도시(都市)와 농촌지역(農村地域)의 건강관심도(建康關心度), 건강행위(建康行爲) 및 주관적(主觀的)인 건강인식(建康認識)과의 관련성(關聯性) 연구(硏究)

전선영,권소희,유현주,장두섭,송용선,이기남,Jun Sun-Young,Kwon So-Hui,Yu Hyun-Ju,Jahng Doo-Sub,Song Yung-Sun,Lee Ki-Nam 대한예방한의학회 2002 대한예방한의학회지 Vol.6 No.2

To know the differences between health concern, health behavior, and subjective health cognition in urban and rural area, author used the correlation analysis between variables and wanted to provide basic data for public health service to support appropriate health care, health maintenance, and health promotion in community. Data collection were done in JeonBuk area from September 10 to October 10, 2001, and subjects were above 20 years old adult. 350 and 250 subjects were from urban and rural area by random sampling, respectively. Questionnaire were completed by interview with direct or self-recording type. Research tool was questionnaire with health concern, health behavior, and subjective health cognition, and data collected were analyzed into descriptives, crosstabs, T-test, ANOVA, Pearson correlation coefficient by SPSS 10.0 program. The results were as follows: 1. Health concern was 9.0% for upper group, 39.1% for middle group, 51.9% for lower group in urban area, and 10.1% for upper group, 41.0% for middle group, 48.8% for lower group in rural area. Health concern for middle and lower group was totally high percentage, and rural area had higher health concern than urban area. 2. Health behavior in both urban and rural area was statistically significant(p<0.01). Women who had higher age and with spouse had high degree of health behavior, and urban area had totally high score for health behavior compared to rural area. 3. Subjective health cognition was 71.0% for health, 29.0% for non-health in urban area, and 61.3% for health, 38.7% for non-health in rural area. Percentage of health group was higher in urban area than in rural area. 4. Degree of health behavior by health concern was statistically significant only in rural area. That is to say, the higher health concern had the higher degree of health behavior in rural area. Subjective health cognition by health behavior was totally significant correlation with health behavior in urban and rural area(p〈0.05). That is to say, the higher health behavior in urban and rural area had the higher subjective health cognition. 5. For correlations between 3 variables, there was significant correlation between health behavior and subjective health cognition in urban area (p<0.01). There were correlations between health concern and health behavior, health behavior and subjective health cognition(p<0.05). Considering above results, the higher health behavior had the higher subjective health cognition in urban area. The higher health concern had the higher behavior, and the higher health behavior had the higher subjective health cognition in rural area.

