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A Longitudinal Study of the Reciprocal Relationship between Depression and Income among Korean Older Men and Women
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Jeong Lee, Gyeong-Suk Jeon
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J Korean Acad Nurs 2022;52(4):451-463. Published online August 31, 2022
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DOI: https://doi.org/10.4040/jkan.22052
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Abstract
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- Purpose
This study examined the reciprocal relationships between depression and income, and gender differences in these relationships among older adults in South Korea. Methods Using 2015 to 2019 of the Korea Welfare Panel Study (KoWePS), we studied 6,070 older adults (2,394 men and 3,676 women) aged 60 years over in 2015. The generalized estimating equation was employed to explore the effect of an individual income on depression and the reverse causal link-that of depression on income. Results The study found the reciprocal relationships between income and depression. Income has a significant impact on depression. Higher-income was linked to decreased risks of the Center for Epidemiologic Studies Depression (CES-D) scores among older adults (B = - 0.121, p < 0.001). Estimates of the reverse causal link show that higher CES-D scores were also linked to income reduction among Korean older adults (B = - 0.007, p < 0.001). In addition, we also observed gender differences in the impact of income on depression but not in the reverse causal link. Income has more detrimental to psychological consequence for older men (B = - 0.108, p < 0.001) than older women (B = - 0.057, p < 0.001). Conclusion The finding implies that both psychological and social protection policies for the elderly are needed in view of gender perspective.
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Citations
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- Risk factors of depression among the baby boomer generation: A cross-sectional study using the 2022 Korean Community Health Survey
Kyoung Mi Kim, Hye Jung Jun Journal of Korean Gerontological Nursing.2025; 27(3): 308. CrossRef
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Predictive Model for Quality of Life of the Older Men Living Alone
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Su Jin Kim, Gyeong-Suk Jeon
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J Korean Acad Nurs 2020;50(6):799-812. Published online December 31, 2020
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DOI: https://doi.org/10.4040/jkan.20087
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Abstract
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- Purpose
This study aimed to construct and test a predictive model that explains and predicts the quality of life in older men living alone. Methods A self-report questionnaire was used to collect data from 334 older adult men living along aged 65 years or over living in Jeollanam-do provinces. The endogenous variables were depression, self-rated health, instrumental activity of daily life, health promotion behaviors, the number of social participation activities and quality of life. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs. Results The final model with 14 of the 8 analysed paths showed a good fit to the empiri cal data: χ2= 173.26(p < .001, df = 53),normed χ2= 3.27, GFI = .92, NFI = .90, CFI = .93, TLI = .89, RMSEA = .08 and SRMR = .06. Activities had direct effect on quality of life of older men living alone and social support had both direct and indirect effects. Meanwhile, function and socioeconomic status showed only indirect effects.The variables included in the eight significant paths explained 83.7% of variance in the prediction model. Conclusion Instrumental activities of daily living and social support effect directly on quality of life in the older men living alone. Findings suggest that health care providers including community nurses need to provide social support as well as empowerment programs of instrumental activities of daily living and health promotion for improving quality of life of the older men living alone.
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- Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study
Hana Ko, Belong Cho, Kyung-Choon Lim, Soong-Nang Jang, Sun Ju Chang, Yu Mi Yi, Hye Ryung Cho, So Im Ryu, Eun-Young Noh, Yeon-Hwan Park Frontiers in Public Health.2023;[Epub] CrossRef - Influencing factors on self-care of older adults living alone in a community during COVID-19: A cross-sectional study
Heeyoung Woo, Minkyung Gu Journal of Korean Gerontological Nursing.2023; 25(1): 1. CrossRef - A novel nomogram to stratify quality of life among advanced cancer patients with spinal metastatic disease after examining demographics, dietary habits, therapeutic interventions, and mental health status
Yue Li, Ze Long, Xiuju Wang, Mingxing Lei, Chunzi Liu, Xiaolin Shi, Yaosheng Liu BMC Cancer.2022;[Epub] CrossRef - Associated Factors with Health-related Quality of Life among Older Adults with Diabetes in Korea
Eun-Kyung Lee, Sun-Young Jung The Korean Journal of Rehabilitation Nursing.2022; 25(2): 61. CrossRef
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Prediction Model for Health-Related Quality of Life in Hospitalized Patients with Pulmonary Tuberculosis
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Kwang-Sim Jang, Gyeong-Suk Jeon
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J Korean Acad Nurs 2017;47(1):60-70. Published online February 28, 2017
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DOI: https://doi.org/10.4040/jkan.2017.47.1.60
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Abstract
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Purpose
This study was conducted to construct and test a structural equation model of health-related quality of life (HRQoL) among hospitalized patients with pulmonary tuberculosis (PTB).
