• Title/Summary/Keyword: The Elderly Living Alone

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Relationship between demographic and socioeconomic characteristics of the Korean elderly and unmet dental care needs (한국 노인의 인구·사회경제적 특성과 미 충족 치과진료와의 관련성)

  • Jung, Eun-Seo;Ahn, Geum-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.6
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    • pp.911-920
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    • 2018
  • Objectives: This study investigated the relationship between demographic and socioeconomic characteristics of the Korean elderly and their unmet dental care needs, by using the 2015 data from the $6^{th}$ Korea National Health and Nutrition Examination Survey (NHANES). Methods: In total, 1,372 elderly persons aged 65 and over, who responded to the $6^{th}$ NHANES, were included in the final analysis. Logistic regression analysis was performed in order to identify any relationship between demographic and socioeconomic characteristics and unmet dental care needs. Results: The rate of unmet dental care needs was shown to be less by 0.799 times in the elderly who reside in dong than those who live in eup and myeon (OR: 0.799, 95% CI: 0.679-0.959). Unmet dental care needs were higher in participants with 'low' and 'below average' than 'above average' income, by 1.645 times (OR: 1.645, 95% CI: 1.087-2.366) and 1.172 times (OR: 1.172, 95% CI: 1.108-1.880), respectively. Elderly individuals living alone had a higher rate of unmet dental care needs than those living with their family by 1.157 times (OR: 1.157, 95% CI: 1.084-1.498). Conclusions: Demographic and socioeconomic factors influenced unmet dental care needs, causing inequality. Proper policy support to the vulnerable should be considered in order to enhance the elderly's access to dental care.

A Study of Factors Affecting on the Preference of the elderly's Mental Health Services Utilization in Rural Areas - Application of Andersen and Newman's Model - (Andersen과 Newman 모델에 근거한 농어촌 지역 노인의 정신건강서비스 이용의향에 관한 연구)

  • Lee, Ki-Young;Choi, Song-Sik;Park, Hyun-Suk;Lim, Hyun-Jung
    • Korean Journal of Social Welfare
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    • v.62 no.2
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    • pp.257-278
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    • 2010
  • This study examined the factors affecting the preference for the elderly's mental health services utilization in rural areas. A behavior model developed by Andersen and Newman provided an analytical framework to determine the factors affecting service utilization preferences among 335 elderly people as research subjects. The authors found that the preferences for mental health service utilization were significantly related to the level of education, living alone, presence of grandchildren, participation in social activities, and recognition about the services. Based on the findings, this study suggests that more mental health services for the elderly in rural areas be further developed and strengthened. Also, the elderly who lives alone and lives with grandchildren should have a priority in policy consideration. Multiple approaches are suggested to increase the awareness of mental health services and participation social activities for those older people.

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Development and Clinical Use of Assessment Indicators for Improving Medication Adherence of Elderly Residents in Nursing Home (노인요양원 입소자의 복약순응도 향상을 위한 평가지표의 개발 및 임상활용)

  • Park, Duck-Soon;Kang, Minku;Bang, Joon Seok
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.1
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    • pp.13-23
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    • 2016
  • Background: South Korea is rapidly being an aging-society and the demand of long-term care insurance services for elderly patients is rising. In addition, because the elderly taking multiple medicines, the adherence is lowered and the adverse events are easily occurred. Therefore, many are interested in introducing the geriatric pharmacy specialist to manage this situation. Purpose: By applying a similar program such as the geriatric pharmacy specialist working in nursing home, we conducted this study to evaluate the potential contribution to both the health insurance services and financial savings for the elderly patients. Methods: We conducted a trial in an elderly nursing home to collaborate between doctor and pharmacist making a checklist for improving medication adherence and establish a consultation system. Also we applied a smart phone application in the pharmaceutical care processes. Results: Thereby completing the drug therapy related checklist apply to nursing facilities in South Korea. And we got a performance that improves medication adherence when used in the clinical practice settings. Conclusion: By introducing a training program of pharmacy care managers and geriatric professionals such as the United States and Japan, we revealed the elderly nursing home residents and vulnerable elderly people living alone were improved the medication adherence and it will contributed to the health and quality of life of the patients.

