지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.1
- 수록면
- 1 - 12 (12page)
- DOI
- 10.4178/epih.e2022113
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초록· 키워드
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OBJECTIVES: Improved life expectancy has increased the prevalence of older adults living with multimorbidity, which likely deteriorates their health-related quality of life (HRQoL). However, less is known about patterns and the relationships of multi morbidity by HRQoL status in older adults.
METHODS: Individuals aged 65 or older from the Korean National Health and Nutrition Examination Survey V-VII (2010-2018) were analyzed. HRQoL was assessed by the EQ-5D questionnaire and categorized into three groups: poor, normal, and good.
The impact of multimorbidity on HRQoL was evaluated using logistic regression. The patterns and inter-relationships between multimorbidities, stratified by the HRQoL groups, were analyzed using the association rule and network analysis approach.
RESULTS: Multimorbidity status was significantly associated with poor HRQoL (3 or more diseases vs. none: aOR= 2.70, 95% CI, 2.10–3.46). Hypertension, arthritis, hyperlipidemia, and diabetes were the most prevalent diseases across all HRQoL groups.
The complex interrelationships of morbidities, higher prevalence, and node strengths in all diseases were observed in the poor HRQoL group, particularly arthritis, depression, and stroke, compared to other groups (1.5-3 times higher, all p-values < .05).
Apart from hypertension, arthritis and hyperlipidemia had a higher prevalence and stronger connections with other diseases in women, whereas diabetes and stroke in men with poor HRQoL.
CONCLUSIONS: Our study revealed that multimorbidity patterns were complicatedly inter-correlated disease networks in the poor HRQoL group and diverse by sex. These findings enhance the understanding of multimorbidity connections and help in form healthcare needs for older adults, especially those with poor HRQoL.
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