• 지역사회간호학회지
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• 제12권1호
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• pp.187-201
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• 2001

This study was conducted to investigate the health status and health promoting behavior of older adults in rural area. The design of research was descriptive study. 883 older adults over sixty years living in the rural area of Pusan city were surveyed from July 9. 1999 to July 20. 1999 through direct interview using a questionnaire and physical examination. The collected data were analyzed for percentage. mean. Chi square-test. ANOVA using the SPSS computerized program. The main results were as follows: 1. 43.4% of subjects lived alone or with only partner. 2. 37.13% of subjects had perceived own health condition as bad. 3. Major 'chronic diseases that the subjects were suffered were diabetes(25.94%) and hypertension(9.11%). 4. The mean score of perceived depression was 17.71 of 44. 5. 87.98% of subjects replied that they had good relationship with their family and friends. 6. 8.57% of subjects were identified as over weight. while 10.85% were low weight. 7. 29.93% of subjects replied that they were smoking. By the group. the rate of smoking of man was significantly higher than women. and lower age group than higher age group, and higher education group than lower education group. 8. 70.38% of subjects didn't practice exercise. By the group, the rate of exercise of woman was significantly lower than man, and higher age group than lower age group, and lower education group than higher education group. 9. 12.33% of subjects replied for the frequency of drinking as more three -times a week. By the groups. man showed significantly more frequency than woman. the lower age group than higher age group, the lower education group than the higher education group. 11. The mean score of nutrition state was 3.73 which means moderate risk state. 12. The 57.53% of subjects replied, their sleeping time as below 7 hours. 13. The 15.75% of subjects had experience a periodical inspection. In conclusion, older adults in rural area were identified having various health risk factor, Looking at the results. It is necessary to develope health promotion program which enhances older adults to practice health promoting behavior and to manage their chronic disease.

• Annals of Geriatric Medicine and Research
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• 제20권3호
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• pp.149-159
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• 2016

Background: Since the mid-20th century, the ways in which social networks and older adults' health are related have been widely studied. However, few studies investigate the relationship between self-rated health and position in a complete social network of one entire Korean rural village. This study highlights use of a complete network in health studies. Methods: Using the Korean Social Life and Health Project, the population-based data of adults aged 60 or older and their spouses in one myeon in Ganghwa island (Ganghwa-gun, Incheon, Korea), Incheon, Korea (with a 95% response rate), this study built a $1,012{\times}1,012$ complete social network matrix of the village. The data were collected from 2011 to 2012, and 731 older adults were analyzed. The ordered logistic models to predict self-rated health allowed us to examine social factors from socio-demographic to individual community activities, ego-centered network characteristics, and positions in a complete network. Results: From the network data, 5 network components were identified. Even after controlling for all other factors, if a respondent belonged to a segregated component, the probability that he or she reported good health dropped substantially. Additionally, high in-degree centrality was connected to greater self-rated health. Conclusion: This finding highlights the importance of social position not only from the respondents' point of view but also from the entire village's perspective. Even if a respondent maintained a large social network, when all of those social ties belonged to a segregated group in the village, the respondent's health suffered from this segregation.

• 성인간호학회지
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• 제28권6호
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• pp.659-668
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• 2016

Purpose: This study utilized secondary data and investigated the factors associated with life satisfaction by living arrangements among community-dwelling adults aged 65 years or older in Korea. Methods: A total of 2,134 participants were selected from the 2014 Korean Longitudinal Study of Aging (KLoSA). Univariable and multivariable logistic regression were used for data analysis. Results: The significant factors associated with life satisfaction in older adults living with others were education level (odds ratio [OR] 1.73, 95% confidence interval [CI] 1.41~2.11), place of residence in medium-size city (OR 1.57, 95% CI 1.25~1.97), place of residence in rural town(OR 1.52, 95% CI 1.19~1.95), depression (OR 2.99, 95% CI 2.43~3.68), frequency of contact with neighbors (OR 1.39, 95% CI 1.10~1.76), and social participation (OR 1.48, 95% CI 1.14~1.93). In contrast, factors associated with life satisfaction among older adults living alone were education level (OR 1.93, 95% CI 1.15~3.24) and depression (OR 2.49, 95% CI 1.48~4.19). Conclusion: These findings indicated that nursing interventions for improving life satisfaction among older adults should take into account their specific living arrangements.

