• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.22 no.2
• /
• pp.354-361
• /
• 2021

This study explored whether the transition to living with a chronic disease changes the level of depression symptoms among middle-aged and older adults in South Korea. We hypothesize that the transition to living with chronic disease leads to a higher level of depressive symptoms. A nationally representative sample (N = 6,284) of adults 45 years and older from the Korean Longitudinal Study of Ageing (KLoSA) was analyzed. Multi-regression modeling was used to examine the association between the diagnosis of chronic disease and the level of depressive symptoms in patients. The findings highlight the need for policy makers, clinicians, as well as patients and their caregivers to become more aware of mental health risks in patients diagnosed with chronic diseases, particularly first-time patients. This study contributes to encouraging greater psychosocial support, including monitoring the level of depressive symptoms of patients who develop chronic conditions and providing appropriate treatments for those at the highest risk.

• Korea Journal of Hospital Management
• /
• v.26 no.4
• /
• pp.51-58
• /
• 2021

Purpose: This study is based on the results of previous studies that falls, which is a frequent social problem, causes physical, mental and social health problems in the elderly. In order to identify risk factors for falls in the elderly, this study derives a relationship with oral health and proposes the necessity of oral health care as part of countermeasures to prevent falls in the elderly. Methodology: The final 6,936 people were analysed using the 2018 Korean Longitudinal Study of Ageing(KLoSA) survey data, and the analysis was conducted using the multiple logistic and multiple regression analysis to investigate the relationship between Geriatric Oral Health Assessment Index (GOHAI) and falls experience. Findings: As a result of the analysis in this study, the number of falls experiences and whether or not falls were higher in the elderly female group than in the male group. The likelihood of falls experience has been statistically reduced as Geriatric Oral Health Assessment Index increases by one unit.(OR : 0.991) The number of falls has also been statistically reduced as Geriatric Oral Health Assessment Index increase by one unit.(B : -0.001) Practical Implications: The results of this study, which showed that higher Geriatric Oral Health Assessment Index was lower risk of falls, explained by the connection that oral health may affect nutritional intake, which leads to sarcopenia and physical loss, which in turn increases the risk of falls. As a way to solve the fall problem, efforts should be made to improve the oral health of the elderly, and furthermore, the importance of nutrition management thorugh oral health care of the elderly is increasd.

• Health Policy and Management
• /
• v.32 no.3
• /
• pp.282-292
• /
• 2022

Background: Aging societies face social problems of increased medical expenses for older adults due to increased geriatric diseases. This study aims to analyze the relationship between the state change of multiple chronic conditions (MCC) and out-of-pocket medical expenses in the elderly aged 60 or older. Methods: The 2014-2018 Korean Longitudinal Study of Aging data were used for 2,202 elderly people. Four status change groups were established according to the change in the number of chronic diseases. The association between the change of MCC and the out-of-pocket medical cost was analyzed using the generalized estimating equation model analysis. Results: The average out-of-pocket total medical costs were 1,384,900 won for participants with MCC and 542,700 won for those without MCC, which was a statistically significant difference (p<0.0001). Compared to the reference group (simple chronic disease, SCD→SCD), the change in multiple chronic conditions significantly increased the total out-of-pocket medical expenses in MCC→MCC and SCD→MCC groups (MCC→MCC: 𝛽=0.8260, p<0.0001; SCD→MCC: 𝛽=0.6607, p<0.0001). Conclusion: In this study, it was confirmed that the prevalence of MCC increased with age, and the out-of-pocket medical cost increased in the case of MCC. Continuity of treatment can be achieved for patients with MCC, and the system and management of treatment for MCC are required to receive appropriate treatment.