운송업 종사 근로자의 건강가치 인식 및 건강증진 행위와 건강진단 결과와의 관련성

이선주,박정일,임현우,노영만,정치경 大韓産業醫學會 2000 대한직업환경의학회지 Vol.12 No.3

목 적 : 건강진단 결과 건강인과 요관찰자 및 일반질환자를 포함한 비건강인에서 건강가치인식 및 건강증진행위 실천정도를 알아보고, 건강인과 비건강인으로 층화한후 건강가치인식이 높은 군과 낮은 군에서 건강증진행위 실천에 차이가 있는지를 비교함으로써 바람직한 건강증진 프로그램 개발과 적용을 위한 기초자료를 제공하고자 수행되었다. 방 법 : 1998년도 건강진단을 받은 철도운송업 종사 근로자 4,919명중에서 자기기입식 설문에 응답한 건강인 233명, 요관찰자 172명, 일반질환자 160명을 연구대상으로 하였다. 결 과 . 삶의 가치 중 건강을 가장 가치있게 인식하고 있는 근로자가 건강인에서 37.3%, 비건강인에서 36.1%로 두 군간에 차이가 없었다. 건강증진 행위 실천에 있어 비 건강인이 건강인에 비하여 운동영역의 실천정도가 유의하게 낮았으며 대인관계 지지영역은 유의하게 높았다. 그 외의 영양, 스트레스관리, 자아실현 및 건강책임 관련 영역의 실천정도는 건강인과 비건강인 사이에 유의한 차이가 없었다. 건강인에서의 연령 변수를 제외하고 건강인 및 비건강인 모두 일반적 특성에 따른 건강가치 인식도에 차이가 없었다. 건강가치 인식도에 따른 건강증진행위 실천 정도는 건강인의 경우 건강가치 인식이 높은 군이 낮은 군에 비하여 자아실현 및 건강책임 영역의 실천 정도가 유의하게 높았으며, 비건강인의 경우 유의한 차이를 보이는 영역은 없었다. 결 론: 건강가치 인식, 건강증진행위 실천 정도와 건강진단 결과와의 관련성은 매우 낮게 나타나 건강증진 프로그램 개발과 적용에 있어 인식보다는 실천에 촛점을 두어야 될 것으로 판단된다. Objectives : This study was performed to compare health value cognition and health promotion behavior compliance between healthy group and not being healthy group, and to evaluate the difference of health promotion behaviors compliance between high group and low group in health value cognition. Methods . The subjecus of this study were 565 wor17ers, 233 healthy workers, 172 observation cases and 160 disease cases, selected from 4,919 transit coporation's workers. Results : In health promoting behavior compliance, not belng healthy group showed lower level than healthy group in exercise and showed higher level than healthy group in interpersonal support significantly. A worker who replied on "health" as the most value in life was consisted in 37.3% of healthy group and 36.1% of not belng healthy group, Health value cognition according to general characteristics showed no significant difference except only variable of age in healthy group. Health promoting behavior compliance according to cognition of health value showed in healthy group that a high level group of health value cognition was more significant difference than a low level group in self aclualization and health responsibility of health promoting behavior and didn't show difference significantly in not being healthy group. Conclusions : In conclusion, the relationship between health value cognition, health promotion behavior compliance and periodic health examination results showed weakly. Therefore, in order to develop and apply spontaneous health promotion program, it was considered that should emphasize compliance than cognition.

Self-rated health as a predictor of mortality according to cognitive impairment: findings from the Korean Longitudinal Study of Aging (2006-2016)

Goun Park,Wankyo Chung 한국역학회 2021 Epidemiology and Health Vol.43 No.-

OBJECTIVES: Self-rated health is an instrumental variable to assess the overall health status of a population. However, it remains questionable whether it is still useful for cognitively impaired individuals. Therefore, this study aims to analyze whether self-rated health by the cognitively impaired predicts mortality reliably. METHODS: This study used 7,881 community-dwelling individuals, aged 45 and above, from the Korean Longitudinal Study of Aging (2006-2016). It used the Cox proportional hazard models for analysis. Cognitive status was classified based on the Korean Mini Mental State Examination score and a stratified analysis was used to determine whether the predictability of self-rated health varies according to cognitive status. RESULTS: For cognitively intact individuals, the adjusted hazard ratios (aHR) of mortality were 2.00 (95% confidence interval [CI], 1.18 to 3.41, model 4) for those with ‘bad’ self-rated health and 2.40 (95% CI, 1.35 to 4.25, model 4) for those with ‘very bad’ self-rated heath, respectively, compared with those with ‘very good’ health. The results remain statistically significant even after adjusting for socio-demographic factors, health status, and health-related behaviors. For cognitively impaired individuals, the aHR of mortality was statistically significant for those with ‘very bad’ self-rated health, compared with those with ‘very good’ health, when socio-demographic factors were accounted for (aHR, 3.03; 95% CI, 1.11 to 8.28, model 2). CONCLUSIONS: Self-rated health by cognitively impaired individuals remains useful in predicting mortality. It appears to be a valid and reliable health indicator for the rising population with cognitive impairment, especially caused by aging population.

