• 한국보건간호학회지
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• 제5권1호
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• pp.70-95
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• 1991

The ageing problem of the population has been emerging in Korea since 1970's so that it is expecting the elderly 65 years and over among the total population from $4.5\%$ in 1988 to be $6.3\%$ in year 2000. This study was conducted to provide secure policy development in coming years for the aged on medical and health care aspects based on the examining current status of the aged problems and health care policies and systems. The study divided into four parts; The first part examined the medical insurance program and public assistance program of the health services in relation to the aged. The second part emphasized on reduction of medical care cost for the aged. The third part studied the regular health check-up program and health education for the aged. The fourth part examined the chronic disease management programs for the aged and strategies of the health care service quality improvement and specialized programs. The following recommendations made as the results of the study. 1. At present, the medical insurance program and public assistance program for the medically indigent is not appropriate to the elderly because it is a part of general medical insurance program so that Health Security Law for the Aged is proposed. 2. Medical cost will be increased due to the high occupancy rate of hospital beds and long stay of the elderly so that it is recommended to develop an early discharge program, home health care program, Health hospice and an althernative programs. 3. At present, a regular health check-ups for the elderly is not included in medical insurance program so that it is recommended to be included in the insurance program and at the same time health education program thoroughly developed for the aged. 4. To make proper medical and nursing services on chronic diseases for the elderly, it is recommended manpower development, specialized clinics or hospitals, nursing homes and an equivalent long term care facilitices should be established on the community based and a research institutions also to be related to supper the care programs.

• 한국농촌생활과학회지
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• 제5권2호
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• pp.185-197
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• 1994

This study is to investigate the factors which affect self- esteem of the aged parents. In this study questionaires were used to measure solidarity between aged parents and adults children, self- esteem of aged parents. Subjects were 234 male and 235 female parents who were aged over 60. The data were analyzed by using frequency, percentage, mean, standard deviation, ANOVA, and stepwise regression analysis. The results are as follows : 1) The solidarity between the aged parents and their adult children is average 65.5(Conversion value by 100 : 51.9) and shows the average level. The relations between solidarity and background variables are variables affected by education, pocket money, health, social activity and religion. 2) The degree of self- esteem in the aged parents is presented to average 26.1(Conversion value by 100 : 56.5) and shows the average level and it according to the background variables has a significant difference depending on education, pocket money, family living together, health, social activity, religion and the number of children. 3) To investigate the degree of self- esteem according to the degree of solidarity, the sub-areas of solidarity are subdivided into five groups. higher solodarity the group has, higher self- esteem it has. 4) The degree of effects of the variables which affect self- esteem in the aged parents is in such order as affectional solidarity($\beta$＝0.32), helping($\beta$＝0.14), education($\beta$＝0.10), solidarity by contact($\beta$＝0.09) and solidarity by argument($\beta$＝0.09) and $R^2$ of such variables are 30%.

• 한국실내디자인학회논문집
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• 제16권2호
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• pp.217-224
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• 2007

The ratio of the aged population over 65 in Korea comprises 5.7% of the total population in 1995, and 7.1% in 2001, and it is expected that it will be 14% in year 2023. Also, owing to the appearance of various layers of the aged, it is necessary to prepare various programs and facilities for the aged who are healthy and economically capable in order for them to spend their life in an abundant and rewarded way. Andthere is a rising necessity not only to recognize the value of existence for the existing elderly welfare facilities but to prepare new elderly welfare facilities considering comprehensive elderly welfare as well. Especially, even though elderly welfare centers continue to provide for the aged both in a low-income class and a common class various service programs and activity programs, there still is a poor structure in terms of spatial dimension in detail to comply the service. Accordingly, we believe that it is necessary to have a comparative study on elderly welfare centers in Japan as elderly welfare facility that advances about 30 years ahead. For this purpose, this study compared the spatial structures of application programs according to facility regulations and their gross spatial classification focusing on elderly welfare centers in Japan and those of Korea. Based on this, this study intends to present basic materials for interior space planning when establishing elderly welfare centers founded on space dimension and structure along with the gross space in elderly welfare centers in Korea in the future.

