This study specifies daily behaviors that elderly residents perform in their living space and verifies the behaviors that they have difficulties in performing. The study categorized elderly people according to the level of difficulties they have when performing household activities (independence of behavior performance) and verified characteristics of the sub-behaviors and the level of difficulties of performing them in each type. For this purpose, the study conducted observation investigation on the behavior of elderly people by directly visiting houses of 52 elderly people over the age of 65. The characteristics of sub-behavior were also examined through photograph shooting and in-depth interview. In this study, behaviors of elderly people inside living space were categorized into the following nine behaviors. The study investigated the difficulties of performing these sub-behaviors according to the elderly people's level of independence by each behavior. Analyzing the difficulties of sub-behaviors according to the independence level, elderly people felt more structural problems and inconvenience in using facilities when they have lower independence level. Moving from independence to dependence, their performance of behaviors gradually became difficult, making them inevitable to use tools. At last, they came to need caregiver's help. For continuous sustenance of elderly people's independent living inside house, policy measures are required that can address the difficulties of sub-behaviors that are observed in a series of process of one's becoming dependent from independent in this study.
In this study, we compared diet related attributes such as food taste preference, food consumption frequency and nutrition intake between elderly residents in their 80's of areas in Jeollanam-do that are well known for longevity and those of a part of Seoul. Structured in-depth interviews were conducted by trained interviewers on 125 consented subjects (67 Jeonnam and 58 Seoul). Differences of groups were tested using Chi-square tests for nominal or ordinal data and t-tests and ANOVA tests for ratio data. The elderly from Jeonnam tended to sleep longer, express emotion more freely, and interact with others more often than those from Seoul. The elderly tended to prefer sweet or salty tastes, which might be highly related to serious health problems. The most frequently consumed foods were napa cabbage kimchi (2.19 times/day) and multigrain rice (1.99 times/day). Elderly from Jeonnam tended to consume garlic, milk, beans and roasted barley/corn teas less often; whereas, they consumed porridge, dried radish greens, potato, fermented fish, dried fish, pork rib, pork belly, soybean paste soup, soybean paste/Ssamjang, other kimchis, pickled vegetables, snacks, cookies, and green/black teas more often than elderly residents from Seoul. Differences in nutrition intake between the regions were greater than differences between the perceived levels of household economic status. NAR and INQ for folate were lower among elderly from Jeonnam than those from Seoul, while those for protein, vitamin C, niacin, vitamin $B_6$ were higher. The study results indicated that elderly from Jeonnam engaged in a more diverse diet than the elderly from Seoul.
This study conducts empirical research on gender differentials of economic resources in old age. The economic resources are assessed by the presence of independent income source and the amount of total income. The study, based on nation-wide survey of the elderly, examines the effects of individual level variables and household level ones. Also, it compares such effects between male and female elderly. The analysis shows that several variables have gender specific effects. Among them, particularly interesting and important are marital status and coresidence with children. The positive effect of having spouse is greater among female elderly than among male elderly. Also, while coresidence with children among male elderly has insignificant or slightly positive relation to their own economic resources, it has a negative relation among female elderly. These results indicate that female elderly are dependent on their husbands and children. The study suggests that future research on the elderly incorporate gender differentials into models attempting to capture diversity within the elderly population.
The purpose of this study is to examine how the causal relationships between independent variables, marital communication decision making participation and family life satisfaction of elderly in couple household. The survey was conducted from May 26 to July 21, 2003. Total 394(male: 186, female: 208) samples were used for the analysis. Using SPSS/PC WIN program, data were analyzed by frequencies, percentages, mean, standard deviation, Cronbach'a, Pearson's correlation, t-test, and multiple regression. The major findings were as follows: 1) The findings showed that there were high level of the communication between the elderly males and females. In the decision making participation the finding showed that both elderly males and females generally made joint decisions with no gender differences. The elderly males and females reported overall family life satisfaction; and the elderly males were more likely satisfied with their family lives than the elderly females. 2) The path analysis on family life satisfaction presented that several variables had direct/indirect effects on family life satisfaction through communication and decision making participation. Among the moderate variables, communication agreement and communication openness had significant effects on family life satisfaction. Specifically, the elderly men were more likely satisfied when they participated in decision making on leisure: the elderly women were more likely satisfied when they participated in decision making on family life.
