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노인의 다중적 건강 변화궤적 유형화 및 관련요인 탐색
Multidimensional Health Trajectories and Their Correlates Among Older Adults 원문보기

韓國 家政科敎育學會誌 = Journal of Korean Home Economics Education Association, v.33 no.4, 2021년, pp.31 - 48  

배다영 (고려대학교 가정교육과) ,  박은빈 (고려대학교 생활과학과)

초록
AI-Helper 아이콘AI-Helper

본 연구는 고령화연구패널조사(KLoSA)의 1-6차 연도 자료를 분석하여 노년기의 우울, 만성질환, 인지기능의 다중적 측면에서의 건강 변화 유형을 파악하고 이와 관련이 있는 요인들을 분석하고자 하였다. 연구의 대상은 1차 연도 조사 시점에서 65세 이상이고 결측률이 없는 총 2,059명이다. 잠재성장모형을 통해 세 가지 건강 측면이 시간에 따라 어떠한 변화궤적을 보이는지 살펴보았으며, 성장혼합모형을 활용해 세 건강 요인에서 서로 다른 변화 궤적을 보이는 집단들을 유형화하였다. 또한 일원분산분석 및 Scheffé 사후검증, 교차분석을 통해 건강 변화유형 집단에 따라 인구사회학적 특성, 건강행동, 삶의 만족도에서 차이가 나타나는지를 살펴보았다. 본 연구의 주요 결과는 다음과 같다. 첫째, 잠재성장모형 분석 결과 우울과 만성질환의 수는 연령에 따라 점차 증가하고 인지기능은 점차 감소했다. 둘째, 성장혼합모형을 분석한 결과 노인의 건강 변화는 일반적 노화, 질환 증가, 만성적 문제의 세 집단으로 유형화되었다. 셋째, 노인의 인구사회학적 특성, 건강행동, 삶의 만족도는 세 집단에 따라 유의한 차이가 나타났다. 특히 만성적 문제 집단의 경우 교육 및 소득수준이 낮고, 전반적으로 낮은 삶의 만족도를 나타냈다. 본 연구는 노년기 건강증진 교육 프로그램에 있어 노인들이 경험하는 건강의 다중적 측면을 고려하는 것이 중요함을 보여주며, 노년기 건강증진 교육 프로그램을 위한 제언을 제공한다. 또한 전생애적 건강관리를 위한 건강정보문해력 증진에 있어서 가정과 교과과정이 갖는 중요성에 대해 논의하고자 한다.

Abstract AI-Helper 아이콘AI-Helper

The purpose of this study was to provide an understanding of the trajectories of multidimensional health among older adults, including depression, chronic diseases, and cognitive function. Data were drawn from the 1-6 waves of the Korean Longitudinal Study of Ageing(KLoSA), and a sample of 2,059 res...

주제어

참고문헌 (69)

  1. Bae, W., Maeng, S., & Chung, S. (2020). The relationship between socioeconomic state of elderly, exercise participation and prevalence of chronic disease. The Korean Journal of Growth and Development, 28(1), 81-87. 

  2. Barnes, J. N. (2015). Exercise, cognitive function, and aging. Advances in Physiology Education, 39(2), 55-62. doi:10.1152/advan.00101.2014 

  3. Baune, B. T., Suslow, T., Engelien, A., Arolt, V., & Berger, K. (2006). The association between depressive mood and cognitive performance in an elderly general population-the MEMO study. Dementia and Geriatric Cognitive Disorders, 22(2), 142-149. 

