• Health Policy and Management
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• v.29 no.3
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• pp.303-311
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• 2019

Background: Cerebrovascular disease is included in four major diseases and is a disease that has high rates of prevalence and mortality around the world. Moreover, it is a disease that requires a high cost for long-term hospitalization and treatment. This study aims to figure out the correlation between grip strength, which was presented as a simple, cost-effective, and relevant predictor of cerebrovascular disease, and cerebrovascular disease based on the results of a prior study. And furthermore, our study compared model suitability of the model to measuring grip strength and relative grip strength as a predictor of cerebrovascular disease to improve the quality of cerebrovascular disease's predictor. Methods: This study conducted an analysis based on the generalized linear mixed model using the data from the Korea Longitudinal Study of Ageing from 2006 to 2016. The research subjects consisted of 9,132 middle old age people aged 45 years or older at baseline with no missing information of education level, gender, marital status, residential region, type of national health insurance, self-related health, smoking status, alcohol use, and economic activity. The grip strength was calculated the average which measured 4 times (both hands twice), and the relative grip force was divided by the body mass index as a variable considering the anthropometric figure that affects the cerebrovascular disease and the grip strength. Cerebrovascular diseases, a dependent variable, were investigated based on experiences diagnosed by doctors. Results: An analysis of the association between grip strength and found that about 0.972 (odds ratio [OR], 0.972; 95% confidence interval [CI], 0.963-0.981) was the incidence of cerebral vascular disease as grip strength increased by one unit increase and the association between relative grip strength and cerebrovascular disease found that about 0.418 (OR, 0.418; 95% CI, 0.342-0.511) was the incidence of cerebral vascular disease as relative grip strength increased by unit. In addition, the model suitability of the model for each grip strength and relative grip strength was 11,193 and 11,156, which means relative grip strength is the better application to the predictor of cerebrovascular diseases, irrespective of other variables. Conclusion: The results of this study need to be carefully examined and validated in applying relative grip strength to improve the quality of predictors of cerebrovascular diseases affecting high mortality and prevalence.

• Journal of Digital Convergence
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• v.17 no.2
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• pp.293-301
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• 2019

The purpose of this study is to redefine 7 social exclusion factors and to derive association between social exclusion factors and depression of middle and older elderly, focused on gender differences. The elderly aged over 50 years old were extracted from the data of the Korean Longitudinal Study of Ageing (KLoSA) in 2016. The data was analyzed by descriptive analysis, chi-squared test, and binary logistic regression analysis, using SAS 9.4. As a result, the elderly who were excluded from labor, residence, health, and relationship were found to be associated to depression. In addition, male with resident exclusion were associated with depression compared to non-excluded. Therefore, it is necessary to improve the local community programs in which elderly people can participate in labor and cultural activity. It is necessary to improve labor and culture exclusion by increasing the participation opportunities of various cultural programs. In addition, it is needed to establish specific guidelines for eliminating the social exclusion of overall elderly.

• Korean Journal of Family Social Work
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• no.55
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• pp.5-30
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• 2017

This study aims to analyze the influence of network of elderly with his or her non cohabiting children on their depression and its regional differences between urban and rural areas. The analysis is based on the sample of 1,609 elderly of 65 and above (1,011 Urban residents and 598 Rural residents) from the third time span(year 2010) to the fifth time span(year 2014) collected by the Korean Longitudinal Study of Ageing, whose research conducted by Korea Employment Information Service. First, it is found that rural elderly are more likely to suffer from depression than urban elderly. Second, it is found that rural elderly have on average a bigger number of non cohabiting children in their network, whereas geographical proximity and frequency in meeting, and economic support is stronger upon urban elderly. Third, urban elderly tend to suffer from depression as the frequency of phone calls with their non cohabiting children increases with time, and as the frequency of meeting and relationship satisfaction is decreases with time, whereas rural elderly tend to suffer from depression as their geographical proximity with their non cohabiting children is decreases with time. Based on the results of this analysis, this study further suggests practical policy interventions to prevent elderly depression.

