The purposes of this study were to investigate the major determinants influencing on health promoting behaviors(HPB) of the elderly living in Seoul. The conceptual framework of the study was Pender's health promoting model and the ecological perspectives. The study was conducted with 495 elderly persons whom 60 years old. For the analysis of data, descriptive statistics and hierarchical regression were used for the statistical analysis with SPSS program. The results were as following: 1) The mean score of the HPB was 3.11(SD=0.41). 2) Hierarchical regression analysis found that ModelIV accounted for 55.7% of the variance in HPB. 3) The Major determinants on HPB among the elderly persons were prior related perceived benefits of action, social support, perceived self-efficacy, community environment, perceived health status, education, and age. In conclusions, first, we should develop to various levels of educational and supportive programs for the HPB among the elderly persons. Second, we should examine more with environment, the accessibility to senior welfare agencies. Third, we should be organized the self-help groups for the elderly persons to improve health promoting behaviors. Fourth, the government should established more secure environment for the HPB, and find better solutions that are provided by various social welfare agencies connected with the coordination of the services in the local communities. Finally, we should develop professional education training programs of the HPB for the practitioners in the field of Gerontological Social Work.
The present study compared the differences in mechanisms of caregiving stress, depression, parenting behaviors, stress-coping, and social support between caregiving grandmothers and the caregiving mothers. Three caregiving groups were compared; One hundred and fifty-two grandmothers rearing their grandchild as daytime care-giver (partial caregiving-grandmother group), 152 mothers who shared the responsibilities of caregiving the same child (partial caregiving-mother group), and another 157 mothers who rear their child as daytime care-giver (primary caregiving-mother group). Predictors of parental stress for these caregiving groups were also assessed. The results indicated that partial caregiving-grandmother group had more depressed than two mother groups, but there were no differences in parental stress among three caregiving groups. In addition, primary caregiving-mothers used more problem-focused coping strategies, and more social support than did partial caregiving-grandmothers. In parental behaviors, partial caregiving-grandmothers significantly had more laxness, less overactive than two mother groups. In the analysis of hierarchical regression, overactivity and depression were significant predictors of parental stress in partial caregiving-grandmothers. On the other hand, depression, social support, and overactivity were significant predictors of parental stress in partial caregiving-mothers. In primary caregiving-mothers, overactivity, depression, and emotion-focused coping were significant predictors of parental stress. We discussed the differences of the predictors in parental stress between grandmothers and mothers.
The purpose of this study was to explore the role of professional identity as mediating variable in the relationship between job- and organization- related factors and job satisfaction. This study surveyed social workers who worked at 24 senior welfare facilities in Daegu·Gyeoungbuk province from Aug. 1. to Aug. 30. 2006. A total of 137 questionnaires were collected using on-site survey (response rate 76.7%). Statistical analyses were performed using SPSS 12.0 for Windows. Descriptive analysis and frequency analysis were performed on overall measurement items and hierarchical regression analysis was conducted to test the mediating effect of professional identity. The reliability of statements was acceptable since the coefficient alphas were > .70. Results of hierarchical regression showed that professional identity was verified as a partial mediator in the relationship between factors related with job and organization and job satisfaction. As the population ages, there will be an increasing need for professional social workers effectively to work with and help care for the elderly. This study highlighted that job- and organization- related factors, namely self-regulations and social supports, are significantly related with job satisfaction of social workers. Especially, such effect was more significantly apparent in high professional identity which is playing a partial mediator. This result implies that there is potential to change work environments of social workers ensuring a delegation of power and responsibility. Therefore, efforts should be made to improve the promotion system and connect social worker as servant with community through diverse service learning programs.
The purpose of this study was to search the clustering and variables in discriminating the groups by the level of the loss experience and ego-integrity among the elderly. In addition, the study aimed to confirm the moderating effects of variables related to resilience in the relationship between a loss experience and ego-integrity. The subjects were 245 elderly aged 60 or above, most of whom were socially active with comparatively high education levels. Six individual variables(physical self-efficacy, general self-efficacy, social self-efficacy, existential spirituality, religious spirituality, optimism) and five environmental variables(emotional support, instrumental support, informational support, appraisal support, social activity) were used in the study. The results of the study are as follows. To data analysis, ANOVA, Stepwise Discriminant analysis, Cluster analysis, Regression analysis and Two-way analysis of variance was employed. First, the subjects were 4 cluster into overcome group, crisis group, stable group and vulnerable group according to the level of loss experience and ego-integrity. Second, optimism, physical self-efficacy, existential spirituality and emotional support were seen to be significant variables in discriminating the groups. Third, the ego-integrity became higher as the variables related to resilience were increased.
With increasing elderly living with diabetes, health professionals have focused on the relations between behaviors improving health status and life satisfaction. This research attempts to explain the influence of the health promotion behaviors on the life satisfaction of the elderly with diabetes. Also, we are focusing whether there is a mediating effect of depression between health promotion behaviors and life satisfaction of the elderly with diabetes. 685 persons with diabetes over 60 years of age were selected from the data of KLoSA (Korean Longitudinal Study of Ageing), administered by The National Institute of Labor in 2006. Life satisfaction was measured by 5 items: health status, economic status, relationship with a spouse, relationship with children, and the quality of life. Health promotion behaviors were measured by 4 items: regular diet, exercise, smoking, and drinking. The mediating variable is the depression measured by CES-D10. As the method of analysis, the multiple regressions were used with SPSS 12.0. The result of the study shows that the health promotion behaviors have a positive influence on life satisfaction and a negative influence on depression. It was also verified that the depression variable has a partial mediating effect between health promotion behaviors and life satisfaction. These results present the importance of integrated (physical, psychological, and social) approach for the health promotion experts intervening with the elderly with diabetes.
