고령장애인의 폭력피해 경험이 신체적, 정신적 건강 및 건강행태에 미치는 영향에 대한 종단 연구

Abstract

Background: Older adults with disabilities face layered vulnerabilities that heighten their risk of victimization, yet empirical evidence onadverse health outcomes remains limited. This study quantified the prevalence of victimization and traced subsequent health outcomes amongcommunitydwelling older Koreans with disabilities. Methods: We analyzed four waves (2018–2021) of the Disability and Life Dynamics Panel, retaining 1,549 respondents aged ≥60 years old. Thedependent variables included subjective health, chronic illness, depressive symptoms, suicidal ideation, bodyweight status, exercise, sleepadequacy, and eating habits. The main independent variables were victimization status and cumulative years of victimization counts. Multivariate logistic models assessed associations between victimization and health outcomes, adjusting for sociodemographics, disabilitystatus, and family and social support. Results: In 2018, 6.6% of participants reported at least one form of victimization (1,447 nonvictims and 102 victims). Victims showedsignificantly higher odds of suicidal ideation at baseline year (adjusted OR [aOR], 2.17; 95% confidence interval [CI], 1.36–3.47). Baselinevictimization predicted poorer subjective health 3 years later (aOR, 1.66; 95% CI, 1.04–2.67). Each additional year of repeated victimizationincreased the likelihood of inadequate sleep (aOR, 1.50; 95% CI, 1.13–1.98), underscoring cumulative harm. Conclusion: Victimization of older adults with disabilities delivers immediate mentalhealth shocks and longerterm deterioration in perceivedhealth and sleep. This study showed both the short and longterm health outcomes of violence, as well as the cumulative burden of repeatedvictimization, among a population that has received limited attention in public health.