Korean J Adult Nurs.  2015 Aug;27(4):428-437. 10.7475/kjan.2015.27.4.428.

Health Status and Factors related to Health Behaviors of Older Adults Using a Senior Center

• Ha JY
• Park YH

• KMID: 2421528
• DOI: http://doi.org/10.7475/kjan.2015.27.4.428

Abstract

PURPOSE
The aim of this study was to describe health status and to identify the factors related to health behavior in older adults in South Korea.
METHODS
A cross-sectional survey was conducted with a convenience sample of 186 older people (mean age =68.2yrs, 65.1% Female) registered at one senior center. Data were collected by self-report questionnaires or through face to face interview. The instruments were the Modified Health Behavior Assessment Scale, Stanford Research Instruments for Chronic Disease, Self-Efficacy, SOF Frailty Index and Quality of life questionnaire. The data were analyzed using t-test, ANOVA, Pearson's correlation, and stepwise multiple regression.
RESULTS
58.6% older adults perceived their health status positively. Education level and economic status were significantly related to health behaviors of older adults. Self-rated health, sleep, stress, quality of life, health distress, depression, and frailty were significantly correlated with the health behaviors of older adults. Frailty, education level, and sleep disturbance were the significant factors predicting the health behaviors.
CONCLUSION
The findings from this study suggest that nurses should take into consideration education level of older adults to promote their health behaviors and health promotion program which focuses on maintaining the quality of sleep and preventing frailty.

MeSH Terms

Adult*
Chronic Disease
Cross-Sectional Studies
Depression
Education
Health Behavior*
Health Promotion
Humans
Korea
Quality of Life
Senior Centers*

Reference

1.Ziegelmann JP., Knoll N. Future directions in the study of health behavior among older adults. Gerontology. 2015. 61(5):): January 30.http://dx.doi.org/10.1159/000369857.

2.Choi JS., Choi SE., Yeom AR., Yoon JY., Jung HR., Seo NK, et al. A report on the Korea health panel survey of 2011. Sejong City, Korea: Institute for Health and Social Affairs. 2013. Report No. 2013-41.

3.National Center for Chronic Disease Prevention and Health Promotion. The power to prevent, the call to control: at a glance 2009 [Internet]. Centers for Disease Control and Prevention. 2009. [cited May 30], Available from:. http://www.cdc.gov/chronicdisease/pdf/2009-Power-of-Prevention.pdf.

4.DeVol R., Bedroussian A. An unhealthy america: the economic burden of chronic disease-charting a new course to save lives and increase productivity and economic growth [Internet]. Milken Institute;2007. [cited June 10], Available from:. http://www.sophe.org/Sophe/PDF/chronic_disease_report.pdf.

5.O'Donnell M. An emerging strategy for health enhancement and business cost saving in Korea (Unpublished). Health Promotion. 1999.

6.Lee EH., Kim HK., Lee YH., Moon SY., Kwon EJ., Jee SH. Effectiveness of lifestyle intervention on the management of metabolic syndrome. Journal of Korean Society for Health Education and Promotion. 2007. 24(3):1–19.

7.Mokdad AH., Marks JS., Stroup DF., Gerberding JL. Actual causes of death in the United States, 2000. The Journal of the American Medical Association. 2004. 291(10):1238–45.

8.Kwasniewska M., Kaleta D., Dziankowska-Zaborszczyk E., Dry-gas W., Makowiec-Dabrowska T. Lifestyle index and self-rated health status. International Journal of Occupational Medicine and Environmental Health. 2007. 20(4):349–56.

9.Laffrey SC., Pollock SE. An exploration of adult health behaviors. Western Journal of Nursing Research. 1990. 12(4):434–47.

10.Umberson D. Gender, marital status and the social control of health behavior. Social Science and Medicine. 1992. 34(8):907–17.

11.Kwon SM., Park JS. A comparison on frailty, health promotion behavior, and perceived health status in the elderly according to the type of residency. Journal of Agricultural Medicine and Community Health. 2010. 35(1):1–12. http://dx.doi.org/10.5393/JAMCH.2010.35.1.001.

