• Title/Summary/Keyword: senior citizens

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Risk Factors for Upper and Lower Urinary Tract Cancer Death in a Japanese Population: Findings from the Japan Collaborative Cohort Study for Evaluation of Cancer Risk (JACC Study)

  • Washio, Masakazu;Mori, Mitsuru;Mikami, Kazuya;Miki, Tsuneharu;Watanabe, Yoshiyuki;Nakao, Masahiro;Kubo, Tatsuhiko;Suzuki, Koji;Ozasa, Kotaro;Wakai, Kenji;Tamakoshi, Akiko
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3545-3549
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    • 2016
  • Background: The incidence of bladder cancer is lower in Asian than in Western countries. However, the crude incidence and mortality of bladder cancer have recently increased in Japan because of the increased number of senior citizens. We have already reported risk factors for urothelial cancer in a large population-based cohort study in Japan (JACC study). However, we did not evaluate the cancer risk in the upper and lower urinary tract separately in our previous study. Materials and Methods: Here we evaluated the risk of cancer death in the upper and lower urinary tracts, separately, using the database of the JACC study. The analytic cohort included 46,395 males and 64,190 females aged 40 to 79 years old. The Cox proportional hazard model was used to determine hazard ratios and their 95% confidence intervals. Results: Current smoking increased the risk of both upper and lower urinary tract cancer deaths. A history of kidney disease was associated with an increased risk of bladder cancer death, even after controlling for age, sex and smoking status. Conclusions: The present study confirmed that current smoking increases the risk of both upper and lower urinary tract cancer deaths and indicated the possibility that a history of kidney disease may be a risk factor for bladder cancer death in the Japanese population.

Study on the Influences of Stress on Successful Aging: Evaluation of Moderating Effect Mediated on Positivity and Family Support (스트레스가 성공적 노화에 미치는 영향에 관한 연구: 낙관성과 가족지지의 매개된 조절효과 검증)

  • Yeum, Dong-Moon;Lee, Seong-Dae;Park, Moo-Il
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.100-111
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    • 2016
  • This study analyzes targeting 584 senior citizens aged 65 and over in Gyeongsangnam-do to verify a mediated control effect of optimism and family support in stress and successful aging of the aged. Using SPSS Macro Way suggested by Preacher and Hayes. A study model is verified through a route model, and the verification of the study model is conducted in three stages. The first stage analyzes whether a control variable has a control effect in a relationship between predictor variable and standard variable, and the second stage confirms a relationship between predictor variable and mediated variable. In addition, the third stage confirms a mediated control effect. An analytical result is summarized as follows. First, as a result to verify a mediated effect between stress and successful aging, and optimism, it is confirmed that it supports a partially-mediated model. Second, as a result to verify a control effect of optimism and family support of successful aging, it is confirmed that everything has a control effect. Third, as a result to verify a mediated control effect of stress, optimism, successful aging, and family support, there is a mediated control effect. Based on these study results, practical undertone and future task are suggested, and a way to improve family support is presented for successful aging in advanced age.

How Entrepreneurial Mindset of Office Workers Affects Entrepreneurial Intention: Roles of Social Capital and State-action Orientation (직장인의 기업가형 마인드셋이 창업의도에 미치는 영향: 사회적 자본을 매개, 유지-행동성향을 조절변수로)

  • Song, Chang-Woon;Park, Ju-Young
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.15 no.3
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    • pp.73-88
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    • 2020
  • The majority of previous research on start-ups consist of research on leading variables that affect the entrepreneurial intention related to start-ups established by young people, college students or senior citizens, and the influencing relationships regarding start-ups in the sense of their form such as independent start-ups, franchising start-ups, small business start-ups, etc. It is difficult to find research on entrepreneurial intention targeting office workers. This study investigates the question of how office workers' entrepreneurial mindset affects their entrepreneurial intentions, focusing on mediating role of social capital and moderating role of state-action orientation. We use survey data to empirically test the relationships between the variables in question. This study finds the presence of the positive effect of entrepreneurial mindset on social capital that significantly promotes entrepreneurial intention, demonstrating mediating role of social capital. We understand the existence of moderator, action state, showing that entrepreneurial intention is affected by interaction of entrepreneurial mindset and action state, not entrepreneurial mindset alone. We propose some policy implications based on the results of this study, and lists the limitations of the study.