유휴공간에서의 인지건강디자인 적용 사례 분석 연구

김경진 ( Kim Kyungjin ),김주연 ( Kim Jooyun ),장영호 ( Jang Youngho ) 한국공간디자인학회 2020 한국공간디자인학회논문집 Vol.15 No.8

(연구배경 및 목적) 대한민국은 2000년대 이르러 의학기술의 발달로 인하여 기대수명이 늘어나고 급격한 출산율 저하로 인하여 고령화 속도가 빠르게 진행되고 있다. 이렇듯 빠르게 진행되는 고령화 사회에서 고령자의 다양한 문제를 야기 되고 있으며, 그 중 노년기의 여가가 가장 대표적인 문제이며, 이에 따라 건강적인 부분에 대한 관심도 높아지는 것으로 파악 되었다. 특히 인지는 나이에 따라 자연스럽게 정신기능장애로 발전되며, 지속되면 치매까지 이어질 수 있어 인지건강을 위한 모색이 필요하다. 방치되거나 활용이 제대로 이루어지지 못하는 유휴공간에 대한 이슈가 부각되고 있는 요즘 소공원에 한하여 고령화 사회에 대비하여 고령자를 대상으로 인지건강디자인을 적용한 유휴공간 활용 방향성 제시를 목적으로 한다. (연구방법) 본 연구는 유휴공간 내의 공원 중 소공원으로 공간적 범위를 제한하며, 대상지를 이용하는 고령자를 대상으로 하고자 한다. 우선 유휴공간과 인지건강에 대하여 이론 고찰 및 선행연구 조사를 통해 문헌연구를 진행하고, 현황 파악을 위해 인지건강디자인 요소를 적용한 국내 사례 4곳을 대상에 대해 현장조사를 실시하며, 문헌고찰을 통해 도출한 평가척도를 이용하여 분석 및 유휴공간에서의 인지건강 요소 활용 방안에 대해 고찰하고자 한다. (결과) 인지건강디자인을 적용한 유휴공간 사례에 관한 평가 결과 대체적으로 인지적, 신체적, 사회적 부분 중 인지적 측면에서의 이해력 부분이 다소 부족하게 측정되었다. 초 고령화 사회로 다가가는 요즘 새로운 지식과 의학기술의 발달 등 다양한 생활환경 변화로 고령자들은 어려움을 겪고 있다. 이에 따른 생활 대책 마련과 사회적응 문제해결을 위한 폭넓은 접근이 필요하다. (결론) 본 연구에서는 유휴공간에서 고령자를 위한 공간으로 개선된 4개소의 사례를 대상으로 조사, 분석하였고, 공통적으로 인지능력이 저하되는 주민들을 대상으로 인지적, 신체적, 사회적 상호자극을 통해 인지능력을 향상시키고 있다는 점을 발견하였다. 현재 우리나라의 경우 유휴공간의 활용이 아직까지 제대로 이루어지지 않고 있으며, 고령자의 인구가 증가함에 따라 건강 유지에 대한 관심이 높아지고 있어 신체적 건강뿐만 아니라 인지 건강상태를 정확히 파악하는 것이 중요하며, 스스로 건강을 주도적으로 관리할 수 있는 환경을 조성하여 개인의 건강증진 뿐만이 아닌 사회적으로도 건강에 위험이 될 수 있는 환경적 요인의 변화도 필요하다. 이에 유휴공간을 활용하여 다양한 측면에서의 인지건강이 증진되어야 하며, 추가적으로 향후 인지건강디자인 적용에 따른 가이드라인 연구가 이루어지기를 기대해 본다. (Background and Purpose) In the early 2000s, Korea's aging population is rapidly progressing due to the increase in life expectancy due to the development of medical technology and the rapid decline in the birth rate. In this fast-paced aging society, various problems for the elderly are being caused, and leisure in old age is the most representative of them, and thus interest in health is increasing. In particular, recognition naturally occurs due to mental dysfunction according to age, and if serious, it can lead to dementia, so it is necessary to seek cognitive health. As the issue of idle spaces that are neglected or not utilized properly is being highlighted these days, the purpose of the project is to present directions for the use of idle spaces for the elderly in preparation for the aging society. (Method) This study limits the spatial scope of parks in idle spaces to small parks, and aims to target the elderly who use parks. First of all, we will conduct literature research on idle spaces and cognitive health through theoretical and prior research, conduct field surveys on four domestic cases where cognitive health design elements are applied to identify the current status, and consider ways to utilize cognitive health elements in idle spaces and analyze them using evaluation measures derived from literature review. (Results) As a result of the evaluation of idle space cases applied with cognitive health design, generally the cognitive, physical and social aspects were measured somewhat lacking in understanding. These days, the elderly are suffering from various changes in living conditions, including the development of new knowledge and medical technology. As a result, a broad approach is needed to prepare living measures and solve social adaptation problems. (Conclusions) This study investigated and analyzed four cases of improvement from idle space to space for the elderly, and found that the cognitive abilities were improved through emotional, physical and social mutual stimulation of residents with poor cognitive abilities in common. Currently, the use of idle space in Korea has not been properly implemented, and as the population of the elderly increases, it is important to accurately understand not only physical health but also cognitive health conditions, and it is also necessary to change environmental factors that can not only improve individual health but also social health by creating an environment in which one can take the initiative in managing one's own health. Therefore, cognitive health in various aspects should be promoted by utilizing idle space, and additional research on guidelines for the application of cognitive health design is expected in the future.