• Osong Public Health and Research Perspectives
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• 제8권5호
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• pp.308-317
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• 2017

Objectives: We aimed to examine the effects of various leisure activities on cognitive impairment in young-old (aged 65-74 years) and old-old (aged ${\geq}75$ years) adults. Methods: In total, 10,279 elderly Korean individuals from the 2014 Korean National Survey on Older Adults' cohort were enrolled in our study. Cognitive impairment was assessed using the standardized score of the Mini-Mental State Examination for Dementia Screening, whereas leisure activities were recorded via self-reporting of the extent and type of leisure activity the subjects involved in over the past year. Multivariate logistic regression was used to assess the effect of leisure activities on cognitive impairment, while controlling for potential covariates. Results: The subjects were more likely to participate in cognitive activities than in non-exercise physical activities. After controlling for selected covariates, involvement in cognitive activities was found to be a significant predictor of cognitive impairment in both the groups, whereas involvement in non-exercise physical activities was not a predictor of cognitive impairment in individuals aged ${\geq}75$ years. Moreover, depressive symptoms, rural residence, and hearing difficulties were common predictors of cognitive impairment among elderly-Korean-individuals. Conclusion: Leisure activity involvement may help delay cognitive impairment, which is often concomitant with aging. Hence, an early intervention service may significantly benefit both young-old and old-old individuals.

• Tuberculosis and Respiratory Diseases
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• 제74권3호
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• pp.104-110
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• 2013

Background: Notified tuberculosis (TB) cases in Korea have not decreased over the last decade (2001-2010). Methods: To clarify the reasons, we analyzed an annual report on notified tuberculosis patients and age-specific population drift in Korea. Results: Compared to the age-specific notified TB cases between 2001 and 2010, distinctive features in notified TB cases and new cases increased markedly in people aged 45-54 years and in patients over 65 years old, whereas those between 15-34 years in 2010 decreased drastically. In particular, notified TB individuals over 65 years old occupied 29.6% of the cases in 2010, which was 1.5 times higher than that in 2001. The main reason not to decrease in notified TB patients for the last decade (2001-2010) was due to the increasing elderly population as well as the aging of baby boomers, which have a higher risk of TB development. Conclusion: Korea needs to pay attention to the older population in order to successfully decrease the burden of TB in the future.

• 한국보건간호학회지
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• 제31권3호
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• pp.492-504
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• 2017

Purpose: This study aims to investigate the effect of employment of elderly over 65 years on elderly depression using the "Nation Elderly Survey 2014". Methods: The subjects were 10,451 elderly aged 65 or older who were selected from 16 cities and provinces via multilevel stratified sampling method. In an effort to represent well the nation's elderly population, composite sample analysis method was used for the study, and a hierarchical logistic regression analysis was performed to identify those factors affecting the depression among the elderly population. Results: The factors affecting the depression were education level, household income, Perceived health status, smoking, drinking, physical activity, body mass index and employment status. It was found that the unemployed persons were 1.68 times more likely to be depressed than those who remain employed. Conclusion: Where the average life expectancy is getting longer and the poverty rate of elderly is high, employment activities of the elderly are of great significance in terms of ensuring economic stability as well as in lowering medical expenses through reduction of depression. Therefore, it is necessary to increase the employment rates of the elderly for economic, social and healthcare perspectives.

• 디지털융복합연구
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• 제18권9호
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• pp.297-305
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• 2020

본 연구의 목적은 한국 지역사회 거주 노인의 주관적 연령과 관련된 요인을 규명하는 것이다. 본 연구는 2017년도 노인실태조사에 참여한 65세 이상 노인 8,040명을 대상으로 이차 분석한 횡단 연구이다. 노인의 주관적 연령과 관련된 요인을 규명하기 위해 단변량 로지스틱 회귀분석에서 유의한 변수만 추출하여 다변량 로지스틱 회귀분석으로 분석하였다. 본 연구결과, 성별, 학력, 거주형태, IADL 제한, 만성질환 수, 지각된 건강 상태, 우울 및 현재 경제활동 여부가 노인의 주관적 연령과 관련이 있는 것으로 나타났다. 본 연구결과에 근거하여 주관적 연령을 낮추기 위한 간호중재가 이루어져야 할 것이다. 본 연구를 통해 노인들이 건강하고 성공적인 노후를 보내는 데 기여할 수 있을 것이다.

