• 성인간호학회지
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• 제25권4호
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• pp.464-472
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• 2013

Purpose: The purpose of this study was to identify aging anxiety and influencing factors of middle-aged adults. Methods: Descriptive correlation design was used. Three hundred and three middle-aged adults participated in the study and completed the questionnaires in the period from September 11 to October 15 of 2011. The data was analyzed using independent t-test, one-way ANOVA, Scheff$\acute{e}$ test, Pearson correlation coefficients, and hierarchial multiple regression analysis. Results: Aging anxiety of middle-aged adults was higher than a moderate level. Socio-demographic variables such as age, religion, education, economic level, perceived health status and experience of living with older adults influenced significantly on aging anxiety. In contrast, general self-efficacy, aging knowledge and attitude toward older adults were negatively correlated with aging anxiety. Hierarchial multiple regression analysis incorporating these variables showed an explanation rate of aging anxiety at 21%. And religion, perceived health status, attitude toward older adults, and general self-efficacy were statistically significant among variables that influence on aging anxiety. Conclusion: The findings of this study suggest that senior preparation programs that can enhance self-efficacy, induce positive attitude on older adults and promote health should be implemented to reduce aging anxiety of middle-aged adults.

• 지역사회간호학회지
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• 제31권2호
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• pp.156-165
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• 2020

Purpose: This study was performed to identify the factors influencing the fear of dementia in middle-aged and older adults. Methods: Data on the characteristics, dementia knowledge, dementia attitude, dementia health beliefs, and fear of dementia of 156 participants were collected from January 20 to March 22, 2018, using a structured questionnaire. The data were analyzed with the SPSS/WIN 21.0 program for descriptive statistics, using an independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression. Results: Significant factors associated with fear of dementia among middle-aged and older adults were subjective life satisfaction (F=3.72, p=.006) and regular exercise (t=6.05, p=.015). Fear of dementia has positive correlations with dementia attitude, perceived susceptibility, perceived severity, and perceived barrier. The determining factors affecting fear of dementia in middle-aged and older adults were perceived severity (β=.46, p<.001), followed by a perceived barrier (β=.20, p=.004) and perceived susceptibility (β=.17, p=.023), and the explanation power was about 47.8%. Conclusion: The results suggest that perceived severity, perceived barrier, and perceived susceptibility be considered in developing the nursing interventions to increase perceived severity, perceived susceptibility, and to decrease perceived barrier to dementia by evaluating dementia health beliefs to manage the fear of dementia among middle-aged and older adults.

• 보건교육건강증진학회지
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• 제33권1호
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• pp.1-12
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• 2016

Objectives: This study was to examine by gender the clustering patterns and correlates of healthy lifestyle clusters and the relationships between healthy lifestyle clusters and depressive symptoms in middle-aged and older adults. Methods: The observed/expected ratio of physical activity, smoking, and alcohol consumption were calculated to analyze clustering effects. The correlates of those healthy lifestyle clusters were evaluated using logistic regression models, and the relationship between those healthy lifestyle clusters and depressive symptoms was investigated using multiple regressions by gender. Results: Based on the guidelines this study adopted, we obtained three healthy lifestyle clusters: active healthy lifestyle; passive healthy lifestyle; and unhealthy lifestyle. All three clusters were found in men, but two in women, who did not have an unhealthy lifestyle cluster. High socio-economic status was positively related to healthy lifestyle clusters. Social participation and residence location (in men) and marital status (in women) were significant factors. Having an active or a passive healthy lifestyle was negatively associated with depressive symptoms in women, but such a relationship was not observed in men. Conclusions: The study findings imply that health promotion programs for middle-aged and older adults in Korea should be comprehensive and integrated, considering healthy lifestyle clusters and gender differences.

• 한국치위생학회지
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• 제20권5호
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• pp.571-580
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• 2020

Objectives: This study aimed to investigate the factors associated with unmet dental needs among adults with activity limitations. Methods: Data were obtained from the seventh Korean National Health and Nutrition Examination Survey (KNHANES). The final sample consisted of 945 adults aged 20 years or older with limited activity. Logistic regression analysis was used to examine the influence of predisposing, enabling, and need factors on unmet dental needs. Results: The proportion of adults with unmet dental needs during the last year was 52.2% in the middle-aged group and 45.5% in the older adult group. Higher household income was associated with fewer unmet dental needs in both groups. In the older adult group, married people were less likely to have unmet dental needs. In the middle-aged group, adults who perceived their oral health as poor were more likely to have unmet dental needs. Conclusions: All three factors (predisposing, enabling, and need) were found to be associated with unmet dental needs among adults with activity limitations. Special efforts should be made to improve access to dental care services for middle-aged adults with activity limitations.