This study investigated the health and nutritional characteristics according to household income level and obesity in Koreans aged over 50 years based on the 2005 National Health and Nutrition Examination Survey. Subjects were classified into 3 groups by average household income with reference to the minimum monthly living expenses (MLE): low (n = 319, < 100% MLE), middle (n = 222, < 200% MLE), high (n = 411, ${\geq}$ 200% MLE) and each group was compared by BMI index. With increasing income level, the prevalence of systolic hypertension and hyperlipidemia was increased. In the low income group, serum total cholesterol, triglycerides, and fasting glucose were higher in the obese compared with the normal. In the middle and high income groups, the prevalence of hyperlipidemia and diastolic hypertension were higher in the obese. Subjects had nutritional imbalance, such as inadequate intake of calcium and potassium. With increasing income level, the percentages of protein and fat to total calorie were increased in addition to the intakes and density of nutrients. The obese in the low income group had higher intakes of energy, protein, phosphorus and higher consumption frequency of cereals and potatoes compared with the normal. It was shown that the obese of the middle and high income groups tended to have lower consumption frequency of Korean cabbage and higher frequency of fruits. The obese of high income group also had binge drinking habit. Therefore, this study suggests that specific approaches based on economic status should be considered in developing nutrition education program for the elderly.
The purpose of this study is to develope an appropriate method of the household projection in Korea. Given the data constraints, the headship rate method is selected. This method is known to be responsive to changes in demographic factors related to household formation. To project future headship rates, the method of net transition rates based on the average of two-census intervals was adopted for household heads ages 35 and over, while the log-linear formula was employed for those aged under 35. The future headship rate of Korean males shows a one-peak pattern with plateau, whereas that of Korean females marks a two-peak pattern. For a better projection of household in the future, one-person households should be treated more carefully, because they are mostly either young adults or the elderly whose activities of household formation and dissolution are very hard to forecast.
Journal of Korean Academy of Nursing Administration
/
v.6
no.2
/
pp.195-209
/
2000
The purpose of this study is to estimate the population requiring nursing home services among elderly people in Korea. This study identifies the need of nursing home services determined by health care professionals and estimates the proportion of elderly people requiring nursing home service according to the admission criteria. Surveys were conducted on health care professionals including medical doctors, home care nurses, and nurse practitioners. They were asked to assess nursing home need based on four content areas: Physical function (Activities of Daily Living), chronic disease, Physical symptoms (incontinence), mobility, eating, and sensory function. Based on the professionally determined need criteria the proportion of elderly people requiring nursing home services was estimated using secondary data from the 1994 Survey on the Living Status of the Korean Elderly. The number of study subjects to estimate nursing home need who were 60 and older totaled 2,058. The most important factor contributing to the admission eligibility criteria was the elderly living alone. Other factors related were the elderly being unable or having difficulty carrying out activities, and having insufficient help from other our activities, and having insufficient help from other members of the household. Using only physical function, the proportion of elderly people requiring nursing home was $8{\sim}9%$. When only chronic disease was used, proportions varied widely; for the doctor's group, the proportion was over 30%. Using all areas, the proportions of elderly people requiring nursing home were between 13% and 38%. The estimate using chronic disease and physical function was similar to the on using all areas.
