• 복식문화연구
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• 제25권6호
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• pp.719-740
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• 2017

Sociocultural and demographic shifts have resulted in a changing perception of older age. Older women, historically subjected to age-ordering rules of dress, have increasingly refused to be marginalized fashion consumers and have been striving to construct a more positive age identity. Although studies have examined consumers' negotiation of marginalized identities, age identity has not received much attention as a type of marginalized identity. This study argues that Pinterest acts as a platform for identity work by allowing older women to creatively reconstruct their sense of self by saving images and organizing them into thematic boards. Drawing on symbolic interactionism theory and notions of digital self-presentation, this paper seeks to explore the discursive practices that older women employ on Pinterest to resist ageist fashion discourses. The sample consisted of 15 fashion-oriented Pinterest profiles of older women. Netnographic inquiry was employed first to examine what images were saved and what thematic boards were created. Three analytical frameworks for visual data analysis were integrated to further scrutinize the visual texts within the thematic boards. The analyses revealed three main themes-rejecting age, accepting age, and consuming age. The themes that emerged formed the basis for an age identity reconstruction process whereby women attempted to bridge the existing gap between older age and mainstream fashion discourse.

• 임상간호연구
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• 제27권1호
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• pp.77-84
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• 2021

Purpose: Malnutrition affects all age groups, but older adults are particularly more vulnerable to nutritional deficiencies. This study evaluated the age-specific factors affecting malnutrition in hospitalized older adults. Methods: A retrospective study was conducted on inpatient elderly people who received artificial nutrition from 2010 to 2017. Data of demographics, diagnosis, type of nutrition therapy, number of comorbidity, fall risk assessment, Acute Physiologic Assessment and Chronic Health Evaluation (APACHE) score, and intensive care unit admission were collected. Malnutrition was defined as a body mass index (BMI) of less than 18.5 kg/m². Patients were classified as the young-old (65~74 years old), the old-old (75~84 years old), or the oldest-old (85 years old or older). Results: A total of 7,130 older adults were included, and 4,028 patients were classified as the young-old, 2,506 into the old-old, and 596 into the oldest-old. Proportion of malnutrition was higher in the oldest-old compared to the other groups. In multivariate analysis, parenteral nutrition, alcohol, and high risk of falls were factors affecting malnutrition in all groups. Parenteral nutrition and alcohol in the young-old, high risk of falls in the old-old, and male sex in the oldest-old were the factors affecting malnutrition by the age group. Conclusion: Older age was the most significant factor affecting malnutrition. Specific strategies by age are needed to improve nutritional status in hospitalized older adults as influencing factors for malnutrition vary among different age groups.

• Journal of Gastric Cancer
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• 제11권4호
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• pp.200-205
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• 2011

Purpose: Gastric cancer has a high incidence and mortality rate in Korea. Despite a growing older population and an increase in the number of older patients with gastric cancer, the older patients are not willing to undergo surgery due to their operative risks. Hence, to determine the clinical characteristics and outcomes of gastric cancer surgery for them, we investigate factors influencing the treatment decision. Materials and Methods: Between January 1996 and December 2005, a total of 1,519 patients were classified into two groups; the younger age group between 41 and 69 years of age, and the older age group of 70 years or older. The analysis conducted included patient characteristics, accompanying disorders, related American Society of Anesthesiologists (ASA) grade, pathological characteristics and survival rate for each age group. Results: Significant differences were found in the ASA grade (P<0.001) and the number of accompanying disorders (P<0.001) between the two groups. The average length of hospital stay after surgery was 14.5 days in the younger age group, and 13.3 days in the older age group (P=0.065). The average survival time was 47.5 months in the younger age group, and 43.2 months in the older age group (P<0.001). Conclusions: This study demonstrated that there was more number of accompanying disorders with a high surgical risk in the older age group. However, there was no significant difference between the older and younger age groups in terms of the incidence of complications, under the given disease conditions and if proper management was provided.