Body Mass Index (BMI)-Related Factors of Community-Dwelling Elders: Comparison between Early and Late Elderly People (우리나라 지역사회 재가노인의 체질량지수 관련 요인: 전기 및 후기 노인 비교)

  • Hyun, Hye Sun;Lee, In Sook
    • Research in Community and Public Health Nursing
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    • v.24 no.1
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    • pp.62-73
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    • 2013
  • Purpose: The purpose of the study is to identify differences in BMI between early and late elderly people, and factors having influence of them. Methods: This study is an analysis of secondary data that used the raw materials from the KNHANES from 2008 to 2010. The subjects involved in the final analysis were 4,772 elders aged 65 or higher. Descriptive statistics, $x^2$-test and F-test, and CSGLM from the complex sample design were used for the data analysis with SPSS/WIN 19.0. Results: Significant differences were observed in the socio-demographic characteristics, health behaviors and diet habits between early and late elderly people. Adjusted for gender, location of residence, and living alone, the factors that affected BMI of the early elderly people included current smoking status, number of disease, difficulty in chewing, and number of meals per day while those that affected BMI of the late elderly people were current smoking status, number of disease, self-rated health, and difficulty in chewing. Conclusion: The study concludes that we should consider age-specific traits for monitoring the weight status of the elderly and providing appropriate weight management programs for the elderly.

Relationship between frailty and oral health among the elderly (일부 노인의 노쇠와 구강건강의 관련성)

  • Jung, Eun-Ju;Song, Ae-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.3
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    • pp.347-357
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    • 2020
  • Objectives: The purpose of the study was to investigate the relationship between frailty and oral health among some elderly community residents. Methods: A self-reported questionnaire was completed by 240 elderly in the Gwangju-Jeonnam area from October 1, 2019, to November 30, 2019, based on convenience sampling. The questionnaire consisted of general characteristics of the subjects, frailty level (Kihon checklist), and Geriatric Oral Health Assessment Index. Results: There were 66 (27.5%) frail elderly, and the GOHAI group with a score less than 45 constituted 187 (77.9%), which was higher than the group with a score of 45 or higher. The distribution of the frail elderly was indicated to be higher in the people with older age (p<0.05), lower educational level (p<0.01), current economic inactivity (p<0.05), living alone (p<0.01), more chronic diseases (p<0.01), and GOHAI score below 45 (p<0.01). Compared to those with a good oral health-related quality of life, those with a poor quality of life showed a 3.03 times higher risk of frailty (95% CI=1.291-7.107)(p<0.05). Conclusions: By recognizing the need for oral health care of the elderly through these results and by identifying the relationship between frailty and oral health, it is possible to consider oral health as a predictor of frailty.

Association of Psychological Health and Perceived Oral Health in Elderly Individuals: Focusing on Depression, Stress, and Suicidal Ideation

  • Lee, Hyun-Ok;Kim, Sun-Mi;Park, Ji-Young
    • Journal of dental hygiene science
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    • v.17 no.5
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    • pp.398-404
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    • 2017
  • The present study aimed to examine the influence of mental health factors on oral health factors using data from the Korean National Health and Nutrition Examination Survey (KNHANES). A total of 1,548 elderly individuals aged over 65 years who completed the screening and health questionnaire were selected as the final study participants. The psychological health factors related to perceived oral health status were depression and stress when the gender was controlled, and in terms of gender, both elderly male and female individuals were stressed and depressed. These results suggested that the psychological health of elderly individuals negatively affects not only perceived oral health but also the quality of life. In addition, the psychological health of the elderly individuals should be systematically managed along with oral health care and overall health care and lifestyle. If a comprehensive health management system is available for low-income groups or an elderly person living alone, it should positively affect and improve the quality of life of elderly individuals.

The Effects of Structured Social Network Types and Their Relationship to Quality of Life Satisfaction among Elderly Singles and Couples (단독가구 노인의 구조적 사회관계망 유형과 관계의 질이 생활만족도에 미치는 영향)

  • Park, Kyung Rhan
    • Korean Journal of Human Ecology
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    • v.21 no.5
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    • pp.929-945
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    • 2012
  • This study examined structured social network types and their relationship to quality on life satisfaction of older adults. Respondents were 418 adults aged 60 or older living alone or as couples. The data was analyzed using K-means cluster analysis. Four networks types were identified: diverse, friend-neighbor focused, family focused, and restricted. Life satisfaction was highest for individuals in the diverse network group and lowest for individuals in the restricted network group. Stepwise multiple regression analysis indicated that life satisfaction of the elderly was affected by the diverse network, family focused network, the relationship quality with children, the relationship quality with neighbors, and the relationship quality with relatives. Results suggested that having diverse social network in close proximity is very important in old age and structural network types may have important practical implications for improving the quality of life among the elderly.

