• Title/Summary/Keyword: Longitudinal Data

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The association of dietary patterns with insulin resistance in Korean adults: based on the 2015 Korea National Health and Nutrition Examination Survey (한국 성인의 식사 패턴과 인슐린 저항성 간의 상관성: 2015년도 국민건강영양조사를 이용하여)

  • Kim, I Seul;Yang, Yoon Jung
    • Journal of Nutrition and Health
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    • v.54 no.3
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    • pp.247-261
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    • 2021
  • Purpose: This study was conducted to identify the association between insulin resistance and the major dietary patterns of Korean adults. Methods: This study used data from the 2015 Korea National Health and Nutrition Examination Survey. The subjects were 2,276 adults aged 19 to 64 years old. Based on the food frequency questionnaire data, 112 food items were reclassified into 30 food groups. The principal component analysis method was applied to identify major dietary patterns. We used homeostatic model assessment of insulin resistance (HOMA-IR) and quantitative insulin sensitivity check index (QUICKI) value as indicators of insulin resistance. The association between major dietary patterns and insulin resistance was investigated using logistic regression analysis. Results: Three major dietary patterns were identified and assigned descriptive names based on the food items with high loadings: 'healthy Korean meal pattern', 'western meal pattern', and 'white rice, alcohol, meat pattern'. As the 'white rice, alcohol, meat pattern' score increased, significant increasing trends for fasting glucose concentration and HOMA-IR and a significant decreasing trend for QUICKI were observed after adjusting for age and sex. The odds ratio of insulin resistance according to the 'healthy Korean meal pattern' and the 'western meal pattern' were not statistically significant. the 'white rice, alcohol, meat pattern' showed a significant positive association with the risk of insulin resistance after adjusting for covariates. Conclusion: These results suggest that the 'white rice, alcohol, meat pattern' is positively associated with the risk of insulin resistance. The white rice, alcohol, meat pattern was related to the high consumption of alcohol together with rice or meat. This pattern was also associated with the high intake of sodium and low intakes of vitamin C, calcium, potassium, and dietary fiber. To confirm the association, further longitudinal studies are required.

Association of Social Exclusion on Depression in Middle and Older Elderly: Focusing on Gender Differences (사회적 배제와 중·고령 노인 우울의 연관성: 성별 차이를 중심으로)

  • Lee, Yejin;Noh, Young-min;Kim, Jin-uk;Ha, Yeong-eun;Lee, Ju Hyun;Noh, Jin-Won
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.293-301
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    • 2019
  • The purpose of this study is to redefine 7 social exclusion factors and to derive association between social exclusion factors and depression of middle and older elderly, focused on gender differences. The elderly aged over 50 years old were extracted from the data of the Korean Longitudinal Study of Ageing (KLoSA) in 2016. The data was analyzed by descriptive analysis, chi-squared test, and binary logistic regression analysis, using SAS 9.4. As a result, the elderly who were excluded from labor, residence, health, and relationship were found to be associated to depression. In addition, male with resident exclusion were associated with depression compared to non-excluded. Therefore, it is necessary to improve the local community programs in which elderly people can participate in labor and cultural activity. It is necessary to improve labor and culture exclusion by increasing the participation opportunities of various cultural programs. In addition, it is needed to establish specific guidelines for eliminating the social exclusion of overall elderly.

Study on Health Predictors of Early Retirement of Middle-aged and Elderly Workers in Korea: Proportional Hazard Model Analysis by Employment Type (중·고령자의 건강 악화가 조기은퇴에 미치는 영향 연구-근로형태 별 비례위험모형 분석)

