Korean J Women Health Nurs.  2019 Sep;25(3):299-314. 10.4069/kjwhn.2019.25.3.299.

Health Behavior, Health Service Use, and Health Related Quality of Life of Adult Women in One-person and Multi-person Households

• Chae HJ
• Kim M

• KMID: 2459172
• DOI: http://doi.org/10.4069/kjwhn.2019.25.3.299

Abstract

PURPOSE
This study was to identify health behavior, health service use, and health related quality of life of adult women in one-person and multi-person households.
METHODS
It was used data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII-2017). Subjects were 2,522 women with age of 19 to 64 years in 2017. Complex sampling design and data analysis were performed using SPSS 20.1.
RESULTS
Women in one-person households had higher rates of alcohol drinking (χ²=13.77, p=.003), smoking (χ²=16.07, p=.001), unmet medical care (χ²=8.77, p=.004) and non-practice of cancer screening (χ²=13.77, p=.003) compared to women in multi-person households. Health-related quality of life was also lower for women in one-person households (t=−2.46, p=.015). Factors affecting health-related quality of life in one-person households were household income, job status, and unmet dental care, having 32.4% explanatory power. One-person household women with low incomes, no jobs, and unmet dental care showed low health-related quality of life. In comparison, factors affecting health-related quality of life of women in multi-person household women were age, education level, unmet medical care, and unmet dental care, having 10.4% explaining power. Women in multi-person households with age of 60-64, low education level, unmet medical care, and unmet dental care showed low health-related quality of life.
CONCLUSION
Health promotion strategies should be developed based on unique understanding of social, economic, and health of adult women in one-person and multi-person households.

Keyword

Family characteristics; Women; Health behavior; Health services; Health-related quality of life

MeSH Terms

Adult*
Alcohol Drinking
Dental Care
Early Detection of Cancer
Education
Family Characteristics*
Female
Health Behavior*
Health Promotion
Health Services*
Humans
Korea
Nutrition Surveys
Quality of Life*
Smoke
Smoking
Statistics as Topic
Smoke

Reference

1. Statistics Korea. Statistical indicators [Internet]. Daejeon: Statistics Korea;2019. cited 2019 Jul 26. Available from: http://kosis.kr/search/search.do#.

2. Byun MR. Single person household and urban policy in Seoul. Korean Journal of Culture and Social Issues. 2015; 21(3):551–573.

3. Kim H, Lee K, Kim K, Lee G, Ahn J, Hwang J. The impact of social networks and leisure life on the subject health condition of middle aged single-person households. Journal of Leisure Studies. 2019; 17(1):73–94.

4. Bennett J, Dixon M. Single person households and social policy: looking forwards. York: Joseph Rowntree Foundation;2006.

5. Choi JS, Lee EH, So AY, Lee KS. Quality of life in the urban adults by age. The Journal of Muscle and Joint Health. 2012; 19(3):362–372.

6. Ban JH. Study on employment and poverty for single-person households. Seoul: Korea Labor Institute;2012. p. 55–67.

7. Park G, Kim Y. Lifestyle survey of single-woman households in Seoul: Survey of living conditions and support policy plans for individuals in their 40s and 50s with a focus on preparations for old age and social relationships. Seoul: Seoul Foundation of Women & Family;2016. p. 1–204.

8. Yeung WJ, Cheung AK. Living alone: one-person households in Asia. Demographic Research. 2015; 32(40):1099–1112.

9. Park MJ, Choi SE. The effects of health behavior and health status on heath-related quality of life in older people: gender analysis by using the 2012 Korea Health Panel Data. Journal of Korean Academy of Community Health Nursing. 2017; 28(2):118–128.

10. Lim GT. Differences in health-related quality of life among social classes and related factors in Korea [doctoral dissertation]. Daejeon: Chungnam National University;2011.

11. Kim YJ. Comparison of health practices between single- and multiple-member households by gender in Korean adults. Journal of Korean Academy of Public Health Nursing. 2009; 23(2):219–231.

12. Park C, Lee J. Differential gender effects of family disorganization on the health and quality of life. Health and Social Welfare Review. 2010; 30(1):142–169.

13. Yoo GM, Jin S, Moon SH. Exploratory study on factors of unmet medical needs using data mining analysis. Korean Policy Studies Review. 2016; 25(4):269–300.

14. Kim MA, Choi SE, Moon JH. Effect of heath behavior, physical health and mental health on heath-related quality of life in middle aged women: by using the 2014 Korea Health Panel Data. Journal of Korean Academic Society of Home Care Nursing. 2019; 26(1):72–80.

15. Kim EK, Park SK. Comparison of health behaviors, disease prevalence between one-person women and multiple households women in Korea. Journal of Korean Public Health Nursing. 2016; 30(3):483–494.

16. Jeong YR, Jeong SH, Han SS. Factors influencing health-related quality of life among women workers. Journal of Korean Society of Occupational and Environmental Hygiene. 2018; 28(1):117–123.

17. Lee JS, Choi WS. A study on path of work-family reconciliation conflict of married working women. Journal of Asian Women. 2011; 50(1):169–198.

18. Won MR, Choi YJ. Are Koreans prepared for the rapid increase of the single-household elderly? Life satisfaction and depression of the single-household elderly in Korea. The Scientific World Journal. 2013; 2013:972194.

19. Alho J, Keilman N. On future household structure. Journal of the Royal Statistical Society: Series A (Statistics in Society). 2010; 173(1):117–143.

20. Victor CR, Yang K. The prevalence of loneliness among adults: a case study of the United Kingdom. The Journal of psychology. 2012; 146(1-2):85–104.

21. Seok J, Jang E. The effect of social relationship resource by gender on the life satisfaction of elderly living alone. Korean Journal of Gerontological Social Welfare. 2016; 71(2):321–349.

22. Nam YH. The increase in the number of single-person households increases the number of the die alone. Medical Today [Internet]. 2019. 07. 18. cited 2019 Jul 26. Available from: http://www.mdtoday.co.kr/mdtoday/index.html?no=360097.

23. Ministry of Gender Equality and Family. Directly listens to the difficulties of single-person households in their 30s and 40s [Internet]. Sejong: Policy Briefing;2019. 02. 14. cited 2019 Jul 18. Available from: http://www.korea.kr/news/pressReleaseView.do?newsId=156317172.

24. Kim JE, Chung H, Nam Y. A study on the current status of female single-person households for policy improvement: focusing on Gyeonggi province with secondary data analyses. Korean Journal of Family Welfare. 2018; 23(3):463–488.

25. Lee J, Shin A. Vegetable and fruit intake in one person household: The Korean national health and nutrition examination survey (2010~2012). Journal of Nutrition and Health. 2015; 48(3):269–276.

26. Hur SI, Lee HJ. Unmet health care needs and attitudes towards health care system in Korea. Korean Journal of Health Economics and Policy. 2016; 22(1):59–89.

27. Kim HJ, Jang J, Park EC, Jang SI. Unmet healthcare needs status and trend of Korea in 2017. Health Policy and Management. 2019; 29(1):82–85.

28. Yim ES, Kim KH, Chae HJ. The influencing factors of influenza vaccination in the elderly participating in lifetime transitional health examination. Journal of Korean Academy of Community Health Nursing. 2010; 21(4):502–511.

29. Park JT. The association between smoking status and infleunza vaccination coverage rate in Korean adults: analysis of the 2010–2012 Korea National Health and Nutrition Examination Survey [master's thesis]. Seoul: Korea University;2017.