• 한국치위생학회지
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• 제21권4호
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• pp.383-391
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• 2021

Objectives: Based on the 7th National Health and Nutrition Examination Survey 1,135 adults aged 19 years were selected as the final study subjects to investigate the relationship between oral health and chewing difficulty in adults. Methods: Frequency analysis, chi-square test, and logistic regression analysis were performed for general characteristics, oral health behaviors, awareness symptoms, and oral health using SPSS Program 21.0. Results: Regarding factors related to chewing difficulty, the oral health was 0.44 times lower than the average level and 0.28 times lower than the good condition. In the case of oral examination, chewing difficulty was 0.85 times lower. The speaking problem was 0.11 times lower in usually than inconvenient and 0.06 times lower in not inconvenient. In the case of un-treatment, it was 0.40 times lower than that in the case of treatment. The chewing difficulty was significantly higher by 2.09 times in the case of experience of tooth pain and 1.36 times in the case of periodontal disease. Conclusions: Based on the above results, it is thought that prevention and treatment are actively needed to identify factors of oral health to improve oral health, to solve chewing difficulty and to improve chewing function.

• 한국농촌간호학회지
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• 제19권1호
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• pp.1-11
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• 2024

Purpose: This study develops a health literacy instrument for Alzheimer's disease. Methods: Items were drawn from The Korean version of the Alzheimer's Disease Knowledge Scale (ADKS) and the Korean version of European Health Literacy Survey Questionnaire (HLS-EU-Q47 & HLS-EU-Q16). Content validity was tested by experts. To further refine the questionnaires and test their reliability and validity, data were collected from 324 older adults in the community. Results: Five significant items in the two subscales were derived from the factor analysis. The subscales were named access and understanding. Reliability was good at Cronbach's ⍺ .79, and validity through exploratory factor analysis was KMO .897, p<.001, which was found to be high and significant. Conclusion: The instrument demonstrated high reliability and validity. Therefore, this instrument can contribute to the evaluation of health literacy for Alzheimer's Disease in older adults and to any subsequent intervention, as well as to develop a theory for health literacy for Alzheimer's Disease.

• 한국보건간호학회지
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• 제23권2호
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• pp.219-231
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• 2009

Purpose: This study compared health behaviors between single-member and multiple-member households by gender in adults. Method: Study subjects were 21,757 adults 20-65-years-of-age from the Third Korea National Health and Nutrition Examination Survey in 2005. The relationship between health behaviors and residence characteristics was assessed using multiple logistic regression analysis while controlling for sociodemographic characteristics. Results: Younger women living alone were more likely to drink than older women living with others. Women who were in multiple-member households and had a low income were less likely to exercise regularly, to sleep well, and to have regular health examinations. Age, educational level, and income were significantly associated with smoking, exercise, and health examination rather than residence characteristics in men. Conclusion: Residence characteristics should be considered in developing a public health program to reduce or increase modifiable health behaviors as well as age, gender, education, and income.

• 재활간호학회지
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• 제15권2호
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• pp.100-108
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• 2012

Purpose: The purpose of this study was to compare healthy life style and chronic disease management between urban and rural older adults. Methods: The study employed a comparative and descriptive survey design. Data were collected from 154 older adults living independently in communities (79 from urban and 75 from rural areas) using structured questionaries from 24 July, 2010 to 14 August, 2011. Results: Perceived health status was significantly lower in urban older adults than those in rural areas ($x^2$=13.27, p = .001). Frequency of regular health examination was better in the urban group than the rural group ($x^2$=4.71, p = .030). Among older adults with hypertension, medication noncompliance was higher, and participation rate in disease management education was lower in the rural group than the urban group ($x^2$=6.43, p = .040; $x^2$=23.51, p<.001, respectively) and the same as arthritis. Conclusion: Rural older adults had more problems with health and disease management in this study, might be, due to difficulties in access to health care services than urban residents. More tailored programs of disease management as well as health service programs and staffing should be developed in rural areas. For urban older adults, meal preparation program and more opportunities producing income may be needed.

