KMID : 1002520230170030029
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Korean Journal of Health Service Management 2023 Volume.17 No. 3 p.29 ~ p.41
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Longitudinal Analysis of the Reciprocal Relationship between Health-related Quality of Life and Health-risk Behaviors in Older Adults through Autoregressive Cross-lagged Model and Adjusting the Ceiling Effect
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Kim Kyoung-Beom
Kim Young-Jin Heo Min-Hee Noh Jin-Won
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Abstract
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Objectives: This study aimed to identify the reciprocal relationship between health-risk behaviors and health-related quality of life in older adults by examining the ceiling effect that often occurs when measuring health-related quality of life (HRQoL) in the general population.
Methods: Using data from the Korea Health Panel Survey from 2015 to 2018, 3220 individuals were selected. We constructed a two-part autoregressive cross-lagged model with a log-transformed EQ-5D (EuroQol-5 Dimension) index.
Results: Older adults who reported full-health state were more likely to maintain their health state over time. Older adults with two types of health-risk behaviors, both in full and non-full health states, were more likely to maintain or increase their health-risk behaviors in the following years. Those with three or more health-risk behaviors tended to rate their HRQoL higher in the following years.
Conclusions: A significant reciprocal relationship exists between health-risk behaviors and health-related quality of life in older adults.
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KEYWORD
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Aged, Quality of Life, Health Risk Behaviors
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