• Journal of Korean society of Dental Hygiene
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• v.20 no.6
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• pp.809-817
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• 2020

Objectives: This study aimed to analyze the relationship between socioeconomic factors and the unmet dental care needs of the living alone and living with family elderly groups to confirm the differences in their influence. Methods: Data from the Korea Health Panel Study of 2016 were used to analyze a total of 4,987 individuals: 4,008 in living with family group and 979 in living alone group. Chi-square test and multiple logistic regression analyses were performed using SPSS Version 22 (p<0.05). Results: We observed that 16.5% and 28.3% of the participants from the living with family and living alone groups had unmet dental care needs, respectively, indicating that the living alone group had more unmet dental care needs. Income level, residential area, and healthcare security were significant factors related to the living with family group. In contrast, medical aid for healthcare security was a significant factor related to the living alone group (p<0.05). Conclusions: The results confirmed that socioeconomic factors that affect unmet dental care vary according to the living situation. Therefore, the government should identify the number of elderly individuals living alone, which is increasing annually. These individuals are vulnerable in almost all aspects, and the government should establish and implement appropriate oral healthcare policies to support them.

• Research in Community and Public Health Nursing
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• v.29 no.3
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• pp.257-266
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• 2018

Purpose: The study has been conducted to identify factors affecting the participation in leisure activities by elderly women living alone. Methods: Data were collected through a questionnaire survey among 150 elderly women in Seoul and Gyeong-gi Province. The measurement tools that were used include participation in leisure activities, perceived health status, Geriatric Depression Scale Short Form-Korea (GDSS-K), psychological well-being scale, and loneliness scale. The data were analyzed by using the Pearson correlation coefficients, t-test, analysis of variance ANOVA, and stepwise multiple regression with the SPSS/windows version 21.0 program. Results: The analysis shows that the affection for participation in leisure activities of the elderly women living alone who participated in the questionnaire survey is significant (F=14.6, p<.001). The value of the adjusted $R^2$ is 0.55, which accounts for the explanatory power of 55.4%. The predictor that has been found to have the greatest influence on the participation in leisure activities by the elderly women living alone include perceived health status, followed by monthly allowance (10,000 won), psychological well-being, economic status, religion, depression, family structure, and loneliness. Conclusion: The results suggest that in developing nursing interventions and practice for the participation in leisure activities by elderly women living alone, perceived health status, psychological well-being, depression, and loneliness should be considered.

• Journal of the Korean Dietetic Association
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• v.11 no.3
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• pp.286-298
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• 2005

This study aimed to estimate the effect of the home based food supplying program in single living female elderly on the basis of depression, Health and Nutrition Risk Index, dietary attitude and dish consumption frequencies. The Food Supplying Program was carried out for 8 months for 27 single living female elderly from lower income status in Bucheon city. Main supplied foods were consisted with soymilk, vegetables, fruits and fish. The effect of the food supplying program were analyzed for 22 elderly who completed the program (group supplied with food : GSF) compared to the group not supplied with food (GNSF). The results of this study were as follows: Degree of depression estimated with depression score and Health-Nutrition Risk Index were decreased and the scores of dietary attitude and behaviors were increased for GSF after 8 months. However these improvements were not shown in the GNSF. GSF showed significantly increased consumption frequencies in soybean milk, tangerine, stir fried anchovy and yogurt, where as GNSF was observed with the decreasing trend in most of the dishes. In conclusion, home based food supplying program for single living female elderly not only increased the consumption frequencies of some dishes but also improved depression rate, Health and Nutrition Risk Index and dietary behavior concomitantly.

• Journal of Korean Public Health Nursing
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• v.33 no.2
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• pp.258-269
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• 2019

Purpose: This study examined the effects of an integrated activity program on the self-efficacy and depression of underprivileged elderly women living alone. Methods: The participants recruited were fifty underprivileged elderly women living alone in D city. Data were collected from September 1 to October 1, 2015. To test the effects of the integrated activity program, the participants were divided into two matched groups, an experimental group (N=25) and control group (N=25). The data were analyzed with a ${\chi}^2-test$, Fisher's exact probability test, and t-test using the SPSS/WIN 12.0 program. Results: After attending the integrated activity program, significant differences between the experimental group and control group were found for self-efficacy (t=9.19, p<.001) and depression (t=-18.31, p<.001). Conclusion: The results indicate that the integrated activity program enhances self-efficacy and reduces depression in underprivileged elderly women living alone. Therefore, this program is a good strategy that community mental health nurses can use to improve the mental health of underprivileged elderly women living alone.

• Journal of Digital Convergence
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• v.13 no.12
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• pp.423-431
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• 2015

This study aimed to examine the mediating effect of social support in the influence of depression on the health promotion behavior of low-income elderly living alone. The data were collected from 294 elderly recipients of national basic livelihood security who are living alone and the data were analyzed by path analysis. The results were that depression and social support had direct effect on health promotion behaviors and depression had indirect effect on health promotion behaviors through mediating effect of social support. Results showed the importance of depression and social support in the health promotion behaviors of the low-income elderly living alone, which should be considered in the intervention. On the basis of the results, practical suggestions to increase the health promotion behaviors of the low-income elderly living alone were discussed.

