Profit-keeping behaviors naturally occur in the market to satisfy consumers, and the logic behind it lies in the economies of scale. On the flip side, some commodities transacted in the market are not available or can not be easily acquired unless the demand is high enough. Under this proposition, some consumers rise and find their own solution to meet the services at a reasonable cost or at an adequate level. The commonly adopted way is to establish a cooperative, and it stirs purchasing power by pooling resources and further bargains price and service quality. As a consumer cooperative, housing cooperatives notably found in rural towns enable the elderly to continue independent living. This study is to take a closer look at residential life of the rural elderly in housing cooperatives. Utilizing in-depth focus group interviews with 40 residents in four housing cooperatives, this qualitative research draws main factors affecting the decision to move in, residential assessment, and strengths and weakness of living in a housing cooperative. The primary factor influencing the moving decision is to continue to independent living in a familiar community, and the bottom line is planning ahead. Frailty and bereavement are found to be the leading occasions for them to move. The participants are satisfied with the independent living arrangement, and particularly, cited such features as safety and security, elderly-friendly design, common spaces, freedom, social activities and efficient living. Also, it is stated that some cooperative natures such as control over the property and giving a voice on management render positive impacts on the satisfaction with communal living. In spite of all the benefits and strengths, participants face with a public notion that an independent living arrangement like a housing cooperative has never done before in rural towns, so that most people recognize it as part of dependent living arrangements like nursing home.
This study has been performed to analyze living arrangement in later life. In this study, 276 Koreans aged 60 or more were interviewed for their current household structure. The results are drawn as follows: 1. Of all the households with at least one person aged 60 or more, those living in three generations account for the largest proportion, 39.9 percent. For the regional difference, the rate was slightly higher in urban areas than in rural areas. 2. 48.7% of the subjects living in owned homes were households with elderly only, but only 23% of those living in rented homes are elderly only. Overall, the rate of elderly-only households becomes the highest for those living in owned single structure homes. This result indicates that the elderly with higher economic status are more likely to live without children than others. 3. As for birth order, those who grew up as the first child are most likely to live in elderly-only households, while others are in three generation homes. 4. The elderly with few children are more likely to live independently than those with many children, not because they are without dependable children, but because spend less resource for childbearing and therefore are more independent. 5. Overall in this, it is supported that socioeconomic status and independability are more influential factors on living arrangement of the elderly than regional or emotional factors.
The purpose of this research was to study opinions on elderly housing and attitudes toward the problems related to elderly lives, which were due to dependence or independence in later life. The survey was conducted among middle-aged people in their fifties, living in Seoul. The final sample included 498 respondents. Since the statistical analysis was focused only on independent and dependent groups, total cases for the analysis were 373. The results of this study were as follows. Firstly, the group that was more independent in later life tended to be healthier, lived with a husband or wife, had no children, and had more monthly income and assets. Secondly, the group that was more independent in later life believed that they had the sole responsibility of resolving later life issues. The group that was more dependent believed that their family, not themselves, must resolve their later life problems. The independent group wanted to continue their work or enjoy leisure. Thirdly, the group that was more independent about elderly housing stated that they were responsible for it, while the other group stated that their family was. There were no significant differences between the two groups in terms of general idea, and social interest. However, the independent group answered that more development and management of elderly housing were needed. The expected living arrangement in their later lives was similar. Also, there were no differences between the two groups in living with family or the demand for service from elderly housing.
Aging is accompanied with numerous transitions in life, and residential environment becomes a pivotal part of the elderly's lives. Physically supportive housing linked with services emerges in midst of the reality that retrofitting housing with special features has been seriously underfunded. The purpose of this study was to examine the residential satisfaction of the elderly in two types of independent living arrangements specially designed for the elderly. The indices of residential supportiveness were developed, and the questionnaire survey was adopted for data collection. Two hundred eighty residents living in two different kinds of senior housing participated in the survey, and all the collected responses were used for data analysis. The finding showed that almost all of the elderly positively assessed their senior living. That is, the statistical analysis illustrated that satisfaction indices of senior living significantly and positively contributed the satisfaction with overall residential environment. Satisfaction with physical environment was the only strong predictor in explaining current residential satisfaction of the elderly in senior rental housing, and accounted for a small proportion of the variance in the dependent variable. Since affordability was the biggest concern among residents in senior housing, it was of significance that long-term housing affordability was ensured and reduction in service cost by utilizing economies of scale was pursued.
