• Journal of Korean Academy of Nursing
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• v.37 no.2
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• pp.213-220
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• 2007

Purpose. The purpose of this review is to explore cultural influences on the experiences of Korean, Korean American, and Caucasian American family caregivers caring for frail older adults in terms of the selection of a primary caregiver, caregiving motivation, support/help-seeking, and negative emotional responses (depression and burden). Methods. Seven electronic databases were searched to retrieve studies from 1966 to 2005. Thirty-two studies were identified. Results. This review supported cultural influences on the selection of primary caregiver, caregiving motivation, and support/help-seeking among the three caregiver groups. In Korean caregivers, the major primary caregivers were daughters-in-law while among Korean American and Caucasian American caregivers, the major primary caregivers were daughters or spouses. As a major caregiving motivation, Caucasian American care￢givers reported filial affection while Korean caregivers and Korean American caregivers reported filial obligation. Korean caregivers reported higher extended family support, while Caucasian American caregivers reported higher utilization of formal support. Korean caregivers showed the highest levels of depression followed by Korean American caregivers and Caucasian American caregivers. Conclusion. In order to develop culturally appropriate interventions and policies, more research is needed to further explain these differences among the three groups, especially regarding support/help-seeking and negative emotional responses.

• Korean Journal of Health Education and Promotion
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• v.19 no.3
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• pp.1-11
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• 2002

Purpose: This study was done to describe the correlation among the older Korean American adults's health-promoting behavior, life satisfaction and self-esteem. Method: The subjects consisted of 183 community-dwelling Korean immigrant elderly living in the state of Washington, USA. The instruments for this study were Health Promoting Lifestyle Profile(47 items), Life Satisfaction Scale(20 items) and Self-Esteem Scale(l0 items). Frequency, percentage, t-test, ANOVA, Duncan test and Pearson's correlation coefficient with SAS program were used to analyze the data. Result: 1) The average item score for the health-promoting behavior was 3.51; the highest score on the subscale was nutrition(M=3.63) with the lowest being exercise(M=3.07). 2) The average item score for the life satisfaction was 3.11. 3) The average item score for the self-esteem was 3.12. 4) Health-promoting behavior was significantly different according to educational level and participation in society circles. 5) Life satisfaction was significantly different according to age, religion and participation in society circles. 6) Self-esteem was significantly different according to age, marital status, religion and participation in society circles. 7) Health-promoting behavior was positively related to life satisfaction and self-esteem. The life satisfaction was positively related to self-esteem. Conclusion: It follows from this study that there is a very correlation among the older Korean American adults's health-promoting behavior, life satisfaction and self-esteem. Therefore health promoting programs that increase life satisfaction and self-esteem should be developed to promote a healthy lifestyle of the older Korean American adults.

• 한국노년학
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• v.37 no.1
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• pp.33-54
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• 2017

This narrative-based study explored the extent to which acculturation level, health condition and SES influence depressive symptoms mediated or moderated by perceived respect of Korean-American older adults in the Chicago metropolitan and its suburban area. For the purpose of the study, qualitative interviews were performed and obtained robust data from 2 focus groups, 2 in-depth interviews. This study produced results by ATLAS. ti,. Qualitative analysis revealed that acculturation could influence depressive symptoms and that depressive symptoms could also be associated with hope and communication. These findings suggested that services given by service providers need to focus on communication and respect of the older Korean-American immigrants' self-determination, for they depend on it greatly when faced with the sufferings from various depressive mood changes in adjusting to new residences.

• International Journal of Human Ecology
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• v.9 no.2
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• pp.67-75
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• 2008

This study examines the importance of group identity (kin, friends, co-workers) when gift recipient changes among American and Korean consumers. Female college students and academicians completed a self-administered questionnaire. Four hundred fifty-eight respondents evaluated the perceived importance of group identity when buying an apparel gift for kin, friends, and co-workers. The results suggest that the importance of group identity may influence the type of gift a recipient receives. The results show that when buying a gift for kin, friends, and co-workers that both young and older American consumers place greater importance on self rather than the opinion of other group. The older and younger Korean respondents rated the opinion of each group (kin, friends, and co-workers) to be more important than self. Recommendations for future research on the affect of culture on consumer purchases are suggested.

• The korean journal of orthodontics
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• v.48 no.1
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• pp.23-29
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• 2018

Objective: In accordance with the changing demographics in the United States, orthodontists working on various ethnic populations should be more conscious when using the standardized profile analyses for the African American patient. The objective of this study was to examine whether the perception of lip protrusiveness in modern African American faces has changed. For this purpose, we investigated the most favorable African American lip profile using the opinions of 10 experienced and 10 newly trained younger orthodontists. Methods: Attractiveness was converted to a number on visualized analog scales. Comparative ranks on 16 African American profiles, with focus on lip protrusiveness and thickness, were made among the groups. Mixed-effects linear regression models were fit and group differences were estimated. Results: Younger orthodontists favored a more protrusive lip profile, and the variance in their perceptions was narrower than those of older orthodontists. Measurements related to upper lip protrusion showed the strongest correlation to attractiveness (r = -0.82). The association with attractiveness decreased linearly as the protrusiveness of the upper lip increased. Steiner's E-line was the most influential reference for determining the level of attractiveness for the older orthodontists, whereas upper lip protrusion was the most influential factor for the young orthodontists. Conclusions: An adequate level of lip protrusiveness and thickness should be essential for maintaining attractive esthetics in African American patients. Yet, a new set of standards for prominent lips in this population is necessary to reflect the current trend in the concept of a beautiful face in the modern world.