• Journal of Korean society of Dental Hygiene
• /
• v.22 no.5
• /
• pp.333-340
• /
• 2022

Objectives: This study aimed to confirm the association between cognitive function and oral health status in the elderly. Methods: In this study, 5,794 respondents, aged 55 or older, who had participated in the 7th aging research panel survey were used. Statistical analyses were performed using a complex samples cross-tabulation analysis, complex samples general linear model, and a complex sample multinomial logistic regression analysis. Results: After analyzing the cognitive function of the elderly according to their oral health conditions, it was found that suspicions of dementia (19.6%) and cognitive function decline (25.9%) were more common for those who wore dentures than for those who did not wear dentures (p<0.001). Compared to those who did not wear dentures, those who wore dentures were linked to a 1.665 times higher suspicion of dementia (p<0.001). In comparison, cognitive decline was 0.964 times lower when the number of natural teeth increased by 1, and it was 0.941 times lower when the oral health evaluation index for the elderly increased by 1 point (p<0.001). Conclusions: As a result of this study, it was confirmed that cognitive function and oral health status are related in the elderly. Therefore, systematic measures for oral health management and oral health promotion should be prepared in tandem with awareness of possible cognitive decline in the elderly.

• Journal of Korean Academy of Nursing
• /
• v.53 no.4
• /
• pp.453-467
• /
• 2023

Purpose: This study investigated the cumulative effects of depressive symptoms on cognitive function over time in community-dwelling older adults. Methods: Data were investigated from 2,533 community-dwelling older adults who participated in the Korean Longitudinal Study of Aging (KLoSA) from the 5th (2014) to the 8th wave (2020). The association between cumulative depressive symptoms and cognitive function was identified through multiple regression analysis. Results: When the multiple regression analysis was conducted from each wave, the current depressive symptoms scores and cognitive function scores were negatively associated, regardless of the waves (B5th = - 0.26, B6th = - 0.26, B7th = - 0.26, and B8th = - 0.27; all p < .001). Further, when all the previous depressive symptoms scores were added as explanatory variables in the 8th wave, the current one (B8th = - 0.09, p < .001) and the previous ones (B5th = - 0.11, B6th = - 0.09, and B7th = - 0.13; all p < .001) were also negatively associated with the cognitive function score. The delta R², which indicates the difference between the model's R² with and without the depressive symptoms scores, was greater in the model with all the previous and current depressive symptoms scores (6.4%) than in the model with only the current depressive symptoms score (3.6%). Conclusion: Depressive symptoms in older adults have a long-term impact. This results in an accumulated adverse effect on the cognitive function. Therefore, to prevent cognitive decline in older adults, we suggest detecting their depressive symptoms early and providing continuous intervention to reduce exposure to long-term depressive symptoms.

• Korean Journal of Social Welfare Studies
• /
• v.42 no.4
• /
• pp.295-327
• /
• 2011

Although there are many studies on the retirement recently, very few studies have empirically addressed on mandatory retirement. In Korea, several scholars suggest that the seniority systems may be the main reason that employers have been reluctant to hire older workers. Therefore, the seniority system that Lazear(1979) proposed has significant implication on explaining mandatory retirement in Korea. Thus, this study aims to examine the seniority system that Lazear proposed can explain the retired employees' mandatory retirement. The empirical study is based on Korean Longitudinal Study of Ageing. wave I-II. The main result from this analysis is that interaction between wage and job tenure on mandatory retirement is statistically significant. For employees with high wage growth rates, the probability of mandatory retirement rate is higher as their job tenure is longer. On the other hand those employees with wage growth rates, that is lower although their job tenure is longer. This study supports the assertion of Lazear(1979).

• Journal of Digital Convergence
• /
• v.17 no.2
• /
• pp.293-301
• /
• 2019

The purpose of this study is to redefine 7 social exclusion factors and to derive association between social exclusion factors and depression of middle and older elderly, focused on gender differences. The elderly aged over 50 years old were extracted from the data of the Korean Longitudinal Study of Ageing (KLoSA) in 2016. The data was analyzed by descriptive analysis, chi-squared test, and binary logistic regression analysis, using SAS 9.4. As a result, the elderly who were excluded from labor, residence, health, and relationship were found to be associated to depression. In addition, male with resident exclusion were associated with depression compared to non-excluded. Therefore, it is necessary to improve the local community programs in which elderly people can participate in labor and cultural activity. It is necessary to improve labor and culture exclusion by increasing the participation opportunities of various cultural programs. In addition, it is needed to establish specific guidelines for eliminating the social exclusion of overall elderly.

