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KMID : 1039620180080020220
Korean Journal of Family Practice
2018 Volume.8 No. 2 p.220 ~ p.228
The Relationship between Educational Status and Preventive Health Behaviors in Korean Elderly
Lee Ji-Yeon

Lee Hong-Soo
Lee Sang-Wha
Byun A-Ri
Jeong Sung-Rok
Chun Hye-Jin
Abstract
Background: In an aging society, the importance of preventive health behaviors (PHBs), as a means to improve the quality of life of senescence, is garnering significant attention. The effect of educational status on socioeconomic factors could result in health inequality. Therefore, we aimed to investigate the relationship between educational status and PHBs among older adults.

Methods: Our study is based on Phases V (2012) and VI (2013?2015) of the Korean National Health and Nutrition Examination Survey, which involved 4,228 older adults aged over 65 years. The PHBs are considered as influenza vaccination, heath screening, cancer screening, and dental examination. We performed chi-square tests for related factors, and logistic regression analysis was performed by correcting significant variables and identifying the relationship between educational status and each PHB.

Results: The majority of participants were elementary school graduates (62.6%). Educational status did not affect influenza vaccination. However, the heath screening rate, compared to elementary school graduates, was 1.56 times (95% confidence interval [CI], 1.19?2.03) and 1.40 times (95% CI, 0.98?1.99) higher among high school graduates and college graduates respectively. The cancer screening rate, compared to elementary graduates, was 1.67 (95% CI, 1.31?2.14) and 1.50 (95% CI, 1.07?2.10) times higher among high school, and college graduates respectively. The dental examination rate, compared to elementary school graduates, was 2.23 (95% CI, 1.17?2.91), 2.50 (95% CI, 1.94?3.22), and 4.35 (95% CI, 3.14?6.01) times higher among high school, and college graduates respectively.

Conclusion: Even though the influenza vaccination rate was not affected by educational status, the heath screening, cancer screening, and dental examination rates increased with higher educational status. Developing measures involving active promotion and education to improve examination rates is suggested.
KEYWORD
Elderly, Educational Status, Influenza Vaccines, Health Behavior, Mass Screenig, Early Detection of Cancer
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