• 제목/요약/키워드: older population

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Multilevel Analysis of Factors Associated with Perceived Good Health and Multimorbidity among Older Adults: Using the 2017 Community Health Survey

  • Boo, Sunjoo;Han, Young Ran;Choi, Hye Young
    • 지역사회간호학회지
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    • 제31권spc호
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    • pp.549-562
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    • 2020
  • Purpose: This study aimed to identify individual- and regional-level factors associated with perceived good health and multimorbidity among older adults. Methods: Secondary analysis of the 2017 Korea Community Health Survey was conducted on a sample of 67,532 older adults. The individual level data set was combined with regional-level factors from the administrative data released on the Korea National Statistical Office website. Distribution of perceived good health and multimorbidity in 254 public health centers were calculated using sampling weights and presented as percentages. Multilevel logistic regression analyses were used to identify individual- and regional-level factors associated with perceived good health and multimorbidity. Results: Overall, 21.1% of subjects perceived their health to be good, ranging from 9.3% to 39.4% by region. The prevalence of multimorbidity was 15.9%, and varied between 6.6% and 22.6% by region. At the individual level, perceived good health was associated with men, younger age, higher educational levels, higher income levels, and those married and living with a partner and maintaining a healthy lifestyle. At the regional level, higher rates of health center personnel among public officials and higher levels of financial independence were associated with perceived good health. Multimorbidity was associated with marital status and healthy lifestyle, and higher rates of health center personnel among public officials. Conclusion: Regional factors such as health care personnel and local economy could affect population health. Our findings suggest the need to consider individual- and regional-level factors to promote good health among older adults and reduce the health gap by region.

주민등록 0세-6세 인구의 역 추정과 기존 인구통계와의 출생아수 비교 (The re-projections under 7 age on Korean registered population and a comparison with the reported population statistical data)

  • 김종태
    • Journal of the Korean Data and Information Science Society
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    • 제20권6호
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    • pp.1145-1153
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    • 2009
  • 1998년부터 집계된 연령별 주민등록인구통계의 오류는 0세 혹은 출생아가 연령상승에 따라 인구수가 점점 늘어나서 6세 혹은 7세가 되는 해에 인구가 최대가 되고, 6세 혹은 7세 이후로부터 인구가 점차 감소하는 현상이 나타난다는 것이다. 본 연구는 장래의 인구추론에 가장 많은 영향을 미치는 0세-6세의 각 연령별 주민등록인구에서 미래에 1세-7세가 되는 인구를 예측하고, 최대치를 기준으로 0세-6세 인구를 '완전생명표'를 이용하여 0세-6세의 역순으로 역 추정 한다. 결론적으로 0세-6세까지의 제시된 역 추정 인구수는 기존의 인구통계데이터들 보다도 신뢰할 수 있다.

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공간자기상관을 활용한 농촌지역 인구 고령화의 공간적 확산 분석 (An Analysis on the Spatial Spillover Patterns of Aging Population in Rural Areas)

  • 여창환;서윤희
    • 한국지리정보학회지
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    • 제17권3호
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    • pp.39-53
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    • 2014
  • 우리나라의 인구 고령화 현상은 매우 빠르게 진행되고 있으며 농촌지역의 인구 고령화가 도시지역보다 더욱 빠르게 진행되고 있다. 그러나 지금까지 인구 고령화에 관련한 정책이나 연구들은 농촌지역보다 주로 도시지역에 초점을 두고 있다. 이에 본 연구에서는 농촌지역의 고령화 문제에 대한 심각성을 일깨우고, 나아가 지역 맞춤형 인구 고령화 정책을 수립하기 위한 기초정보를 제공한다. 이를 위해 농촌지역의 인구 고령화 수준을 미시적으로 제시하고 인구 고령화 현상의 공간적 확산 패턴을 분석하였다. 분석 결과 첫째, 읍면 단위의 농촌지역에 따라 인구 고령화 수준과 공간적 확산 패턴이 각각 다르게 분석되었다. 둘째, 고령화의 시공간적 확산 측면에서 인구 고령화 지수가 높으면서 공간적으로 집중되어 있는 지역(High-High, hot spot 지역)과 지수가 낮으면서 집중되어 있는 지역(Low-Low, cold spot 지역)은 뚜렷하게 구분되었다. 이상의 분석결과를 통해, 본 연구는 지역 맞춤형 인구 고령화 정책, 특히 농촌지역의 인구 고령화 정책을 수립하는데 기여하고자 한다.

