• Journal of Korean Public Health Nursing
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• v.36 no.2
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• pp.227-239
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• 2022

Purpose: This study aimed to examine the differences in the reciprocal causal relationship between cognitive function and depressive symptoms depending on whether older adults lived with others or alone. Methods: We used panel data retrieved from the sixth (Time 1) and seventh (Time 2) waves of the Korean Longitudinal Study of Aging (KLoSA). The study sample included 2,638 older adults living with others and 628 older adults living alone. We conducted cross-lagged panel analyses (CLPA) to identify the bidirectional causal relationship between cognitive function and depressive symptoms in the groups of older adults living with others and those living alone. Results: In the group of older adults living with others, cognitive function and depressive symptoms showed significant reciprocal relationships. In the group of older adults living alone, although the CLPA confirmed that higher levels of depressive symptoms at Time 1 influenced lower levels of cognitive function at Time 2, cognitive function at Time 1 was not associated with depressive symptoms at Time 2. Conclusion: The results suggest that the strategies for preventing cognitive decline and depressive symptoms should be developed according to whether the older adults live alone. Moreover, further studies should identify factors influencing depressive symptoms among older adults living alone, which will ultimately enable the management of depressive symptoms.

• The Journal of Korean Society for School & Community Health Education
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• v.23 no.4
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• pp.81-93
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• 2022

Objectives: The purpose of this study was to develop a model for comprehensively evaluating the risk of sarcopenia in Korean adults and to generate the sarcopenia risk scorecard model based on the results. Methods: The participants of the study were 7,118 adults without sarcopenia in the first basic survey, and a longitudinal analysis was conducted using data from the 1st to 8th survey (2006-2020) of the Korean Longitudinal Study of Aging (KLoSA). The data were analyzed using Rao-Scott chi-square test and weighted Cox proportional hazards regression of complex sampling design. The sarcopenia risk scorecard model was developed by Cox proportional hazards regression using points to double the odds (PDO) method. Results: The findings show that the risk factors for sarcopenia in Korean adults were gender, age, marital status, socioeconomic status, body mass index (BMI), regular exercise, diabetes and arthritis diagnosis. In the scorecard results, the case of exposure to the highest risk level was 100 points. The highest score range were given in the order of age over 65, low BMI, and low socioeconomic status. Conclusions: The significance of this study is that the causal relationship between various factors and the occurrence of sarcopenia in Korean adults was identified. Also, the model developed in this study is expected to be useful in detecting participants with risk of sarcopenia in the community early and preventing and managing sarcopenia through appropriate health education.

• The Journal of the Korea Contents Association
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• v.22 no.9
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• pp.473-484
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• 2022

This study aimed to verify the reciprocal casual relationship between self-rated health status and depression in the elderly through longitudinal analysis. An autoregressive cross-lagged model was identified. This study analyzed 3,363 elderly people aged 65 or older using the 5th, 6th, and 7th wave data from Korean Longitudinal Study of Ageing(KLoSA). The results are as follows. First, self-rated health status had a positive(+) autoregressive effect. Second, depression had a positive(+) autoregressive effect. Third, self-rated health status had a negative(-) cross-lagged effect on depression, but depression was not a casual predictor of self-rated health status. Based on these findings, it was suggested that there is a need for systematic policies to improve basic fitness in the early stages of old age, as well as the need to expand health promotion programs and implement integrated depression management programs.

• Journal of Korean Academy of Nursing
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• v.53 no.4
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• pp.453-467
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• 2023

Purpose: This study investigated the cumulative effects of depressive symptoms on cognitive function over time in community-dwelling older adults. Methods: Data were investigated from 2,533 community-dwelling older adults who participated in the Korean Longitudinal Study of Aging (KLoSA) from the 5th (2014) to the 8th wave (2020). The association between cumulative depressive symptoms and cognitive function was identified through multiple regression analysis. Results: When the multiple regression analysis was conducted from each wave, the current depressive symptoms scores and cognitive function scores were negatively associated, regardless of the waves (B5th = - 0.26, B6th = - 0.26, B7th = - 0.26, and B8th = - 0.27; all p < .001). Further, when all the previous depressive symptoms scores were added as explanatory variables in the 8th wave, the current one (B8th = - 0.09, p < .001) and the previous ones (B5th = - 0.11, B6th = - 0.09, and B7th = - 0.13; all p < .001) were also negatively associated with the cognitive function score. The delta R², which indicates the difference between the model's R² with and without the depressive symptoms scores, was greater in the model with all the previous and current depressive symptoms scores (6.4%) than in the model with only the current depressive symptoms score (3.6%). Conclusion: Depressive symptoms in older adults have a long-term impact. This results in an accumulated adverse effect on the cognitive function. Therefore, to prevent cognitive decline in older adults, we suggest detecting their depressive symptoms early and providing continuous intervention to reduce exposure to long-term depressive symptoms.