• 디지털융복합연구
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• 제19권5호
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• pp.69-79
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• 2021

정부의 공공서비스가 디지털화되면서 디지털 취약계층인 중고령자의 전자정부 서비스 이용에 대한 연구의 필요성이 제기되었다. 이에 본 연구는 중고령자의 가구유형과 전자정부 서비스 이용의 관계에서 디지털 역량의 매개효과 검증을 목적으로 한다. 이를 위해 한국정보화진흥원의 2018년 디지털 정보격차 실태조사 자료를 사용하여 55세 이상 중고령자 1,660명을 대상으로 Baron과 Kenny(1986)의 매개모형 검증절차에 따라 검증하였다. 연구결과 첫째, 중고령자의 가구유형은 전자정부 서비스 이용에 유의한 영향을 미치는 것으로 나타났다. 둘째, 중고령자의 가구유형이 전자정부 서비스 이용에 미치는 영향은 중고령자의 디지털 역량에 의해 부분적으로 매개되는 것으로 나타났다. 즉 2·3세대 가구 중고령자가 1세대 가구 중고령자에 비해 전자정부 서비스 이용 정도가 높았으며, 2·3세대 가구 중고령자일수록 디지털 역량이 높아져 전자정부 서비스 이용 정도도 높아졌다. 본 연구 결과를 토대로 중고령자의 전자정부 서비스 이용 증진을 위한 가구유형별 지원 방안과 중고령자의 디지털 역량을 향상하기 위한 방안을 제시하였다.

• 한국산학기술학회논문지
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• 제21권12호
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• pp.719-730
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• 2020

본 연구는 중노년기 성인의 뇌졸중 문해력, 건강정보 문해력, 뇌졸중 지식과 자기관리의 정도를 비교하고 그 관계를 확인함으로써 뇌졸중 발병률이 높은 중노년기 성인의 뇌졸중 예방을 위한 자기관리의 유의한 영향요인을 파악하고자 수행되었다. 2019년 12월 5일부터 2020년 3월 31일까지 198명을 대상으로 인구사회학적 특성, 뇌졸중 문해력, 건강정도 문해력, 뇌졸중 지식 및 자기관리에 관한 자료를 체계적인 설문지를 통해 수집되었다. 자료분석은 독립표본 t 검정, 일원배치 분산분석, Pearson 상관계수, 다중회귀분석을 사용하여 기술 통계량에 대해 SPSS/WIN 23.0 프로그램을 사용하였다. 중노년기 성인의 자기관리에 영향을 미치는 요인은 연령(β=.190. p=.015), 흡연을 할 때(β=-.226, p=.001), 주관적 건강상태(β=.297, p<.001)와 뇌졸중 지식(β=-.168, p=.014)으로, 이들의 설명력은 약 20.3%였다. 본 연구 결과를 볼 때, 중노년기 성인의 자기관리를 향상시키기 위한 간호 중재를 개발할 때 주관적 건강상태 및 뇌졸중 관련 지식을 고려해야 함을 알 수 있다. 또한, 지역사회에 거주 중인 중노년기 성인들의 뇌졸중 지식과 자기관리 사이의 매개변수 탐색이 필요하며, 뇌졸중 예방에 대한 체계적이고 지속적인 교육의 중요성이 강조된다.

