• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제47권5호
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• pp.407-408
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• 2021

Extraction of impacted third molars is a routine procedure performed by oral and maxillofacial surgeons. However, extractions in middle-aged or elderly individuals are not easy, and there are several factors that need to be considered. These factors include decreased healing potential and the risk of complications increasing with age. In addition, third molars can often be fully or deeply impacted in middle-aged individuals, and pathologic changes, such as cysts, caries, or periodontitis of the adjacent second molar, can develop. Furthermore, the rate of ankylosis and systemic disease increases after middle age. It is considered that these factors acting alone or in combination increase the difficulty of extraction.

• 성인간호학회지
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• 제29권1호
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• pp.41-50
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• 2017

Purpose: The purpose of this study was to identify and compare the factors influencing attitude toward one's own aging among Korean middle-aged adults and the elderly. Methods: A cross sectional study was performed with a total sample of 70 middle-aged adults and 64 elderly reside in two metropolitan areas. Data were collected from August 2015 to November 2015 using the Perceived Health Status Scale, the Health Locus of Control Scale and the Attitude Toward own Aging (ATOA) Scale. The statistics used include percentage, t-test, Pearson's correlation coefficient, and multiple regression. Results: Mean age for each age group were about 52 and 76 years old for middle-aged adults and the elderly respectively. A considerable proportion of all participants reported a negative attitude toward aging. Perceived health status was the common factor influencing attitude toward one's own aging in both age groups. Middle-aged adults identified presence of chronic illness and internal health locus of control as important factors. In contrast, the elderly reported that education and others-dependent health locus of control such as powerful others had a significant impact on ATOA. Each regression model explained 31% and 55% of the total variance of ATOA among middle-aged adults and among the elderly. Conclusion: Both middle-aged adults and the elderly with low perceived health status are at risk of negative ATOA's. The type health locus of control need to be identified and utilized based on individuals' tendency to improve positive ATOA. That is, middle-aged adults might need reinforcement of their self-will whereas the elderly might need enhancement of social support and network of family and healthcare providers.

• 가정∙방문간호학회지
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• 제27권2호
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• pp.179-188
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• 2020

Purpose: This study aimed to identify the relationship among emotional happiness, spiritual need, and healthy aging and to identify the factors affecting healthy aging in middle-aged and elderly population. Method: The participants were 100 middle-aged and elderly individuals. Data were collected using self-report questionnaires from March 9 to May 27, 2020. Collected data were analyzed using the SPSS/WIN 26.0 program. Results: There was a positive correlation between healthy aging and emotional happiness (r=.70, p<.001) and spiritual need (r=.52, p<.001). The factors influencing healthy aging were gender (β=.13, p=.026), subjective health status (β=.19, p=.002), emotional happiness (β=.60, p<.001), and spiritual need (β=.34, p<.001). These variables explained 67% of healthy aging. Conclusion: Healthy aging had a significant impact on women than on men when subjective health status was good and when emotional happiness and spiritual need were high. Healthy aging of the middle-aged and elderly population has confirmed the importance of physical, emotional, and spiritual health. Therefore, development and operation of programs that include various aspects of physical, emotional, and spiritual for healthy aging should be considered to confirm their effectiveness.

• 대한지역사회영양학회지
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• 제12권5호
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• pp.592-605
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• 2007

