• Korean Journal of Community Nutrition
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• v.13 no.5
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• pp.620-629
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• 2008

The purpose of this study was to assess dietary habits and seasonal variation and diversity of food intakes of elderly women living alone as compared to those of elderly women living with family in a rural area. Forty nine elderly women living alone and forty one elderly women living with family who reside in Goryeong-gun, Gyeongbuk, were interviewed using questionnaires in summer 2005, and their food intakes were assessed secondly in winter and thirdly in spring 2006. The average ages were 74.7 years for elderly living alone and 72.8 years for elderly living with family. Tooth status and bone fracture experience were similar between the groups. The prevalence of musculoskeletal disease was 61.2% and that of circulatory disease was 32.7% of the subjects. Average of total score of mental depression of the subjects was 5.94 out of 12 points, and it was not significantly different between the two groups. Skipping meals was more frequent and mealtime was more irregular in the elderly women living alone as compared with the elderly women living with family. Consumption of dietary supplements was also less in the elderly women living alone. Food intakes by the elderly women living alone tended to be lower than those by the elderly women living with family. Dietary diversity score was significantly lower with the elderly women living alone as compared with the elderly women living with family only in summer (p < 0.01). Percentages of the subjects who have taken meat group and vegetable group were significantly lower in the elderly living alone compared with the elderly living with family during summer. Therefore, it is necessary to develop food assistance or supporting program suited for the season within a community for elderly women living alone.

• Korean Journal of Health Education and Promotion
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• v.26 no.2
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• pp.35-47
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• 2009

Purpose: The purpose of this study was to investigate the chronic disease, health status and lifestyle, and to test the chronic disease and health status and lifestyle of rural elderly by gender. Method: The interview survey was performed in September 2004 with structured questionnaires(Scale of Long-Term Health and Welfare Need Survey) to 770 of the elderly who lived in Muan-Gun of Chunnam Province. The percentage, Chi-squire test and regression method were used for some of the cross-sectional data. Results: The 770 elderly respondents were composed of 51.3% male and 48.7% female. 59.1% of the elderly had chronic disease. About the subjective health status that 54.3% of the respondents have been answered not good health status, 87.9% of the respondents have been health examination. The related variables of chronic disease and general characteristics were education and religious level in male, age, marital status, type of social security, education and religious level in female, and health status variables were subjective health status, cognitive function, ADL, IADL, and lifestyle factors was exercise in male, examination in female. Conclusion: These results suggested that special health promotion and education programs of the health habits such as physical exercise and health examination were necessities for the elderly of rural area.

• Journal of Korean society of Dental Hygiene
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• v.11 no.5
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• pp.707-715
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• 2011

Objectives : The objective of this study was to assess a level of oral health related quality of life(OHRQoL) for rural communities elderly and to determine the association between OHRQoL and socio-economic position. Methods : The study population was elderly(60+year-old) residents of PyeongChang county, Jeongseon county, Yeongwol county, Gangwon province. A total of 171 people were invited to participate. Oral health related quality of life was measured using the GOHAI. The data were analyzed with Mann-Whitney U test or Kruskal-Wallis test and to assess socio-economic inequalities in OHRQoL(GOHAI), we used multi-variable logistic regression models. We used models adjusting for age, sex, family status factors(Model I) and compared them to models additionally adjusting for stress level(Model II). Results : There were significant differences in lower score of GOHAI at lower age group and live alone group. And we found that lower SES was significantly associated with lower score of OHRQoL. Social gradient in the score of OHRQoL persisted when adjusted for age, sex, family status, stress level. Conclusions : We recommend that oral health promotion program should be developed after due consideration SES for rural communities elderly because OHRQoL of rural communities elderly was low and association between SES and OHRQoL for rural communities elderly.

