• 한국농촌간호학회지
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• 제3권1호
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• pp.44-52
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• 2008

Purpose: This research was done to analyze factors influencing satisfaction level with welfare services by elderly people living in a mixed urban and rural area and to identify directions for improvement of service by examining characteristics of the recipients, type and content of services and the correlation between the level of satisfaction and related factors. Method: The 102 elderly people receiving services from 4 institutions in a mixed urban and rural area were selected. The results of the research include the following. Results: First general characteristics of the service-recipients, and the actual condition of the service; Second, correlation between satisfaction level of the recipients and their economic condition, health condition and activities of daily living; Third, analysis of level of satisfaction related to type of services, frequency, time required, desire of the recipients and their attitudes; Fourth, satisfaction and related factors were identified and used to identify possible problems and directions to improve service. Conclusion: The results suggest the following as ways to improve service and to increase the level of satisfaction 1) Individualization of services 2) Improvement in the way of selecting recipients 3) Reinforcement of special training courses for service providers.

• 지역사회간호학회지
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• 제32권3호
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• pp.303-311
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• 2021

Purpose: This study investigated the health literacy level of, the hypertension knowledge of, the self-management behaviors of, and the factors influencing self-management behaviors of the hypertensive elderly population residing in the urban and rural areas. Methods: Data were collected from November to December 2017 by the trained research staff. For two months, a total of 160 subjects in urban and rural areas who had been taking antihypertensive medications consented to participate in the project. 157 participants completed the survey. Results: The health literacy score of the hypertensive elderly subjects was at 48.38±8.13, the hypertension knowledge score at 8.90±2.01 points, and the self-management behaviors score at 52.96±8.08. The factor that influenced the self-management behaviors of the hypertensive elderly subjects the most was the health literacy, followed by the residential area, and the hypertension knowledge. Conclusion: The research findings suggest that a health promotion program for the hypertensive elderly population should be designed in consideration of the health literacy, the area of residence and the hypertension knowledge of the elderly.

• 한국식품영양과학회지
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• 제29권2호
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• pp.257-267
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• 2000

This study was carried out to compare the nutrients intakes, factors to influence on nutrient intake and frequency of food group intake between the two gruops of elderly living in Yangcheon, Seoul(n=105) and in Yongin(n=159). The results obtained by cross-sectional survey using questionnaires were as follows. 1) The average age of the subjects was 71.9 and there was no significant difference in age and gender distribution according to the residential areas. 2) The intakes of energy, protein, Fe, vitamin A, niacin, thiamin, riboflavin, and vitamin C were significantly higher in the urban elderly than those of the rural elderly(p<0.05).3) The average daily intakes of energy, protein, Ca and Fe of the subjects were lower than those of the Korean RDAs in general and the rural elderly showed more severe deficiencies. 4) Individual nutrient intakes and food group intakes were related to the pocket money, number of different foods taken daily, education level, residential area, and the degree of exercise. These results suggested the needs of nutrition intervention for the low-income, rural elderly.

• 대한지역사회영양학회지
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• 제1권1호
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• pp.79-88
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• 1996

This study was conducted to assess nutritional status of the elderly from low-income urban area and to investigate environmental and health risk factors that may influence to nutrient intakes. One hindered eighty three(males 53, females 130) healthy homestaying subjects aged over 65 years in Seoul were assessed with anthropometric measurements and dietary intake in August, 1994. HT and BW for females were decreased with aging. The proportion of hypertension was 36% with indite of $SBP{\;}(SBP{\;}{\gg}{\;}160mmHg)$ and 52% with indice of DBP $(DBP{\;}\gg{\;}97mmHg)$. Distribution of BMI, OR and PIBW indicated that BMI was more sensitive for identifying underweight whereas PIBW was more sensitive for identifying overweight. for group aged over 75, males had significantly lower intake of energy, protein, fat, calcium, iron, vitamin A and $\beta$ carotene compared to the group aged 67~74, while females had lower intake of calcium and vitamin A. Elderly group with smoking, less familly size and living alone had lower nutrient intakes. Blood pressure in the elderly subjects did not influence to nutrient intakes, except elderly with normal blood pressure were taking increased amount of thiamin and niacin.

• 대한가정학회지
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• 제41권2호
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• pp.171-185
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• 2003

