• 한국노년학
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• 제40권2호
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• pp.269-289
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• 2020

본 논문의 목적은 중장년층의 활동적 노화를 지원하기 위하여 첫째, 서울특별시50플러스 정책 및 사업사례를 분석하고, 둘째, 분석 결과에 근거하여 활동적 노화와 평생학습을 추진하기 위한 정책 및 사업의 방향을 제안하는 것에 있다. 연구방법은 단일 사례연구를 활용하였으며, 사례의 분석틀은 정책 및 사업의 배경-환경, 이념-목표, 주체-대상, 과정-영역의 4가지로 접근하였다. 분석 자료는 서울특별시50플러스 정책 및 사업 관련 연구보고서와 관련 연구 자료, 재단 실무자의 간담회 발표 자료를 활용하였다. 연구결과는 다음과 같다. 정책 및 사업의 배경·환경에서는 고령사회로의 환경 변화 대응은 정책의 필수적 요소로 나타났다. 정책이념-목표에서는 '새로운 인생비전 창조'의 이념과 활동적 노화를 위한 일자리창출, 사회적 참여, 인생설계 측면의 3가지 측면의 정체성 접근이 주로 이루어지고 있다. 주체-대상측면에서는 정책의 실행 주체는 서울50플러스재단, 50플러스캠퍼스, 50플러스센터의 체계적인 3단계로 구성되어 있으나 대상은 50+세대(50~64세)로만 제한되어 있고, 희망자만 참여하는 문제점을 가지고 있다. 과정-영역 분석에서는 중장년층의 특성에 맞추어 교육지원, 일·창업 지원, 상담정보 제공, 신노년문화 창조 활동 등의 프로그램이 연계적으로 부가가치를 높이도록 설계되어 있다. 향후 제언으로는 정책 및 사업은 중장년층의 특성에 맞추고, 지역의 산업과 대학 등과 연계하여 추진하며, 대상자의 확대가 필요하고, 사업 간 가치를 높이기 위한 연계가 필요하다.

• Journal of Community Nutrition
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• 제4권1호
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• pp.29-37
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• 2002

This study was designed to assess diet and health-related factors of older adults in Korea. Subjects females were 2,660 adults aged 50 and over living in Korea. Males were 847 persons and were 1813 persons. The mean weight and height for males and females were 63.8 $\pm$ 0.3kg / 164.0 $\pm$ 0.2cm and 57.0 $\pm$ 0.2kg /150.6 $\pm$ 0.1cm respectively. BMI (body mass index), body fat, and percent fat were significantly greater in females than in males. The muscle mass and body water were significantly greater in males than in females. Twenty-one percent of total subjects lived alone and 26% with spouse only. Most of the subject's self-reported income was in middle level (65%) or low level (24%). Proportion of subjects who answered 'very poor' or 'poor' on perceived health status was higher in older group. The 50-64 years old group was facing more stress than 65yr and over group. Among male subjects,38.4% were current-smokers and 22.0% were ex-smokers. But only 6.5% of female subjects were current-smokers. Males turned out to have better dietary habits-meal frequency per day, mealtime regularity, regular meal size and balanced eating-than females (p < 0.001). This study revealed that the diet and health-related factors affect nutritional status and chronic diseases of the elderly. For better management and evaluation of health status of the elderly, more effective nutritional assessment tools should be developed.

• 한국보건간호학회지
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• 제15권2호
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• pp.387-397
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• 2001

Fatigue is a ubiquitous symptom and is a part of many acute and chronic health conditions. This complex symptom is so prevalence in contemporary society that it motivates a large percentage of the health care-seeking behavior among late-middle aged adults and elders. The purpose of this study was to examine perceptions of fatigue. to identify coping types of fatigue, and to explore factors affected fatigue between middle aged adults and elders who have no critical health problems. The results are as follows: 1. The elderly that manifested high level of fatigue revealed more fatigue than adults. 2. There are three coping types of fatigue. The three types were analyzed by Q-methodology. These three are action-evading, action-limited, and action-oriented. 3. The levels of fatigue manifested by the participants varied significantly according to age, vocation, education, present disease, and income. By identifying the nature of each of the coping types of fatigue, it is recommended to develop an effective nursing interventions for middle aged adults and elders.