• 한국노년학
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• v.36 no.3
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• pp.693-709
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• 2016

This study was to investigate depressive symptoms of caregiving grandmothers in South Korea and related factors focusing on caregiving characteristics. The data were drawn from the fourth wave of Korean Longitudinal Study on Ageing (KLoSA). The study participants were 3,291 grandmothers who had at least one grandchild, and we limited our analysis to 127 grandmothers who had provided care for their grandchild(ren) during the past one year. As for the depressive symptoms, Center for Epidemiological Survey-Depression 10(CES-D 10) short version were applied. Caregiving characteristics including caregiving duration by weeks per year, caregiving hours per week and the number of grandchildren who received grandmother care were examined. A multiple logistic regression was performed to detect association between caregiving characteristics and depressive symptoms while adjusting for general socioeconomic characteristics and health status of caregiving grandmothers. The longer duration of caregiving lowered the depressive symptoms and in contrast, those who spent more hours for providing care to their grandchildren were more exposed to the depressive symptoms. Physical pain significantly increased their depressive symptoms and low income level were more likely to induce depressive symptoms. More detailed studies on grandchild caregiving patterns among grandmothers were needed. Also, tailored support policy and services should be considered to alleviate their burden and depression in the future.

• 한국노년학
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• v.38 no.2
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• pp.329-349
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• 2018

The objective of this study is to examine whether there are differences in participation in social activities and the effects of social activity types on the levels of happiness of the Korean older adults by age groups. The 5th wave(2014) of the Korean Longitudinal Study of Ageing (KLoSA) was used and a total of 3,273 elderly were selected from the 5th wave, who were 65 years old and older and who were not living with their offsprings. Chi-square test, ANOVA, and hierarchical multiple regression analysis were used. The rate of participation in economic activities declined with age and the levels of participation in leisure activities was higher in the young-old group in comparison to the middle- and the oldest- old groups. The levels of participation in family activities was higher in the middle- and the oldest-old groups in comparison to the young-old group. Socializing activities and religious activities measured by the frequencies of activities were not significantly different among the age groups. The results of a regression analysis of social activity types and their effects on happiness by age groups are the followings: 1) Leisure, socializing, religious, and family activities all (with the exception of economic activities) significantly affected the level of happiness of older persons in the young-old group. 2) However, only socializing and family activities in the middle-old age group, and only family activities in oldest-old group, had a statistically significant impact on the levels of happiness. These results support that the rates of participation in the five types of social activities and their effects on the levels of happiness were different by age groups. The implication of this study was to report that needs and the interests of older individuals are different by age groups based on empirical evidences.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.4
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• pp.371-381
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• 2019

This study explored how retirement satisfaction or dissatisfaction influences on retirees' life satisfaction, comparing to workers and the gender differences were examined. The study sample was 2,609 persons (1,886 workers, 723 retirees) aged 45 or older who participated in the 1-2 waves of the Korean Longitudinal Study of Ageing (KLoSA), and the retirees were classified into continuously dissatisfied retirees and satisfied retirees during wave 1 and 2. Using SPSS 21.0, the multiple regression models were examined, and in order to clarify the gender difference, the multi-group analysis and the wald-test were conducted to test the difference of the regression coefficients according to gender using Mplus 7.3. According to the results, the life satisfaction of dissatisfied retirees was lower than that of the employed, but when satisfied with retirement, the life satisfaction was higher than that of the employed. In addition, the dissatisfied retirees in both gender were less satisfied with life than the employed, and this effect was greater in female group. However, the life satisfaction of female satisfied with retirement was higher than that of the employed, whereas the evidence of the male influence was not found to be significant. Based on the results of this study, discussion about heterogeneity of retirees and gender differences in life span were presented.

