• 보건행정학회지
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• 제30권4호
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• pp.467-478
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• 2020

Background: The purpose of this study is to explain the factors influencing the incurrence of catastrophic health expenditure of national health insurance households using panel data observed over a long period. Methods: The study targeted 3,652 households who had no censoring during the 11-year survey period (2007-2017) and householders whose insurance type was consistently maintained as national health insurance. Generalized estimating equations were adopted to identify factors affecting the occurrence of catastrophic health expenditure at 20%, 30%, and 40% threshold levels. A subgroup analysis was conducted by categorizing groups depending on the existence of the elderly in the household. Results: For the last 11 years, the incidence of catastrophic health expenditure in the households without the elderly decreased slightly at all threshold levels, but the households with the elderly seemed to be increased. At baseline, household type showed a statistically significant relationship with all other variables. The results of generalized estimating equations analyses show that household income was not significant at all threshold levels in the households without elderly. On the other hand, in the households with the elderly, the 2nd (odds ratio [OR], 1.33-2.05) and 3rd quintile groups (OR, 1.25-2.55) were more likely to have catastrophic health expenditure compared to the 1st quintile of household income group. Conclusion: As the amount of health expenditures relative to the ability to pay is increasing in households with the elderly, the application of an intervention followed by consistent monitoring is needed. This study found that there were differences in influencing factors according to the presence of the elderly in the households. In particular, in households with the elderly, interesting results have been drawn regarding the occurrence of catastrophic health expenditure in the near-poor, so additional research is required.

• 대한간호학회지
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• 제35권1호
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• pp.104-112
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• 2005

Purpose: This research was conducted to determine the effects of a fall prevention program on knowledge, self-efficacy, prevention activity, and depression in the low-income elderly women. Method: The design of this study was a nonequivalent control group pretest-posttest design. There were 22 subjects in the experimental group and 22 in the control group. A fall prevention program was performed for approximately 40 minutes, once a week for 6 weeks. Results: The results of this study were as follows: There were statistically significant differences of knowledge, self-efficacy, and prevention activity related to falls and depression between the experimental group and control group. Conclusion: In conclusion, the fall prevention program used in this study is appropriate for the elderly, therefore this program is strongly recommended for community-based health and welfare centers.

• 인간식물환경학회지
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• 제21권6호
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• pp.565-574
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• 2018

Previous studies have shown that forest therapy program can help prevent dementia. However, few studies have focused on low-income elderly people living alone. The current study examined the meanings that the elderly living alone receiving medical care assigned to the urban forest therapy program, as a way to understand the pathways that nature-based intervention affect preventing dementia. Twenty-one participants were recruited and they participated in a five-week urban forest therapy program. Semi-structured interviews were carried out with 21 participants who experienced the urban forest therapy program, and analyzed qualitative data using thematic analysis. Results showed that all themes identified were related to connectedness with oneself, neighbors and nature. Awarenesses of change were consisted of positive and negative themes. The themes of positive awareness were improvements of mental and emotional condition, feelings of isolation and loneliness, and health-related lifestyle. The negative themes were terminations of short-term programs and inconvenient access to the urban forest. Based on these data, we suggest an urban green welfare framework for future research and interventions for preventing dementia of underprivileged elderly group.

• 대한예방한의학회지
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• 제23권1호
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• pp.73-82
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• 2019

Objectives : The aim of this study was to explore the general characteristics and health risk factors of the low income single person household in elderly Korean population for target selection of Korean medicine public health promotion program. Methods : We collect the 826 low income over 65 years old participants data from 7th Korean National Health and Nutrition Examination Survey. The demographic, life habit, health status, medical history were used to compare the difference between single and multiple low income senior households. Results : All variables except drinking and smoking were statistically significant between single and multiple low income senior households. The health risk factors in single low income senior households were gender, overweight, Medicaid, annual drinking habit, diagnosis of diabetes. Conclusions : Through this study, we found out that the overweight, monthly drinking habit, diagnosis of diabetes were health risk factors in low income senior single households.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2008년도 춘계학술발표대회 논문집
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• pp.135-139
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• 2008

A rural area of Korea is inferior compare to urban areas in physical settlements, and an elderly people of the inhabitant increased and it is not easy to see young people in a rural villages. It comes from income difference between industrial type and area and leaving rural area are the accelerated and repeated, and resident who live in rural area after twenty to thirty years can be an elderly society A settlement of rural area is needed settlement rehabilitation for elderly society as follows first, a model development and public support of settlement rehabilitation for rural areas. Second, village remodeling of farming village for elderly are discussed. The rehabilitate rural villages is expected an immigration from urban area which over crowding, and eco tour as new industry.

