• Nutrition Research and Practice
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• 제12권5호
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• pp.387-395
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• 2018

BACKGROUND/OBJECTIVE: Recent studies showed vitamin D deficiency is linked to chronic diseases in addition to skeletal metabolism which could threaten the elderly. We analyzed health conditions and socio-demographic factors associated with vitamin D deficiency in community dwelling people aged 65 years and older. SUBJECTS/METHOD: Data from the Korea National Health and Nutrition Examination Survey (KNHANES) 2010 to 2012 were obtained. A total of 2,687 subjects aged 65 years and older were participated. The cutoff value of the Vitamin D deficiency was considered as serum 25-hydroxyvitamin D [25(OH)D] ${\leq}20ng/mL$ (50 nmol/L). RESULTS: The overall prevalence rate of vitamin D deficiency in the elderly was 62.1%. The factors such as female, obesity, metabolic syndrome, current smoker, and skipping breakfast were positively associated with vitamin D deficiency, but high intensity of physical activity and more than 9 hours of sleep duration were negatively associated with vitamin D deficiency (all P < 0.05). CONCLUSIONS: It is important that health professions know that the factors proved in this study are connected to vitamin D deficiency thus provide information and intervention strategies of vitamin D deficiency to old aged people.

• 산업진흥연구
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• 제5권2호
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• pp.19-25
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• 2020

본 연구는 충남지역 사회적 경제 조직의 활성화 방안 연구로 선행연구를 기반으로 한 문헌 연구를 통해 다음과 같은 주요결과를 나타내었다. 첫째, 충남 사회적 경제 조직 추진체계 및 제도의 고도화가 필요하다. 둘째, 사회적 경제 조직에 대한 통합적 지원 시스템 구축으로 시·군의 다양한 사회적 경제 조직 활성화 방안을 고도화 할 필요성이 있다. 셋째, 사회적 경제 조직의 상품에 대한 공공구매의 확대가 필요하다. 넷째, 사회적 경제 조직의 사업역량 강화 및 교육 활성화가 필요하다. 다섯째, 사회적 경제 조직에 대한 네트워크 고도화와 차별화된 비즈니스 창출이 필요하다. 한편 본 연구를 통해 나타낸 충남지역의 사회적 경제 조직이 활성화 방안은 다음과 같다. 첫째 사회적 경제 조직은 지역 내 다양한 문제해결과 개선이라는 측면에서 충남 도정과 시·군의 정책 실행 의지가 공유되며, 이를 기반으로 사회적 경제 조직 영역의 고도화가 요구된다. 둘째, 충남지역의 특성상 산업기반의 취약성, 고령화에 따른 인구구조의 변화를 극복하기 위한 핵심요인인 사회적 경제 조직이란 인식의 전환이 필요하다. 셋째, 사회적 경제 조직에 대한 인식전환과 교육 강화를 통해 긍정적 인식전환이 요구된다. 이를 위해 공공교육 및 민관 합동교육 등을 통해 지역주민들의 인식수준의 향상이 필요하다.

• 한국식품영양학회지
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• 제27권5호
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• pp.940-955
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• 2014

The purpose of this study was to compare the degree nutrient intake, health status and other characteristics of females aged 65 years and over in a longevity area according to family arrangement. For analysis, 585 female elderly were recruited from the Kugoksoondam area (Kurye, Goksung, Soonchang and Damyang counties), known as the longevity-belt region in Jeonla province, Korea. The subjects were categorized into three groups according to family arrangement (living alone, living with spouse only and living with family). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups, nutrient intake and mini nutrition assessment. In the group living with their spouse only, the highest education, physical activity, diverse food intake, frequency of eating meats and fish, energy and nutrients intake, and score on the mininutrient status assessment (MNA) were found to be significantly favorable factors. Taken together, these results demonstrated that the group living with their spouse only had relatively superior nutrient intake and the quality of diet. In contrast, the group living alone showed the lowest self-rated economic status, diversity of food intake, and physical activity, with the highest frequency of drinking, smoking and regular exercise for almost everyday compared with the other groups. On the other hand, those living with family demonstrated the lowest intake of supplements or functional foods, and levels of hemoglobin hematocrit MCH, but the highest HBA1c and blood sugar. Therefore, the group living with family was assumed to be at risk of anemia and diabetes. These results could be useful to plan effective strategies to increase the health-life expectancy of Korean elderly people living in rural areas, according to family arrangement.