Recently, an interest on how to moderate parenting stress of grandparents is rising according to rising depression of grandparents of grandparents and grandchildren family(GGF) because of parenting stress So, this study tried to analyze moderating effects by setting social support and stress coping behaviors as moderator variable in order to know how much parenting stress of grandparents would influence their depression. For this purpose, we selected 369 cases of grandparents who were being provided social welfare service and to 334 cases out of them, did multigroup analysis using hierarchical regression analysis and structural equation model under spss Vor. 19.0 program. Followings are the results. First, the more parenting stress was high, the more depression high. But when social support was high, parenting stress low. And the more parenting stress was high, faith dependence, negative emotional expression and passive evasion as stress coping behaviors also high while problem reestablishment low. Second, emotional support, information support, and material support as social support had moderating effects in which parenting stress influenced depression while appraisal support had not. Third, faith dependence and low passive evasion as stress coping behaviors had moderating effects in influence of parenting stress to depression while problem reestablishment has not. On the one hand, emotional expression was meaningless in explaining moderating effects in connection with parenting stress. Through these, we draw a social welfare practical implication that could lift moderating effect of social support and stress coping behavior in between parenting stress and depression of grandparents of grandparents and grandchildren Family.
The purpose of this study was to identify the effect of family resilience on willingness for self-sufficiency in self-sufficiency program participants and to verify the mediating effect of mental health in the relationship. The survey subjects were 283 participants from a local self-support center in Gangwon-do. As for the analysis method, descriptive statistics and difference verification were performed. Also, hierarchical regression analysis and mediating effect method were performed to verify the research model. First, as a result of the difference test, the level of self-support was higher when there was a caring family. The level of family resilience was higher in those who were in their 40s and 50s than in their 30s or less, married than unmarried, had normal or excellent health conditions than deplorable health conditions, and had a caring family. Mental health quality was higher in very healthy people rather than in people who had poor health. Also, people with no dept had a higher mental health quality. Second, as a result of analyzing the relationship of influence on self-support, the higher the age, the more caring families, the higher the level of family resilience and mental health, the higher the self-sufficiency. Third, as a result of the mediating effect analysis, mental health had a partial mediating effect between family resilience and willingness for self-sufficiency. Therefore, we discussed the implications for improving family resilience and mental health as a factor in improving the level of self-sufficiency in self-sufficiency program participants.
This study aimed to investigate the association between social support and the change of depressive symptoms and its difference by gender among Korean Baby Boomer. We used the Korean Longitudinal Study of Aging (KLoSA) 5th (in 2014) and 6th waves (in 2016). Samples were Korean Baby Boomer (born 1955 to 1963) who have spouse and children(N = 1,210). Dependent variable was depressive symptoms and independent variables were four social support variables (spousal relationship satisfaction, parent-child relationship satisfaction, frequency of social contact, and number of participation groups). Interaction variables between social support and gender were also included in the model. Hierarchical regression analysis with the lagged dependent variable was performed. Results showed that the higher the satisfaction of spousal relationship and the satisfaction of parent-child relationship, the less the depressive symptoms increased. All interaction variables were not significant. These findings mean that the support from the spouse and the child is helpful in lowering depressive symptoms, and the associations between social support and depressive symptoms are not different by gender among Baby Boomer. It implies that interventions for enhancing family relationships, especially spousal relationship and parent-child relationship, may be useful to reduce depressive symptoms among Korean Baby Boomer.
A few studies have examined the relationship between living arrangements and mental health status among older Korean immigrants in the United States and older Koreans in South Korea. This study attempts to fill this gap by conducting a comparative study to understand the relationship between living arrangements and psychological distress. Survey data from older Koreans between the ages of 60 and 79 from the two countries (N= 480) was analyzed descriptively and in hierarchical multiple regressions. This study found that among older Korean immigrants in the United States 26.4 % of those living alone and 7.3 % of those living with a spouse only reported 'severe' psychological distress while their counterparts in South Korea 20.0 % of those living alone and 20.6 % of those living with a spouse only reported 'severe' psychological distress. The hierarchical multivariate analysis reveled that older Koreans living alone are not significant predictor of psychological distress in both countries. Interestingly, older Korean immigrants living with a spouse only and living with others are significant predictors of psychological distress. This study also contributes to the existing literature by searching for diverse conditions that lead to mental health problems among older Koreans in both countries.
The purpose of this study was to examine and compare factors affecting the subjective life expectancy among the elderly, and to suggest health practice and social welfare service implications for later life. A total of 4,483 seniors from the 6th wave(2016) of the Korean Longitudinal Study on Aging (KLoSA) were used for analysis. The subjects were divided into three age groups: the young-old (n=2,106, 65~74 years), middle-old (n=1,803, 75~84 years), and oldest-old (n=574, 85 years and older). Control variables were sociodemographic factors and health status factors. Independent variables were health promotion behavior, cognition of public care, participating social activity, economic activity, and receiving basic pension. The data were analyzed using hierarchical multiple regression. The main results were as follows. Health promotion behavior was associated with the young-old. Social activities and economic activity were associated with the young-old and middle-old. Receiving basic pension had a significant impact on all age groups. In the middle-old, significant results were focused on socio-demographic and health status factors compared to other groups. The results of this study will provide basic data for the elderly policy and welfare service and will help to find and improve the important factors for the life of the elderly.
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