• 디지털융복합연구
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• 제12권1호
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• pp.501-510
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• 2014

본 연구의 목적은 경로당을 이용하는 65세 이상 노인을 대상으로 건강관련 삶의 질 정도와 이에 영향을 미치는 요인을 도시와 농촌의 지역별로 비교분석하는 것이다. 조사 대상은 902명(도시: 571명, 농촌: 331명)의 노인으로 구성하였다. 2011년 7월 20일부터 8월 31일까지 자료를 수집하였고, SPSS/WIN 21.0을 이용하여 분석하였다. 연구결과는 도시 경로당 이용 노인의 건강관련 삶의 질이 농촌에 비해 유의하게 낮았고, 도시와 농촌에 따라 건강관련 삶의 질의 영향요인에 차이가 있었다. 도시의 경우는 우울, 연령, 주관적 건강상태, 음주, 만성질환 수, 흡연이 영향요인이었고, 농촌의 경우는 우울, 주관적 건강상태, 만성질환 수, 교육수준이 영향요인이었다. 결론적으로 도시와 농촌 모두 우울과 주관적 건강상태, 만성질환 수는 노인의 건강관련 삶의 질에 주 영향요인임을 확인할 수 있었으며, 도 농간 건강관련 삶의 질의 영향요인에 차이가 있었으므로 경로당 이용 노인의 건강관련 삶의 질 향상 프로그램을 개발하는데 이러한 지역별 차이를 고려되어야 할 것이다.

• 대한지역사회영양학회지
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• 제26권6호
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• pp.495-507
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• 2021

Objectives: This study examined regional differences in the intake of dietary total fat and saturated fatty acid (SFA) and their food sources among Korean adults. We also investigated the associations of SFA intake with metabolic diseases by region. Methods: This study included 13,926 adults (≥ 19y) who participated in the 2016 ~ 2019 Korea National Health and Nutrition Examination Surveys. The regions were divided into urban and rural areas according to the administrative districts where the participants lived. Using dietary data obtained from a 24-h recall, intake of total fat and SFA and their food sources were assessed by region. Metabolic diseases included obesity, abdominal obesity, and elevated total cholesterol and their association with SFA intake by region were examined using multiple logistic regression. Results: Of the participants, 19.6% lived in rural areas. In urban areas, the total fat and SFA intakes were higher than in rural areas: 21.2% of energy (%E) came from total fat and 6.9%E from SFA in urban areas, whereas 18.0%E came from total fat and 5.8%E from SFA in rural areas. The percentage of participants who exceeded the dietary reference intakes for total fat and SFA in urban areas was 16.5% and 41.9%, respectively, but 43.4% of participants in rural areas showed lower intake levels for total fat compared to the reference level. Young adults did not show regional differences in fat intake, and the percentage of subjects who exceeded the reference for SFA was high both in urban (58.5%) and rural (55.7%) areas. Among middle-aged and older adults, intake of fatty acids except for n-3 fatty acid was significantly higher in urban areas than in rural areas. About 69% of older adults in rural areas showed a lower intake of total fat compared to the reference level. The food sources for total fat and SFA were meat, soybean oil, eggs, and milk in both areas. The intake of fat from eggs, milk, mayonnaise, and bread was higher in urban areas, but the intake of fat from white rice and coffee mix was higher in rural areas. The SFA intake was positively associated with elevated serum total cholesterol in urban areas (4th quartile vs. 1st quartile, OR: 1.22, 95% CI: 1.06-1.40, P for trend: 0.043), but not in rural areas. Conclusions: Regional differences in total fat and SFA intakes and their food sources were observed among Korean adults. Our findings may help plan nutritional strategies to ameliorate regional health disparities.

• 대한지역사회영양학회지
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• 제13권5호
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• pp.723-732
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• 2008

The purpose of this study was to identify the influence of diet related factors, such as diet behaviors, food intake, and nutrient intakes, on self-rated health (SRH). Also, in order to determine fitness of classification for SRH reflecting diet related factors, this study surveyed older adults in Gyeongnam province. A total of 101 responses were collected using the interview survey method. The self- rated health of rural older adults was poor as reported by 49.5%. The level of self-rated health was found to be related to the frequencies of coffee and snack, use of sugar and vegetable in diet, the amount of total food intake, and cholesterol intake. The result of discriminant analysis, which was conducted to assess the adequacy of SRH classification and to determine the class of observation, showed frequency of coffee and use of vegetable in diet among 47 variables as predictive variables for explaining SRH. The fitness of self-rated health function was high to 47.7%. Therefore, diet-related factors were ascertained to be important variables to predict SRH.