• 한국보건간호학회지
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• 제30권2호
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• pp.326-336
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• 2016

Purpose: This study was conducted to help with the development of an intervention program in efforts to prevent suicidal ideation and suicide. The study also sought to generate strategies for improving health conditions by ascertaining and analyzing potential factors that may influence suicidal ideation according to age group in adults. Methods: Data on general characteristics and suicidal ideation from 447 adults aged between 20 and 59 years, living in Y city, Gyeonggi Province, South Korea, were collected based on a structured questionnaire, The data were analyzed using SPSS20.0 statistics program. Results: The results showed that 48.6% of young and older adults have experienced suicidal ideation while 44.5% of middle-aged adults have had suicidal thoughts. With regard to suicidal ideation, young and older adults revealed relevant differences in terms of gender, residential type, degree of stress and subjective physical and mental health, while middle-aged adults revealed relevant differences in terms of marital status and degree of stress. With regard to factors that influence suicidal ideation, it was found that the relevant variables of young and older adults included gender, residential type, depression, degree of stress, and subjective physical and mental health, while for middle-aged adults, relevant variables included marital status and degree of stress. Conclusion: These findings indicate that as stress and depression decreases, subjective physical and mental health improves. Therefore, this study proposes that developing and operating an intervention program can help prevent suicidal ideation in local residents.

• 한국정보시스템학회지:정보시스템연구
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• 제30권1호
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• pp.85-104
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• 2021

Purpose This study aims to verify the mediating effect of the utilization performance of digital device on the relationship between user attitude and life satisfaction. Design/methodology/approach Using the data of 2018 Digital Divide Survey conducted by the National Information Society Agency(NIA), the mediating effect was verified by Baron & Kenny (1986)'s 3 step process, targeting 1,662 adults older than 55. Findings The result is as follows: first, the user attitude of middle and older aged people has a positive effect on their life satisfaction. Second, the effect of user Attitude towards Digital Device of middle and older citizens is partially mediated by the utilization performance of digital device. The results of this study indicate that when providing informatization education in the local community to promote the use of digital devices for the elderly, efforts should be made to grasp the level and inclination of informatization individually, and furthermore present improvements for wireless devices that the elderly can easily access in their daily lives. This study is expected to be a groundwork for a practical intervention to boost positive attitude towards using digital device to enhance the utilization performance of digital device and the life satisfaction of middle and older aged people.

• Journal of Preventive Medicine and Public Health
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• 제45권3호
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• pp.188-195
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• 2012

Objectives: This study was conducted to examine the association between health condition and leaving the labor market among middle-aged and older adults in South Korea. Methods: Data was obtained from individuals aged 45 years and older participating in the 2006 and 2008 Korean Longitudinal Study of Ageing. We used various health measures including chronic diseases, comorbidities, traffic accident injuries, disabilit of instrumental activities of daily living, depressive symptoms, and self-rated health. The odds ratios of job loss, and retirement, versus employment were calculated using multinomial logistic regression by each health measure. Results: In our cross-sectional and longitudinal analysis, health problems related to physical disabilities had the greatest effect on leaving the worksite. A shift in health condition from good to poor in a short period was a predictor of increased risk of unemployment but a persistent pattern of health problems was not associated with unemployment. Women with health problems showed a high probability of retirement, whereas among men, health problems instantly the possibility of both job loss and retirement. Conclusions: Health problems of middle aged and older workers were crucial risk factors for retirement and involuntarily job loss. Especially functional defect and recent health problems strongly and instanty affected employment status.

• 한국사회복지학
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• 제67권2호
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• pp.183-202
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• 2015

본 연구는 장애과정모델을 이론적 토대로 하여 중노년기에 낙상두려움이 위험요인 혹은 악화요인으로써 ADL/IADL장애와 우울증상에 영향을 미치는지를 검증하기 위하여 한국고령화패널조사를 통해 수집된 2차 자료(2006년, 2008년, 2010년)를 이용하여 종단연구모형을 검증하였다. 분석 결과를 살펴보면, 먼저 낙상두려움은 ADL/IADL장애와 우울증상에 직접적인 영향을 미쳤고, ADL/IADL장애를 통해 우울증상에 영향을 미치는 간접적인 영향 또한 유의미한 것으로 나타났다. 다음으로 낙상두려움이 악화요인으로써 역할을 하는지 살펴본 결과, 중노년기에 신체질환의 경험과 함께 낙상두려움을 가진 경우에는 ADL/IADL장애발생의 위험성이 증가하는 것으로 나타나, 낙상두려움은 장애과정에서 있어서 위험요인이자, 악화요인으로써도 작용할 수 있는 것으로 나타났다. 분석 결과를 바탕으로 중노년기의 ADL/IADL장애와 우울증상을 예방하기 위하여 낙상두려움 관련한 적극적인 개입방안 마련이 필요함을 논의하였다.