• The Korean Journal of Rehabilitation Nursing
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• v.20 no.1
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• pp.1-11
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• 2017

Purpose: This was a methodological study to develop a valid and reliable health assessment tool for middle-aged adults in long-term care settings (HATMAL). Methods: At the first stage of this study, initial 56-items HATMAL were derived via literature review, survey for needs assessment, and focus group interviews with experts. At the second stage, 54 items HATMAL were finalized via content validity test with 5 experts and a pilot study with 30 nurses. At the third stage, validity and reliability tests were conducted with 100 middle-aged patients in a long-term care hospital. Data were analyzed by factor analysis using SPSS 18.0 program. Results: Exploratory factor analysis resulted in 3 factors; functional assessment, symptom assessment, and comfort assessment. These 3 factors explained 83.8% of total variance and construct validity was confirmed. Test-retest reliability was .67 for appetite changes, .76 for regulating for behavior problems, and 1.0 for other items. Conclusion: Results indicate that HATMAL is valid and reliable to assess the health for middle-aged patients in long-term care settings. This study would contribute to provide more effective personalized treatment and care for middle-aged patients in long-term care settings considering their own characteristics.

• Journal of the Korea Convergence Society
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• v.10 no.8
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• pp.45-52
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• 2019

This study was to examine whether an middle-aged adults can depression by the mediating effect of periodontal status on the association between health practice behavior and depression. The analysis was conducted on 2,064 of the aged 45 to 64 in middle-aged by using raw data from the 2015 National Health and Nutrition Survey. The data were analyzed using SPSS for windows version 24.0 and SPSS PROCESS-macro. As a result, middle-aged depression was higher in female(0.15) than in male(0.10). The living alone were the lowest in the health practice behavior(3.92) and the highest in the depression(0.25) and the periodontal status(1.76). Also, analysis using the PROCESS macro indicated that the periodontal status has a mediating effect between health practice behavior and depression. These findings suggest that periodontal status is closely related to depression and this will be used as basic data for development of mental health promotion programs for middle-aged adults.

• The Journal of the Korea Contents Association
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• v.21 no.11
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• pp.657-679
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• 2021

This study aimed to explore the experience and nature of emotional care for elderly parent living alone for middle-aged adult who formed initial insecure attachment with his or her parent. To this end, 12 middle-aged people aged 45 to 60 (3 males and 9 females) were recruited as subjects of the study, interviewed in-depth, and analyzed using Colaizzi's phenomenological research method. As a result of the study, 60 constitutive meanings, 18 themes, and 4 thematic groups were derived for the experience of middle-aged adult who experienced insecure attachment to his or her parent and caring for the emotional needs of elderly parent living alone. Thematic groups included "negative experiences that caused emotional exhaustion," "emotional driving force in emotional care," "the role of helper in parental care," and "economic and physical content in emotional care". This study is meaningful in that it revealed the phenomenon of experiences of emotional care for parent living alone by middle-aged adult who had an initial unstable attachment with his or her parent to understand them and contributed to the provision of counseling data.

• Korean Journal of Adult Nursing
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• v.18 no.2
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• pp.272-283
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• 2006

Purpose: This research was done to explore the meaning of 'well-being' as experienced by middle aged people. Method: The data were collected by individual in-depth interviews with 107 middle aged adults and it was analysed using qualitative content analysis. Results: 4 components of the meaning of well-being as perceived by the participants were identified as follows: the life of free without physical discomfort and psychosocial distress; the life of comfort with plenty of time, space, material, and mind; the life of purity with natural material and honest mind; the life of harmony with extended consciousness. Conclusion: Therefore the identified meanings of the well-being in this study should be reflected to the nursing education and the nursing practice.

• Journal of the Korean Home Economics Association
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• v.40 no.10
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• pp.217-230
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• 2002

This article explored the perceptions of ‘family’and the factors related to respondents' definitions of a family. The data were collected from two types of people: one was 472 university students and high school students' parents who were asked whether or not each of 22 scenarios represented a‘family’, and the other was 40 young and middle-aged adults who were asked,“what is a family member?”. Results showed that (1) the overwhelming majority of respondents considered a married couple without a child(scenario #5) as a family and the least respondents agreed a divorced couple(scenario #18) as a family, (2) the majority perceived consanguinity, co-residence, parental status, and marital status to be important in the definition of a family, (3) middle-aged adults were more likely than young generation to agree that consanguinity and paternal relations were important in determining what a family member is.

• Journal of Agricultural Extension & Community Development
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• v.29 no.2
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• pp.111-129
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• 2022

This study aims to classify agricultural entrepreneurship preparation patterns for middle-aged adults and to explore their demographic characteristics, occupational characteristics, and agricultural entrepreneurship related variables. The result of the study follows: first, agricultural entrepreneurship preparation patterns were divided into three types of urban-born farming, rural-born farming, retirement farming. Second, these patterns showed significant differences according to the level of demographic and occupational characteristics. Third, these patterns also showed considerable differences depending on the level of agricultural entrepreneurship expectancies, agricultural entrepreneurship volition, and agricultural entrepreneurship barriers. Based on the results, diversified agricultural entrepreneurship education programs and support measures were suggested.