• 디지털융복합연구
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• 제18권9호
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• pp.297-305
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• 2020

본 연구의 목적은 한국 지역사회 거주 노인의 주관적 연령과 관련된 요인을 규명하는 것이다. 본 연구는 2017년도 노인실태조사에 참여한 65세 이상 노인 8,040명을 대상으로 이차 분석한 횡단 연구이다. 노인의 주관적 연령과 관련된 요인을 규명하기 위해 단변량 로지스틱 회귀분석에서 유의한 변수만 추출하여 다변량 로지스틱 회귀분석으로 분석하였다. 본 연구결과, 성별, 학력, 거주형태, IADL 제한, 만성질환 수, 지각된 건강 상태, 우울 및 현재 경제활동 여부가 노인의 주관적 연령과 관련이 있는 것으로 나타났다. 본 연구결과에 근거하여 주관적 연령을 낮추기 위한 간호중재가 이루어져야 할 것이다. 본 연구를 통해 노인들이 건강하고 성공적인 노후를 보내는 데 기여할 수 있을 것이다.

• 아동학회지
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• 제15권2호
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• pp.169-180
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• 1994

The purpose this study was to examine parenting satisfaction and sence of competence in older mothers. The subjects consisted of 150 mothers who had children from 1 to 36 months of age. "Older" maternal age was defined as a woman at the age of 35 years or more. The results showed that older mothers' motivations for pregnancy was mostly sex preference. There was no difference in parenting satisfaction and sence of competence by motivation for pregnancy. There were significant differences in parenting sence of competence by length of parenting, birth order and sibling spacing. Changes in family relationships brought about by newborn were mostly positive.

• Nutrition Research and Practice
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• 제16권sup1호
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• pp.1-10
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• 2022

BACKGROUND/OBJECTIVES: The Dietary Reference Intakes for Koreans (KDRIs) were revised in 2020. Due to the rapidly aging Korean population, special consideration was given to reclassify the KDRI age group categories of older adults. This article examines the evidence for modifying the current KDRI age group ranges of older adults (65-74 and ≥ 75 yrs). SUBJECTS/METHODS: We first reviewed the domestic and international data on the elderly, following which we received expert opinions on age classification from the KDRI Advisory Committee. Finally, the 6th and 7th (2013-2017) Korea National Health and Nutrition Examination Survey (KNHANES) data were used to analyze the nutritional intake statuses by considering the age of older adults. RESULTS: According to the review results of domestic and international data and the inputs received from the expert advisory committee, the minimum age considered for the elderly was maintained at 65 yrs. However, the KNHANES data was analyzed to review whether there was a need to subdivide the later periods. Examining the differences in nutrient intakes by age group through the interaction effect term of the piecewise linear regression model revealed the interaction effect was maximum in the groups divided by 65 yrs (50-64 and 65-80), as compared to the groups divided by 70 yrs (50-69 and 70-80) and 75 yrs (50-74 and 75-80). The mean adequacy ratio was calculated per 1 yr of age, and a 3-yr (age) moving average analysis was performed to examine the change in the trends of overall nutrient intake. However, it was challenging to secure a scientific basis for subdivision into age groups in older adults from the results obtained. CONCLUSIONS: This study could not find any scientific evidence for modifying the KDRI age groups for older adults.

• Physical Therapy Rehabilitation Science
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• 제7권3호
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• pp.139-145
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• 2018

Objective: Older persons with diabetes mellitus (DM) are particularly more likely to have fallen in the previous year than those without DM. The purpose of this study was to investigate the relationship between the risk of falls and type 2 DM in older adults who are 65 years of age or above. Design: A systematic review. Methods: PubMed and other two databases were searched up to August 2, 2018. Observational and cohort studies evaluating fall risk in people who are 65 years of age or above with DM were included. This review extracted the following information from each study selected: first author's surname, year of publication, country, average follow-up period, sex, age at enrollment, study population, measurement variables, relative risk, 95% confidence intervals and controlled variables. Results: This review involved nine cohort studies with 3,765 older adults with DM and 12,989 older adults without DM. Six studies compared with or without DM and two studies compared fallers with non-fallers with DM. Risk factors for falls included impaired cognitive function, diabetes-related complications (peripheral nerve dysfunction, visual impairment), and physical function (balance, gait velocity, muscle strength, and severity of physical activities). Conclusions: People who are 65 years of age or above with DM have increased risk of falling caused by impaired cognitive function, peripheral nerve dysfunction, visual impairment, and physical function in community-dwellers. For adults who are 65 years of age or older with DM, research fields and clinical settings should consider therapeutic approaches to improve these risk factors for falls.