  4. Brawley, L. R., Rejeski, W. J., & King, A. C. (2003). Promoting physical activity for older adults: The challenges for changing behavior. American Journal of Preventive Medicine, 25(3), 172-183. doi:10.1016/S0749-3797(03)00182-X 

  5. Brennan, P. L., SooHoo, S., Lemke, S., & Schutte, K. K. (2016). Alcohol use predicts 10-year depressive symptom trajectories in the health and retirement study. Journal of Aging and Health, 28(5), 911-932. doi:10.1177/0898264315615837 

  6. Calderon-Larranaga, A., Vetrano, D. L., Ferrucci, L., Mercer, S. W., Marengoni, A., Onder, G.,...Fratiglioni, L. (2019). Multimorbidity and functional impairment-Bidirectional interplay, synergistic effects and common pathways. Journal of Internal Medicine, 285(3), 255-271. doi:10.1111/joim.12843 

  7. Chang, W. C., Lu, F. P., Lan, T. Y., & Wu, S. C. (2013). Multidimensional health-transition patterns among a middle- aged and older population. Geriatrics & Gerontology International, 13(3), 571-579. doi:10.1111/j.1447-0594.2012.00937.x 

  8. Cho, K. (2021). Current status of non-communicable diseases in the Republic of Korea. Public Health Weekly Report, 14(4), 166-177. 

  9. Choi, S., Kim, H., Hwang, J., Chae, S., Han, K., Yu, J., & Chun, H. (2020). A study for improving health literacy. Sejong: Korea Institute for Health and Social Affairs. 

  10. Cook, R. F., Hersch, R. K., Schlossberg, D., & Leaf, S. L. (2015). A web-based health promotion program for older workers: Randomized controlled trial. Journal of Medical Internet Research, 17(3), e82. doi:10.2196/jmir.3399 

  11. de la Fuente, J., Caballero, F. F., Sanchez-Niubo, A., Panagiotakos, D. B., Prina, A. M., Arndt, H.,...Ayuso-Mateos, J. L. (2018). Determinants of health trajectories in England and the United States: An approach to identify different patterns of healthy aging. The Journals of Gerontology: Series A, 73(11), 1512-1518. doi:10.1093/gerona/gly006 

  12. Geboers, B., Reijneveld, S. A., Jansen, C. J., & de Winter, A. F. (2016). Health literacy is associated with health behaviors and social factors among older adults: Results from the LifeLines cohort study. Journal of Health Communication, 21(sup2), 45-53. 

  13. Haas, S. (2008). Trajectories of functional health: The 'long arm' of childhood health and socioeconomic factors. Social Science & Medicine, 66(4), 849-861. doi:10.1016/j.socscimed.2007.11.004 

  14. Hsu, H. C. (2015). Trajectories of multimorbidity and impacts on successful aging. Experimental Gerontology, 66, 32-38. doi:10.1016/j.exger.2015.04.005 

  15. Hsu, H. C., & Jones, B. L. (2012). Multiple trajectories of successful aging of older and younger cohorts. The Gerontologist, 52(6), 843-856. doi:10.1093/geront/gns005 

  16. Jeon, G. S. (2017). A study on the time effect of depression change and social relationship among the younger elderly. Korean Journal of Gerontological Social Welfare, 72(4), 239-263. doi:10.21194/kjgsw.72.4.201712.239 

  17. Jeon, H. S. (2013). An exploratory study on the predictors of cognitive improvement among older adults: Using Korean Longitudinal Study of Aging(KLoSA). Health and Social Welfare Review, 33(2), 461-488. 

  18. Jeon, H. S. (2017). The trajectory of depressive symptoms among the oldest-old: Focusing on gender difference. Korean Journal of Health Education Promotion, 34(1), 25-34. doi:10/14367/kjhep.2017.34.1.25 

  19. Jung, E. H. (2018). A Longitudinal study of the reciprocal relationship between depression and income in Korean society: Focused on a test of social causation and selection hypothesis. Mental Health & Social Work, 46(2), 150-178. doi:10.24301/MHSW.2018.06.46.2.150 

  20. Jung, T., & Wickrama, K. A. (2008). An introduction to latent class growth analysis and growth mixture modeling. Social and Personality Psychology Compass, 2(1), 302-317. doi:10.1111/j.1751-9004.2007.00054.x 

  21. Kampmeijer, R., Pavlova, M., Tambor, M., Golinowska, S., & Groot, W. (2016). The use of e-health and m-health tools in health promotion and primary prevention among older adults: A systematic literature review. BMC Health Services Research, 16(5), 467-479. doi:10.1186/s12913-016-1522-3 

