• The Journal of the Korea Contents Association
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• v.12 no.12
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• pp.683-693
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• 2012

In this study we investigated the factors determining people's decision on whether to subscribe to private health insurance, on how many private health insurances they subscribe to and the average amount of monthly payment from subscribers of private health insurances. For analysis, logistic regression analysis and multiple linear regression analysis were conducted on the sample of 8,167 people using 2008 Korean Longitudinal Study of Ageing(KLoSA) data. From the analysis, whether to enroll in private health insurance is found to be greatly influenced by population and socioeconomic factors as well as regular exercise, smoking, cognitive function scores, subjective health status, hospitalization, the number of outpatient services, free primary health screenings benefits. We also found that number of private health insurances purchased is affected by age, household income, subjective health status, drinking, free primary health screenings benefits and that the average amount of monthly payment for private health insurances purchased is influenced by age, marriage status, economic activities status, subjective sense of hierarchy, household income, drinking, hospitalization. This study is expected to contribute to show the healthy role of private health insurance so that the desirable direction in expansion of health security policy in Korea can be explored further.

• 한국노년학
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• v.29 no.2
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• pp.717-728
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• 2009

The purpose of this study is to examine the moderating effect of family relationship (relationship with spouse and adult children)about the impact of economical status and health(physical health, cognitive health) on depression. The data came from Korean Longitudinal Study of Ageing(KLoSA) 2005 of Korea labor institute. 2,566 individuals(male 1,535, female 1,031) with spouse and aged 65 and over were selected for this study. Using the multiple regression model, we found that significant effect of economical status, physical health and cognitive health on depression. Also relationship with spouse moderated the effect of economical status on depression and relationship with adult children moderated the effect of cognitive health on depression. The results of this study suggest that family relationship is important variable to reduce depression of the elderly.

• The Korean Journal of Health Service Management
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• v.7 no.1
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• pp.59-68
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• 2013

This study examined the relationship between spouse satisfaction and depressive symptom among the middle-aged and elderly couples, using dataset of the Korean Longitudinal Study of Ageing(KLoSA). The subjects were 6,652 persons aged 45 and over who were living with their spouse. A multiple regression model was used to study an association between spouse satisfaction and depressive symptom, controlling for socio-economic characteristics, health status and behavior, and social support. Also, this paper run three subgroup regression models based on age of subjects (45~54, 55~64, 65 and over), controlling for confounding variables. Authors found that there was negative relationship between spouse satisfaction and depressive symptom (b=-0.022, p<0.0001). This negative relationship was also shown in three subgroup regression models. This study suggested the importance of spouse support for promoting mental health among the middle-aged and elderly couples.

• International Journal of Human Ecology
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• v.15 no.2
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• pp.69-80
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• 2014

Guided by the exchange model, altruistic model, intergenerational solidarity theory, and cultural contexts, this study explored the determinants of financial intergenerational transfers between older parents and adult children in South Korea. We examined 18,820 parent-child dyads by using random-effects models on the first wave of the Korean Longitudinal Study of Ageing (KLoSA) data. Findings showed that downward financial intergenerational transfers were consistent with the self-interest exchange model but upward transfers did not support microeconomic theories. Family solidarity theory was generally supported by downward transfers but geographical proximity was not positively associated with upward transfers. Lastly, cultural contextual variables such as marital status, birth order, and sex of a child were found to be significant. Parents tended to both provide and receive more financial support from unmarried children than from married children. Within the same marital status, the hierarchy existed in order of the first-born son, the second or later sons, and daughters when it came to downward financial transfers. Regarding upward financial transfers, the preference in order was more complicated. The findings of this study help in understanding the intergenerational financial transfers in the Korean context.

• The Journal of the Korea Contents Association
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• v.22 no.9
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• pp.473-484
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• 2022

This study aimed to verify the reciprocal casual relationship between self-rated health status and depression in the elderly through longitudinal analysis. An autoregressive cross-lagged model was identified. This study analyzed 3,363 elderly people aged 65 or older using the 5th, 6th, and 7th wave data from Korean Longitudinal Study of Ageing(KLoSA). The results are as follows. First, self-rated health status had a positive(+) autoregressive effect. Second, depression had a positive(+) autoregressive effect. Third, self-rated health status had a negative(-) cross-lagged effect on depression, but depression was not a casual predictor of self-rated health status. Based on these findings, it was suggested that there is a need for systematic policies to improve basic fitness in the early stages of old age, as well as the need to expand health promotion programs and implement integrated depression management programs.

