• 지역사회간호학회지
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• 제12권3호
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• pp.589-599
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• 2001

The purpose of this study was to analyze the relation amongst health status, health care costs. health service utilization among the low income elderly who were 60 years of age or older, earning a half of the average Korean family income. The cross-sectional descriptive survey research we conducted used families randomly sampled nationwide. The data were collected from July 12 to August 7, 1999 and the total sample was 1.259 household members (421 households). These were the major findings. 1. As for the health status. 72.4% of respondents fell ill in the last 1 month; 54% of respondents had chronic disease. 2. As for the health care cost. the cost of hospitalization and the medical treatment were 1.069,000 won and 226.000won. respectively. 59.3% of respondents experienced a burden from the monthly health care expenses. 3. As for the health service utilization for the last 3months. 28.5% of respondents didn't utilize the health service. In addition, 22.2% of respondents gave up a medical treatment because of economic situation (88.8%). 4. The statistically significant determinants of health service utilization are old age, female, living with a spouse, unemployed state, medicare, and more days sick. 5. It is shown conclusively that equity and efficacy of the health care policy are to be considered for lower income older adult.

• 디지털융복합연구
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• 제14권3호
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• pp.1-12
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• 2016

현재 정보소외계층 대상에 대한 정의는 2000년대 초반 정부가 정보격차실태조사를 처음 시작했던 당시의 기준을 그대로 사용하고 있다. 본 연구의 목표는 정보격차조사의 정보소외계층 대상을 검토하고 재 정의 하고자 하는 것이다. 이러한 목표를 위해 본 연구에서는 정보격차조사의 대상 중 특히 문제의 소지가 많은 대상인 장애인, 저소득층, 장노년층을 중심으로 각각의 현황을 분석하고 정보소외계층 대상으로서 이들 집단에 대한 정의를 재검토하였다. 분석 결과 정보격차 조사 대상 장애인을 현재의 지체, 뇌병변, 청각/언어, 시각장애인만으로 한정하지 말고, 개정된 장애인복지법에 의거하여 15가지 장애유형을 재검토 해야 한다. 저소득층의 경우 정보격차해소 대책의 대상으로서 저소득층의 기준도 기초생활수급자에 한정하고 있다. 그러나 차상위계층을 정보소외계층으로 포함시키는 검토가 필요하다. 장노년층의 경우 현재 노인연령기준이 사회통념에 맞추어 상향조정하는 것을 고려해 보아야 할 것이다. 따라서 장년층은 제외하고 65세이상의 노인층에 대해서만 정보소외계층에 포함시켜 정보격차조사를 수행하는 것도 고려해 볼 만하다.

• 한국안광학회지
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• 제16권2호
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• pp.209-217
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• 2011

목적: 본 연구는 노인의 가구 소득과 눈 건강과의 관계를 확인함으로써 노인의 눈 건강 불평등 정도를 알아보고, 향후 저소득층 노인의 삶의 질 향상을 위한 안보건 정책 수립의 기초자료를 제공하고자 한다. 방법: 국민건강영양조사(2009) 데이터를 이용하여 만 65세 이상의 노인 1,668명을 대상으로 가구 소득에 따른 눈 건강 관련요인(시력, 백내장 유무, 군날개 유무, 안압, 망막이상소견, 나이관련 황반변성, 당뇨망막병증, 근시, 원시, 난시, 부동시 유병률)을 t-test 및 ${\chi}^2$ 검정하였다. 결과: 자동굴절계검사의 굴절이상도와 안압은 저소득군이 낮았고, 나안시력과 교정시력은 0.1~0.5 미만에서 저소득군이 높았고, 원시는 고소득군에서 높았다. 백내장과 최대교정시력 0.8미만인 사람의 백내장 유병여부는 저소득군에서 더 높게 발생하였고, 흡연, 음주, 직업, 교육수준과 유의한 관계가 있었다. 결론: 노인의 가구 소득에 따른 눈 건강 불평등이 존재함을 알 수 있었고, 특히 백내장은 삶의 질과 밀접한 관계가 있는 안질환으로 저소득층 노인의 눈 건강 불평등 해소를 위한 안보건 정책이 필요할 것으로 사료된다.