The purpose of this study was to investigate the consumer sensibility according to the arrangement and area-ratio of a stripe, and the necktie width. The experimental materials developed for this study were a set of stimuli and necktie sensibility scales. The stimuli were 27 color pictures, in which the necktie width(narrow, medium, wide), stripe arrangement(horizontal, vertical, oblique), and stripe area-ratio(1:1, 1:2, 1:3) were manipulated. The 7-point scale was used for the consumere sensibility. Data were obtained from 270 men and women in their 20s and 30s living in Seoul, Gwangju, Daegu, Jinju, and Changwon on November 2011. For the data analysis, ANOVA and Duncan-test were used by using SPSS program. Results of this study were as follows.; The factors of consumer sensibility according to the arrangement and area-ratio of a stripe, and the necktie width consisted of five dimensions of attractiveness, grace, individuality, ability, and activity. The necktie width showed an independent effect on attractiveness and grace. The stripe arrangement showed an independent effect on attractiveness, grace, individuality, and ability. The stripe area-ratio showed an independent effect on grace. Also, interaction effects of the necktie width and stripe area-ratio on ability were found. The study results are highly expected to be used as valuable sources in plans for necktie products.
This research is designed to identify factors that affect life satisfaction of the Korean elderly by studying residential environments and individual personalities as independent variables, and life satisfaction of the elderly as a dependent variable. It also includes emotional and instrumental support to describe relations between variables as mediating variables. It utilizes a questionnaire survey as its research method and studies those aged 65 and over living in urban, suburban and rural areas. In addition, regression and path analysis is used to identify casual links between different variables. The results are as follows: (1) Direct factors that impact emotional support are home ownership (direct effect= -.18) and transportation services (.15). That is, those who own their home and have easy access to public transpiration show increased levels of emotional support. (2) Direct factors that affect instrumental support are economic status (direct effect= .311) and living arrangement (.17). In other words, those who are financially stable and live with their children have more instrumental support. (3) Factors linked directly to life satisfaction of the elderly are their age (direct effect= -.10), health status (.19), economic status (.25), region of living (.22) and housing type (.19). (4) Among the mediating variables, emotional support has direct effect (.45) while instrumental support has indirect effect (.16).
Hye-in Chung;Seon Jeong Kim;Byoung-Gwon Kim;Jae-Kwan Cha
Health Policy and Management
/
v.33
no.4
/
pp.440-449
/
2023
Background: This study aimed to analyze the prehospital process and reperfusion therapy process of acute ischemic stroke in Busan metropolitan area and examine the impact of living arrangement on the early management and functional outcomes of acute ischemic stroke (AIS). Methods: The patients who diagnosed with AIS and received reperfusion therapy at the Busan Regional Cardiovascular Center between September 2020 and May 2023 were selected. We investigated the patients' hospital arrival time (onset to door time) and utilization of 119 emergency ambulance services. Additionally, various time matrices related to reperfusion therapy after hospital were examined, along with the functional outcome at the 90-day after treatment. Results: Among the 753 AIS patients who underwent reperfusion therapy, 166 individuals (22.1%) were living alone. AIS patients living alone experienced significant delays in symptom detection (p<0.05) and hospital arrival compared to AIS patients with cohabitants (370.1 minutes vs. 210.2 minutes, p<0.001). There were no significant differences between the two groups in terms of 119 ambulance utilization and time metrics related with the reperfusion therapy. Independent predictors of prognosis in AIS patients were found to be age above 70, National Institutes of Health Stroke Scale score at admission, tissue plasminogen activator, living alone (odds ratio [OR], 1.785; 95% confidence interval [CI], 1.155-2.760) and interhospital transfer (OR, 1.898; 95% CI, 1.152-3.127). Delay in identification of AIS was shown significant correlation (OR, 2.440; 95% CI, 1.070-5.561) at living alone patients. Conclusion: This study revealed that AIS patients living alone in the Busan metropolitan region, requiring endovascular treatment, face challenges in the pre-hospital phase, which significantly impact their prognosis.