Methods
Participants were 256 patients with PTB who were 20 years or older and admitted in two national tuberculosis hospitals. The patients participated in pulmonary function testing and responded to structured questionaries.
Results
The goodness-of-fit statistics of the final hypothetical model were as follows: χ2/df=2.19, RMSEA=.07, SRMR=.05, GFI=.95, NFI=.95, CFI=.96, TLI=.92, and PCFI=.52. Symptoms and general health perception had significant direct effects, and subjective economic status, social support and stigma had significant indirect effect on HRQoL of hospitalized patients with PTB. These variables explained 64% of variance in the prediction model.
Conclusion
Findings suggest that strategies and intervention for physical symptoms and depressive symptoms are crucial to improve the quality of life in hospitalized patients with PTB. The development of various social support programs is also recommended.
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Citations
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- Factors Influencing Health-Related Quality of Life in Patients With Atrial Fibrillation
Hyeon-Ok Lee, Ji-Yeong Seo Journal of Cardiovascular Nursing.2025;[Epub] CrossRef - Prognostic Models in Nephrology: Where Do We Stand and Where Do We Go from Here? Mapping Out the Evidence in a Scoping Review
Jet Milders, Chava L. Ramspek, Roemer J. Janse, Willem Jan W. Bos, Joris I. Rotmans, Friedo W. Dekker, Merel van Diepen Journal of the American Society of Nephrology.2024; 35(3): 367. CrossRef - Health-related quality of life for older patients with chronic low back pain: A structural equation modeling study
Suin Lee, Eun-Ju Lee Journal of Korean Gerontological Nursing.2023; 25(3): 248. CrossRef - Effects of Simulated Laughter Therapy Using a Breathing Exercise: A Study on Hospitalized Pulmonary Tuberculosis Patients
Kwang-Sim Jang, Jeong-Eun Oh, Gyeong-Suk Jeon International Journal of Environmental Research and Public Health.2022; 19(16): 10191. CrossRef - A novel nomogram to stratify quality of life among advanced cancer patients with spinal metastatic disease after examining demographics, dietary habits, therapeutic interventions, and mental health status
Yue Li, Ze Long, Xiuju Wang, Mingxing Lei, Chunzi Liu, Xiaolin Shi, Yaosheng Liu BMC Cancer.2022;[Epub] CrossRef - Reliability and validity of a smart quality of life scale for patients with tuberculosis
Lei Qiu, Yeqing Tong, Qin Yang, Na Sun, Yanhong Gong, Xiaoxv Yin Journal of Public Health.2020; 28(5): 575. CrossRef - A Structural Equation Model of Health-Related Quality of Life among Older Women Following Bilateral Total Knee Replacement
Hyun Ok Lee, Jae Soon Yoo Journal of Korean Academy of Nursing.2020; 50(4): 554. CrossRef - Quality of life in Korean tuberculosis patients: A longitudinal study
Sujung Park, Maureen George, Ja Yun Choi Public Health Nursing.2020; 37(2): 198. CrossRef - Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance
Hyun Ju Lee, Jiyoung Park Korean Journal of Adult Nursing.2020; 32(3): 305. CrossRef - Factors associated with Health-related Quality of Life in Patients with Peripheral Arterial Disease
Da El Jang, Yeon Soo Jang, Eui Geum Oh, Young Guk Ko Korean Journal of Adult Nursing.2018; 30(3): 266. CrossRef
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