The eight hundred fourteen male and female elderly living in urban and rural area of Incheon were compared in terms of anthropometric indices and health related factors. Mean height, weight, BMI, WHR, MAC, TSF, %body fat and systolic blood pressure of male elderly were 162.7cm and 162.0cm, 61.8kg and 58.3kg, 23.2 and 22.0, 0.91 and 0.89, 24.4cm and 24.0cm, 9.9mm and 11.5mm, 23.9% and 23.2%, 152.1mmHg and 150.0mmHg in the urban and rural respectively. In female elderly, mean height, weight, BMI, WHR, MAC, TSF, %body fat and systolic blood pressure were 150.3cm and 149.2cm, 55.9kg and 53.1kg, 24.4 and 23.4, 0.87 and 0.86, 25.4cm and 24.4cm, 20.2mm and 18.9mm, 37.2% & 35.4%, 142.2mmHg and 151.7 mmHg in the urban and rural respectively. As the age increasing, most of the anthropometric indices are decreased while systolic blood pressure are increased in both gender. The proportion of the subject with normal hearing were 73.1% in the urban, 61.4% in the rural and 61.8% in the male, 73.1% in the female. Hearing and tooth status became deteriorated as increasing the age and the more elderly felt themselves unhealthy as increasing the age. Aerobic(25.7%) and walking/jogging(18.4%) in the urban, walking/jogging (22.1%) and climbing(3.5％) in the rural were the preferred exercise in the elderly. Frequency of health promoting substance intake were very low and not significantly different between the urban & the rural, and the male and the female elderly. Neuralgia, diabetes, indigestion and cerebral stroke showed relatively higher morbidity in the elderly. Neuralgia was significantly higher in the female(23.3%) than in the male(13.1%). Diabetes was significantly higher in the female(22.4%) and the urban(21.9%) elderly than in the male(16.1%) and the rural(13.5%) elderly respectively. In conclusion, as the age increasing the height and weight of the elderly decreased significantly and BMI, WHR and body fat toned to decrease. Hearing and tooth status deteriorated significantly as the age increasing, especially in female elderly.

• 한국환경보건학회지
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• 제42권1호
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• pp.1-9
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• 2016

Objectives: Personal exposure to air pollution is affected by contact over time and by location. The purpose of this study was to determine the relationship between personal exposure to $PM_{2.5}$ and the time-activity patterns of the elderly in urban and rural areas. Methods: A total of 44 elderly participants were recruited for a 24-hour $PM_{2.5}$ personal exposure measurement. Twenty-four were from Seoul (urban area) and 20 were from Asan (rural area). Energy expenditure and spatiotemporal positioning were monitored through $PM_{2.5}$ measurement. Spearman correlation analysis was conducted to determine the relationship between $PM_{2.5}$ and time-activity pattern. Results: Daily average $PM_{2.5}$ personal exposures were $19.1{\pm}9.7{\mu}g/m^3$ in Seoul and $29.1{\pm}16.9{\mu}g/m^3$ in Asan. Although outdoor exposure was higher in Seoul than in Asan, residential indoor exposure was higher in Asan than in Seoul. Higher $PM_{2.5}$ personal exposure in Asan could be explained by longer time in residential indoor environments and higher indoor $PM_{2.5}$ concentrations. Seoul elderly had higher energy expenditure, which may be due to the use of mass transportation. Conclusion: Personal exposure to $PM_{2.5}$ was higher among Asan elderly than Seoul elderly because of high residential indoor concentrations and longer residential time. Lack of energy spent and higher personal exposure to $PM_{2.5}$ might have led to higher risk among the Asan elderly.

• 대한가정학회지
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• 제28권4호
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• pp.65-86
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• 1990

Living conditions of the rural elderly were assessed in terms of clothing behavior, health and nutritional status, housing and envioronmental condition, and psychological adjustment. The subjects were eighty individuals over sixty residing in the rural community of Iksan-kun, Chollabukdo. The interview method using questionnaires, direct measurement, and observation was used for this study. Data were compared with those obtained from a previous study of the elderly residing in an urban area. Clothing behavior showed that the elderly residing in the rural community were more concerned about plain and conservative design of clothes than their urban counterparts. Special protective clothes for cropdusting with agricultural chemicals had not been prepared. The following urgent needs were pointed out: development and supply of agricultural chemical protective clothing and development and education of appropriate washing and clothing care methods. The health status of the elderly was generally good, but poor eating habits were found more frequently in the rural elderly than among the urban dwellers. Several dietary nutrient intakes were insufficient. Contrasting the urban elderly with the rural group, it was found that the urban group lacked sufficient vitamin A and vitamin C and the urban women had insufficient calorie whereas the rural group was deficient in protein, vitamin A, calorie, and fat. A significant relationship was found between dietary nutrient intake and health index, food habit points, self recognized health status, meal satisfaction, and economic status. Urgent needs of the development of a nutrition education program for the elderly were pointed out. Most of elderly residing in the surveyed rural communities were living alone or with their spouse only, therefore only one room was used among the three or four available rooms. Most of the rural elderly were living either in a traditional Korean house built with differing floor levels or in a modified Korean style house. Minimal modernization had been made for kitchen facilities such as sink and gas range or for heating facilities with the briquette boiler. However, sanitary space such as lavatory and bathroom had not been remodeled. A housing welfare program for rural communities should be implemented at the national level. The comparison of psychological characteristics of the rural elderly with their city counterparts revealed that the rural elderly have a more stable psychological status and optimistic attitude than those living in a city. However, it was found that most of the elderly did not have any future plan. Community programs for the elderly including hobbies or leisure activities or education programs to generate close interpersonal relationships with their children should be developed and provided.

