Epidemiology and Community Health. 2012;66(3):277-283. http://dx.doi.org/10.1136/jech.2009.103556
  27. Lee WK, Jung SH, Policy suggestions on neighborhood-making project based on aged society - focused on questionnaire survey result of neighborhood-making activists. Urban Design Institute of Korea. 2014;15(1):137-150.
  28. Gu MO, Eun Y, Kim ES, Ahn HR, Kwon IS, Oh HS, et al. Effects of an elder health promotion program using the strategy of elder health leader training in senior citizen halls. Journal of Korean Academy of Nursing. 2012;42(1):125-135. http://dx.doi.org/10.4040/jkan.2012.42.1.125
  29. Kim SH. Effects of a volunteer-run peer support program on health and satisfaction with social support of older adults living alone. Journal of Korean Academy of Nursing. 2012;42(4):525-536. http://dx.doi.org/10.4040/jkan.2012.42.4.525
  30. Jeon EY, Choi YH. Factors affecting the health-related quality of life according to age in vulnerable aged men. Journal of Korean Academy of Nursing. 2010;40(3):400-410. http://dx.doi.org/10.4040/jkan.2010.40.3.400

Cited by

  1. 요양병원 입원 노인의 자아존중감에 따른 건강상태와 간이영양상태 비교 vol.25, pp.4, 2014, https://doi.org/10.17495/easdl.2015.8.25.4.631