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Multilevel Analysis of Factors Associated with Perceived Good Health and Multimorbidity among Older Adults: Using the 2017 Community Health Survey
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Sun Joo Boo, Young Ran Han, Hye Young Choi
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J Korean Acad Community Health Nurs. 2020;31(Suppl):549-562. Published online December 31, 2020
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DOI: https://doi.org/10.12799/jkachn.2020.31.S.549
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 Abstract
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- Purpose
This study aimed to identify individual- and regional-level factors associated with perceived good health and multimorbidity among older adults.
Methods
Secondary analysis of the 2017 Korea Community Health Survey was conducted on a sample of 67,532 older adults. The individual level data set was combined with regional-level factors from the administrative data released on the Korea National Statistical Office website. Distribution of perceived good health and multimorbidity in 254 public health centers were calculated using sampling weights and presented as percentages. Multilevel logistic regression analyses were used to identify individual- and regional-level factors associated with perceived good health and multimorbidity.
Results
Overall, 21.1% of subjects perceived their health to be good, ranging from 9.3% to 39.4% by region. The prevalence of multimorbidity was 15.9%, and varied between 6.6% and 22.6% by region. At the individual level, perceived good health was associated with men, younger age, higher educational levels, higher income levels, and those married and living with a partner and maintaining a healthy lifestyle.
At the regional level, higher rates of health center personnel among public officials and higher levels of financial independence were associated with perceived good health. Multimorbidity was associated with marital status and healthy lifestyle, and higher rates of health center personnel among public officials.
Conclusion
Regional factors such as health care personnel and local economy could affect population health. Our findings suggest the need to consider individual- and regional-level factors to promote good health among older adults and reduce the health gap by region.
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Factors Affecting the Intention to Participate in Healthcare Programs among Elders Living Alone
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Mi Sook Song, Sun Joo Boo
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J Korean Acad Community Health Nurs. 2016;27(4):319-326. Published online December 31, 2016
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DOI: https://doi.org/10.12799/jkachn.2016.27.4.319
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Abstract
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- PURPOSE
The aim of this study is to identify factors affecting elders' intention to participate in healthcare programs.
METHODS
This secondary data analysis used data of 390 elderly people who lived alone and were enrolled in the Visiting Health Care Center of H-city. In 2014, questionnaires were used to collect data about demographics, social activity, depression, frailty, and intention to participate in healthcare programs. The data were analyzed by descriptive statistics and multivariate logistic regressions.
RESULTS
Among the participants, 51.8% intended to participate in the offered healthcare programs. The strongest factor affecting the intention was gender. Women were 4.85 times more likely to participate in the programs than men. The women's intention was associated positively with increased levels of frailty. The men tended to participate in the program as they got older and as the level of frailty and the number of chronic diseases increased.
CONCLUSION
Gender-specific public healthcare programs for vulnerable elders living alone should be developed to maximize their participation in the programs and to promote good health. The healthcare programs must be tailored to the levels of the patients' physical functions.
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Citations
Citations to this article as recorded by  - Effect of a Comprehensive Health Care Program on Blood Pressure, Blood Glucose, Body Composition, and Depression in Older Adults Living Alone: A Quasi-Experimental Pretest–Posttest Study
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