• 보건행정학회지
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• 제18권4호
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• pp.1-22
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• 2008

Burden of disease analysis provides a unique perspective on health by integrating fatal and non-fatal outcomes, yet allows the outcome of two classes to be examined separately. Although many studies have shown the inequality in health outcomes across socioeconomic status (SES), an analysis and comparison of Disability Adjusted Life Year (DALY) between different socioeconomic groups has been rare. This paper calculates the DALY and analyzes the distribution of DALYs for different SES. This study draws from 3,278 cases from the survey on "The Livelihood and Welfare Needs of the Elderly (2004)". It first provides a comprehensive assessment of the burden of 10 chronic diseases of the elderly based on DALY. Then this paper analyzes inequalities in the burden of disease by the levels of SES such as education, income, family size, occupation, and subjective economic conditions. For the elderly, the burden of disease is the highest for hypertension, arthritis and cancer. DALY rate per 1,000 people for the most socio-economically disadvantaged group is expressed as a multiple of the standardized rate for the least disadvantaged group (Rate Ratios). Family size is strongly related to. the difference in the burden of disease between SES groups, and the elderly Who live alone have higher DALY rate than those who live with their family. Other significant variables related to SES groups include subjective economic conditions, occupation, elderly income, and household income.

• 가정간호학회지
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• 제16권2호
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• pp.89-97
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• 2009

Purpose: To identify the health condition, home care support, support requirement of poor and elderly people living alone. Method: Data was collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, ANOVA and correlation. Survey involved 269 conveniently selected who have a social support in H city. Result: Perceived health condition of subjects was bad to moderate (mean score: 2.22). There were significant home care support differences according to gender, religion, education level and dwelling pattern. Support requirement was influences only by the dwelling pattern. Perceived health condition showed a positive correlation with home care support of friends and neighbors, and a negative correlation with support requirement (medical, material, economic emotional support). Conclusion: These findings are expected to make a positive contribution to create an ideal intervention for public visiting nurses and social workers to improve the quality of life in poor and elderly people who live alone.

• 지역사회간호학회지
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• 제8권2호
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• pp.211-224
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• 1997

The purpose of this study is to find a solution to effectively nurse elderly people in the aging society of next generation by analyzing relationship among the social problem of elderly people in the future society, their preferred life style, and their understanding level of an asylum for the aged. Data for this study were collected by questioning 316 persons(257 visitors at C University hospital and 59 residents in Chun - Ra Nam Do) from December 1996 to March 1997. The results were as follows: The assumption that an individual's preferred life style at old age depends on his /her understanding level of the social problem of elderly people was verified ($X^2=9.75$, p<0.00). The assumption that one's understanding of an asylum for the aged depends on his /her understanding level of the social problem of elderly people was verified ($X^2=4.40$, p<0.05). The assumption that one's understanding of an asylum for the aged depends on his/her pre-ferred life style at old age was verified($X^2=34.51$, p<0.01). Among those who want to live together with children when they get old, the following differences in their conception were noted: Elderly people who has lost his /her wife /husband should marry again(p<0.01). Children should take care of their parents(p<0.01). Children should live with their parents(p<0.01), A desirable living style for an elderly people. An undesirable living style for an elderly people. Among those who want to live alone when they get old, the following differences were observed: It is okay for children to live separately from their parents as long as they provide financial support(p<0.01). Any child, regardless of the distinction of sex or the order of birth among siblings, can take care of his/her parents(p<0.05), It is desirable for an elderly people to live alone (p<0.01). It is undesirable for an elderly people to live in an asylum for the aged(p<0.05). It was verified that those who view an asylum for the aged in a negative way believe that children should take care of their parents. Also, it was verified that those who view an asylum for the aged in a positive way believe that children should provide financial support to their parents even though they do not live together(p<0.01). Regardless of the subjects' opinions on seriousness of the social problem of elderly people, the assumption that any child, regardless of the distinction of sex or the order of birth among siblings, can take care of his/her parents was verified(p<0.01) (p<0.05). Regardless of the subjects' view on asylum for the aged, the assumption that it is undesirable place for an elderly people to live was verified (p<0.01). The assumption that one's understanding of an asylum for the aged depends on the distinction of sex among general characteristics such as sex, age, educational background, occupation, and religion was verified(t=-2.82, p<0.01). The assumption that an individual's preferred life style at old age depends on the distinction of sex among general characteristics such as sex, age, educational background, occupation, and religion was verified(t=l.68, p<0.l).