• International Journal of Advanced Culture Technology
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• 제11권3호
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• pp.131-141
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• 2023

This study aimed to identify the determinants of physical frailty among the old-old adults in rural Korean communities. A total of 191 individuals aged 75 and older were included in the study, with the majority being female. Participants were classified into healthy (n=47), pre-frail (n=54), and frail (n=90) groups. Significant differences were found across these groups in terms of age, gender, education level, depression, and nutritional status. Multiple logistic regression analysis revealed that age (OR=1.16), depression (OR=0.21), malnourishment (OR=10.85), and short physical performance ability (OR=0.70) were significant predictors of physical frailty. These findings underscore the multifaceted nature of physical frailty among old-old adults in urban-rural complex communities and highlight the need for comprehensive and integrated interventions. Such interventions should consider not only physical factors but also broader health conditions and socio-demographic influences impacting the elderly. Further research is needed to develop and evaluate interventions that address these determinants and promote health equity among the elderly population in urban-rural complex communities

• 한국콘텐츠학회논문지
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• 제20권10호
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• pp.326-337
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• 2020

본 연구의 목적은 도시 고령자와 농촌 고령자의 사회참여활동 유형이 인지기능 손상 정도(정상, 경증 인지기능저하, 중증 치매 의심)에 미치는 영향을 분석하는 것이다. 연구목적을 위해 6차(2016년)와 7차(2018년) 고령화 연구패널 조사 데이터 중 55세 이상 고령자 5,668명의 자료를 사용하여 다항 로지스틱 회귀분석을 하였다. 분석결과는 어떤 유형이든지 사회참여활동 하는 것이 인지기능 장애 위험을 줄여준다는 것은 도시와 농촌 둘 다 일관되게 유의하였으나, 도움이 되는 사회참여활동 유형이 도시와 농촌 간 차이가 있었다. 즉, 도시와 농촌에 사는지에 따라 정상군에서 인지기능저하 또는 치매 의심이 될 위험을 낮추는 데 도움이 되는 사회참여 활동 유형과 인지기능저하에서 치매 의심이 될 위험을 낮추는 데 유의한 유형이 달랐다. 따라서 인지기능 장애를 예방하고 치매 중증도를 완화하는 데 사회참여활동을 적극적으로 권장돼야 하며 적절한 지원이 필요하다는 것을 보여준다. 그리고 도시와 농촌의 차이를 고려한 정책과 개입이 요구됨을 함의한다.

• 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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• 제18권2호
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• pp.223-238
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• 2024

BACKGROUND/OBJECTIVES: The purpose of this study was to establish a fruit-cooking method suitable for older adults with masticatory dysfunction. MATERIALS/METHODS: Five types of fruits were selected to make fruit jelly and puree: apple, sweet persimmon, mandarin, Korean melon, and watermelon. Recipes were selected based on the Korean Industrial Standard (KS) for senior-friendly foods (KS H 4897), which classifies foods into 3 levels (L1-L3) based on their hardness and viscosity. RESULTS: In South Korea, senior-friendly foods are classified into 3 stages based on their hardness. Stage 1 is for foods that are able to eat with teeth (hardness greater than 50,000 N and less than 500,000 N), Stage 2 is for foods that are able to eat with gums (hardness greater than 20,000 N and less than 50,000 N), and Stage 3 is for foods that are able to eat with the tongue (hardness less than 20,000 N). As a result of measuring the hardness by varying the shape of the fruit, it was found that nearly all fruits could be eaten fresh by chewing with the teeth (L1) but did not meet the KS for mastication using the gums (L2) or tongue (L3), so the cooking method was selected as fruit jelly and fruit puree. Only sweet persimmon, which had a hardness of 61,624-496,393 N, was not suitable for consumption in fresh fruit, unprocessed form. Based on their hardness measurements, fruit jellies (27,869 to 36,343 N) and fruit purees (315 to 1,156 N) met the L2 and L3 requirements, respectively. The viscosity results of all fruit purees met the L3 requirement. CONCLUSION: These results offer a simple cooking method to prepare texture-modified fruits suitable for safe consumption by older adults living with masticatory difficulties in general households and nursing facilities.