物理环境对韩国低收入老年人群健康相关生活质量的影响。
Effect of the Physical Environment on the Health-related Quality of Life of the Low-income Korean Elderly Population.
作者信息
Lee Seonhye, Cheong Chang Heon
机构信息
Dept. of Nursing, Gyeongnam National University of Science and Technology, 33, Dongjin-ro, Jinju-si, Gyeongsangnam-do, 52725, Republic of Korea.
Dept. of Architectural Engineering, Gyeongnam National University of Science and Technology, 33, Dongjin-ro, Jinju-si, Gyeongsangnam-do, 52725, Republic of Korea.
出版信息
Iran J Public Health. 2018 Dec;47(12):1865-1873.
BACKGROUND
The increasing number of elderly citizens due to changes in the social structure is of national interest. This study aimed to provide basic data for devising policies to promote the quality of life of elderly National Basic Livelihood Security System (NBLSS) beneficiaries in South Korea by identifying the effects of their general characteristics and physical environment on their health-related quality of life (HRQoL).
METHODS
Using the 2013 Korean Community Health Survey (KCHS) raw data, we analyzed 3537 NBLSS beneficiaries aged 65 yr and older. HRQoL was measured using the Euro QoL five-dimension questionnaire (EQ-5D). Hierarchical multiple regression analyses were used to predict the EQ-5D scores.
RESULTS
The explanatory power for HRQoL increased to 21.4% when the general characteristics and physical environment were included. HRQoL showed statistically significant differences in the environmental variable, level of safety (=0.001), natural environment (=0.001), living environment (=0.001), traffic condition (<0.001), and access to health services (<0.001). Physical environment positively correlated with HRQoL(r=.119, <0.001), thus confirming its influence (ß=.092, <0.001).
CONCLUSION
We should strive to manage the physical environment to improve the quality of life of elderly NBLSS beneficiaries.
背景
由于社会结构变化导致老年公民数量增加，这受到国家关注。本研究旨在通过确定老年国家基本生活保障制度（NBLSS）受益者的一般特征和物理环境对其健康相关生活质量（HRQoL）的影响，为制定提高韩国老年NBLSS受益者生活质量的政策提供基础数据。
方法
使用2013年韩国社区健康调查（KCHS）原始数据，我们分析了3537名65岁及以上的NBLSS受益者。使用欧洲五维健康量表（EQ-5D）测量HRQoL。采用分层多元回归分析来预测EQ-5D得分。
结果
当纳入一般特征和物理环境时，对HRQoL的解释力提高到21.4%。HRQoL在环境变量、安全水平（=0.001）、自然环境（=0.001）、生活环境（=0.001）、交通状况（<0.001）和获得医疗服务（<0.001）方面显示出统计学上的显著差异。物理环境与HRQoL呈正相关（r = 0.119，<0.001），从而证实了其影响（β = 0.092，<0.001）。
结论
我们应努力管理物理环境，以提高老年NBLSS受益者的生活质量。
Zotero 插件