• 보건행정학회지
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• 제30권2호
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• pp.245-252
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• 2020

Background: Happiness is one of the most important indicators of health, wellbeing, and quality of life among older adults. The objective of the study was to investigate factors associated with happiness among senior citizens residing in rural areas using the 2017 National Survey of Older Koreans. Methods: A cross-sectional analytical study was conducted among 3,149 senior citizens living in rural areas using secondary data from the 2017 National Survey of Older Koreans. Happiness was measured by a single question and responses were recorded dichotomously. Descriptive and inferential statistics were computed at a 5% level of significance. Results: In all, 64.5% of the participants considered themselves as happy most of the time in the last 1 week. In the study, socio-demographic factors did not predict happiness except age. Satisfaction with a health status, financial situation, relationship with children, cultural satisfaction, and satisfaction with friends and society were positively associated with happiness among senior citizens residing in rural areas of Korea. Odds of reporting happiness were higher among those who traveled in the last 1 year, visited elderly welfare centers, and were involved in voluntary work than among those who did not. Conclusion: Happiness among senior citizen was significantly associated with life satisfaction with regard to health, finance, relationship with family, friends and society, and social activity participation.

• Nutrition Research and Practice
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• 제6권2호
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• pp.162-168
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• 2012

Vitamin D deficiency is a risk factor for metabolic syndromes. We examined whether vitamin D deficiency altered the prevalence of cardiovascular disease (CVD) in older Koreans. Cross-sectional analysis of data from the Korean National Health and Nutrition Examination Survey IV 2008-2009 was used to examine the association between serum 25-hydroxyvitamin D (25(OH)D) levels and the prevalence of CVD in a representative population-based sample of 5,559 men and women aged ${\geq}50$ years. CVD was defined as angina pectoris, myocardial infarction, or stroke. The prevalence of CVD (7.0%) in the older Korean population was lower than that in the older US population, although average serum 25(OH)D levels were much lower in the Korean population. Additionally, serum 25(OH)D levels did not differ significantly between the CVD and non-CVD groups. However, subjects in the lowest category (< 25 nmol/l) of serum 25(OH)D level had the greatest prevalence of CVD, about two-fold higher than subjects in the highest category (> 75 nmol/l), after adjusting for age, gender, body mass index, education level, residence location, and region. The prevalence of other risk factors for CVD, including higher waist circumference, fasting glucose, low-density lipoprotein (LDL) cholesterol, and triglyceride levels and lower high-density lipoprotein (HDL) cholesterol levels, was also higher among subjects in the lowest category than among those in the highest category. In conclusion, low serum 25(OH)D may be an independent risk factor for CVD in older Koreans.

• 보건의료생명과학 논문지
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• 제11권2호
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• pp.361-374
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• 2023

본 연구는 '2020년 노인실태조사' 자료를 기초로 전·후기 노인의 인지 저하에 영향을 미치는 인구사회학적 특성 및 건강 상태 특성을 살펴보며, 건강관리 행태 및 돌봄 요구도의 실태를 파악하기 위해 실시하였다. 연구방법은 인지저하 조사도구에 직접 응답한 65세 이상 노인 9,885명을 연구대상으로 하였다. 분석은 기술통계, Chi-square, t-test, 로지스틱 회귀분석을 실시하였다. 연구결과 인지저하에는 연령, 교육수준, 소득, 거주지역, 건강수준, 우울증상이 영향을 주고 있었고, 인지저하 노인의 건강관리 행태 및 기능상태, 건강 및 사회만족도가 낮았으며, 집 거주를 위한 필요서비스가 높았다. 또한 인지저하 노인의 일상생활 수행 도움 요구도가 높았으나 충분히 충족되지 못해 향후 지역사회 내에서 돌봄을 안전하게 받을 수 있는 다양한 도움과 정책이 시행되어야 할 것이다.

• 도시과학
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• 제8권1호
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• pp.51-58
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• 2019

본 연구의 목적은 노인들의 응급의료이용에 영향을 주는 요인들을 알아보고 의료접근의 형평성을 조사하는 데 있다. 2014년 한국의료패널조사 자료를 사용하여 기술분석과 로지스틱회귀분석이 행하여졌으며 인터뷰에 참여했던 1,313명의 노인들이 표본으로 선정되었다. 연령, 성별, 교육수준 등의 인구변수들이 응급의료이용의 중요한 결정요인이었다. 의료요구는 노인 계층 간 응급의료이용의 차이를 충분히 설명하지 못한 걸로 나타났으나 건강상태는 응급의료서비스를 사용하는 노인들의 중요한 결정요인이었다. 의료비지출은 응급의료서비스이용의 계층 간 차이를 개선하지 못했으나 응급의료이용의 중요한 예측요인으로 남았다. 한국에서 의료개혁은 의료요구를 가진 노인들이 효과적인 진료혜택을 받을 수 있도록 전국민 응급의료 보장을 확대하는 방향으로 계속 이루어져야 한다. 앞으로 연구도 75세 이상의 교령노인과 여성 및 교육수준이 낮은 노인, 그리고 높은 의료비 지출을 하는 노인과 같은 인구계층들에게 혹시 있으지 모르는 의료접근의 장애들을 허무는 방향으로 이루어질 필요가 있다.

