Korean J Women Health Nurs.  2022 Sep;28(3):187-196. 10.4069/kjwhn.2022.06.17.

Factors associated with levels of health-related quality of life in elderly women: secondary data analysis of the Korea National Health and Nutrition Examination Survey 2019

Affiliations
  • 1Design Hospital

Abstract

Purpose
The purpose of this study was to investigate factors related to the levels of health-related quality of life (HRQoL) in elderly women based on Wilson and Cleary’s HRQoL model. Methods: This study analyzed data from the eighth Korea National Health and Nutrition Examination Survey 2019 on 868 women over the age of 65 years. Based on the HRQoL model, parameters were categorized as personal, environmental, and physiological characteristics; symptom status; functional status; and perception of health status. The data were analyzed by quantile regression. Results: The overall level of HRQoL was 0.87. Factors related to HRQoL in the 10% quantile were higher education level, higher economic status, economic activity, more walking days, fewer diseases, lower stress, less activity limitation, and higher perceived health status. Factors related to the 25% quantile of HRQoL were more walking days, fewer diseases, less activity limitation, and higher perceived health status. Factors related to the 50% quantile were age, economic activity, more walking days, fewer disease, lower stress, less activity limitation, and higher perceived health status. Factors related to the 75% quantile of HRQoL were smoking, more walking days, fewer diseases, lower stress, less activity limitation, and higher perceived health status. Conclusion: While differing parameters were identified according to the level of HRQoL of elderly women in Korea, there were five common factors. Interventions that focus on increasing walking, mitigating diseases, stress, and activity limitations, and improving perceived health status can improve HRQoL.

Keyword

Aged; Health status; Quality of life; Women

Figure

  • Figure 1. Flow chart of the study.KNHANES: Korea National Health and Nutrition Examination Survey; HRQoL: health-related quality of life.


