Multilevel Analysis of Factors Associated with Perceived Good Health and Multimorbidity among Older Adults: Using the 2017 Community Health Survey

Q3 Nursing
Sunjoo Boo, Y. Han, H. Choi
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引用次数: 1

Abstract

Purpose: This study aimed to identify individual- and regional-level factors associated with perceived good health and multimorbidity among older adults. Methods: Secondary analysis of the 2017 Korea Community Health Survey was conducted on a sample of 67,532 older adults. The individual level data set was combined with regional-level factors from the administrative data released on the Korea National Statistical Office website. Distribution of perceived good health and multimorbidity in 254 public health centers were calculated using sampling weights and presented as percentages. Multilevel logistic regression analyses were used to identify individual- and regional-level factors associated with perceived good health and multimorbidity. Results: Overall, 21.1% of subjects perceived their health to be good, ranging from 9.3% to 39.4% by region. The prevalence of multimorbidity was 15.9%, and varied between 6.6% and 22.6% by region. At the individual level, perceived good health was associated with men, younger age, higher educational levels, higher income levels, and those married and living with a partner and maintaining a healthy lifestyle. At the regional level, higher rates of health center personnel among public officials and higher levels of financial independence were associated with perceived good health. Multimorbidity was associated with marital status and healthy lifestyle, and higher rates of health center personnel among public officials. Conclusion: Regional factors such as health care personnel and local economy could affect population health. Our findings suggest the need to consider individual- and regional-level factors to promote good health among older adults and reduce the health gap by region.
老年人感知良好健康和多发病相关因素的多层次分析:使用2017年社区健康调查
目的:本研究旨在确定与老年人良好健康和多发病相关的个人和地区因素。方法:对2017年韩国社区健康调查的67532名老年人样本进行二次分析。个人层面的数据集与韩国国家统计局网站上发布的行政数据中的区域层面因素相结合。254个公共卫生中心的感知良好健康和多发病率分布使用抽样权重进行计算,并以百分比表示。使用多水平逻辑回归分析来确定与感知良好健康和多发病相关的个人和地区水平因素。结果:总体而言,21.1%的受试者认为自己的健康状况良好,各地区的比例从9.3%到39.4%不等。多发性疾病的患病率为15.9%,各地区的患病率在6.6%至22.6%之间。在个人层面上,感知良好的健康状况与男性、年龄较小、教育水平较高、收入水平较高、已婚并与伴侣生活在一起并保持健康生活方式的人有关。在地区一级,公职人员中卫生中心工作人员的比例较高,财务独立程度较高,这与健康状况良好有关。多发病率与婚姻状况和健康的生活方式以及卫生中心工作人员在公职人员中的比例较高有关。结论:卫生保健人员、地方经济等区域因素可能影响人口健康。我们的研究结果表明,有必要考虑个人和地区层面的因素,以促进老年人的良好健康,并缩小各地区的健康差距。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
12
期刊介绍: The Journal of Korean Academy of Community Health Nursing is the official journal of the Korean Academy of Community Health Nursing. This journal aims to provide worldwide access to tilmely research and practice feature of use to community health nurses, educators, school health teachers, occupational nurses, and administrators in the field of community health nursing. JKACHN coverage includes theoretical, practical, and educational issues related to community health nursing. Articles include original research articles, reviews, editorials.
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