신체건강지각과 마음건강의 경로모형연구: 자기자비, 자기초점, 자기비난의 매개효과를 중심으로

임윤희 ( Yunhee Yim ),김종두 ( Jongdu Kim ) 사단법인 아시아문화학술원 2019 인문사회 21 Vol.10 No.6

본 연구는 신체건강지각과 마음건강사이에서 자기자비, 자기초점, 자기비난의 경로모형을 검증하였다. 이를 위해 Kaplan, Barell, & Lusky(1998)의 주관적 건강상태를 이론적 토대로 한국성인남녀 568명을 대상으로 하여 신체건강지각, 자기자비, 자기초점, 자기비난, 마음건강척도를 활용하였다. 분석을 위해 SPSS를 위한 Process매크로(Hayes, 2017)를 사용하고 경로모형을 검증에서는 bootstrapping을 이용(Shrout & Bolger, 2002)하였다. 결과로 신체건강지각이 자기초점주의성향을 경유하여 마음건강에 이르는 경로(β= .021, C.I[.009~.040]), 자기비난을 경유하는 경로(β=-.390, C.I[-.468~-.316]),자기자비를 경유하는 경로(β=.159, C.I[.113~.212]), 자기자비와 자기초점주의성향을 경유하는 경로(β=-.096, C.I[-.145~ -.054]), 자기자비와 자기비난을 경유하는 경로(β=.364, C.I[.303~.436])가 유의한 것으로 나타났다. 이는 신체건강지각은 자기자비, 자기초점, 자기비난을 거쳐 마음건강에 이르는 것을 시사한다. The purpose of this study was to investigate the mediating effect of self-compassion and private self-consciousness and self critical cognition on the physical health perception between mental health using a pathway model. The theoretical basis was Kaplan, Barell, & Lusky (1998)’s subjective state of health. Data from 568 of Korean males and females of adult. The survey consisted of physical health perception scale, the mental health and the self-compassion scale, the private self-consciousness scale, self critical cognition scale. The results were analyzed by SPSS process macro (Hayes, 2017) and bootstrapping methods (Shrout & Bolger, 2002). For the research result, this study presented respondents’ descriptive statics in it’s each variable and conducted analysis among physical health perception to mental health through private self-consciousness (β=.021, C.I[.009~.040]) and self critical cognition (β=-.390, C.I[-.468~ -.316]) and self-compassion (β=.159, C.I[.113~.212]) and self-compassion and private self- consciousness (β=-.096, C.I[-.145~-.054]) and self-compassion and self critical cognition (β= .364, C.I[.303~.436]). This study also showed that the path model was appropriate for explaining the physical health perception between mental health and self-compassion and private self-consciousness and self critical cognition.

