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Sex Differences in Lower Urinary Tract Symptoms in Older Korean Adults Living in Rural Areas: Prevalence, Quality of Life, and Associated Factors

  • Park, Jeongok;Kim, Eun Sook;Lee, Young Joo;Lee, Hyo Serk;Seo, Ju Tae
    • International Neurourology Journal
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    • v.22 no.3
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    • pp.212-219
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    • 2018
  • Purpose: Urinary incontinence (UI) is associated with nursing home admission, functional decline, and risk of death among community-dwelling older adults. Little information, however, is available on sex differences in lower urinary tract symptoms (LUTS) in older Korean adults exclusively living in rural areas. This study examined sex-related differences in LUTS, factors associated with UI in older adults living in rural areas, and health-related quality of life (HRQoL) in incontinent older adults. Methods: This was a cross-sectional study in which face-to-face interviews were conducted at 15 rural community-health centres. A total of 323 older adults aged ${\geq}65years$ from rural areas of Korea participated. LUTS prevalence was evaluated and HRQoL was measured using the King's Health Questionnaire. The chi-square test and t -test were used to examine sex differences in characteristics, LUTS, and HRQoL. Multivariable logistic regression was used to identify risk factors associated with UI. Results: Nocturia was the most prevalent symptom, affecting 87% of men and 86% of women. Women (53%) had significantly more UI of any kind than did men (35%) (P=0.007). Urgency UI was the most frequent type of UI in men, whereas stress UI was the most frequent in women. Regarding HRQoL, men had significantly higher scores in the domains of sleep/energy disturbances (P=0.032) than did women, and women reported greater effects from the severity of incontinence (P=0.001) than did men. Arthritis was the only factor associated with UI in men (odds ratio [OR], 6.88; 95% confidence interval [CI], 1.46-32.36). However, women with diabetes mellitus were less likely to have UI than those without (OR, 0.43; 95% CI, 0.23-0.82). Conclusions: LUTS were found to be highly prevalent in community-dwelling older Korean adults in rural areas. Interventions to improve sleep and to reduce UI severity are needed for incontinent men and women, respectively.

A Study on the Behavior Related to Brassieres Purchasing Decision Making of Elderly Women (노년여성의 브래지어 구매의사결정 관련행동에 관한 연구)

  • 박은미
    • Journal of the Korean Home Economics Association
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    • v.35 no.2
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    • pp.65-79
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    • 1997
  • This research is intended for 418 elderly women who reside in Seoul and the National Capital region. the survey and analysis are on the practical behavior related to purchasing decision making of brassieres for elderly women. The purpose of the survey and analysis is to induce contented and rational purchase activity for elderly women; also, to supply the fundamental sources which can support accomplishing scientific and systematic marketing activity to foundation manufacturing business. The main results of this study are as follows; 1. The elderly women tend to decide on purchase of the brassiere subjectively alone than rely on the informants and to listen to sales women's advice more. The younger, more educated and higher income of family, the elderly women tend more to depend on their own subjective sense than others' recommendations and rely on such mass media as TV and magazines for information source. 2) The elderly women tend to purchase their brassieres personally. In particular, the younger, more educated and higher income they tend more to choose their brassieres alone rather than with others. 3) The companions for elderly women's purchase were their daughter, daughter-in-law and friends. The younger, more educated and higher income, they tend more to accompany friends. The older, less educated and lower income, they tend more to be accompanied by their daughter or daughter-in-lay. 4) The elderly women are aware of the trademarks for brassieres. Although most of them know about their brassiere size, the majority of them tend to purchase their brassieres without trying on them. the older, less educated and lower income, they are less aware of trademarks and their brassiere size, and thus are less influential in their purchasing decision making. 5) The places of purchasing on which elderly women rely most for their brassiere are department stores, agent and markets. Other places are private haberdashery's, discount and pension shop. The department stores are most used by the less younger, more educated and higher income, while the markets are most often visited by those older, less educated and lower income, while the markets are most often visited by those older, less educated and lower income. The agent are favored by the medium class old people between two extremes.