The purpose of this study is about to consider the structure of dualistic recognition between "Gang-Ho"(ideal sanctuary) and real world in the "Songs of Fisherman" written by Lee Hyeon Bo. In order to do this job, I analized the arrangement of the contents and extract the exact in and outward meaning of elements and expressions; usage of them between lines of this Song. Based on these works, I tried to explain the confronted recognitions of the two worlds. At the first, about the arrangement and contents of this poem, It is consisted of 5 independent sub-poems and each of them are describing the value of fisherman's life(at the poem 가), separation from mundane world(나), satisfaction of fisherman's life(다), nature of "Gnag-Ho"(라), domiciliation in the place(마). It looks like that the writer intended to have the arrangement probability and likelihood connecting poems. Secondly, It contrast the nature of the "Gang-Ho" and real world. The sanctuary is a place of 'absence of worldly desire' and 'cordiality' that could afford one's harmonious life. On the other hand, the real world is a troublesome place which always conflicts political confrontations. For those reasons, the writer wants to satisfy with his living in "Gang-Ho" separating himself from the real world. Thirdly, The nature of "Gang-Ho" is 'absence of worldly desire' and 'cordiality' that one could be deserved his diligency becoming a part of the harmonious idealistic living place. Fourthly, on the character of story teller. Originally he is a incomer of "Gang-Ho" from real world. so that reason, he is showing dualism not to deny the loyalty oath to his king, while he intends to satisfy with the life in "Gang- Ho" separating himself from real world. As a gentry, at that time, the loyalty oath is inevitable one and that is found from writer's other works either. Fifthly, Characters of the different world recognition. The main reason of his intention to "Gang-Ho" roots on out of worldly confrontations, his separation from real world is on a joyous peaceful life just like in "Gang-Ho". this study believes the writer imply that 'absence of worldly desire' and 'cordiality' of "Gang-Ho", be a key role to resolve the confrontation of real world. Lee Hyeon Bo himself regards the two elements as a advisable attitude of life. At last, Seeing the writer's other work and literature's educational effect, this study defines that even if the poem outwardly express one's lyricism but inside it warns governors ruling attitude.
The purpose of this study is to examine major factors that affect patterns of living arrangements of older Korean noncitizens in the United States using the 1990 8% Public Use Microdata Sample(PUMS). In order to do so, I analyzed the effects of four factors including acculturation(English proficiency and Age at migration), economic circumstances(Personal Income and Supplemental Security Income: SSI receipt), health status(Mobility and Personal care limitation), and the ethnic community. The results show that acculturation and economic circumstances play an important role in determining the patterns of living arrangements among older Korean aliens, whereas the health status and the ethnic community do not show consistent effects. Regardless of marital status, the impact of age at migration is positively associated with solitary living of older Korean noncitizens, though, the effect of English proficiency show the opposite direction in accordance with marital status. That is, among nonmarried elders, those who cannot speak English are more likely to live alone. The case is reverse for married elders. The impact of economic feasibility is also positively associated with independent living arrangements. Those who receive SSI are much more likely to live apart from family, and elders whose annual personal income between $5, 001 and $10, 000 have the greatest propensity of solitary living-a large proportion of their income source is SSI. Individuals who receive SSI are also qualified to collect Medicaid, food stamps, rent subsidies, and other welfare benefits. In a sense, the economic feasibility provided by welfare benefits is the key determinant of independent living of older Korean noncitizens. Therefore, the recent welfare reform which denies legal aliens welfare benefits such as SSI and food stamps will severly affect the present living arrangements of older Korean aliens, and give economic burden to their family member The findings also show that there are significant differences within the elderly Korean Americans in terms of demographics, income, fertility, health status, and patterns of living arrangements by U.S. citizenship status. In particular, after controlling for age at migration as a proxy for acculturation, there is a statistically significant variation in living arrangements between elderly Korean noncitizens and naturalized citizens. For both theoretical and methodological reasons, future research on minority aging needs to investigate the concept of U.S. citizenship status for its impact on patterns of living arrangements among the minority elderly.
This study was aimed to examine the association between resilience and mental health among individuals aged 65 and older. The number of the sample was 2,004 older people living in Chuncheon city. The dependent variables were measured with depression and mental well-being. Depression was measured by the Center for Epidemiological Studies-Depression(CES-D) 10 items. Mental well-being was measured by Korean version of the Mental Health Continuum-Short Form(K-MHC-SF). The independent variable, resilience, was measured with the Connor-Davidson Resilience Scale(CD-RISC). Adjusted for age, gender, region, education, living arrangement, religion, employment, income, and self-rated health, a logistic regression analysis result showed that resilience was negatively associated with depression among older adults. On the other hand, a multiple regression analysis result showed that resilience was positively associated with mental well-being among older adults. The study findings suggest that resilience can promote mental health in later life. Implications for older adults suffering from mental health problems are also discussed.
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