• Title/Summary/Keyword: Aged, 65 and over

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Analysis of Traffic Accident Severity by Aging Level (고령화 수준별 교통사고 심각성 분석)

  • Kim, Tae Yang;Park, Byung Ho
    • Journal of the Korean Society of Safety
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    • v.33 no.4
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    • pp.105-110
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    • 2018
  • Korea has entered to 'aged society', which the elderly people over 65 years old is over 14% of total population. This paper aims to analyze the traffic accident by aging level. In pursuing the above, this paper focuses on modeling the traffic accident severity based on three aging levels. The main results are as follows. First, the ratio of fatal and serious injured persons (FSI) is judged to increase according to increasing aging level. Second, the null hypothesis that there is no difference in FSI among three aging levels (aging, aged, and super-aged) is rejected. Four accident severity generalized linear models which are all statistically significant have been developed. Third, the common variables are analyzed to be median age, the number of hospital beds per persons, and turn signal usage ratio. Fourth, the differentiated traffic safety policies fitted to aging levels are required. The enforcement of traffic law violation and safety enhancement of motorcycle in the region of 'aging society', improvement of traffic facilities in the region of 'aged society', and expansion of transportation facilities in the region of 'super-aged society' are evaluated to be indispensable.

Comparative Health Status of Rural Urban and Aged Perosons by Some Screening Tests (농촌 및 대도시의 노인건강진단에 있어서의 검사치 비교 고찰)

  • Han, In-Soo;Hong, Kwang-Sun;Park, Sun-Ju;Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.14 no.1
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    • pp.5-15
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    • 1989
  • To compare the health status of rural and urban aged persons(over 65 years old) by an abnormality of a hematologic and some biochemical values as well as urinalysis and chest X-ray, following examinations were done on 8,756(male : 4,339: female 4,417) by hemoglobin, total cholesteol, GOT, and glucose, on 9,207(male: 4,467; female : 4.740) by urinalysis and on 9,148(male : 4,426: female : 4,722) by chest X-ray. The results are as follows: 1) The proportion of outlier of normal range of the GOT(over 40 unit) showed higher in rural aged persons(5.3%) than in urban aged(2.8%). There was no significant difference in both of urban and rual female, but the rural male(7.4 showed significantly higher than the urban male(3.9% ). 2) The proportion of abnormality of the total cholesterol value(over 260 mg/dl) was 7,0% in urban and 1.7% in rural aged persons. In the male, there was no significant difference in both urban(2.2%) and rural(1.4%), however the urban female(10.5%) showed significantly higher than the rural female(2.2%). 3) In the blood glucose level, the proportion of abnormality(over 120 mg/dl) showed 17.1% in urban and 19.3% in rural aged persons. The rural aged persons in both sexes(male : 18.1% : female : 20.7%) were relatively higher abnormality rates than those of the urban aged(male : 15. 3%: female : 18.4% ) respectively. 4) The proportion of abnormality of hemoglobin level(less than 12.0 g/dl in male: less than 11.0 g/dl in female) showed 7.1% in urban and 2.6%J in rural aged persons. The urban aged persons in both sexes(male : 8.3%: female 6.3%) were relatively higher abnormality rates than those of the rural aged(male : 3.0%: female : 2.2%) 5) In the urinalysis by urine stix(Korea Green Cross Co.), the positive rates of urine protein were 1.0% in urban and 0.5% in rural aged per-sons, and there was no any significant differences in both areas by sex. 6) The positive rates of urine glucose in urban aged persons(5.8'% : male : 7.3% : female : 4.7%). showed relatively higher than those of rural aged (3.4% : male : 3.9%: female : 2.8%). 7) The positive findings of pulmonary tuberculosis by indirect X-ray examination were observed in 7.7% of aged persons in both rural and urban areas respectively. However, the positive rates of male in both areas(urban : 12.8% ; rural : 10.0%) showed higher than those of female (urban 4.2% ; rural 5.0%).