Reference

References

1. Statistics Korea. Population projections for Korea [Internet]. Daejeon: Statistics Korea; 2021 [cited 2022 Feb 14]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA003&vw_cd=MT_ZTITLE&list_id=A41_10&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_ path=MT_ZTITLE.
2. Statistics Korea. Life expectancy at birth and disability adjusted life expectancy [Internet]. Daejeon: Statistics Korea; 2021 [cited 2022 Feb 14]. Available from: https://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2758.
3. Li PS, Hsieh CJ, Miao NF. A study of physical activity, frailty, and health-related quality of life among community-dwelling older adults in Taiwan. J Nurs Res. 2020; 28(6):e124. https://doi.org/10.1097/JNR.0000000000000402.
Article
4. Kim YB, Lee SH. Effects of the elderly’s health statuses, health behavior, and social relations on their health-related quality of life: focusing on family types. J Korean Acad Community Health Nurs. 2018; 29(3):310–321. https://doi.org/10.12799/jkachn.2018.29.3.310.
Article
5. Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA. 1995; 273(1):59–65. https://pubmed.ncbi.nlm.nih.gov/7996652/.
Article
6. Phyo AZ, Ryan J, Gonzalez-Chica DA, Woods RL, Reid CM, Nelson MR, et al. Health-related quality of life and all-cause mortality among older healthy individuals in Australia and the United States: a prospective cohort study. Qual Life Res. 2021; 30(4):1037–1048. https://doi.org/10.1007/s11136-020-02723-y.
Article
7. Cho EH, Sung KW. Comparative study on depressive symptoms, marital intimacy and health-related quality of life according to the severity of menopausal symptoms. Global Health Nurs. 2019; 9(1):1–9. https://doi.org/10.35144/ghn.2019.9.1.1.
Article
8. Hajian-Tilaki K, Heidari B, Hajian-Tilaki A. Are gender differences in health-related quality of life attributable to sociodemographic characteristics and chronic disease conditions in elderly people? Int J Prev Med. 2017; 8:95. https://doi.org/10.4103/ijpvm.IJPVM_197_16.
Article
9. Park MJ, Choi SE. The effects of health behavior and health status on health-related quality of life in older people: gender analysis by using the 2012 Korea Health Panel Data. J Korean Acad Community Health Nurs. 2017; 28(2):118–128. https://doi.org/10.12799/jkachn.2017.28.2.118.
Article
10. Lee HK, Chang CG. The relations of health-related quality of life, mental health, and suicidal ideation among Korean elderly. Korean Public Health Res. 2012; 38(1):69–79. https://doi.org/10.22900/kphr.2012.38.1.007.
Article
11. Kim KH, Lee SK, Youn HJ, Kwon GH. The effects of social capital of old-old elderly of more than 70-year-old on their health-related quality of life. J Korea Acad-Ind Coop Soc. 2015; 16(6):3889–3901. https://doi.org/10.5762/kais.2015.16.6.3889.
Article
12. Kim JH, Park J. The effect of social capital on health-related quality of life: using the data of the 2019 Community Health Survey. J Agric Med Community Health. 2021; 46(4):280–294. https://doi.org/10.5393/JAMCH.2021.46.4.280.
Article
13. An JS, Choi HY. Trend of influencing factors on health-related quality of life in Korean elderly. J Korean Public Health Nurs. 2018; 32(2):275–287. https://doi.org/10.5932/JKPHN.2018.32.2.275.
Article
14. Zhang X, Tan SS, Franse CB, Alhambra-Borrás T, Durá-Ferrandis E, Bilajac L, et al. Association between physical, psychological and social frailty and health-related quality of life among older people. Eur J Public Health. 2019; 29(5):936–942. https://doi.org/10.1093/eurpub/ckz099.
Article
15. Koeser L, McCrone P. On the use and interpretation of quantile regression in quality-of-life research. Pharmacoeconomics. 2014; 32(2):225–227. https://doi.org/10.1007/s40273-013-0105-y.
Article
16. Petscher Y, Logan JA. Quantile regression in the study of developmental sciences. Child Dev. 2014; 85(3):861–881. https://doi.org/10.1111/cdev.12190.
Article
17. Korea Disease Control and Prevention Agency (KDCA). Korea National Health and Nutrition Examination Survey [Internet]. Cheongju: KDCA; 2022 [cited 2022 Feb 22]. Available from: https://knhanes.kdca.go.kr.
18. Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS, et al. South Korean time trade-off values for EQ-5D health states: modeling with observed values for 101 health states. Value Health. 2009; 12(8):1187–1193. https://doi.org/10.1111/j.1524-4733.2009.00579.x.
Article
19. Lee SI. Validity and reliability evaluation for EQ-5D in Korea. Cheongju: Korea Disease Control and Prevention Agency;2011.
20. Lee YK. Health and care of older adults in Korea. Health Welf Policy Forum. 2018; 264:19–30.
21. Yeun EJ, Kwon YM, Lee YM. Comparison of influencing factors for self-rated health between middle aged and elderly. J Korea Contents Assoc. 2016; 16(2):200–210. https://doi.org/10.5392/JKCA.2016.16.02.200.
Article
22. Bae YH, Kim HN. Gender differences in factors affecting subjective health state among Korean elderly: analysis of 2012 and 2013 Korean National Health and Nutrition Examination Survey. J Korean Soc Integr Med. 2015; 3(4):79–90. https://doi.org/10.15268/ksim.2015.3.4.079.
Article
23. Kang IW, Cho WJ. The influence on mental health status and health-related quality of life in middle-aged women by the regular walking exercise by based on the Korea National Health and Nutrition Examination Survey (KNHANES Ⅵ). J Korean Soc Wellness. 2016; 11(1):207–215. https://doi.org/10.21097/ksw.2016.02.11.1.207.
Article
24. Kim CO. Co-occurrence of chronic diseases and geriatric syndromes. Korean J Clin Geri. 2018; 19(1):23–26. https://doi.org/10.15656/kjcg.2018.19.1.23.
Article
25. Heo WG. Life satisfaction development trajectory and health characteristics factor of the elderly. Soc Welf Policy. 2017; 44(2):297–318. https://doi.org/10.15855/swp.2017.44.2.297.
Article
26. Kim S, Lee I. Comparison of factors influencing health-related quality of life between young-aged and old-aged patients with cancer: analysis of the 2015 Korea Health. J Korean Acad Soc Home Health Care Nurs. 2020; 27(2):156–168. https://doi.org/10.22705/jkashcn.2020.27.2.156.
Article
27. Gim HG. The effects of the stress of elderly people living alone in urban areas on the quality of life: with a focus on the mediating effect of social support. J Korea Acad-Ind Coop Soc. 2017; 18(12):443–451. https://doi.org/10.5762/KAIS.2017.18.12.443.
Article
28. Kim BG. The effect of stress on depression of the elderly: focusing on the moderating effect of social support and mediating effect of sense of self-respect. J Korea Contents Assoc. 2019; 19(6):281–291. https://doi.org/10.5392/JKCA.2019.19.06.281.
Article
29. Monma T, Takeda F, Noguchi H, Tamiya N. Age and sex differences of risk factors of activity limitations in Japanese older adults. Geriatr Gerontol Int. 2016; 16(6):670–678. https://doi.org/10.1111/ggi.12533.
Article
30. Ha YJ, Kwon SJ, Kwak YH. Association between self-rated health and health behaviors among Korean older adults by gender: the 7th Korea National Health and Nutrition Examination Survey. J Korean Soc Wellness. 2021; 16(1):246–252. https://doi.org/10.21097/ksw.2021.02.16.1.246.
Article
Full Text Links
  • KJWHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr