• Advances in Computational Design
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• 제4권2호
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• pp.73-90
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• 2019

The growth in the number of single-member households is a critical issue worldwide, especially among the elderly. For those living alone, who may be unaware of their health status or routines that could improve their health, a continuous healthcare monitoring system could provide valuable feedback. Assessing the performance adequacy of activities of daily living (ADL) can serve as a measure of an individual's health status; previous research has focused on determining a person's daily activities and extracting the most frequently performed behavioral patterns using camera recordings or wearable sensing techniques. However, existing methods used to extract common patterns of an occupant's activities in the home fail to address the spatio-temporal dimensions of human activities simultaneously. Though multiple sequence alignment (MSA) offers some advantages - such as inherent containment of the spatio-temporal data in sequence format, and rapid identification of hidden patterns - MSA has rarely been used to extract in-home ADL routines. This research proposes a method to extract a household occupant's ADL routines from a cumulative spatio-temporal data log of occupancy collected using a non-intrusive method (i.e., a tomographic motion detection system). The findings from an occupant's 28-day spatio-temporal activity log demonstrate the capacity of the proposed approach to identify routine patterns of an occupant's daily activities and to reveal the order, duration, and frequency of routine activities. Routine ADL patterns identified from the proposed approach are expected to provide a basis for detecting/evaluating abrupt or gradual changes of an occupant's ADL patterns that result from a physical or mental disorder, and can offer valuable information for home automation applications by enabling the prediction of ADL patterns.

• 한국실내디자인학회논문집
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• 제26권3호
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• pp.71-80
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• 2017

Korea is facing various social problems including single elderly household, increase in the number of disabled people and poverty rate and a difference in the proportion of males to females between urban areas and rural areas along with the advent of rapid aging society. Especially, the ratio of poor households in rural areas residing in housing which falls below the minimum housing level and most of them are in the dead zone of housing welfare. In addition, if it is impossible for them to move (relocate) to new housing, the house remodeling is the only measure for improving their housing welfare. However, we don't have enough prior relevant academic and practical experience, and house remodeling requires a series of process including prior planning construction and post-occupancy evaluation, but almost no fundamental research that provides relevant insight has been carried out. Therefore, the purpose of this study is to describe all field situations that occur in the whole customized house remodeling process for disabled female senior citizens living alone in a rural area. The remodeling process was classified into initial planning stage, field verification and adjustment stage and construction stage as the method to participate in the field directly, and any change in the remodeling plan and its causes at each stage were analyzed. As a result, some remodeling items were changed from the main viewpoint of participating parties before the beginning of construction and for reasons such as the deterioration level of housing site, limitation in building equipment and rearrangement of housing, etc., and the remodeling method and its details were developed. It was identified that constant change that occurred in the remodeling process resulted from 1) unique poor characteristics of existing housing and 2) physical condition of residents and their unique lifestyle characteristics that were two aspects required to be emphasized by customized remodeling.

• Journal of Preventive Medicine and Public Health
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• 제34권1호
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• pp.1-8
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• 2001

Objectives : To gather information about the factors which influence the interest and intention of admission into charging nursing hones for the elderly(CNH), as these homes represent an important method for resolving the problems related to the rapid population aging occurring in Korea. Methods : A face-to-face interview survey was carried out with 320(men 159, women 165) patients over 60 years old who were admitted at 2 university hospitals and 5 general hospitals in the Busan area between December 1998 and March 1999. Data were analyzed through t-test, ANOVA, correlation and multiple regression analysis. Results : The mean age and years of education of the study population was 67.0 and 7.7 years, and the types of chronic degenerative disease included musculoskeletal disorders(20.1%), cerebrovascular disease(17.1%), and diabetes(14.3%). The major forms of household living arrangement prior to admission were elderly alone(22.6%), and elderly couple(33.5%), while about half of them(55.5%) didn't want to live with their children id the future. Almost half were paying medication fees by themselves(46.6%). The level of actual intention of admission$(3.07{\pm}1.39)$ into a CNH was lower than that of interest$(3.22{\pm}1.33)$(p<0.01). Multiple analysis revealed that the intention of admission increased with decreasing number of future supportive persons$(\beta=-0.107)$, lower level of activity in daily life$(\beta=-0.447)$, and longer years of education$(\beta=-0.447)$ with 32.7% of $R^2$. As for the factors which determined the admission into a CNH, the fee and facilities were considered to be most important, and professional nursing and physician's care were the most desired services. In nomenclature, they preferred 'elderly hospital' or 'elderly health center' to CNH. Conclusions : Interest in CNH is increasing recently, but existing studies about patient experiences in CHN are still limited. This study may form a basis for future examinations of the needs and uses for CNH. Active financial support and public information are considered by the authors to be important factors for the induction of welfare services for the elderly, though CNH.

• 토지주택연구
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• 제5권4호
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• pp.235-246
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• 2014

본 연구는 수도권의 1기 신도시가 건설된 이후 지난 20여 년간 신도시 내의 주거 및 인구특성의 변화를 분석하였다. 이를 위해 1995년부터 2010년까지 통계청의 인구주택총조사 자료를 이용하였다. 첫째, 신도시 건설당시의 계획목표와 현재를 비교분석한 결과, 인구목표는 평촌을 제외하고 2.1~28.6% 정도 초과하고 있는데 비해 세대수는 14.3~73.8% 증가하여 인구대비 세대수 증가가 더 많았다. 주택유형별로는 단독주택의 경우 면적대비 87.9%, 세대수 대비 130.3%로서 세대수 증가율이 더 컸으며, 이는 다가구 다세대주택에 의한 것으로 보인다. 또한 공동주택은 계획면적 대비 95.6%, 세대수 대비 113.4%로서 대체로 목표에 근접하였다. 2010년 신도시 총인구는 1,248천명으로 이는 1990년부터 2010년까지 서울시 인구 감소량 818천명의 152.6%, 경기도 인구 증가량 5,224천명의 23.9%에 해당하는 규모로서, 이는 간접적이나마 1기 신도시 건설이 서울 인구의 수도권 분산에 영향을 미친 것으로 보인다. 둘째, 5년 단위로 신도시의 인구 및 가구특성의 변화를 살펴본 결과, 인구는 도시가 완성된 이후 2005년을 정점으로 다소 감소 경향을 보였으며, 장년층 및 노령인구가 증가하였고, 여성인구가 다소 많은 대졸이상의 고학력 도시이며, 가구원수가 지속적으로 감소하였는데 특히, 1세대 가구의 증가와 1인 가구의 증가가 두드러졌다. 또한 총주택의 83~99%를 아파트가 차지하고 있으며, 대부분 건축년수가 20년이 경과되었다. 거주지역 외에 주택을 소유한 가구가 증가하였는데 이는 전국 및 수도권에 비해서 높은 수준이다. 전세가구 비율은 분당 및 평촌을 제외하고는 다소 감소하였고, 월세가구 비율은 신도시 모두 큰 폭으로 증가하여 '전세감소-월세증가'라는 임차주택시장의 변화를 반영하고 있었다.

• 대한지역사회영양학회지
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• 제20권1호
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• pp.30-40
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• 2015