• Journal of the Korea Society of Computer and Information
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• v.21 no.8
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• pp.117-126
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• 2016

The purpose of this study was to explain the influence of depression on the life satisfaction of the elderly with hypertension. Also, we were focusing whether there is a mediating effect of subjective health status between depression and life satisfaction of the elderly with hypertension. 2,198 persons with hypertension over 65 years of age were selected from the data of KLoSA(Korean Longitudinal Study of Ageing), administered by The Korea Employment Information Service in 2014. Life satisfaction was measured by 10-Likert. The depression measured by CES-D10. The mediating variable is subjective health status measured by 5-Likert. As the method of analysis, the multiple regressions were used with SPSS 19.0. The result of the study shows that depression has a negative influence on life satisfaction and a negative influence on subjective health status. It was also verified that the subjective health status variable has a mediating effect between depression and life satisfaction. These results present the importance of psychological approach for the health promotion experts intervening with the elderly with hypertension.

• Human Ecology Research
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• v.61 no.4
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• pp.615-633
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• 2023

This study aimed to examine the actor and partner effects of marital satisfaction on life satisfaction in middle-aged and older couples via their health behavior and health. The study participants included a total of 2,108 couples, aged 57 and over, from the eighth wave of data from the Korean Longitudinal Study of Ageing (KLoSA). The marital satisfaction, health behavior, health, and life satisfaction of the husbands and wives were measured to conduct the analysis. This analysis was conducted based on the Actor-Partner Interdependence Mediation Model (APIMeM) with the bootstrapping technique being used as the mediating effect. The results indicated that there were significant actor and partner direct and indirect effects when it comes to the relationship between the participants' marital satisfaction and their own life satisfaction, mediated by health behavior and health. However, no significant influences regarding the health of the participants on the life satisfaction of their spouses were found. These results suggest that it is important for middle-aged and older couples to improve their marital relationships in order to promote the health and life satisfaction of both parties. Doing so will help husbands and wives lead healthier lifestyles based on their positive relationships.

• Journal of Family Resource Management and Policy Review
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• v.15 no.4
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• pp.65-78
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• 2011

The purpose of this study was to examine the experience of retirement and how life satisfaction after retirement differs depending on the individual, family, and social characteristics of middle-aged and elderly Korean men and the experience of retirement. Data were drawn from the first wave of the Korean Longitudinal Study of Ageing (KLoSA). The sample consisted of 278 retired middle-aged and elderly Korean men aged between 45 and 64. The results showed that middle-aged and elderly Korean retirees' reasons for retirement differed depending on their health satisfaction. In addition, their retirement satisfaction varied according to their education, health satisfaction, economic satisfaction, and reasons for retirement. Regarding their life satisfaction, it was predicted by their age and satisfaction with health status, economic situation, marriage, and relationship with their children.

• Journal of Family Resource Management and Policy Review
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• v.15 no.1
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• pp.29-49
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• 2011

Social capital theory provides a robust framework for analyzing economic well being. The purpose of this study was to investigate the effects of social capital on the economic satisfaction of retirees in Korea. The data from the first wave of KLoSA(Korean Longitudinal Study of Aging) were used(n=1,628). SPSS 12.0 was used for descriptive statistics and multiple regression analysis. The major findings were as follows: First, after controlling for gender, age, region, housing tenure, and personal income, the social capital of the retirees, including cognitive social capital(trust and reciprocity) and structural social capital(emotional and economic familial support, and a well-developed social network), contributes to increases in their economic well-being. Second, the degree of effect social capital has on well-being varied by gender and age; the effect was also different according to gender, regardless of the person's age. These empirical results provide a basis for the institution of policies that help bolster economic wellbeing for retirees by creating conditions that increase social capital in this group.

• Journal of Family Resource Management and Policy Review
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• v.23 no.1
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• pp.17-34
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• 2019

Older women who live alone are among society's most vulnerable people, since they experience increased risk of multiple chronic diseases and have limited financial protection. This can lead older women living alone to catastrophic health expenditure(CHE), which is defined as a healthcare expenditure that exceeds a certain portion of a household's ability to pay. Using the Korean Longitudinal Study of Ageing(KLoSA), this study investigated the incidence of CHE among older women living alone and identified the factors related to this incidence. Applying health expenditure thresholds of 10%, 20%, 30% and 40% of ability to pay, the proportions of those with CHE were 41.3%, 22.9%, 14.6%, and 9.4%, respectively. Logistic regression models were used to identify factors related to CHE incidence, which include demographics, income, the number of chronic diseases, perceived health status, and health insurance type. The results show that the health care safety net in South Korea is insufficient for older women living alone. The findings can guide policymakers in improving healthcare and welfare policies to protect people from catastrophic payments. Particularly, welfare policies should be established for poor non-recipients who are not included within the benefits scope of the National Basic Livelihood Security System due to the unrealistic criteria of income recognition and family support obligation.