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KMID : 0607720140250040237
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Journal of Korean Community Nursing
2014 Volume.25 No. 4 p.237 ~ p.247
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The Relationships between Social Determinants of Health and Health-related Quality of Life among the Community-dwelling Elderly
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Kim Jung-Hee
Lee Hyeon-Kyeong
Lee Chung-Yul
Cho Eun-Hee
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Abstract
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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.
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KEYWORD
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Elderly, Social determinants of health, Quality of life
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