• Journal of Korean Academy of Nursing
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• v.42 no.6
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• pp.810-818
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• 2012

Purpose: This study was done to explore factors relating to number of falls among community-dwelling elders, based on gender. Methods: Participants were 403 older community dwellers (male=206, female=197) aged 60 or above. In this study, 8 variables were identified as predictive factors that can result in an elderly person falling and as such, supports previous studies. The 8 variables were categorized as, exogenous variables; perceived health status, somatization, depression, physical performance, and cognitive state, and endogenous variables; fear of falling, ADL & IADL and frequency of falls. Results: For men, ability to perform ADL & IADL (${\beta}_{32}$=1.84, p<.001) accounted for 16% of the variance in the number of falls. For women, fear of falling (${\beta}_{31}$=0.14, p<.05) and ability to perform ADL & IADL (${\beta}_{32}$=1.01, p<.001) significantly contributed to the number of falls, accounting for 15% of the variance in the number of falls. Conclusion: The findings from this study confirm the gender-based fall prediction model as comprehensive in relation to community-dwelling elders. The fall prediction model can effectively contribute to future studies in developing fall prediction and intervention programs.

• Health Policy and Management
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• v.19 no.4
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• pp.33-52
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• 2009

Health promotion policies have needed to assess in detailed and evidence-based work to set a policy goal and clear future directions of health promotion in Korea. To identify the major factors related with health promotion, we assessed the associations between public health outcome (potential years of life loss, PYLL) and national health determinants. For this purpose, we used a pooled cross sectional time-series regression analysis with corrected fixed effect models involving sixteen member countries of the Organisation for Economic Cooperation and Development during the period 1970 to 2001. The PYLL was positively associated with tobacco and alcohol consumption (model 1 and 2) and calories intake (model 2 and 3) while the PYLL was negatively associated with GDP, fruit and vegetable intake (model 2), number of doctors (model 3), coverage rates of health care security, and elderly population rates (model 4). In conclusion, health behaviors related with tobacco, alcohol, and nutrition were significant health determinants for health outcome. Overall analysis results of this study will provide a guidance toward improved macro- and micro-policy development for future health promotion policy in Korea.

• Journal of Families and Better Life
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• v.29 no.3
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• pp.23-41
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• 2011

The purpose of this study is to explore social supports for elderly housing and their residential lives in small cities along rural counties of the United States and Canada, and suggest future implications for age-concentrated rural villages in Korea. In this study, five small and medium cities in non-metropolitan counties of California and Ontario province were visited and elderly residents and service experts were interviewed about their perceptions of community integrated social support networks for senior residences. The senior housing complexes were built due to influx of both metropolitan and rural residents seeking warm localities, traffic connections, business purposes in active production areas. and leisure attractions. There are five main social support networks for senior housing issues in these areas. First, the areas are claimed for senior zones and accordingly health industries are encouraged by local authorities. Second, the community is homogeneously constructed as a senior friendly environment and include features such as an RV park and mobile cottages. Third, senior-helping seniors are offered active work through golf-cluster active retirement communities. Fourth, traditional theme production camps are mobilized by the elderly workers. Lastly, an information system is maintained for screening volunteers and for senior abuse prevention. On the other hand, residential lives are occasionally negatively influenced by unbalanced concentrations of elderly facilities such as nursing stations and funeral homes. For the future of Korean rural elderly policies, suggestions are made as follows: first, an integrated urban and rural township that contains attractive places for early retiring people who seek a warm atmosphere in later life needs to be constructed. Second, an integrated model retirement village of urban and rural retirement life needs to be initiated as a measure of evaluating the adaptation process of movers in senior concentrated zones. Third, a cooperation system among governmental ministries needs to be formed with the long- term goal of establishing a traditional rural town of independent housing districts and medical facilities in rural areas. Fourth, productive and active lifestyles need to be maintained as the local community and government develop successful retirement rural villages, by limiting the expansion of nursing related facilities. Finally, generation integrated visiting welfare programs and services need to be further developed for the housing areas especially in the winter, when social integration and activity are relatively low.