  22. Kim, C., Kim, M., & Park, C. G. (2019). Heterogeneous trajectories of cognitive function in older adults with diabetes: Findings from the Korean Longitudinal Study of Aging (KLoSA). Stress, 27(1), 1-8. doi:10.17547/kjsr.2019.27.1.1 

  23. Kim, H. A. (2019). Depression change trajectory and predictors among male and female elderly. Korean Journal of Gerontological Social Welfare, 74(1), 91-114. doi:10.21194/kjgsw.74.1.201903.91 

  24. Kim, J. H., Rhee, Y., & Lee, Y. (2018). Longitudinal changes in comorbidity patterns over time in relation to mortality in older Korean adults. Archives of Gerontology and Geriatrics, 79, 63-68. doi:10.1016/j.archger.2018.08.004 

  25. Kim, S. H. (2009). Health literacy and functional health status in Korean older adults. Journal of Clinical Nursing, 18(16), 2337-2343. doi:10.1111/j.1365-2702.2008.02739.x 

  26. Krall, J. R., Carlson, M. C., Fried, L. P., & Xue, Q. L. (2014). Examining the dynamic, bidirectional associations between cognitive and physical functioning in older adults. American Journal of Epidemiology, 180(8), 838-846. doi:10.1093/aje/kwu198 

  27. Lach, H. W., Everard, K. M., Highstein, G., & Brownson, C. A. (2004). Application of the transtheoretical model to health education for older adults. Health Promotion Practice, 5(1), 88-93. doi:10.1177/1524839903257305 

  28. Lee, H., Sohn, M., & Choi, M. (2012). Factors affecting the mental health of the aged in Korea. The Journal of the Korea Contents Association, 12(12), 672-682. doi:10.5392/JKCA.2012.12.12.672 

  29. Lee, H.-J. (2013). Longitudinal changes in depression in older adults: Differences across age groups and risk factors. Korean Journal of Gerontological Social Welfare, 61, 291-318. doi:10.21194/kjgsw..61.201309.291 

  30. Lee, S. (2012). Economic activity participation as a moderator of the relationship between perceived health status and life satisfaction among elderly with chronic illness. Mental Health & Social Work, 40(1), 234-262. 

  31. Lee, S. A., Joo, S., Chai, H. W., & Jun, H. J. (2021). Patterns of multimorbidity trajectories and their correlates among Korean older adults. Age and Ageing, 50, 1336-1341. doi:10.1093/ageing/afab002 

  32. Lorig, K. R., Ritter, P., Stewart, A. L., Sobel, D. S., Brown Jr, B. W., Bandura, A.,...Holman, H. R. (2001). Chronic disease self-management program: 2-year health status and health care utilization outcomes. Medical Care, 39(11), 1217-1223. 

  33. Manzoli, L., Villari, P., Pirone, G. M., & Boccia, A. (2007). Marital status and mortality in the elderly: A systematic review and meta-analysis. Social Science & Medicine, 64(1), 77-94. doi:10.1016/j.socscimed.2006.08.031 

  34. Marengoni, A., Angleman, S., Melis, R., Mangialasche, F., Karp, A., Garmen, A.,...Fratiglioni, L. (2011). Aging with multimorbidity: A systematic review of the literature. Ageing Research Reviews, 10(4), 430-439. doi:10.1016/j.arr.2011.03.003 

  35. Mirowsky, J., Ross, C. E., & Reynolds, J. (2000). Links between social status and health status. In C. E. Birt, P. Conrad & A. M. Fremont (Eds.), Handbook of medical sociology (pp. 47-67). Upper Saddle River, NJ: Prentice-Hall. 