• Journal of the Korean Institute of Rural Architecture
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• v.9 no.3
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• pp.111-120
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• 2007

Recently, the small-scale local governments of japan are enlarging and enriching the service of health, medical and welfare facilities for the elderly . Intensive arrangement of the three types of facilities is one of the effective ways especially for the small-scale local governments. The service network between facilities benefits by the intensive arrangement. Benefits include the network of the medical service, the share of care information, the share of space and equipment. It can be a notable feature in the intensive arrangement that the elderly were taken from welfare facilities (especially dayscare center) to hospital of high movement frequency quickly. Instead of EV path as possible, It is desirable to stand close between facilities of high movement frequency. For large area, the heavy snow made low daycare ratio. Therefore, it is desirable to construct a branch office at a long distance.

• Journal of East-West Nursing Research
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• v.17 no.2
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• pp.149-155
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• 2011

Purpose: The purpose of this study was to examine the effect of depression and self-efficacy on health promotion behavior in elders living alone in rural area. Methods: This was a descriptive study. The survey participants were 369 elders living alone in rural area. The period of time for data collection was from June 23 to August 7, 2008. Data were analyzed by descriptive statistics, independent-samples t-test, ANOVA, pearson's correlation coefficient, and stepwise multiple regression. Results: Depression was found to have a statistically negative correlation with health promotion behavior. Self-efficacy was found to have a statistically positive correlation with health promotion behavior. Stepwise multiple regression analysis revealed that the most powerful predictor of health promotion behavior was depression. Depression, self-efficacy, number of chronic disease, and economic status accounted for 35.2% of the variance. Conclusion: It is necessary to prepare health promotion programs that can reduce depression level and improve self-efficacy in elders living alone in rural area.

• Journal of agricultural medicine and community health
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• v.32 no.1
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• pp.27-39
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• 2007

Objectives: The challenge of an increasing elderly population has coupled with everpresent social concerns in Korea. A major problem in health center for the frail older people is that medical, healthcare, and welfare services are often fragmented in terms of providers and settings without appropriate coordination. The purpose of this study was to investigate the need of health center-based integrated healthcare services and its related factors for the elderly. Methods: A total of 110 elderly people who had visited at a county Health Center were interviewed using a self-administered questionnaire from November to December, 2005. The questionnaire consists of five domains according to the Program of All-inclusive Care for the Elderly. Results: Respondents had high need (total mean score with the 5-point Likert-type sacle: 3.67) of health center-based integrated healthcare services including home visiting service (mean: 4.08), chronic disease care service (mean: 4.06), and transportation service (mean 4.05). According to the results of hierarchical multiple regression analysis, among three regression models the magnititude of the variance of full model that is explained by the need of welfare-domain service was significantly larger than two reduced model. Income was a significant variable in increasing the need of health care and welfare services. Conclusions: This study suggests that the health center-based integrated healthcare services for the elderly must be continuously developed and provided for the health promotion and improved the quality of life of the elderly who live in rural area in Korea.

• Korean Journal of Rural Living Science
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• v.5 no.2
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• pp.171-184
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• 1994

This study intends to provide basic informations on the rural elderly women's health status and health care practices which can be utilized for the welfare policies. Participants in this study are 133 elderly women over 60 who are lived in rural area. For the data analysis, Frequency, Correlation, Crosstabs, Oneway-Anova and LSD test are used. Physical health status is slightly lower than psychological health status and they are related to respondent's age, coresidence type, subjective economic status, subjective health status, participation in farming and health care type. Eighty-two percent of (he respondents perceived their health condition as poor and Neuralgia is the most frequent health problem. Women's health care practices are passive and somewhat restricted by age, educational status, coresidence type, necessary time to medical institution, and health status.

