• 대한간호학회지
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• 제27권3호
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• pp.541-549
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• 1997

This study was done to describe health promoting lifestyle and determine affecting factors in elderly based on the Heath Promotion Model by Pender. Cognitive-perceptual factors that were included in this study were self-efficacy and hardiness. Modifying factors were demographic characteristics (sex, age, partner, previous illness, education level. income and religion). The specific purpose of this study was to examine the relationships of self-efficacy, hardiness and the demographic chasteristics to health promoting lifestyle and to determine causal factors affecting the elderly. The subjects were a volunteer sample of 98 elderly in one city in? The instruments for this study were Health Promoting Lifestyle Profile(47items, 4scale), Health Related Hardiness Scale(22i1ems, 6scale), general Self-Efficacy Scale(13i1ems, 5scale). Frequency, percentage, t-test, ANOVA, Pearson's correlation coefficient and Stepwise Multiple regression technique with SAS program were used to analyse the data. The Results of the study are as follows : 1) The average item score for the health promoting lifestyle was 2.63, the highest score on the subscales was interpersonal support (M=3.3), followed by self-actulization(M=2.9), nutrition(M=2.8), stress management(M=2.7), health responsibility(M=2.1) with the lowest bring exercise(M=2.0) 2) A significant difference between education level, income, religion and health promoting lifestyle were found. 3) All of the subscales on health promoting lifestyle were positively related to total hardiness (r=0.330, p<0.001). The hardiness subscale of control was positively related to self-actulization(r=0.276, p<0.01), and commitment was positively related to self-actualization(r=0.315, p<0.001), exercise /nutrition(r=0.245, p<0.01), interpersonal support(r=0.278, p<0.01), stress management(r=0.250, p<0.01). Challenge was positively related to self-actualization(r=0.315, p<0.001), exercise /nutrition(r=0.245, p<0.01). There was no significant correlation between self-efficacy and all of the subscales of health promoting lifestyle. Self-efficacy showed a significant correlation only with control(r=0.469, p<0.001), comittment(r=0.507, p<0.001), challenge (r=0.489, p< 0.001). 4) Comittment, self-efficacy and income explained 25.01% of the variance for the total health promoting lifestyle. The results of this study show that commitment, self efficacy and income predicted the health promoting lifestyle of the elderly. So health promoting programs that increase commitement and self-efficacy should be developed to promote a healthy lifestyle of the elderly, especially those who have low income.

• 한국생활과학회지
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• 제18권5호
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• pp.1087-1092
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• 2009

From the environmental adaptation point of view, the clothing habits made by the thermal sensation and clothing weight of elderly women have changed according to the thermal sensation and health condition. The purpose of this study was to obtain the basic data for developing healthy and comfortable clothing for elderly women. Clothing weight, thermal sensation, clothing microclimate, resistance to cold and heat of 198 elderly women in Taejeon were surveyed from October 9, 2007 to October 19, 2007. 1. Clothing weight per body surface area was $830.4g/m^2$ of total clothing weight, $242.8g/m^2$ of underwear clothing weight, $617.3g/m^2$ of outerwear clothing weight, $419.8g/m^2$ of upper clothing weight, and $420.4g/m^2$ of lower clothing weight. 2. More than 90% of the respondents replied that they felt comfortable when the temperature inside the clothing was $33.5^{\circ}C$ and humidity inside the clothing was 30.2%. 3. The elderly women were more sensible to cold than to hot, those who felt cold had a tendency to wear heavier clothing. 4. The appeal rate for physical pain of older and lower income people, especially those with an income under 1,000,000 won, was higher than that of others. On the other hand, the lower the subjective economic level, the younger they were, and the more the monthly average income was, the higher the rate of mental pain. 5. The heavier the total clothing weight was, the higher the appeal rate for general pain.

• 한국콘텐츠학회논문지
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• 제16권1호
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• pp.1-12
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• 2016