• 의료법학
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• 제15권1호
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• pp.185-209
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• 2014

While the local health insurance and the employment-based insurance were integrated in July 2000, the insured is divided into employment-based insured and the local insured and the relevant premium has been applied to both groups. The health insurance premium having the feature of social solidarity has to be determined depending on income, that is, the ability to pay in accordance with the principles of social insurance. While employment-based insurance premium has been determined depending on the earned income, the local insurance premium for the local insured has been determined by scoring gross income(evaluated income), property and possession of automobiles. A variety of improvement approaches has been implemented including introduction of the employment-based insurance premium ceiling system (2002) and the change of property scoring system for the local insured (2006). However, the health insurance system which was merged in 2000 has been implemented up to now without significant change even though there were lots of socio-demographic change including increase of income level and the population structure such as low birth and aging. In other words, it is required to implement the premium rating system securing the income-based equity. Nevertheless, it was inevitable to apply the diverse rating standards in the early stage because it was very difficult to verify the income of the self-employed. Although the income verification rate was significantly increased from 23% in 1989 to 44% in 2010, the irrational standards including property, automobiles, living standard and activity rate have been still applied to the local insured because it is difficult to secure the validity of insurance premium rating system and it severely lacks of security. This paper investigated whether the current insurance premium rating system for the local insured imposing the premium on the basis of 'gender' and 'age' complies with the basic human rights secured by the current Constitution of the Republic of Korea with respect to the practical and theoretic irrationality of insurance premium rating system and standards for he local insured. In accordance with the analysis results, this paper proposed the approach to improve the system.

• 보건행정학회지
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• 제28권3호
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• pp.222-225
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• 2018

Health policy is a historical product in the process of development, including the political and economic factors of the state as well as the social and cultural elements of the country. Bioethics began to debate the ethical questions that arise in the overall process of life's birth and death, and gradually evolved by presenting ethical directions for various social phenomena. Especially, according to the moral awakening of 'scientific medicine' which caused in some human problems in the rapidized scientific society from the late 19th century to the early 20th century, as a result of distress including the concept of various social relations, it is possible to say that it has reached the bioethics. Although health policy and bioethics are different in terms of starting and concept, they can be found in common with social, cultural, and political diversity in the times. In 2004, 'Bioethics Law' was enacted through the issue of research ethics in the life sciences. Therefore, in order to examine ethical aspects of current health policy direction and major issues, it can be divided into before and after enactment of 'Bioethics Law' in 2004. The authors would like to examine how the evolution of the ethical viewpoint on the health policy has changed in line with the enactment of the 'Bioethics Law' and how it is trying to solve it from an ethical point of view. Through the various events that took place in the 1990s and the 2000s, various discussions on bioethics were conducted in Korea. Prior to the enactment of the 'Bioethics Law,' ethical judgments of professions, distribution of healthcare resources, if the discussion focused on the ethical judgment of abortion, and the various events that appeared in the early 2000s became the beginning to inform that the ethical debate about the life, death, and dignity of human beings began in earnest in Korea with the enactment of the 'Bioethics Law.' Since then, 'Hospice and Palliative care Law' which was enacted in 2017, is based on the fact that the health policy of our country focuses on the treatment of the past diseases, health promotion, and delivery of health care services. It was an opportunity to let them know that even the quality problems were included. Therefore, considering the various circumstances, the ethical issue facing Korea's health care system in the future is the change of the demographic structure due to aging and what is to be considered as the beginning and the process of life in the overall process of life. It is the worry about how to die and when it sees as death. This has far exceeded the paradigm of traditional health care policies such as disease prevention and management and health promotion, and calls for innovative policy response at the national level that reflects the new paradigm, which in many cases creates a predictable ethical environment. And health policy should be shifted in the direction of future ethical review considering sustainability in the development process of future health care rather than coercive management.