  • Chung, Jongwoo
    • 한국노년학
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    • v.37 no.4
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    • pp.871-891
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    • 2017
  • The purpose of this paper is to reduce the reverse-causality and overestimate bias of analysis on how health affected middle-aged and elderly worker's early retirement. From the Korean Longitudinal Study of Ageing(KLoSA) panel data, I researched 1,049 people who were 45-52 years old in 2006. To eliminate the reverse-causality problem, I used the health data which is surveyed before retirement. To reduce bias, I controlled the health status when retirees worked. The main results are as follows. First, the worsened health still affects the hazard of early retirement, with reducing the endogeneity problem. Second, chronic illness is one of the strong predictors of early retirement to self-employed, and self-reported bad health is the main health predictor of wage workers. These results give two implications; first, the impact magnitude of the health indicator depends on employment type. Each employment type has different flexibility of working hours. It seems that the flexibility can reduce early retirement hazard with health problems. Self-employed, who has more flexibility of working hours can work until they have to stop working due to the serious health problem or doctor's advice. Second, to promote middle-aged and elderly workers to keep working, the long-term health policy which decreases chronic illness is needed.

The Impacts of Education and Non-Labor Income on Employment Among the Elderly: An Estimation with a Panel Logit Model to Address the Problem of Endogenous Predictors (교육수준과 비근로소득이 고령자 취업에 미치는 영향: 내생성을 고려한 패널로짓 모형 추정)

  • Kim, Cheoljoo
    • 한국사회정책
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    • v.23 no.1
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    • pp.95-123
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    • 2016
  • As Korean society grows rapidly older, a systematic analysis of the determinants of labor supply behavior among the elderly becomes a prerequisite for designing more effective senior employment policies and income security regime for the elderly. Literatures review shows that a majority of previous researches have been ignoring the problem of "endogenous predictor" especially when it comes to the estimation of the effects of the two key variables, education and non-labor income, on labor supply decisions among older people. They have failed to take into consideration the unobserved heterogeneities which might affect both labor supply decisions of the elderly and their levels of education and non-labor income, which means, according to some econometric literatures, that the estimated coefficients of the two predictors can be inconsistent. The paper tries to redress the endogeneity problem by employing a panel logit model with data from the 1st. to 4th. wave of the KLoSA(Korean Longitudinal Survey of Ageing) to estimate the effects of key predictors on the probability of getting jobs among older people(ages of 60 or older). Both a random effects and a fixed effects model reaffirms that non-labor income has a negative effect on the chances of being employed. And a random effects model shows that the effect of education is also negative, as has frequently been reported by previous studies. That means the effects of education and non-labor income on elderly employment remain negative after the effect of unobserved heterogeneities is controled for and the problem of endogenous predictors is redressed through an appropriate panel data analysis. These findings mean, in turn, that when Korean baby-boomers, who had acquired an unprecedentedly higher level of education and were expected to enjoy ever-larger amount of non-labor income than their preceding generations, retires in near future, their incentives to work will become much weaker and the lack of labor-force and the burden of financing increased public pension expenditure will become more troublesome. The paper concludes with recommending some policy initiatives helpful to solve these expected problems.

Effects of siblings characteristics on living arrangements between married children and their parents (기혼자녀와 부모의 거주형태에 영향을 미치는 형제자매의 특성)

  • Choi, Heejeong
    • Journal of Family Relations
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    • v.21 no.2
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    • pp.129-147
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    • 2016
  • Objective: This study examined the role of siblings with respect to living arrangements between married children and their parents. Previous studies have rarely considered the possibility that family context such as siblings may be associated with intergenerational residential proximity. Method: Using data from first wave of the Korean Longitudinal Study of Ageing (2006), I investigated if, among married children, their sibling characteristics may be associated with the probability of their coresiding with the parent(s), living nearby (within a 30-minute distance from parent(s) by public transportation), or living further away. Specifically, the total numbers of sisters and brothers, the numbers of siblings coresiding with the parent(s) and living nearby, their relative position in the sibling network (first-born son, later-born son, first-born daughter, later-born daughter), and sibship existence and gender configurations (only child, son with brother(s) only, son with sister(s) only, son with both brother(s) and sister(s), daughter with brother(s) only, daughter with sister(s) only, daughter with both brother(s) and sister(s)) were evaluated in the study. For data analysis, multinomial logit models with robust standard errors were estimated using the Stata mlogit procedure. Results: Results suggest that the probability of a married child living together with the parent(s), relative to living close by, was significantly higher the more sisters he or she has. Being a son, especially first-born son, was associated with a higher probability of intergenerational coresidence compared to near residence, respectively. Also, the numbers of siblings coresiding with the parent(s) and living in close proximity were linked to a higher risk of intergenerational coresidence and near residence. Supplementary analyses revealed that the last finding was held over and above the total number of siblings, their relative position in the sibling network, as well as sibling existence and gender configurations. Conclusion: Overall, the study findings indicate that sibling characteristics have significant impacts on intergenerational living arrangement. The influence of traditional patrilineal norm of intergenerational coresidence and a trend towards modified extended family have emerged when siblings characteristics are taken into consideration as determinants of intergenerational living arrangement.

