• Health Policy and Management
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• v.30 no.4
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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.

• Korean Journal of Human Ecology
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• v.12 no.1
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• pp.25-38
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• 2003

This study was conducted to analyze the economic well-being of the elderly households based on the housing ownership and the housing costs, with the comparison between the coupled elderly and the single elderly. The results of this study were as follows: the household type was related to the housing ownership, showing that the single elderly households owned the housing less than the coupled elderly did. There was a difference in housing costs between the single elderly and the coupled elderly, showing the single elderly households had higher housing costs than the coupled elderly households. The housing ownership was significantly related, but the housing costs negatively related to the economic well-being of the elderly.

• The Journal of the Korea Contents Association
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• v.17 no.7
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• pp.610-621
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• 2017

Medical cost for elderly is increasing with ageing society and putting more and more burden on both individuals and government. To find a solution to reduce medical cost among elderly and to propose implication/suggestion to central government and a local government, different degree of medical cost burden by type of household and factors that affect increased medical cost are investigated based on elderly in Suwon city in this article. According to the research result, 59.3% of respondents felt medical cost burdensome. Also, according to the multiple regression performed to understand factors that increases medical cost by type of household, subjectively felt health status was found to be a statistically significant factor commonly in three groups which are living household with adult child, living household with spouse only, living household alone. And the degree of medical cost was higher in living household with spouse only, more higher in living household alone. And socioeconomic status and health status, health status, and health status and private insurance, medical security system were found to be significantly related to medical cost burden to household type of the elderly.

• Journal of Families and Better Life
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• v.23 no.2 s.74
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• pp.23-36
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• 2005

The purpose of this study was to suggest the marital communication methods for improving the quality of marriage and life for the elderly couples. For this study we considered variables affected on the marital communication of elderly couples. I investigated 394 elderly men and women living with only their spouse and analyzed data with SPSS PC WIN. The major findings were as follows: 1) The findings showed that there were high level of communication between the elderly males and females who lived with the spouses without adult children. 2) Variables that influenced the elderly couples' communication were as follows: for the elderly males, intimacy between husband and wife, self-esteem, and gender role attitude; for the elderly females, intimacy between husband and wife, health condition, tendency toward relationships, and intention to keep the elderly couple household.

• Journal of Families and Better Life
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• v.21 no.5
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• pp.1-12
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• 2003

Determinants of consumption patterns of elderly couple and elderly single were investigated using the 1996 National Survey of Family Income and Expenditure by National Statistical Office. There were large differences in consumption patterns between the elderly couple and single in terms of monthly expenditures and average budget shares of individual consumption items. Consumption functions of individual items were estimated using double-log function. Major determinants of consumption functions were income, overspending behavior, educational level of householder, and net worth for both groups, householder's job status and city residence mainly for elderly couple, and age of householder mainly for elderly single. In addition, income elasticity of elderly households was larger than net worth elasticity for all consumption items.

• Journal of the Korean housing association
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• v.26 no.2
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• pp.13-20
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• 2015

Single household is expected to be the typical form of future Korean elderly household from reduction of household size and rapid growth of the elderly. As Japanese solve the same problem with Senior Sharehouse, a case study on Senior Sharehouse in japan focused on the Spatial Arrangement and Spatial Composition could suggest an potential applications in Korea. In conclusion, compare to Korea, the Senior Sharehouse in Japan supplies additional $7.5{\sim}9.3m^2$ more space to support the physical movement of the elderly and to help the elderly to solve various functions at one space. The independence and privacy of residents are also assured by supplying single occupancy. Space analysis shows that public space is as spacious (47.3~55%) as personal space. The result of the Space analysis suggests that the sharehouse provides rational ratio of space to assure residents' independence. It was supposed that the center type would be the main stream of the Spatial Arrangement for sharehouse considering its characteristic of sharing space. But, the Senior Sharehouse in Japan prefers corner type. The guarantee of personal space is being considered as a important characteristic. As a result of case analysis, Senior Sharehouse can be a proper type of house for single elderly household and present study can be used for the baseline data to solve the residence problem for single elderly household in Korea.

