J Korean Acad Community Health Nurs.  2014 Dec;25(4):237-247. 10.12799/jkachn.2014.25.4.237.

The Relationships between Social Determinants of Health and Health-related Quality of Life among the Community-dwelling Elderly

• Kim J
• Lee H
• Lee CY
• Cho E

• KMID: 2292703
• DOI: http://doi.org/10.12799/jkachn.2014.25.4.237

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.

Keyword

Elderly; Social determinants of health; Quality of life

MeSH Terms

Aged*
Health Behavior
Health Promotion
Humans
Quality of Life*
Social Determinants of Health*
Weights and Measures
Surveys and Questionnaires

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