  36. Moreno-Agostino, D., Daskalopoulou, C., Wu, Y. T., Koukounari, A., Haro, J. M., Tyrovolas, S.,...Prina, A. M. (2020). The impact of physical activity on healthy ageing trajectories: Evidence from eight cohort studies. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 1-12. doi:10.1186/s12966-020-00995-8 

  37. Musliner, K. L., Munk-Olsen, T., Eaton, W. W., & Zandi, P. P. (2016). Heterogeneity in long-term trajectories of depressive symptoms: Patterns, predictors and outcomes. Journal of Affective Disorders, 192, 199-211. doi:10.1016/j.jad.2015.12.030 

  38. Muthen, L. K., & Muthen, B. O. (2017). Mplus user's guide (8th ed.). Los Angeles, CA: Muthen & Muthen. 

  39. Nam, I. S., & Yoon, H. S. (2014). Depressive symptom trajectories and associated risks among Korean elderly. Korean Journal of Health Promotion, 14(3), 112-120. doi:10.15384/kjhp.2014.14.3.112 

  40. Nikolova, R., Demers, L., & Beland, F. (2009). Trajectories of cognitive decline and functional status in the frail older adults. Archives of Gerontology and Geriatrics, 48(1), 28-34. doi:10.1016/j.archger.2007.09.007 

  41. OECD. (2018). Working better with age: Korea (Ageing and employment policies). OECD Publishing, Paris. 

  42. OECD. (2021). Pensions at a glance 2021: OECD and G20 indicators, OECD Publishing, Paris. 

  43. Oh, J., Go, H., Kim, S., Chang, K., & Kim, Y. S. (2016). Results from the Korean Longitudinal Study on Health and Aging (KLoSHA). Korean Public Health Research, 42(2), 1-15. doi:10.22900/kphr.2016.42.2.001 

  44. Park, S. (2021). Effects of health on depression of the low-income elderly living alone: Focusing on the mediating effects of loneliness. Journal of Humanities and Social Science, 12(5), 1109. doi:10.22143/HSS21.12.5.78 

  45. Peek, M. K., Howrey, B. T., Ternent, R. S., Ray, L. A., & Ottenbacher, K. J. (2012). Social support, stressors, and frailty among older Mexican American adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 67(6), 755-764. doi:10.1093/geronb/gbs081 

  46. Penninx, B. W., Milaneschi, Y., Lamers, F., & Vogelzangs, N. (2013). Understanding the somatic consequences of depression: Biological mechanisms and the role of depression symptom profile. BMC Medicine, 11(1), 1-14. doi:10.1186/1741-7015-11-129 

  47. Qiao, Y., Liu, S., Zhang, Y., Wu, Y., Shen, Y., & Ke, C. (2021). Bidirectional association between depression and multimorbidity in middle-aged and elderly Chinese adults: A longitudinal cohort study. Aging & Mental Health, 1-7. doi:10.1080/13607863.2021.1877609 

  48. Qiu, P., Zeng, M., Kuang, W., Meng, S. S., Cai, Y., Wang, H., & Wan, Y. (2020). Heterogeneity in the dynamic change of cognitive function among older Chinese people: A growth mixture model. International Journal of Geriatric Psychiatry, 35(10), 1123-1133. doi:10.1002/gps.5334 

  49. Rowe, J. W., & Kahn, R. L. (1997). Successful aging. The Gerontologist, 37(4), 433-440. doi:10.1093/geront/37.4.433 

  50. Saito, J., Kondo, N., Saito, M., Takagi, D., Tani, Y., Haseda, M.,...Kondo, K. (2018). Exploring 2.5-year trajectories of functional decline in older adults by applying a growth mixture model and frequency of outings as a predictor: A 2010-2013 JAGES longitudinal study. Journal of Epidemiology, 29, 65-72. doi:10.2188/jea.JE20170230 

  51. Sink, K. M., Espeland, M. A., Castro, C. M., Church, T., Cohen, R., Dodson, J. A.,...LIFE Study Investigators (2015). Effect of a 24-month physical activity intervention vs health education on cognitive outcomes in sedentary older adults: The life randomized trial. JAMA, 314(8), 781-790. doi:10.1001/jama.2015.9617 

  52. Snowden, M., Steinman, L., Mochan, K., Grodstein, F., Prohaska, T. R., Thurman, D. J.,...Anderson, L. A. (2011). Effect of exercise on cognitive performance in community-dwelling older adults: Review of intervention trials and recommendations for public health practice and research. Journal of the American Geriatrics Society, 59(4), 704-716. doi:10.1111/j.1532-5415.2011.03323.x 