• Research in Community and Public Health Nursing
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• v.30 no.2
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• pp.130-140
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• 2019

Purpose: The aim of this study is to explore levels of suicidal ideation and identify subgroups of high suicidal risk among the depressed elderly in Korea. Methods: A descriptive cross-sectional design was adopted on secondary data from the 6th (1st year) Korean national health and nutrition examination survey (KNHANES). A total of 239 depressed elders aged 60 or over who participated in the KNHANES. The prevalence of suicidal ideation and its related factors, including sociodemographic, physical, psychological characteristics and quality of life (EQ-5D index) were examined. Descriptive statistics and a decision tree analysis were performed using the SPSS/WIN 23.0 and SPSS Modeler 14.2 programs. Results: Of the depressed elderly, 28.9% had suicidal ideation. Three groups with high suicidal ideation were identified. Predictive factors included perceived stress level, household income level, quality of life and restriction of activity. In the highest risk group were those depressed elderly with moderate and low levels of stress, less than .71 of EQ-5D index and restriction of activity, and 80.0% of these participants had suicidal ideation. The accuracy of the model was 80.8%, its sensitivity 85.9%, and its specificity 68.1%. Conclusion: Multi-dimensional intervention should be designed to decrease suicide among the depressed elderly, particularly focusing on subgroups with high risk factors. This research is expected to contribute itself to the policy design and solution building in the future as it suggests policy implications in preventing the suicide of the depressed elderly.

• Journal of Environmental Health Sciences
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• v.45 no.1
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• pp.30-41
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• 2019

Objectives: The effects of particulate matter and ozone on health are being reported in a number of studies. These effects are likely to be stronger on the elderly population, but studies in this regard are scarce. The purpose of this study was to examine the effects of particulate matter ${\leq}2.5{\mu}m$ and ozone on the acute health status of the elderly population. Methods: In order to analyze the health status of the elderly population, the NHIS-Senior Cohort data was used. In this study of people 60 years or older in Seoul, the number of outpatient visits and ER visits between 2002 and 2013 were calculated. Each disorder and the lag effect were analyzed separately. Particulate matter and ozone were analyzed using both the single exposure model and the adjusted multi-exposure model. Results: In the single exposure analysis with PM2.5 as the exposure variable, with each increase of $10{\mu}g/m^3$, the number of outpatient visits increased by 1.0081 times, vascular disease 1.0065 times, chronic pulmonary disease 1.0086 times, and diabetes 1.0055 times. In the multi-exposure model adjusting for ozone, the number of outpatient visits increased by 1.0066 times. There was a one-day lag effect and 1.0066 times increase between PM2.5 and ER visits in the multi-exposure model and 1.0057 times when adjusted for ozone (p value <0.10). There was a one-day lag effect in all multi-exposure models with ozone as the main variable, and when the particulate matter was adjusted, there was a one-day delay and 1.0143 times increase in ER visits. Conclusions: In our study, an increase in the number of outpatient and ER visits in the elderly population in accordance with the increase in PM2.5 and ozone was found. The association found in our study could also produce a socioeconomic burden. Future studies need to be performed in regards to younger populations and other air pollutants.

• Journal of Digital Convergence
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• v.18 no.5
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• pp.347-356
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• 2020

The purpose of this study was to identify the intention to use of virtual reality-based cognitive training system for the elderly residing in community based on extended technology acceptance model. The data were collected 100 elderly residing in community from January 2 to January 31, 2020. As a result, the influence the intent to use a virtual reality-based cognitive training system for the elderly is social influence, perceived usefulness, perceived enjoyment, age. The explaining 54.4% of the variance, it is considered that technology development these factors will be necessary for elderly in the community to promote the intent to use of virtual reality-based cognitive training systems. This study is meaningful in that it has identified the degree of intent to use and influencing factors of virtual reality devices for the elderly in the community. This study could be used as basic data for the development of technologies for virtual reality-based cognitive training systems in the future.