• 대한지역사회영양학회지
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• 제1권3호
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• pp.395-404
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• 1996

The effect of meal service for home-staying, urban elderly with low income on their mineral status and prevalence of clinical symptoms was evaluated. One hundred. One hundred and eighty three subjects were assigned to meal-served(served) and non-served(non-served)groups. A meal containing approximately one half of the RDA for energy, protein, calcium and iron was served as lunch every day to served group at a welfare center. Dietary, biochemical and clinical data were collected before and after 6 months of meal service and the changes of parameters were analyzed with paired t-test. served female showed significantly increased intake of calcium. The mean hemoglobin, serum iron, TIBC and serum copper of female were significantly increase with meal service. The proportion of anemic female compared to reference data on hemoglobin, hematocrit and serum iron were 45.5$\%$, 29.1$\%$ and 16.4$\%$ respectively, but were lowered to 18.2$\%$, 7.3$\%$, and 5.5$\%$ after 6 months of meal service. served male showed significant increase in MCHC, serum copper, and urinary Na. The urinary Ca/Creatinine, which is often used as an index of bone resorption, was decreased significantly in served group. The decrease in the proportion of served women suffering from edema of ankle and diarrhea was most apparent and less women reported feeling clinical symptoms of dizziness, constipation, difficulty in hearing, and coughing after meal service. The symptoms of benumbness of hands and feet and coughing was lowered most among men after meal service. Clinical symptoms of non-served elderly did not show improvement in feeling clinical symptoms except slightly decreased frequency in coughing of female and buzzing sound in the ears and diarrhea of male.

• 대한지역사회영양학회지
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• 제2권1호
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• pp.63-73
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• 1997

This study was performed to assess the effect of one year's of meal service for home-staying urban elderly with low incole on their nutritional status. One hundred and eighty three subjects, who had already completed the first nutritional survey, were assigned to two group : meal served(served) and non-meal served(non-served). A meal containing approximately on half of the RDA for energy, protein, calcium and iron was served as lunch everyday to served group. After on year of meal service, follow-up-nutritional survey was done and changes of parameters were analyzed with paired t-test. Served female showed signficantly increased intake of riboflavin and calcium, while non-served female showed significantly decreased intake of calcium. Serum total protein, serum albumin and serum cholesterol were significantly increased in female regardless of meal service. Served remale was observed with significantly elevated LDL-cholesterol, whereas non-served female showed singnificantly lowered HDL-cholesterol. Significantly decreased serum iron, serum transferrin saturaion and significantly increased TIBC were observed for female regardless of meal service. But the proportion of anemic elderly according to Hb or serum iron was decreased more in served group. Female showed significantly increased serum zinc and copper regardless of meal service, whereas only served male showed significantly increased serum copper.

• 가정과삶의질연구
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• 제20권1호
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• pp.103-114
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• 2002

Housing is a central place fur elderly and it can be influenced to the quality of life for them. Most low income elderly has much problems on their housing. It needs to be developed for more various ones which considered in the way of their economic and physical conditions. This case study was aimed to supply (or a basic data for developing a housing for tow income elderly through the analysis of elderly housing of Melbourne in Australia. This study evaluated two types of government housing and five types of community housing available to elderly People on low income allowing them to live independently. Results of the research were as follows. 1) High rise apartment living was differentiated from other housing types. Such accommodation had drawbacks, for example it made the elderly difficult to get along with neighbours. 2) Community housing had more various types of housing than government housing and was aimed at encouraging community interaction between residents. Some community housing residents joined the management of the housing committee. As a result, it made the elderly very confident and promoted a good relationship between them and young generations. 3) The strength of community housing was that the elderly could choose the place to live within the community which was familiar to them. 4) The managers in broth government housing and community housing had many roles as adviser and mediator for residents as well as managing the complex. 5) A policy of housing for low income elderly is changing now from management by government appointees to one governed by the community 6) Most elderly prefer to live close to facilities such as medical and shopping centers and convenient transportation and wished to remain in their familiar community as long as possible.

