• 대한가정학회지
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• 제41권4호
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• pp.57-69
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• 2003

This study focused on individual differences in social support among older adults. The purposes of this study were to investigate sex and age group differences in social support and to examine the effects of intergenerational social support on life satisfaction among the rural elderly. Data were from 545 elderly over 60 years of age living separately from adult children in the rural area. With regard to sex differences in support exchanges, no significant differences were found in support-giving and support-receiving. Men reported giving more financial support to children than women, while women reported receiving more financial support from children than men. With regard to age group differences in support exchanges, there was less support-giving in older age group. Older parents in their 60s reported giving more financial, instrumental, and emotional support and receiving less financial support than the group of age 70＋ Regression analyses showed that life satisfaction of both men and women was affected by support size and the frequency of contact with children. Giving financial and instrumental support was significantly associated with life satisfaction of men, but giving and receiving each type of social support had no effects on life satisfaction of women. Life satisfaction of parents in their 60s was found to be positively associated with support size, giving financial support and receiving emotional support, and negatively associated with giving instrumental support. In the group of age 70＋, the frequency of contact with adult children and giving financial support had positive influences on life satisfaction.

• 대한지역사회영양학회지
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• 제24권6호
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• pp.453-464
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• 2019

Objectives: The objective of this study was to examine whether dietary quality varies among different age groups and geographic areas, and whether the difference between geographic areas varies across several age groups in Korea. Methods: The subjects were 14,170 subjects who participated in the 2013-2015 Korea National Health and Nutrition Examination Survey. The dietary quality was assessed using the Korean Health Eating Index (KHEI). Age groups were categorized into six groupings, and areas were categorized into urban and rural according to their administrative districts. The effect of area on the KHEI score was analyzed by multiple linear regression analysis. Results: The KHEI was the lowest in the 20-30s group (57.7 ± 0.4 score for 20s and 61.2 ± 0.3 score for 30s) and increased with age (p<0.001), showing the highest score in the 60s (67.9 ± 0.3 score), and then decreased again in the 70s and older (64.6 ± 0.3 score). As a result of comparing the KHEI score by area, the urban areas had higher KHEI scores than did the rural areas (63.5 ± 0.2 score for urban area and 62.2 ± 0.4 score for rural area, p=0.002). The difference between areas was dependent on the age group, showing a significant difference for subjects who were aged from 50s and older (p=0.002 for 50s, p<0.001 for 60s and p<0.001 for 70s and older). After adjusting for confounding factors, the effect of area on the KHEI score was only shown for those subjects in the over 60 years old group (p=0.035 for 60s and p<0.001 for 70s and older). Conclusions: The dietary quality differed according to the age group and geographic area. The dietary quality was lower for younger people than that for older people, and in rural areas compared to that in urban areas, and especially for older adults. The area factor was a very important factor for the dietary quality.

• 농촌의학ㆍ지역보건
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• 제47권1호
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• pp.27-39
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• 2022

Objectives: The purpose of this research was to explore Fall Risk Home Environment(FRHE) and to investigate the association between FRHE and fall experience among community-dwelling older adults. Methods: The data were collected from 299 older adults using FRHE through observation and interview at home of the participants and were analyzed with SPSS 22.0 applying descriptive statistics, χ²-test, t-test, and logistic regression analysis. Results: The prevalence of fall experience during the past year was 51.5%. 'No handles beside the toilet or bathtub'(73.2%) was most common FRHE factor, 'thresholds in your room or kitchen'(68.9%), 'wearing socks, outer socks, or slipper when you move in the house'(59.5%), and threshold on the gate (apartment entrance)(55.5%) were followed. The findings of logistic regression of FRHE on fall experiences showed darkness of house had the highest Odds Ratio (OR 9.83 95% CI 3.75-25.71), followed by furniture obstructs your walking in the house(OR 7.07, CI 2.88-17.36), dark kitchen (OR 5.13, CI 2.38-11.03). The group having fall experiences presented significantly higher score of FRHE than the group of non experiences of fall. Conclusion: The community dwelling older adults exposures to various FRHE factors and FRHE might increase the risk of falls. Assessing and modifying the home environment could be a good strategy to prevent fall among older adults.

• 지역사회간호학회지
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• 제30권2호
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• pp.243-255
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• 2019

Purpose: The purpose of this study is to examine effects of a multifactorial program for preventing the frailty of older adults and effects of a follow-up program applying a capacity building strategy. Methods: A quasi-experimental pretest-posttest design was used for the nonequivalent control group. The follow-up group (n=75) and non-follow-up group (n=68) received the same multifactorial program comprising muscle strength exercise, cognitive training, and psychosocial programs for 12 weeks. After completion of multifactorial program, the follow-up group took follow-up programs applying the capacity building strategy for following 12 weeks. The data of physical function, cognitive function, and psychological function, and self-rated health were collected from both groups three times: before intervention, after intervention, and 12 weeks after intervention. The data were analyzed using $x^2$ test and t-test. Results: In comparison with the non-follow-up group, the scores of Timed Up & Go Test, and physical activities energy expenditure were significantly improved in the follow-up group. Conclusion: These results indicate that a multifactorial program with follow-up adapting the strategies of capacity building for the older adults group is feasible to prevent the physical frailty in community.

