• Journal of the Korean Institute of Rural Architecture
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• v.22 no.4
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• pp.79-86
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• 2020

In Korea, the Basic Act is guaranteed through the "Act on the Guarantee of Convenience Promotion for Disabled Persons, the Elderly, Pregnant Women, etc." and various ordinances. In order to improve this situation, it is necessary to introduce Universal Design (UD). By applying this where it is most needed, access to cultural properties is enhanced to promote multiple rights. Currently, the region with the largest population of the elderly in Korea is Gyeonggi-do, but the region with the highest proportion of the elderly is Jeolla-do. However, the Jeolla-do area is lagging behind in the revision of UD regulations or guidelines. Taking this into consideration and introducing it to each facility will also help to achieve balanced national development. In order to establish and apply effective universal design-related policies, it is necessary to diagnose the aspects of social change that affect our lives. In this study, the need for UD should be expanded as a basis for expanding social activities of socially disadvantaged people in Jeollabuk-do. Its goal is to diagnose the current status of UD and to suggest directions for application of improvements.

• Journal of Preventive Medicine and Public Health
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• v.56 no.6
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• pp.495-503
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• 2023

Objectives: While older adults using community care services are known to be vulnerable for depression, community care utilization (CCU) may help to improve the mental health of these elderly. To date, however, it is much less clear how CCU affects depressive symptoms in the elderly population. This study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea. Methods: Using the 2006-2019 Korean Welfare Panel Survey, this study is focused on elderly born in 1940 or earlier and selected 3281 persons for baseline interviews in 2006. This consisted of 35 800 person-year observations during a period of 14 years. Panel data analysis were employed to construct years of CCU. Results: After controlling for covariates, linear term of years using community care was negatively associated with depressive symptoms, but a quadratic term was positively significant. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased. The level of depressive symptoms at the 14th year of using community care remains significantly lower than the level at the outset of its utilization. Conclusions: This finding implies that CCU could be beneficial for improving mental health among older adults.

• Research in Community and Public Health Nursing
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• v.10 no.1
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• pp.5-18
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• 1999

The aim of this study is the development of a fee - based model day care center for the elderly by inquiring into the current condition of facilities in America and in Korea, and in surveying the opinion of domestic elderly about day care facilities. A field trip to U.S. day care services was held between July 5 and July 15 in 1997, and an on-the-spot study for domestic facilities took place during March in 1998. Our research reveals that the overall supply of day care facilities can not meet future demand in terms of quality and quantity. Therefore a model must be created for day care centers of a that consists of a director from a professional group. an adequate environment, and a standardized in order to offer a qualified public health service linked to the home and community in Korea. The director of a day care center is a critical variable in determining the quality of service. Professional skills related to the needs of the elderly and the person's quality of service should be considered in appointing director for the center. This study belleves that a professional nurse should be the director of a day care center. The operating environment of a day care facility should be made up of considerable space comparable to the number of residents, should be in a comfortable and safe location, and should have equipment that provides a qualified, safe service to the elderly. Our model is designed for 20 persons and allocates 4 Peng per person. This model is comprised of a reading room. a craft room, a health room, a room for physical therapy, a dining room, a staff office, and a multi -purpose room connected to other rooms. Day care service should be a comprehensive service program meeting the multidimensional needs of the elderly. A comprehensive service program needs a team of various professionals made up of the elderly family, participants, nurses, social workers, physical therapists, nutritionists, and medical doctors. The program will also include health care service, physical therapy, speech therapy. diet, occupational therapy, transportation service, health and an education program, etc. In conclusion, a model of a day care center is developed with the following components: a professional director and an environment and program, that considers the physical, mental, and social characteristics of the elderly. A model should also motivate self-reliance self-fulfillment in the elderly in order to fulfill their health needs and to prevent isolation from society and mental depression. Furthermore, This facility will be a beneficial factor in reducing a family's burden on caring for the elderly that includes unnecessary hospital expenses. The following is a suggestion based on results this study: A service program should be developed to fit the conditions of the elderly in Korea by specifically analyzing the needs of the elderly.