• 대한토목학회논문집
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• 제43권4호
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• pp.477-484
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• 2023

인구의 수명 연장에 따라 고령 운전자 수와 연령대는 지속적으로 증가하고 있다. 따라서 교통에서 고령 운전자의 연령대별 차별화된 관리를 위한 노력이 필요하다. 본 연구의 목적은 비고령 운전자 대비 초기 및 후기 고령 운전자의 부상 심각도에 영향을 미치는 인자들을 파악하여, 이들 그룹간 특성을 분석하는 것이다. 과거 5년간(2017-2021) 전국 도로에서 발생된 교통사고 자료를 적용하였으며, 기존 연구와 달리, 본 연구에서는 노안이 시작되는 40대 이후 운전자만을 대상으로 하였으며, 중년 운전자(40-64), 초기 고령 운전자(65-74), 후기 고령 운전자(75+)로 구분하여 분석을 진행하였다. 로지스틱 회귀 분석 결과, 초기 및 후기 고령 운전자의 중상 및 사망사고에 영향을 미치는 변수는 총 18개로 나타났으며, 이들 변수는 대부분 후기 고령 운전자 그룹에서 보다 민감하게 심각도를 형성하는 것으로 나타났다. 연구의 결과는 향후 고령 운전자 교통안전 정책수립을 위한 기반정보로 유용하게 활용될 것으로 기대된다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제45권3호
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• pp.152-157
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• 2019

Objectives: The number of elderly patients with systemic basal disease requiring invasive dental treatment has increased. Appropriate prediction of surgical invasiveness and combined use of psychosedation are thought to contribute to safe whole-body management. Dexmedetomidine (DEX) exhibits analgesic and anti-anxiolytic properties and causes mild respiratory depression. Studies regarding DEX use in elderly non-intubated patients are scarce. We aimed to use retrospective data to determine an effective dose of DEX to induce adequate sedation in elderly patients undergoing invasive dental surgery under local anesthesia. Materials and Methods: One hundred two patients aged 70 to 96 years were presumably appropriately controlled with sedation. DEX was administered at an initial loading dose of 2.0 to $3.1{\mu}g/kg/hr$ for 10 minutes. We divided the patients into five groups by age and compared their blood pressures and heart rates. Results: In all five groups, blood pressure decreased suddenly at approximately 15 and 20 minutes after DEX administration. A marked decrease in blood pressure was noted in patients aged 75 to 79 years. Conclusion: For elderly patients aged 75 years and above, the initial loading dose of DEX needs to be reduced to lower than half that required for young and middle-age adults.

• 한국병원경영학회지
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• 제17권3호
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• pp.23-36
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• 2012

Objectives : The coverage of Korean National Health Insurance is limited to basic level. Korean government encourages private health insurance for covering medical securities. So, many studies examined the determinants of purchasing private health insurance. However, 11% of Korean population is older than 65 in 2011. Considering the elderly is important to establish a health policy. The aim of this study is to examine factors determining the purchase of private health insurance among middle-aged and elderly Korean adults. Methods : We used the second Korean Longitudinal Study of Ageing (KLoSA), selected 8,688 sample of the aged 47 or older for the analysis. KLoSA collected information on demographic characteristics, income, health- related factors. KLoSA data include in the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Logistic regression was used to examine the relationship between the determinants of purchasing private health insurance and the factors which include age, gender, education, residential district, marital status, smoking, drinking, physical exercise, economic activity status, national health insurance type, income, the number of chronic disease, and the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Results : People who were older, did not live in a city, had higher IADL, currently drunk alcohol, did exercise regularly and had chronic diseases more than three were inclined not to purchase private health insurance. Females, the married, well-educated, past & currently smokers, the employed, high income earners, national health insurers, metropolitan citizens and someone who got high MMSE were more likely to purchase private health insurance. The more people experienced outpatients, inpatients, dental clinics and Chinese medicine clinics, the more private health insurance was purchased. The elderly people over 75 had more private health insurance than the aged 65-74. The strongest factors for private health insurance is gender, and economic status such as income. Conclusion : In this study, we found healthy-high income people were more likely to purchase private health insurance. In contrast, unhealthy-low income and older people did not. The economic factors were strongly related with private health insurance in aged over 75. These mean inequality exists in the using private health insurance. Therefore, the government should consider vulnerable social group before expanding private health insurance.

• 한국융합학회논문지
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• 제12권11호
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• pp.377-389
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• 2021

본 연구는 한국복지패널 데이터 15차년도 자료를 활용하여 중장년 장애인의 소득지위와 삶의 만족 사이에 우울과 사회적 지지가 매개효과를 가지는지 대해 분석하였다. 분석결과, 첫째, 중장년 장애인의 소득지위는 우울(B=.241, p<.001), 사회적 지지(B=-.167, p<.001) 및 삶의 만족(B=-.277, p<.001)에 직접적인 영향을 미치는 것으로 확인되었다. 둘째, 중장년 장애인의 소득지위가 삶의 만족 사이에 영향을 미치는 데 있어 우울과 사회적 지지의 매개효과가 검증되었다. 셋째, 중장년 장애인의 소득지위와 삶의 만족 사이에 우울과 사회적 지지가 다중매개효과를 가지는 것으로 확인되었다. 따라서 중장년 장애인에 대한 적정한 수준에서 생활이 가능하도록 지원하는 소득지원 체계가 마련되어야 할 것이다. 또한, 중장년 장애인의 삶의 만족을 높이기 위해 우울에 적극 대처할 수 있는 정신건강 지원 서비스 개입과 사회적 지지망의 확대가 필요하다.

