• Nutrition Research and Practice
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• 제14권3호
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• pp.242-251
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• 2020

BACKGROUND/OBJECTIVES: This study was conducted to examine disparities in food and nutrient intakes based on family types identified among 1,856 participants who were the Korean elderly people in the 6th Korea National Health and Nutrition Examination Survey (KNHNES) excluding those who were currently practicing the diet therapy. SUBJECTS/METHODS: We separated the subjects into two groups: living alone (LA, n = 638) and living with a spouse (LS, n = 1,218). We also examined the disparities of dietary quantity and quality of those two groups using complex sampling design general linear regression analyses (CS GLM). RESULTS: In the LA group, there was a higher percentage of females and average age in LA group was higher than the participants in the LS group. Household income and education level were significantly lower in LA compared to those of LS. The frequencies of skipping meals were higher in LA. LA's food and nutrient intakes showed lower consumption of vegetables, fruits, seaweeds, and of most nutrients. Even after adjusting for the confounding factors, the consumption of vegetables, seaweeds, carbohydrates, potassium, riboflavin, and vitamin C showed lower in LA than LS. Moreover, LA's nutrient intake ratios compared to the KDRIs were lower which turned out to be similar to their nutrient intakes. CONCLUSIONS: These results show that dietary behavior and food intake of the elderly are associated with family types. Frequently skipping meals and less dietary variety are more common with elderly persons who were living alone. Therefore, it is necessary to integrate the supplementary food programs and nutrition education programs for the elderly living alone.

• 보건행정학회지
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• 제30권4호
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• pp.467-478
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• 2020

Background: The purpose of this study is to explain the factors influencing the incurrence of catastrophic health expenditure of national health insurance households using panel data observed over a long period. Methods: The study targeted 3,652 households who had no censoring during the 11-year survey period (2007-2017) and householders whose insurance type was consistently maintained as national health insurance. Generalized estimating equations were adopted to identify factors affecting the occurrence of catastrophic health expenditure at 20%, 30%, and 40% threshold levels. A subgroup analysis was conducted by categorizing groups depending on the existence of the elderly in the household. Results: For the last 11 years, the incidence of catastrophic health expenditure in the households without the elderly decreased slightly at all threshold levels, but the households with the elderly seemed to be increased. At baseline, household type showed a statistically significant relationship with all other variables. The results of generalized estimating equations analyses show that household income was not significant at all threshold levels in the households without elderly. On the other hand, in the households with the elderly, the 2nd (odds ratio [OR], 1.33-2.05) and 3rd quintile groups (OR, 1.25-2.55) were more likely to have catastrophic health expenditure compared to the 1st quintile of household income group. Conclusion: As the amount of health expenditures relative to the ability to pay is increasing in households with the elderly, the application of an intervention followed by consistent monitoring is needed. This study found that there were differences in influencing factors according to the presence of the elderly in the households. In particular, in households with the elderly, interesting results have been drawn regarding the occurrence of catastrophic health expenditure in the near-poor, so additional research is required.

• 한국산학기술학회논문지
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• 제21권7호
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• pp.616-624
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• 2020

본 연구의 목적은 노인 운수사고 입원 환자의 운수사고 유형과 사망 사이의 연관성을 분석하여, 노인 운수사고 입원 및 사망 환자를 줄이기 위한 운수사고 유형에 따른 체계적이고 효과적인 정책 개발 및 수립에 기여하기 위함이다. 본 연구의 방법은 2013-2017년의 질병관리본부 퇴원손상심층조사 데이터세트 중 운수사고를 입은 노인 입원환자를 추출하여 기술통계분석, 카이제곱검정과 다중 로지스틱 회귀분석을 실시하였다. 인구사회학적, 의료기관, 의료이용 특성을 보정한 상태에서 분석한 결과 운수사고로 인한 노인의 입원 사망은 승용차 사고에 비하여 보행자 사고(OR : 2.522 95% CI 1.291-4.927), 자전거/카트 사고(OR : 2.809 95% CI 1.328-5.942), 오토바이 사고(OR : 2.330 95% CI 1.126-4.819)로 인한 사망이 각각 통계적으로 유의하게 높았다. 이와 같이 노인의 경우 승용차 사고로 인한 사망에 비하여 다른 유형의 운수사고로 인한 사망의 위험이 높지만, 우리나라 노인의 운수사고 관련 정책은 승용차 사고에 집중되어 있다. 따라서 증가하는 노인 집단의 운수사고 사망자를 줄이기 위하여 노인 집단의 운수사고 유형별 특성에 따른 효과적인 정책적 고려가 필요할 것으로 사료된다.