• Journal of Community Nutrition
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• 제2권1호
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• pp.71-84
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• 2000

This paper presents the status of nutrition education for older adults in Korea, and examines considerations in developing effective nutrition education programs for the elderly based on literature reviews. Finally, strategies of nutrition education for older adults in Korea are examined. Status of nutrition education were examined by surveying 90 senior centers, and 46 public health centers providing nutrition services. Most senior centers(96%) provided health education programs, however, nutrition was only a part of health programs. Among the 41 public health centers which responded to the survey, 73.1% provided nutrition education for older adults. The frequently covered topics were prevention & management of hypertension/stroke, diabetes, nutritional management during later adulthood, and osteoporosis. Common barriers in planning and implementing elderly education were; lack of educational materials for older adults, reliance on lectures, difficulty in following-up. To develop effective nutrition education, four stages consisting of needs assessment, planning and implementation of programs, and evaluation should be carefully done. Needs assessment might be done using quantitative or qualitative assessment. Factors influencing nutrition behavior of older adults can be systematically examined using a theoretical approach such as the PRECEDE-PROCEED framework. Qualitative methods, such as focus group interviews, also provide insightful information regarding the needs of older adults. In planning nutrition education programs, physical and pshychological changes associated with aging should be considered. Literature regarding elderly education suggest that active participation or participatory learning is also effective for older adults. Educational materials are developed following the principle of KISS and pre-tested. Program evaluation has been rarely done in practice, although it provides valuable feedback to the program. Strategies for developing nutrition education for Korean elderly include; performing needs assessment, developing a standard program by topics in a logical and systematic way, developing programs for subgroups of elderly, applying diverse education methods developing educational materials for the elderly, evaluating programs using simple tools, and delivering a nutrition program as a part of health promotion program. Finally, the interaction and communication between researchers and practitioners is strongly recommended to ensure better nutrition education and services to the elderly.

• 한국치위생학회지
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• 제15권1호
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• pp.47-54
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• 2015

Objectives: The aim of this study was to investigate the factors related to dental caries and periodontal disease in Korean adults. Methods: The subjects were 5,149 adults over 19 years old who participated in the 5th Korea National Health and Nutrition Examination Survey 2012. Data were analyzed by chi-square test and logistic regression analysis using SPSS 18.0 statistical package program. The questionnaire consisted of 17 questions of independent variables and 2 kinds of dependent variables including dental caries and periodontal diseases by direct interview. The independent variables included 5 questions of general characteristics, 3 questions of health behavior, 5 questions of oral health behavior, and 4 questions of chronic diseases diagnosed by the doctors. Results: The prevalence rate of dental caries was higher in those who did not regularly work out and did not receive regular checkups including dental floss and dental brush use. The prevalence rate of periodontal diseases was higher in male adults, smokers, and those who were obese and had diabetes mellitus, poor oral health care habit without using dental floss and inter-dental brush. Conclusions: In order to prevent the dental caries in the adults, it is very important to do regular exercise and regular dental checkup. The best ways of dental caries prevention include tooth brushing after meal with use of dental floss and inter-dental brush. This study suggests that dental health promotion can be enhanced by smoking cessation, ideal body weight maintenance, timely tooth brushing after meal, and use of dental floss and inter-dental brush.

• Journal of Korean Biological Nursing Science
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• 제26권1호
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• pp.41-48
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• 2024