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A Basic Study Contributes to Extract the Standardized 3D Body Data for Women Aged 60 and Older (노년 여성 체형의 표준화된 3차원 측정 데이터 추출을 위한 기초 연구)

  • ;;Susan p. Ashdown
    • Journal of the Korean Society of Clothing and Textiles
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    • v.28 no.2
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    • pp.344-353
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    • 2004
  • The purpose of this study was to offer the basis contributes to extract the standardized body data from 3D body measuring for women aged 60 and older. The WB4 of Cyberware was used, and the measuring program of 3D scanning data was 3DM. This study was focused to verify the reliability of 3D data and to offer the effective utilization of 3D measuring on the research for elderly women■s body. Subjects were 19 women aged 60 and older. And three women in late twenties and three dressforms for women were comparing subjects to analyze the signiscant difference by age or human body variable making error. First, 3D scanning was executed twice on each subject, but any significant difference was not appear between two scanning data. So we certifed we could get the consistent and reliable data from the 3D scanner used in this study. Second, the reliability of 3D measuring data was analyzed, and the error range which meant the difference between 3D data and traditional measuring data was analyzed. In elderly women, the significant difference between two data was appeared in 19 body parts. The 7 of 19 were concerned with armpit point. In young women, three significant difference were appeared, and in dressforms, any significant difference was not certified. From these results, we could certify that age or human body variable produced the difference between two data. Third, the data of elderly women from three measuring methods, 3D measuring, traditional measuring, and measuring on 2D photographs were compared. From the result, we found that the 3D measuring data was quite reliable for most body parts excluding some width parts. But in elderly women, there were some limitation to extract reliable data because of their unique body characteristics. In order to be a role of the effective measuring method, the 3D measuring protocol reflected the body characteristics of each age or gender had to be prepared.

Operation and Process Evaluation of a Community Meal Program for the Elderly in Rural Areas during Agricultural Off-Season Perceived by Cooking Volunteers (농촌 고령자 대상 농한기 마을 공동식사 프로그램 참여 조리자원봉사자의 프로그램 운영에 대한 인식과 과정 평가)

  • Bae, Jeong-Sook;Seong, Sol-Bee;Jang, So-Mang;Yoo, Chang-Hee;Lim, Young-Suk;Lee, Young-Mi;Park, Hae-Ryun;Lee, Kyung-Eun
    • Korean Journal of Community Nutrition
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    • v.24 no.4
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    • pp.277-289
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    • 2019
  • Objectives: This study examined the practices of a community meal program for older adults in rural areas during the agricultural off-season. Methods: A survey was conducted from December 12 to December 22, 2016. Self-administered questionnaires were distributed to 150 cooking volunteers, who had participated in the community meal program in 50 villages. A total of 114 responses were returned from 44 villages and used for data analysis. In addition, in-depth interviews were conducted with the volunteers of eight villages. Results: Most of the cooking volunteers were 50 years old or older and they participated in serving older adults meals for good will. The cooking volunteers perceived that the older adults in their community did not eat various foods, had difficulties in grocery shopping, and frequently consumed salty foods. During the agricultural off-season, 40.9% of villages served the older adults meals 6-7 days a week and 95.5% provided meals for lunch. An average of 21 to 40 older adults were served meals in each village. The cooking volunteers reported that the food preparation and meal service times were sufficient, recipes provided were useful, and menus met the preference of the older adults. At the end of the program, they felt proud of serving meals for older adults in the community. An increased awareness of healthy eating, interest in health, and consumption of nutritious meals, a decrease in loneliness among older adults, and the promotion of fellowship in the community were rated highly. The cooking volunteers expected additional support for cooking personnel and insisted that the program should be provided for the entire agricultural off-seasons. Conclusions: The community meal program during the agricultural off-season for the elderly in rural areas was effective in improving the dietary life of older adults, relieving their feelings of isolation, and promoting fellowship of the community. The volunteers felt workload due to a shortage of volunteers but answered that they were rewarded by helping older adults in their community.