• Nutrition Research and Practice
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• 제14권4호
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• pp.352-364
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• 2020

BACKGROUND/OBJECTIVES: Given the increasing proportion of the Korean population that is aged 65 years and older, the present study analyzed the relationship between diet quality and sarcopenia in elderly persons by using data from the 2008-2011 Korea National Health and Nutrition Examination Survey (KNHANES). SUBJECTS/METHODS: Data for 3,373 persons aged 65 years and over (men: 1,455, 43.1%) were selected from the 2008-2011 KNHANES. Sarcopenia assessments are based on a formula that divides a subject's appendicular skeletal muscle mass (ASM) by their weight (wt) and multiplies that result by 100 ([ASM/wt] × 100). Sarcopenia is present if the subject's result was less than one standard deviation (SD) below the sex-specific mean for a young reference group. For evaluation of diet quality, data obtained via the 24-hour recall method were used to calculate the Diet Quality Index for Koreans (DQI-K). A general linear model was applied in order to analyze general information and nutritional intake according to sarcopenia status. For analysis of the relationship between diet quality and sarcopenia, a binominal logistic regression analysis was undertaken. RESULTS: The sarcopenia prevalence rate among the study subjects aged 65 years and over was 37.6%. The DQI-K of those without sarcopenia was 3.33 ± 0.04 points, while that of those with sarcopenia was 3.45 ± 0.04 points (P < 0.05). The relationship between diet quality and sarcopenia revealed that subjects aged 75 and older had a poor diet quality, and their odds ratio (OR) of sarcopenia presence was significantly higher (OR: 1.807, 95% confidence interval: 1.003-3.254, P < 0.05). CONCLUSIONS: This study revealed that poor diet quality was related to sarcopenia presence in Koreans aged 75 and older. In order to improve the diet quality of the elderly (aged 75 and older), it is necessary to develop dietary improvement guidelines.

• 지역연구
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• 제36권2호
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• pp.37-49
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• 2020

2019년 현재 우리나라 인구 10만 미만인 소도시의 평균 고령화율이 약 31.8%에 이르고 있음에도 각종 생활편의시설이 읍면의 일부 중심지에 집중되어 있어 특히 고령주민의 이용에 많은 불편을 초래하고 있다. 본 연구는 이들 지역에서의 고령자 생활편의시설에 대한 접근성을 실증적으로 밝혀, 향후 연구에 대한 기초 자료를 제공하는 것을 목적으로 하였다. 연구대상 지역의 인구 고령화 정도와 고령자 생활편의시설의 분포현황을 통계청 농림어업총조사의 지역조사 MDIS자료를 중심으로 구축한 후, 고령자 현황과 생활편의시설의 분포도 및 핫스팟맵 작성, 접근거리를 QGIS로 분석했다. 분석결과, 특히 고령자들이 많이 거주하는 지역에서의 의료, 판매, 위생 노인복지부문의 생활편의시설 접근성이 부족함을 확인하였다. 이는 소도시의 심각한 고령화를 반영한 고령자 생활편의시설의 유형 변화 및 공간적 재편이 필요함을 시사한다.

• 문화기술의 융합
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• 제6권1호
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• pp.215-221
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• 2020

본 연구의 목적은 우리나라 만 65세 이상 노인의 심뇌혈관질환의 융복합적 관련요인을 규명하고, 노인 맞춤형 건강프로그램 개발의 기초자료로 활용하기 위함이다. 본 연구는 2017년도 국민건강영양조사결과를 기초자료로 한 이차자료 분석연구이며, 우리나라 만 65세 이상의 노인 1,617명을 대상으로 하였다. 자료 분석은 IBM 23 ver. SPSS를 이용하였다. 회귀분석 결과 65세 이상 노인의 심뇌혈관질환에는 건강관련요인 중 주관적 건강상태, 걷기실천여부 및 고콜레스테롤혈증이 관련이 있는 것으로 나타났다. 주관적 건강상태는 심뇌혈관질환 발생률이 '매우 좋음'일 경우보다 '좋음'일 경우 2.43배, '보통'일 경우 2.43배, ''나쁨'일 경우 2.39배 높았고, 매우 나쁨'일 경우에는 3.84배로 가장 높게 나타났다. 걷기실천여부는 걷기실천을 '하는 경우'보다 '하지 않는 경우'에 심뇌혈관질환의 발생이 1.44배 높게 나타났다. 고콜레스테롤혈증은 '없는 경우'보다 '있는 경우'에 심뇌혈관질환 발생률이 2.63배 높은 것으로 나타났다. 연구결과를 토대로 노인의 기저질환을 고려한 적극적인 예방적 간호중재 프로그램개발이 필요하다.

