노인의 건강검진 수검과 건강상태 및 의료비 지출의 관련성 : 주관적 계층의식의 조절효과를 중심으로
The Association of Health Screening with Health Status and Medical Expenditure among Older Adults : The Moderating Role of Subjective Class Identity
Objectives: This study examined how health screening relates to self-rated health and medical expenditure in older adults, and whether subjective class identity moderates these. Methods: Using the 10th wave of the KLoSA (2024), 5,562 adults aged 55+ were analyzed. Class identity was reverse-coded so higher scores denote higher class, and hierarchical regression with simple slope analysis was used. Results: The non-participation rate was 22.6%; leading reasons were a prior examination without problems and no perceived need, not cost. Net of covariates, screening was associated with self-rated health (b=−0.194) and higher medical expenditure (b=0.554; both p<.001); class identity moderated both, with larger associations among higher-class adults. Conclusions: Health screening relates to self-rated health and short-term medical expenditure, and these associations differ by subjective class identity. The cross-sectional findings indicate associations, not causal effects.
목차
Ⅰ. 서론 Ⅱ. 연구방법 1. 연구 자료 및 대상 2. 변수 구성 3. 분석 방법 Ⅲ. 연구결과 1. 연구대상자의 일반적 특성 2. 건강검진 미수검 사유별 분포 및 건강결과 3. 건강검진 수검과 주관적 건강상태의 관련성 4. 건강검진 수검과 의료비 지출의 관련성 5. 주관적 계층의식 수준별 단순기울기 6. 민감도 분석 Ⅳ. 고찰 Ⅴ. 결론 REFERENCES