Undernutrition could be a significant deterrent to healthy aging and could negatively affect health outcomes in elderly. This study aimed to assess health-related factors which are associated with nutritional risks in middle-aged and elderly individuals by a cross-sectional study. Interviews were conducted with 2660 subjects (847 males, 1813 females), aged 50 years and over, in 15 cities in Korea. Data on food intake were obtained through a validated semi-quantitative food frequency questionnaires. Nutritional status were analyzed according to health-related factors including cigarette smoking, alcohol drinking, exercise, stress and depression level. Less regular exercise was associated with a higher likelihood of a poor nutrition [odds ratio (OR) 1.94; 95% confidence intervals (CI) 1.43-2.65] of middle-aged and elderly male subjects. Cigarette smoking (OR 1.84; 95% CI 1.24-2.71), less exercise (OR 2.58; 95% CI 2.07-3.21), stress (OR 1.73; 95% CI 1.36-2.22), and depression (OR 1.34, 95% CI 1.08-1.67) of middle-aged and elderly female subjects was associated with a higher likelihood of a poor nutrition. The results of the multiple regression analysis showed that less exercise proved to be the strongest predictors for the poor nutrition, followed by stress, smoking, and depression (model $R^2= 9.0%$). It suggests that guidance to promote regular exercise, to quit smoking, to minimize stress and depression level might help to improve nutritional status of middle-aged and elderly in Korea. These findings also suggest that having recommendable health behaviors are beneficial to the good nutrition of subjects aged 50 years and over.

• 한국융합학회논문지
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• 제11권4호
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• pp.233-245
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• 2020

본 연구는 최근 창업에 관심을 가지는 중·고령자를 대상으로 위험 감수성의 매개 및 자산상태의 조절 효과를 중심으로 중·고령자의 긍정심리 자본이 창업 의지에 미치는 영향을 알아보기 위하여 서울지역 중·고령 직장인 250여명을 대상으로 2019년 12월 1일부터 31일까지 설문조사를 하였다. 자료 분석은 SPSS 26.0 프로그램을 사용하여 빈도분석, 기술 통계량, 신뢰성, 요인분석을 통해 연구모형의 적합성을 검증하고 구조방정식 모형을 구축 후 AMOS 통계패키지를 이용하여 연구가설 검증과 매개 효과와 조절 효과를 분석하였다. 연구결과 긍정심리 자본이 위험 감수성에는 긍정적인 영향을 미치고 있으며 자기효능감과 창업 의지, 복원력과 창업 의지 간의 경로는 0.042와 0.026으로 매개효과가 지지가 되며 창업 의지에 영향은 모형 간의 χ² 차이가 7.096으로 자산상태의 조절 효과가 있음이 확인되었다. 본 연구결과의 시사점으로 중·고령자의 창업에 필요한 긍정심리 자본과 창업자산 상태를 강화할 수 있는 프로그램의 융복합적인 개발이 요구된다. 후속 연구로는 대상 지역을 확대하고 다른 창업요인에 대한 분석이 필요하다.

• 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.

• 한국치위생학회지
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• 제20권6호
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• pp.819-829
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• 2020

Objectives: This study aimed to assess the relationship between dental care needs and dental service use in Korean elderly. Methods: Using the sixth Korea National Health and Nutrition Examination Survey, from 22,948 individuals, 1,572 (male 701, female 871) elderly individuals aged above 65 years were included in the study. All analyses were stratified by sex. Results: In males, the group with subjective needs was 3.74 (95% confidence interval [CI]: 2.58-5.41) times more likely to use dental services than the group without subjective needs. For females, the group with subjective needs was 2.17 (95% CI: 1.57-2.98 ) times more likely to use dental services than the group without subjective needs. Conclusions: To conclude, the elderly with symptoms, used the dental services for pain relief and functional recovery. Fundamental efforts to improve oral health are needed, such as providing treatment, prevention and educational services, besides efforts to provide treatment-oriented dental services. Further research is needed for the middle and elderly individuals who are in the blind spot of the existing policy.

• 한국치위생학회지
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• 제24권3호
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• pp.253-262
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• 2024

Objectives: This study aimed to identify the factors influencing the relationship between diabetes and oral health in Korean adults. Methods: We analyzed 5,319 adults who were included in the 9th Korea National Health and Nutrition Examination Survey. The data were analyzed for demographic characteristics, daily health care, and oral health care according to diabetic conditions using a complex sample analysis. Multiple logistic regression analysis was performed to analyze the factors influencing the oral health of patients with diabetes. Results: The factors influencing the oral health of patients with diabetes varied according to life cycle. In late middle-aged adults, statistically significant differences were observed in sex (p<0.001), educational level (p=0.030), economic activity (p=0.018), aerobic exercise (p=0.034), smoking (p=0.004), periodontal therapy (p=0.011), and prosthesis production/repair (p=0.025). In younger elderly individuals, statistically significant differences were found in terms of whether they lived together (p=0.027) and educational level (p=0.032). Conversely, no statistically significant differences were observed in the older elderly group. Conclusions: The results of this study showed that the level of oral health of patients with diabetes is already determined in middle and old age; therefore, a system should be prepared to ensure that health care can be systematically performed in late middle-aged adults.