Purpose: This study investigated hand-washing practice among community-dwelling older adults during the coronavirus disease 2019 (COVID-19) pandemic and aimed to identify the impact of COVID-19-related concerns and depression on hand-washing practice. Methods: This was a secondary analysis of data extracted from the 2020 Community Health Survey. The primary data were collected through self-reporting from August 10 to September 8, 2020 in a cross-sectional study. The subjects comprised of 1,350 adults aged 65 or older living in Jeju Province who participated in the 2020 Community Health Survey. Results: The factors affecting hand-washing practice among older adults were male older adults (β = -.18, p < .001), age (β = -.07, p = .001), no education (β = -.20, p < .001) and elementary, middle, and high school graduation (β = -.15, p < .001) compared to a college or higher education, poor health perception (β = -.13, p < .001), COVID-19-related concerns (β = .08, p = .005), and depression (β = -.07, p = .001). To summarize, the factors negatively affecting hand-washing practice included male gender, lower education level, poor health perception, and depression. In contrast, factors positively associated with hand-washing practice included COVID-19-related concerns. Conclusion: These findings show the importance of considering these multifaceted determinants when designing targeted interventions and educational programs to promote hand-washing among older adults. Additionally, based on the relationship between hand-washing practice and COVID-19-related concerns and depression, interventions that can alleviate mental problems along with providing proper education are required.

• 지역사회간호학회지
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• 제32권2호
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• pp.131-139
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• 2021

Purpose: In adults with chronic diseases, unmet healthcare needs are likely to increase the risk of worsening the illness and complications. This study was conducted to explore factors affecting unmet healthcare needs among adults with chronic diseases. Methods: A cross sectional study was performed using the data from the seventh Korea National Health and Nutrition Examination Survey (KNHANES VII), 2016-2017. The sample of this study consisted of 6,104 adults with chronic diseases. The data were analyzed by Rao-Scott 𝑥² test and logistic regression using complex samples analysis. Results: The proportion of subjects who experienced unmet healthcare needs was 10.9% of adults with chronic diseases. The factors affecting unmet healthcare needs of adults with chronic diseases were age, gender, employment status, household income, subjective health status, activity limitation, and perceived stress. Conclusion: The findings of this study suggest that various factors may be associated with their unmet healthcare needs. Finally, the development of strategies to reduce unmet healthcare needs for people with chronic diseases should consider the associated factors presented in the study.

• 한국보건간호학회지
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• 제37권1호
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• pp.136-146
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• 2023

This cross-sectional design study was undertaken to determine the factors associated with suicidal ideation in human immunodeficiency virus (HIV)-infected older adults. Data from a city-wide representative sample collected by the Seoul Metropolitan Government were used. The cross-sectional survey was conducted between February and March 2013. Participants selected and included in the analysis were HIV-infected adults living in Seoul, and aged 50 years and older. The overall adjusted model showed that being unemployed (adjusted odds ratio [aOR], 3.34; 95% confidence interval [CI], 1.16-9.57), a history of depression treatment (aOR, 4.61; 95% CI, 1.02-20.66), perceived belongingness (aOR, 0.63; 95% CI, 0.41-0.99), and psychological functioning (aOR, 0.85; 95% CI, 0.73-0.99) were significantly related to suicidal ideation. Psychosocial features were found to be strongly associated with suicidal ideation among HIV-infected older adults. The findings could be useful for HIV nursing consultants to identify HIV-infected older adults who are vulnerable to suicidal ideation. Comprehensive mental health services should be provided as coping resources for HIV-infected older adults who have suicidal ideation.

• 기본간호학회지
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• 제14권4호
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• pp.493-499
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• 2007

Purpose: This study focused on identifying health promotion behavior of older adults, and factors affecting this behavior. Method: The participants in this survey analysis were Koreans aged 65 or over who had the ability to communicate and could do cognitive thinking, and who consented to participate in the survey. The survey questionnaire included items on demographic characteristics, level of depression, social support, activities of daily living, self-efficacy, and health promotion behavior. Data were analyzed using the SPSS Windows 14.0 program. Results: There were significant differences in health promotion behavior according to religion, economy and health status. Levels of depression, social support and self-efficacy had strong correlations with health promotion behavior. The factors that had the greatest effect on health promotion behavior were social support and self-efficacy. Conclusion: As social support and self-efficacy have been found to affect health promotion behavior in older adults, programs developed to enhance health of older adults should include activities to enhance both social support and self-efficacy.