Factors Related to Korean Adults’ Unmet Medical Needs by Age Group: Data from the 8th Korea National Health and Nutrition Examination Survey(2019, 2021)

H. Kim
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Abstract

Purpose : This study analyzed the current status of Korean adults’ unmet medical needs and factors influencing them by age group. Methods : The sample comprised of 11,092 people aged 19 or older from the 8th data of the National Health and Nutrition Examination Survey. Using IBM SPSS/Win 26.0, the data were analyzed using descriptive statistics, Rao-Scott χ2 test, and complex samples logistic regression. Results : The unmet medical needs’ rate of all adults was 6.6%, and 6.5%, 6.4%, and 7.6% for the 19∼49, 50∼64, and 65-plus age groups, respectively. Next, unmet medical needs were affected by subjective health status (CI: 0.37-0.90), activity restriction (CI: 1.45-4.62), stress (CI: 1.17-2.03), and quality of life (CI: 0.89-0.98) in the 19-49 age group. In the 50∼64 age group, these were subjective health status (CI: 0.29-0.98), stress (CI: 1.01-2.49), aerobic activity (CI: 0.45-0.94), and quality of life (CI: 0.86-0.98). Finally, in the group over 65 years, these were gender (CI: 1.21-3.67), spouse presence (CI: 0.39-0.95), subjective health status (CI: 0.28-0.83), activity restriction (CI: 1.30-2.98), and quality of life (CI: 0.87-0.95). Conclusion : Given the inequality in medical needs by income and age, policies should link health care, related institutions, and existing welfare policies according to age-group specific factors of unmet medical needs.
韩国成年人未满足医疗需求的相关因素:第八届韩国国民健康与营养调查数据(2019年、2021年)
目的:分析韩国成年人未满足医疗需求的现状及影响因素。方法:选取全国健康与营养调查第8期资料中19岁及以上的11,092人作为样本。采用IBM SPSS/Win 26.0软件对数据进行描述性统计、Rao-Scott χ2检验和复样本logistic回归分析。结果:所有成年人的未满足医疗需求率为6.6%,19 ~ 49岁、50 ~ 64岁和65岁以上年龄组的未满足医疗需求率分别为6.5%、6.4%和7.6%。其次,19-49岁年龄组未满足的医疗需求受主观健康状况(CI: 0.37-0.90)、活动限制(CI: 1.45-4.62)、压力(CI: 1.17-2.03)和生活质量(CI: 0.89-0.98)的影响。在50 ~ 64岁年龄组中,这些因素是主观健康状况(CI: 0.29-0.98)、压力(CI: 1.01-2.49)、有氧运动(CI: 0.45-0.94)和生活质量(CI: 0.86-0.98)。最后,在65岁以上的人群中,这些因素是性别(CI: 1.21-3.67)、配偶存在(CI: 0.39-0.95)、主观健康状况(CI: 0.28-0.83)、活动限制(CI: 1.30-2.98)和生活质量(CI: 0.87-0.95)。结论:考虑到医疗需求在收入和年龄上的不平等,政策应根据未满足医疗需求的年龄组特定因素,将医疗保健、相关机构和现有福利政策联系起来。
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