Objectives: This study was performed to investigate the associations of food security with socio-demographic characteristics, nutrient intakes and mental health status among older Korean adults. Methods: This study was conducted using data from the 2008-2010 Korea National Health and Nutrition Examination Survey (KNHANES). Subjects were 4,451 adults aged 65~98 years. Food security was measured using a self-reported question on food sufficiency of subjects' household. Based on the answers, study subjects were classified into secure, mildly insecure, moderately insecure, and severely insecure groups. Dietary intake was estimated by 24-hour dietary recall. Nutrient intake was assessed by dietary reference intakes (DRI). As for mental health status, the data on mental stress, depression, and suicide ideation were used. Results: Rate of food insecurity in older adults was 14.3%. Old age, being female, low education, low income level, living alone, and discomfort in daily living were more related to food insecurity. Means of nutrient intakes were significantly different according to food security status. Intakes of calcium, potassium, and vitamin $B_2$ were lower than recommended intakes in all groups. Consumption amounts of soy and soybean products, vegetables, mushrooms, fruits, vegetable oils, meats, eggs, seafood, and dairy products were lower in food insecure groups. Mental stress, depression, and suicide ideation were higher in food insecure groups independent of the gender and income level. Conclusions: These present findings suggested that food security is related to mental health as well as nutrition status in older Korean adults. A national system that include food and psychosocial support programs for the elderly should be considered in order to improve the overall health of older Korean adults.

• 한국사회정책
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• 제19권2호
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• pp.137-161
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• 2012

전통적으로 아동과 노인의 돌봄은 가족의 책임으로 여겨지고 관행적으로 실천되어 왔다. 한국정부는 가족에 의해서 돌봄을 받지 못하는 아동과 노인에 국한된 잔여적 제도를 구축해 왔다. 그러나 21세기에 들어서 고령화, 저출산, 여성의 노동시장 참여 증가, 가족의 형성과 해체의 변화, 가족 내의 돌봄 제공에 대한 인식 변화 등의 사회적 변인들은 돌봄 제공에 있어서 국가의 개입의 필요성 형성의 주요한 요인들로 작용해왔다. 이 논문은 유엔사회개발연구소의 돌봄의 정치사회경제학 연구에서 개발된 케어 다이아몬드 개념을 적용하여 한국의 사회적 돌봄 정책 발전을 국가, 시장, 가족, 제3의 부문 간의 제도적 분배의 변화를 분석하고자 한다. 분석 결과, 아동 돌봄의 경우, 정부와 시장의 역할이 증대된 반면, 제3의 부문의 역할은 줄었다. 노인 돌봄의 경우, 정부, 시장, 제3의 부문의 개입의 성장을 보였다. 그러나 한국의 가족 중심의, 특히 여성에 의한, 돌봄 제공 원칙은 변화하지 않았다.

• 보건행정학회지
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• 제26권4호
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• pp.305-314
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• 2016

Background: The purpose of this study is to examine the characteristics of and factors associated with long-term care (LTC) utilization under public long-term care insurance (LTCI) among end-of-life older adults in Korea. Methods: Using a 5% sample of older people aged 65 or older and their health and LTC insurance data, two-part model analyses were conducted. We compared LTC uses and their determinants during the last year of life among decedents in the year 2010 with those of survivors. We also compared the medical uses of the same sample with their LTC uses. Results: The end-of-life elderly were more likely to use LTC, and their expenditure on LTC was higher than their counterparts. Whether or not older people used LTC during their last year of life was significantly affected by age, sex, health insurance, household income, and living alone; however, LTC costs of the decedents were only affected by functional status, which may have been due to the reimbursement scheme of the current LTCI, which is mainly based on functional dependency level. For the survivors, having chronic diseases significantly increased the likelihood of LTC use, which was not the case for the decedents. End-of-life elderly with relatively low social economic status were more likely to use the LTC other than medical services, while the health conditions affected their medical uses most significantly. Conclusion: The study findings provide key information for predicting demand related to the increasing LTC needs of Korean older people at the end of life.

• International Journal of Advanced Culture Technology
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• 제8권4호
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• pp.82-88
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• 2020