• Journal of Korean Public Health Nursing
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• v.30 no.2
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• pp.326-336
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• 2016

Purpose: This study was conducted to help with the development of an intervention program in efforts to prevent suicidal ideation and suicide. The study also sought to generate strategies for improving health conditions by ascertaining and analyzing potential factors that may influence suicidal ideation according to age group in adults. Methods: Data on general characteristics and suicidal ideation from 447 adults aged between 20 and 59 years, living in Y city, Gyeonggi Province, South Korea, were collected based on a structured questionnaire, The data were analyzed using SPSS20.0 statistics program. Results: The results showed that 48.6% of young and older adults have experienced suicidal ideation while 44.5% of middle-aged adults have had suicidal thoughts. With regard to suicidal ideation, young and older adults revealed relevant differences in terms of gender, residential type, degree of stress and subjective physical and mental health, while middle-aged adults revealed relevant differences in terms of marital status and degree of stress. With regard to factors that influence suicidal ideation, it was found that the relevant variables of young and older adults included gender, residential type, depression, degree of stress, and subjective physical and mental health, while for middle-aged adults, relevant variables included marital status and degree of stress. Conclusion: These findings indicate that as stress and depression decreases, subjective physical and mental health improves. Therefore, this study proposes that developing and operating an intervention program can help prevent suicidal ideation in local residents.

• Nutrition Research and Practice
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• v.14 no.5
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• pp.519-531
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• 2020

BACKGROUND/OBJECTIVES: Regional disparities in dietary factors might be related to regional disparities in cardiometabolic health. Therefore, this study investigated the associations of cardiometabolic risk factors and dietary factors with regional types in Korean adults. SUBJECTS/METHODS: Based on data from the 2007-2017 Korea National Health and Nutrition Examination Survey, the study included 39,781 adults aged ≥ 19 years who completed the dietary survey and a health examination. Healthy and unhealthy dietary factors (fat, sodium, fruit, and vegetable intakes) were evaluated using 1-day 24-h dietary recall method, as well as the use of nutrition labels with a questionnaire. RESULTS: Of the participants, 48.7%, 36.0%, and 15.2% lived in metropolitan, urban, and rural areas, respectively. Adults living in urban and rural had higher odds ratios (ORs) for obesity (OR for urban, 1.07; 95% confidence interval (CI), 1.01-1.14; OR for rural, 1.14; 95% CI, 1.05-1.24) than adults living in metropolitan areas; these associations were significantly observed in middle-aged adults. Compared to metropolitan residents, rural residents had lower ORs for hypertension in middle-aged (OR, 0.86; 95% CI, 0.76-0.96) and metabolic syndrome in older adults (OR, 0.78; 95% CI, 0.67-0.91). Regarding urban residents, a lower OR for diabetes in middle-aged adults (OR, 0.85; 95% CI, 0.74-0.97) and a higher OR for hypertension in older adults (OR, 1.19; 95% CI, 1.02-1.39) were observed. Overall rural residents had higher ORs of excessive carbohydrate, low fruit, and high salted-vegetable intakes than metropolitan residents. Low fruit intake was positively associated with obesity, metabolic syndrome, and hypertension, after adjustment for regional type and other confounders in total participants. CONCLUSIONS: These findings indicate that cardiometabolic risk and unhealthy dietary factors differ among regional types and age groups within Korea. Nutritional policy and interventions should consider regional types for prevention and management of cardiometabolic risk factors.

• Korean Journal of Social Welfare
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• v.64 no.1
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• pp.101-124
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• 2012

This study examined the longitudinal changes of self-perceptions of own aging among middle-aged and elderly adults, using the latent growth modeling with the three waves of the "Aging and the Quality of Life of the Elderly in Korea", which sampled adults aged over 45 living in Seoul and Chuncheon. The dependent variable is attitudes toward own aging, the sub-scale of the Philadelphia Geriatric Center Morale Scale developed by Lawton (1975). The results showed that the research participants' attitudes of their own aging deteriorated over time. In addition, the lower initial status of the research participants' attitudes of their own aging was associated with being older, being non-married, living in rural areas, attaining the lower level of education, having the fewer social activities, reporting the worse subjective economic status, and reporting the worse subjective health status. The slope of the research participants' attitudes of their own aging differed by the residence areas, educational attainments, subjective economic status and subjective health status. In particular, the difference of the initial status by educational attainments grew over time. Social welfare policy and practice implications are discussed for middle-aged and elderly adults to improve attitudes toward their own aging.

• The Korean Journal of Coaching Psychology
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• v.7 no.3
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• pp.81-107
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• 2023

The purpose of this study was to identify psychological factors that influence psychological well-being in middle-aged adults(40-65 years old). In particular, we aimed to determine whether mentalization, the ability to clarify one's internal experiences, and adaptive cognitive emotional regulation have a dual mediating effect on the relationship between insecure adult attachment(anxious, avoidant) and psychological well-being in middle-aged adults. To address the research questions, structural equation modeling was conducted using Jamovi 2.2.5 statistical program to analyze survey responses from 317 middle-aged adults (117 males and 200 females) who voluntarily participated through mobile and offline surveys. The results of the study are as follows. First, in the structural equation model, the simple mediating effect of mentalization on the relationship between insecure adult attachment(anxious and avoidant) and psychological well-being in middle-aged adults was not significant. Second, the simple mediating effect of adaptive cognitive emotion regulation on the relationship between insecure adult attachment and psychological well-being was significant only for anxious attachment. Third, the relationship between insecure adult attachment and psychological well-being was fully mediated by mentalization and adaptive cognitive emotion regulation for anxious attachment, but partially mediated for avoidant attachment. These findings help provide a theoretical framework for developing programs to increase psychological well-being among middle-aged adults, a growing segment of society.