Models of Care for Frail Older Adults

  • Ersek, Mary;Byun, Eee-Seung
    • Journal of Hospice and Palliative Care
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    • 제14권2호
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    • pp.71-80
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    • 2011
  • The growth of the aging population in Korea will challenge health and social services. As Korean society changes, the U.S. models of end-of-life care and geriatric care for frail older adults may have increasing relevance for the Korean healthcare system. This article reviews three U.S. models of care for frail older adults: hospice and palliative care, the Program for All-Inclusive Care for the Elderly (PACE), and the transitional care model. We describe the strengths and limitations of each model and discuss ways in which these models could be adapted for the Korean healthcare system.

Gender Differences in Hypertension Control Among Older Korean Adults: Korean Social Life, Health, and Aging Project

  • Chu, Sang Hui;Baek, Ji Won;Kim, Eun Sook;Stefani, Katherine M.;Lee, Won Joon;Park, Yeong-Ran;Youm, Yoosik;Kim, Hyeon Chang
    • Journal of Preventive Medicine and Public Health
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    • 제48권1호
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    • pp.38-47
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    • 2015
  • Objectives: Controlling blood pressure is a key step in reducing cardiovascular mortality in older adults. Gender differences in patients' attitudes after disease diagnosis and their management of the disease have been identified. However, it is unclear whether gender differences exist in hypertension management among older adults. We hypothesized that gender differences would exist among factors associated with hypertension diagnosis and control among community-dwelling, older adults. Methods: This cross-sectional study analyzed data from 653 Koreans aged ${\geq}60years$ who participated in the Korean Social Life, Health, and Aging Project. Multiple logistic regression was used to compare several variables between undiagnosed and diagnosed hypertension, and between uncontrolled and controlled hypertension. Results: Diabetes was more prevalent in men and women who had uncontrolled hypertension than those with controlled hypertension or undiagnosed hypertension. High body mass index was significantly associated with uncontrolled hypertension only in men. Multiple logistic regression analysis indicated that in women, awareness of one's blood pressure level (odds ratio [OR], 2.86; p=0.003) and the number of blood pressure checkups over the previous year (OR, 1.06; p=0.011) might influence the likelihood of being diagnosed with hypertension. More highly educated women were more likely to have controlled hypertension than non-educated women (OR, 5.23; p=0.013). Conclusions: This study suggests that gender differences exist among factors associated with hypertension diagnosis and control in the study population of community-dwelling, older adults. Education-based health promotion strategies for hypertension control might be more effective in elderly women than in elderly men. Gender-specific approaches may be required to effectively control hypertension among older adults.

노인층을 포함한 성인들의 인터넷 이용실태 조사 및 고령화 사회의인터넷 사용자를 위한 효과적 대안 (A Study on the Adult Internet Usage and an Effective Alternative for the Elderly Internet Users in the Aging Society)

  • 곽지선;박민용
    • 대한인간공학회지
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    • 제25권4호
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    • pp.121-128
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    • 2006
  • Although population of the elderly is increasing rapidly, the older adults are the least users of the Internet in Korea. Prior research suggests that older adults are physically and psychologically disadvantaged when using the Internet. With the existence of the digital divide over different age groups, the objectives of this study were to identify the current status of Internet usage of Korean adults and to suggest some alternatives for solving digital divide on Internet usage. A total of 654 Korean adults, including the elderly, participated in both on-line and off-line (on-site interview) surveys using structured questionnaires. The results of statistical analyses indicated that the gap between the percentages of Internet users in younger and older groups was significantly wide, though many older adults had strong interests of Internet. To reduce this gap on digital divide, with an appropriate help from family and government, several characteristics of the elderly should be considered in designing some age-related web sites. Some effective alternatives suggested in this study may be used as basic data for universal design of Internet-oriented software.

