• Research in Community and Public Health Nursing
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• v.28 no.1
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• pp.78-87
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• 2017

Purpose: The purpose of this study is to identify factors influencing the quality of life of the elderly living alone and living with their families with regard to their health statuses and health behavior experiences. Methods: We used source data from the 2014 Community Health Survey. The subjects of this study included some elderly people aged 65 and over, and analyzed the data of 13,373 elders living alone and 13,322 elders living with family. Results: Factors influencing the quality of life of the elderly living alone and living with their families include gender, age, education, household income, current occupation, subjective stress level, depression, number of diagnosed diseases, walking exercise, the experience of health screening, and the experience of not having necessary medical services (p<.001). Region was a significant variable influencing the quality of life of the elderly living with their families (p<.001). Conclusion: In order to improve the quality of life of the elderly, it is necessary to provide sound conditions for working, emotional support, walking exercise and promotion of health screening, and to supplement the environment and institution for them to receive necessary medical services.

• Korean Journal of Community Nutrition
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• v.12 no.1
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• pp.50-57
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• 2007

This study was designed to evaluate health and nutritional status of elderly females according to their family type. The participants were 157 elderly women(41 living alone, 45 living with a spouse, and 71 living with family). Among them, the subjects answered that their health rated as good condition, the elderly living with a spouse had significantly higher proportions than those living alone and living with family. Serum cholesterol and fasting blood glucose of the respondents living with a spouse were lower than those of the respondents living alone or with family. A dietary assessment with a 24-hour recall method represented that the elderly living alone had lower nutrient intakes, especially the intake of Ca. Most of women living alone or with family were consuming less than 75% of the Korean Recommended Dietary Allowances(RDA). For the females living with a spouse, the number or nutrients consumed below 7s% or the Korean RDA were significantly lower than that for those living alone and the elderly living with family. As a result of the above analysis, the health and nutritional statement of old women with a spouse was better than that of the old living alone or with family.

• Journal of Korean society of Dental Hygiene
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• v.17 no.1
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• pp.99-110
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• 2017

Objectives: I examined the health and oral health status of elderly people living alone compared to elderly people living with their families by using data (2014) from the 6th Two-Year Korea National Health and Nutrition Examination Survey. Methods: Among 1,454 health survey respondents aged 65 years and over who participated in the 6th Two-Year Korea National Health and Nutrition Examination Survey conducted in 2014, 311 were elderly people living alone and 1,143 were elderly people living with their families. Results: In terms of socio-demographic characteristics, the percentage of elderly people living alone was high especially in women and when the subjects' age, education level, and income level were low. In terms of oral health status, the percentage of elderly people living alone was high when elderly people thought that their subjectively viewed health was poor and the frequency of drinking and exercise was low. In terms of oral health status, the percentage of elderly people living alone was high among elderly people who did not have good oral health in their subjective view and did not get oral examinations for a year and had a lot of difficulty chewing. Conclusions: Family support or additional social support for elderly people who live alone should be considered to promote the healthy lives of elderly people.

• Research in Community and Public Health Nursing
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• v.29 no.3
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• pp.310-321
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• 2018

Purpose: The purpose of this study is to identify the effects of the elderly's health statuses, health behavior, and social relations on their health-related quality of life (HRQoL) according to their family types. Methods: The subjects of this study were 1000 elderly persons (298 living alone, 420 living with their spouses, and 282 living with their family)living in C city in Gangwon Province. Data were collected through structured questionnaires from July 20 to September 30, 2015. The SPSS/WIN program was used for data analysis. Results: The HRQoL of the elderly living alone was much lower than the other groups. The most influential factors on the HRQoL include self-rated health and depressive symptoms in all three groups. Social activities and skipping meals were associated with the HRQoL of the elderly living alone and living with their spouses, while marital status, number of chronic disease, and instrumental activities of daily living were associated with the HRQoL of the elderly living with their family. Conclusion: Nurses should take into account family types when designing interventions for improving the HRQoL of the elderly.

• Research in Community and Public Health Nursing
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• v.19 no.4
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• pp.564-574
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• 2008

Purpose: This study was a descriptive survey research to compare and to examine the levels of physical health status. family support, and life satisfaction between the aged living alone and living with family, the relations among the factors. Methods: Subjects were the 267 aged (living alone: 133 subjects: living with family: 134 subjects) in Seoul and Gyung-gi province. Measures were Cornell Medical Index(CMI) to check physical health status, family support scale developed by Cobb(l976) to check the family support. and elderly life satisfaction scale developed by Yun(1982) to check life satisfaction. Data were collected from March to August. 2006. Collected data were analyzed through SPSS/PC 12.0 version. Results: First. degree of the physical health status. family support. and life satisfaction in the elderly living with family were better than them in the elderly living alone. Second. the relations among the factors were all positive correlation. Third. the education and monthly allowance in aged living alone did effect to the life satisfaction. Conclusion: Clinical practice should be focused on family support/social support for the aged living alone. Also nursing practitioners for the aged living alone should consider the general characteristics of them.

