• Health Policy and Management
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• v.27 no.4
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• pp.372-374
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• 2017

Korea is one of the fastest aging country in the world. The increase in health expenditure is an inevitable problem in an aging country. We examined trend of benefit expenditure in National Health Insurance (NHI) by age group during 2001 to 2016. The benefit expenditure of NHI was 13.0 trillion won (2001) and 48.7 trillion won (2016); that is 3.76 times to 2001. This rapid increase was mostly due to people aged 65 and over. Proportion of beneficiaries aged 65 and over was 6.9% (2001) and 13.7% (2016), benefit expenditure per capita aged 65 and over was 279 thousand won (2001) and 960 thousand won (2016), and utilization days per capita aged 65 and over 21.44 (2001) and 30.23 (2016). This phenomenon was more pronounced in 75 or 85 aged and over. To contain the health costs for older people, the NHI system should be reformed.

• Journal of The Korean Society of Integrative Medicine
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• v.10 no.4
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• pp.83-91
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• 2022

Purpose: The goal of this study was to investigate changes in dual-task performance according to age and difficulty of cognitive tasks for the in community-dwelling elderly populations, as well as to examine their changes in hand dexterity according to age and cognitive function. Methods: A total of 135 people aged 65 years old and over participated in the study. To evaluate each participant's dual-task performance, each participant completed a dual task. To assess their cognitive function, the Korean Mini-Mental State Examination (MMSE-K) and the Korean version of Montreal Cognitive Assessment (MoCA-K) were the tools used. Participants were divided into three groups based on their age: 65-69 years, 70-79 years, and 80-89 years. Results: The findings showed that age groups and the difficulty of the cognitive task significantly affected the amount of time required for dual-task performance (p<.001). Additionally, the dual-task correct response rate (CRR) decreased significantly with age groups and the difficulty of the cognitive task (p<.001). The amount of time required for finger dexterity performance increased significantly with age groups (mean score±standard deviation [SD]; 19.46±2.26 in subjects aged 65-69 years; 21.92±2.61 in subjects aged 70-79 years; and 23.82±2.92 in subjects aged 80-89 years; p<.001). Moreover, as a result of the correlation between hand dexterity and cognitive function, MoCA-K was -0.563 and MMSE-K was -.412, showing a statistically significant correlation (p<.001). Conclusions: Age and the difficulty of the cognitive task affect the community-dwelling elderly populations in terms of dual-task performance and dual-task CRR. In addition, aging and general cognition have an impact on hand dexterity. Based on the results of this study, it is anticipated that the results will serve as a reference for domestic clinical trials that confirm cognitive decline in the elderly using dual task and hand dexterity evaluation.

• Journal of Korean Academy of Nursing
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• v.42 no.2
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• pp.291-301
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• 2012

Purpose: The purpose of this study was to investigate homebound status and significant related factors for community-dwelling female elders according to age. Methods: The participants were female elders over 65 years of age registered in public health centers. Data were collected by interviewing the elders, who voluntarily completed the entire survey. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 18.0. Results: There were statistically significant differences in homeboundness and related factors between the young-old (65 to 74 years of age) and the old-old (75 years of age or older). The level of homeboundness of the old-old was higher than that of the young-old. Multiple logistic regression showed, timed "up and go", depression, and fear of falling as significantly associated with homebound status of the young-old, while hand grip strength (right), timed "up and go", static balance ability, severity of urinary incontinence, and fear of falling as significant for the old-old. Conclusion: The findings of this study indicate that homebound status and related factors for elders are different according to age, and therefore, interventions to prevent and help homebound elders get over being homebound should be developed according to age.

• Research in Community and Public Health Nursing
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• v.13 no.2
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• pp.343-353
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• 2002