일 지역 중년여성의 건강행위 이행과 관련요인에 관한 연구

이명숙 성인간호학회 2000 성인간호학회지 Vol.12 No.4

This study was the done to describe health behavior and determine affecting factors in middle aged women. The subjects of this study were 306 middle aged women, living in M city, during the Period from June 28th to August. 31st 1999. The instruments for this study were Health Behavior Assesment tool developed by Kim (1998). Self esteem scale developed by Rosenberg(1965), the Perceived health status scale by Lawston, et at.(1982), the Quality of life by Ro(1988), the attitude toward Climacteric symptom by Ji(1983). The data were analyzed using descriptive statistics, t-test. Pearson correlation coefficients and stepwise multiple regression. The result of this study are as follows; 1.The total mean score for Health behavior was 2.51(range 1-4). The mean scores on the subscale were 2.83 for nutrition. 2.81 for stress management. 2.71 for limitation of liking in the menstrual group, health behavior was 2.64. The mean scores on the subscale were 2.78 for nutrition, 2.85 for stress management, 2.82 for limitation of liking, 2.80 for energy conservation in the menopausal group. 2.The mean scores for cognitive-perceptual variables in the menstrual group were Perception of health status: 2.61, qualify of life: 3.17 self-esteem: 2.59, and attitude for climacteric symptom 3.02. In the menopausal group the scores were perception of health status: 2.41, quality of life 3.10, self-esteem: 2.62, attitude for climacteric symptom: 3.06. 3.Health behavior and self-esteem(r=.269, p=.000: r=.275, p=.742), attitude for climacteric symptom(r=.192, p=.005: r=.545, p=.000) quality of life(r=.385, p=.700: r=195, p=.050) and health behavior were correlated positively, and the Perception of health status and health behavior were correlated negatively(r=.-135. p=.750; r=-.207. p=.740 ) in the menstrual group and menopausal grour. 4.Perception of health status, quality of life, age, self-esteem, job and marital status explained 33.7% of the variance for health behavior in the menstrual group ; self-esteem and education explained 33.1% of the variance for health behavior in the menopausal group. In conclusion, health behavior should be considered when developing nursing strategies for middle-aged women, especially when dealing with perception of health status, quality of life, and self-esteem.

65세 이상 노인의 인지장애 경험 관련 요인 및 건강관리 행태: 2019년 지역사회건강조사를 이용하여

김지온 ( Jion Kim ) 대한보건협회 2021 대한보건연구 Vol.47 No.4

연구목적 : 본 연구의 목적은 65세 이상 노인 중 인지장애를 경험한 노인들을 대상으로 인구사회학적 및 건강관련 요인을 파악하고, 건강관리 행태를 분석하기 위한 것이다. 연구방법 : 본 연구는 2019년 지역사회건강조사 자료의 65세 이상 노인 74,231명을 대상으로 정상군, 일상생활가능 인지장애 경험군, 일상생활장애 인지장애 경험군으로 분류하여, 인구사회학적 특성 및 건강상태, 건강관리 행태별 차이를 분석하고, 인지장애 관련 요인을 파악하기 위하여 다항 로지스틱 회귀분석을 실시하였다. 연구결과 : 일상생활장애 인지장애 경험에 관련된 요인으로 여성(OR=1.12), 나이가 많을수록(OR=1.07), 동지역 거주(OR=1.04), 주관적 건강수준이 나쁜 경우(OR=3.20), 우울 증상이 있는 경우(OR=3.13), 스트레스가 있는 경우(OR=1.42)에 경험이 높은 것으로 나타났으며(p<.01), 고등교육(OR=0.81), 가구균등화소득 5분위(OR=0.91), 경제활동자(OR=0.73), 유배우자(OR=0.78), 독거자(OR=0.83), 삶의 만족도 지수가 높을수록(OR=0.84) 경험이 낮은 것으로 나타났다((p<.01). 인지장애 경험자의 건강관련 삶의 질(EQ-5D) 및 건강상태, 건강관리 행태는 정상군보다 나쁜 것으로 나타났다(p<.01). 결론 : 여성, 높은 연령, 낮은 교육수준과 소득수준, 낮은 주관적 건강수준과 삶의 만족도, 우울증상과 스트레스가 있는 인지장애 경험자에 대한 건강증진 프로그램 등의 정책적 지원이 요구된다. Purpose : This study aimed to identify demographic and health-related factors and analyze the health care behaviors of elders aged 65 years or older who have experienced cognitive impairment. Methods : This study classified 74,231 elders aged 65 years or older from the 2019 Community Health Survey into normal group, cognitive impairment experience group capable of performing daily living, and cognitive impairment experience group with poor daily life performance. Multinomial logistic regression analysis was performed to analyze the differences between demographic characteristics, health status, and health care behavior, and to identify factors related to the experience of cognitive impairment. Results : Factors related to the experience of cognitive impairment with poor daily life performance showed increasing experience(p<.01) with women(OR=1.12), increasing age(OR=1.07), urban residence(OR=1.04), poor subjective health level(OR=3.20), depressive symptoms(OR=3.13), and stress(OR=1.42). The experience decreased(p<.01) with higher education(OR=0.81), fifth quintile of equivalized household income (OR=0.91), economic activity(OR=0.73), spouse(OR=0.78), living alone(OR=0.83), and high life satisfaction index(OR=0.84). The health-related quality of life(EQ-5D), health status, and health care behavior of those who experienced cognitive impairment were worse than those of the normal group(p<.01). Conclusions : Policy support is needed, such as health promotion programs for women, the elderly, low education, low-income levels, poor subjective health and life satisfaction, and those who experience depressive symptoms and stressful cognitive impairment.