• Journal of Korean Dental Hygiene Science
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• v.5 no.2
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• pp.145-153
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• 2022

Background: The purpose of this study was to analyze the association between the Geriatric Oral Health Assessment Index (GOHAI) and Quality of Life (QoL) between urban and rural residents in Koreausing data from the Korea Longitudinal Study of Aging (KLoSA). Methods: This study was analyzed using the SPSS 20.0 program (IBM SPSS Statistics), and a t-test was performed for difference between GOHAI and QoL, and a multiple regression analysis was used for association between the independent and dependent variables with confounding variables corrected. The statistical significance was p<0.05. Results: Urban residents' average QoL was statistically significantly higher rural residents'(Table 1, p>0.05). For subjects under the age of 65, the QoL increased by 0.30 points for urban residents and 0.39 points for rural residents according to GOHAI increased by one unit (Table 2, p>0.05). Also, for subjects aged 65 years or older, the QoL increased by 0.42 points for urban residents and 0.61 points for rural residents according to the GOHAI, increasing by one unit (Table 3, p>0.05). Conclusion: Through the results of this study, the quality of life of rural residents was lower than that of urban residents. The GOHAI had a stronger impact on QoL among rural residents than in urban areas. In order to address the disparity in QoL between urban and rural residents, it was believed that policies aimed at improving oral health for rural residents should b etaken in to account.

• Korean Journal of Social Welfare Studies
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• v.42 no.3
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• pp.33-56
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• 2011

The purpose of this study is to investigate the effect of grandparenting on the grandparent's level of depression. In addition, it is to test the mediating effect of social support and the moderating effect of household type on the relationships between variables. The 555 grandparent sample in this study was from the Korean Longitudinal Study of Aging(KLoSA). The findings indicated that grandparenting(grandparenting time per day and total weeks of grandparenting per year) was significantly related to the grandparent's level of depression. In addition, the grandparent's age was also associated with grandparenting, grandparent's depression, and social support. Grandparent's health condition and marital status was associated with social support. Grandparent's gender had a significant relationship with grandparent's depression and grandparenting time per day. Social support had a direct effect to the grandparent's depression; however, it was not a statistically significant mediator between grandparenting and grandparent's depression. In addition, household type was not a significant moderator of measuring the relationships among grandparenting, grandparent's depression, and social support. Implications for social work practice were discussed based on the result of the study.

• 한국노년학
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• v.39 no.3
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• pp.549-567
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• 2019

The present study examined whether the relation between relative handgrip strength and cognitive function varied by paid employment status and participation of social activities among Korean older adults. A total of 3,376 Korean adults aged 65 or older were drawn from the 2016 Korean Longitudinal Study of Ageing (KLoSA). Weighted hierarchical regression analyses were conducted to examine moderating effects of paid employment status and social activities on the relation between relative handgrip strength and cognitive function. After adjusting for covariates, results show that relative handgrip strength has a positive association with cognitive function. Both paid employment status and social activities have positive associations with cognitive function and moderate the relationship between relative handgrip strength and cognitive function. These significant moderating effects show that participating in paid employment and social activities buffer against the effect of lower handgrip strength on cognitive function. Findings from the present study highlight the significant role of active aging in older adults'cognitive function. Implications are discussed in a cultural context.

• Annals of Occupational and Environmental Medicine
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• v.34
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• pp.24.1-24.13
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• 2022

