• Journal of agricultural medicine and community health
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• v.48 no.2
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• pp.81-90
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• 2023

Objectives: This study analyzed the decline in quality of life according to age in the chronic disease patient group, quantified it as a quantitative index, and compared it by sex and chronic disease. Methods: In the 2017-2019 Korea National Health and Nutrition Examination Survey database, 11,473 adults aged 19 years or older, excluding cancer patients, were analyzed for age-specific changes in the EQ-5D Index by chronic disease. The decline in quality of life according to age in patients with chronic diseases was analyzed by linear regression analysis while controlling for general characteristics. Then, linear regression analysis was performed according to sex. Results: In the case of the control group, the quality of life decreased by 0.0004 for every 1-year increase in age(P<0.001). By chronic disease, asthma(β=0.0019, P<0.001), arthritis(β=0.0017, P=0.002), thyroid dis- ease(β=0.0016, P=0.015), dyslipidemia(β=0.0011, P=0.020), and hypertension(β=0.0009, P=0.027) mostly showed a greater decrease in quality of life than the control group. In addition, when divided into two groups by sex, hypertension(β=0.0012, P=0.029), thyroid disease(β=0.0041, P=0.038), and arthritis(β=0.0022, P<0.001) showed a significant decrease in quality of life only in male. Diabetes(β=0.0056, P=0.038), dyslipi- demia(β=0.0022, P=0.001) significantly decreased quality of life only in female. Conclusions: Chronic disease had a negative impact on patients perception of quality of life, and the more severe the pain and activity limitation due to the chronic disease, the more severe it was. It also showed different patterns according to sex. Therefore, it is necessary to allocate more medical resources and provide policy support to prevent chronic diseases, which are serious social problems.

• 한국체육학회지인문사회과학편
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• v.54 no.5
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• pp.769-780
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• 2015

This study investigated the changes in inflammatory mediators, immunocompetent cells and bone merrow progenitor cells by the magnitude of muscle damage and type of the muscle contraction in the elderly. Twenty older adults who had not been involved in a resistance-training program at least 6 months prior to the present study were assigned to eccentric exercise group (ECC, n=10) and concentric exercise group (CON, n=10). All subjects performed 10 sets of 6 maximal isokinetic eccentric (ECC 1) or concentric (CON) contractions with the non-dominant arm in a randomized, with 4 wk between bouts (ECC 2). Skeletal muscle damage index (ROM, VAS, Plasma CK), inflammation mediators (TNF-α, IL-1, IL-6), immunocomperent cells (CD3+, CD4+, CD8+, CD19+), bone merrow progenitor cell (CD34+) and leukocytes were measured before, immediately after, 2, 24, 48, 72, and 96 h after exercise. Changes in ROM and VAS were greater (P<.05) after ECC 1 than CON and ECC 2. Increases in TNF-α and IL-6 were greater (P<.05) 24, 48 and 72 h after ECC 1 than CON and ECC 2. Increases in neutrophils were greater (P<.05) 2 h after ECC 1 than CON and ECC 2. It was confirmed that muscle damage was greater following eccentric than concentric contractions as well as first bout than second bout in the elderly, and suggested that TNF-α, IL-6 and neutrophils should closely correlate with magnitude of muscle damage.

• 한국노년학
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• v.30 no.3
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• pp.993-1003
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• 2010

his study was to investigate effects of improvement of balance abilities through 8-weeks Transcutaneous Electrical Nerve Stimulation (TENS) and balance training in the women elderly. 42 women elders who were participated in silver college. Randomized study design of two groups was used: TENS group (21 women, 84.53 years old) and balance training group(21 women, 79.93 years old). Each group had a application of TENS, balance training by a researcher three times per week for 8 weeks. Measurements of static postural sway velocity on the floor and foam, timed get up and go test (TUG), functional reach test (FRT), and lateral functional reach test (LFRT) were evaluated at initial presentation (pretest) and after completion of the each intervention program (posttest). The results showed that the TUG was significantly decreased in all groups (p<.05) and the postural sway velocity using force plate in all conditions was significantly decreased in all groups (p<.05). FRT and LFRT were significantly increased in all groups (p<.05). There were significantly differences in TUG and postural sway velocity on the eye closed condition between two groups (p<.05). In conclusion, the application of TENS to older adults whose somatosensory were deteriorated was effective for improvement balance ability.

• 한국노년학
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• v.30 no.4
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• pp.1263-1280
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• 2010

The present study describes the acculturation meaning of 12 Chinese-Chosun residential care attendants(RCAs) who are currently working in long-term care settings for Korean older adults. Using a qualitative research method, the findings show that the acculturation process of Chinese-Chosun RCAs consists of three stages: entrance, conflict, and adaptation. In the initial stage, the assets of the social and cultural networks among their friends and relatives, who already settled down or employed as RCAs, provided more opportunities for being employed as a RCA. However, most Chinese-Chosun RCAs experienced a number of conflicts while they adapted to mainstream society and perform caregiving tasks. They perceived discrimination, heavy workload, prejudice, and homesick. Nevertheless, they appeared to adapt effectively to Korean society and working environments because they were aware of the various benefits of working as a RCA such as higher wage and more job openings compared to other jobs, a rapport with the patients and patients' families, flexible work hours, and pride as a caregiver. This type of qualitative groundwork will be an important precursor to the design, implementation, and evaluation of acculturation research for minority immigrant workers in the Korean social welfare system.