• Journal of Preventive Medicine and Public Health
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• 제54권6호
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• pp.395-403
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• 2021

Objectives: Previous studies have shown that participation in social activities (SA) can prevent cognitive decline (CD) and that living arrangements (LA) can affect cognitive function. This study aimed to evaluate the effects of SA and LA on CD, as well as their interactions, using longitudinal data. Methods: Data were used from the 2006-2018 Korean Longitudinal Study for Aging, which followed 10 254 adults older than 45 years over a 12-year period. CD was defined as a ≥4-point score decrease in the Mini-Mental Status Exam over 2 years. We developed an extended Cox proportional hazards model for time-dependent covariates to estimate the hazard ratio (HR) of CD in 4 groups: (1) socially active and living with others, (2) socially active and living alone, (3) socially inactive and living with others (SILO), and (4) socially inactive and living alone (SILA). The model was stratified by gender and adjusted for important confounders. Results: The HR of CD was significantly higher in the SILO group in men (HR,1.36; 95% confidence interval [CI], 1.08 to 1.78) and in the SILA group in women (HR, 1.72; 95% CI, 1.08 to 2.75). However, the interaction term for gender was not significant. Conclusions: Among socially inactive elderly adults, the HR of CD was elevated in men who lived with others and in women who lived alone, although the interaction term for gender was not significant. Socially inactive men who live with others and socially inactive women who live alone are particularly encouraged to participate in SA to prevent CD.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2008년 추계학술발표대회 논문집
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• pp.131-134
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• 2008

The numbers of the elderly who suffer Empty Nest Syndrome have been accelerated as an aging population has increased vastly and nuclear families have been a dominating family type in modern Korean society. To make the elderly get out of this phenomenon and live actively, the scheme of converting their existing houses into shared houses was set as a hypothetical solution in this study, and finding out the responses of the elderly who owns their own houses is the purpose of the study. A small workshop panel method was used and the elderly aged 55 years upwards took part and they own a detached house that is relatively large for the elderly or the elderly couple to live alone. The workshop was consisted of 3 stages: 1. a survey 2. an interview 3. a site visit. Through this, problems that the elderly have been experiencing within their houses were looked into and the responses of the elderly on converting their houses to shared houses by introducing developed schematic plans. As a result, positive responses from the house owners were carried out based on the fact that subsidies from the government on house renovation and tenants matching programs are supported. Shared houses could provide home owners economical support with rents and help them to feel less lonely. This is one way of supporting the elderly to live and age actively in their later lives. Therefore, this idea should be established in connection with preparing aging, aged, and super-aged society.

• 대한예방한의학회지
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• 제11권2호
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• pp.1-21
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• 2007

The purpose of this research is to seek for efficient method of health improvement program for the old and to offer basic material for the development of community's public health service. This study investigated into the yangseng life level of the old and the factors which affect their yangseng life, and was to offer basic materials for oriental medicine-based health improvement plan which is appropriate for each community. The 818 surveys were conducted upon the old who are above 65 and who live in Jeollabukdo, and the results from the survey are as follows ; 1. The rural area showed more percentage of old people, the old who live alone and who have job compared to urban area. More people in rural area were found to live at their own expense. Additionally, there were more people who had high education in urban area and who have disease in rural area. 2. The total yangseng level of recipients was 94.20, and the average was 3.25. The average of urbanite was 3.26 and it was 3.23 for who live in rustic area, but there found no significant difference. All the old live in both urban area and rural area showed the highest score in morality yangseng and lowest in sex-life yangseng. 3. There found no difference upon regions, but the recipients show high yangseng level when they are male, have spouse, live with them, have factors including high education background, job, religion and hobby, or have confidence in their health. They also show high yangseng level when they do not have any disease in progress. 4. According to the results of general traits and yangseng level of each category, the old who live in urban area show higher exercise yangseng level than the one in rural area, and there is no significant difference upon the region in other categories. There were some cases which general traits and regional characteristics mutually affected each other. In conclusion, the yangseng level of the old is affected by individual traits and habits rather than the regions in which they live. The old who live in rural area are required to focus on exercise more, since the exercise yangseng level of them were lower than the ones of urban area. Moreover, there were some cases which general traits and regional characteristics mutually affected each other, so it requires further in-depth study about the correlation.

• 한국농촌간호학회지
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• 제6권1호
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• pp.5-14
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• 2011

Purpose: The primary goal of this study was to develop a case management with exercise program for community dwelling elders who live alone, and examine the effects of the program. Method: The design of this research was a one group pre-post test study. The participations were 85 elders diagnosed with hypertension and diabetes mellitus and who lived alone as residents of D city. The case management with exercise program included exercise and counseling as the intervention and was provided for 12 weeks. Data were collected before and after the intervention which lasted from September 3 to November 26, 2009. Collected data were analyzed using descriptive statistics, and paired t-test. Results: There were significant differences in blood pressure (t=-5.24, p<.001, t=-1.94, p= .040), fasting blood sugar (t=-4.41, p<.001), ADL (t=-5.43, p=.022) and cognitive function (t=7.41, p=.008) between pre- and post intervention. Conclusion: These results indicate that the case management program is an important intervention for health promotion for community-dwelling elders, and exercise improves functional status of older persons with diseases. Therefore, now is the time to develop new supportive community-based programs for elders who live alone. However, it is also necessary to do further longitudinal studies to confirm the results of this study.