  53. Song, J. (2019). A study on life satisfaction of elderly women with chronic illness. Journal of Korea Entertainment Industry Association, 13(5), 273-280. doi:10.21184/jkeia.2019.7.13.5.263 

  54. Statistics Korea (2019). Old-age dependency ratio. Retrieved from https://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd1430 

  55. Steinmo, S., Hagger-Johnson, G., & Shahab, L. (2014). Bidirectional association between mental health and physical activity in older adults: Whitehall II prospective cohort study. Preventive Medicine, 66, 74-79. doi:10.1016/j.ypmed.2014.06.005 

  56. Stow, D., Matthews, F. E., & Hanratty, B. (2018). Frailty trajectories to identify end of life: A longitudinal population-based study. BMC Medicine, 16(1), 1-7. doi:10.1186/s12916-018-1148-x 

  57. Sutin, A. R., Terracciano, A., Milaneschi, Y., An, Y., Ferrucci, L., & Zonderman, A. B. (2013). The trajectory of depressive symptoms across the adult life span. JAMA Psychiatry, 70(8), 803-811. doi:10.1001/jamapsychiatry.2013.193 

  58. Tse, M. M., Choi, K. C., & Leung, R. S. (2008). E-health for older people: The use of technology in health promotion. Cyber Psychology & Behavior, 11(4), 475-479. doi:10.1089/cpb.2007.0151 

  59. Vetrano, D. L., Grande, G., Marengoni, A., Calderon-Larranaga, A., & Rizzuto, D. (2021). Health trajectories in Swedish centenarians. The Journals of Gerontology: Series A, 76(1), 157-163. doi:10.1093/gerona/glaa152 

  60. Vetrano, D. L., Roso-Llorach, A., Fernandez, S., Guisado-Clavero, M., Violan, C., Onder, G.,...Marengoni, A. (2020). Twelve-year clinical trajectories of multimorbidity in a population of older adults. Nature Communications, 11(1), 1-9. doi:10.1038/s41467-020-16780-x 

  61. Welstead, M., Jenkins, N. D., Russ, T. C., Luciano, M., & Muniz-Terrera, G. (2021). A systematic review of frailty trajectories: Their shape and influencing factors. The Gerontologist, 61(8), e463-e475. doi:10.1093/geront/gnaa061 

  62. Wickrama, K., Mancini, J. A., Kwag, K., & Kwon, J. (2013). Heterogeneity in multidimensional health trajectories of late old years and socioeconomic stratification: A latent trajectory class analysis. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 68(2), 290-297. doi:10.1093/geronb/gbs111 

  63. World Health Organization[WHO] (2004). Health promotion glossary. Retrieved from https://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf 

  64. Wright, T. J., & Hyner, G. C. (2009). Principal barriers to health promotion program participation by older adults. American Journal of Health Studies, 24(1), 215-222. 

  65. Xu, X., Liang, J., Bennett, J. M., Botoseneanu, A., & Allore, H. G. (2015). Socioeconomic stratification and multidimensional health trajectories: Evidence of convergence in later old age. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 70(4), 661-671. doi:10.1093/geronb/gbu095 

  66. Yam, A., Gross, A. L., Prindle, J. J., & Marsiske, M. (2014). Ten-year longitudinal trajectories of older adults' basic and everyday cognitive abilities. Neuropsychology, 28(6), 819-828. doi:10.1037/neu0000096 

  67. Yang, H. K. (2020). Social activities and cognitive functioning of the Korean older adults. The Korean Journal of Health Economics and Policy, 26(4), 73-104. 

  68. Young, J., Lee, Y., Kim, T. H., Lim, S., & Chung, W. (2020). Association between chronic diseases and depression in the Korean elderly: A gender-specific analysis. Health Policy and Management, 30(2), 231-244. 

  69. Zaninotto, P., Batty, G. D., Allerhand, M., & Deary, I. J. (2018). Cognitive function trajectories and their determinants in older people: 8 years of follow-up in the English Longitudinal Study of Ageing. Journal of Epidemiology and Community Health, 72(8), 685-694. doi:10.1136/jech-2017-210116 

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