The Relationships between Social Determinants of Health and Health-related Quality of Life among the Community-dwelling Elderly.
10.12799/jkachn.2014.25.4.237
- Author:
Junghee KIM
1
;
Hyeonkyeong LEE
;
Chung Yul LEE
;
Eunhee CHO
Author Information
1. College of Nursing, Yonsei University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Elderly;
Social determinants of health;
Quality of life
- MeSH:
Aged*;
Health Behavior;
Health Promotion;
Humans;
Quality of Life*;
Social Determinants of Health*;
Weights and Measures;
Surveys and Questionnaires
- From:Journal of Korean Academy of Community Health Nursing
2014;25(4):237-247
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