• 한국산학기술학회논문지
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• 제18권7호
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• pp.224-236
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• 2017

본 노인교통안전정책을 제시하기 위하여 경기지역에서 발생하고 있는 실제 지역유형별(도시지역, 도농복합지역, 농촌지역) 노인운전자의 교통사고 특성을 분석한 결과, 3개 지역 모두 안전운전의무 불이행에 의한 교통사고가 가장 많이 발생하는 것으로 나타났고, 도시지역과 도농복합지역은 신호위반과 교차로 사고, 그리고 농촌지역은 중앙선 침범에 의한 교통사고가 높은 것으로 나타났다. 도시지역과 도농복합지역은 신호운영에 있어서 오버랩 등 복잡한 신호운영보다는 단순한 양직진후 좌회전 또는 직진과 좌회전 동시신호 부여 등 단순한 신호 표출방안이 필요하다. 그리고 무신호교차로와 비보호교통신호 처리에 대한 개선이 필요하다. 게다가 농촌지역의 중앙선 침범사고를 예방하기 위하여 중앙선에 가드레일을 설치하여 중앙선 침범을 방지하고 반대방향 자동차 전조등에 의한 영향을 감소시켜야 하며, 해가 지는 일몰 시간대의 교통사고 예방을 위하여 운전 중에 파악해야 할 교통표지판 및 도로표지 등의 글자크기 확대와 형광글씨를 사용하여 시인성 개선해야 하며, 복잡한 문구와 여러 가지 정보보다는 단순화한 정보제공 문구와 최소의 정보제공으로 단순화해야 한다.

• 지역연구
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• 제35권4호
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• pp.61-73
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• 2019

도시의 개발과 고밀화는 도시공간의 기온이 주변지역보다 높아지는 도시열섬(Urban Heat Island)현상의 원인이 되고 있으며, 도시열섬현상은 기후변화와 함께 그 강도가 증가하고 있다. 이와 더불어 여름철 도시의 대기온도가 상승할 때 소득이 낮은 계층, 고령인구, 건강에 문제가 있는 사회적 취약계층은 높아진 열환경에 대처할 수 있는 능력이 부족하다. 따라서 본 연구의 목적은 서울시의 열섬지역을 공간통계 기법인 Hotspot 분석을 통해 도출하고, 로지스틱 회귀분석을 활용하여 열섬지역의 물리적 환경과 인구 및 사회경제적 특성을 분석하는 것이다. 서울시 423개 행정동을 대상으로 동별 평균 대기온도를 이용하여 도시열섬 Hotspot 분석을 실행한 결과, 서울시 중구, 종로구, 용산구, 영등포구에서 도시열섬 지역이 집중적으로 분포하는 것을 확인하였다. 로지스틱 회귀분석을 통해 열섬지역의 물리적 환경 특성을 분석한 결과, 주거시설 연면적 비율, 상업시설 연면적 비율, 용적률, 불투수면 비율, 정규화식생지수(NDVI)가 열섬지역에 영향을 미치는 유의한 변수로 나타났다. 또한, 열섬지역의 인구 및 사회·경제적 특성을 고려한 열환경 취약지역을 분석한 결과, 기초생활수급자 비율, 독거노인 비율, 기초생활수급을 받는 독거노인 비율 등이 유의한 변수로 나타났다. 본 연구의 결과는 도시열섬현상에 영향을 미치는 물리적 환경변수를 도출하고 사회적 취약계층의 공간적 분포와 도시열섬지역이 중첩되어 있는 지역을 판별함으로써 향후 취약계층을 고려한 도시 열환경 설계와 정책 개발에 있어 시사점을 제공할 것으로 기대한다.

• 한국지역사회생활과학회지
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• 제15권4호
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• pp.17-32
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• 2004

The proportion of the elderly in rural area(21.7％) is four times more than that of the urban area (5.4％) in Korea. With this rapid aging of the population in rural Korea there has been growing concern about the quality of life of rural elderly. Compare to urban elderly, rural elderly experience many disadvantages, especially in terms of limited offering of social/educational programs. Their social/educational needs are rarely assessed and there are few programs geared to the needs of rural elderly. In this regard, this study aims (1) to identify education and activity program needs of the rural elderly related to three dimensions: Family life, Farming life, and Community activities and (2) to develop education and activity programs for the rural elderly based on the needs assessment. For this purpose, data are gathered from 413 rural elderly and 110 community welfare specialists, using a structured questionaire. The statistical methods used for data analysis are descriptive statistics, cross tables with SPSS wins 10.0 program. The major findings of this study are as follows: Majority(94.1％) of the rural elderly wants to participate in diverse social/educational programs. They want to have programs dealing with 'relationship enhancement with children', 'nutrition', 'health and care', 'farming skill', 'gardening', 'volunteering', etc. Based on these results, we develop eight types of education program and four types of activity program, according to the priority of their needs in each dimension. There are four sessions of Family life program, and four sessions of Community activities program. The effect of these programs will be evaluated by taking pretest and protest in local basis.