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

Junghee Kim; Hyeonkyeong Lee; Chung Yul Lee; Eunhee Cho

doi:10.12799/jkachn.2014.25.4.237

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Kim, Lee, Lee, and Cho: The Relationships between Social Determinants of Health and Health-related Quality of Life among the Community-dwelling Elderly

Original Article

Journal of Korean Academy of Community Health Nursing 2014; 25(4): 237-247.

Published online: 31 December 2014

DOI: https://doi.org/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

Junghee Kim¹, Hyeonkyeong Lee², Chung Yul Lee², Eunhee Cho²

¹College of Nursing, Yonsei University, Seoul, Korea.

²College of Nursing, Nursing Policy Research Institute, Yonsei University, Seoul, Korea.

Corresponding author: Lee, Hyeonkyeong. College of Nursing, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel: +82-2-2228-3373, Fax: +82-2-392-5440, HLEE39@yuhs.ac

Received 16 September 2014 Revised 29 October 2014 Accepted 24 November 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Elderly, Social determinants of health, Quality of life

Figures and Tables

Table 1

Demographic Characteristics (N=199)

Table 2

Levels of Health-related Quality of Life (N=199)

Table 3

Health-related Quality of Life by Demographic Characteristics (N=199)

Table 4

Relationships between Social Determinants of Health and Health-related Quality of Life (N=199)

^*p<.05, ^**p<.01.

Table 5

Factors Associated with Health-related Quality of Life (N=199)

Ref=Reference group.

Notes

This article is a revision of the first author's master's thesis from Yonsei University.

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