• 한국노년학
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• v.29 no.4
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• pp.1645-1663
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• 2009

The purpose of the study is to analyze the mediating effects of self-image on the relationship between experience of discrimination and self-esteem among the elderly in Korea. Furthermore, it is to explore whether these effects are moderated by social and economic activity participation. Data were collected from a cross-sectional survey of 543 community-dwelling Korean older adults (age≥65) drawn from community and senior centers in the mid-size city in Korea. The statistical analysis was performed by a structural equation modeling using LISREL statistical program. The results are fourfold. First, experiences of discrimination exerted the negative effects on physical, dispositional, and competent self-images of the elderly. Second, dispositional and competent self-image brought down by discriminative experiences lowered the levels of self-esteem. Third, social activity participation moderated the negative effects of discrimination experiences on physical and dispositional self-images. It also moderated the effects of dispositional self-image on self-esteem. Fourth, economic activity participation did not show moderating effects on the relationship between experience of discrimination and self-images. Meanwhile, it moderated the effect of competent self-image on self-esteem. These results demonstrate that to improve self-esteem of the elderly population, social welfare policies should make effort to reduce discrimination toward the elderly. Furthermore, social welfare organizations should also try to implement diverse community based programs geared for enhancing social and economic activities for elderly. Limitations and directions for future research are also discussed.

• 한국노년학
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• v.29 no.1
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• pp.195-213
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• 2009

The purpose of this study is to analyse how consumption value affects the loyalty of green product through satisfaction and trust among elderly consumers. Data were collected from a cross-sectional survey of 314 older adults (age≥60) in the U. S., who bought and possessed a hybrid car, a representative green product. The statistical methodology is employed a structural equation model. The results demonstrated several important findings. First, perceived social value among elderly population had significant effects on green product satisfaction, while hedonic value did not. Second, both perceived functional value and environment friendly value had a significant positive effect on trust in green products. Third, satisfaction with green products also led to trust in green products. Finally, trust in green products showed their significant effects on loyalty in green product. These results provide practical implications to improve the trust and loyalty in green products among the elderly consumers. Furthermore, by deriving major components of consumption values in green products among the elderly, and analyzing the mechanism of satisfaction, trust, and loyalty, the study emphasizes relationship marketing in implementing "green" marketing strategies.

• 한국노년학
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• v.29 no.4
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• pp.1277-1293
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• 2009

This study examined the factors affecting the loneliness of elderly in urban-rural complex area in Busan including personnel factors, health factors, and social factors. To examine the factors affecting the loneliness, 138 older adults, who are 65 years and over, residing Ki Jang in Busan, were interviewed through trained researchers. This study's results include the following. First, the result indicated that means score of loneliness among respondents was 50.6(SD 4.2). Secondly the factors affecting on the loneliness of elderly in urban-rural complex area were life satisfaction of personnel factors, level of activity of daily living of health factors, and social support(emotional and instrumental support) and level of social activity of social factors. So perspective of service of elderly have to expend for diminution of emotional and interpersonal problems. And social welfare service is need to modify and amend for variety policies. This study suggest that further research need in order to reduce loneliness of elderly.

• 한국노년학
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• v.25 no.2
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• pp.245-266
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• 2005

This study examined the relationship between parent-child relationship experiences in childhood and adulthood, and individual development and psychological well-being in mid to later life using structural equation modeling with data from 1,882 parents who have at least one child over 18 years old. Findings indicated that receiving more affectionate parenting in childhood was associated with greater generativity development, more positive parental experiences with one's own children, and better psychological well-being in mid to later adulthood. In addition, the effects of received parenting in childhood on psychological well-being after midlife were partially mediated by parental experiences with adult children and generativity development. These findings suggest that early experiences with parents in childhood continuously influence psychological well-being in adulthood through their impact on concurrent family experiences. However, early influences can be redirected through adult experiences too. These findings have implications for the development of intervention programs aimed at promoting volunteer work for older adults, as well as for practitioners who work with families and individuals who are having problems.

• 한국노년학
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• v.27 no.2
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• pp.393-408
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• 2007

This study examines the impact of retirement on psychological well-being of the elderly and identifies whether associative factors of psychological well-being differ between retired and non-retired persons. Psychological well-being is measured by the PGCMS developed by Lawton. The sample includes 1,625 older adults aged 60 and over, which derived from the cross-sectional data of the "Aging and the Quality of Life of the Elderly in Korea: A Longitudinal Study" living in Seoul and Chuncheon in 2003. Multivariate OLS regression results show that retirement is not associated with psychological well-being after controlling socio-demographic characteristics, economic status, health status, family and social relations, participation in social activities, and satisfaction with hobbies and learning needs. Also, associative factors of psychological well-being differ between retired and non-retired persons. For retired persons, greater social activities and higher satisfaction with hobbies are associated with the higher level of psychological well-being whereas higher satisfaction with learning needs has a positive relationship with the higher level of psychological well-being for non-retired persons. Discussion and implications of the findings are presented, and limitations of this study are acknowledged.

• The Journal of the Korea Contents Association
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• v.22 no.8
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• pp.347-357
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• 2022

This study was attempted to identify the health-related quality of life of Chronic Obstructive Pulmonary Disease (COPD) patients and factors influencing the quality of life, focusing on Health-related quality of life with 8 items (HINT-8). The subjects of this study were 451 adults aged 40 years or older who performed lung function tests and whose ratio is less than 0.7 by measuring forced respiratory volume in 1 second [FEV₁] to forced vital capacity in the 2019 National Health and Nutrition Examination Survey, It was analyzed using SAS program. As a result, both the HINT-8 index and EuroQol five-dimensions 3-level version (EQ-5D-3L) index were appropriate as tools to measure the health-related quality of life in COPD patients, and the factors affecting the health-related quality of life were age, gender, income, and smoking status, comorbidities, stress, and subjective health status. Therefore, in order to improve the health-related quality of life of COPD patients, an individualized management program suitable for the characteristics of subjects such as the low-income class and the elderly, including smoking cessation education and stress management, should be developed and applied.