• Journal of the Korean Home Economics Association
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• v.41 no.2
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• pp.171-185
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• 2003

The eight hundred fourteen male and female elderly living in urban and rural area of Incheon were compared in terms of anthropometric indices and health related factors. Mean height, weight, BMI, WHR, MAC, TSF, %body fat and systolic blood pressure of male elderly were 162.7cm and 162.0cm, 61.8kg and 58.3kg, 23.2 and 22.0, 0.91 and 0.89, 24.4cm and 24.0cm, 9.9mm and 11.5mm, 23.9% and 23.2%, 152.1mmHg and 150.0mmHg in the urban and rural respectively. In female elderly, mean height, weight, BMI, WHR, MAC, TSF, %body fat and systolic blood pressure were 150.3cm and 149.2cm, 55.9kg and 53.1kg, 24.4 and 23.4, 0.87 and 0.86, 25.4cm and 24.4cm, 20.2mm and 18.9mm, 37.2% & 35.4%, 142.2mmHg and 151.7 mmHg in the urban and rural respectively. As the age increasing, most of the anthropometric indices are decreased while systolic blood pressure are increased in both gender. The proportion of the subject with normal hearing were 73.1% in the urban, 61.4% in the rural and 61.8% in the male, 73.1% in the female. Hearing and tooth status became deteriorated as increasing the age and the more elderly felt themselves unhealthy as increasing the age. Aerobic(25.7%) and walking/jogging(18.4%) in the urban, walking/jogging (22.1%) and climbing(3.5％) in the rural were the preferred exercise in the elderly. Frequency of health promoting substance intake were very low and not significantly different between the urban & the rural, and the male and the female elderly. Neuralgia, diabetes, indigestion and cerebral stroke showed relatively higher morbidity in the elderly. Neuralgia was significantly higher in the female(23.3%) than in the male(13.1%). Diabetes was significantly higher in the female(22.4%) and the urban(21.9%) elderly than in the male(16.1%) and the rural(13.5%) elderly respectively. In conclusion, as the age increasing the height and weight of the elderly decreased significantly and BMI, WHR and body fat toned to decrease. Hearing and tooth status deteriorated significantly as the age increasing, especially in female elderly.

• Journal of the Korean Institute of Rural Architecture
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• v.11 no.2
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• pp.37-44
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• 2009

The purpose of this study is to clarify the characteristics of daily living and the location of welfare facilities for the aged in the local city. The thorough investigation and observation works were made to them from the view points of daily living behaviors and behavioral places of the recuperating elderly and location of welfare facilities. This article discusses about the actual condition of the daily living activities of 252 elderly in 4 facilities. The results of this study are summarized as follows; We must actively prepare for the advanced age society to the increase of the elderly man population. The elderly man welfare facilities expansion needs the range who do not escape from existing a life area of the aged. The city of Sa-cheon the elderly man welfare facilities have got on favorable terms ready in the locational environment. But an facilities in the west area need to preparable emergency happen that facility construction. The usage of behavioral places in recuperating facilities are influenced by the physical environments and the basic characteristics of the elderly.

• Korean Journal of Community Nutrition
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• v.18 no.3
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• pp.223-232
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• 2013

The purpose of the study was to investigate the influence of salt (NaCl) recognition threshold and pleasant salt concentrations of Korean rural elderly subjects on preference of salty food as well as food group consumption patterns. The subjects were 213 elderly people (male 71 and female 142) over 65 and under 90 yr of age from Sunchang area. The higher values were found with male subjects in the areas of basic taste recognition threshold and pleasant concentration level of salt. The taste sensitivity scores of male subjects did not decrease with the increasing age, but female subjects exhibited a significant decrease with the age. The major determinant factor of salt preference of the elderly subjects in this study appeared to be personal pleasant concentration of salt rather than salt recognition threshold level and this trend was more evident in males than in females. The subject group of lower salt pleasant concentration i.e. consuming less salt showed the higher number of fruit and fruit juice intakes per week, and higher MNA (define this) scores were implying that they display more desirable nutritional status. Therefore, nutritional education focused on not only a variety of food consumption but also lowering pleasant salt concentration levels is advised to improve the quality of nutrition in the elderly.