Body Image in Older People as It Relates to Exercise and Dieting

  • Oh, Keun-Young
    • Journal of the Korean Society of Clothing and Textiles
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    • v.35 no.6
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    • pp.678-686
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    • 2011
  • Older people have increased interest and involvement in controlling their aging body through physical exercise and dieting. This study examined the relationship between body image and the participation of older people in exercise and dieting. Two measures of body image (appearance attitude and appearance orientation) were used to study their relationships to participation in exercise and dieting among older people. Data were collected via a mail survey of older married couples residing in three U.S. metropolitan areas of Florida. A total of 94 couples who were 60 years older participated in this study. Multiple regression was run separately for men and women. The results indicated that for both men and women, appearance attitude was inversely related to dieting and positively related with exercise (even though the relationship with exercise was weak for men). Appearance orientation was not significantly related to exercise or dieting for both men and women. A new scale development on body image for an aging population was suggested. Various activities performed by aging people to manage their aging body and appearance need to be studied as related to physical and psychological well-being that includes body image.

Relationships among Knowledge, Self-efficacy, and Health Behavior of Osteoporosis and Fall Prevention in Old Aged Women

  • Ahn, Sukhee;Oh, Jiwon
    • Korean Journal of Women Health Nursing
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    • v.24 no.2
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    • pp.209-218
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    • 2018
  • Purpose: This study was conducted among older women to (1) identify their levels of knowledge, self-efficacy, and health behavior in dealing with osteoporosis and falls and (2) explore the relationships between the study variables based on a health-beliefs model. Methods: With a cross-sectional survey design, we recruited 94 older women of ages from 65 to 74 at a community setting via convenience sampling. The study participants completed two sets of structured questionnaires (on osteoporosis and fall prevention). Results: The general characteristics of the study participants demonstrated that the women were at high risk for osteoporosis and falls. Overall, the levels of knowledge about osteoporosis and falls, their self-efficacy, and their preventive behaviors were average or slightly above. The relationships between the study variables showed that self-efficacy and healthy behavior, such as doing osteoporosis exercise, eating an osteoporosis diet, and avoiding falls, were related (r=38, p<.001; r=.33, p<.05; r=.26, p<.05). In addition, there were statistically significant relationships between osteoporosis and fall prevention knowledge (r=.37~.46, p<.001), self-efficacy (r=.50~.53, p<.001), and preventive behaviors (r=.50, p<.001). Conclusion: The women's scores on osteoporosis and fall knowledge, self-efficacy, and preventive behaviors suggest an urgent need for the implementation of educational programs for older women. A close relationship between self-efficacy and health behaviors implies a need for transformation of a traditional one-way lecture form.

The effect of gender role attitude patterns on marital satisfaction and marital conflict among older adults (남녀노인의 성역할 태도 유형이 부부관계 만족도와 부부갈등 수준에 미치는 영향)

  • Park, Hayoung;Jun, Hey Jung;Joo, Susanna
    • 한국가족관계학회지
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    • v.23 no.1
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    • pp.25-51
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    • 2018
  • Objectives: The aim of this study is to identify patterns of gender role attitude among older men and women and to investigate the effects of the identified patterns on marital quality for each gender. Method: The Third National Survey of Korean Families was utilized and 981 men and 752 women aged 60 and above, who have been married for over 20 years and have at least one child, were analyzed. Using Mplus 7.3, a latent profile analysis (LPA) identified latent profiles of gender role attitude for each gender. Then, using SPSS 23.0, multiple regression analysis analyzed the effects of the identified patterns on both marital satisfaction and marital conflict. Results: The latent profile analysis identified two patterns of traditional and partially egalitarian gender role attitudes each for the older men and women. Also, means on items relevant to the male breadwinner model and the male-oriented family culture were relatively low for both men and women regardless of the patterns. For the older men, the effects of the gender role attitude patterns on marital satisfaction and marital conflict were both significant; those individuals with the partially egalitarian gender role attitude pattern reported higher levels of marital satisfaction and lower levels of marital conflict than those individuals with the traditional gender role attitude pattern. However, the effects of the gender role attitude patterns on marital satisfaction and marital conflict were both not significant for the older women. Conclusions: The findings from this study suggest that political interventions are required to promote an egalitarian family culture for older adults. Moreover, its findings may be useful in the field of marriage and family therapy to develop educational programs that seek to improve marital quality in later life.

