고령자의 건강 관련 삶의 질과 건강위험행태 간의 상호적 인과관계 : EuroQol 5-dimensions의 ceiling effect를 보정하여
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
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
목차
Ⅰ. 서론 Ⅱ. 연구방법 1. 자료원 2. 변수 정의 3. 통계 분석 Ⅲ. 연구결과 1. 연구대상자의 기저특성 2. 고령자의 건강위험행태와 건강관련 삶의 질간의 상호적 인과관계 Ⅳ. 고찰 Ⅴ. 결론 REFERENCES
키워드
AgedQuality of LifeHealth Risk Behaviors
저자
김경범 [ Kyoung-Beom Kim | 대구가톨릭대학교 국제의료경영학과 ]
김영진 [ Young-Jin Kim | 연세대학교 일반대학원 보건행정학과 ]
허민희 [ Min-Hee Heo | 연세대학교 일반대학원 보건행정학과 ]
노진원 [ Jin-Won Noh | 연세대학교 소프트웨어디지털헬스케어융합대학 ]
Corresponding Author