• 한국노년학
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• v.37 no.1
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• pp.1-14
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• 2017

The purpose of this study was to examine the effect of vision and hearing limitation on the onset of disability among Korean elderly with the consideration of social participation and depression. Study population consisted of 2,670 people aged 65 and above who participated in both the 1st(2006) and 2nd(2008) wave of the Korean Longitudinal Study of Aging(KLoSA), and also reported no ADL or IADL disability in 2006. As the results, first, it found that vision and hearing limitation, social participation, and depression were significant risk factors for the onset of IADL disability in unadjusted analysis. After multivariable adjustment, however, only vision limitation showed significant association with the onset of IADL disability. Second, in the logistic analysis with four categorized variables(vision/hearing limitation + social participation, vision/hearing limitation + depression), the elderly who had vision or hearing limitation had a significantly 1.7 times higher odds ratio for disability onset if they also had low social participation compared with those who had no vision or hearing limitation, and high social participation. Whereas, depression was not significantly associated with the relationship between vision or hearing limitation, and disability onset. The study suggests that the intervention program developed to prevent social isolation of older people with vision or hearing limitation, may be helpful to reduce and postpone the risk of disability onset as well as early detection and treatment of vision or hearing problems.

• Korean Journal of Family Social Work
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• no.57
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• pp.159-182
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• 2017

With using the 4th and 5th wave of KLoSA(Korean Longitudinal Study of Aging), this study analyzed the effect of the factors of Rowe and Kahn's successful aging model on the life satisfaction of older adults. The target population of this study was 1,385 who is older than 65. As data analysis, hierarchical multiple regression was used. The variables such as demographics, avoiding diseases and disability, high cognitive and physical function and engagement with life, relationship with adult children were entered hierarchically for the regression analysis. Since there are differences of longevity by gender, the difference of factors of successful aging were compared by marital status. In this study (besides Rowe and Kahn's successful aging model such as avoiding disease and disability, high cognitive and physical function, and engagement with life), the relationships with adult children were analyzed additionally. Findings show that married older adults were older and reside with their adult children twice more than those who do not have a spouse. According to research results, regular exercise and memory skills were important factors of affecting life satisfaction. Among the categories of active engagement, meeting with friends, relatives and neighbors were significant. Contact with their adult children by mail or phone were the most important factors affecting the older adults' life satisfaction. The three parts of successful aging were various depending on the operationalization of variables.

• Journal of Korean Academy of Nursing
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• v.53 no.4
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• pp.453-467
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• 2023

Purpose: This study investigated the cumulative effects of depressive symptoms on cognitive function over time in community-dwelling older adults. Methods: Data were investigated from 2,533 community-dwelling older adults who participated in the Korean Longitudinal Study of Aging (KLoSA) from the 5th (2014) to the 8th wave (2020). The association between cumulative depressive symptoms and cognitive function was identified through multiple regression analysis. Results: When the multiple regression analysis was conducted from each wave, the current depressive symptoms scores and cognitive function scores were negatively associated, regardless of the waves (B5th = - 0.26, B6th = - 0.26, B7th = - 0.26, and B8th = - 0.27; all p < .001). Further, when all the previous depressive symptoms scores were added as explanatory variables in the 8th wave, the current one (B8th = - 0.09, p < .001) and the previous ones (B5th = - 0.11, B6th = - 0.09, and B7th = - 0.13; all p < .001) were also negatively associated with the cognitive function score. The delta R², which indicates the difference between the model's R² with and without the depressive symptoms scores, was greater in the model with all the previous and current depressive symptoms scores (6.4%) than in the model with only the current depressive symptoms score (3.6%). Conclusion: Depressive symptoms in older adults have a long-term impact. This results in an accumulated adverse effect on the cognitive function. Therefore, to prevent cognitive decline in older adults, we suggest detecting their depressive symptoms early and providing continuous intervention to reduce exposure to long-term depressive symptoms.

• Korean Journal of Health Education and Promotion
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• v.33 no.5
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• pp.13-21
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• 2016

Objectives: The present study aims to examine associations between job demands and problem drinking, smoking, and practice of regular exercise among middle-aged and older male employees. Methods: Analyses were based on 239 employees aged 50+ and participated the 1st(2006) and the 4th(2012) waves of the Korean Longitudinal Study of Ageing(KLoSA). Panel logit regression analyses were performed to explore longitudinal associations between physical and cognitive job demands and the health behaviors when effects of demographic characteristics and objective job conditions were controlled. Results: Results suggested that first, workers who reported greater cognitive job demands were less likely to engage in problem drinking over the 6-year-period. Second, increased physical demands of the job were associated with greater odds of smoking, while physical demands predicted a reduced likelihood of practicing regular exercise. Conclusions: Results from the present analyses emphasize job demands could lead workers to problem health behaviors and suggest areas for health promotion efforts at the workplace that are sensitive to the needs of aging workers.

• Korean Journal of Social Welfare
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• v.66 no.4
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• pp.5-23
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• 2014

This study performed a series of analyses to examine the effects of regular exercise on depression using data from the HAS (Hallym Aging Study) and the KLoSA(Korean Longitudinal Study of Ageing). The effect of regular exercise on depression was tested through propensity score matching methods. In addition, analyses of five indirect effect models were performed to verify a theoretical description about how regular exercise has an effect on depression. The results of analysis were as follows. First, it was found in the two samples that elderly people who exercise regularly have a lower level of depression compared to those who do not. Second, the results of analysis of five indirect effect models were all significant. The psycho-physiological models showed the effect of regular exercise on depression using ADL(Activities of Daily Living) and grip strength. The psycho-social models also demonstrated the effect of regular exercise on depression using variables related to social activities. Based on these findings, intervention strategies to prevent depression was discussed.

