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KMID : 0379220220420020355
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Journal of Korea Gerontological Society
2022 Volume.42 No. 2 p.355 ~ p.380
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The Effect of Social Exclusion Change on Health Change and Health Inequality of Elderly
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Kim Sae-Bom
Choi Song-Sik
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Abstract
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The purpose of this study is to identify the causal relationship among social exclusion with subjective health status and depression in the elderly, as well as the differential effects of social exclusion on changes of subjective health status and depression between poor and non-poor elderlies. Through this, this study is to find the ways to help the elderly spend a healthy life in their old age and to suggest the ways to alleviate elderlies’ health disparities. Therefore, this study analyzed 3,033 elderlies aged 65 years or older who participated in the Korean Welfare Panel Study from 2012(7th) to 2019(14th). The analyses were mainly based on two longitudinal methods, multi-variate and multi-group latent growth model. The main results of this study were as follows. First, regarding the results of the longitudinal change of elderlies’ social exclusion, exclusion of economy, housing and social activities gradually decreased, while exclusion of social relationships remained at a certain level. Also, changes of subjective health status and depression in the elderlies progressively deteriorated. Second, as the exclusion of economy, housing, social activity and social relationship decreases significantly, increase in subjective health status and reduction in depression were shown. Third, exclusive level of social activities during the early years of old age continuously affected the entire life of an elderly which caused disparities in both subjective health status and depression level. Fourth, subjective health status disparities between poor and non-poor elderly groups steadily narrowed down as time passed. However, in the case of depression, disparity between the two groups tend to remain at constant intervals. Fifth, the impact of exclusion of social relationship changes on subjective health status and depression was different between the poor and the non-poor, especially these associations were found to be more effective in the poor elderly group.
Based on these findings, this study suggested social welfare dimensional methods to alleviate social exclusion of the elderly.
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KEYWORD
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Elderly, Social exclusion, Health inequality, Latent growth model, Multi-group analysis
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