• 대한영양사협회학술지
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• 제27권3호
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• pp.133-148
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• 2021

This study was undertaken to identify dietary patterns of Korean elderly people living alone, and to compare the quality of diet consumed. Data of 821 elderly people aged 65 years or older who were living alone, was obtained from the 2016~2018 National Health and Nutrition Survey. The percentage energy intake from 24 food groups was calculated, and a cluster analysis was applied to identify dietary patterns. General characteristics, energy and nutrient intake, nutrient adequacy ratio (NAR), mean adequacy ratio (MAR), and index of nutritional quality (INQ) were analyzed. Dietary variety score (DVS) and dietary diversity score (DDS) were subsequently calculated. The rice-centered diet group and mixed diet group were characterized as consuming higher intake of rice and a wider variety of food groups, respectively. The mean age and percentage of participants living in rural areas were higher, whereas education level and monthly income were lower, in the rice-centered diet group (P<0.001 for all). Intakes of energy and all other nutrients (except carbohydrate and thiamine) were lower in the rice-centered diet group (P<0.001 for all). The NAR for all nutrients (except thiamine), MAR, and INQs (except thiamine and iron) were significantly lower in the rice-centered diet group (P<0.001 for all). The rice-centered diet group had significantly lower DVS (P<0.001) and DDS (P<0.001), as compared with the mixed diet group (P<0.001). Due to the insufficient energy and nutrient intake in the rice-centered diet group, it is necessary to develop nutritional monitoring and customized nutrition policies for these individuals.

• 한국농촌건축학회논문집
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• 제25권3호
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• pp.1-8
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• 2023

This study aims to analyze the trend of changes in the elderly living arrangement over the past 20 years and the reasons why the elderly choose these changes. The subjects of the survey were households aged 65 years or older in Korea. Data from the survey of Ministry of Health and Welfare conducted in 2004, 2014, 2020 were used for the analysis. The result of analysis was as follows; First, since 2000, the number of elderly households living with their children has been rapidly decreasing, while the number of elderly couple households and single elderly households is gradually increasing. Second, elderly living alone appeared more in rural areas, women, older people, and elderly with low education. They are in a vulnerable position that needs help. Therefore, welfare policies for the elderly should be focused on elderly single households. Finally the reason for choosing elderly single household in 2020 was that the voluntary choice by the individual accounted for a much higher rate than the unintentional choice by the children. In addition, the life satisfaction of the elderly who arbitrarily selected the living arrangement was higher than that of the elderly who deliberately chose the living arrangement.

• 생물치료정신의학
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• 제24권3호
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• pp.184-193
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• 2018

Objectives : This study investigated the effects of social support and chronic medical conditions on depressive symptoms in elderly people living alone in a rural community. Methods : Sociodemographic information on 173 subjects aged 65 years or older who lived alone in a rural community and were recipients of National Basic Livelihood Security was collected and analyzed. All participants completed the Korean Form of the Geriatric Depression Scale and the Lubben Social Network Scale. Additionally, the current prevalence of chronic medical conditions that interfere with the activities of daily living was examined. Multiple logistic regression analysis was conducted to analyze the associations of social support and chronic medical conditions with depressive symptoms. Results : Social support(odds ratio: OR, 0.96; 95% confidence interval: 95% CI, 0.92-0.99) and chronic medical conditions(OR, 1.59; 95% CI, 1.23-2.05) were significantly associated with depressive symptoms in all subjects. When analyzed by gender, social support served as a protective factor against depressive symptoms in elderly men only(OR, 0.91; 95% CI, 0.83-0.99), and chronic medical conditions increased the risk of depressive symptoms in elderly women only(OR, 1.74; 95% CI, 1.26-2.40). Furthermore, osteoarthritis and lumbar pain were risk factors for depressive symptoms in all subjects(OR, 2.24; 95% CI, 1.10-4.56 and OR, 2.10; 95% CI, 1.08-4.12) and in elderly women(OR, 4.07; 95% CI, 1.68-9.84 and OR, 3.34; 95% CI, 1.47-7.57), respectively. Conclusion : This study indicates that improving the social support and managing the chronic medical conditions of elderly people living alone are important for the prevention of depression in this population. Additionally, the present results suggest that it is necessary to establish different depression-prevention strategies for elderly men and women living alone.