A Study on the Social Welfare Countermeasures against the Abuse of the Elderly (노인학대에 대한 사회복지적 대응방안에 관한 연구)

  • Bae, Na-Rae;So, Kwon-Seob
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.333-339
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    • 2019
  • Our country has become an aging society with unparalleled speed, compared to other advanced countries. Many of the elderly are physically, economically, and psychologically dependent; this dependence is a factor that increases the cost burden not only on the children and relatives of the elderly, but also at the social level. Under the prevailing environment of the family-oriented informal support system, the burden of support for elderly parents who rely on limited resources is highly likely to lead to abuse. Until now, dealing with the abuse of senior citizens has been mostly a one-off approach through media rather than academics. Therefore, this study attempts to take an objective approach to the elder abuse problem (which has so far been dealt with in the media as a form of domestic violence) in order to grasp the specificity and factors of elder abuse and to present the Korean situation with regard to elder abuse. In addition, this study seeks to find ways to prevent elder abuse in formal and informal ways.

Reinforcement of Long-term Care Service Specialization Need Analysis for Curriculum Development: Focused on Activity Theory (장기요양서비스 종사자 교육과정개발을 위한 요구분석 : 활동이론(Activity Theory)을 중심으로)

  • Suh, Yong-Wan;Choi, Dong-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.428-436
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    • 2020
  • The purpose of this study is to analyze the needs for developing a curriculum for strengthening the long-term care service expertise and job competency. Specifically, the researchers analyzed previous studies on national long-term care services and national policy data, and conducted focus group interviews with 14 experts from related agencies. Activity theory was applied as a framework for analysis and a questionnaire about the importance and difficulty of subjects from 25 long-term service employees was administered for validating the results of the qualitative data analysis. The upper part of the subject-goal-tool of the activity system was considered the main area of action, and the following rule-community-division was divided into contextual parts for action, and the implications for demand analysis and future operation of the online curriculum are summarized. In total, six courses were required for development. These courses could be applied to as a learner-centered flip learning for long-term care service workers and various educational methods of collective education and supplementary education have been proposed. Based on the study results, implications in the educational field for effective management of courses were suggested at the end of the study.

The Effect of Changes in Medical Use by Changing Copayment of Elderly (의원급 노인 외래 정률차등정책 효과분석)

  • Na, Young-Kyoon
    • Health Policy and Management
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    • v.30 no.2
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    • pp.185-191
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    • 2020
  • Background: From January 2018, a policy was applied to differentially apply the co-payment for medical expenses of 15,000 won or more from 30% to 10%-30% for each medical fee. This policy lowers the burden on the medical use of the elderly, and it is necessary to analyze the effect of the policy by confirming changes in medical use and supply behavior after 2 years. Methods: The National Health Insurance Service's national medical use database was used. As for the analysis method, first, the medical use and medical supply behavior change over the age of 65 years were confirmed, and second, in order to check the net effect of the policy, the 66-year-old as the experimental group and the 63-year-old as the control group were selected as the control group. The propensity score matching was performed using the variables of age, living alone, income quartile, residence, disability, chronic disease, and co-morbid disease scores, and then it was analyzed using the difference in difference analysis method. Results: The share of the number of treatments under 15,000 won decreased from 37.0% in 2017 to 20.2% in 2018, while the share of the number of treatments under 15,001-20,000 won increased from 8.0% to 22.7%. It was confirmed that the reason for the increase in the cost of treatment per treatment was the result of the increase in the amount of physical therapy and examination. As a result of the policy effect, the burden of co-payment per person was reduced, and as a result, the number of hospital visits per person and the total medical cost per person increased. Conclusion: The self-pay rate differential policy reduced the burden of medical expenses for the elderly and confirmed the increase in medical use. However, the interpretation of the increase in medical use was not able to distinguish whether the unsatisfactory medical care was satisfied or the inducement demand. Efficient allocation of resources is a more important point in the future when the super-aged society is in front. It is necessary to prepare a plan to induce rational medical use within a range that does not impair the medical accessibility of the elderly.

A Study on the Utilization and Satisfaction of Parks for the Senior Citizens (노인의 공원 이용과 만족도에 관한 연구 -서울 강동구 고덕산을 대상으로-)