노인의 기후변화 불안감이 생활만족도에 미치는 영향과 주관적 건강의 매개효과 (Effect of Anxiety about Climate Change on Life Satisfaction and Mediating Effect of Subjective Health Status)

  • 이성은
    • 한국환경보건학회지
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    • 제45권3호
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    • pp.267-272
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    • 2019
  • Objectives: The purpose of this study was to examine effect of anxiety about climate change on life satisfaction and mediating effect of subjective health status between anxiety about climate change and life satisfaction among older persons. Methods: This study used data from Statistics Korea 2018 Social Survey and a total of 7,870 older persons aged 65 and over were selected for the analyses. Descriptive statistics was used to identify characteristics of study participants and correlation analysis was used to examine the associations among anxiety about climate change, subjective health status, and life satisfaction. Also, multiple regression analyses were performed to examine effect of anxiety about climate change on life satisfaction and mediating effect of subjective health status between anxiety about climate change and life satisfaction. Results: Study findings show that anxiety about climate change had significant effect on life satisfaction. A higher level of anxiety decreased the level of life satisfaction of the elderly. A higher level of anxiety about climate change also decreased the level of subjective health status. In addition, the effect of anxiety about climate change on life satisfaction was partially mediated by subjective health status. Conclusions: Findings of the study suggest that the needs of older population should be considered in designing policy and interventions on climate change.

New Directions in Communicating Better Nutrition to Older Adults

  • Guldan, Georgia-Sue;Wendy Wai-Hing Hui
    • Journal of Community Nutrition
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    • 제2권1호
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    • pp.62-70
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    • 2000
  • Nutrition education should be an important component of ongoing health promotion for older adults and their caregivers. This is because prevention through sound nutrition and food hygiene practices and regular excercise is the most cost-effective way to reduce risks for and deal with their major health problems. nutritions education services should effectively promote optimum intake and successful self-care. Unfortunately, however relative to other vulnerable groups, nutrition education for older adults has not been systematically developed or evaluated. Usually oder adults care a lot about their health, so this should be a relatively easy group to teach - but their increasing numbers, longevity and great diversity with respect to health, physical, and economic status and educational level present challenges. Some older adults may not perceive they would benefit from nutrition education, so interesting and motivating them is a challenge. The food and nutrition knowledge of older people has been acquired through a lifetime of experience. For most older adults in the Asian region, their sources are restricted by their restricted education, so that their major sources of information have been informal sources, such as television, radio, friends, family, and perhaps newspapers and magazines if they are literature. Nonetheless, dietary advice for older people should build on their existing knowledge and ingrained values. It should provide information useful in daily food selection, and focus on food, not nutrients - the same foods and groups considered appropriate for younger people, with consistent messages as given throughout the population. Attention must also be paid to discovering learning styles in older people. When we teach in schools, the young students are a captive audience resigned to their learning role. Learning by an older adult, however, reflects an effort to meet his or her perceived needs. Therefore, nutrition education should be a positive experience in a non-threatening environment, relaxed and non-competitive, and perhaps even social environment. The messages also need to be practical and achievable. A needs assessment is essential, because our ability to provide the most effective nutrition education will depend on our success in matching the needs, both perceived and unperceived. of this vulnerable group. Therefore, go to the potential older learners to assess their interest and preferences. Nutrition education activities for older adults are widespread, but few have been evaluated. Evaluation is therefore also recommended, particularly when new methods are used. Tips from other countries for giving successful nutrition education will be given, including some examples of applications as attempted in Hong Kong. Research needs will also be described. In conclusion, successful nutrition education for older adults depends on positive needs-based messages. This is may be hard to do, as few good examples are available to illustrate these principles.

