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HOME > J Korean Acad Community Health Nurs > Volume 25(4); 2014 > Article
Original Article
The Relationships between Social Determinants of Health and Health-related Quality of Life among the Community-dwelling Elderly
Junghee Kim, Hyeonkyeong Lee, Chung Yul Lee, Eunhee Cho
Journal of Korean Academy of Community Health Nursing 2014;25(4):237-247.
DOI: https://doi.org/10.12799/jkachn.2014.25.4.237
Published online: December 31, 2014

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• Received: September 16, 2014   • Revised: October 29, 2014   • Accepted: November 24, 2014

© 2014 Korean Academy of Community Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    The purpose of this study was to examine the social determinants of health (SDH) associated with health-related quality of life (HQOL) among the community-dwelling elderly, based on the conceptual framework of the Commission on Social Determinants of Health (CSDH).
  • Methods
    A survey was conducted with 199 elders aged 65 years or older sampled through convenient sampling. Data were collected through face to face interviews by trained interviewers using a structured questionnaire, which included scales of the residential area, social support, sense of community, social network, health behaviors, and HQOL. Data were analyzed by ANOVA and stepwise multivariate regression.
  • Results
    Major SDH affecting HQOL included the participants' residential area, sense of community, and health behavior. The HQOL of the elderly residing in the B area with a low rate of basic livelihood security recipients was higher than that of those residing in other areas.
  • Conclusion
    CSDH framework was useful to determine the factors associated with HQOL among the community-dwelling elderly. In addition to their health behavior, their sense of community was found to be a SDH of HQOL, indicating the need of health promotion programs tailored to the characteristics of residential areas and strategies to enhance involvement in community activities.
  • Key Words: Elderly; Social determinants of health; Quality of life
Table 1
Demographic Characteristics (N=199)
jkachn-25-237-i001.jpg
Table 2
Levels of Health-related Quality of Life (N=199)
jkachn-25-237-i002.jpg
Table 3
Health-related Quality of Life by Demographic Characteristics (N=199)
jkachn-25-237-i003.jpg
Table 4
Relationships between Social Determinants of Health and Health-related Quality of Life (N=199)
jkachn-25-237-i004.jpg

*p<.05, **p<.01.

Table 5
Factors Associated with Health-related Quality of Life (N=199)
jkachn-25-237-i005.jpg

Ref=Reference group.

This article is a revision of the first author's master's thesis from Yonsei University.

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Figure & Data

References

    Citations

    Citations to this article as recorded by  
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    The Relationships between Social Determinants of Health and Health-related Quality of Life among the Community-dwelling Elderly
    The Relationships between Social Determinants of Health and Health-related Quality of Life among the Community-dwelling Elderly
    Table 1 Demographic Characteristics (N=199)

    Table 2 Levels of Health-related Quality of Life (N=199)

    Table 3 Health-related Quality of Life by Demographic Characteristics (N=199)

    Table 4 Relationships between Social Determinants of Health and Health-related Quality of Life (N=199)

    *p<.05, **p<.01.

    Table 5 Factors Associated with Health-related Quality of Life (N=199)

    Ref=Reference group.

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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