• Journal of the Korea Convergence Society
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• v.9 no.12
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• pp.313-319
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• 2018

The purpose of this study was to investigate the relationship between physical activity, diet and mental health of elderly and to use the study as basic data for a program development for elderly. This was a secondary data analysis study using the 2015 National Health and Nutrition Survey and the study subjects included 1,484 individuals aged 65 and over. The results showed that depression and stress perception in young-old were higher than old-old's and the suicidal ideation rate of old-old was higher than young-old's. In case of eating patterns, 'poor eating' in old-old was higher than young old's. Regression analysis showed that middle-intensity physical activity and eating patterns were associated with mental health of the elderly. Based on the results, it is necessary to develop a differentiated nursing intervention program suitable for the elderly by age.

• Korean Journal of Clinical Pharmacy
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• v.33 no.1
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• pp.62-69
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• 2023

Objective: Adherence is an important component in the treatment of various diseases, and poor adherence to antidepressants in patients with major depressive disorder is common. Non-adherence can be more prevalent in elderly patients with multiple morbidity and polypharmacy, resulting in negative treatment outcomes. The purpose of this study was to analyze adherence to antidepressants in Korean elderly patients with major depressive disorder. Method: A retrospective study was conducted using the Korean National Health Insurance claims database, and the subjects of this study were patients aged 65 or older who received at least one prescription of antidepressant monotherapy for the treatment of major depressive disorder between January 1, 2020 and June 30, 2020. Adherence was measured using the proportion of days covered at 6 months after the initial antidepressant prescription date. Logistic regression analysis was used to identify factors associated with adherence. Results: A total of 416,766 patients were finally included in the study. Over half of patients were non-adherent (52.67%) to antidepressants. According to the multivariate logistic regression analysis, national health insurance or medical aid, taking selective serotonin reuptake inhibitors or selective norepinephrine reuptake inhibitors, and having comorbidities were significantly associated with greater rates of adherence in the study subjects. The highest adherence rate was observed in patients taking vortioxetine. Conclusion: There was a considerable rate of non-adherence in Korean elderly patients with major depressive disorder. Health care professionals should try to improve adherence in elderly patients with major depressive disorder.

• Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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• v.7 no.11
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• pp.717-725
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• 2017

The purposes of this study are to find the difference in information literacy among the elderly home care service users and to identify the impact of information literacy on service quality and satisfaction among service users. To achieve the goals, this study used 466 responses from the elderly home care service recipients in Jeollabukdo providence, and conducted t-tests, ANOVA and a series of regression analyses. The results showed that there were significant differences in information literacy by gender, household type, residence area, education level and subjective health status among service users. The study also found that service users information literacy had a significant impact on service quality and satisfaction, and it confirms the importance of customized service. This study suggests that information literacy inequality exists among the elderly home care service users, therefore, the way to improve information delivery strategy should be developed for the information-poor elderly.

• Journal of Families and Better Life
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• v.19 no.4
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• pp.49-68
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• 2001

