Department of Nursing, Daejeon University, Daejeon 34520, Korea.
Department of Nursing, Korea National University of Transportation, Chungbuk 27909, Korea.
Int J Environ Res Public Health. 2020 Jan 31;17(3):888. doi: 10.3390/ijerph17030888.
This study aimed to determine whether there are differences in the factors affecting the quality of life (QOL) of elderly women in South Korea according to their perceived economic status. Data were extracted from the Seventh Korea National Health and Nutrition Examination Survey conducted in 2016. The participants were 879 women over the age of 65 years, who were divided into three groups: high, medium, and low based on their perceived economic status. The study variables were classified into three categories: general characteristics, physical factors, and psychological factors. General characteristics included age, education level, employment, activity restriction, frequency of breakfast/week, frequency of lunch/week, and frequency of dinner/week. Physical factors included disease status, weight change, consumption of alcohol, number of days of walking per week, duration of walking at a time, body mass index (BMI), and discomfort due to changes in hearing. Psychological factors included stress, subjective body awareness, subjective health status, depressive symptoms, and QOL. Complex sample crosstabs and chi-square tests were conducted, and regression was performed to examine the association between the variables by economic status. The factors that influenced the QOL of elderly women with low economic status were arthritis, alcohol consumption, subjective health status, and depressive symptoms, with an explanatory power of 54.3% (F = 14.94, < 0.001). The factors that influenced the QOL of the medium economic status group were activity restriction, frequency of dinner/week, arthritis, number of days of walking per week, BMI, stress, subjective health status, and depressive symptoms, with an explanatory power of 48.6% (F = 9.82, < 0.001). For the high economic status group, influential factors were age, restricted activity, arthritis, number of days of walking per week, stress, and depressive symptoms with an explanatory power of 49.0% (F = 69.76, < 0.001). This study identified different factors that contributed to the QOL of elderly women by economic status.
本研究旨在确定韩国老年女性的经济感知状况是否会对其生活质量(QOL)产生影响。数据来自 2016 年进行的第七次韩国国家健康与营养调查。参与者为 879 名年龄在 65 岁以上的女性,根据其经济感知状况将其分为高、中、低三组。研究变量分为三类:一般特征、身体因素和心理因素。一般特征包括年龄、教育水平、就业、活动受限、每周早餐/周、每周午餐/周和每周晚餐/周的频率。身体因素包括疾病状况、体重变化、饮酒量、每周散步天数、一次散步时间、体重指数(BMI)和因听力变化而引起的不适。心理因素包括压力、主观身体意识、主观健康状况、抑郁症状和 QOL。通过经济状况进行复杂样本交叉表和卡方检验,并进行回归分析以检验变量之间的关联。经济状况较差的老年女性的 QOL 受到关节炎、饮酒、主观健康状况和抑郁症状的影响,解释力为 54.3%(F=14.94,<0.001)。中等经济状况组的 QOL 受到活动受限、每周晚餐/周、关节炎、每周散步天数、BMI、压力、主观健康状况和抑郁症状的影响,解释力为 48.6%(F=9.82,<0.001)。对于高经济状况组,有影响力的因素是年龄、活动受限、关节炎、每周散步天数、压力和抑郁症状,解释力为 49.0%(F=69.76,<0.001)。本研究确定了不同经济状况对老年女性 QOL 产生影响的因素。