• Journal of Preventive Medicine and Public Health
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• 제46권6호
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• pp.353-359
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• 2013

Objectives: We examined the trends in prevalence, awareness, treatment, and control of hypertension in Korea as a basis for improving hypertension control programs. Methods: 12 598 participants of the Korean National Health and Nutrition Examination Survey were included in this study. Weighted linear regression to test time trends from 2007 to 2011 was performed. Results: The prevalence of hypertension was 20.7% in 2007, 29.4% in 2009, and 26.2% in 2011. Awareness of hypertension was 64.8% in 2007 and 61.1% in 2011. Awareness in those aged 65 and over was greater than in younger groups (age 19 to 44 and 45 to 64; p<0.001). The treatment rates were 58.4% in 2007 and 56.8% in 2011. The treatment rate was greater for those 65 and over than for younger age groups (p<0.001). The percentage of controlled hypertension was 37.6% in 2011. The percentage of controlled hypertension in those 65 and over was higher than in younger age groups (p<0.001). The treatment-control rates were 65.9% in 2007 and 67.7% in 2011. The prevalence of hypertension was higher in the males (p<0.001), while the awareness (p<0.001), treatment (p<0.001), and control (p<0.001) rates were higher in the females. Conclusions: The prevalence of hypertension was increasing and the hypertension awareness, treatment, and control rates were low in younger age groups and males.

• 한국실내디자인학회논문집
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• 제15권1호
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• pp.88-97
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• 2006

The purpose of this study was to provide a guideline for the bathroom fixtures of the aged by examining current status. The study has been carried out by measuring physical size of 50 aged peoples over 65 years old and their bathroom fixture status. The results were revealed as follows; 1. The height of washstand is $0.46\~0.52$ time of person's height. Adequate height of wash stand is proposed as $74\~80$ cm. The height of current market available wash stand is very close to the proposed size. 2. The height of toilet is $0.23\~0.27$ time of person's height. Adequate height of toilet is proposed as $38\~41$ cm. The height of current market available toilet is also very close to the proposed size. 3. The height of bathtub is $0.26\~0.35$ time of person's height. Adequate height of bath tub is proposed as $45\~49$ cm. The proposed height is higher than that of current bath tub available in the market. However, it should be noted that the proposed height is the sum of bath tub it self and elevation during actual installation. As stated above, it is revealed that the physical dimensions of the bathroom fixtures in the current market are properly sized. However, to draw more practical guideline for the bathroom fixture, more studies including actual experimentation will be required in the future.

• Physical Therapy Rehabilitation Science
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• 제7권3호
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• pp.139-145
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• 2018

Objective: Older persons with diabetes mellitus (DM) are particularly more likely to have fallen in the previous year than those without DM. The purpose of this study was to investigate the relationship between the risk of falls and type 2 DM in older adults who are 65 years of age or above. Design: A systematic review. Methods: PubMed and other two databases were searched up to August 2, 2018. Observational and cohort studies evaluating fall risk in people who are 65 years of age or above with DM were included. This review extracted the following information from each study selected: first author's surname, year of publication, country, average follow-up period, sex, age at enrollment, study population, measurement variables, relative risk, 95% confidence intervals and controlled variables. Results: This review involved nine cohort studies with 3,765 older adults with DM and 12,989 older adults without DM. Six studies compared with or without DM and two studies compared fallers with non-fallers with DM. Risk factors for falls included impaired cognitive function, diabetes-related complications (peripheral nerve dysfunction, visual impairment), and physical function (balance, gait velocity, muscle strength, and severity of physical activities). Conclusions: People who are 65 years of age or above with DM have increased risk of falling caused by impaired cognitive function, peripheral nerve dysfunction, visual impairment, and physical function in community-dwellers. For adults who are 65 years of age or older with DM, research fields and clinical settings should consider therapeutic approaches to improve these risk factors for falls.