The purpose of this study was 1) to review communal housing in the UK, 2) to consider the policy implications for elderly communal housing in Korea. The research methods used were 1) literature review about communal housing and related policy in the UK 2) field survey in the UK 3) interpretative suggestion for the proper policy implication to develope communal housing for the elderly in Korea. Sheltered housing in the UK had been developed as communal housing for the elderly with special needs since the 1970s. The type of sheltered housing were category 1 and category 2. Very sheltered housing with more facilities and meal services was added in 1980s. Sheltered housing was evaluated as the most humanistic solution for older people in the UK in 1980s. Because of the policy of moving institutional care to community care, sheltered housing became less in demand because of more options for older people including being able to stay in their own home. So new completion of sheltered housing by registered social landlords reduced saliently. Sheltered housing already totalled over half million units in which 5% of all elderly over 65 still lived and a small quantity of private sector for sale schemes emerged in the 1990s. The reason why the residents moved to sheltered housing was for sociable, secure, and manageable living arrangements. In general the residents were satisfied with these characteristics but dissatisfied with the service charge and quality of meals, especially in category 2.5 schemes. The degree of utilisation of communal spaces and facilities depended on the wardens ability and enthusiasm. Evaluation of sheltered housing indicated several problems such as wardens duty as a \"good neighbour\" ; difficult-to-let problems with poor location or individual units of bedsittiing type with shared bathroom ; and the under use of communal spaces and facilities. Some ideas to solve these problems were suggested by researchers through expanding wardens duty as a professional, opening the scheme to the public, improving interior standards, and accepting non-elderly applicants who need support. Some researchers insisted continuing development of sheltered housing, but higher standards must be considered for the minority who want to live in communal living arrangement. Recently, enhanced sheltered housing with greater involvement of relatives and with tied up policy in registration and funding suggested as an alternative for residential care. In conclusion, the rights of choice for older people should be policy support for special needs housing. Elderly communal housing, especially a model similar to sheltered housing category 2 with at least 1 meal a day might be recommended for a Korean Model. For special needs housing development either for rent or for sale, participation of the public sector and long term and low interest financial support for the private sector must be developed in Korea. Providing a system for scheme managers to train and retrain must be encouraged. The professional ability of the scheme manager to plan and to deliver services might be the most important factor for the success of elderly communal housing projects in Korea. In addition the expansion of a public health care service, the development of leisure programs in Senior Citizens Centre, home helper both for the elderly in communal housing and the elderly in mainstream housing of the community as well. Providing of elderly communal housing through the modified general Construction Act rather than the present Elderly Welfare Act might be more helpful to encourage the access of general people in Korea. in Korea.

• 한국노년학
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• v.30 no.4
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• pp.1311-1327
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• 2010

This study was conducted to identify the relationship between depression and subjective/objective health status, and to examine predicting factors on depression in the elderly in Korea. This study was a secondary analysis using the data of Korea National Health and Nutrition Examination Survey(VI-1) 2007. A total of 939 data from the subjects ≥60 years who completed health-related survey were used for analysis. Data were analyzed using SAS (version 9.1) PC program. Depression was identified in the 20.3% of the older subjects. Multiple logistic regression analysis showed that women (OR=2.04), senior high school graduation (OR=0.27) and lowermiddle household income (OR=2.83) were significant associating factors(p<0.05). After adjustment for socio-demographic factors, hypertension (OR=1.93) and asthma (OR=3.32) as objective health status, and stress (OR=7.27), limited activity in daily living due to fracture or joint injury (OR=6.59) and poor self-rate health (OR=1.64) as subjective health status were found as factors predicting depression in the elderly(p<0.05). According to the type of health status, the subjects who had chronic disease or perceived poor physical health were 5.94 times more likely to have disposition to depression than the subjects who had no chronic disease or perceived good physical health (p=0.001). These findings suggest that preventive education and intervention focus on preventing and managing chronic diseases such as hypertension, asthma, fracture and joint injury should be needed to decrease depression in the elderly.

• 한국노년학
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• v.29 no.3
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• pp.789-803
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• 2009

We investigated the influences of positive thought about social capital on social participation of the elderly Koreans. The study design was cross-sectional analysis of the National Statistic Office Study of Korean Society Statistics Survey 2003. Participants were total of 8,586 representative samples. Two types of social participation were investigated: meeting attendance and volunteer obligations. The base model included five thoughts about social capital that must be settled as a priority in Korea, i.e., reducing the differences between the rich and the poor, reducing the crime rate, reducing regulations and corruption, improving the moral level, eliminating environmental pollution. Social participation was influenced by positive thoughts about social capital, and different kinds of thoughts had different influences on different types of social participation. The elderly who responded positively to 'reducing the differences between the rich and the poor' attended all two types of social participation more. Along with education and health status, positive thought about social capital is another important factor that influences increased social participation. It may also compensate for deteriorating health with increasing age by promoting social participation. Encouraging social participation is a good way to improve the health of the elderly, as are efforts to change thought about social capital positively.