With the development of medical care in the 21st century and the rapid development of the 4th industry, electronic devices and household goods taking into account the physical and mental aging of the silver generation have been developed, and apps related to health and health are generally developed and operated. The apps currently used by the silver generation are a form that provides information on diseases by focusing on prevention rather than treatment, such as safety management apps for the elderly living alone and methods for preventing diseases. There are not many apps that provide information on foods that have a direct effect and nutrients in that food, and research on apps that can obtain information about individual foods is insufficient. In this paper, we propose an app that analyzes food factors and provides self-medication for health promotion of the silver generation. This app allows the silver generation to conveniently and easily obtain information such as nutrients, calories, and efficacy of food they need. In addition, this app collects/categorizes healthy food information through a textom solution-based crawling agent, and stores highly relevant words in a data resource. In addition, wide deep learning was applied to enable self-medication recommendations for food. When this technique is applied, the most appropriate healthy food is suggested to people with similar eating patterns and tastes in the same age group, and users can receive recommendations on customized healthy foods that they need before eating. This made it possible to obtain convenient healthy food information through a customized interface for the elderly through a smartphone.

• 한국콘텐츠학회논문지
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• 제18권11호
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• pp.623-633
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• 2018

이 연구는 65세 이상 노인의 배우자 유무를 통해서 유배우자 집단과 무배우자 집단의 인구사회학적특성, 건강행태 및 주관적 건강수준, 질병이환, 건강관련 삶의 제한 및 건강관련 삶의 질에 대한 포괄적인 평가를 해 보고자 하였다. 평가를 위해 2014년도부터 2016년도까지 3년간의 지역사회건강조사 자료를 분석하였다. 무배우자 집단이 유배우자 집단보다 여성의 비율이 높고, 가구 총 소득이 낮으며 건강행태가 불량하고 만성질환의 이환률이 높아 주관적인 건강수준도 더 낮게 나타났다. 이러한 특성으로 인해 무배우자 집단이 유배우자 집단보다 삶의 질이 낮은 것으로 분석이 되었다. 지금까지 우리의 인식은 노인을 연령기준으로 하나의 집단으로 바라보면서 그들의 평균적인 특성만을 파악하여, 그들이 가진 여러 가지 상황 문제를 간과하는 결과를 초래하고 있었다. 본 연구의 결과를 통해 배우자유무에 따라서도 노인들의 신체적 정서적 사회적 문제에 포괄적인 조치가 필요함을 알 수 있었다. 또한 개별적인 노인지지프로그램 개발을 위한 보건학적 접근과 더불어 사회 복지적 측면의 개선이 필요한 것으로 나타났다.

• 한국산학기술학회논문지
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• 제14권3호
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• pp.1090-1099
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• 2013

본 연구에서는 베이비부머의 사회활동 유형 별 삶의 만족도의 차이를 파악하는데 목적이 있다. 이를 위해 1955년에서 63년에 태어난 남녀 베이비부버 1,115명을 대상으로 하여 2011년 8-10월에 성별과 지역에 따른 할당표본을 하였다. 연구의 결과, 첫째, 베이비부머의 사회활동 유형은 3집단으로 나타났다. 36.8%가 속한 소극적 사회참여형은 소득활동이나 시민단체활동은 전혀 하지 않고 종교활동이나 가정내 활동을 하는 경우는 소수가 포함되었다. 주로 여성이 많고 후기베이비부머가 많고, 학력수준이나 가정소득이 다른 군집에 비해 낮으며 삶의 만족도 중간정도이다. 둘째. 33.8%가 속한 활동적 사회참여형은 소득활동을 포함하여 모든 사회활동에도 적극적이다. 여성이 많고 후기베이비부머가 많다는 점은 소극적 사회참여형과 유사하나 학력이나 가정 내 월평균 소득, 삶의 만족도 수준이 다른 군집에 비해서 가장 높다. 셋째, 29.4%가 속한 경제활동 중심형은 소득활동에는 참여하지만 문화활동, 시민단체활동, 교육활동, 혼자 시간보내기 등의 사회활동에는 참여하지 않는다. 전기와 후기베이비부머의 분포나 학력의 분포, 가정내 월소득은 다른 군집의 중간 수준이지만, 다른 군집과는 달리 남성이 많고 삶의 만족도 수준은 가장 낮다. 본 연구결과를 토대로 유형별로 베이비부머의 사회활동참여와 삶의 만족도를 향상시킬 수 있는 방안을 제시하였다.