• 대한지역사회영양학회지
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• 제4권1호
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• pp.46-56
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• 1999

A deep understanding of the dietary patterns and nutrient intake is important for assessment of possilbe nutritional risk and for establishing nutrition improvement strategies. This study was conducted toexamine the dietary characteristics of a nutritionally poor elderly group compared to the middle-and highly-nourished group. Elderly participant was recruited from local elderly centers in Suwon city in 1998. Trained dietitians interviewed 119 elderly(35 males, 84 females) aged 60 years and over for collecting dietary data(24-hour recall) and related variables. Male and female subjects were grouped into high, middle, and low according to the mean nutrient adequancy ratio(MAR) tertiles. An analysisof the percentage of RDA(Recommended Daily Allowances of Korea) for each of the 10 nutrients showed that the male low-MAR group consumed below the RDA in all kinds of nutrients, and the female low-MAR group consumed nutrients below the RDA except vitamin C. An evaluation of nutrient density by Index of Nutritonal Quality(INQ) also showed a similar tendency. Thus, the INQ level of the male low-MAR group was significantly lower than the middle-or high-MAR group, especially in protein, vitamin A, thiamin, riboflavin, and phosphorus(p<0.05). Moreover, INQ level of female low-MAR group was significantly lower than that of the high group(p<0.05) in all nutrients. The female low-MAR group's daily food intake were also lower than those of the high-MARgroup in gains, fish, fruits, oil and beverages. The energy distribution from carbohydrates, fats and proteins showed that the male low-MAR group had significantly higher carbohydrate and lower fat proportions compared to each gender high-MAR group, respectively. The male and female low-MAR group had low scores about eating all side dishes. These findings indicate that a moderate increase of the meat/egg/fishes intake was needed by the male low-MAR group for improving nutrition adequacy, and an overall increase of the food quantity and quality was desired for the female low-MAR group. These data could be used for planning a community elderly nutrition program and establishing strategies for tailored guidelines for the individuals.

• 한국학교ㆍ지역보건교육학회지
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• 제22권1호
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• pp.55-72
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• 2021

Objectives: The aim of this study was to construct and verify a structural equation model of advance directive intent among a Korean group in their middle-age. Methods: Data were collected between May 1 and 30, 2017, from 398 people. The endogenous and exogenous variables of the hypothetical model consisted of elderly parents' care burden, health status, attitude towards withdrawal of life sustaining treatment, advance directive efficacy, and advance directive intent. The collected data were analyzed using the SPSS/WIN 24.0 and Mplus 7.4. Results: The hypothetical model demonstrated a good fit: χ2=223.79(df=109, p<.001), CMIN/df=2.05 CFI=.96, TLI=.96, RMSEA=.05, SRMR=.06. Elderly parents' care burden and health status showed statistically significant direct effects with attitude toward withdrawal of life sustaining treatment(β=.17, p=.001; β=.21, p<.001) and advance directive efficacy(β=.11, p=.040; β=.19, p=.002), respectively. Attitude toward withdrawal of life sustaining treatment and advance directive efficacy showed statistically significant direct effects on advance directive intent(β=.15, p=.007; β=.48, p<.001). Elderly parents' care burden and health status had a significant indirect effect on advance directive intent through attitude toward withdrawal of life sustaining treatment(β=.01, p=.041; β=.05, p=.036) and advance directive efficacy(β=.06, p=.049; β=.16, p=.006), respectively. The variables accounted for 26.1% of advance directive intent of the Korean group in their middle-age. Conclusion: It is necessary to develop an advance directive education program based on variables affecting advance directive intent for individuals in their middle-age.