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노인들의 사회경제적 수준과 건강수준, 건강행태와의 관계

The Relations of Socioeconomic Status to Health Status, Health Behaviors in the Elderly

Abstract

Objectives: To analyze the relationships of socioeconomic status(SES) to health status and health behaviors in the elderly. Methods: Data were obtained from self-administered questionnaire of 4,587 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, socioeconomic status, health status (subjective health status, acute disease, admission experience, dental state, chronic disease etc.), activities of daily living (ADL), instrumental activities of daily living (IADL), and mini-mental state examination-Korean (MMSEK). Binary and multinominal logistic regression analyses were employed to analyze factors affecting on the socioeconomic status of the elderly. Results: With regard to the SES and health status, those with a low SES had poorer subjective health states and lower satisfaction about their physical health. Also, acute disease experiences, admission rates and tooth deciduation rates were higher in those of low SES. In the view of physical and cognitive functions, the ADL, IADL and MMSE-K scores were also lower in those of low SES. However, with regard to health behaviors, lower smoking and alcohol drinking rates were found in the low SES group, and a similar trend was shown with regular physical exercise, eating breakfast, and regular physical health check-up. From these findings, we surmise that those with low SES have a poorer health condition and less money to spend on health, therefore, they can not smoke or drink alcohol, exercise and or have a physical health check-up. Conclusion: This study suggests that socioeconomic status plays an important role in health behaviors and status of the elderly. Low socioeconomic status bring about unhealthy behavior and poor health status in the elderly. Therefore, more specific target oriented(esp. low SES persons) health promotion activities for the elderly are very important to improve not only their health status, but their health inequity also.

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이 논문을 인용한 문헌 (12)

  1. Jung, Sang-Hyuk ; Ostbye, Truls ; Park, Kyoung-Ok 2006. "A Longitudinal Study of the Relationship Between Health Behavior Risk Factors and Dependence in Activities of Daily Living" Journal of preventive medicine and public health = 예방의학회지, 39(3): 221~228 
  2. Koh, Dong-Hee ; Han, Sun-Shil ; Jee, Sun-Ha ; Kim, Hyoung-Ryoul 2006. "The Relationship Between Socioeconomic Position and the Predicted Risk of Ischemic Heart Disease with Using Health Risk Appraisal" Journal of preventive medicine and public health = 예방의학회지, 39(4): 359~364 
  3. Park, Jung-Ah ; Cho, Young-Chae 2007. "Comparison of Depression and Cognitive Function between Elderly Welfare Recipients and Non-Elderly Welfare Recipients in a Public Health Center" 農村醫學·地域保健 = Journal of agricultural medicine & community health, 32(1): 1~12 
  4. Chun, Hee-Ran ; Kim, Il-Ho 2007. "Socioeconomic Inequalities in Preventive Services among the Elderly: Results from Medical Checkup, Cancer Check, and BP Check" Journal of preventive medicine and public health = 예방의학회지, 40(5): 404~410 
  5. 2009. "" Journal of preventive medicine and public health = 예방의학회지, 42(5): 275~282 
  6. 2010. "" Journal of preventive medicine and public health = 예방의학회지, 43(4): 292~300 
  7. Park, Jee-Hyun ; Kim, Hyo-Jin ; Ye, Ki-Hun 2011. "Study on Relationship between Eye Health and Household Income of the Elderly" 한국안광학회지 = Journal of Korean Ophthalmic Optics Society, 16(2): 209~217 
  8. Lee, Min-Sun ; Shin, Sun-Jung ; Jung, Se-Hwan 2011. "The association between oral health related quality of life(OHRQoL) and socio-economic position in the elderly in rural area of Gangwon province" 한국치위생학회지 = Journal of Korean Society of Dental Hygiene, 11(5): 707~715 
  9. Kim, Jin-Hee 2011. "The Relationship among Socioeconomic Status, Health Behavior, and Self-Rated Health Status in Employees: Gender Difference" 保健敎育健康增進學會誌 = Korean journal of health education and promotion, 28(1): 57~67 
  10. Kim, Yun-Hee 2013. "Factors Influencing the Health-Related Quality of Life by Age among Vulnerable Elderly Women" 한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, 14(3): 1342~1349 
  11. Roh, Yun Ho 2013. "Relationship between Social Support, Psychosocial Factors, and Health Behaviors in the Elderly" Health policy and management = 보건행정학회지, 23(2): 162~175 
  12. Chun, Jong-Duk ; Ryu, So Yeon ; Han, Mi Ah ; Park, Jong 2013. "Comparisons of Health Status and Health Behaviors among the Elderly between Urban and Rural Areas" 農村醫學·地域保健 = Journal of agricultural medicine & community health, 38(3): 182~194 

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