• 재활복지
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• v.21 no.4
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• pp.33-57
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• 2017

The purpose of this study is to analyze factors that can affect the satisfaction with life of elderly with disabilities so as to provide measure for improving the quality of their lives. To that end, elderly with disabilities and 50 years or older were extracted from the raw data (2nd Wave, 1st Survey) of 2016 Panel Survey of Employment for the Disabled (or PSED), conducted by the Ministry of Employment and Labor and the Korea Employment Agency for the Disabled. And they were classified into those aging with disabilities (onset of a disability before 50 years) and those having disabilities with aging (onset of a disability after 50 years). The results of the analysis show factors affecting satisfaction with life were different in the two groups. Although awareness about employment, awareness about disability, levels of happiness, subjective socioeconomic standing, and financial problems were the common factors, health conditions and ability to function in daily life affected more those aging with disability, and employment status was more relevant to those having disability with aging. Based on these results, this study points out the need to take into account awareness about employment and disability when developing services for elderly with disabilities, to solve their financial problems, and to provide a collective approach to employment and health issues in order to improve the quality of their lives.

• 한국노년학
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• v.34 no.2
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• pp.387-407
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• 2014

This study aims to identify the multiple trajectories of depressive symptoms and the characteristics of each trajectory group among the elderly. This study uses five waves of longitudinal data from the Korean Welfare Panel Study (KWPS, 2006-2010). Subjects were older adults aged 60 and over who had completed at least three waves between 2006 and 2010. A total of 4,181 respondents were analyzed. The latent growth mixture model and the multiple logistic regression model were mainly used for data analysis. The major findings were as follows: After controlling for the variables of gender, age, education, marital status, self-assessed health, and poverty, this study identified four different trajectory classes: stable low depressive symptoms (71.8%), high but decreased depressive symptoms (10.6%), moderate but increased depressive symptoms (7.9%), and an increased, then a decreased pattern of depressive symptoms (9.7%). The characteristics of theses trajectories as compared to previous studies were a lower percentage of 'stable low depressive symptoms', no 'persistently high depressive symptoms', and higher level of depressive symptoms. Also, the elderly in the stable low trajectory group had better health status, higher self-esteem and a good relationship with family members, having longer working periods, and more living in non-poverty. In addition, chronic health problems, loss of spouse, and household income differentiated the increased and then decreased pattern from the low stable pattern. Also, age and public pension differentiated the moderated but increased pattern from the low stable pattern. Based on the findings of this study, the researchers suggested political and practical implications for reducing depressive symptoms in later life.

• Korean Journal of Social Welfare
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• v.37
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• pp.195-216
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• 1999

Adolescents whose families receive public assistance are primary interest in the article because they experience disproportionate shares of the burden of poverty and psychosocial stress and are at substantially high risk. To explain the psychosocial stresses of high-risk adolescents in poverty, this study analyzed the inter-relations and interactions of major variables: 1) stress related life condition, 2)individual & environmental resources, 3) emotional, behavioral, and academic adjustment. Data came from the survey of 351 students living in the families receiving public assistance. The major findings were as follows. High-risk adolescents in poverty suffered from chronic stresses related life conditions, including family environmental stress, financial & medical stress and stigmatic stress. As the effects of stress increased, depression/anxiety and delinquency of poor youth increased. The psychosocial adjustment of poor youth at risk was most effected by the stress resulted from family environment. Though they were suffered from stresses related poor environment, adolescents in poverty adjusted well, if they had individual and environmental resources including self-esteem democratic parenting and supportive school climate. In conclusion, this study confirmed that emotional, behavioral, and academic adjustment of adolescents in poverty was affected by various stresses from life conditions and individual and environmental resources. In order to improve adjustment of poor youth at risk, life conditions have to be improved and psychosocial resources to be increased. These findings have provided practical implications for social workers helping high-risk adolescents in poverty.