• The Korean Journal of Community Living Science
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• v.17 no.1
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• pp.87-99
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• 2006

The purpose of this study was to explore the relationship between self-rated health and Activity of Daily Living (ADL) and self-care behavior of rural elderly in Korea, focused on the difference among three distinctive living arrangements; living alone, living only with his/her spouse, and living with their married children. For this purpose, data were gathered from a nationwide survey, a total of 586 elderly aged 65 or older and living in rural area, using the structured questionnaire. Also, self-care behavior were categorized into 4 groups; life-style practice, medical self-care, adaption to functional limitation, and emotional management. The major findings are as follows; 1) Rural elderly perceived their health little and more 'bad' but their ADL capacity were 'not difficult', especially among elderly living with spouse. 2) The level of 20 items in self-care behavior ($1{\sim}5$score) was ranged from 2.51 to 3.81 score. The behavior level of regular exercise, setting up additional phone, taking a nutrient, and testing BP or pulse regularly were low but that of taking a medicine according to prescription, close contact with other people, and regular eating were proportionally high. 3) The majority of self-care behavior were correlated with subjective health positively but medical self-care behavior were correlated with subjective health or ADL negatively. Based on these results, policy implications are discussed.

• Journal of Korean society of Dental Hygiene
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• v.19 no.4
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• pp.577-589
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• 2019

Objectives: The purpose of this study was to investigate the effects of general and oral health on quality of life in the elderly living alone and with family. Methods: We analyzed data from the $6^{th}$ Korea National Health and Nutrition Examination Survey. Distribution of the elderly living alone and with family based on the general characteristics and general and oral health was analyzed using complex-sample chi-square tests. Multiple logistic regression was used to analyze the factors affecting quality of life by calculating the 95% confidence intervals. Results: In the elderly living alone, the quality of life significantly correlated with restriction of activity, perceived general and oral health status, perceived stress, and speech difficulties. Further, in the elderly living with family, lower quality of life significantly correlated with restriction of activity, perceived health status, walking days per week, life time smoking history, Community Periodontal Index, and chewing and speech difficulties. Conclusions: The elderly are concerned with self-maintenance of general and oral health. Therefore, systematic policies related to health services need to be developed and operated at the national level. It is especially necessary to take social interest in the elderly living alone and a more continuous and professional approach in their health care.

• Korean Journal of Adult Nursing
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• v.20 no.5
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• pp.765-777
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• 2008

Purpose: This study was a descriptive survey research to compare and to examine the levels of health status, depression, and quality of life between the elderly living with family and the elderly living alone, the relations among the factors. Methods: Subjects were the 441 elderly over 65 years old(243 elderly living with family; 198 elderly living alone) in Seoul and Gyung-gi province. Data were collected from January to March, 2007. Collected data were analyzed through SAS/PC 11.0 version. Results: First, the health status and quality of life in the elderly living with family were higher than them in the elderly living alone. Also depression in the elderly living with family was lower than that in the elderly living alone. Second, in all elderly there was positive correlation between health status and depression. There were negative correlations between health status and quality of life, and between depression and quality of life. Third, the economic environments in all elderly did effect to the health status, depression, and quality of life. conclusion: In conclusion, it's requested a special attention of the current job level or interpersonal relationship of older people.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.16 no.3
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• pp.333-344
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• 2009

Purpose: This study was done to identify differences in health habits, perceived stress, depression, and suicidal thinking by gender for elderly people who are living alone and elderly people who are living with others. Method: The study participants were 4,051 people aged 65 years and over who were surveyed in the Third Korea National Health and Nutrition Examination Survey in 2005. The relationship among outcomes and living arrangement by gender in elders was assessed using multiple logistic regression while controlling for sociodemographic characteristics. Results: Older men living alone were less likely to have breakfast and more likely to perceive stress and think of suicide than older men living with family or others. On the other hand, older women who live alone were less likely to perceive stress than older women who live with others. Age, educational level, income, and number of diseases were significantly associated with each individual outcome. Conclusion: This study showed that living alone has a significant impact on physical health habits and psychological health of elderly people, especially for older men. Therefore, living arrangement should be considered in developing a health promotion program for elders as well as age, gender, education, and income.

• Journal of Integrative Natural Science
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• v.1 no.2
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• pp.140-148
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• 2008

This study was conducted to compare of health status, dietary behaviors and nutrient intakes according to family types of the elderly in rural areas. Family types were divided into three types-elderly living alone, elderly living with spouse, and elderly living with spouse and children. Subjects were 119 persons aged over 65 years (34 male, 85 females) living in rural areas and period of survey was from 29 January 2007 to 2 February. General environmental factors, health status, dietary behaviors and nutrient intakes were compared according to family types, the elderly living along showed a significantly lower in monthly income(p<0.01), self perceived health status(p<0.001), Instrumental Activity of Daily Living(IADL) score, and General Self Efficacy Scale(GSES) score compared to the elderly living with spouse and those living with spouse and children. However, Center for Epidemiologic Studies Depression Scale(CES-D) was higher than those of the elderly living family members (p<0.05). In addition, sum of dietary behavior score was the lowest in the elderly living alone (22.3 in elderly living alone, 24.1 in elderly living with spouse, 23.4 in elderly living with spouse and children, p<0.001) and nutrient intakes of potassium, zinc, vitamin C(p<0.01 respectively), calcium, phosphorus, iron, vitamin A, vitamin E, vitamin B6 and folic acid(p<0.05 respectively) also reported to be significantly lower in the elderly living alone than in others of two types. From these results, health status, dietary behavior pattern and nutrient intakes of the elderly living alone were found to be inadequate overall, so measures to deal with these health and nutritional status were needed.