Background: In modern society, depression is serious issue that causes socioeconomic and family burden. To decrease the incidence of depression, risk factors should be identified and managed. Among many risk factors for depression, this study examined socioeconomic risk factors for depression. Methods: We utilized first (2006), second (2008), and third (2010)-wave data from the Korean Longitudinal Study of Aging (KLoSA). Depressive symptom was measured with the 10-item Center for Epidemiological Studies Depression Scale, Short Form (CES-D-10) in the survey in 2008 and 2010. Three risk factors including job security, employment type and monthly income were measured in the survey in 2006. The association between risk factors and depressive symptom was analyzed by Cox proportional-hazard model. Results: We analyzed data from 1,105 workers and hazard ratios (HRs) for 3 risk factors were significant entirely. In addition, regular worker with high income group is the most vulnerable group of poor job insecurity on depression among male workers (HR: 1.73; 95% confidence interval [CI]: 1.07-2.81). Finally, HRs for 7 groups who had at least 1 risk factor had higher HRs compared to groups who had no risk factors after stratifying 3 risk factors. In the analysis, significantly vulnerable groups were total 5 groups and the group who had highest HR was temporary/daily workers with poor job security (HR: 2.51; 95% CI: 1.36-4.64). The results concerning women, regardless of job type, were non-significant. Conclusions: This study presented one or more risk factors among poor job security, low income, temporary/daily employment type increase hazard for depressive symptom in 2 or 4 years after the exposure. These results inform policy to screen for and protect against the risk of depression in vulnerable groups.

• The Journal of the Korea Contents Association
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• v.11 no.9
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• pp.323-334
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• 2011

The purpose of this study is to grasp the actual condition for social exclusion for the elderly, to understand the predictive factors of social exclusion. To achieve this objective, the social exclusion for the elderly was examined targeting 4,040 old people in more than 65 years old by using the second data for Korean Longitudinal Study of Ageing(KLoSA) in 2008 by Korea Labor Institute. First, as a result of examining the actual condition for social exclusion for the elderly, the old people were indicated to be 45.4% for economic exclusion, 78.7% for working exclusion, 17.8% for residing exclusion, 43.8% for health exclusion, 33.7% for educational exclusion, and 34.3% for social-activity exclusion. Second, the possibility to be excluded economically was indicated to be bigger in the older age, in a case of not residing in a city and in the more number in household members. The possibility to be excluded from working was indicated to be higher in a case that old person is woman, in the older age, in a case that old person’s religion is christianity, in a case without spouse, in the more residing in a city, in a case that a household type is poor, in a case of dwelling in apartment, in the more number in household members. The possibility to be excluded from residing was indicated to be higher, in a case without spouse, in the more residing in a city, in a case that a household type is poor, in a case that a residing house type is general house, and in the less number in children. The possibility to be excluded from education was indicated to be higher in a case that old person is woman, in the older age, in a case that religion is not Christianity, in a case without spouse, in a case of not residing in a city, in a case that a household type is poor, in a case of the more children alive. The possibility to be excluded from health was indicated to be higher in a case that old person is woman, in the older age and in a case that a household type is poor. The possibility to be excluded from social activity was indicated to be higher in a case that old person is woman, in the older age, in a case that religion is not Christianity, in a case that a household type is poor, in a case of dwelling in apartment. This study has value as a basic research on social exclusion for the elderly.

• 한국노년학
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• v.38 no.4
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• pp.1035-1055
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• 2018

The purpose of this study is to investigate the relationship between public care and family care. Public care for older adults began in 2008 with the implementation of the Long-Term Care insurance in South Korea. Although the expansion of public care has the purpose of reducing the care burden for the family, it is not easy to say whether the developments of public care system reduce the amount of family care for older family members. Theoretically, public care and family care are expected to have various relationships depending on the degree of the role and function(substitution, hierarchical compensatory, task specific, supplementation, complementarity). And literatures have showed inconsistent results depending on the country, data, and methods. In this study, we analyzed the relationship between two care types focusing on home care services for older persons. Analyses were based on data from the second(2008) to sixth(2016) waves of Korean Longitudinal Study of Ageing(KLoSA). To investigate elderly care dynamics in the households, we pooled the data for four changes between two periods(2008-2010, 2010-2012, 2012-2014, and 2014-2016). This study used an analytic sample of 262 older adults, who are aged 55 over and experienced public care at least one point of time. We used Fixed-Effects(FE) model to analyze the differences within the same individuals under the condition that time-invariant unobserved factors are controlled. This study distinguished the cases of entry into public care and other cases of exiting public care. The results showed that older people who are dependent on public care are less dependent on family care than before. In both entry and exit groups, negative relations were maintained, but in the entering stage of public care, the degree of negative relations was relatively small, whereas in the stage of maintaining or departing from public care, relatively negative relations were strong. At the beginning periods, even though public care increased, family care did not decrease significantly. On the other hand, at the time of ending public care and relying on family care, family care increased significantly. The results of this study show that the relationship between public care and family care is close to hierarchical compensatory model and varies according to the stage of caring transition. Also, it was found that the cases of transition from public care to family care have the biggest burden of elderly care than other groups.