• Journal of the Korean Society of Radiology
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• v.13 no.1
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• pp.141-146
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• 2019

Radiation sources used in the field of industrial non-destructive pose a risk of exposure due to ageing equipment and operator carelessness. Thus, the need for a safety management system to trace the location of the source is being added. In this study, Monte Carlo Simulation was performed to analyse the angle dependence of the unit-cell comprising the line-array dosimeter for tracking the location of radiation sources. As a result, the margin of error for the top 10% of each slope was 5.90% at $0^{\circ}$, 8.08% at $30^{\circ}$, and 20.90% at $60^{\circ}$. The ratio of the total absorbed dose was 83.77% at $30^{\circ}$ and 53.36% at $60^{\circ}$ based on $0^{\circ}$(100%) and showed a tendency to decrease with increasing slope. For all gradients, the maximum number was shown at $30^{\circ}$ No. 9 pixels, and for No. 10, there was a tendency to drop 7.24 percent. This study has shown a large amount of angle dependence, and it is estimated that the proper distance between the source and line-array dosimeters should be maintained at a distance of not less than 1 cm to reduce them.

• 한국노년학
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• v.37 no.4
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• pp.871-891
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• 2017

The purpose of this paper is to reduce the reverse-causality and overestimate bias of analysis on how health affected middle-aged and elderly worker's early retirement. From the Korean Longitudinal Study of Ageing(KLoSA) panel data, I researched 1,049 people who were 45-52 years old in 2006. To eliminate the reverse-causality problem, I used the health data which is surveyed before retirement. To reduce bias, I controlled the health status when retirees worked. The main results are as follows. First, the worsened health still affects the hazard of early retirement, with reducing the endogeneity problem. Second, chronic illness is one of the strong predictors of early retirement to self-employed, and self-reported bad health is the main health predictor of wage workers. These results give two implications; first, the impact magnitude of the health indicator depends on employment type. Each employment type has different flexibility of working hours. It seems that the flexibility can reduce early retirement hazard with health problems. Self-employed, who has more flexibility of working hours can work until they have to stop working due to the serious health problem or doctor's advice. Second, to promote middle-aged and elderly workers to keep working, the long-term health policy which decreases chronic illness is needed.

• 한국노년학
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• v.37 no.3
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• pp.687-705
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• 2017

The purpose of present study is to examine the effects of the elderly's assets on life satisfaction, and to examine the indirect effects, such as financial and emotional support exchange with their children, between their assets and life satisfaction. For this study purpose, the 5th data of the Korean Longitudinal Study of Aging (KLoSA) was used. Abstracted from the data, 1,977 cases only for the elderly over 65-year-old were analyzed by employing SPSS 23.0 and SPSS Process Macro. The analysis results are summarized as follows. First, the assets of the elderly had a positive direct effect on the satisfaction of life. Second, the elderly's assets indirectly affected the satisfaction of life through the financial support exchange with their child(ren). Lastly, the elderly's assets indirectly affected the satisfaction of life through the emotional support exchange with their child(ren). Based on these results, this study suggests practical and political implications in terms of social welfare for the elderly's life satisfaction, so as to facilitate the elderly's assets accumulation, and to enhance support exchange between the elderly and their child(ren).

• 한국사회정책
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• v.19 no.2
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• pp.137-161
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• 2012

Traditionally, caring for young children and the elderly has been largely assumed and practiced intensively within the family in Korea. The Korean government established residual protection systems for the elderly as well as children whose needs could not be met by their family members alone. However, in the 21st century, a number of social forces have made it necessary to expand the state's intervention in the care provisions. The primary forces include the ageing process, low fertility, change in the women's labour market participation, changes in the family formation and dissolution, and changes in the people's perceptions of familial responsibilities regarding caring for other family members. This paper employs and further develops the idea of the care diamond conceived by the United Nations Research Institute for Social Development Project in relation to the political and social economy of care and applies it to Korea's social care expansions. The analysis demonstrates that the roles of the public and the market sector, in case of child care, increased while those of the third sector decreased. Apropos of the elderly care, the role of the market expanded dramatically, followed by that of and the state and the third sector. Nonetheless, it is important to note that the fundamental characteristics of Korea's care provision for children and the elderly have remained unchanged and even strengthened where the elderly care is concerned. The bulk of personal care demand is still met within the family, particularly by female members of the household.