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Effects of the Sex Education Program on Elders' Sex Perception and Life Satisfaction (성교육 프로그램이 노인의 성인식과 삶의 만족도에 미치는 영향)

  • Park, Gong-Ju;Jung, Hyang-Mi
    • The Korean Journal of Health Service Management
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    • v.8 no.3
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    • pp.181-192
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    • 2014
  • The purpose of this study was to evaluate the effect of a sex education program on the aged's sex perception and the life satisfaction. It was the non-equivalent control group pre-post test design, the number of subjects was 65 people as the experimental group and 70 people as the control group over 65 the aged. The program was conducted for 80 minutes a time for 6times of the N settlement house in P city from August 25 to September 16 in 2011. The study tool which was developed by Lee(1999) and revised by Jeong(2007), was used to measure the sex perception. The life satisfaction was measured by Naugarten(1961) and modified by Kim(2002). The date were analyzed as SPSS Win 17.0, the percentage, t-test, and the hypothesis was analyzed as t-test. The experimental group got higher scores on the sexual percetion(t=3.816, p<.001) and the life satisfaction(t=4.594, p<.001). This program is for generalized that must be performed in a repeat and comprehensive study with the many aged.

Fall prevention strategies in community-dwelling older adults aged 65 or over with type 2 diabetes mellitus: a systematic review and meta-analysis

  • Hwang, Sujin;Woo, Youngkeun
    • Physical Therapy Rehabilitation Science
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    • v.7 no.4
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    • pp.197-203
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    • 2018
  • Objective: Independent walking is the most essential prerequisite to maintain quality of life in older persons. The purpose of this review was to investigate the effect of fall prevention strategies on fall risk for type 2 diabetes mellitus (T2DM) within community-dwelling older adults aged 65 and over. Design: A systematic review and meta-analysis. Methods: PubMed and three other databases were searched up to October 31st, 2018 and randomized controlled trials (RCTs) evaluating fall prevention strategies for fall risk in persons who were 65 years of age or above with T2DM were included. The review extracted the following information from each study selected: first author's surname, published year, country, study population, type of intervention, intensity of intervention, comparison, measurement variables, additional therapy, summary of results, and mean and standard deviation from selected studies. Results: This review selected fourteen RCTs with 460 older adults with diabetes mellitus. Of the 14 studies, the types of intervention used to improve the risk of falls were strengthening (5), aerobic exercises (2), multimodal exercises (4), one virtual reality exercise (1), whole body vibration with balance exercise (1), and Tai Chi exercise (1). Seven RCTs were eligible for the meta-analysis. Therapeutic interventions were more effective than the control group for the Timed Up-and-Go test (-1.11; 95% CI, -1.82 to -0.41) and the 6-minute Walk Test (-1.89; 95% CI, -8.33 to 4.54). Conclusions: The results of the review suggest that interventions to prevent fall risk in older adults with T2DM should focus on strengthening, balance, aerobic, and multimodal exercises.

An Analysis of the Elderly Care and Management in Hospital-Based Home Care Agencies (노인대상 의료기관 가정간호사업의 운영실태)

  • Song, Chong-Rye;Kang, Im-Ok;Kim, Yun-Ok;Jo, Hea-Sook;Hwang, Moon-Sook
    • Research in Community and Public Health Nursing
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    • v.19 no.4
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    • pp.660-672
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    • 2008
  • Purpose: To analyze the home care services provided to the elderly aged 65 and older by a hospital-based home care agencies and to investigate the effects of long-term care insurance for the elderly. Method: The subjects were the home care service recipients aged 65 and older in 172 hospital-based, home care agencies registered in Health Insurance Review & Assessment Service in January, 2007. The data were collected using a questionnaire from March 16 to April 15, 2007. The questionnaire return rate was 43.8%. Result: The hospital-based home care agencies were able to visit 66.5% of the national administrative districts. Of the home care service recipients, over 50% were 65 years old and older. About 43% of the agencies reported that over 50% of their patients would be subject to the long-term care insurance. They expressed concern that home care services would be withdrawn once the insurance system is initiated. Conclusion: This study suggests that hospital-based home care agencies need to manage home care services with long-term care insurance. It also recommends developing guidelines for the use of services and referrals.