본 연구에서는 독거노인의 사회경제적 지위 잠재유형을 분류한 후, 사회경제적 지위 잠재유형과 자아존중감과의 관계를 살펴보았다. 이를 위해 2009년도 전국노인학대실태조사의 자료 중, 65세 이상 독거노인 1,333명의 자료를 분석하였다. 연구문제를 해결하기 위해 잠재유형분석 및 일원변량분석, 위계적 회귀분석을 실시하였으며, 주요 연구결과는 다음과 같다. 첫째, 사회경제적 지위는 5개의 잠재유형으로 분류되었으며, 각각 고학력-저소득 집단, 저학력-저소득 집단, 중간학력-저소득 집단, 고학력-고소득 집단, 저학력-고소득 집단으로 명명되었다. 둘째, 자아존중감은 저학력-저소득 집단이 저학력-고소득 집단, 고학력-저소득 집단, 고학력-고소득 집단보다 낮게 나타났으며, 중간학력-저소득 집단이 고학력-저소득 집단과 고학력-고소득 집단보다 낮게 나타났다. 또한, 저학력-고소득 집단의 자아존중감이 고학력-고소득 집단보다 낮은 것으로 나타났다. 셋째, 저학력-저소득 집단에 비해 고학력-저소득 집단, 중간학력-저소득 집단, 고학력-고소득 집단, 저학력-고소득 집단은 자아존중감에 유의한 영향을 미치는 것으로 나타났으며, 이러한 결과는 통제변수가 추가 투입된 모형에서도 일관되게 나타났다. 이를 근거로 독거노인의 하위집단별 특성에 관한 기초자료와 그들의 삶의 질을 향상하기 위한 실천 및 정책적 함의를 제공한다.

• 여성건강간호학회지
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• 제22권4호
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• pp.241-253
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• 2016

Purpose: The purpose of this qualitative research was to understand the meaning of the depression in low income elderly women. Methods: Participants were 15 elderly women, aged between 60 and 80 who were registered in two senior welfare centers in Seoul. Data were collected from June to December, 2012 after having obtained consent from participants. In-depth interviews were done with open-ended questions about their depression experiences, which were audio-taped and transcribed with verbatim. Data were analyzed using qualitative content analysis to discover the categories considering their relationships and abstractness. Results: Depressions of aged women were a part of the their life throughout their long lived hardship and was implied unhealed wounds within the relationship. Participants did not know how to manage with depression symptoms that they tried to overcome individually but due to decreased activities and interpersonal relationships, their depressions were tended to continue. They have tried to get out from depressive symptoms, but it still remains unseen shadow of mind. Conclusion: This results suppose that social support and aged welfare policy included reliving the economical difficulty and improving relationships will be provided to manage the depression for low income elderly women.

• 한국식생활문화학회지
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• 제22권1호
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• pp.149-156
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• 2007

This study was performed to evaluate the effectiveness of food commodity supplementary program for low-income, living alone elderly people. The subjects were 57 low income aged females who lived alone in Bucheon city. The food commodity supplementary program lasted for 6 months, supplying one meal per day consisting with grains, meat, vegetables, dairy and fruit. Dietary intake, anthropometric measurements, and blood profiles were assessed. After 6 months of food commodity supplemented period, dietary intakes of protein(p<0.05), calcium(p<0.05), iron(p<0.05) and vitamin B(p<0.001) were significantly increased. The mean weight(p<0.05) and BMI(p<0.05) were increased, and the frequency of BMI over 25kg/m$^2$ was also raised from 54.4% to 59.7%. Serum concentrations of total protein(p<0.001) and albumin(p<0.001) were significantly increased, indicating improvement of protein status. The frequency of anemia was decreased from 45.6% to 26.3%. However, the proportion of dyslipidemia was increased. In general the stable food commodity supplementary program was effective to improve general nutritional status of the poor aged who lived alone, however, nutrient intakes still did not meet RDA for the elderly and the rates of obesity and dyslipidemia were increased. Therefore, local government should provide more active food support program and the selection of food items for commodity should be evaluated at regular intervals.

• 지역사회간호학회지
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• 제12권3호
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• pp.589-599
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• 2001

The purpose of this study was to analyze the relation amongst health status, health care costs. health service utilization among the low income elderly who were 60 years of age or older, earning a half of the average Korean family income. The cross-sectional descriptive survey research we conducted used families randomly sampled nationwide. The data were collected from July 12 to August 7, 1999 and the total sample was 1.259 household members (421 households). These were the major findings. 1. As for the health status. 72.4% of respondents fell ill in the last 1 month; 54% of respondents had chronic disease. 2. As for the health care cost. the cost of hospitalization and the medical treatment were 1.069,000 won and 226.000won. respectively. 59.3% of respondents experienced a burden from the monthly health care expenses. 3. As for the health service utilization for the last 3months. 28.5% of respondents didn't utilize the health service. In addition, 22.2% of respondents gave up a medical treatment because of economic situation (88.8%). 4. The statistically significant determinants of health service utilization are old age, female, living with a spouse, unemployed state, medicare, and more days sick. 5. It is shown conclusively that equity and efficacy of the health care policy are to be considered for lower income older adult.

• 대한지역사회영양학회지
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• 제4권1호
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• pp.37-45
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• 1999

A study about health status of the elderly in rural area was performed with 110 home-bound elderly. The results obtained by questionaires and personal interviews recall were as follows. 1) Subjects were 68.6 years of age on average. They revealed the physical tendency of not overweight but high blood pressure. 2) We found that seniors who live alone in rural area were more than in urban area. 3) Average daily intakes of energy and protein of rural elderly were lower than the Korean RDA and the intakes of Ca, riboflavin and niacin in female were also lower. 4) Nutrient intakes were related to family income, food expense, smoking amount, drinking frequency and duration of exercrse, which suggested the needs of nutrition education for the seniors and meal services especially for the low-income elderly.