• The Korean Journal of Community Living Science
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• v.25 no.4
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• pp.495-510
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• 2014

This study examines the relationship between social support with adult children and neighbors on the life satisfaction of elderly individuals in rural areas. The analysis employed a sample of 764 elderly individuals residing in rural area. Data were analyzed through descriptive statistics, a chi-square test, a t-test, and a multiple regression analysis. First, the respondents reported moderate life satisfaction. Those respondents living alone were less likely to report life satisfaction than those with a spouse. Second, the respondents were more likely to be in contact with their neighbors than their adult children. Third, the respondents were more likely to receive social support from adult children than provide it to them. By contrast, the respondents were more likely to provide social support to neighbors than receive it from them. Fourth, economic status and contact with adult children and neighbors had signigicant effects on the life satisfaction of the respondents. Gender, religion, economic status, health status, increased contact with adult children, and instrumental support to neighbors had positive effects on the life satisfaction of elderly two-person household.

• Journal of Families and Better Life
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• v.32 no.5
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• pp.207-219
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• 2014

The purpose of this study was to examine the characteristics of suicide attempts and non-attempts of the elderly living alone and the subjects in this study were 690 elderly persons living alone in Seoul and Gyeonggi Province. For data analysis, this study used descriptive analysis, mean comparison correlation analysis, and binominal logistic regression analysis using PASW 20.0. To explain the suicide attempts of elderly persons who live alone, variables such as sex, age education level, monthly household income, religion, subjective economic status, subjective health status, ADL/IADL, depression, hopelessness, social support, and stress were used. The findings of the study were as follows: First, 9.2 percent(64) of the elderly living alone had attempted suicide and 90.8 percent(626) had never attempted suicide. Second, monthly household income, hopelessness, and social support were identified as the factors that affected their suicide attempts. In other words, the elderly living alone who had lower monthly household income, less social support, and greater feelings of hoprlessness had made more suicide attempts. As it is a cross-sectional research using data from non-probability sampling, this has a limitation in generality sampling, this has a limitation in generalizing the study results. To overcome this limitation, longitudinal research using data from probability sampling is necessary.

• Journal of the Korean Home Economics Association
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• v.46 no.10
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• pp.49-57
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• 2008

The purpose of this study was to examine the relationship between household types and suicide ideation among elderly people in Korea. We collected information on 220 elderly individuals(aging over 60), 171 of whom were living alone and 49 of whom were living with their families. The results showed that; 1) number of children, health status, level of stress, and depressive symptoms were all related to the suicide ideation among both groups, and 2) individuals living alone had lower sense of control, were more stressed, and more likely to suffer from depression. Based on these results, various implications were discussed and practical suggestions provided.

• Health Policy and Management
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• v.32 no.2
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• pp.190-204
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• 2022

Background: In Korea, the population is rapidly aging, and the types of households for the elderly are also diversifying. The self-rated health of the elderly is a valuable health indicator that can comprehensively represent the overall quality of life along with physical, mental, and functional health. On the other hand, studies on the association between household type and self-rated health of the elderly are still insufficient. Thus, this study analyzed the association between household type and self-rated health by gender in Korean older adults. Methods: Using data from the analysis of the National Survey of Older Koreans 2017, 10,299 elderly people aged 65 and over were targeted. For the accuracy of the analysis data, 9,910 people were selected as the study sample by excluding proxy responses, those diagnosed with dementia, and non-response. And technical analysis, univariate analysis using the Rao-Scott chi-square test, and logical regression analysis involving survey characteristics were conducted by gender. Results: According to the adjusted model with all variables, in both men and women, the odds ratio of self-rated health 'bad' in 'couple (with ill spouse)' was significantly higher than 'couple (with spouse)'. It was 2.54 (95% confidence interval [CI], 2.05-3.15) for men and 2.11 (95% CI, 1.70-2.62) for women. In addition, the odds ratio of self-rated health 'bad' in 'living with adult children' was 1.43 (95% CI, 1.09-1.87) for men and 1.42 (95% CI, 1.15-1.75) for women, which was more significant in women than men. Conclusion: This study states that there is an association between gender, household type, and self-rated health of the elderly, and the health of a spouse and cohabitation with children have a significant effect on self-rated health. As a result, in order to improve the health status of the elderly, health promotion and health care policies involving the characteristics of the elderly's gender and household type are needed.