Factors Contributing to Poor Self-Rated Health in Older Adults with Lower Income
Lower household income is associated with poorer self-reported health status, especially in the elderly. Considering the importance of subjective health in this fragile population, it would be worthwhile to explore the physical and mental health factors that may help to predict good or poor self-rat...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-11-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/11/1515 |
| _version_ | 1797510161434148864 |
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| author | Mikyong Byun Eunjung Kim Heuijune Ahn |
| author_facet | Mikyong Byun Eunjung Kim Heuijune Ahn |
| author_sort | Mikyong Byun |
| collection | DOAJ |
| description | Lower household income is associated with poorer self-reported health status, especially in the elderly. Considering the importance of subjective health in this fragile population, it would be worthwhile to explore the physical and mental health factors that may help to predict good or poor self-rated health (SRH) status. We first described three main categories (individual, physical, and psychological) between low-income seniors with good and poor SRH. Next, statistically significant physical and mental health factors affecting poor SRH were identified. In this study, original data from the 2017 National Survey of Older Persons in South Korea were analyzed. People aged 65 years and over with low household income were eligible. A total of 1405 men and 2945 women (<i>n</i> = 4350) were enrolled, and less than half of participants (47.5%, <i>n</i> = 2066) belonged to the poor SRH cohort. We applied individual variable-adjusted models and found that poor SRH was significantly associated with ADL limitation (odds ratio (OR): 2.91, 95% confidence interval (CI) 2.11–4.01), IADL limitation (OR: 1.80, 95% CI: 1.52–2.13), malnutrition (OR: 1.76, 95% CI: 1.53–2.04), and depression (OR: 3.65, 95% CI: 3.10–4.31) on logistic regression analysis. Our findings suggest that limited ADL/IADL, poor nutrition, and depression need to be emphasized to improve subjective health status in low-income adults. Early recognition and timely intervention might help them to live better and happier, ultimately relieving social healthcare burdens. |
| first_indexed | 2024-03-10T05:27:41Z |
| format | Article |
| id | doaj.art-8eca37fa11604e9196f2b6638129985e |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T05:27:41Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-8eca37fa11604e9196f2b6638129985e2023-11-22T23:31:59ZengMDPI AGHealthcare2227-90322021-11-01911151510.3390/healthcare9111515Factors Contributing to Poor Self-Rated Health in Older Adults with Lower IncomeMikyong Byun0Eunjung Kim1Heuijune Ahn2BK21FOUR R&E Center for Learning Health Systems, College of Nursing, Korea University, Anam-dong, Seongbuk-Gu, Seoul 02841, KoreaBK21FOUR R&E Center for Learning Health Systems, College of Nursing, Korea University, Anam-dong, Seongbuk-Gu, Seoul 02841, KoreaDepartment of Hematology and Oncology, Gangneung Asan Hospital, University of Ulsan College of Medicine, 38 Bangdong-gil, Sacheon-myeon, Gangneung-si 25440, Gangwon-do, KoreaLower household income is associated with poorer self-reported health status, especially in the elderly. Considering the importance of subjective health in this fragile population, it would be worthwhile to explore the physical and mental health factors that may help to predict good or poor self-rated health (SRH) status. We first described three main categories (individual, physical, and psychological) between low-income seniors with good and poor SRH. Next, statistically significant physical and mental health factors affecting poor SRH were identified. In this study, original data from the 2017 National Survey of Older Persons in South Korea were analyzed. People aged 65 years and over with low household income were eligible. A total of 1405 men and 2945 women (<i>n</i> = 4350) were enrolled, and less than half of participants (47.5%, <i>n</i> = 2066) belonged to the poor SRH cohort. We applied individual variable-adjusted models and found that poor SRH was significantly associated with ADL limitation (odds ratio (OR): 2.91, 95% confidence interval (CI) 2.11–4.01), IADL limitation (OR: 1.80, 95% CI: 1.52–2.13), malnutrition (OR: 1.76, 95% CI: 1.53–2.04), and depression (OR: 3.65, 95% CI: 3.10–4.31) on logistic regression analysis. Our findings suggest that limited ADL/IADL, poor nutrition, and depression need to be emphasized to improve subjective health status in low-income adults. Early recognition and timely intervention might help them to live better and happier, ultimately relieving social healthcare burdens.https://www.mdpi.com/2227-9032/9/11/1515self-rated healthrisk factorolder adultslow income |
| spellingShingle | Mikyong Byun Eunjung Kim Heuijune Ahn Factors Contributing to Poor Self-Rated Health in Older Adults with Lower Income Healthcare self-rated health risk factor older adults low income |
| title | Factors Contributing to Poor Self-Rated Health in Older Adults with Lower Income |
| title_full | Factors Contributing to Poor Self-Rated Health in Older Adults with Lower Income |
| title_fullStr | Factors Contributing to Poor Self-Rated Health in Older Adults with Lower Income |
| title_full_unstemmed | Factors Contributing to Poor Self-Rated Health in Older Adults with Lower Income |
| title_short | Factors Contributing to Poor Self-Rated Health in Older Adults with Lower Income |
| title_sort | factors contributing to poor self rated health in older adults with lower income |
| topic | self-rated health risk factor older adults low income |
| url | https://www.mdpi.com/2227-9032/9/11/1515 |
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