• Korean Journal of Social Welfare
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• v.65 no.3
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• pp.183-206
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• 2013

Using Korean Labor and Income Panel Study (wave 1~11) database, this study analyzed the poverty duration of the poor as a whole and by households' characteristics. For this purpose, I first estimated poverty exit rates and reentry rates applying discrete-time hazard model to the sample, and then calculated poverty duration combining these two probability rates. The results show that about a half of poor households are transitory (short-term) poor with 1~2 years of poverty duration. A quarter is chronic (long-term) poor lasting for 5 or more years of poverty duration. The remained quarter can be categorized as the recurrent or mid-term poor. The socioeconomic characteristics of households greatly affect poverty duration. Long-term poverty is prevalent among female-head households, elderly households, single households, or households headed by a person with a lower level of education. If households' heads do not work, or work as temporary or daily-employed workers, the poverty duration tends to be longer. The findings suggest that the poor consist of various social classes with different characteristics. Efficient anti-poverty policy should be based on thoroughly identifying the specific characteristics and needs of each class.

• Journal of the Korean Association of Geographic Information Studies
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• v.26 no.4
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• pp.251-265
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• 2023

The purpose of this study is to deduce key indicators in evaluating the pedestrian environment for the elderly in Busan, which has entered an aging society, and to propose policy improvement measures. The key indicators were selected based on prior research and surveys, and the effectiveness of those indicators were measured through evaluations conducted on three places which have the highest proportion of the elderly population in Busan. The summaries of analysis are as follow. First, the three places are hillslide residential areas, and areas of activity that the elderly have were very narrow due to the restrictions on their movement caused by slope. Second, the areas were filled with a number of illegally parked vehicles. And the degree of segregation of pedestrian and vehicle and the level of safety were very low. Third, the streets with steep slopes of the target site force the elderly to move vertically, and for this reason, the elderly are expressing difficulties in outdoor activities. Fourth, it was found that the target site lacked a space for relaxation during outdoor activities. The poor walking environment not only limit the essential and social activities of the elderly, but also adversely affects the health and quality of life of the elderly. In order to maintain the health of the elderly and improve the quality of life, actions should be taken to improve the walking factors that affect the movement and external activities of the elderly.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.16 no.4
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• pp.481-489
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• 2009

Purpose: The purpose of this study was to identify health promoting lifestyle patterns (HPLP) and health perception (HP), and related factors, in elderly people using welfare service centers. Methods: Three hundred elders were interviewed using a structured questionnaire through convenience sampling at two welfare centers. Data were analyzed using the SPSS WIN 12.0 program. Results: Most of the elders had some kind of diseases, such as hypertension, diabetes, or osteoarthritis. The mean HPLP score was 2.53, and significant differences were found according to the elders' general characteristics. The sub-domain nutrition had the highest mean score, and stress management and exercise, the lowest. The mean HP score was 3.38, and significant differences were found according to education level and number of underlying diseases. HPLP showed a correlation with HP. Conclusion: The results indicate that elders have poor practices in stress management and exercise reflecting need for community based stress management programs for welfare service centers elderly clients.

• Journal of Korea Multimedia Society
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• v.23 no.5
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• pp.683-699
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• 2020

Recently, the earth's highest temperature is rising due to severe climate change and heat wave. In addition, due to the increase of elderly population over 65, the number of heat patients is also increasing. In particular, the elderly who live alone in poor living environments, the lower income group, and the socially disadvantaged, such as children and pregnant women, are exposed to the dangers of heat waves, so the government's practical measures are urgently needed. In this study, we will build a visualization platform for each level of heat wave and provide the necessary countermeasure solution according to the heat wave risk. "The Hazard Visualization Platform for Heatwave" provide not only simple information, but also a customized safety service for citizens to prevent heatwaves, respond to heatwaves, and utilize heat wave information.