• 한국노년학
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• 제40권1호
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• pp.163-178
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• 2020

본 연구의 목적은 성별로 65세 이상 노인의 행복감에 영향을 미치는 여가 요인들이 무엇인지 분석한 다음, 이를 바탕으로 정책적 함의를 논의하는 데 있다. 이를 위하여 한국문화관광교육원이 2016년도에 조사한 「2016년 국민여가활동조사」 자료에서 65세 이상 남성 노인 891명, 여성 노인 970명, 총 1,861명을 추출하여 분석대상으로 삼았다. 분석 방식은 순서형 로짓모형을 사용하여 회귀분석하였다. 분석결과는 다음과 같이 요약된다. 첫째, 4가지로 분류된 여가활동 유형 선택에서 남성 노인과 여성 노인이 상당한 차이를 보였다. 둘째, 통제변수 중 가계소득, 거주 지역, 동호회 참여는 노인의 행복에 미치는 영향이 성별로 달랐고, 자원봉사활동은 노인의 행복에 미치는 영향이 성별로 차이가 없었다. 셋째, 여가활동 유형은 남성 노인과 여성 노인 모두에 유의한 영향을 미치지 않았다. 넷째, 여가비용이 남성 노인의 행복감에 아주 유의하게 정적인 영향을 미쳤고, 유의성이 높지는 않았지만, 여성 노인의 행복감에는 정적인 영향을 미쳤다. 다섯째, 일보다는 여가에 집중하는 경우가 남성 노인과 여성 노인의 행복감 모두에 아주 유의하게 정적인 영향을 미쳤다. 여섯째, 여가생활만족도는 남성 노인과 여성 노인의 행복감 모두에 아주 유의하게 정적인 영향을 미쳤다.

• 지역사회간호학회지
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• 제31권spc호
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• pp.577-590
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• 2020

Purpose: The purpose of this study was to find out the suicidal ideation rate of the elderly including individual and regional factors by sex. Methods: This is secondary analysis study that combines the data of the 2017 Community Health Survey with the e-indicator data set of the National Statistical Office, and a descriptive correlation study. Statistical analysis used hierarchical logistic regression by SAS 9.4. Results: The 11.5% of the elderly had suicidal ideation within the last year, and 18.4% in Chungnam is the highest. Individual characteristics include females, older people, lower education levels, no job or housewife, no spouse, less than seven hours of sleep per day on the average, low subjective health, high subjective stress, and the worse their economic conditions, the more they had suicide ideation. Considering regional characteristics, suicidal ideation tended to increase significantly as the number of hospital beds per 1,000 people and the rate of obesity was lower, the rate of stress perception was higher, and the odds value was small. When both individual and regional factors were considered, the model conformity of the suicidal ideation improved (ICC=0.0814). Conclusion: In order to lower the suicidal rate of the elderly, it seems that both individual and community factors need to be comprehensively approached from the stage of suicidal ideation in the community.

• Journal of Preventive Medicine and Public Health
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• 제53권6호
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• pp.455-464
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• 2020

Objectives: The distribution of hospitals in Korea is unbalanced in terms of accessibility. Many local public health centers (PHCs) exempt out-of-pocket payments (OOPs) based on local government laws to increase coverage. However, this varies across administrative regions, as many make this exemption for the elderly, while others do not. This study aimed to evaluate the effects of the OOP exemption at local PHCs among elderly individuals. Methods: This study used online data on Korean national law to gather information on individual local governments' regulations regarding OOP exemptions. Individual-level data were gathered from the 2018 Community Health Survey and regional-level data from public online sources. Results: The study analyzed 132 regions and 44 918 elderly people. A statistical analysis of rate differences and 2-level multiple logistic regression were carried out. The rate difference according to whether elderly individuals resided in areas with the OOP exemption was 1.97%p (95% confidence interval [CI], 1.07 to 2.88) for PHC utilization, 1.37%p (95% CI, 0.67 to 2.08) for hypertension treatment, and 2.19%p (95% CI, 0.63 to 3.74) for diabetes treatment. The regression analysis showed that OOP exemption had an effect on hypertension treatment, with a fixed-effect odds ratio of 1.25 (95% CI, 1.05 to 1.48). Conclusions: The OOP exemption at PHCs can affect medical utilization in Korea, especially for hypertension treatment. The OOP exemption should be expanded to improve healthcare utilization in Korea.

• 한국의류산업학회지
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• 제22권5호
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• pp.650-659
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• 2020

The present study provides reference data required for the design of clothing for the elderly by analyzing the body surface area during fitness motion based on 3D scan data of Korean elderly women. This study was conducted with the procedures of (1) survey of motions and main muscles for fitness, (2) acquisition of 3D scan data, and (3) analysis of rate of change for body surface area during fitness motion. Acquisition of 3D body scan data was obtained from seven elderly females (age: 64-77). We selected 66 anatomical landmarks (40 upper body and 22 lower body) by referring to previous studies. Body surface was segmented by connecting the landmarks marked on the 3D scan data acquired. Analysis of body surface area was conducted in terms of the change rate of surface area in 9 postures of elbow 0°, 90° and 180° for flexion, shoulder 90°, 180° for flexion, shoulder 0°, 180° for abduction, hip 90° for flexion, and knee 90° for flexion compared to the those in the standing posture. The amount of changes in body surface area were 12%-62% in the upper body, 15%-77% in the arm, and 10%-51% in the lower body. A future study on the rate of change of body surface length is needed; in addition, a study on how to apply the results of body surface area and body surface length analysis to clothing pattern design is also necessary.