앤더슨 모형을 활용한 지역사회 돌봄활동 주민참여 의향에 미치는 영향요인: 지역사회 공동체의식의 조절 효과

초록

This study utilized Andersen’s behavioral model to explore the factors affecting older residents’ intentions to engage in community-based care activities. The objective was to propose strategic and practical measures that promote integrated care as a fundamental civil right. Data were gathered from the 2022 Survey on Perceptions of Elderly Community Care Services, involving a sample of 1,749 older adults from 39 institutions, including comprehensive social welfare centers, senior welfare centers, and disability welfare centers, located in the southeastern (Songpa-gu), northeastern (Seongdong-gu), and northwestern (Eunpyeong-gu, Mapo-gu) regions of Seoul. Logistic regression analysis was performed to identify factors associated with participation intentions. Among the predisposing factors, age and education level were statistically significant: older individuals were less likely to intend to participate, while those with higher education levels exhibited a greater willingness to engage in these activities. In terms of enabling factors, subjective health status was positively correlated with participation; individuals who rated their health as “fair” or “good” were more likely to participate compared to those who reported “poor” health. Regarding need factors, significant differences in participation intentions were noted across residential areas. Specifically, a stronger sense of community was linked to a higher willingness to participate. Interaction effects between residential area and sense of community indicated that variations in participation intentions across regions could be explained by differences in community consciousness. These findings highlight the necessity for policy interventions and program development focused on improving residents' health status and fostering community connectedness to encourage active participation in community-based care initiatives.

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