The Study on the Effect of Basic Pension on Subjective Well-being of the Elderly (기초연금 수급이 고령자의 주관적 삶의 질에 미치는 영향)

  • Kim, Hyeyoun
    • 한국노년학
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    • v.40 no.1
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    • pp.1-21
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    • 2020
  • The purpose of this study is to examine that basic pension entitlement affects the subjective well-being(SWB) of the elderly. For controlling unobserved heterogeneity, we used fixed effects model for longitudinal data. The data used for this study is KLoSA from 2006 to 2016. The research results are as follows. SWB of non-basic pensioners was higher than for basic pension beneficiaries. Second, when the demographic variables were controlled, SWB of the basic pension recipients was higher then that of non-beneficiaries. Third, the factors affecting SWB were economic satisfaction, marital status, family financial support, employment status, subjective health status, daily life restrictions, gender, and age. Fourth, the effect of basic pension on SWB was positive at the lowest income quartile. The results of this study shows that the basic pension system has a positive effect on the SWB of elderly despite the low benefit level. Therefore, it is necessary to expand the basic pension system to solve poverty problems and improve the quality of life for the aged. Also, various aspects of social support for the low-income vulnerable elderly are needed. Lastly, It was suggested that the benefit level of the basic pension should be raised to have a substantial effect on the low-income class, which is a key policy subject.

The relationship between R&D investment and management performance of small companies: Verification of the role of technological innovation and marketing capabilities (소규모 기업의 R&D투자와 경영성과 간의 관계: 기술혁신과 마케팅역량의 역할 검증)

  • Shin, Jinkyo;Lee, Sangwon;Choi, Jaehyeok;Yeo, Kyunghwan
    • Korean small business review
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    • v.43 no.1
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    • pp.85-105
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    • 2021
  • This study verified how R&D investment affects the management performance of SMEs, whether technology innovation mediates this relationship, and whether marketing competency moderates the relationship between technology innovation and management performance. A longitudinal analysis was conducted using data from the corporate panel survey performed by Daegu Technopark every year since 2013. Data from 349 companies in the Daegu-Gyeongbuk region were mainly used, and the size of 30 to 50 employees in the manufacturing industry was a major analysis target company. The results are as below. First, The results showed that R&D investment had a positive effect on management as well as technology innovation, but technology innovation did not affect management performance. Also, technological innovation did not mediate the relationship between R&D investment and management performance. This shows that in the case of small SMEs, even if technological innovation occurs through R&D investment, the technological innovation does not lead to management performance. Also, the relationship between technological innovation and management performance was not changed by marketing capabilities. This shows that technological innovation in small SMEs is not easy to lead to business performance.

