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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Autores principales:	Mikyong Byun, Eunjung Kim, Heuijune Ahn
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	self-rated health risk factor older adults low income Medicine R
Acceso en línea:	https://doaj.org/article/8eca37fa11604e9196f2b6638129985e
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spelling	oai:doaj.org-article:8eca37fa11604e9196f2b6638129985e2021-11-25T17:45:24ZFactors Contributing to Poor Self-Rated Health in Older Adults with Lower Income10.3390/healthcare91115152227-9032https://doaj.org/article/8eca37fa11604e9196f2b6638129985e2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1515https://doaj.org/toc/2227-9032Lower 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.Mikyong ByunEunjung KimHeuijune AhnMDPI AGarticleself-rated healthrisk factorolder adultslow incomeMedicineRENHealthcare, Vol 9, Iss 1515, p 1515 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	self-rated health risk factor older adults low income Medicine R
spellingShingle	self-rated health risk factor older adults low income Medicine R Mikyong Byun Eunjung Kim Heuijune Ahn Factors Contributing to Poor Self-Rated Health in Older Adults with Lower Income
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.
format	article
author	Mikyong Byun Eunjung Kim Heuijune Ahn
author_facet	Mikyong Byun Eunjung Kim Heuijune Ahn
author_sort	Mikyong Byun
title	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_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_sort	factors contributing to poor self-rated health in older adults with lower income
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/8eca37fa11604e9196f2b6638129985e
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Factors Contributing to Poor Self-Rated Health in Older Adults with Lower Income

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