The purpose of this study was to analyze characteristics related to the activity of Daily Living (ADL) and dementia among the elderly people who have Medicaid. The cross-sectional descriptive survey study was a nationwide randomization sampling among the population of elderly families who have Medicaid. The data were collected during the month of October, 1999 and total sample was 1,027 elderly people. There were major findings according to the studies. In the results of the ADL assessment most of elderly people were within the 24 to 45 point range. Also, 63.3% of elderly people who made 45 points do not need help when performing daily activities according to the 15 areas of activity components, and 4.9% of these people couldn't do their daily activities. The results of the Dementia assessment were 70.6% of elderly people were in the normal range, 21.7% have a mild case, and 2.8% have severe case of dementia. These were found by using instruments for mental states, which simplified to items of detection of early dementia. In the result of these tests, there was a significantly positive correlation between ADL and degree of dementia with the pearson correlation coefficients. As a result of these studies, the author recommend to strengthen function and organization of public health like a visiting nurse center for elderly people who are over 65 years old. In addition, the government should apply early detection and management system for dementia in the community continuously and cost-effectively, especially for elderly people who live alone and are vulnerable elderly as our priority.
The objectives of this study were to classify the types of elderly households and to compare the characteristics of their dietary lifestyle. Panel data surveyed by Korea Rural Economic Institute (KREI) for Food Purchase Attitudes over three years (2019 - 2021) were utilized for the analysis. Through a factor analysis, five common factors were extracted out of 19 basic variables related to dietary style, which indicate two kinds of consumer competency index (safe diet, traditional diet) and three kinds of purchase frequency (healthy food, meat & fish, fresh seafood). Applying the cluster analysis method, by using socioeconomic variables along the five common factors, elderly households aged 60 or older were grouped into four types. As a result, Type 1 elderly households accounted for 50.8%, Type 2 for 16.2%, Type 3 for 27.8%, and Type 4 for 5.2% out of all 870 elderly households. Type 1 is characterized as a low-income vulnerable class with a poor diet, Type 2 as a middle-income class with a healthy food-oriented diet, whereas Type 3 was classified as a middle-income class with a meat-oriented diet, and Type 4 as a high-income class with diverse dietary culture. It is necessary to expand the agri-food voucher pilot project to the entire country and also increase the monthly subsidy for the Type 1 elderly households. Implementing community kitchen projects for elderly single-person households, promoting senior internships by providing incentives to companies that employ retirees, the provision of education by local governments on a safe and balanced diet for Types 2 and 3, and the promotion of an elderly-friendly social environment are also recommended.
Working towards the compression of morbidity, we attempted to find the way to contribute to desirable aging and/or healthy old age. By looking into the factors affecting nutrient intake in middle-aged adults, we sought to find ways to improve their health status, Two hundred and fifty middle-aged adults from 40 to 60 years of age residing in Seoul and its vicinity were recruited for the survey. Subjects were interviewed for general characteristics, dietary habits lifestyle, status and food intake by a trained interviewer. Two -day food record was included in addition to the 1 -day 24 hr recall. Date were analyzed for the relationship among nutrient intake, health status, socio-economic status dietary habits and lifestyle using a statistical program (SAS) Although the mean energy intake of the subjects did not reach the recommenced dietary allowances(RDA), mean protein intake was well above the RAD for both sex groups(111.2% and 129.1% for men and women, respectively) The caloric contribution of fat was 15 to 20 % of total energy intake among different groups. Riboflavin was the most deficient nutrient and its mean intake reached only 71.0% of RDA for mean This seemed to be due to the lower intake of milk and dairy products among middle-aged Koreans who are more accustomed to traditional meals. Income and exercise habit were the most important factors influencing the nutrient intake of middle-age adults. Also, BMI, smoking habit, level of education regularity of meal, and hours of sleeping influenced the nutrient intake, In conclusion, middle-age adults appeared to have similar problems with the elderly in terms of nutrient intake and this age group should to included when considering nutritionally vulnerable groups in addition to the elderly and young children. The improvement in the nutrition status of middle-age adults is even more important because that could lead into the better health the elderly.
Kim, Do-Woo;Chung, Jea-Hak;Lee, Jong-Seol;Lee, Ji-Sun
Atmosphere
/
v.24
no.2
/
pp.225-234
/
2014
Analysis of the cause of death (Statistics Korea) showed that heat wave caused 442 deaths (21 per a year) from 1991 to 2011 in Korea. The number of summer heat-related deaths (heat disorders) increased exponentially as heat wave prolonged. In 1994 when the extreme heat wave prevailed, there were 92 heat-related deaths. Seasonally, heat-related deaths occurred most frequently in early August when air temperature is highest for a year, but it is frequent as well in late July when air temperature increases rapidly after withdrawal of Changma. The frequency of deaths by age has begun to increase from 40s and more than half of total deaths were occurred in the elderly (${\geq}60$). Except retired elderly, the most vulnerable group (job and age) was the elderly agricultural workers and the next was the jobless people in 40 s~50 s, assumed as homeless people. The most vulnerable regions were Hapcheon-gun, Uiryong-gun, and Sanchen-gun, which are inland rural area in Gyeongsang-do where the heat wave occurs most frequently in Korea. The heat-related death rate increased rapidly when air temperature exceeded $33^{\circ}C$ in both of the urban and rural area. Interestingly, the heat-related death were observed in the relatively lower temperature in the cities ($29^{\circ}C$), as compare to the rural area ($31^{\circ}C$).
Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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v.37
no.5
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pp.303-313
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2019
After a disaster happens in urban areas, many people need support for a quick evacuation. This work aims to develop a method for the calculation of the most feasible evacuation route inside buildings. In the methodology we simplify the geometry of the structural and non structural elements from the BIM (Building Information Modeling) to store them in a spatial database which follows standards to support vector data. Then, we apply the multicriteria analysis with the allocation of prioritization values and weight factors validated through the AHP (Analytic Hierarchy Process), in order to obtain the Importance Index S(n) of the elements. The criteria consider security conditions and distribution of the building's facilities. The S(n) is included as additional heuristic data for the calculation of the evacuation route through an algorithm developed as a variant of the $A^*$ pathfinding, The experimental results in the simulation of evacuation scenarios for vulnerable people in healthy physical conditions and for the elderly group, shown that the conditions about the wide of routes, restricted areas, vulnerable elements, floor roughness and location of facilities in the building applied in the multicriteria analysis has a high influence on the processing of the developed variant of $A^*$ algorithm. The criteria modify the evacuation route, because they considers as the most feasible route, the safest instead of the shortest, for the simulation of evacuation scenarios for people in healthy physical conditions. Likewise, they consider the route with the location of facilities for the movement of the elderly like the most feasible in the simulation of evacuation route for the transit of the elderly group. These results are important for the assessment of the decision makers to select between the shortest or safest route like the feasible for search and rescue activities.
This research examines the effect of area level characteristics on individual health, particularly focusing on the vulnerable populations in Seoul. We consider adult individuals whose family income is under 1.5 million won, who are aged 65 and over, or who have neither spouse nor job but aged 40 and over as vulnerable populations. Using the 2005 Seoul Citizens' Health Interview Survey, we conducted multilevel analyses to simultaneously investigate the effect of area and individual level characteristics on health. Between-area variance of self-rated health status was greater for the elderly population than for all populations. Area material deprivation index and happiness index were associated with the self-rated health of economically disadvantaged populations. Vulnerable populations showed greater between-area variances in emotional health than the same for all populations. Area happiness index, material deprivation index, the proportion of households below poverty line and street safety showed statistically significant association with emotional health. The effect of area characteristics were particularly salient for the emotional health of elderly population and its between area variance was also notable.
The Journal of The Korea Institute of Intelligent Transport Systems
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v.15
no.5
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pp.1-11
/
2016
The purpose of this study is to contribute the use of special taxi for the transportation vulnerable such as elderly and pregnant woman in terms of improving transportation mobility and extending social participation. We analyzed the DB users of STS system operating in Suwon, and surveyed the preference statement. Specifically, we have built transportation mode choice models for the elderly and pregnant woman, and then we drew the activating STS plan by comparing influence factors for each model. Based on the results of the study, 23% of STS user was the elderly people and pregnant women, 31% of user was for hospital passage purpose, and short-haul passage within 2 ~ 5km was 70% level of the passage. According to preference survey results between STS and Bus, fare was the highest impact factor in the mode choices for the elderly, and the participants who are older and car owners have been found to prefer the special taxi. For the pregnant woman, travel time and fare were the main influence factors of choices, and it was discovered that they preferred the special taxi when they are car owners and trips was frequented. Also, if the fare of special taxi is about 70% of the regular taxi fare, The share rates of Special Taxi comparing to bus for the elderly and pregnant woman are analyzed to be 51.1% and 63.6% each. Therefore, the adjustment of the fare would be effective to encourage the use of the special taxi. The results of this study can be used as a basis for establishing the rational fare structure of the special taxi.
The purpose of this study is to present a legal improvement plan for health protection of the health-vulnerable class in our society in the 'COVID-19'. The contents of the first study examined the meaning of the existing (social) vulnerable class, and then critically considered the health-vulnerable class as an expanded concept in connection with the social risk of health. The term "vulnerable class" tends to have both meaning as the traditionally marginalized class such as the elderly, the disabled, and women, as well as the condition of having no ability to live due to low income, such as the low-income class. The concept of the health-vulnerable class is meaningful in that it appears as a recently expanded concept as it is linked to the concept of the vulnerable class and social risks such as health threats. The content of the second study looked at the problems that appeared when the health-vulnerable class was used together with the health care-vulnerable class in laws. Due to the laws used in both terms, there was a problem that the social security system related to health and health care could create blind spots. The contents of the third study suggested legal improvement directions for social security measures for health for the underprivileged.
Recently, the elderly who actively use the Internet and digital devices are increasing. This study aims to investigate the effect of the willingness to use technology, digital alienation and experience of assistant who help technology use on life satisfactions of elderly consumers who are considered to be the vulnerable in the use of information technology. A total of 311 elderly consumers over 60 who can utilize information technology were selected as a research sample and data were collected through an online survey. As a result, it was found that elderly consumers have a strong will to utilize information technology independently, perceive a low sense of digital alienation, and receive help from others when using technology. In addition, the lower the perceived digital alienation, the greater the experience of help from others in the use of technology, the higher the elderly consumers' life satisfaction significantly increased. This study is valuable in that it reveals the factors affecting the improvement of life satisfaction of elderly consumers in the high-tech environment and suggests political and practical implications.
The intelligent information society is expected to drastically change our lives. The purpose of this content is to derive tasks in the field of media education for the elderly for the realization of digital inclusion in an intelligent information society. To this end, the vision, goals, strategies, and tasks of the intelligent information society were examined through the 6th National Informatization Basic Plan(2018~2022) and the 2022 Education Informatization White Paper(2022). In addition, the current status of the digital gap among the elderly classified as vulnerable groups was identified through the results of the 2022 Digital Information Gap Survey. In order to ease the digital information gap between the elderly in the intelligent information society, it is believed that the development of intelligent media education services using intelligent information technology, provision of media education services for the elderly through learning online service channels, and support for digital intelligent media education for the elderly are necessary.
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