• Journal of Families and Better Life
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• v.35 no.1
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• pp.1-16
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• 2017

Using data from the 2015 Korea Welfare Panel Study, we examined the predictors of psychological well-being (life satisfaction and depression) of single elderly people living alone across development stages (young-old, mid-old, and old-old) and suggested implications for elderly policy. For this purpose, we selected 1,364 elderly people who lived alone but preserved their family relationships, and were 65 years of age or older. Separate analyses were conducted for the three groups of single elderly people living alone. Overall, the psychological well-being of single elderly people living alone was higher than moderate level, and they were generally satisfied with their everyday lives and less depressed. However, there were group differences: the young-old group was more satisfied than the old-old group with in their everyday lives and less depressed than the mid-old and old-old groups. In the young-old group, life satisfaction was significantly associated with subjective health, non-physical conflict with family, disposal income, house ownership, dietary deficiency, cost of living, and public pension. In addition, depression was significantly associated with subjective health, non-physical conflict with family, dietary deficiency, and physical conflict with family. In the mid-old group, life satisfaction was significantly associated with subjective health, housing non-physical conflict with family, disposal income, and dietary deficiency. Depression was significantly associated with subjective health, housing deficiency. In the old-old group, life satisfaction was significantly associated with subjective health and non-physical conflict with family. Depression was significantly associated with subjective health. Therefore, 'health'and 'family'are important key concepts to consider when making elderly policy.

• Journal of the Korea Convergence Society
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• v.10 no.12
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• pp.135-142
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• 2019

The purpose is to investigate correlation of periodontal disease and cardiovascular disease among those living alone and living with family by using 6th Korean National Health and Nutrition Examination Survey. According to general characteristics, cardiovascular diseases were found to be related to gender, education level of those living with family; and age and income level of elderly living alone. The oral health status, oral health patterns and cardiovascular disease distribution of both groups for the past year were examined. The relationship between cardiovascular disease and periodontal disease was related to hypertension only in the living with family. Cardiovascular disease and periodontal disease are the most common diseases so considering the two diseases together is necessary to check the health status in the future.

• Research in Community and Public Health Nursing
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• v.30 no.2
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• pp.206-216
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• 2019

Purpose: This study is to investigate the low back pain, social support, impediment in daily living activities and to identify factors affecting impediment in elderly farmer' daily living activities. Methods: The participants were 128 elderly farmers who had received nerve block. Data were collected using a structured questionnaire from February to March, 2018. They were analyzed using t-test, ANOVA, pearson's correlation coefficient, and linear multiple regression. Results: The score of low back pain was $6.27{\pm}1.69$ (10 points), that of social support $2.92{\pm}0.76$ (1~5 points), and that of impediment in activity of daily living $2.01{\pm}0.82$ (0~5 points). Factors affecting impediment in activity of daily living were found to include age (p=.017), daily hours of farm work (p<.001), fear for the nerve block (p<.001), low back pain (p<.001), and social support (p<.001); the explanatory power of these variables was 58.8%. Conclusion: This study has found the controllable factors affecting impediment in activity of daily living among the rural elderly engaging in farm work include low back pain, social support, and daily farming hours. Therefore, to reduce impediment in activity of daily living among them, it is necessary to develop nursing interventions that can improve impediment in activity of daily living through reduction of daily farming hours using local resources. It is also desirable to improve their health status by reducing low back pain, and develop and apply social supports with health education programs that fit the local resources and the needs of the rural elderly.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.16 no.3
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• pp.316-324
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• 2009

Purpose: The aim of the study was to identify the relationships among age, activities of daily living and health-related quality of life (HRQoL) for centenarians in Busan. Methods: Forty-nine centenarians (2 males and 47 females) participated in the study, done from April to July, 2006. Pace-to-face interviews were used to collect data. Activities of daily living were measured using K-ADL, K-IADL and health-related quality of life, using the Short Form Health Survey (SF-36). Results: Over 50% of the centenarians reported independence for six-items but not for bathing. With regard to type of dependency, 77.6% were independent in transferring, 71.4%, in using the toilet, 67.3%, in feeding and in continence and 57.1% in dressing but just 24.5% were independent in bathing. Age was significantly associated with K-IADL (r= -.303, p= .03). The centenarians were more impaired in physical health components compared to mental health components for health-related quality of life. Conclusion: These results may contribute to a better understanding of activities of daily living and health-related quality of life of centenarians. The findings are relevant to health professionals, in particular professionals who are developing wellness programs to optimize health-related quality of life and functional status for the extremely old age population.

• Journal of muscle and joint health
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• v.17 no.2
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• pp.192-202
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• 2010

Purpose: The purpose of the study was to examine the predictive relationships between predictors [(difficulty on daily activities due to arthritis, falls, and pain, grip strength, and activities of daily living (ADLs)], and perceived health in community-living older adults in Korea. Method: A descriptive, cross-sectional survey design was used. Data were obtained from Korean Longitudinal Study of Ageing conducted in 2006. A stratified sample was selected of 5,545 older adults who were over 60 years old for analysis of this study. Descriptive statistics, t-test, Pearson's correlations, and multiple regressions were used. Result: Mean age was 70.27 years (SD=7.27) ranged from 60 and 105 years old. Perceived health was significantly associated with grip strength, and ADL. With multiple regression, all main variables explained 22.1% for perceived health. Difficulty on daily activities due to pain was the strongest predictor on perceived health. Grip strength, ADLs, gender, and difficulty on daily activities due to arthritis and falls were also significant predictors on perceived health. Conclusion: When developing nursing intervention to improve perceived health in older adults, their difficulties on daily activities, grip strength, and ADLs should be assessed.