• 보건행정학회지
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• 제30권2호
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• pp.231-244
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• 2020

Background: As the population is aging, chronic diseases and depression are becoming the main problems in a country's healthcare system. In this study, we aimed to explore the associations between chronic diseases and depression among the elderly in South Korea. Methods: We analyzed 9,975 (men, 4,147; women, 5,828) respondents obtained from the 2014 National Survey of Living Conditions and Welfare Needs of Korean Older Persons. Our dependent variable was either 1 or 0 according to whether a respondent had depression or not, where depression was defined when the Short Form of Geriatric Depression Scale score was 8 or more points. Variables of interest were 24 types of chronic diseases and covariates included various socio-demographic and health behavior characteristics. We performed Rao-Scott chi-square tests and hierarchal logistic regression analyses by gender, reflecting the characteristics of the survey. Results: A significant difference was found in the proportion of having depression between genders (men 18.9% vs. women 23.4%). According to fully adjusted, multivariable analyses, for elderly men, relative to those without any chronic disease, the odds ratio of depression was 1.56 (95% confidence interval [CI], 1.10-2.22) in the stroke patients group and 1.82 (95% CI, 1.01-3.25) in the osteoporosis patients group. For elderly women, the odds ratio was 1.96 (95% CI, 1.28-3.00) in the fracture/dislocation and aftereffects patients group and 1.30 (95% CI, 1.03-1.64) in the group of patients with other diseases. Conclusion: Even after being adjusted for diverse characteristics, some chronic diseases were significantly associated with depression in the elderly and the association differed between genders. Therefore, public health and medical interventions are needed to manage such chronic diseases together with curing depression symptoms.

• 디지털융복합연구
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• 제14권4호
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• pp.11-17
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• 2016

본 연구는 65세 이상 노인들을 대상으로 음주문제의 정도와 우울과 가족관계 요인이 음주문제에 미치는 영향을 살펴보고자 하였다. 본 연구 자료는 한국복지패널(Korea Welfare Panel Study)의 2015년에 발표된 2014년의 자료를 사용하였다. 한국복지패널 자료는 서울을 포함한 7개 광역시와 제주도를 비롯한 9개도의 가구를 대상으로 연 1회 실시하는 전국적인 자료이다. 연구대상의 음주문제를 파악하기 위해 세계보건기구의 AUDIT(Alcohol Use Disorder Identification Test)척도를 사용하였다. 수집된 자료는 SPSS 21.0을 사용하여 분석하였다. 본 연구의 결과를 토대로 몇 가지 논의를 제시하면 다음과 같다. 첫째, 성별에 따른 음주문제의 차이를 교차분석한 결과를 살펴보면, 남성노인과 여성노인은 음주문제의 정도가 다르게 나타났다. 둘째, 인구사회학적 특성이 음주문제에 영향을 미치는 가를 살펴보면, 나이가 어릴수록 음주문제가 심각한 것으로 나타났다. 셋째, 우울과 가족관계가 음주문제에 미치는 영향을 살펴보면, 우울이 가족관계보다 상대적 영향력이 큰 것으로 나타났다. 이상의 연구결과에 따르면, 건강한 노후의 삶을 살아가기 위한 신체적 정신적 건강은 노인의 삶의 질에 중요한 요인으로 노인의 건강습관을 유지할 수 있도록 예방 차원의 접근은 매우 중요하다고 할 수 있다.

• 대한가정학회지
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• 제43권6호
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• pp.113-131
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• 2005