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Anthropometric Index and Nutrient Intake in Korean Aged 50 Plus Years Living in Kugoksoondam Longevity-belt Region in Korea (전라도 구곡순담 장수벨트지역에 거주하는 중노년층의 체격지수와 영양소 섭취상태)

  • Kwak, Chung-Shil;Yon, Mi-Yong;Lee, Mee-Sook;Oh, Se-In;Park, Sang-Chul
    • Korean Journal of Community Nutrition
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    • v.15 no.3
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    • pp.308-328
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    • 2010
  • As the older adult period $({\geq}65y)$ is increasing, it is needed to investigate the trend of aging-dependent anthropomeric index and nutrient intake, and establish the more specific dietary guide for the different stages of aging period. To find the difference in nutrient intake among the Koreans aged 50-64, 65-74 and 75 years and older, and also any characteristics of dwellers in longevity area, we recruited 1,083 subjects (385 male and 698 female) aged 50-95 years (mean age, 71.3 yrs) living in Kugoksoondam area (Kurye, Goksung, Soonchang and Damyang counties), known as a longevity-belt region in Jeonlaprovince, Korea. We measured some anthropometric index and collected 2 day-dietary record. Nutrient intakes were analyzed by using DW24 program. The mean height and weight of subjects aged 75 years and older were lower than Korean national reference. BMI and obesity $({\geq}25kg/m^2)$ prevalence were significantly decreasing with aging. Underweight $(BMI<18.5kg/m^2)$ prevalence was also increasing with aging, especially in males, and it was slightly higher than national average, but similar to that in some other rural area. Obesity prevalence of male subjects was lower compared to national prevalence, but abdominal obesity prevalence $(waist{\geq}80cm)$ was very high in females (about 89%). In both genders, the average proportional contribution of carbohydrate, protein and fat to energy intake was not different between 65-74 years and 75 years and older. On overall, nutrient intake and quality of diet of females were inferior to those of males so that many of females aged 75 years and older assumed to be at risk of malnourished status. Fiber, folate and vitamin E intakes were substantially higher compared to those in 2007 KNHNES and other some studies in rural area. While almost nutrient %EAR was significantly decreased with aging in females, there was no significant difference in %EAR for protein, vitamin A, $B_1$, $B_6$, $B_{12}$, niacin, Ca and Zn between 65-74 years and 75 years and older in males. Vitamin $B_2$ for male aged 50-64 years, vitamin $B_2$ and Ca for male aged 65 years and over and female aged 50-74 years, and vitamin $B_2$, vitamin C, Ca and folate intake for female aged 75 years and older were assessed to be at risk to undernutrition based on the prevalence of intake below EAR. MAR of 13 nutrients and the number of nutrients consuming below EAR were significantly decreasing with aging in both genders, however, the number of nutrients of INQ < 1 and the average mini-nutritional assessment score were not significantly different between 65-74 years and 75 years and older. Taken together, decreasing tendency of nutrients intake and the quality of diet with aging was more evident in females than in males, and it is unique that our subjects consumed substantially higher fiber, folate and vitamin E compared to not only urban but also some other rural areas.

A Study on the Change of ADL in the Elderly Disability Women after the Self Rehabilitation Exercise at Bedside (신체 장애 여성노인들의 침상 재활운동 후 일상생활수행능력 변화 연구)

  • Kim, Soo-Min
    • The Korean Journal of Health Service Management
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    • v.5 no.4
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    • pp.127-136
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    • 2011
  • The improving in physical activity of Disability elder is the most important and effective way of prevent and treatment. Especially, It improves ADL(Activities Daily of Living) by decreasing restrictive function and dependence. This study was researched on change by comparing before and after about ADL of Women elders who were instructed self rehabilitation exercise in bedside and have been take that. The whole subjects are 92 persons. Elders aged 65 to 69 are 32 persons. elders aged 70 to 74 are 22 persons 38 persons are over the age of 75. This study shows that the whole subjects have been improved ADL. especially, "Take a bath" in detail items of ADL comes to the most improvement rate. Next, "Sit to stand on the bed and transfer" comes to the second highest rate. According to findings upon the age group. "Take a bath" is also the highest improvement rate. Elders aged 60 to 65 show "Sit to stand on the bed and transfer" is the second highest rate of improvement" and elders aged 70 to 74 show that "control urine" is the second highest rate of improvement. and elders over the age of 75 shows that "sit to stand on the bed and transfer" is the second highest rate of improvement. This study have some problems on having possibilities of results because hospitalized persons have answered imperfect statement and being compare progressed for short term with rehabilitation exercise. so, There are some causes that is early to be generalized.