• The Journal of Korean Academy of Prosthodontics
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• v.48 no.2
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• pp.101-110
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• 2010

Purpose: This study has been conducted in order to examine the oral health status and dental prostheses status, and the effects of dental prostheses to the oral health related quality of life among the elderly using social welfare centers. Material and methods: For this purpose, the researcher conducted a questionnaire survey and oral examination of 275 samples of old persons using 7 social welfare centers located in Daejeon metropolitan city. The oral health related quality of life was measured by GOHAI (Geriatric Oral Health Assessment Index). Results: 1. The less age and the more education and the more subjective economic status and living with spouse of family status, the higher GOHAI showed. 2. Mean age of first using of removable denture is 62.11 years old and average life cycle of removable denture is 10.76years. 57.5% of study subjects use removable denture and complete denture user of study subjects are 13.8%. 3. In the case that they use fixed prostheses rather than removable ones and in the complete denture they use both sides (upper and lower) rather than single side, showed higher GOHAI. 4. In the case that they showed higher degrees of satisfaction with dental prostheses and can use them always and showed no necessity for new dental prostheses and denture adaptation is good, GOHAI showed higher. Conclusion: In order to improve oral health related quality of life among the elderly who have many missing teeth, it is required to restore their masticatory ability to the normal level by restoring the missing teeth which has lost its function through providing proper dental prostheses.

• Korean Journal of Social Welfare
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• v.56 no.1
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• pp.5-22
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• 2004

The notion of independence is currently a focal point in public discourses in relation to the elderly. In most countries, the promotion of independence, not the alleviation of dependence, has been addressed as a priority goal in the formulation of social policies for the elderly and the term of independence is used in policy documents as if it were unproblematic. In most cases, policy documents do not offer a clear definition of independence, but generally the term is interpreted as self-sufficiency and health. Accordingly, in order to promote independence of the elderly, concrete strategies such as employment, social activities, participation, direct payments are being introduced in many advanced countries. This study critically reviews these discourses and strategies, and attempts at developing an understanding of how independence and dependence is constructed in contemporary social policies for the elderly. It is our critical point that we explores the meaning of the independence and dependence from the perspective of the elderly. Findings of this study are as follows: The elderly participated in this study tended to construct the meaning of 'independence' as privacy, self-esteem, autonomy and freedom. They also tended to perceive and interpret, from their perspective, the 'dependence' as a natural law and process, affection among human beings, reward and fruit of their lives, social justice and social responsibility. In this sense current policies for the elderly have not fully reflected the perspective of the elderly. Therefore, it is argued what is important in policy formulations for the elderly is to make efforts to reflect the perspective of the elderly on policy-makings for the elderly in terms of independence and dependence.

• The Journal of the Korea Contents Association
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• v.17 no.7
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• pp.610-621
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• 2017

Medical cost for elderly is increasing with ageing society and putting more and more burden on both individuals and government. To find a solution to reduce medical cost among elderly and to propose implication/suggestion to central government and a local government, different degree of medical cost burden by type of household and factors that affect increased medical cost are investigated based on elderly in Suwon city in this article. According to the research result, 59.3% of respondents felt medical cost burdensome. Also, according to the multiple regression performed to understand factors that increases medical cost by type of household, subjectively felt health status was found to be a statistically significant factor commonly in three groups which are living household with adult child, living household with spouse only, living household alone. And the degree of medical cost was higher in living household with spouse only, more higher in living household alone. And socioeconomic status and health status, health status, and health status and private insurance, medical security system were found to be significantly related to medical cost burden to household type of the elderly.

• Journal of agricultural medicine and community health
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• v.46 no.4
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• pp.280-294
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• 2021

Objectives: The purpose of this study is to investigate the effects of social capital characteristics, socio-demographic characteristics, physical condition, and health behavior characteristics on health-related quality of life of the elderly in Korea. Methods: T-test, one-way ANOVA, and regression analysis were performed by applying a complex sample design to 57.787 people aged 65 and over using the 2019 Community Health Survey. Results: First, as a result of complex-sample T-test and ANOVA analysis, it was found that there were differences in health-related quality of life according to social capital characteristics, physical condition & health behavior characteristics, and socio-demographic characteristics. Complex Sample Regression Analysis Results, the explanatory power of the model was 28%. When living in the metropolitan area, living in an apartment building, having a spouse, having a higher household income, economic activity, higher educational attainment, increase sleeping time, walking time, frequent binge drinking, health checkup, networking, trust, and social participation showed higher health-related quality of life. When people were older, their gender was female, higher BMI, number of chronic diseases, and severe stress that showed lower health-related quality of life. Conclusions: It was proved that the factors affecting the health-related quality of life of the elderly are not only physical condition and health behavior factors, but also social capital and socio-demographic characteristics. It was found that the role as a member was important.