12.Grembowski D., Patrick D., Diehr P., Durham M., Beresford S., Kay E, et al. Self-efficacy and health behavior among older adults. Journal of Health and Social Behavior. 1993. 34(2):89–104. http://www.jstor.org/stable/2137237.

13.Park ES., Kim SJ., Kim SI., Chun YJ., Lee PS., Kim HJ, et al. A study of factors influencing health promoting behavior and quality of life in the elderly. Journal of Korean Academy of Nursing. 1998. 28(3):638–49.

14.Kim YS. A study on relationships between health concern, health attitude, subjective health status and health practice of the elderly. [dissertation]. Seoul: Seoul National University;2002.

15.Whooley MA., de Jonge P., Vittinghoff E., Otte C., Moos R., Carney RM, et al. Depressive symptoms, health behaviors, and risk of cardiovascular events in patients with coronary heart disease. The Journal of the American Medical Association. 2008. 300(20):2379–88.

16.Jeong HS., Kim OS. Anxiety, Depression and Health Behavior of Elderly with Chronic Diseases. Nursing Science. 2013. 25(2):35–46.

17.Kang JS., Kang HS., Yun EK., Choi HR. Factors influencing health behavior compliance of patients with metablic syndrome. Korean Journal of Adult Nursing. 2012. 24(2):191–9. http://dx.doi.org/10.7475/kjan.2012.24.2.191.

18.Almagro P., Castro A. Helping COPD patients change health behavior in order to improve their quality of life. International Journal of Chronic Obstructive Pulmonary Disease. 2013. 8:335–45. http://dx.doi.org/10.2147/COPD.S34211.

19.Lorig KR., Sobel DS., Ritter PL., Laurent D., Hobbs M. Effect of a self-management program on patients with chronic disease. Effective clinical practice. 2001. 4(6):256–62.

20.Won YH., Ahn JS. A study on project adjustments based on service needs of senior welfare center: focusing on a-gu in Seoul. Journal of Welfare for the Aged. 2014. 65:83–108.

21.Park YH., Chang HK. Effect of a health coaching self-management program for older adults with multimorbidity in nursing homes. Patient Preference and Adherence. 2014. 8:959–70. http://dx.doi.org/10.2147/PPA.S62411.

22.Ensrud KE., Ewing SK., Taylor BC., Fink HA., Cawthon PM., Stone KL, et al. Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women. Archives of Internal Medicine. 2008. 168(4):382–9. http://dx.doi.org/10.1111/j.1532-5415.2009.02137.x.

23.Haber D. Health promotion and aging: practical applications for health professionals. 6th ed.New York: Springer Publishing Company;2013.

24.Lee SM., Choi SI. Effect of health-promoting behaviors of the elderly women on the life satisfaction level. The Korea Contents Association. 2012. 12(7):203–14. http://dx.doi.org/10.5392/JKCA.2012.12.07.203.

25.House JS. Understanding social factors and inequalities in health: 20th century progress and 21st century prospects. Journal of Health and Social Behavior. 2002. 43(2):125–42. http://www.jstor.org/stable/3090192.

26.National Center for health Statistics. Older Americans 2012: Key Indicators of Well-being 2012. Federal Interagency Forum on Aging Related Statistics [Internet]. [cited April 30], Available from:. http://www.agingstats.gov/main_site/data/2012_documents/docs/entirechartbook.pdf.

27.Rodda J., Walker Z., Carter J. Depression in older adults. BMJ. 2011. 343:d5219. http://dx.doi.org/10.1136/bmj.d5219.

28.Yang S., Kim NC. Depression of the elderly in a korean urban area by BDI-II. Journal of Academy of Korean Psychiatric Mental Health Nursing. 2001. 10(4):463–72.

29.Luyster FS., Strollo Jr PJ., Zee PC., Walsh JK. Sleep: a health imperative. Sleep. 2012. 35(6):727–34. http://dx.doi.org/10.5665/sleep.1846.

30.Park YH. Physical activity and sleep patterns in elderly who visited a community senior center. Journal of Korean Academy of Nursing. 2007. 37(1):5–13.