贫困状况对独居老人认知功能影响因素的纵向分析

Seung-kyeong Yang
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摘要

本研究的目的是比较不同贫困状况下独居老人的认知功能水平、身体、情绪和社会特征,并对影响认知功能的因素进行纵向调查。该研究包括660名65岁以上的独居老人,他们是从韩国老龄化纵向研究(KLoSA)的第五年(2014年)到第八年(2020年)的面板数据中挑选出来的。采用随机效应模型的面板回归分析确定身体、情绪和社会因素对认知功能的影响。研究发现:第一,贫困独居老人在认知功能、社会人口统计学、生理和心理等方面比非贫困独居老人更脆弱。其次,年龄、受教育程度、居住地区、宗教信仰、主观健康状况、抑郁程度、生活满意度、与亲密朋友的接触频率是独居老年人的共同影响因素。第三,性别、日常生活活动、运动频率是影响贫困独居老人认知功能的因素,慢性疾病数量与非贫困独居老人相同。通过这一点,建议有必要根据贫困状况等生活条件对独居老人进行分类。必须认识到,独居是一种自然的生活形式,而不是无条件的消极生活。要注意识别和支持独居老人的高层次需求,如独立生活能力、对生命意义的感知、自我实现等。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Longitudinal Analysis of Factors Affecting Cognitive Function of elderly living alone by Poverty Status1)
The purpose of this study is to compare the level of cognitive function, and physical, emotional, and social characteristics of elderly living alone according to their poverty status, and to longitudinally investigate the factors affecting cognitive function. The study included 660 the elderly living alone over the age of 65 who were selected from the Korean Longitudinal Study of Ageing(KLoSA) panel data from the fifth year(2014) to the eighth year(2020). Panel regression analysis with random effect model was used to determine the influence of physical, emotional, and social factors on cognitive function. The findings are as the followings: First, the poor elderly living alone were more vulnerable in cognitive function, sociodemographic, physical, and psychological aspects compared to the non-poor elderly living alone. Second, age, level of education, area of residence, religion, subjective health status, depression, life satisfaction, and frequency of contact with close friends were found to be common factors for the elderly living alone groups. Third, gender, activities of daily living, and exercise frequency were found to be factors affecting the cognitive function of the poor elderly living alone, and the number of chronic diseases was that of the non-poor elderly living alone. Through this, it is suggested that it is necessary to classify the elderly living alone according to living conditions such as poverty status. It is needed to be recognized that living alone is a natural form of life rather than an unconditional negative life. It is necessary to pay attention to identifying and supporting the high-level needs of the elderly living alone, such as the ability to live independently, perception of the meaning of life, and self-actualization.
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