• Journal of Preventive Medicine and Public Health
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• 제41권3호
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• pp.173-180
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• 2008

Objectives : The purposes of this study were to examine the health-related quality of life(HRQoL) and to identify its related factors for a group of rural adults. Methods : The study subjects were 1,901 adults who were aged 40-70 years and who were living in Naju City, Jeollanamdo. The sociodemographic characteristics, health-related behavior, health status and global self-rated health were collected for statistical analysis. The health-related quality of life was measured by the Euroqol EQ-5D instrument. The differences on the EQ-5D index between the groups were assessed with t-test, ANOVA and hierarchical multiple regression analysis. Results : Overall, the mean value of the EQ-5D index was $0.884{\pm}0.140$ and this score was significantly different according to the socioeconomic characteristics, the health-related behavior, the health status and the global self-rated health. According to the results from the hierarchical multiple regression analysis, the HRQoL was significantly reduced for females, older subjects, and other subjects with no spouse and the subjects with osteoporosis, obesity, mental distress or poorer global self-rated health. Conclusions : The HRQoL for rural adults was related to the socioeconomic characteristics, the health status and the global self-rated health, A better understanding of the factors related to the HRQoL would help to improve the rural adults' quality of life.

• Journal of Nutrition and Health
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• 제46권3호
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• pp.239-249
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• 2013

Subclinical vitamin $B_{12}$ deficiency is common in the elderly worldwide. We investigated the change of serum vitamin $B_{12}$ concentration with aging and compared anthropometric data and clinical health indicators between normal (${\geq}$ 340 pg/mL) and low (< 340 pg/mL) serum vitamin $B_{12}$ groups in 470 Korean women aged 65 years and over living in a rural area. Serum vitamin $B_{12}$ concentration showed inverse correlation with age (r = -0.0992, p < 0.05). The normal $B_{12}$ group showed significantly (p < 0.05) higher red blood cell count, hemoglobin, and hematocrit compared to the low $B_{12}$ group, however, no difference in mean corpuscular volume was observed between the two groups. The normal $B_{12}$ group showed significantly lower serum homocysteine concentration (p < 0.01) and prevalence of vitamin D (p < 0.01) or folate deficiency (p < 0.001). Bone mineral density (T-score) was significantly higher (p < 0.05) in the normal $B_{12}$ group, compared with that in the low $B_{12}$ group, and showed positive correlation (r = 0.1490, p < 0.01) with serum vitamin $B_{12}$ concentration after adjusting for age, body weight, and body mass index. No differences in anthropometric data, physical activity, and smoking and drinking habits were observed between the two groups. In conclusion, it could be suggested that older female adults with normal serum vitamin $B_{12}$ level would be less anemic and osteoporotic and more resistant to hyperhomocysteinemia associated chronic diseases than those with low serum vitamin $B_{12}$ level.

• 농촌의학ㆍ지역보건
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• 제29권1호
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• pp.29-41
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• 2004

본 연구는 농촌지역에 거주하는 65세 이상 노인 403명을 대상으로 HRQOL(Health related quality of life)의 핵심 4문항을 이용하여 건강관련 삶의 질과 이에 영향을 미치는 사회경제적 요인 및 건강습관과의 관련성을 파악하고 이를 바탕으로 노인의 건강관련 삶의 질을 증진시키기 위하여 연구의 기초 자료를 제공하고자 2002년7월부터 2003년 7월에 걸쳐서 설문조사를 실시하였다. 전체 조사대상자의 건강일수는 평균 15.0일이었으며, 성별에 따른 유의한 차이를 보이지 않았다. 연령별로 남자 노인은 건강관련 삶의 질이 차이가 없었으나 여자노인은 연령이 높아질수록 건강일수는 적고 활동제한 일수와 신체적 장애일수는 증가하였다. 비만도에 따른 건강관련 삶의 질을 유의한 차이가 없었으나 건강일수에 있어서 과체중군이 남녀 각각 13.5일, 13.9일로 가장 짧았다. 사회경제적인 요인에 따라서 남녀노인 모두 교육수준이 높고 직업이 있으며. 혼자 사는 것보다는 가족들과 함께 살수록 건강일수는 유의하게 길었으며 활동제한 일수, 신체적 장애일수, 정신적 장애 일수는 짧아서 건강관련 삶의 질이 높게 나타났다. 건강습관에서 남녀 모두 흡연에 따른 건강 관련 삶의 질에 차이가 없었으나 음주에 대하여 남자노인은 음주를 하지 않는 사람이 여자노인은 음주를 하다가 끊은 사람이 활동제한 일수와 신체적인 장애일수가 유의하게 길었다. 또한 현재 앓고 있는 질환이 적거나 규칙적으로 운동을 하거나 약물을 복용하지 않는 경우에 건강일수가 높고 활동제한 일수 신체적 장애일수, 정신적 장애 일수가 짧았다. 주관적인 건강상태가 좋지 않다고 응답한 그룹이 50.2%로 절반에 해당하였다. 주관적인 건강상태가 좋다고 응답한 그룹의 건강일수가 남녀 각각 21.8일 19.6일로 그렇지 않은 그룹보다 유의하게 더 길었으며. 그렇지 못한 그룹은 활동제한 일수와 신체적 장애 일수가 2배 이상, 정신적 장애일수는 4배 이상 많은 것으로 나타났다. 이와 같이 농촌 지역 노인들의 사회경제적 수준 및 건강관련 생활습관, 주관적으로 평가된 건강상태 등이 건강관련 삶의 질에 중요한 영향을 미치므로 본 연구결과를 토대로 건강 관련 삶의 질을 향상시킬 수 있는 정책 및 지역사회 차원의 건강증진 프로그램들의 개발이 이루어져야 한다. 또한 건강관련 삶의 질이 취약한 집단을 규명하기 위하여 이와 관련된 요인들에 대한 심층적인 연구가 이루어져야 하며, 지속적인 삶의 질의 조사를 통하여 노인대상의 지역사회 프로그램들의 효과를 검증하는 것이 필요하다.