An Association between Spouse Satisfaction and Depressive Symptom among the Middle-aged and Elderly Couples (중·고령자의 배우자 만족도와 우울증과의 관련성)

  • Han, Sam-Sung;Jeong, Seong-Hwa;Kang, Sung-Wook
    • The Korean Journal of Health Service Management
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    • v.7 no.1
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    • pp.59-68
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    • 2013
  • This study examined the relationship between spouse satisfaction and depressive symptom among the middle-aged and elderly couples, using dataset of the Korean Longitudinal Study of Ageing(KLoSA). The subjects were 6,652 persons aged 45 and over who were living with their spouse. A multiple regression model was used to study an association between spouse satisfaction and depressive symptom, controlling for socio-economic characteristics, health status and behavior, and social support. Also, this paper run three subgroup regression models based on age of subjects (45~54, 55~64, 65 and over), controlling for confounding variables. Authors found that there was negative relationship between spouse satisfaction and depressive symptom (b=-0.022, p<0.0001). This negative relationship was also shown in three subgroup regression models. This study suggested the importance of spouse support for promoting mental health among the middle-aged and elderly couples.

The Burden of Aged Parents Caring for Adult Children with Disabilities (성인이 된 장애자녀를 돌보는 노인부모의 부양부담감)

  • Suk, Min-Hyun;Kim, Eun-Hye
    • Research in Community and Public Health Nursing
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    • v.21 no.4
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    • pp.439-447
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    • 2010
  • Purpose: This study was to describe the burden of aged parents caring for adult children with disabilities and related factors. Methods: The subjects were 123 caregivers aged over 65 who were caring for 18-year-old or older children with disabilities. The research tool of this study was a structured questionnaire on family burden. Data were collected from June 3 to 25, 2010, and analyzed by Cronbach's alpha, mean, standard deviation, t-test, and ANOVA using SAS 9.2 program. Results: The major findings of this study were as follows. Elderly parents caring for adult children with disabilities perceived a moderate level of burden. The burden from concern over their children's future was highest, and economic and physical burdens were higher when the parents were younger. Burden was significantly different according to parents' characteristics such as gender, perceived health status, disease, the costs of caring for disabled children, and children's characteristics such as disability rating, health status, and ADL. Conclusion: In order to reduce the burden of elderly parents caring for adult children with disabilities, we need to improve their health status and assess comprehensive policies.

A Study on the wearing practices and Preference for the Aged Female Arthritis Patients' Pants (노년여성 관절염질환자의 바지 착용실태 및 선호도)

  • Han, Seung-Hee
    • Journal of Fashion Business
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    • v.13 no.1
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    • pp.141-151
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    • 2009
  • The purpose of this study consist in the investigation into the pants wearing practices and preference with arthritis patient of aged female and the gathering of basic data to help to their clothing lifestyle. For this study, personal interviews were carried out with 124 arthritis patients of aged female over 65 year old and data analysis were done with SPSS. The results of the study are that on pants wearing practices with the subjects of aged female arthritis patient showed that many persons experience inconvenience for both knees and the wearing of knee protectors which use a purpose of a reducing pain such as they feel inconvenience of knee showed a high rate of 79.8% during winter. They purchased the pants with much space in the knee part or span trousers in consideration of knee protector wearing. When they purchase the pants, they attached great importance to the convenience or activities during their wearing period, prices, and the pants which were wide at the thigh, narrow at the pants hole, hanging down to the anklebones, and setting over the waistline as for the pants' waist position. The arthritis patients who felt uncomfortable at knees paid attention to the excellent materials at keeping warmth and with good flexibility.