  • Kim, Jeong Ho;Lee, Sang Hoon;Yoon, Yong Han;Park, Eun Kyoung
    • Korean Journal of Environment and Ecology
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    • v.34 no.2
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    • pp.179-187
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    • 2020
  • The study was conducted on Godeoksan, Gangdong-gu, Seoul, for the study of elderly people's park use and satisfaction. For the analysis, frequency analysis was performed on all items, and reliability analysis was performed to check the validity of the items. Factor analysis was used to identify items that have a significant effect on the customer's satisfaction. Multiple regression analysis was performed using the derived factors. As a result of factor analysis, it was found that the factors affecting satisfaction were composed of three factors and 69.50% of the total variance was explained. The KMO value, which means the sample fit between items, was analyzed as .756. Factors were classified into usage aspect, ecological aspect, and amenityt aspect by reflecting the characteristics of the item. As a result of the multiple regression analysis through the derived factors, the multiple regression equation for the elderly's park use satisfaction was analyzed to be Y = 3.678 + 0.202X1 + 0.125X2 + 0.236X3. In this study, there are limitations in conducting a questionnaire survey for the elderly who lack professional knowledge. In the future, evaluation studies should be conducted for the elderly with specialized knowledge, and it is judged that a comparative study of ecological, utilization, and climatic aspects by age is necessary.

Oral Health Status of the Old, over 65 who Dwell in Seongnam City (성남시 거주 65세 이상 노인의 구강건강실태)

  • Kim, Mi-Jeong;Lee, Young-Soo;Ahn, Yong-Soon
    • Journal of dental hygiene science
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    • v.5 no.1
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    • pp.19-24
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    • 2005
  • The purpose of this study was to examine the oral health states of elderly people over the age of 65 from the city of Seongnam, including the number of present permanent tooth, dental caries, rate of treatment need, CPITN and use of prosthesis, in a bid to lay the foundation for improving elderly oral health programs. The findings of the study were as follows: 1. The DMF rate of the male senior citizens stood at 98.3 percent, and that of the women numbered 99.0 percent and DMFT index 20.8. 2. The number of present permanent tooth excluded the third molars was 13. 3. Regarding CPITN, $CPITN_1$ was 74.9 percent, and $CPITN_2$ was 56.2 percent. $CPITN_3$ was 8.0 percent. 4. The rate of full denture wearing of the elderly people was 26.1 percent in the upper part and 17.8 percent in the lower part. And their rate of full denture need was 7.4 percent in the upper part and 4.3 percent in the lower part. 5. Establishing an planned abject for Oral health, Seongnam City has reviewed the necessity of development on enhancement of Oral health.

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Risk Factors Influencing Stroke : using data from the 7th(2016-2018) Korea National Health and Nutrition Examination Survey (뇌졸중에 영향을 미치는 위험요인 : 국민건강영양조사 제7기(2016-2018) 자료를 활용하여)

  • Chung, Myung Sill;Seomun, GyeongAe
    • Journal of Digital Convergence
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    • v.18 no.9
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    • pp.277-283
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    • 2020
  • The purpose of this study was to identify the risk factors influencing stroke. The research method was used two-stage stratified cluster sampling using data from the National Health and Nutrition Survey (2016-2018). This study subjects performed a complex sample logistic regression analysis on adults aged 19 or older. Risk factors affecting stroke were shown as follows: in age groups, odds ratio were conformed when people are in their 70s, the rate is 8.861 times higher; when they are in their subjective health conditions, the odds ratio are 4.501 times higher in the bad groups; odds ratio was 3.158 times higher in the group diagnosed with hypertension and 1.598 times higher in the group diagnosed with diabetes. The result of this study found that chronic diseases such as high blood pressure and diabetes and the management of senior citizens are important because stroke is dangerous and can be managed through prevention.

A Study on the Color Environmental of Neighborhood Parks Considering the Visual Characteristics of Senior Citizens -Focused on the Busan City- (고령자의 시각특성을 고려한 근린공원 환경색채 연구 -부산광역시를 중심으로-)

  • Kim, Hyeyeong;Oh, Jiyoung;Park, Heykyung
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.1
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    • pp.163-169
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    • 2020
  • The purpose of this study is to find out whether the environment is based on the Color Universal Design (CUD, CUD Recommended Color Set Guidebook), which is located in the area with the highest proportion of elderly people in the city of Busan in Korea. Five nearby parks in the walking district of Busan were selected to measure the environmental color with a spectrophotometer(Minolta CM-2600d) and web color search. The range of the color survey was limited to the pavement; public facilities(sign, benches, restroom), and exercise&sports facilities. The results of the study are as follows. Overall, the Y color group was dominant, with similar color usage and intensity, and similar levels of saturation. This was analyzed based on the Color Universal Design theory, suggesting that the visual characteristics of the elderly were not taken into account, and the Neighborhood Park located in Busan was found to lack the environmental color of consideration for the visual characteristics. In addition, this study could act as a basic study that can be applied to social and environmental colors that reflect the color perception and cognitive characteristics of the elderly.