A Study on Health Status by Social-economic Status of Middle-aged and Elderly (중고령자의 사회경제적 지위에 따른 건강수준 연구)

  • Seo, Yeon Sook
    • 한국노년학
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    • v.31 no.4
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    • pp.1135-1153
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    • 2011
  • The study aims to examine the interaction of socio-economic status in education and income in the difference of the level of subjective health, physical health, and mental health of middle-age and the elderly of Korea. While there have been various discussions in precedent study with respect to the serious increase in the number of dependent life alongside with increasing elderly population, research on the health level according to socio-economic status is highly limited, and also how the health level of middle-age and the elderly - whom will arrive at senescence in just a few years - is different. The study aims at analyzing the health level by hierarchy and age based on data targeting the whole nation. As for analysis data, the study utilized 1st Korean Longitudinal Study of Ageing (KLoSA) implemented by Korea Labor Institute, and carried out a path analysis to verify whether income and academic background serve as a parameter to the level of subjective health, physical health, and mental health. As a result, while the subjective health level decreases, the study confirmed an increase in chronic diseases, and extremely low level of mental health when people in middle-age enter the elderly. In addition, the higher the education and income, the more the health levels both on middle-age and the elderly; the result suggests that education background and income have mediated effects in all health level of middle-age and the elderly.

Multiple Trajectories of Depressive Symptoms Among Older Adults (노년기 우울의 다중변화궤적에 관한 연구)

  • Kang, Eun-Na;Choi, Jae-sung
    • 한국노년학
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    • v.34 no.2
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    • pp.387-407
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    • 2014
  • This study aims to identify the multiple trajectories of depressive symptoms and the characteristics of each trajectory group among the elderly. This study uses five waves of longitudinal data from the Korean Welfare Panel Study (KWPS, 2006-2010). Subjects were older adults aged 60 and over who had completed at least three waves between 2006 and 2010. A total of 4,181 respondents were analyzed. The latent growth mixture model and the multiple logistic regression model were mainly used for data analysis. The major findings were as follows: After controlling for the variables of gender, age, education, marital status, self-assessed health, and poverty, this study identified four different trajectory classes: stable low depressive symptoms (71.8%), high but decreased depressive symptoms (10.6%), moderate but increased depressive symptoms (7.9%), and an increased, then a decreased pattern of depressive symptoms (9.7%). The characteristics of theses trajectories as compared to previous studies were a lower percentage of 'stable low depressive symptoms', no 'persistently high depressive symptoms', and higher level of depressive symptoms. Also, the elderly in the stable low trajectory group had better health status, higher self-esteem and a good relationship with family members, having longer working periods, and more living in non-poverty. In addition, chronic health problems, loss of spouse, and household income differentiated the increased and then decreased pattern from the low stable pattern. Also, age and public pension differentiated the moderated but increased pattern from the low stable pattern. Based on the findings of this study, the researchers suggested political and practical implications for reducing depressive symptoms in later life.

Factors Affecting Subjective Life Expectancy of The Elderly: A Comparison Three Age Groups (노인의 주관적 기대여명에 영향을 미치는 요인: 연령집단별 개입요인 비교)

  • Kim, Yeon Gyeong;Kim, Clara Tammy
    • 한국노년학
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    • v.39 no.4
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    • pp.699-721
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    • 2019
  • The purpose of this study was to examine and compare factors affecting the subjective life expectancy among the elderly, and to suggest health practice and social welfare service implications for later life. A total of 4,483 seniors from the 6th wave(2016) of the Korean Longitudinal Study on Aging (KLoSA) were used for analysis. The subjects were divided into three age groups: the young-old (n=2,106, 65~74 years), middle-old (n=1,803, 75~84 years), and oldest-old (n=574, 85 years and older). Control variables were sociodemographic factors and health status factors. Independent variables were health promotion behavior, cognition of public care, participating social activity, economic activity, and receiving basic pension. The data were analyzed using hierarchical multiple regression. The main results were as follows. Health promotion behavior was associated with the young-old. Social activities and economic activity were associated with the young-old and middle-old. Receiving basic pension had a significant impact on all age groups. In the middle-old, significant results were focused on socio-demographic and health status factors compared to other groups. The results of this study will provide basic data for the elderly policy and welfare service and will help to find and improve the important factors for the life of the elderly.