• 한국노년학
• /
• v.30 no.3
• /
• pp.709-726
• /
• 2010

As S. Korea is aging faster than any other industrialized countries, there exists a need to understand how best to improve the quality of life of the elders. The main purpose of this study is to examine the predictors of life satisfaction in the nationally representative sample of adults aged 65 and older (n=4,155) drawn from the Wave I (2006) of the Korean Longitudinal Study on Aging. Hierarchical multiple regression analysis was run to assess the unique explanatory contribution of socio-demographics, social network, activity participation, and physical/psychological health on the life satisfaction. Three separate analyses were undertaken to note differences by education level: older adults with no formal education, those who had completed 9th grade, and those who had completed 12th grade and more. There are three main findings: 1) Physical/psychological health variables such as subjective health, regular exercise, and depression were significant predictors of life satisfaction regardless of education level; 2) While social network and activity participation factors influence life satisfaction of the two lower education groups, such factors don't affect the highest education group; 3) Marital status, household income, and location of residence were significant demographic predictors of life satisfaction regardless of education level. Implications for program development and policy are discussed in this paper.

• Journal of the Korea Convergence Society
• /
• v.10 no.7
• /
• pp.243-249
• /
• 2019

This study is aimed at offering a typology of changes in the social participation of middle-aged and older population and explore determinants for each type of such changes. The data employed for analysis are the 1st survey (2006) through the 6th version (2016) of the Korea Aging Research Panel Survey. Among the respondents of the panel survey, 1,327 males and 1,520 females with a total of 2,847 respondents were analyzed. As a result of applying the growth mixture modelling through the SPS 22.0 and M-plus 8.0 statistical programs, the changes in the social participation of middle-aged and older population have been classified into the 'high-decreasing', 'moderate-increasing' and 'low-stable' trajectory classes. Analysis of the determinants for each class shows that higher the education level, the more likely they are to belong to the high-decreasing and moderate-increasing classes than the low-stable class, and the more the population lives in urban areas, the more likely they are to belong to high-decreasing trajectory class than to low-stable class. Also, it was found that the probability of belonging to moderate-increasing trajectory class was higher than that of the low-stable class when there was no occupation. Through the results of these analyses, the implications of promoting social participation of middle-aged and older population were discussed.

• Survey Research
• /
• v.18 no.4
• /
• pp.25-59
• /
• 2017

The current study investigated how elderly husbands and wives' marital satisfaction and depression change over time and examined how changes in marital satisfaction account for changes in depression between and within the dyads. The longitudinal dyadic data from the first wave(2006) to the fifth wave(2014) of the Korean Longitudinal Study of Aging(KLoSA), collected by the Korea Employment Information Service, were used for the analyses. Because husbands and wives are interdependent within couples, we applied statistical models for dyadic data. The dyadic growth model(DGM) was used to model the trajectories of marital satisfaction and depressive symptoms. In order to analyze the association of these growth factors, we proposed the dyadic growth actor-partner interdependence model(DG-APIM) and applied the model to the data. The results showed that on average the husbands' marital satisfaction was higher but decreased faster over the course of the study than the wives'. It also showed that the average depression of the husbands was lower than that of the wives but the husbands' depression increased faster than the wives' over the course of the study. The variance of the averages of husbands' (wives's) depression was accounted for by that of wives'(husbands') marital satisfaction, showing a partner effect. The variance of the slopes of husbands'(wives') depression was accounted for by that of marital satisfaction of themselves, showing an actor effect. The results showed that there is a longitudinal interdependence between husbands and wives' marital satisfaction and depression and supported the marital discord model of depression.