• 사회복지연구
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• 제49권3호
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• pp.147-177
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• 2018

본 연구는 일인가구의 정신건강 증진의 기초 자료의 구축에 기여하기 위하여 일인가구의 대인관계와 우울의 관련성을 검증하고 이 관계에서 대인관계의 역할과 삶의 만족을 통해 발생하는 간접효과를 밝히고자 하였다. 이러한 관계를 구조방정식 모형 분석을 통하여 분석하기 위해 동거가족 없이 혼자 거주하고 있는 20세 이상 일인가구 300명을 대상으로 전국 규모의 대표성이 있는 2012년도 한국종합사회조사(Korean General Social Survey, KGSS) 자료를 활용하였다. 분석 결과 첫째, 대인관계의 질은 우울에 부적인 영향을 미치는 것으로 나타나 대인관계가 우울의 완화 역할을 한다는 사실을 확인하였다. 이와 함께 일인가구를 고립의 대상으로 바라보기보다 친족 관계자원을 비롯해 비친족 관계자원도 적극적으로 활용하며 이를 통해 긍정적인 대인관계를 형성해 나간다는 대인관계의 강점자원을 발견했다. 둘째, 대인관계의 질은 주관적 삶의 만족도에 영향을 미쳐 궁극적으로 우울을 감소시키는 삶의 만족의 간접효과가 밝혀졌다. 이러한 연구결과를 바탕으로 혼자 사는 사람의 삶의 만족도 향상 및 우울 수준 완화를 위한 현실적인 실천적 개입 방안들을 제안하였다.

• Nutrition Research and Practice
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• 제14권3호
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• pp.242-251
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• 2020

BACKGROUND/OBJECTIVES: This study was conducted to examine disparities in food and nutrient intakes based on family types identified among 1,856 participants who were the Korean elderly people in the 6th Korea National Health and Nutrition Examination Survey (KNHNES) excluding those who were currently practicing the diet therapy. SUBJECTS/METHODS: We separated the subjects into two groups: living alone (LA, n = 638) and living with a spouse (LS, n = 1,218). We also examined the disparities of dietary quantity and quality of those two groups using complex sampling design general linear regression analyses (CS GLM). RESULTS: In the LA group, there was a higher percentage of females and average age in LA group was higher than the participants in the LS group. Household income and education level were significantly lower in LA compared to those of LS. The frequencies of skipping meals were higher in LA. LA's food and nutrient intakes showed lower consumption of vegetables, fruits, seaweeds, and of most nutrients. Even after adjusting for the confounding factors, the consumption of vegetables, seaweeds, carbohydrates, potassium, riboflavin, and vitamin C showed lower in LA than LS. Moreover, LA's nutrient intake ratios compared to the KDRIs were lower which turned out to be similar to their nutrient intakes. CONCLUSIONS: These results show that dietary behavior and food intake of the elderly are associated with family types. Frequently skipping meals and less dietary variety are more common with elderly persons who were living alone. Therefore, it is necessary to integrate the supplementary food programs and nutrition education programs for the elderly living alone.

• 문화기술의 융합
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• 제4권4호
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• pp.301-308
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• 2018

본 연구는 노년기 거주형태의 변화 궤적에 따른 삶의 만족도와의 관계를 종단데이터의 분석을 통해 살펴보고자 하였다. 이를 위해 본 연구는 국민노후보장패널 1-4차년도(2005-2011) 자료를 활용, 1-4차년도 조사당시 거주형태를 측정, 두 시점간 거주형태 변화 유형을 16개 유형으로 구분, 일반화추정방정식모형(Generalized Estimation Equation; GEE)을 적용해 삶의 만족도 차이를 분석하였다. 연구 결과 노년기 거주형태 변화는 삶의 만족도와 관련이 있었다. 전반적으로 마지막 조사시점에서 부부상태를 유지했던 집단의 삶의 만족도 수준이 높았다. 또한 노년기 자녀와의 동거여부는 삶의 만족도에 직접적으로 중요한 요인이 아닌 것으로 나타났다. 본 조사결과 자녀와의 동거는 부부가 함께 동거였을 경우에만 삶의 만족도 수준이 높았을 뿐 홀로 자녀와 동거하는 가구의 경우 독거를 지속한 가구보다도 오히려 삶의 만족도 수준이 낮은 것으로 나타났다. 노년기 거주형태 변화의 궤적과 대표적 심리적 복지 개념인 삶의 만족도의 관계를 분석한 본 연구는 노년기 거주형태 변화 차이가 삶의 만족도에 미치는 영향력을 종단자료 분석을 통해 실증적으로 제시했다는 점에서 의의를 찾을 수 있다.

• Journal of Preventive Medicine and Public Health
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• 제34권1호
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• pp.47-54
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• 2001

Objectives : To analyze factors associated with elderly falls in a community dwelling, a comparatively important, but somewhat neglected, health mailer. Methods : Data came from personal interview surveys using a questionnaire of 552 people aged 65 or older living in a community. Socioeconomic, and health related characteristics were investigated as independent variables and experiences of falling in the previous year as the dependent variable. Results : 118(21.4%) of the elderly subjects experienced a fall in the previous year. 24 subjects experienced more than two falls, accounting for 20.3% of the elderly fall victims studied. Factors affecting the falls were families living together, level of daily activity, heart disease, and aconuresis;, therefore an elderly person who lives alone, lives independently, has heart disease, or suffers urinary incontinence had a demonstrated increased chance of failing. Conclusion : Groups at risk for luting included elderly persons living alone, living independently, suffering heart disease, or experiencing urinary incontinence. When an elderly fall prevention program is developed and implemented, these results should be considered.