• 한국주거학회논문집
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• 제20권6호
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• pp.67-76
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• 2009

As the needs of housing for the elderly has increased, many researches have been carried out and some housing projects for the elderly including nursing home began to be provided. Most researches have focused on the development of housing type or space layout and only several ones on interior design. The interior design in house influences physically or psychologically on the elderly who lives in. Also, the subject of them which examined the needs or preference for housing for the elderly were the middle-aged, not the aged. The purpose of the study was to examine the preferred characteristics of interior design in residential space by the elderly. The structured interview with 120 old persons who lived in Busan was carried out using by a questionnaire and 3D images. The elderly answered about the preferred interior style, color, lighting and interior finishes of each room in house, such as living room, master bedroom, kitchen, and bathroom. On the basis of the findings, the characteristics of interior design of each room in house which the elderly preferred were presented. In general, they preferred the mixed interior style with tradition and modem. Also, the reddish and purple interior color, flower or plant patterned wall finishes, and wood floor were preferred in living room and master bedroom by the elderly. The white interior color and one colored wall finishes without any pattern were preferred in kitchen and bathroom.

• 가정과삶의질연구
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• 제22권4호
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• pp.1-14
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• 2004

Although the proportion of frail elderly among the elderly population has been rapidly increasing, there is little preparation to provide housing alternatives for them in Korean society. Long-term care facility a housing alternative for frail elderly that enables them to receive social and medical care services that enhance the quality of their life. This research was conducted to study the opinions of middle-aged Koreans about long-term care facilities for the frail elderly. This study provides useful suggestions for the development of user-paid long-term care facilities in the near future. A survey questionnaire was administered to 600 adults in their 50s to collect data. The sample was stratified according to region, gender, and housing structure type. The results showed that most of the respondents were aware of long-term care facilities for the frail elderly; but they were relatively unwilling to live in these facilities, as compared to other housing alternatives. However, a larger number of respondents said that as they became very frail, they would be willing to live in these facilities. The respondents expressed a high level of need for user-paid long-term care facilities as an alternative to hospitalization. Also, they wanted to have a variety of long-term care facilities that are designed for different levels of disability. The education level of respondents and their spouses, average monthly income, subjective economic level, and religion were major variables that differentiated significantly the opinions about long-term care facilities for the frail elderly.

• 한국콘텐츠학회논문지
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• 제21권1호
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• pp.511-519
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• 2021

본 연구는 고령사회에 접어든 우리나라의 인구구조를 제고 하여, 중장년층의 저소득층들이 느끼는 삶에 대한 인식을 고찰하였다. 분석을 위하여, 보건복지부에서 제공하는 2019년 복지패널자료를 토대로 필요로 하는 변수를 선정하였고, 총 14,918명의 패널표본으로부터 '저소득층'의 '60대-70대' 중에서, 무응답 및 불성실한 표본을 제거하여, 최종 1,684명의 표본을 선정하였다. 특히, 본 연구에서는 종속변수로써, 패널자료에서 측정한 '삶의 사다리'로 정의하였다. 이에, '삶의 사다리'에 미치는 개인적 특성 및 생활만족도의 영향요인을 분석하였다. 분석결과, 종속변수인 「삶의 사다리」 변수에 대한 영향요인으로, 개인적 특성만을 고려하였을 경우에는, 대부분의 개인적 특성이 「삶의 사다리」의 영향요인으로 나타났다. 또한, 경제상태변수에 대한 상호작용 효과를 살펴본 결과, 유의미한 상호작용 효과를 나타내지 않았다. 이는 중년노인들의 삶의 사다리에 미치는 영향요인은 경제상태보다는 건강상태가 유의미한 영향요인임을 반증해주고 있다. 따라서, 노인의 '삶의 사다리'에 대한 인식은 노인 개인적인 여건과 환경보다는 노인의 내적 및 외적인 다양한 '환경요인'이 노인의 삶에 대한 인식에 영향을 미침을 제고 해야 한다. 즉, 그들의 삶에 대한 인식에 긍정적인 대안을 제시할 수 있는 방안이 필요할 것이다.