• Journal of Community Nutrition
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• v.3 no.2
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• pp.120-126
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• 2001

Body antioxidant status is an important factor for the prevention of many chronic diseases in the elderly. This study was done to evaluate the nutritional status of antioxidant vitamins of the elderly by determining their intakes and plasma levels. It was also aimed to compare daily intakes and plasma levels of antioxidant vitamins by sex of age. Subjects were 225 elderly persons aged over 60 years old (63 males, 162 females) living in Ulsan area. Subjects were divided by groups according to age(＜ 65, 65－74, 75) and sex. Dietary Intakes were assessed by semi-quantitative food frequency questionnaires(FFQ). Plasma Vitamin C level was measured by 2,4-dinitrophenylhydrazine method and plasma levels of vitamin E, A and ${\beta}$-carotene were measured by HFLC. The average intakes of vitamin C were 104.9g(150% of RDA) and 104.4g(149％ of RDA) in the elder1y males and females, respectively. Vitamin C intake of the elderly was significantly decreased by aging but not different by sex. The average intakes of vitamin A were 678$\mu\textrm{g}$RE(96.9% of RDA) and 604$\mu\textrm{g}$:RE(86.2% of RDA) in elderly males and females, respectively. The average levels of Plasma vitamin C were 6.22mg/L and 11.45mg/L in the elderly males and females, respectively. Those levels are within normal range(6-20mg/L). However the percentage of the elderly males with deficiency(＜ 2mg/L) and marginal level(2-4mg/L) of vitamin C were 27.4% and 16.1%, respectively. Plasma retinaol levels were 0.39mg/L for the elderly males and 0.37mg/L for the elderly females, which were within normal range. But the percentage of subjects with marginal level were 28% ill both males and females. Plasma ${\alpha}$-tocopherol levels of the elderly were lower than normal range(5-12mg/L). Plasma levels of vitamin C, E and ${\beta}$-carotene, except retinol, were significantly higher in the elderly females compared to males and showed significant decrease by aging.

• Journal of the Korea Safety Management & Science
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• v.15 no.2
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• pp.135-141
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• 2013

As the country's elderly people who are 65 years or older recently exceeded 10% of the total population with development of medical technology and improvement of living standards, Korea has turned into an aging society. Especially in Gyeonggi-do, as of late December 2012, elderly people who were 65 years or older were 1,135,242 persons, taking up 18.98% of the region's population and registering the largest number of elderly people in the nation's cities or provinces. Due to such a sharp rise in elderly population, support for the elderly is increasing the burden on families and communities. The study aims to take as its subjects elderly people staying at authorized elderly welfare facilities, who are weak in mind and body and have difficulty in daily life with disabilities, or adult day care facilities that take care of elderly people during the day or at night, examine the concept of adult day care facilities and instances in foreign countries, and study the status of the adult day care facilities located in Gyeonggi-do, their services, and safety by figuring out space arrangement based on program implementation. Spacial arrangement in program operation should satisfy fuction and purpose from the manager and user's perspective, and a desirable program operation should provide separate spaces for the elderly with Alzheimer's and those without Alzheimer's. Compared to residential care facilities, adult day care facilities incur less financial burden and, compared to other authorized services, have many right functions that can upgrade the quality of users and satisfy their desires. Major countries like Japan, the UK, and Sweden recognize the right functions of day and night care services and aggressively support and utilize adult day care facilities. For adult day care facilities, quality services should be developed and use and choices should be enhanced as regards services. Development of special programs for the elderly with dementia and stroke, instead of simple protective functions of a program, must be actively promoted, while manpower training is required for program operation, conveniences, and safety. By developing and providing space arrangement models that focus on efficiency, convenience, and safety of program operation, adult day care operation can be revitalized, while quality of elderly care may be enhanced and welfare budget can be saved.

• 한국노년학
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• v.32 no.4
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• pp.1147-1162
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• 2012

Korean laws use several different terms to refer to seniors. This study looks into how older persons are defined in the laws with an aim to critically review the implications of the naming of older persons. For this goal, the laws that have been enforced since 1948 and those effective as of October 20 in 2011 were subject to analysis. The findings of this research are as the following. Korean laws have used a number of terms, including the terms meaning the old and infirm (nosoeja), old individuals (noin, goryeongja, noyeonja), and the old and weak (noyakja). However, such naming does not seem to be based on age. An analysis of noin and goryeongja, two most common terms used in Korea's legal provisions, shows the difference between social perceptions of seniors and the semantic formation of the terms. For example, noin is used in the context in which seniors are viewed rather negatively as subjects of social protection while goryeongja, a relatively neutral term, is preferred when the law sees the elderly as productive resources. It can be said that the perceived social values on senior citizens are reflected in the laws.

