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Ann Geriatr Med Res > Volume 17(1); 2013 > Article
Journal of the Korean Geriatrics Society 2013;17(1):7-17.
DOI: https://doi.org/10.4235/jkgs.2013.17.1.7    Published online March 31, 2013.
Health Care Behavior of People 60 Years and Older in Korea According to Family Type and Sociodemographic Factors - The 5th Korea National Health and Nutrition Examination Survey
Young Jin Tak, Yun Jin Kim, Sang Yeoup Lee, Jeong Gyu Lee, Dong Wook Jung, Yu Hyeon Yi, Young Hye Cho, Eun Jung Choi, Kyung Jee Nam
1Department of Family Medicine, Pusan National University Hospital, Busan, Korea. yujkim@pusan.ac.kr
2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
3Family Medicine Clinic, Pusan National University Yangsan Hospital, Yangsan, Korea.
4Medical Education Unit, Pusan National University School of Medicine, Yangsan, Korea.
가족 유형과 인구사회학적 요인에 따른 60세 이상 한국인의 건강 관리: 5기 국민건강 영양조사 결과를 바탕으로
부산대학교병원 가정의학과1, 부산대학교병원 의생명연구원2, 양산부산대학교병원 가정의학클리닉3, 부산대학교 의학전문대학원 의학교육실4
This study evaluated the effects of family type and sociodemographic factors on medical treatment, health behavior, and subjective health status in Koreans 60 years and older.
This study was based on data from the 5th Korea National Health and Nutrition Examination Survey (KNHANES), a nationwide health interview survey using a rolling sampling design involving complex, stratified, multistage, probability cluster. Our subjects included those > or =60 years of age (n=1,946) participating in the KNHANES 2010. Family type was categorized into 7 groups according to cohabitation: alone, couple cohabitation (living with a spouse), parent(s) cohabitation (couple living with parent(s)), offspring cohabitation (no spouse, living with offspring), couple offspring cohabitation (couple living with offspring), couple offspring parents cohabitation (couple living with parent(s) and offspring), and others. Logistic regression analyses were used to examine the association of family type and sociodemographic factors with health care.
The most common family type was couple cohabitation (38.26+/-1.8%). In this group, the percentage of non-receipt of needed medical care (odds ratio [OR], 0.60; 95% confidence interval [CI], 0.42 to 0.87) and current smoking rate (OR, 0.32; 95% CI, 0.20 to 0.50) were significantly lower than those living alone. Among the sociodemographic charicteristics, male gender, apartment dwelling, high middle household income, 2 member family, education higher than middle school, and possessing own house were associated with good health care behavior.
This study shows that couples have better health care behavior than other family types, in particular, limited smoking, appropriate medical treatment, and positive subjective health status. Those living alone visit medical clinics less often and have a negative subjective health status.
Key Words: Family type, Korean elderly, Health care

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