• Nutrition Research and Practice
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• 제14권4호
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• pp.352-364
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• 2020

BACKGROUND/OBJECTIVES: Given the increasing proportion of the Korean population that is aged 65 years and older, the present study analyzed the relationship between diet quality and sarcopenia in elderly persons by using data from the 2008-2011 Korea National Health and Nutrition Examination Survey (KNHANES). SUBJECTS/METHODS: Data for 3,373 persons aged 65 years and over (men: 1,455, 43.1%) were selected from the 2008-2011 KNHANES. Sarcopenia assessments are based on a formula that divides a subject's appendicular skeletal muscle mass (ASM) by their weight (wt) and multiplies that result by 100 ([ASM/wt] × 100). Sarcopenia is present if the subject's result was less than one standard deviation (SD) below the sex-specific mean for a young reference group. For evaluation of diet quality, data obtained via the 24-hour recall method were used to calculate the Diet Quality Index for Koreans (DQI-K). A general linear model was applied in order to analyze general information and nutritional intake according to sarcopenia status. For analysis of the relationship between diet quality and sarcopenia, a binominal logistic regression analysis was undertaken. RESULTS: The sarcopenia prevalence rate among the study subjects aged 65 years and over was 37.6%. The DQI-K of those without sarcopenia was 3.33 ± 0.04 points, while that of those with sarcopenia was 3.45 ± 0.04 points (P < 0.05). The relationship between diet quality and sarcopenia revealed that subjects aged 75 and older had a poor diet quality, and their odds ratio (OR) of sarcopenia presence was significantly higher (OR: 1.807, 95% confidence interval: 1.003-3.254, P < 0.05). CONCLUSIONS: This study revealed that poor diet quality was related to sarcopenia presence in Koreans aged 75 and older. In order to improve the diet quality of the elderly (aged 75 and older), it is necessary to develop dietary improvement guidelines.

• 보건교육건강증진학회지
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• 제27권4호
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• pp.29-38
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• 2010

Objectives: This study purports to comparatively study health condition, health behaviors, and health care utilization of Koreans living in Korea and in the US, and then, to analyze the factors influencing them. Methods: The collected data were analyzed on the basis of the 2005 Korea National Health and Nutrition Examination Survey. Of 25,196 adults aged 19 or older, 7,802 respondents to health behavior survey and 5,526 respondents to physical examination survey. The analyzed data of the Korean Americans were the results of the California Health Interview Survey (CHIS) conducted by the UCLA Center for Health Policy Research in 2005. This study analyzed the responses of 645 known Korean respondents to the 2005 CHIS. Results: In regard to differences in overall health condition between the two groups, it was found that both the male and female Korean Americans thought their own overall health conditions were relatively poor compared to Koreans, especially in relation to diabetes and cardiovascular diseases. For smoking status considered as one of health behavior factors, smokers of the Koreans account for 46.1% which is higher than that of the Korean Americans and the proportion of the Koreans smoking daily is also at least two times higher than that of the Korean Americans. Similarly, for alcohol drinking, the Koreans showed higher drinking experience rate and no less than three times higher drinking frequency than that of Korean Americans. Conclusion: It is expected that this study will contribute greatly to solving health problems among foreign immigrants and overseas Koreans in future by clarifying any differences in health status and health behaviors resulting from sociocultural differences despite of similar genetic factors.

• Journal of Obesity & Metabolic Syndrome
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• 제27권4호
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• pp.254-261
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• 2018

Background: The most beneficial dietary pattern in managing metabolic syndrome (MetS) in the elderly has not been ascertained. The aim of this study is to classify dietary patterns and to examine associations between dietary pattern, MetS and body composition in elderly Koreans. Methods: This study was conducted among Koreans 65 years or older using data from the Korea National Health and Nutrition Examination Survey in 2009. A total of 1,567 study subjects were included. All statistical analyses were conducted using SPSS version 20.0 and dietary patterns were classified by cluster analysis. Results: There were three dietary patterns derived by cluster analysis in this study. We observed that most South Korean elderly still maintain a traditional dietary pattern. Dietary patterns were classified as balanced (31%), imbalanced (40%), or very imbalanced (30%), with the majority of subjects having an unbalanced diet pattern in which their total energy and nutrient intake was insufficient compared with the Dietary Reference Intake for Koreans. Those in the very imbalanced group had a ratio of macronutrients (carbohydrates:fats:protein) of 81.15:7.18:11.50 and a 54% higher likelihood of having hypertriglyceridemia (P=0.025) compared with those in the balanced group. Conclusion: The current findings indicate that the diets of South Korean elderly are nutritionally imbalanced, including high carbohydrate consumption, which confers a high risk hypertriglyceridemia. These findings highlight the effect of nutritional imbalance in elderly with MetS.