Meal and Food Provision Services for Community-dwelling Vulnerable Older Adults Perceived by Health & Welfare Service Providers in Seoul (서울 지역 건강·복지담당자가 인식하는 취약계층 고령자를 위한 지역사회 식사·식품지원서비스 실태)

  • Jang, So-Mang;Bae, Jeong-Sook;Lee, Kyung-Eun
    • Journal of the Korean Dietetic Association
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    • v.25 no.4
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    • pp.295-309
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    • 2019
  • The purpose of this study were to identify the dietary practices of vulnerable older adults and to assess the foodservice and food provision service programs perceived by the health and welfare service providers in the community. A survey was conducted on health and welfare service providers working in outreach community centers and community health centers in Seoul. A total of 260 nurses and social workers participated in the survey and 224 responses were used for data analysis after excluding significant missing data. The respondents consisted of nurses (58.5%) and social workers (41.5%). In terms of the dietary life of the vulnerable older adults, they perceived that the food cost was burdensome to the older adults and poor dental conditions prohibited them from eating various foods. The health and welfare service providers rated highly for 'home-delivered meal and side dish services are effective for checking older adults' conditions' but rated low for availability of menu choices. In targeting vulnerable older adults for food and nutrition service programs, the home-delivered meal service was found to be suitable for older adults living alone, those over age of 80 years, those with mobility difficulties, and those with economic difficulties. The food provision service was appropriate for older adults living with their spouse or other family members. Vulnerable older adults are a heterogeneous population with diverse needs related to food and nutrition. Home-delivered meal/side dish service and food provision services will achieve their goals when they reach the correct targets with a customized service.

Development of the Booklet ″Prevention and Management of Hypertension for Older Adults″

  • Kim, Kyungwon;Hyunjoo Kang;Eunmi Shin;Kim, Hee-Seon
    • Journal of Community Nutrition
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    • v.6 no.1
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    • pp.26-34
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    • 2004
  • Hypertension is prevalent among older adults, and nutrition is important for hypertension management. However, there are few nutrition education materials developed for older adults. The purpose of this study was to develop a booklet for prevention and management of hypertension for older adults. Based on lesson plans, topics for the booklet included introduction to hypertension, hypertension prevention through weight management, nutritional management of hypertension, and lifestyle modifications. After several revisions of the draft were made, illustrations and icons appropriate to the text were designed by a graphic designer using Illustrator 9.0 and Photoshop 6.0. The booklet consisted of four chapters and 40 pages. The first chapter dealt with information on hypertension, risk factors, complications and dietary guidelines. These were mainly explained by illustrations and characters of older adults. The second chapter included assessment of obesity, reducing fat intake and behavioral change strategies. The third chapter focused on practical tips for reducing salt, eating more fiber and calcium, and sample menus. The fourth chapter presented information for quitting smoking and drinking, and stress management. Finally, games, meal planning and quizes, were presented as reinforcement. Based on pilot testing with 10 adults aged 50 and older, minor changes were made in wording, expressions and information. This booklet is characterized by using simple and specific messages, providing tips for dietary and lifestyle changes, and using illustrations and characters of older adults to increase understanding. The revised booklet is self-explanatory and can be used by older adults or in nutrition education for older adults.

Older Women Breast Cancer Survivors: Decision Making, Sources of Information and Wellness Activities in Malaysia

  • Mohamed, Nor Aini;Muhamad, Mazanah
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.2043-2048
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    • 2013
  • The purpose of this study mas to profile older breast cancer survivors in Malaysia. In a survey study, a custom made questionnaire was administered to 69 breast cancer patients and survivors between 60 and 84 years of age in Peninsular Malaysia. The main ethnic group recorded was Chinese, followed by Malay and Indian. The majority of women were married (87%) and had children (84.1%). Just over half (53.6%) had primary and secondary education, whereas 24.7% had higher education. Fifty five percent of the study participants made their own decision on treatment, 60.8% exercised at least 3 times in a week, and 56.6% sought information from specialists. Our study suggests that older breast cancer survivors are aware of the importance of exercise in their daily lives and make attempts to be cancer free (e.g. doing exercise, recreational activity and have good relationships with friends and family).