J Korean Acad Community Health Nurs.  2009 Mar;20(1):31-40.

Factors Affecting the Self-Rated Health of Vulnerable Elderly

• Ko Y
• Lee IS

Abstract

PURPOSE
This study was to investigate the factors affecting the self-rated health of vulnerable elderly in community.
METHODS
The subjects were 2,328 elderly over 65 years who were enrolled in the Visiting Health Care Center in J-gu of S-city from Apr. 2007 to Sep. 2008. Data were collected using questionnaires including general characteristics, health related behavior and health status by nurse at the time of enrollment. The collected data were analyzed by descriptive statistics, test and multivariate logistic regression.
RESULTS
47.2% of the male subjects and 57.2% of the female subjects rated their health "poor". Gender differences were observed in the factors affecting on Self-Rated Health. ADL, depression and the number of diseases played a major role for men, whereas depression, IADL, the number of diseases, ADL, regular exercise and education played a major role for women. These factors explained 17~29% of variance in Self-Rated Health.
CONCLUSION
Gender-specific programs for vulnerable elderly may be developed based on this study. Both physical and psychological functions need to be integrated into the programs to improve self-rated health of vulnerable elderly.

Keyword

Aged; Health status; Vulnerable populations; Gender

MeSH Terms

Activities of Daily Living
Aged*
Delivery of Health Care
Depression
Education
Female
Humans
Logistic Models
Male
Vulnerable Populations
Surveys and Questionnaires