부산지역 초등학교 6학년 아동들의 건강증진행위에 영향을 주는 요인

유춘애,이종태 대한보건협회 2002 대한보건연구 Vol.28 No.1

The purpose of this study was to examine the factors related health promoting behaviors of elementary school students and to provide fundamental data for the elementary school health education of health promotion. A self-administered questionnaire survey was carried out of 1,059 students of 5 elementary schools selected out of them located in Seo-gu, Jung-gu, Saha-gu and Youngdo-gu in Busan from November 8, 2000 to February 20, 2001. The questionnaire was consisted of 86 questions, including of modifying factors, cognitive-perceptual factors(perceived health status, awareness of the importance of health, self-esteem, health locus of control) and health promoting behaviors, and was based on Pender's Health Promotion Model. By univariate analysis, the health promoting behaviors were practiced pretty well, and the behaviors of individual hygiene and mental health were practiced better but those of healthy dietary patterns, preventing accident and doing exercise were mostly worse, so these needed improving. The modifying factors related health promoting behaviors were economic status, parents' school degree, parents' interest in children's health, interpersonal influences(closed friends, respectable teachers and family cohesion). The cognitive-perceptual factor related health promoting behaviors was perceived health status. By stepwise multiple regression, significant factors affecting health promoting behaviors were the perceived health status, self-esteem, health locus of control, interpersonal influences, economic status, and parents' interest in children's health. In order to achieve health promotion of elementary school students, the plan of health education should be made on the purpose of improving perceived health status and self-esteem, and in order to be systematical and effective health education, nurse-teachers, homeroom teachers and parents should make constructive efforts and participation, so especially it's very important to develope curricula and to train nurse-teachers.