Objectives: The aim of this study was to explore nursing students' attitudes towards sexually active elderly, and to compare their attitudes with those of non-nursing students. Methods: Study subjects consisted of 118 nursing students, and 134 non-nursing students, recruited from two universities. The data were collected from September to November 2001. Vignettes, which presented hypothetical situations of sexual activities of the elderly (65 years of age, 80 years of age/sexual activity mentioned. non-mentioned), were provided as a research method, as well as the use of a structured questionnaire. Vignettes showed the hypothetical situations by male elder's sexual activity and their age. Respondents were asked to address their thoughts in the questionnaire. Results: 1. Nursing students showed more favorable attitudes toward the elderly than non-nursing students, regardless of the presence of sexual activity of the elderly. 2. No significant difference was found in nursing students' attitudes toward the elderly aged 65 and 80 years, between those who were sexually active and those who were not. These results were the same in non-nursing students. 3. Nursing students showed more favorable attitudes toward the sexually active elders aged 65 years (5.6 1.43), than toward sexually active elders aged 80 years (4.89 1.55). This result was also the same in non-nursing students. 4. The variables significantly affecting attitudes toward the sexually active elderly in nursing students were familiarity with old persons (p=. 02), presence of living grandparents (p=. 05), and the experience of caring for old people (p=. 01). However, in non-nursing students, familiarity with old people was the only significant variable that affected their attitudes toward the sexually active elderly. 5. In nursing students, one variable to predict attitudes toward the sexually active elderly was the experience of caring for old people (p=. 03), accounting for 10% of the total variance. In non-nursing students, familiarity with old people was the only variable to attitudes toward the sexually active elderly (p=. 03), accounting for 3% of the variance for attitude. In both student groups, the variables that predicted attitudes toward the sexually active elderly included college major (p=. 03), school year (p=. 01), familiarity with old people (p=. 02), accounting for 12% of the variance for attitude by these variables. conclusion: Nursing students showed more favorable attitudes toward the sexual activity of elders 65 years of age or over, than non-nursing students. However, both the nursing and non-nursing students showed negative attitudes toward the elderly who were 80 years of age when compared with those 65 years of age. There should be a consideration in nursing education curriculums that university students may have negative attitudes towards sexual activity of the elderly over 80 years of age.

• 한국노년학
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• v.38 no.2
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• pp.365-383
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• 2018

The purposes of this study were to investigate the perceived level of aging anxiety and the variables affecting the perception of aging anxiety by three different age groups and to find out what alternatives should be socially prepared to lower aging anxiety. We used survey data collected from 1,017 adults who are aged 18 and over and the subjects were divided into three age groups: 18-44 age group, 45-64 age group, over 65 age group. ANOVA and multiple regression analysis were performed to answer the research questions. Major findings of this study were as follows: 1) There was no difference in the perceived level of aging anxiety according to each age group, 2) 'perceived elderly stigma' was found to affect the perceived level of aging anxiety in all age groups, 3) 'perceived maximum age possible to work' was influencing the perceived level of aging anxiety in 18-44 age group and 45-64 age group, 4) 'perception of fairness to the operation of social systems' was a statistically significant variable for the perceived level of aging anxiety in the 45-64 age group and over 65 age group, 5) 'perception of age integration' and 'aging-friendly environment' variables had significant effects on the perceived level of aging anxiety only in over 65 age group. Suggestions for reducing the perceived level of aging anxiety have been proposed.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.3
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• pp.247-251
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• 2013

Purpose: To analyse the addition power of new wearer of progressive addition lenses. Methods: Data of 636 subjects who have been prescribed progressive addition lenses as the first time were used for analyse. The range of age for was between 41~78 years old and they visited the optical practice in Gwangju metropolitan city from 2001 to 2013Date of refractive state, gender and age were analysed. Results: The difference of addition by gender was 1.71 D in male and 1.67 D in women. The difference of addition by refractive error was 1.67 D in emmetropic patients and 1.74 D in myopic patients, 1.90 D in hyperopic patients. The difference of addition by age was1.26 D in 41~44 years old sge group, 1.48 D in 45~49 years old age group,1.72 D in 50~54 years old age group 1.84 D in 55~59 years old age group, 2.10 D in 60~64 years old age group and 2.43 D in over 65 years old age group. The difference of addition by diopter in myopic patients was 1.58 D in low myopic patients and 1.48 D in middle myopic patients, 1.67 D in high myopic patients. The difference of addition by axis of astigmatism was 1.80 D in with-the-rule astigmatism, 1.64 D in against-the-rule astigmatism and 1.65 D in oblique astigmatism. Conclusions: The Addition power of progressive lenses were different according to the types of refractive error, astigmatism axis and age.

• The Korean Journal of Vision Science
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• v.20 no.4
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• pp.505-511
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• 2018

Purpose : This study investigated the visual functions of drivers aged over 65 year olds and drivers aged 50~65 year olds. In addition, difference of visual functions between professional drivers and normal drivers were investigated. Methods : Forty Driver aged over 65 year olds and 67 drivers aged less than 67 year olds were participated. All participants had more than 5 years of driving experiences and had no ocular pathology. Demographic data(gender, job, age, body condition) and visual functions such as contrast sensitivity(CS), stereopsis, glare recovery time and discomfort glare index were measured. Results : Constrast sensivity under photopic condition was higher with bus driver group. In addition, difference of CS at 12cpd and 18cpd were signifcantly different between normal drivers(1.57) and bus drivers(1.70) (p<0.05). There was no significant difference for glare recovery time, despite of trend of longer recovery time with age. Discomfort glare index was significantly different that normal drivers with more than 65 year olds had 3, taxi and truck driver presented almost 5 index score (p<0.05). Conclusion : Analysis of visual function of elderly drivers, it was confirmed that their visual functions decreased with age. Therefore, visual function tests such as CS, discomfort glare index and stereopsis in addition to current available test may need to be considered for drivers aged over 65.

