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김정희 ( Kim Jung-Hee ) - 연세대학교 간호대학
이현경 ( Lee Hyeon-Kyeong ) - 연세대학교 간호대학 간호정책연구소
이정렬 ( Lee Chung-Yul ) - 연세대학교 간호대학 간호정책연구소
조은희 ( Cho Eun-Hee ) - 연세대학교 간호대학 간호정책연구소
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Abstract
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Purpose: The purpose of this study was to examine the social determinants of health (SDH) associated with
health-related quality of life (HQOL) among the community-dwelling elderly, based on the conceptual framework
of the Commission on Social Determinants of Health (CSDH).
Methods: A survey was conducted with 199 elders aged 65 years or older sampled through convenient sampling. Data were collected through face to face interviews by trained interviewers using a structured questionnaire, which included scales of the residential area, social support, sense of community, social network, health behaviors, and HQOL. Data were analyzed by ANOVA and stepwise multivariate regression.
Results: Major SDH affecting HQOL included the participants’ residential area, sense of community, and health behavior. The HQOL of the elderly residing in the B area with a low rate of basic livelihood security recipients was higher than that of those residing in other areas.
Conclusion: CSDH framework was useful to determine the factors associated with HQOL among the community-dwelling elderly. In addition to their health behavior, their sense of community was found to be a SDH of HQOL, indicating the need of health promotion programs tailored to the characteristics of residential areas and strategies to enhance involvement in community activities.
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KeyWords
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노인, 사회적 건강결정인자, 건강 관련 삶의 질
Elderly, Social determinants of health, Quality of life
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원문 및 링크아웃 정보
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등재저널 정보
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