• Nutritional Sciences
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• v.2 no.2
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• pp.107-112
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• 1999

Diet quality index DQI) offers a new way of comparing eating habits across populations and across countries. Nutrients and food consumption data from 100 elderly Korean women aged 65 and older were collected in Seoul or Kyunggi-do, Korea by the 24 hour recall method. Diet quality index (DQI) was computed for 1049 elderly women (65 and older) from the 1994-1996 Continuing Survey of Food Intakes by Individuals (CSFII) in the US according to US dietary guidelines, and applied to the diet of elderly Korean women for purposes of comparison. A modified 16-point DQI awarded 2 points each for moderate consumption of fat ($\leq$ 30% energy), saturated fat ($\leq$ 10%), cholesterol ($\leq$ 300 mg/day), sodium ($\leq$ 2400 mg/day), and protein ($\leq$ 100% RDA), adequate intakes of carbohydrate ($\qeq$50% energy) and calcium ($\qeq$ 100% RDA), and plenty of fruits and vegetables ($\qeq$ 5 servings). Criteria were based on US dietary guidelines. Partial scores were given if subjects were close to meeting these cutoff points. Diets with $\leq$ 300 mg cholesterol/day were reported by 97% or the Korean sample and 82% of the American sample, while 90% of the Koreans and 42% of the Americans met the goal of $\leq$ 30% of energy from fat, and 98% of the Koreans and 47% of American met the recommendation of $\leq$ 10% of energy from saturated fat. In contrast, only 8% of the Korean sample met the sodium recommendation of $\leq$ 2400 mg sodium per day, whereas 54% of the American subjects met this goal. The mean DQI scores were 10.1 for the elderly American women and 11.3 for the elderly Korean women. Overall, the elderly Korean diet was more consistent with the US dietary guidelines than the elderly American diet.

• Korean Journal of Adult Nursing
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• v.18 no.2
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• pp.175-182
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• 2006

Purpose: The present study was designed to explore and compare attributes of the quality of life between Korean elderly and Korean-American elderly. Method: The research design was a descriptive design and questionaries were used. Studies were done using questionnaires. Data were collected from convenient sample of 163 Korean elderly and 151 Korean-American elderly recruited from senior centers and churches. Collected data were analyzed by using SPSS/WIN 10.0. Results: There were significant difference between Korean elderly and Korean-American elderly in education and income. Korean-American elderly showed higher selfesteem, self-efficacy, and quality of life than those of Korean elderly. The influencing factors on quality of life in Korean elderly were defined as self-esteem and self-efficacy. And the influencing factor on quality of life in Korean-American elderly was defined as self-efficacy. Conclusion: In conclusion, the results of this study showed that self-efficacy was a very important factor as attribution to the quality of life for both elderly group. Therefore, self-efficacy should be promoted in nursing intervention in order to enhance the quality of life for both Korean and Korean-American elderly.

• Journal of Families and Better Life
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• v.15 no.4
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• pp.125-136
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• 1997

The present study compares motives for caregiving, actual caregiving provision, care expectation from children in old age, and the connections between caregiving and inheritance distribution patterns as perceived by caregiving daughters/daughters-in-law and their care-receiving mothers/mothers-in-law between Korea and the United States. The results indicated that there was no difference in caregiving motives between Korean and American children while American mothers/mothers-in-law perceived significantly lower obligatory caregiving motives than their Korean counterparts. Also, both Korean children and their mothers/mothers-in-law reported higher level of care provision than their counterparts. The level of caregiving expectation from their children in old age among Korean elders was significantly different from those of American elders while no differences were found between Korean and American children. Finally, both Korean children and their mothers/mothers-in-law were more likely to endorse distributing larger shares of inheritance to the child who cared for his/her mothers/mothers-in-law than American counterparts. On the other hand, American subjects were more likely to accept the notion of equal distribution of inheritance. Overall, this cross-cultural study showed the cultural differences in caregiving and inheritance patterns between Korean and American subjects exhibiting salient difference among the older generation.

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 2002.11a
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• pp.161-166
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• 2002

Functional ability is an important criterion to predict the capability of older persons to maintain independent living in the community setting. This study focused on the effect of built-environment features to ameliorate declines in functional ability and reduce the likelihood of relocation. Using longitudinal data from the Asset and Health Dynamics Among the Oldest Old (1993, 1995), relocation was analyzed for 6,225 respondents aged 70 or older. Findings are that while functional decline in household activities of daily living among older persons increased their residential moves in the community, functional declines in basic activities of daily living, household activities of daily living, and advanced activities of daily living among them increased their entrance into an institutional care facility However, they were less likely to enter an institutional care facility when their home was equipped with built-environment features such as street level ramps, special railings, modifications to allow someone in a wheelchair, grab bars or shower seat in the bathroom, and special call device or system to get help.

• Proceedings of the Korean Society of Toxicology Conference
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• 2002.11b
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• pp.118-130
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• 2002

The frequency of prostate cancer has been increasing (1). Afflicting 10% of men older than the age of 65, it repre-sents the most frequently diagnosed cancer in American men, with an even higher incidence in the African-American population. Many investigators have tried to identify prognostic markers that distinguish indolent versus aggressive forms of prostate cancer, and to understand the genetic factors that evoke prostate cancer initiation and progression (2).(omitted)