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The Impact of the Financial Crisis on Lifestyle Health Determinants Among Older Adults Living in the Mediterranean Region: The Multinational MEDIS Study (2005-2015)

  • Foscolou, Alexandra;Tyrovolas, Stefanos;Soulis, George;Mariolis, Anargiros;Piscopo, Suzanne;Valacchi, Giuseppe;Anastasiou, Foteini;Lionis, Christos;Zeimbekis, Akis;Tur, Josep-Antoni;Bountziouka, Vassiliki;Tyrovola, Dimitra;Gotsis, Efthimios;Metallinos, George;Matalas, Antonia-Leda;Polychronopoulos, Evangelos;Sidossis, Labros;Panagiotakos, Demosthenes B.
    • Journal of Preventive Medicine and Public Health
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    • 제50권1호
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    • pp.1-9
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    • 2017
  • Objectives: By the end of the 2000s, the economic situation in many European countries started to deteriorate, generating financial uncertainty, social insecurity and worse health status. The aim of the present study was to investigate how the recent financial crisis has affected the lifestyle health determinants and behaviours of older adults living in the Mediterranean islands. Methods: From 2005 to 2015, a population-based, multi-stage convenience sampling method was used to voluntarily enrol 2749 older adults (50% men) from 20 Mediterranean islands and the rural area of the Mani peninsula. Lifestyle status was evaluated as the cumulative score of four components (range, 0 to 6), that is, smoking habits, diet quality (MedDietScore), depression status (Geriatric Depression Scale) and physical activity. Results: Older Mediterranean people enrolled in the study from 2009 onwards showed social isolation and increased smoking, were more prone to depressive symptoms, and adopted less healthy dietary habits, as compared to their counterparts participating earlier in the study (p<0.05), irrespective of age, gender, several clinical characteristics, or socioeconomic status of the participants (an almost 50% adjusted increase in the lifestyle score from before 2009 to after 2009, p<0.001). Conclusions: A shift towards less healthy behaviours was noticeable after the economic crisis had commenced. Public health interventions should focus on older adults, particularly of lower socioeconomic levels, in order to effectively reduce the burden of cardiometabolic disease at the population level.

노인의 일상생활수행능력이 우울감에 미치는 영향에 대한 지역사회 재가노인복지시설의 조절효과 (The Moderating Effect of Home-Based Welfare Facilities for Older Adults between ADL/IADL and Depressive Symptoms among Korean in Later Life)

  • 주수산나;전혜정;최봄이
    • 한국노년학
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    • 제38권1호
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    • pp.243-259
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    • 2018
  • 본 연구는 노인의 일상생활수행능력(ADL)과 도구적 일상생활수행능력(IADL)이 우울감에 미치는 영향에 대한 지역사회 재가노인복지시설의 조절효과를 탐색하는 데에 그 목적이 있다. 이를 위해 고령화연구패널 5차(2014년)자료와 지역사회 재가노인복지시설 수에 대한 보건복지부 현황 자료(2014년)를 결합하여 다층분석을 실시하였다. 연구대상은 65세 이상 노인 4,139명이다. 종속변수는 우울감이며, 개인수준 독립변수는 ADL과 IADL이다. 지역수준의 조절변수는 시 도의 노인인구 1만 명당 재가노인복지시설의 수(재가노인복지시시설 비율)이다. 연구결과, ADL이 우울에 미치는 영향은 재가노인복지시설의 비율에 따라서 달라진다. 즉, 노인인구 1만 명당 재가노인복지시설의 수가 많은 지역에 거주하는 노인일수록 ADL이 우울에 미치는 영향력이 작은 것으로 나타났다. IADL에 관해서는 제한 수준이 높을수록 노인이 더 우울해지는 경향이 있었으나 IADL과 재가노인복지시설 비율의 상호작용 효과는 발견되지 않았다. 본 연구결과는 일상생활수행과 관련된 개입 서비스를 지역사회 재가노인복지시설을 통해 전달하는 것이 노인의 우울감 완화에 효과적일 수 있음을 시사한다. 특히 재가노인복지시설이 지역사회 노인 수요에 맞추어 충분히 제공될 때 복지제도의 효율성이 높아질 수 있음을 뒷받침한다.