This study aimed to analyze the preliminary data to increase the residents' satisfaction of mixed-generation house-sharing. For this purpose, we examined the recognition and demands of different generations and compared the differences. The participants were 50 elderly and 100 young people living in Seoul. The data were analyzed using SPSS statistics. The key findings are outlined below; 1. Most of the young people in our sample got to know about the house-sharing via various routes, but this option was not well known to the elderly. The interest in living in a house-sharing situation was higher among the young people than among the elderly. The reason why people were uninterested in house-sharing was their comfort in living alone. 2. Secure personal-space privacy and the choice of a housemate were regarded as the most important considerations in house-sharing by the young and the elderly, respectively. Young people anticipated a division of housework and the elderly were worried about communication with the younger generation. 3. Expected benefits tended to be higher in economic aspects for the young and in psychological aspects for the elderly. The elderly responded that they would be willing to share the kitchen and living room with the younger generation. Young people demanded necessary living facilities such as a laundry room and a community area with the elderly. The majority of the respondents from both generations said they would be able to solve problems through communication. In conclusion, public relations are needed to increase interest in house-sharing. The elderly and young should understand its purpose and treat each other as family members, not as house owners and tenants. There should be a manager who can coordinate the residents.
This research challenges the general notion of one-person households of the elderly during widowhood as impoverished, isolated, and vulnerable. Recognizing a high potential vulnerability, however, this research attempts to describe the diverse composition of one-person households of the elderly. For this purpose, relying on 2% sample data from the 2000 census, it examines regional distribution, socio-economic characteristics, and determinants of one-person households of the elderly during widowhood. Socio-economic characteristics of one-person households of the elderly differ by region. Jeju island is distinct in terms of sex and age distribution, and residence area of children. In general, rates of economic activity and self-subsistence are higher in provinces than in cities. Compared to the elderly living with family, the elderly living alone show high rates of economic activity, self-subsistence, and capability of physical activity. Results of logistic regression analysis of determinants of living arrangement are consistent with those of descriptive statistics. Those who are economically active and able to move around without assistance tend to live alone after the death of a spouse. Number of sons and living in an urban area are negatively associated with living alone, whereas females are more likely than males to live alone. According to the separate analysis by age, the positive effect of economic activity is greater in the oldest of the old than in other age groups. Those who possess high educational attainment tend to live alone when they are 80 and older, unlike other age groups. Based on these findings, this paper finds that one-person households of the elderly nay not always be the most vulnerable group, and are diverse in terms of socioeconomic characteristics.
The purpose of this study were to find out the difference of needs of caring between care-givers and non care-givers, and to suggest the way of lessening vigorous task of care-givers for the elderly with dementia. Data were collected from 130 nationwide respondents intentionally divided into two groups; care-givers and non care-givers in the middle aged with middle and upper income. Collected data were analyzed by frequency, percentage, t-test using SPSS package. Since the result of survey, unexpectedly, showed no difference between two groups, it could be explained as that these two groups commonly had same needs of caring for the elderly with dementia. Major findings were as follow; 1) Most Koreans stiff thought family should be the main care-giver for the elderly with dementia prior to nation or society. 2) Responsibility of caring for the elderly with dementia would be better to be shared with children instead of focusing to a child. 3) They thought ideal residential facilities for the elderly with dementia were small-scale professional dementia facility(group home) rather than home or general elderly housing. 4) Professional dementia care hospital was one of the most needed facilities for the elderly with dementia, followed by short-stay and dar-care center. 5) It was revealed care-giving task was vigorous showing that most care-givers spent 1-5 hours a day for caring, while 13% of respondents spent 11-24 hours a duty. 6) 90% of care-givers took the responsibility of main care-giver because of duty of offsprings or spouses, and wanted to be free from their current circumstances. From the result of this survey researchers would like to suggest the establishment of diverse facilities for professional dementia care to lessen the caring burden for the elderly with dementia: group home, chronic hospital, short-stay, day-care center. Financial support from the government for the housing renovation of the caring families should be considered seriously afterward. It is needed to give the opportunity to select proper paid dementia care facilities according to their income and situation of household.
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