• 한국보건간호학회지
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• 제26권2호
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• pp.303-313
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• 2012

Purpose: This study was conducted to examine the correlation between social support, loneliness, sleep quality, and perceived health status among community-dwelling older adults. Methods: Older adults who lived in urban and rural local communities were taken into account. Among them, 396 people participated in this study. Path analysis was conducted in order to verify the study model and its verification. SPSS WIN 18.0 and AMOS17.0 were used for analysis of collected data. Results: The results showed that social support had a significant effect on perceived health status (${\beta}$=.17, p= .003) and loneliness (${\beta}$=-.56, p<.001), while loneliness had a significant effect on perceived health status (${\beta}$=-.12, p=.045) and sleep quality (${\beta}$=.20, p<.001). In addition, the results also indicated that sleep quality had a significant influence on perceived health status (${\beta}$=-.16, p <.001). According to results derived from the model, Chi-square=.359, df=1 NC=.359, CFI=1.0, NFI=0.98, RMSEA=.000; thus, the model was shown to be significant. Conclusion: For maintenance of the health of the aged, social support, loneliness, and sleep quality should be secured; in order to realize this, an effort should be made toward health promotion while providing the aged with more social attention.

• 한국화재소방학회논문지
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• 제19권1호
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• pp.29-45
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• 2005

우리나라는 2000년에 65세 이상의 노인인구가 전체 인구의 $7.2\%$를 차지하여 고령화사회가 되었고, 2019년에는 2배인 $14.4\%$에 달하여 고령사회가 될 것으로 예상하고 있다. 고령자는 신체기능의 저하 등에 의해 재해발생 시에 정확하고 신속한 판단과 행동을 하지 못할 가능성이 높으므로 고령화가 진전될수록 화재 등 각종 재해로 인한 고령자의 인명피해가 증가할 것이다. 고령자의 화재 등 재해로 인한 희생을 줄이기 위해서 고령자 등 재해약자관련 소방방재대책 추진, 화재로 인한 인명피해 최소화대책 추진, 농촌지역 소방력 보강 및 소방서비스확대, 소방방재 정보제공 및 홍보기능의 강화, 새로운 연계활동 발굴(우편집배원 및 사회복지사의 119요원화), 소방공무원 보강 및 장비의 경량화 등의 정책을 제언한다.

• 융합정보논문지
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• 제10권1호
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• pp.109-119
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• 2020

본 연구는 농촌노인의 어떠한 특성들이 주관적 건강상태, 삶의 만족도에 직접적으로 영향을 미치는지, 그리고 주관적 건강상태를 매개로 삶의 만족도에 영향을 미치는지 고찰하는 것을 목적으로 한다. 연구목적을 달성하기 위하여 G군에서 2015년 조사한 60세 이상 169명을 대상으로 다중회귀분석을 실시하였다. 연구결과는 첫째, 질병수는 부(-)적으로, 주관적 경제상태와 운동시간은 정(+)적으로 주관적 건강상태에 영향을 미쳤다. 둘째, 주관적 경제상태, 운동시간, 규칙적인 식사, 하루 끼니 수가 삶의 만족도에 정(+)적 영향을 미친 것으로 나타났다. 셋째, 주관적 경제상태, 운동시간이 주관적 건강상태를 부분매개로, 질병 수는 완전매개로 삶의 만족도에 영향을 미치는 것으로 나타났다. 이러한 결과를 토대로 보건 및 식사지원을 기초로 융합된 정책지원을 제언하였다.