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KMID : 1138720210470040121
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Korean Public Health Research
2021 Volume.47 No. 4 p.121 ~ p.134
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Factors Related to Cognitive Impairment Experience and Health Care Behaviors of Elders Aged 65 Years or Older: Using 2019 Community Health Survey
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Kim Ji-On
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Abstract
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Purpose: This study aimed to identify demographic and health-related factors and analyze the health care behaviors of elders aged 65 years or older who have experienced cognitive impairment.
Methods: This study classified 74,231 elders aged 65 years or older from the 2019 Community Health Survey into normal group, cognitive impairment experience group capable of performing daily living, and cognitive impairment experience group with poor daily life performance. Multinomial logistic regression analysis was performed to analyze the differences between demographic characteristics, health status, and health care behavior, and to identify factors related to the experience of cognitive impairment.
Results: Factors related to the experience of cognitive impairment with poor daily life performance showed increasing experience(p<.01) with women(OR=1.12), increasing age(OR=1.07), urban residence(OR=1.04), poor subjective health level(OR=3.20), depressive symptoms(OR=3.13), and stress(OR=1.42). The experience decreased(p<.01) with higher education(OR=0.81), fifth quintile of equivalized household income (OR=0.91), economic activity(OR=0.73), spouse(OR=0.78), living alone(OR=0.83), and high life satisfaction index(OR=0.84). The health-related quality of life(EQ-5D), health status, and health care behavior of those who experienced cognitive impairment were worse than those of the normal group(p<.01).
Conclusions: Policy support is needed, such as health promotion programs for women, the elderly, low education, low-income levels, poor subjective health and life satisfaction, and those who experience depressive symptoms and stressful cognitive impairment.
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KEYWORD
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Cognitive Impairment, Community Health Survey, Elders Aged 65 Years or Older
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