• 대한간호학회지
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• 제38권4호
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• pp.593-602
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• 2008

Purpose: This study aimed to compare self-care behaviors and depressive symptoms between the young old (65-74 yr) and the old-old (75-84 yr) in low-income women with hypertension. Methods: This study used a descriptive research design. The subjects of this study were 136 elderly women over 65 yr living in D city. Data was collected from September to December 2007 through personal interviews using a questionnaire. The collected data was analyzed using the SPSS WIN 12.0 Program. Results: Self-care behaviors, functional status, and number of medications showed a significant difference between young elderly and middle elderly. There was a negative correlation between self-care behaviors and depressive symptoms. 52.2% of variance in self-care behaviors of young elderly and 76.8% of variance in self-care behaviors of middle elderly were explained by depressive symptoms, number of medications, and functional status. Conclusion: It is necessary to manage depressive symptoms to improve the self-care behaviors of low-income elderly with hypertension. Depressive symptoms need to be considered in planning hypertension programs for low-income elderly women.

• 한국정보컨버전스학회논문지
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• 제6권1호
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• pp.7-19
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• 2013

고령사회가 아니라도 노인복지 문제는 존재한다. 다만 고령사회에서의 노인복지는 양적측면에서 증가할 수밖에 없고 질적 측면에서도 복지내용이나 성격을 달리할 수밖에 없는 것이다. 특히 노인을 위한 소득보장제도는 수혜대상이나 급여수준이 제한적이어서 실질적인 도움을 주지 못하고 있다. 주택보장정책에서도 저소득층의 주택유지능력에 관계없이 주택공급에만 치중을 하고 있어 노인들이 주거생활을 영위하는데 어려움을 겪고 있다. 또한 전달체계가 연계되지 않으면서 여러 노인시설이나 인력에 대한 관리의 미흡 등 체계화되지 못한 부분이 산재되어 있다. 따라서 이제 우리나라의 현실적인 문제에 맞는 노인복지제도를 구축하기 위한 문제점을 분석하여 법제도적 대응방안이 필요하다.

• 대한지역사회영양학회:학술대회논문집
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• 대한지역사회영양학회 2004년도 추계학술대회
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• pp.102-102
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• 2004

• 한국노년학
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• 제31권1호
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• pp.171-188
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• 2011

본 연구는 Andersen의 의료서비스 이용에 관한 행동모형을 근거로 2008년 장애인실태조사 자료를 분석하여 만 65세 이상 장애노인의 외래 및 입원이용에 영향을 미치는 요인을 파악하고자 하였다. 연구방법은 two-part 모델을 활용하여 장애노인의 외래 및 입원 이용 여부에 대해서는 로지스틱 회귀분석을, 의료 이용량 및 의료비 지출에 대해서는 다중 회귀분석을 실시하였다. 분석결과 외래와 입원의 이용에 공통적으로 만성질환과 주관적 건강상태 등의 질병요인의 영향이 유의하였고, 의료비 지출에는 의료보장 유형이 결정적 역할을 하고 있었다. 외래에서는 신장장애를 가졌을 때 이용량과 지출이 높았고, 입원에서는 일상생활의 수행에 도움이 필요할 때 입원일수가 증가하였으며, 심장장애와 호흡기장애를 가진 경우 입원료 지출이 유의하게 높았다. 이상의 결과는 장애노인들에게 만성질환 이환이나 일상생활 활동의 전적인 의존을 예방하는 보건의료 서비스의 제공, 의료이용이 높은 내부 장애를 가진 노인에 대한 지속적 보건관리체계의 구축, 그리고 저소득층 장애노인의 보건 의료 접근성 향상을 위한 경제적 지원의 필요성을 시사한다.