• 산업진흥연구
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• 제5권1호
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• pp.125-135
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• 2020

본 연구는 인생주기 가운데 노인복지의 가장 중요한 항목이라고 할 수 있는 경제적 측면에서 겪고 있는 세 가지 부문, 즉 소득, 노동시장, 주거복지 등으로부터의 배제에 대하여 이를 극복하기 위한 방안을 제시하고자 한다. 연구결과는 다음과 같다. 첫째, 소득보장정책이 종합적으로 수립, 실행되어야 한다. 예를 들어, 국민연금, 기초연금, 국민기초생활보장 등과 같은 국가적으로 시행되는 제도적 보장이 충분하게 이루어져야 한다. 둘째, 주거정책이 합리적으로 개선되어야 한다. 주거는 노인에게 절신한 문제인 만큼 노인의 취향에 맞는 정책이 효율적으로 수립, 집행되어야 한다. 셋째, 국가적·사회적 합의가 필요하다. 노인복지정책은 기본적으로 사회적 합의를 필요로 한다. 결론적으로 노인의 경제적 배제에 대한 극복방안은 장기적이고 다양한 분야에서 포괄적으로 모색되어야 한다. 또한 사회구성원으로부터 명시적으로 합의하여야 한다. 경제적 배제로부터의 극복은 노인의 생존권 차원을 위해서도 사회복지정책의 극복 방안을 강구하여야 한다.

• 한국병원경영학회지
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• 제17권3호
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• pp.23-36
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• 2012

Objectives : The coverage of Korean National Health Insurance is limited to basic level. Korean government encourages private health insurance for covering medical securities. So, many studies examined the determinants of purchasing private health insurance. However, 11% of Korean population is older than 65 in 2011. Considering the elderly is important to establish a health policy. The aim of this study is to examine factors determining the purchase of private health insurance among middle-aged and elderly Korean adults. Methods : We used the second Korean Longitudinal Study of Ageing (KLoSA), selected 8,688 sample of the aged 47 or older for the analysis. KLoSA collected information on demographic characteristics, income, health- related factors. KLoSA data include in the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Logistic regression was used to examine the relationship between the determinants of purchasing private health insurance and the factors which include age, gender, education, residential district, marital status, smoking, drinking, physical exercise, economic activity status, national health insurance type, income, the number of chronic disease, and the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Results : People who were older, did not live in a city, had higher IADL, currently drunk alcohol, did exercise regularly and had chronic diseases more than three were inclined not to purchase private health insurance. Females, the married, well-educated, past & currently smokers, the employed, high income earners, national health insurers, metropolitan citizens and someone who got high MMSE were more likely to purchase private health insurance. The more people experienced outpatients, inpatients, dental clinics and Chinese medicine clinics, the more private health insurance was purchased. The elderly people over 75 had more private health insurance than the aged 65-74. The strongest factors for private health insurance is gender, and economic status such as income. Conclusion : In this study, we found healthy-high income people were more likely to purchase private health insurance. In contrast, unhealthy-low income and older people did not. The economic factors were strongly related with private health insurance in aged over 75. These mean inequality exists in the using private health insurance. Therefore, the government should consider vulnerable social group before expanding private health insurance.

• 한국주거학회논문집
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• 제19권6호
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• pp.115-125
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• 2008

The purpose of the study is to investigate the characteristics of the elderly housing preference and spatial usage to plan floor space of the elderly housing by the respondents of the ages 50 to 79. Based on the result of the study, it is suggested that the elderly housing should be located in regards to social environmental factors rather than natural environmental ones. There are differences in preference for the space planning of housing units such as the number of rooms and bathrooms, and floor space depending on income level, so the housing should be differently planned to accept the difference of preference. On the other hand, there is not notable difference in furniture preference for each space. In the characteristics of spatial usage according to behaviors, high-income respondents demonstrate the characteristics of spatial usage in accordance with a western lifestyle. Thus, behaviors such as sleeping, watching TV, resting, reading, conversation, and receiving guests, occur using such things as beds, sofas, and dinning tables. On the other hand low-income respondents show a mixed western and traditional lifestyle. Thus many behaviors are done on the floor of bedroom and livingroom in addition to using furniture such as a sofa and chairs. Therefore, the way of spatial usage has to be reflected in the floor space planning. At least floor space of the provided rooms should be planned to accommodate the behavior of the elderly even though all of the rooms preferred can not be provided.