본 연구의 목적은 미국 노인층을 중심으로 자산 분배 계획(estate planning)의 한 형태인 유언장 작성 현황 및 유언장 준비에 영향을 미치는 요인들을 살펴보는 것이다. 이를 위하여 미시간 대학 Survey Research Cutter에서 조사하고 National Institute on Aging에서 지원한 1994년 미국 노인층의 자산과 건강역동성에 관한 조사(Assets and Health Dynamics Among the Oldest Old) Wave 1을 이용하였으며, 조사대상자는 70세 이상의 5,365 노인가구이다. 본 연구의 구체적인 목표는 (1) 유언장을 준비한 노인들의 profile을 작성하고, 유언장 준비 여부별 노인들의 financial portfolio에 어떤 차이가 있는지를 비교하고, (2) 유언장 작성과 관련된 여러 요인들을 조사하며, (3) 본 결과를 바탕으로 가정경제학자 및 가계 재무상담자에게 시사점을 제시하는 것이다. 주요 결과는 (1) 자산 분배 계획(유언장 준비, 증여, 종신보험 가입등) 정도는 노인층들에게서 조차 낮은 것으로 나타났다 (2) 나이가 많으며, 부유하고 교육수준이 높으며, 백인이고 건강한 노인들이 그렇지 않은 노인들보다 유언장 준비를 할 확률이 높았으며, (3) 이타심(altruism)의 proxy 변수인 자선봉사 활동 참여와 기부여부도 유언장 준비에 긍정적인 영향을 미치는 것으로 나타났으며, (4) 재무 advisor가 있고, 자녀수가 적은 노인들이 그렇지 않은 노인들에 비해 유언장을 준비할 가능성이 높았다. (5) 그리고, 종신보험에 가입했거나, 지난 10년간 자녀에게 증여를 한 노인들이 그렇지 않은 노인들에 비해 유언장을 준비할 확률이 낮게 나타났다. 조사 결과를 바탕으로 가계 재무 상담자 및 후속 연구 위한 제언들이 제시되었다.

• 대한가정학회지
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• 제49권5호
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• pp.33-48
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• 2011

본 연구의 목적은 결혼이주여성과 한국인 여성의 결혼만족도에 영향을 미치는 요인들을 규명하는 것이다. 이를 위해 현재 한국에 거주하고 있는 409명의 결혼 이주여성과 474명의 한국인 여성을 대상으로 설문조사를 실시하였다. 위계적 회귀분석 결과, 평등한 의사결정방식은 결혼 이주여성들만의 결혼만족도를, 우울 수준은 한국인 여성들만의 결혼만족도를 설명하였다. 하지만 남편의 의사소통 양식은 결혼 이주 여성과 한국인 여성 두 집단 모두의 경우에 결혼만족도를 설명하는 가장 강력한 변수였다. 결혼 이주 여성의 경우 문화적 맥락(한국에서의 거주기간, 인종차별 경험) 또한 결혼만족도를 설명하는 중요한 변수였다. 본 연구의 결과는 결혼이주 여성과 한국인 여성의 결혼만족도를 설명하는데 있어 변수들의 상대적 영향력을 규명하고, 결혼이주 여성의 결혼만족도에 있어서 문화적 맥락 변수들의 고유한 기여점을 설명함으로써 결혼 이주 여성의 결혼만족도에 대한 이해를 돕고자 하였다.

• 한국식품영양학회지
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• 제29권3호
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• pp.392-403
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• 2016

The purpose of this study was to investigate the relations between HbA1c level and health risk factor. For analysis, 330 elderly women aged 65 years and over were recruited in Jeonla province, Korea. The subjects were classified into two groups according to their HbA1c level; the diabetic group (HbA1c level${\geq}6.5%$, n=68, 20.6%) and control group (HbA1c level<6.5%, n=262, 79.4%). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, a health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups and nutrient intake. Educational level of the diabetic group was significantly lower than that of the control group. The height of the diabetic group was shorter, and percentage fat of the diabetic group was higher than those of the control group. In the diabetic group, the higher concentrations of creatinine and activity of alkaline phosphatase were found to be significantly unfavorable factors. Therefore, the diabetic group was assumed to be at risk of decreased liver and renal function. The self-rated health level of the diabetic group has a declining tendency, while the medicine intake was significantly higher than that of the control group, but there are no significant differences in visiting frequency of hospital and community health center. The distribution of physical activity showed a significant difference between the groups. Although there are no significant differences in nutrient intake, the diabetic group had relatively inferior nutrient intake of diet, especially vitamin C, as contrasted with the control group. In conclusion, the weight control and increasing physical activity may be effective in the prevention of the diabetes and continuous education and intervention by specialized nutritionists will be needed for diabetic patients. These results could be useful to plan effective strategies to increase the health-life expectancy and the prevention of the diabetes of Korean elderly people living in rural areas.