• Journal of the Korean Home Economics Association
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• v.41 no.4
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• pp.1-19
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• 2003

In Scandinavian countries, where the society experienced change of typical nuclear family structure and higher vocational activity rates of married women earlier than East Asian countries, cohousing scheme has been evolved as an alternative housing to reduce housework for working women, and to reduce loneliness of elderly people who stay in their own homes. They can promote active mutual relationship among residents in the community. Korean family structure has been stemmed to more like extended family, but the tendency to live independently from their married children is getting more and more common in new cohort of senior citizens who are active, healthy, economically stable and higher educated. Korea has been industrialized rather rapidly since 1970's and faces to many societal phenomena about quality of life for senior citizens. Introduction of alternative housing solution for these senior citizens is necessary in Korea. In this paper, Danish senior cohousing scheme, particularly, self-work model project is described about its design feature in accordance to site planning, common facility, and dwelling unit. Aiming to mutual support and more frequent social contacts among residents, self-work model cohousing scheme has different design concept from the service mode scheme. Information about design feature of senior cohousing was collected from the published data with drawings and from field survey to 10 exiting projects in Denmark. Of those, 5 projects were described as a case study. It, hopefully, could provide practical information for architectural design when establishment of senior cohousing schemes start in Korea in the near future.

• Archives of design research
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• v.19 no.1 s.63
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• pp.15-26
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• 2006

As the interest and use of computer have been increased among elderly users according to the entry to the aging society, the issue of universal design for computer usability was brought forward. Especially, it is widely recognized that universal UI(User Interlace) design on MS windows is important. The objective of this study is to conceptualize Universal GUI design on MS windows which can be used more easily and intuitively by novice users such as elderly and housewives. Especially, the solution for Universal GUI design on MS windows was developed by reflecting elderly users' needs because elderly users is the group with more difficulties than other user groups in learning and using MS windows. First, elderly user's needs was collected by participant observation as a teaching assistant in computer dass for elderly people for 4 weeks. Secondly, the experimental test and in-depth interview was implemented to find difficulties factors and needs in addition to participant observation. Based on the findings, the new GUI design solution was suggested. The design solution consists of ideas in several categories such as setting default, simplification of function for easy conceptual model making, customization of function and working environment, and intuitive GUI in interaction process. The new MS windows GUI design can be accessed by novice mode when user login in window XP. This study has the significance in finding elderly users detailed needs through in-depth and long term participant observation. However, the usability of the suggested prototype needs to be verified to various user groups besides elderly users in the future.

• Journal of Industrial Convergence
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• v.22 no.7
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• pp.31-41
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• 2024

The purpose of this study is to analyze how to utilize sports cooperatives that can be a pleasure to work and add living expenses through sports as a model for creating jobs for the elderly. To this end, after reviewing the literature and expert survey using Delphi techiques for 9 sports experts and 4 cooperative experts, the following conclusions were drawn analyzing with Excel, SPSS V28, and AHP analysis Dress V 1.7 program First, as a model for creating jobs for the elderly, the economic factors, social factors, institutional factors, and middle categories 10 factors and sub-categories 36 factors were derived from the major categories for the utilization of sports cooperatives. Second, through senior sports cooperatives, economic activities generate income, and volunteer and talent-sharing activities provide opportunities for physical and mental health and social participation. And, as corporations, they can expand profit-making projects through government and local government collaboration and partnership projects, contributing to solving issues related to the elderly. In the future, follow-up studies are needed to explore the needs, satisfaction, problems, improvement plans, utilization plans, and development directions of sports cooperatives in the sports field.

• 한국노년학
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• v.29 no.1
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• pp.71-87
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• 2009

The purpose of this study were to identify factors of successful aging and to suggest a successful aging model of elderly using Rowe & Kahn's model of successful aging. The components of the factors consisted of healthful status, physical·cognitive functions, psychosocial characteristics and productive activities. Data were collected from 2,958 elderly who has spouse and aged 65 above in KOSA Panel. Data were analyzed by Amos program 7.0 version. The statistical techniques were used descriptive statistics χ² and covariance structural analysis. Major findings of this study were as follows; Healthful status were positively related to increasing effort on physical·cognitive functions as well as psychosocial characteristics. Physical·cognitive functions were positively and directly related to psychosocial characteristics and productive activities. Psychosocial characteristics were positively and directly related to productive activities. Physical·cognitive functions and psychosocial characteristics were increased by receiving a direct and positive effort from healthful status. Productive activities were increased by receiving a direct and positive effort from physical·cognitive functions and psychosocial characteristics. Specific and realistic measures should be prepared for successful aging not only for present elderly but also for the future elderly people. Further research should be continued and encouraged to improve the implications for the successful aging especially in korea.