• 한국보건간호학회지
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• 제36권3호
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• pp.389-401
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• 2022

Purpose: This study was conducted to understand the actual condition and influencing factors of being underweight among older adults in the community based on a survey of national older Korean's data in 2020. Methods: The data from 9,555 older adults in the community were used for analysis. Composite sample analysis was performed with integrated weights applied to the raw data. A Rao Scott-test and logistic regression were performed using SPSS 24.0 for Windows. Results: Underweight older adults in the community were found to have significant differences in age, subjective health status, depression, chronic disease, drinking, exercise, nutrition, chewing, and activities of daily living (ADL). The factors affecting the underweight older adults were age, subjective health status, depression, chronic disease, drinking, exercise, nutrition, chewing, and activities of daily living. Conclusion: A customized program is needed for underweight older adults in the community. In addition, attempts should be made to motivate older adults in the community to continue to participate in the program.

• 가정의학회지
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• 제39권6호
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• pp.340-346
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• 2018

Background: Several studies have revealed the frequency of family mealtimes to be inversely associated with depressive symptoms in adolescents. However, there have been few studies in older populations. This cross-sectional study investigated the association between family mealtime frequency and depressive symptoms in elderly Koreans. Methods: This study analyzed 4,959 elderly men and women (aged 65 years or older) who participated in the Korea National Health and Nutrition Examination Survey. Self-administered questionnaires were used to assess depressive status, family mealtime frequency, and covariates. Multiple logistic regression analysis was performed to evaluate the association using the eating alone group as a reference. Results: After adjusting for all covariates, participants who had family meals 3 times a day had fewer depressive symptoms than the eating alone group; adjusted odds ratios (ORs) (95% confidence intervals [CIs]) were 0.72 (0.58-0.89) for point depressiveness/anxiety and 0.73 (0.56-0.94) for depressiveness lasting for at least 2 weeks. In suicidal ideation, the OR (95% CI) of eating with family twice a day was significant after full adjusting for covariates at 0.67 (0.50-0.88). Conclusion: Family mealtimes were closely associated with depressive symptoms in elderly Koreans, which suggests that maintaining intrafamilial bonding is important for mental health in an older population.

• 한국노년학
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• 제36권3호
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• pp.765-783
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• 2016

본 연구는 한국노인의 사회적 연계망 자체를 좀 더 심도있게 이해하기 위하여 2014년도 노인실태조사자료(65세 이상 10,279명)를 활용하여 관계망 크기, 연계와의 접촉 빈도, 연계에 대한 친밀도를 중심으로 잠재프로파일분석(LPA)을 실시하였다. 그 결과 노인의 사회적 연계망은 고립형(11.6%), 가족의례형(17.7%), 가족친밀형(23.6%), 제한적 다층친밀형(28.4%), 다층형(18.8%)의 다섯 개 유형으로 도출되었다. 또한 도출된 잠재집단 유형별 특징을 비교하였고, 사회적 관계망 유형에 영향을 미치는 요인을 분석하기 위한 다항로지스틱회귀분석을 실시하였다. 분석결과, 고립형 노인의 3/4은 여성이며 독거가구 비율이 약 절반을 차지하는 것으로 나타났다. 또한 상대적으로 평균연령이 높고, 도시지역에 거주하는 노인, 신체적 제한이 있는 노인, 사회적 지위가 낮은 직종에 종사한 노인이 고립형에 속할 가능성이 높은 것으로 나타났다. 반면 다층형의 경우 여성보다는 남성노인이, 연령이 낮을수록, 학력이 높을수록, 전문 관리 사무직에 종사한 노인일수록 다층형에 속할 가능성이 높았다. 한편 가족의례형과 가족친밀형은 배우자 혹은 자녀를 중심으로 연계망이 형성되어 있고, 노인부부가구의 비중이 높다는 공통점을 가지고 있으나, 가족의례형은 상대적으로 여성 비중이 높다는 특징이 있다. 그리고 제한적 다층친밀형은 배우자보다는 자녀와 친구 이웃과의 연계망의 크기, 빈도, 친밀도가 다층형 다음으로 높은 집단으로 여성노인 및 저학력이면서 농림어업에 종사한 비중이 높게 나타났다. 이러한 연구결과에 기초하여 노년기의 사회적 연계망 유형의 다양성이 갖는 학술적 및 정책적 함의와 향후 연구방향을 논의하였다.