• Tuberculosis and Respiratory Diseases
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• v.69 no.3
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• pp.163-170
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• 2010

Background: Pulmonary tuberculosis remains a health concern in Korea despite major progress in the development of new strategies for diagnosing and treating tuberculosis. In particular, the diagnosis of newly developed pulmonary tuberculosis is on the rise in elderly persons. The aim of this study was to investigate the clinical, radiographic characteristics, and treatment outcomes of pulmonary tuberculosis in the elderly. Methods: The medical records of 113 young (<65 years old) and 112 elderly (${\geq}65$ years old) pulmonary tuberculosis patients diagnosed at Chungnam National University hospital between January 2007 and December 2008 were reviewed. Results: There was no difference in the prevalence of typical symptoms between the younger and the elderly group. Dypsnea was the only symptom that occurred more frequently in the elderly group (16.8% vs 5.5%, p=0.008). On radiological study, pneumonic infiltration type was more common in the elderly group (28.6% vs 16.8%, p=0.035). Sputum Acid fast bacilli smear positivity rate was similar between the 2 groups. Elderly patients with anti-tuberculosis medication had more frequent adverse drug reactions; however, there was no significant difference between the 2 groups in the number of patients required to stop medication due to an adverse drug reaction. There were more patients lost to follow-up in the elderly group (22/112, 19.6% vs 11/113, 9.7%, p=0.036). Conclusion: The majority of elderly patients did not complete the treatment, resulting in a poorer outcome. Therefore, we need to make an effort to support the continued screening of elderly patients by making this economically feasible.

• The Journal of the Korea Contents Association
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• v.17 no.2
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• pp.555-572
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• 2017

The Purpose of this study was to examine the relationship social capital between self efficacy, and the elderly in participated employment or not. The subjects were 340 elderly people in K, S, Y City in Jeonnam. The statistics used for data analysi were reliability, frequency, percentage, mean, standard deviation, one way ANOVA, correlation and multiple Regression. The results of this study were as follows ; First, the degree of social capital of the elderly in participated employment was 86.5(median value 81), while the degree of social capital who did not participated was 79.7. And the degrees of elderly's self efficacy was 43.2, those data showed higher than median. while the degree of self efficacy who did not participated was 39.1. Second, The elderly's social capital level in participated employment were significantly according to residence, religion, living state, economic state, frequency of employment, health state, spouse, monthly income, and the elderly's self efficacy level in participated employment were significantly according to social capital, economic state, monthly income, spouse, health state, living state, education, religion, frequency of employment, Third, participation on the employment for elderly' social capital was the highest correlation variable in self efficacy. Fourth, The variables that affect the elderly's social capital level were economic state, health state, spouse, religion, which explained about 13% of the total variance. And the variables that affect elderly's self efficacy level norm, economic state, network, participation, residence, health state, trust, age, spouse, which explained about 34% of the total variance.

• 한국노년학
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• v.28 no.4
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• pp.865-885
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• 2008

This study addresses a number of issues related to suicide among older persons in Korea. The study investigates various aspects of elderly's suicide ideation, and how this quality of life and self-esteem impacts on their suicide ideation through depression. For the purpose of the study, the survey was conducted and 8,135 elderly 65 years old and over who reside in Gyeonggi-do participated. The result of the study indicated that quality of life, self-esteem and depression of the elderly showed statistically significant suicide ideation of the elderly. Participants were divided into two groups according to their physical health status. That is, to find out how quality of life and self-esteem of the elderly impact on the suicide ideation directly and indirectly through depression among elderly people with physical disease and no disease. The results showed that depression of the elderly people with physical disease was the most highly significant factors in explaining the elderly's suicidal ideation directly a comparison of elderly people with no physical disease. Therefore, depression is a major mental health problem associated with suicide. Finally, these findings of the study can improve the elderly people's quality of life and reduce suicide ideation.

• The Journal of Korean Society for School & Community Health Education
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• v.13 no.3
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• pp.113-125
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• 2012

Objectives: This study was aimed to inspect what relation there exists between the elderly's social support, self-esteem and the suicidal thinking, and examined factors influencing their suicidal ideation. Methods: For 207 old persons above 65 residing at Seoul, questionnaire survey was performed for 4 weeks. For response data, t-test and ANOVA, Pearson's Correlation Coefficient and Multiple Regression Analysis were performed using spss 18.0 program. Results: The results of analysis are like followings. 1. As for the social support according to the general characteristics, there was statistically significant difference in sex distinction, religion, living arrangement, educational level, monthly allowance and mode to use spare time. As for self-esteem according to the general characteristics, there was statistically significant difference in sex distinction, religion, living arrangement and monthly allowance. And as for the suicidal ideation, there was statistically significant difference in the marital status. 2. As for the relation between the social support, self-esteem and the suicidal ideation, it showed statistically very significant positive correlation in the social support and self-esteem. And there existed relatively higher positive correlation in family support among sub-factors of the social support and the positive self-recognition among sub-factors of self-esteem. 3. It showed that positive and negative self-recognition as sub-factors of self-esteem, others' support as sub-factor of the social support influence on the suicidal ideation. In other words, as positive self-recognition was lower, as negative self-recognition was higher, as social support of others was lower, they had much more effect on the suicidal ideation of the elderly. And it showed about 36.1% of the explanatory capability. Conclusions: Health care providers should develop school health education for the elderly.