• 보건행정학회지
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• 제26권4호
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• pp.305-314
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• 2016

Background: The purpose of this study is to examine the characteristics of and factors associated with long-term care (LTC) utilization under public long-term care insurance (LTCI) among end-of-life older adults in Korea. Methods: Using a 5% sample of older people aged 65 or older and their health and LTC insurance data, two-part model analyses were conducted. We compared LTC uses and their determinants during the last year of life among decedents in the year 2010 with those of survivors. We also compared the medical uses of the same sample with their LTC uses. Results: The end-of-life elderly were more likely to use LTC, and their expenditure on LTC was higher than their counterparts. Whether or not older people used LTC during their last year of life was significantly affected by age, sex, health insurance, household income, and living alone; however, LTC costs of the decedents were only affected by functional status, which may have been due to the reimbursement scheme of the current LTCI, which is mainly based on functional dependency level. For the survivors, having chronic diseases significantly increased the likelihood of LTC use, which was not the case for the decedents. End-of-life elderly with relatively low social economic status were more likely to use the LTC other than medical services, while the health conditions affected their medical uses most significantly. Conclusion: The study findings provide key information for predicting demand related to the increasing LTC needs of Korean older people at the end of life.

• 대한간호학회지
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• 제13권2호
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• pp.44-57
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• 1983

The explosion of the aging population is changing the social environment of today's older people. Traditionally in Korea, a large percentage(over 90%) of elderly parents have lived with their married first son. But today, the number of elderly who live with their married sons has decreased(65.6%) The number of those who live in a different situation such as with their married daughter, unmarried offspring, with a spouse or alone has increased (34.4%) We can expect that the number of the elderly who have to live in institution will increase. The objective of this investigation was to determine differences in the number of health Complaints of older people according to their living situation with a view to planning more effective health care. The sample consisted of 231 persons over 65 years of age, 60 living in an Old Age Home ana 171 living in their own home in Kwangju. Data were gathered from July 9 to 26, 1983 by nursing students using a Questionnaire which was a modified form of the Cornell Medical Index. The data were categorized according to the subjects, living, sex, educational level, previous occupation, hobbies and sexual activity. The date were analyzed for statistical significant differences using F and X²tests. findings included the following: 1. There was a higher number of health complaints from persons who live in the institution than those living at home, but the difference was not significant. 2. The highest number of health Complaints were from persons who live alone, followed by those living with their daughters, and then by those living in the institution. Persons who live with their sons had the least Complaints. The difference in the number of Complaints accord-ing to with whom they were living was significant. 3. Women had signincantly more Complaints than men. Persons who were not living with their spouses had significantly more complaints than those living with their spouses.4. The higher eductional level the persons had, the less health Complaints they had. The number of Complaints accoraing to educational level was significantly different. 5. The highest number of health complaints were from persons who had involved in Commerce and industry, followed by those in Agriculture. Persons who were civil servant had the least 6. There were more complains from persons who had no hobby than those with hobbies. The complaints. The difference was significant. difference was significant. 7. Persons who said they were sexually inactive had significantly more complaints than those who said they were sexually active. As age increased, sexual activity significantly decreased. Those who lived with their spouse were significantly more sexually active. 8. The highest number of Somatic Complaints were eye fatigue, followed by nocturnal frequency, lumbago, cramps in extremities, vertigo, stiffness in Shoulder, tinnitus, common cold and constipation. The order of Psychic Complaints from higher to lower were anger. sensitivity, anxiety, depression and loneliness. 9. This group of Elderly persons said they valued Health the most, followed by Harmony, Religion, Money and Honor.

• 지역사회간호학회지
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• 제27권4호
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• pp.319-326
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• 2016

Purpose: The aim of this study is to identify factors affecting elders' intention to participate in healthcare programs. Methods: This secondary data analysis used data of 390 elderly people who lived alone and were enrolled in the Visiting Health Care Center of H-city. In 2014, questionnaires were used to collect data about demographics, social activity, depression, frailty, and intention to participate in healthcare programs. The data were analyzed by descriptive statistics and multivariate logistic regressions. Results: Among the participants, 51.8% intended to participate in the offered healthcare programs. The strongest factor affecting the intention was gender. Women were 4.85 times more likely to participate in the programs than men. The women's intention was associated positively with increased levels of frailty. The men tended to participate in the program as they got older and as the level of frailty and the number of chronic diseases increased. Conclusion: Gender-specific public healthcare programs for vulnerable elders living alone should be developed to maximize their participation in the programs and to promote good health. The healthcare programs must be tailored to the levels of the patients' physical functions.