• 디지털융복합연구
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• 제15권5호
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• pp.89-98
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• 2017

본 연구는 독거노인의 삶의 만족도에 영향을 미치는 요인을 확인한 연구로, 인구학적 배경, 경제 활동과 함께 생산적 여가참여와 사회적 지지의 조절효과를 검증하였다. 본 연구는 5차 국민노후보장패널의 독거노인 890명을 그 대상으로 하였으며, 독거노인의 삶의 만족도는 지역에 따른 무선효과를 가져 다층모형을 활용하여 분석을 실시하였다. 분석 결과 독거노인은 도에 사는 경우 광역시나 서울시에 사는 경우에 비해 삶의 만족도가 높았고, 생활비가 많을수록, 경제활동을 하고, 경제적으로 독립된 경우에 삶의 만족도가 높았다. 뿐만 아니라, 생산적 여가에 참여할 경우 그렇지 못한 경우 보다 삶의 만족도가 높으며, 사회적 지지를 많이 받을수록 삶의 만족도는 높아지는 것으로 나타났다. 또한, 생산적 여가참여를 하는 경우 사회적 지지를 받을수록 독거노인의 삶의 만족도가 높아지는 조절효과가 나타나는 것을 확인하였다. 이를 바탕으로 독거노인의 생산적 여가참여의 촉진책과 사회적 지지를 높이기 위한 정책적 방안을 모색하여야 할 것이다.

• 디지털융복합연구
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• 제13권4호
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• pp.25-38
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• 2015

최근 우리나라의 경우 빠른 고령화로 독거노인의 추세 또한 사회적, 경제적, 국가적인 다양한 문제를 야기시키고 있다. 특히 나 홀로 사는 노인계층의 건강수명관리, 독거노인의 안전, 길어진 노령시기의 쾌적하고 행복한 삶유지 등이 사회적 이슈로 부각되고 있으며, 범정부차원에서 다양한 서비스 제공을 위한 실천과제를 모색하고 있으나, 실질적으로 노인의 일상생활지원 및 서비스 정보접근 향상을 위한 구체적 대안은 매우 부족한 실정이다. 본 연구는 ICT 기술기반의 독거노인복지서비스 제공을 목적으로, 개방된 공개정보를 적극 활용하고 노인계층의 정보 접근을 향상 및 독거노인의 여러 상황조건에 부합하는 "ELA 서비스 모델"을 제시한다. 이는 독거노인의 기본 욕구에 따른 단계별 자가생활지원 서비스 모델로 현재 제공되거나 계획 중인 서비스의 편중 또는 과부족을 해결하고, 독거노인의 요구수준에 맞는 실질적 서비스 제공을 목표로 일상생활지원에 균형 잡힌 서비스 정책 수립에 기여할 것으로 기대한다.

• Human Ecology Research
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• 제56권6호
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• pp.507-525
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• 2018

This study examines the consumer empowerment index for Chinese elderly consumers, the impact of socio-demographic variables, exposure to mass media, and communication about consumption on consumer empowerment. The consumer empowerment index is composed of three factors: consumer knowledge, consumer attitude, and consumer skill. Data were collected from 301 Chinese elderly consumers aged 60 to 80 years old via a professional online survey firm. The findings of the analysis were described using frequency, t-test, ANOVA, and multiple regression analysis. The results are as follows. First, the average of consumer knowledge was 35.69 points out of 100, consumer skill was 65.71 points, and consumer attitude was 68.87 points. Second, socio-demographic variables indicated that education level, previous occupation, type of residence and communication about consumption impact consumer empowerment. Elderly consumers with higher education had higher consumer attitudes and better overall consumer empowerment than those with lower education. Consumers who were self-employed workers had higher consumer skills than those of technical or service workers. Elderly consumers who live alone had higher consumer skills than those who live in a nursing home. Third, according to communication about consumption, family communication is positively associated with consumer attitudes, skills and overall empowerment, while friend communication is positively associated with consumer attitudes and overall empowerment. The findings of this study are useful in developing guidelines that help the government make consumer education systems for the elderly who want to improve consumer empowerment levels evenly among these factors.