The Health Promoting Program of the Elderly Who use Senior Citizens' Center (보건간호활동으로 추진한 노인건강증진 프로그램 - 경로당 이용회원을 대상으로 -)

  • Yoo In-Young;Cho Chung-Min;Choi Young-Sook;Jung Moon-Hee;Kim Mi-Hye;You Kwang-Soo;Yoon Suk-Rye;Han Myung-Hwa;Cho Sun-Ha;Han Young;Kim Kyu-Sung;Lee Hyun-Ju
    • Journal of Korean Public Health Nursing
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    • v.11 no.1
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    • pp.14-25
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    • 1997
  • This study was conducted to investigate the positive effect of health promoting strategy program on health of the elderly who use senior citizens' center. A total of 53 elderly people from 6 senior citizens' centers participated in this study from May. 1. to August. 31. 1996. Questionnaires which health age, activity of daily living. health promoting behavior, measurement in muscle tolerance, flexibility were used for interviewing them. The results of the study analyzed using a SPSS/WIN were as follows; 1) Their mean age was 75.7. In the family type, there was a $67.9\%$, living with sons and daughters, $32.1\%$ living with alone or couple. They have spent about 5 - 6 hours in senior citizens' centers. Mostly they have had a chat with them and played the Hwatoo. 2) There were significantly decrease of health age, mean value 0.59 to 0.49 and significantly increase activity of daily living, mean value 13.85 to 15.8. 3) There were slightly increase of health promoting behavior, flexibility and muscle tolerance, but without statistical significance.

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Nutrient Intake of the Rural Elderly Living in Kyungnam -Focusing on Health and Aging Status, and Life-Satisfaction- (경남 일부지역 농촌노인의 영양섭취조사 -건강과 노화상태 및 생활만족도를 중심으로 -)

  • 이경혜;박미영
    • Korean Journal of Community Nutrition
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    • v.6 no.5
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    • pp.773-788
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    • 2001
  • The purpose of this study was to investigate the difference in nutrient intake according to the level of self-perception of health status, aging status and life satisfaction of the rural elderly. The factors for the study were surveyed by interview method. The subjects were 270 people(71 male, 129 female) aged over 65 years(73.5 $\pm$ 5.6ys) in the Ham-an area. The obtained results as follows : By evaluation of self-perception of health status, 57.5% of subjects answered they are in a bad health condition. The 91.5% of subjects had diseases(rheumatitis & arthritis 31.4%, cardiovascular disease 20.2%, gastric disease 10.2%). The women had more diseases than the men(p < 0.01). The subjects took medical treatment in private hospital(40.5%) and public health centers(35.0%). The men showed better level of aging status(p < 0.001) and life satisfaction index(p < 0.01) than the worsen. Living with spouse influenced the aging status(p < 0.05) and the more pocket money influenced life satisfaction(p < 0.05) and aging status(p < 0.05). The elderly who eat regularly 3 times a day(p < 0.05) and have a good appetite(p < 0.001) appeared to have positive effect on the self perception of health status and aging status. An increasing level of the self-perception of health status and regular exercise worked to improve aging status(p < 0.001). The habits of smoking and alcohol drinking, however had no effect on any index. The self-perception of health status affected the nutrient intake, but only in female elderly. The aging status and the life satisfaction index related overall positively to the intake of nutrients. In conclusion, the study shows that gender did influence nutrient intake in the elderly. The women who live alone rated lowest in social resources and health condition therefore their nutrient intake was also extremely in deficit. For successful aging, a program for rural elderly is needed, i.e. actions to provide minimum economic life, food delivery and psychological/physical health care through regional public health centers.

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Nutritional and Health Status of Korean Elderly from Low Income, Urban Area and Improving Effect of Meal Service on Nutritional and Health Status - I. Anthropometric Measurements and Nutrient Intakes - (도시 저소득층 노인들의 영양 및 건강상태 조사와 급식이 노인들의 영양 및 건강상태의 개선에 미치는 영향 - I . 신체계측과 영양소 섭취량 -)

  • 손숙미;박양자;구재옥;모수미;윤혜영;승정자
    • Korean Journal of Community Nutrition
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    • v.1 no.1
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    • pp.79-88
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    • 1996
  • This study was conducted to assess nutritional status of the elderly from low-income urban area and to investigate environmental and health risk factors that may influence to nutrient intakes. One hindered eighty three(males 53, females 130) healthy homestaying subjects aged over 65 years in Seoul were assessed with anthropometric measurements and dietary intake in August, 1994. HT and BW for females were decreased with aging. The proportion of hypertension was 36% with indite of $SBP{\;}(SBP{\;}{\gg}{\;}160mmHg)$ and 52% with indice of DBP $(DBP{\;}\gg{\;}97mmHg)$. Distribution of BMI, OR and PIBW indicated that BMI was more sensitive for identifying underweight whereas PIBW was more sensitive for identifying overweight. for group aged over 75, males had significantly lower intake of energy, protein, fat, calcium, iron, vitamin A and $\beta$ carotene compared to the group aged 67~74, while females had lower intake of calcium and vitamin A. Elderly group with smoking, less familly size and living alone had lower nutrient intakes. Blood pressure in the elderly subjects did not influence to nutrient intakes, except elderly with normal blood pressure were taking increased amount of thiamin and niacin.

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