• Korean Journal of Social Welfare
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• v.68 no.2
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• pp.213-232
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• 2016

The purpose of this study is to explore the stress profile that adolescent perceives by using Latent Profile Analysis (LPA), and to examine the effect of characteristics variable per groups that appeared in profile. By using the cross-section data of 'A survey on the human right of Korean children and adolescent in 2013' issued by National Youth Policy Institute, the LPA concerning the stress type was conducted and surveyed 9,521 adolescents from fourth grade in elementary school to seniors in high school nationwide. The result of this study shows that two class types were selected according to the goodness-of-fit index and latent class classification rate. Type 1 is named low-risk group as they show low level, whereas type 2 is named relative risk group as they show high level. In order to predict the characteristics of adolescent stress, the study conducted Binary Logistic Regression analysis on the basis of low-risk group. There is higher probability to belong to relative risk group, the more they are female students than male students, the less their subjective health condition and happiness, the more runaway experience, the less school grades and the less economic affluence in their household. The implication of this research, its limitation and direction of follow-up research were suggested.

• 한국노년학
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• v.36 no.3
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• pp.905-926
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• 2016

Although the concept of the elderly varies depending on scholars and laws, as consumption expenditure is deeply associated with income due to the nature of this study, 55 years old was set as the low limit standard for the elderly according to Prohibition of Discrimination on Age in Employment and Employment Promotion for the Aged Act and the elderly households were limited to single-elderly person household and an elderly couple family household for this study. It is considered consumption characteristics as a significant analysis subject in terms of social welfare because it could be understood as an expressed need which was a reflection of desire. Therefore, the present study aimed to investigate the consumption characteristics of the elderly households by stereotyping the consumption pattern of the elderly households, and find the determining factors for consumption patterns and thus contribute to the establishment of related policies through the expressed needs of the elderly households. K-means of cluster analysis was performed by putting the consumption expenditure of the elderly households to investigate inherent structural type of consumption pattern of the elderly households, which were the investigation subjects. As a result, four groups were stereotyped and named as below: 'health care-centered type', 'saving-centered type', 'livelihood-centered type', and 'food expenses-centered type' Binary Logistic Regression analysis was used to identify the factors that influence the decision of consumption pattern of the elderly households. The result of study showed that the elderly households faced all different needs and problems and thus there is a need for various approach plans to solve this situation. In particular, although the elderly have been viewed as economically poor people so far, the study showed that there were also kind of prepared households through saving. Overall, livelihoodcentered type accounted for the highest portion and, as a factor that influenced this, marital state and household income played an important role. Therefore, it is considered that more active efforts to increase the income of the elderly households are needed. In addition, age, owning of house and subjective health state were found to also have significant influence. Through these results of the study, the elderly's own improvement of awareness on health, presentation of overall standard for health state of the elderly, securement of the elderly's access to cultural life, and financial management coordination for improvement of quality of life, development and dissemination of jobs suitable for the elderly, and dissemination of communal life household, which is a cooperation residential type, were presented as institutional task in the conclusion.

• Sleep Medicine and Psychophysiology
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• v.25 no.2
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• pp.74-81
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• 2018

Objectives: Insomnia is one of the major concerns in the elderly population. Cognitive behavioral treatment for insomnia is the first line treatment option, but there are some limitations including time and cost burdens and the requirement for sufficient cognitive resources to obtain a proper treatment effect. The Brief intervention for insomnia (BII) is a treatment that focuses on behavioral aspects of insomnia in primary care practices. The purpose of this study was to evaluate the effects of BII in community-dwelling older adults. Methods: A total of 47 older adults with insomnia were enrolled from community centers between May 2016 and January 2018. They participated in the BII program for three weeks. We gathered sleep-related participant information with using the Pittsburgh sleep quality index (PSQI), the Sleep hygiene index, and a sleep diary. Clinical efficacy was evaluated by comparing total sleep time (TST), sleep latency (SL), waking after sleep onset (WASO), and sleep efficiency (SE) before and after the treatment. Results: There was significant improvement in sleep-related features after BII. Global score and sleep quality from the PSQI, freshness, and WASO from the sleep diary showed statistically significant improvement. Conclusion: We found BII showed positive clinical efficacy in community dwelling older adults, especially from the perspective of subjective sleep quality and WASO. This finding implies that BII can be effectively applied for the managment of elderly insomnia patients in a community setting.