• Research in Community and Public Health Nursing
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• v.28 no.1
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• pp.1-12
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• 2017

Purpose: The purpose of this study is to examine factors affecting quality of life among grandparents raising their grandchildren. Methods: This study carried out a secondary analysis of data from the 2014 Korean Longitudinal Study of Aging (KLoSA) and Statistics Korea. Data collected from 224 grandparents who reported raising their grandchildren were analyzed using descriptive statistics, independent t-test, ANOVA, pearson correlation coefficient, and multilevel regression analysis. Results: The mean score of the participants' quality of life was 62.63. Significant predictors of quality of life of the grandparents included subjective health status, last year's total house income, number of last year's travels, frequency of last year's movie seeing, and number of children's parks per 100,000 population. Conclusion: These results suggest that public health nurses in improving quality of life of grandparents focus on children's parks and formal social supports as community factors as well as regular exercise as an individual factor in order to be more effective.

• Journal of Family Resource Management and Policy Review
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• v.12 no.2
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• pp.31-55
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• 2008

Human capital theory and social capital theory provide a framework for analyzing economic well-being. The purpose of this study was to investigate the effects of human capital and social capital on the economic well-being of the elderly. The data from the 1st wave of KLoSA (Korean Longitudinal Study of Aging) were used (n=3,426). The major findings were as follows: First, human capital and social capital are both resources that can contribute to increasing the economic well-being of the elderly. Second, the effects of human capital on the economic well-being of the elderly were relatively higher than the effects of social capital. Third, the relative contributions of human capital and social capital to increasing economic well-being varied by sex, age, and region. Based on the empirical results, the implications for social investment in human capital and social capital were provided.

• Journal of Families and Better Life
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• v.26 no.5
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• pp.315-332
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• 2008

The purpose of this study was to investigate the relative effects of human capital and social capital on the economic well-being of late middle-aged Koreans. The data from the first wave of KLoSA (Korean Longitudinal Study of Aging) aged 50-64 were used (n=4,040). The major findings were as follows: First, human capital and social capital are both resources that can contribute to increasing the economic well-being of the middle-aged. Second, the relative contribution of human capital to the economic well-being of the middle-aged varied by the level of social capital, including formal network and informal network. Third, the relative contribution of social capital to the economic well-being of the middle-aged varied by the level of human capital, including employment type and educational attainment. Based on empirical results, the implications for social investment in human capital and social capital were provided.

• Survey Research
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• v.18 no.4
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• pp.25-59
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• 2017

The current study investigated how elderly husbands and wives' marital satisfaction and depression change over time and examined how changes in marital satisfaction account for changes in depression between and within the dyads. The longitudinal dyadic data from the first wave(2006) to the fifth wave(2014) of the Korean Longitudinal Study of Aging(KLoSA), collected by the Korea Employment Information Service, were used for the analyses. Because husbands and wives are interdependent within couples, we applied statistical models for dyadic data. The dyadic growth model(DGM) was used to model the trajectories of marital satisfaction and depressive symptoms. In order to analyze the association of these growth factors, we proposed the dyadic growth actor-partner interdependence model(DG-APIM) and applied the model to the data. The results showed that on average the husbands' marital satisfaction was higher but decreased faster over the course of the study than the wives'. It also showed that the average depression of the husbands was lower than that of the wives but the husbands' depression increased faster than the wives' over the course of the study. The variance of the averages of husbands' (wives's) depression was accounted for by that of wives'(husbands') marital satisfaction, showing a partner effect. The variance of the slopes of husbands'(wives') depression was accounted for by that of marital satisfaction of themselves, showing an actor effect. The results showed that there is a longitudinal interdependence between husbands and wives' marital satisfaction and depression and supported the marital discord model of depression.

• The Journal of Korean Society for School & Community Health Education
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• v.24 no.4
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• pp.27-37
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• 2023

Objectives: The purpose of this study was to investigate the effect of handgrip strength level on cognitive impairment in hypertensive patients. Methods: This study used the first to eighth year data of the Korean Longitudinal Study of Aging (KLoSA). Of the 10,254 respondents who participated in the basic survey, respondents were included that they were diagnosed with high blood pressure and had no cognitive impairment. The handgrip strength was based on the highest value of handgrip strength for both hands. Cognitive function using MMSE results and 23 points or less were defined as cognitive impairment. Cox models were conducted to estimate the hazard ratios (HRs) of cognitive impairment in relation to handgrip strength adjusting for covariates. Results: In the case of hypertension patients, the probability of cognitive decline decreased by 3.0% every time the maximum handgrip strength increased by 1 unit. In the analysis by age, under the age of 64 had a 1.8% decrease in the probability of cognitive decline whenever the maximum handgrip strength increased by 1 unit, and a 3.6% decrease in those over the age of 65. In the gender analysis, male had a 3.2% decrease in the probability of cognitive decline for every 1 unit increase in the maximum handgrip strength, and female had a 2.6% decrease. Conclusions: The results of this study are expected to be used as basic data for the development of interventions to prevent cognitive decline in hypertensive patients by identifying the effect of handgrip strength level on cognitive decline. It is also expected to be used as basic data for health education on the necessity of increasing muscle strength for hypertension patients in the community.