노인의 다차원적 건강과 사회경제적 계층화에 대한 연구

권현정,공정원,오혜은 인문사회 21 2022 인문사회 21 Vol.13 No.1

Multidimensional Health and Social Stratification in Later Old AgeHyunjung Kwon, Jungwon Kong, & Heaeun Oh Abstract: The purpose of this study is to examine the impact of the socioeconomic status of the elderly on multidimensional health. The study pointed that an existing single health indicator in later old age is insufficient and modeled as a multidimensional health perspective. The data is from 7th KLoSA (2018). Zero-inflated poisson regression, OLS, and multinomial logistic regression were used. In the result, first, the study showed that the distinct multidimensional health Types were observed at 30.32% (1 domain), 14.91% (2 or more domains), and 54.77% (none) in physical, emotional, and cognitive functions. Second, the elderly with lower education and poor assets were related to the serious health deterioration in their health(significantly declined Type 7 was a gap of 6.43 times between SES group 1 and group 4). Third, the conjoint Type of physical health (ADL/IADL) and mental health (depression) was not related to education level. The findings suggest the intervention strategies for poor health of later old age in lower socioeconomic groups. Key Words: Multidimensional Health, Social Stratification, Physical, Cognitive, Mental Health 노인의 다차원적 건강과 사회경제적 계층화에 대한 연구권 현 정**ㆍ공 정 원***ㆍ오 혜 은**** 요약: 본 연구의 목적은 노인의 사회경제적 지위가 다차원적 건강에 미치는 영향력을 규명하는데 있다. 본 연구는 기존의 노년기 단일건강지표의 한계점을 지적하고 다차원적 건강유형으로 고려하였다. 분석자료는 2018년 7차 고령화연구패널조사(KLoSA)이며 분석은 영과잉포아송회귀, OLS, 다항로짓을 활용하였다. 분석 결과, 첫째, 노년기 다차원적 건강은 신체적, 정서적, 인지적 기능에서 30.32%(1영역), 14.91%(2영역 이상), 54.77%(문제없음)로 특정 유형이 관측되었다. 둘째, 사회경제적 지위집단에 따른 다차원적 건강의 차이가 확인되었다(심각한 감퇴 7유형은 SES 집단1과 집단 4간의 6.43배 격차). 셋째, 신체・정서유형은 사회경제적 지위(학력, 자산)와 관련성이 나타나지 않았다. 본 결과는 사회경제적 지위집단 낮은 노인에서 나타난 빈약한 다차원적 건강에 대한 개입전략이 중요함을 보여 준다. 핵심어: 다차원적 건강, 사회계층화, 신체적, 인지적, 정신적 건강 □ 접수일: 2022년 1월 31일, 2022년 2월 12일, 게재확정일: 2022년 2월 20일* 이 논문은 2018년 대한민국 교육부와 한국연구재단의 지원을 받아 수행된 연구임(NRF-2018S1A5A8030967). ** 주저자, 영산대학교 사회복지학과 조교수(First Author, Professor, Youngsan Univ., Email: hjkwon@ysu.ac.kr)*** 공동저자, 성균관대학교 사회복지연구소 연구원(Co-author, Researcher, Sungkyunkwan Univ., Email: fraukong@skku.edu.)**** 교신저자, 성균관대학교 사회복지연구소 연구원(Corresponding Author, Researcher, Sungkyunkwan Univ., Email: heaeun75@skku.edu)

Relationships between Depression, Oral Dryness, and Oral Health-Related Quality of Life among Elderly in Korea

문소정,박수경,허지은,Da-Yee Jeung,정원균,Ma-I Choi,Hyun-Sun Jeon 한국치위생과학회 2019 치위생과학회지 Vol.19 No.4

Background: This study aimed to analyze correlations between depression, cognitive function, oral health state, ability to perform activities of daily living, oral dryness symptoms, and oral health-related quality of life, and determine factors influencing the latter. Methods: This was a cross-sectional study based on questionnaires completed by 260 participants with suspected dementia, residing in South Korea. Psychiatrists, psychiatric nurses, and dental hygienists visited clinics in the participating regions for examination and questionnaire administration. General characteristics, the geriatric depression scale, ability to perform activities of daily living, cognitive function, oral health state, and oral health-related quality of life were analyzed. Independent t-tests, one-way analysis of variance (ANOVA), correlation analysis and multiple regression analysis were conducted, identifying factors affecting oral health-related quality of life. Data analysis was performed using SPSS ver. 20.0 (IBM Corp., USA), and the significance was set at p<0.05. Results: Approximately 65.0% of participants were female, 63.5% were in their 70s, and 90.0% had health insurance. About 21.5%, 42.0%, and 36.5% were normal, slightly impaired, and had dementia, respectively. High cognitive impairment was associated with poor oral health. Sex, education levels, marital status, and living arrangements influenced oral health-related quality of life. According to the regression analysis, geriatric depression and oral dryness affected the Geriatric Oral Health Assessment Index scores. Conclusion: In conclusion, oral dryness and depression levels among elders influenced oral health-related quality of life. The results showed that to enhance elders’ oral health-related quality of life, it is essential to not only improve their oral health state, but also relieve oral health problems, especially oral dryness, and take into consideration their psychological aspects.