Effects of Health Status and Health Management on Activities of Daily Living among Urban-Dwelling Older Koreans

Purpose The purpose of this study was to identify the effects of health status and health management on activities of daily living (ADL) in older, urban-dwelling Koreans. Methods A total of 206 subjects were recruited from one senior welfare center, six senior citizen centers, and subjects’ home in two cities. Data was collected with self-reported questionnaires in order to measure health management, health status, and ADL. Data was analyzed by t-test, ANOVA, and stepwise multiple linear regression using SPSS/WIN 22.0. Results ADL in this subject were different depending on their age, education, marital status, type of family, and average monthly living expenses. Multivariate analysis showed that age (β=-0.35, p<.001), exercise ability (β=0.20, p<.001), diabetes (β =-0.17, p<.001), osteoarthritis (β=-0.15, p<.001), caregiver (β=0.14, p=.005), frequency of health management (β =-0.13, p=.006), smoking (β=-0.11, p=.019), hypertension (β=-0.10, p=.027), and type of family (β=-0.10, p=.036) were significantly associated with ADL. Overall, approximately 60.2% of total variability in ADL could be explained by the 11 variables in this model (R2=0.602, F=32.06, p<.001). Conclusion This study suggests that individualized health care should be continued for older, community-dwelling Koreans in order to improve their ADL. Moreover, we need to develop self-care programs and encourage them to participate in those programs. Keywords: Health status, Health care, Activities of daily living, Aged 주요어: 건강상태, 건강관리, ì¼ìƒìˆ˜í–‰ëŠ¥ë ¥, ë ¸ì¸