• 보건교육건강증진학회지
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• 제32권5호
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• pp.33-42
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• 2015

Objectives: It has been found that health promotion interventions are effective to decrease morbidity among older people. The acceptability of interventions are, however, still troublesome for achievement of efficacy of health promotion interventions. The current study examines the effects of age identity and attitude toward aging on the use of health promotion programs among older people. Methods: Data from the Survey of Living Conditions of Korean Older Persons were used. Logistic regression models were tested using a nationally representative sample of 9,461 community-dwelling older individuals who are 65 years old and over. Results: Older individuals who have younger age identity and more negative attitude toward aging were less likely to use health promotion programs, after adjusting the effects of other predisposing, enabling, and need factors such as demographic characteristics and personal health characteristics. Conclusions: Strategies for mitigating the possible effects of age identity and attitude toward aging on the acceptability of health promotion programs are also discussed.

• 한국노년학
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• 제37권2호
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• pp.399-414
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• 2017

노년기에 접어든 개인의 사회참여활동은 삶의 만족도를 높일 뿐 아니라 건강상태에도 영향을 미치는 것으로 알려져 왔지만, 우리나라 노인의 사회참여활동 비율은 여전히 높지 않다. 본 연구는 노년기의 개인이 가지는 연령정체성과 사회참여활동 정도의 관계를 살펴보고, 두 변수의 관계에 있어서 성별에 따른 차이가 있는지 검증하였다. 연구가설 검증을 위하여 2014년도 전국노인실태조사를 통해 조사된 지역사회에 거주하는 65세 이상의 10,451명의 전국적으로 대표적인 표본의 2차 자료를 사용하였고 위계적 회귀분석을 실시하였다. 분석한 결과, 젊은 연령정체성을 가진 개인에 비해 노인 연령정체성을 가진 개인이 사회참여활동에 덜 참여하는 것으로 나타났으며 이러한 연령정체성과 사회참여활동의 관계는 여성 집단에서만 유의하였다. 결론적으로 노인의 적극적인 사회참여활동을 위해서는 연령정체성에 대해 관심을 가질 필요가 있고, 특히 여성의 경우 연령정체성에 따라 사회참여활동 정도가 유의하게 달라지기 때문에 사회참여활동 장려 프로그램 진행시 성별 차이를 고려한 접근이 필요함을 제언하였다.

• 지역사회간호학회지
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• 제30권2호
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• pp.234-242
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• 2019

Purpose: This study tries to comprehend older adults' perspectives of community supports and health services in a South Korean city and identify important sociodemographic and health characteristics that affect their perspectives. Methods: 166 older adults were involved in this cross-sectional study. Questions on background characteristics and community supports and health services criteria (categorized as service accessibility, offer of services, voluntary support, or emergency care planning) based upon the WHO's Age-Friendly Cities Guide were used. The data were analyzed using paired and independent t-tests, one-way ANOVA, and hierarchical multiple regression analyses. Results: emergency care planning was rated as the most important by the participants (mean age=76.24 years, 22.9% male), while its current level of performance was lowly appraised (p<.001). The rated importance for each category differed based on individual characteristics. Depression (p=.016), older age (p=.012), and restricted network type (p=.039) were significantly related to ascribing a higher degree of importance to community services. Conclusion: Community initiatives are warranted to optimize emergency care for older adults. This planning must be based on the unique characteristics of older adults in coordination with supportive resources. In addition, comprehensive assessments are warranted before implementing action plans to ensure that the multi-dimensional problems of older adults are incorporated.