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KMID : 1143320230120010051
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Therapeutic Science for Neurorehabilitation
2023 Volume.12 No. 1 p.51 ~ p.63
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Association Between Lifestyle and Medical Expenses of Older Adults With Mental Illness: Using Korea Older Adults’ Cohort Database
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Jeong Ji-In
Bae Su-Yeong
Yoo Eun-Young
Hong Ick-Pyo
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Abstract
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Objective : This study aimed to analyze the association between lifestyle and medical expenses of older adults with mental illness using claims data.
Methods : We conducted secondary data analysis using the older adult cohort database provided by the Korea National Health Insurance Service. The lifestyle and medical expense variables were extracted from the cohort database. We used a generalized linear model to examine the association between lifestyle and medical expenses.
Results : In total, 32,853 records were extracted. The results showed that smokers had medical expenses (estimate = -218,255, p = .037). As the number of days of walking increased, medical expenses significantly decreased (estimate = -58,843, p < .0001). Furthermore, as the number of days of drinking decreased, medical expenses increased (estimate = 692,289, p < .0001).
Conclusion : This study analyzed the estimates of medical expenses according to lifestyle among older adults with mental illness. Smoking and exercise were negatively associated with medical expenses. These results suggest the importance of a healthy lifestyle for older adults with mental illness. In addition, this study can be used as clinical evidence for lifestyle management programs to improve physical and mental health.
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KEYWORD
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Korea National Health Insurance Service, Lifestyle, Medical expenses, Mental illness, Older adults
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