Noh Jin-Won, Kim Kyoung-Beom, Lee Ju Hyun, Kim Min Hee, Kwon Young Dae
Department of Healthcare Management and Institute of Global Healthcare Research, Eulji University, Republic of Korea.
Department of Health Sciences, University Medical Centre Groningen, University of Groningen, The Netherlands.
J Phys Ther Sci. 2017 Sep;29(9):1483-1489. doi: 10.1589/jpts.29.1483. Epub 2017 Sep 15.
[Purpose] The purpose of the present study was to investigate the relationship of health, sociodemographic, and economic factors and life satisfaction in young-old and old-old elderly groups. [Subjects and Methods] In the 2012 data from the Korean Longitudinal Study of Ageing, 4,134 of the final survey subjects aged 65 or older were analyzed. Multivaribale linear regression was performed to examine the degrees of explanatory power as factors (health, sociodemographic, and economic) in young-old (65 to 79 years) and old-old (80 years or older). [Results] Common variables that affected life satisfaction in both young-old and old-old subjects were health-related factors (depression, moderate to severe cognition, activities of daily living score), sociodemographic factors (level of education, familial communication, social activities), and economic factors (household assets, type of medical insurance). In the old-old group, age was an important associated factor. Mild cognitive impairment did not significantly affect life satisfaction in the old-old group, and only low-intensity social activities had an influence in the old-old group. [Conclusion] Difference in life satisfaction between the young-old and old-old elderly could be explained by gaps in the acceptance of the aging in health. Therefore, a personalized health consultation by life cycle could minimize these differences.
[目的] 本研究旨在调查年轻老年人和高龄老年人健康、社会人口学、经济因素与生活满意度之间的关系。[对象与方法] 分析韩国老龄化纵向研究2012年数据中4134名65岁及以上的最终调查对象。采用多变量线性回归分析,以检验年轻老年人(65至79岁)和高龄老年人(80岁及以上)中健康、社会人口学和经济因素的解释力程度。[结果] 影响年轻老年人和高龄老年人生活满意度的共同变量包括健康相关因素(抑郁、中度至重度认知、日常生活活动评分)、社会人口学因素(教育程度、家庭沟通、社交活动)和经济因素(家庭资产、医疗保险类型)。在高龄老年人组中,年龄是一个重要的相关因素。轻度认知障碍对高龄老年人组的生活满意度无显著影响,且仅低强度社交活动对高龄老年人组有影响。[结论] 年轻老年人和高龄老年人生活满意度的差异可通过健康老龄化接受度的差距来解释。因此,按生命周期进行个性化健康咨询可最大限度减少这些差异。