• 한국노년학
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• 제31권1호
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• pp.111-127
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• 2011

본 연구는 최근 급격한 복지확대를 경험하며 명실상부한 복지국가로 부상하고 있는 한국과 대만이 이전소득 체계를 통해 노인 빈곤을 효과적으로 감소시키고 있는지 비교론적 측면에서 분석함을 목적으로 한다. 분석대상은 서구 12개 복지국가와 동아시아의 한국과 대만이며, 가장 최근의 룩셈부르크 소득자료를 활용하여, 노후 소득의 혼합구조와 공적이전 및 사적이전 소득의 노인 빈곤율 및 빈곤갭 감소효과를 분석하였다. 연구결과는 크게 세 가지로 요약된다. 첫째, 복지국가 유형에 따라 정도의 차이는 있었지만 서구 복지국가의 노후 소득 구조는 공적이전을 중심으로 구성되어 있었으나, 한국과 대만의 경우 공적이전의 비중이 상대적으로 낮은 반면 사적이전과 근로에 의한 소득의 비중이 높아 전체적으로는 매우 혼합적인 구조를 가지고 있었다. 둘째, 빈곤선의 수준 및 복지국가 유형에 따라 상당한 편차가 존재함에도 불구하고, 서구 복지국가는 공적이전을 통해 노인 빈곤을 효과적으로 감소시켜 왔다. 셋째, 한국과 대만의 경우 최근의 급격한 복지확장에도 불구하고, 공적이전의 빈곤감소 효과는 여전히 제한적인 수준에 머물렀고, 사적이전의 빈곤감소 효과가 더 큰 것으로 나타났다. 이러한 일련의 국가 간 비교분석을 통하여, 근로소득의 비중이 30% 이상을 차지하는 한국의 노후소득 구조가 기형적인 것임을 지적하였으며, 공적연금이 성숙해 감에 따라 노후소득 구조와 공적이전의 기능이 어떻게 변화되어 가는 지에 대한 추가적인 연구의 필요성과 함께, 정책적 측면에서 현세대 노인에 대한 소득보장의 확대가 시급한 과제임을 논의하였다.

• 한국주거학회논문집
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• 제6권2호
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• pp.13-19
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• 1995

The main objectives of this study were to determine the differences in the personal, Physical, socio-psychological characteristics of the elderly and the housing features according to housing types. This study classifed housing types into 4 types : purchased apartment, public rental apartment, charge-free institiutional housing for the elderly and private housing facility for the elderly. On the basis of the findings. these are the following conclusions : Generally, the morale of residents in elderly facilities was higher that that of the apartment residents'. This result could support the development of senior housing in Korea. Residnets of rental apartment were younger and their functional health and level of independence were higher than those of others. Therefore, rental housing would be an alternative housing for the independent low-income elderly. However, the morale of rental housign residents was lower than that of others. The elderly housing facility residents' recongnition of the housing managers' leadershop style was higher than that of the apartment residents'. This results ensures the importance of housing manager's role in managing senior housing.

• 한국주거학회:학술대회논문집
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• 한국주거학회 1994년도 학술발표대회논문집 하
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• pp.63-67
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• 1994

The main objectives of this study were to determine the differences in the personal. physical. socio-psychological characteristics of the elderly and the housing features according to housing types. This study classifed housing types into 4 types purchased apartment, public rental apartment charge-free institutional housing for the elderly and private housing facility for the elderly. On the basis of the findings. these al·e the following conclusions: Generally, the morale of residents in elderly facilities was higher than that of the apartment residents’. This result could support the development of senior housing in Korea Residents of rental apartment were younger and their functional health and level of independence were higher than that of others. Therefore rental housing would be an alternative housing for the independent low-income elderly. However the morale of rental housing residents was lower than that of ethers. The elderly housing facility residents’ recongnition of the housing managers’ leadership style was higher than that of the apartment residents’. This result ensures the importance of housing manager’s role in managing senior housing.

• 가정과삶의질연구
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• 제18권2호
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• pp.203-216
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• 2000

The purpose of this study was to explore the degree of caregiving stress in housewives according to functional impaiment and personal characteristics of demented elderly, and related variables of housewives. The subjects of this study were 141 housewives who had cared for dementia elderly. A questionnaire was used as survey method. The data was analyzed by means of t-test, ANOVA, and Scheffe test. The main findings were as follows: First, there was significant difference in the degree of stress in caring for dementia elderly according to functional impairment of demented elderly. Third, the degree of stress in caring for dementia elderly differed significantly according to education, income, and housework time per day of housewives, and relatinship demented elderly with housewife.

• 보건행정학회지
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• 제33권1호
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• pp.107-113
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• 2023

Unmet healthcare is an important indicator for measuring accessibility of healthcare services. We analyzed the following four data from a nationally representative sample of South Korean population: Korea Health and Nutrition Examination Survey (KNHANES, 2007-2021), Community Health Survey (CHS, 2008-2021), Korea Health Panel Survey (KHP, 2011-2019), and Korean Welfare Panel Study (KOWEPS, 2006-2021). The proportion of individuals reporting unmet healthcare needs were 6.0% (KNHANES), 5.1% (CHS), and 13.1% (KHP). Annual percentage change (APC) which identifies trend for the follow-up period was -9.4%, -9.4%, and -5.3%, respectively. The proportion of individuals reporting unmet healthcare needs due to cost were 1.2% (KNAHANES), 0.5% (CHS), 2.7% (KHP), and 0.4% (KOWEPS). The APC was -10.4%, -16.1%, -11.5%, and -19.1%, respectively. Compared to the previous year, the rate of unmet healthcare needs decreased slightly, but the rate of unmet health care needs due to cost tended to increase. Overall, higher rates of unmet healthcare needs were reported in the low-income and the elderly population. Although it was confirmed through the APC that the rate of unmet healthcare experience has decreased over the past decade, it can be seen that there is still a disparity by income level and age. These results suggest the need for an appropriate health benefit coverage policy for the low-income and the elderly.