• Fashion & Textile Research Journal
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• v.14 no.1
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• pp.90-99
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• 2012

The purpose of this study is to compare female members's jumper and jacket preferences for five different styles of Fall/Winter jumpers and jackets, divided into three age groups(65-69 yr, 70-74 yr, over 75 yr). Total 324 senior females, ages over 65 in Kimhae and Busan area were chosen for the study. The major findings of this study were as follow; For the age group, 65 to 69, in the jumper category, it was important for them to look slender and sophisticated. Jumpers with quilted thin fabrics, jumpers with hooded jumpers zippers, and short chinese collar in the short blouson style were preferred in the age group. Jacket needed to be designed in A-line styles, short or long with one or two buttons and of various length. For those in the 70 to 74 age group, the jumper designs need to be tidy and clean with box-shaped pockets. In addition, various formal style jumpers with increasing length up to hip lines. For jackets, it is necessary to increase the number of designs with convertible collars with three button in front, elegantly covered pocket, long enough to cover the hip line. For those in the age group of 75 or over, it was essential for jumpers and jackets to be of increasing length in box style, loose-fit with, front-closure or snap buttons and out pockets that allows one to put their hands in the jumper. They preferred jacket length down to the hip-line, wing collar for jumpers, tailored collar for jackets more than the other age groups.

• Clinical and Experimental Emergency Medicine
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• v.5 no.4
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• pp.249-255
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• 2018

Objective As aging progresses, clinical characteristics of elderly patients in the emergency department (ED) vary by age. We aimed to study differences among elderly patients in the ED by age group. Methods For 2 years, patients aged 65 and older were enrolled in the study and classified into three groups: youngest-old, ages 65 to 74 years; middle-old, 75 to 84 years; and oldest-old, ${\geq}85years$. Participants' sex, reason for ED visit, transfer from another hospital, results of treatment, type of admission, admission department and length of stay were recorded. Results During the study period, a total 64,287 patients visited the ED; 11,236 (17.5%) were aged 65 and older, of whom 14.4% were 85 and older. With increased age, the female ratio (51.5% vs. 54.9% vs. 69.1%, P<0.001), medical causes (79.5% vs. 81.3% vs. 81.7%, P=0.045), and admission rate (35.3% vs. 42.8% vs. 48.5%, P<0.001) increased. Admissions to internal medicine (57.5% vs. 59.3% vs. 64.7%, P<0.001) and orthopedic surgery (8.5% vs. 11.6% vs. 13.8%, P<0.001) also increased. The ratio of admission to intensive care unit showed no statistical significance (P=0.545). Patients over age 85 years had longer stays in the ED (330.9 vs. 378.9 vs. 407.2 minutes, P<0.001), were discharged home less (84.4% vs. 78.9% vs. 71.5%, P<0.001), and died more frequently (6.3% vs. 10.4% vs. 13.0%, P<0.001). Conclusion With increased age, the proportion of female patients and medical causes increased. Rates of admission and death increased with age and older patients had longer ED and hospital stays.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.8
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• pp.4723-4725
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• 2013

Background: Bladder cancer is a major health problem, especially among men. Opium addiction can be an important risk factor. One important question is whether it can affect the age of onset of bladder cancer. We performed this study to evaluate this question. Materials and Methods: In a cross-section study, records of patients diagnosed with bladder carcinoma in Shahid Labbafinejad Medical Center, within 1999-2008 were included. Data were extracted from records regarding age at onset, gender, smoking status, and opioid addiction and analyzed with SPSS 13. Results: Within 10 years, 920 cases were diagnosed with bladder cancer of which 97 percent were transitional cell carcinoma. In 698 cases, opium addiction status was recorded in 21.3% (n=149). Age at diagnosis was $59.7{\pm}11.51$ (median: 60) among opioid addicts which was significantly lower than nonaddicts ($63.1{\pm}13.65$, Median: 65) (P<0.001). Conclusions: Opium addiction can decrease the age of onset of bladder cancer.