Journal List > J Korean Acad Nurs > v.39(4) > 1002549

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Hong: Factors influencing Health-related Quality of Life in Korean Medicaid Beneficiaries
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2009; 39(4): 480-489.

Published online: 31 August 2009

DOI: https://doi.org/10.4040/jkan.2009.39.4.480

Factors influencing Health-related Quality of Life in Korean Medicaid Beneficiaries

Sun-Woo Hong

Part-time Lecturer, College of Nursing, Kangwon National University, Chuncheon, Korea.

Address reprint requests to: Hong, Sun-Woo. College of Nursing, Kangwon National University, Hyoja 2-dong, Chuncheon 200-701, Korea. Tel: 82-10-2084-7208, Fax: 82-33-242-8840, swhongks77@freechal.com

Received 27 March 2009       Accepted 13 July 2009

Copyright © 2009 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to identify the factors which influence health-related quality of life (HRQoL) in Korean Medicaid beneficiaries. The relationships among sociodemographic factors, health status, health behavior, and HRQoL were analyzed

Methods

Data from the 2007 survey on Health Services Use and Health Status of Medicaid Beneficiaries conducted by the Ministry for Health Welfare and Family Affairs were examined. To analyze the sample survey data, descriptive statistics, correlation and hierarchical multiple survey regression analysis with SAS 9.1.3 package were used with SURVEYMEANS and SURVEYREG procedures, which incorporate the sample design into the analyses in order to make statistically valid inference for the whole Medicaid population.

Results

The HRQoL correlated with limitations in Activities of Daily Living (ADL) (r=-.509, p<.001), stress (r=-.387, p<.001), depression (r=-.385, p<.001), alcohol consumption (r=.216, p<.001), and exercise (r=.293, p<.001). Significant factors that affect HRQoL of Medicaid beneficiaries were gender, region, limitations in ADL, stress, depression, alcohol consumption, and regular exercise. These variables explained 44.6% of HRQoL (F= 215.00, p<.001).

Conclusion

The results indicate that to improve the HRQoL of Medicaid beneficiaries it is important to develop nursing intervention programs that focus on psychological health and health behavior and to give consideration to differences in gender and region.

Keywords: Medicaid, Health behavior, Quality of life

Figures and Tables

Table 1
General Characteristics of Study Participants (N=3,753)
jkan-39-480-i001

*Numbers are unweighted; †Percentage is weighted.

Table 2
Correlations of Study Variables with Health related Quality of Life (N=3,753)
jkan-39-480-i002

HRQoL=health related quality of life; SRH=self-rated health; PS=physical symptom; PF=physical function; EF=emotional function; SF=social function.

Table 3
Hierarchical Survey Regression Analysis of Variables influencing Health related Quality of Life (N=3,753)
jkan-39-480-i003

*Dummy variables: Gender (male=0, female=1), Region (city=0, rural=1).

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