Factors Associated with Self-Rated Health Among Korean Elderly

Overview

Journal Iran J Public Health

Date 2023 Apr 24

PMID 37089149

Authors

Jeehye Jun

Dahye Park

Affiliations

Soon will be listed here.

Abstract

Background: South Korea has the fastest growing aging population in the world, and the Korean older adult population has been reported to have poor self-rated health (SRH). This cross-sectional descriptive survey aimed to examine the SRH and associated factors among the Korean older adult population using the 2019 Korea National Health and Nutrition Examination Survey (KNHANES) data.

Methods: The differences in SRH according to socioeconomic, health-related, and mental health-related factors and their relationships were analyzed using chi-square tests and logistic regression, using data from 1,521 older adults in Korea from the 8 KNHANES.

Results: Self-rated health was higher among older adults with a high family income (odds ratio [OR]=1.58, 95% CI: 1.05-2.36), those who finished elementary school or lower as opposed to those with a middle school diploma (OR=0.52, 95% CI:0.29-0.95), those with a low body mass index (BMI) compared to those with a higher BMI (OR=0.43, 95% CI: 0.21-0.88), those with no unmet health needs (OR=2.00, 95% CI: 1.31-3.06), those with better diet-related circumstances (OR=1.98, 95% CI: 1.15-3.39), those with lower stress (OR=1.77, 95% CI: 1.28-2.44), those with no suicidal ideation (OR=2.92, 95% CI: 1.75-4.87), and those without a history of psychiatric counseling (OR=2.10, 95% CI: 1.02-4.34).

Conclusion: The findings highlight the importance of health behaviors in promoting SRH among older adults in Korea, and emphasize the need for developing and implementing educational programs that reflect these findings.

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References

Ishizaki T, Kai I, Imanaka Y . Self-rated health and social role as predictors for 6-year total mortality among a non-disabled older Japanese population. Arch Gerontol Geriatr. 2005; 42(1):91-9. DOI: 10.1016/j.archger.2005.05.002. View

Molarius A, Janson S . Self-rated health, chronic diseases, and symptoms among middle-aged and elderly men and women. J Clin Epidemiol. 2002; 55(4):364-70. DOI: 10.1016/s0895-4356(01)00491-7. View

Mendoza-Romero D, Urbina A, Cristancho-Montenegro A, Rombaldi A . Impact of smoking and physical inactivity on self-rated health in women in Colombia. Prev Med Rep. 2019; 16:100976. PMC: 6713817. DOI: 10.1016/j.pmedr.2019.100976. View

Idler E, Benyamini Y . Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997; 38(1):21-37. View

Demakakos P, Nazroo J, Breeze E, Marmot M . Socioeconomic status and health: the role of subjective social status. Soc Sci Med. 2008; 67(2):330-40. PMC: 2547480. DOI: 10.1016/j.socscimed.2008.03.038. View

Otiniano M, Du X, Ottenbacher K, Markides K . The effect of diabetes combined with stroke on disability, self-rated health, and mortality in older Mexican Americans: results from the Hispanic EPESE. Arch Phys Med Rehabil. 2003; 84(5):725-30. DOI: 10.1016/s0003-9993(02)04941-9. View

Kim M, Chung W, Lim S, Yoon S, Lee J, Kim E . [Socioeconomic inequity in self-rated health status and contribution of health behavioral factors in Korea]. J Prev Med Public Health. 2010; 43(1):50-61. DOI: 10.3961/jpmph.2010.43.1.50. View

Hoebel J, Rommel A, Schroder S, Fuchs J, Nowossadeck E, Lampert T . Socioeconomic Inequalities in Health and Perceived Unmet Needs for Healthcare among the Elderly in Germany. Int J Environ Res Public Health. 2017; 14(10). PMC: 5664628. DOI: 10.3390/ijerph14101127. View

Kennedy J, Minkler M . Disability theory and public policy: implications for critical gerontology. Int J Health Serv. 1998; 28(4):757-76. DOI: 10.2190/3C1X-TQAE-7UDM-2NWQ. View

10.

Cislaghi B, Cislaghi C . Self-rated health as a valid indicator for health-equity analyses: evidence from the Italian health interview survey. BMC Public Health. 2019; 19(1):533. PMC: 6509759. DOI: 10.1186/s12889-019-6839-5. View

11.

Xiao Q, Keadle S, Hollenbeck A, Matthews C . Sleep duration and total and cause-specific mortality in a large US cohort: interrelationships with physical activity, sedentary behavior, and body mass index. Am J Epidemiol. 2014; 180(10):997-1006. PMC: 4224361. DOI: 10.1093/aje/kwu222. View

12.

Jerkovic O, Sauliune S, Sumskas L, Birt C, Kersnik J . Determinants of self-rated health in elderly populations in urban areas in Slovenia, Lithuania and UK: findings of the EURO-URHIS 2 survey. Eur J Public Health. 2015; 27(suppl_2):74-79. DOI: 10.1093/eurpub/ckv097. View

13.

Pitkala K, Laakkonen M, Strandberg T, Tilvis R . Positive life orientation as a predictor of 10-year outcome in an aged population. J Clin Epidemiol. 2004; 57(4):409-14. DOI: 10.1016/j.jclinepi.2003.07.013. View

14.

Conry M, Morgan K, Curry P, McGee H, Harrington J, Ward M . The clustering of health behaviours in Ireland and their relationship with mental health, self-rated health and quality of life. BMC Public Health. 2011; 11:692. PMC: 3187756. DOI: 10.1186/1471-2458-11-692. View

15.

Darviri C, Artemiadis A, Tigani X, Alexopoulos E . Lifestyle and self-rated health: a cross-sectional study of 3,601 citizens of Athens, Greece. BMC Public Health. 2011; 11:619. PMC: 3161893. DOI: 10.1186/1471-2458-11-619. View

16.

Lachytova M, Katreniakova Z, Mikula P, Jendrichovsky M, Nagyova I . Associations between self-rated health, mental health problems and physical inactivity among urban adolescents. Eur J Public Health. 2017; 27(6):984-989. DOI: 10.1093/eurpub/ckx051. View