• Title/Summary/Keyword: Older persons

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A Multilevel Analysis on Factors Affecting Companion Animal Ownership among Elderly Persons (노인의 반려동물 소유에 영향을 미치는 요인에 관한 다수준 분석)

  • Lee, Sungeun
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.7 no.7
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    • pp.599-608
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    • 2017
  • This study investigated factors that are associated with companion animal ownership among urban elderly persons. This study was based on data from 2014 Seoul Survey, and a total of 4,717 people aged 60 years or older were selected for the analyses. Community level data were from 2014 Seoul statistics and they included park area per person, number of elderly recreational facilities, and number of public sports facilities based on 25 districts of Seoul Metropolitan City. This study examined differences between companion animal owners and non-owners concerning individual level factors and community level factors. Factors that are associated with companion animal ownership were examined using multilevel logistic regression analysis. Among individual level variables, companion animal ownership was associated with gender, marital status, income, number of household members, and housing type. Among community level variables, park area per person was a significant factor that is associated with companion animal ownership. Study findings can be used Based on study findings, implications of the study and directions for future research are discussed.

Impact of Periodontal Treatment and Demographic and Socioeconomic Factors on Tooth Loss in Persons with Disabilities: An Analysis of Korean National Health Insurance Claims Data

  • Bo-Ra Kim
    • Journal of dental hygiene science
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    • v.23 no.3
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    • pp.225-235
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    • 2023
  • Background: This study aimed to analyze the effects of periodontal treatment and individual- and tooth-related factors on tooth extraction in people with disabilities. Methods: The Korea National Health Insurance claims data of individuals with disabilities aged 40~64 years with chronic periodontitis in 2008 were obtained. Of these, data on the disabled who underwent scaling/root plaining, subgingival curettage/periodontal surgery, or non-periodontal treatments, and data on their teeth were selected. The extraction of 716,688 teeth from 39,097 patients was tracked until 2018, and the patient- and tooth-level factors related to tooth loss were identified using a mixed-effect logistic regression analysis. Results: Data from approximately 17% of the teeth were extracted during a follow-up period of approximately 11 years. Among the tooth-level variables, scaling/root planing treatment at baseline and periodontal treatment during the follow-up period were associated with a lower risk of tooth loss (odds ratio=0.692 and 0.769, respectively, p<0.001). Non-vital teeth increased the risk of tooth loss by 3.159 times (p<0.001). Among the patient-level variables, females were less likely to have lost their teeth than males, and those with orthopedic impairment or brain lesions/mental disabilities, a higher age group, lower income level, or residents in medium/small cities or rural areas were more likely to have lost their teeth (p<0.001). Conclusion: Through approximately 11 years of follow-up, scaling or root planing, experience with periodontal treatment at least once, female sex, older age, lower income, smaller residential areas, type of disability, and pulp vitality were found to be associated with tooth loss in individuals with disabilities aged 40~64 years with chronic periodontitis. To prevent tooth loss in individuals with disabilities, it is necessary to establish a dental treatment plan that considers the timing of periodontal treatment and the characteristics of the patient and teeth.

The Effect of Visual and Hearing Impairment on Depression and Cognitive Function in Community-dwelling Elderly : The Korean Longitudinal Study of Aging 2008 (노인의 시력 및 청력 저하가 우울 및 인지기능에 미치는 영향: 2008년 고령화연구패널조사)

  • Kim, Hee-Jeong;Kim, Bo-Hye;Kim, Ok-Soo
    • Korean Journal of Adult Nursing
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    • v.23 no.6
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    • pp.584-594
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    • 2011
  • Purpose: The purpose of this study was to identify the prevalence of visual and hearing impairment and to investigate the effect of visual and hearing impairment on depression and cognitive function in community-dwelling Korean elderly. Methods: The study population consisted of a representative community sample of 4,028 persons aged 65 and older from the Korean Longitudinal Study of Aging 2008. Depression and cognitive function were measured by CES-D 10-item scale and K-MMSE. Visual and hearing impairment were measured by 5-Likert scale. Data were analyzed using Rao-Scott ${\chi}^2$-test, simple and multiple logistic regression. Results: The prevalence of visual and hearing impairment were 37.3% and 14.0%, respectively. Of the participants, the prevalence of depression was 58.4% and cognitive impairment was 50.6%. There were significant differences in depression and cognitive function according to visual and hearing impairment. Far vision and hearing impairment were predictors for both depression and cognitive impairment even after covariates had been adjusted. Conclusion: These data suggest that visual and hearing impairment in older adults may increase their probability of experiencing depression and cognitive impairment. Thus sensory impairment should be considered a risk factor for mental health and the cognitive function of elderly.

Potential Benefits of a Selective Region High-frequency Diathermy with Therapeutic Exercises on Older Persons with Degenerative Knee Osteoarthritis: A Case Report

  • Ha, Sin Ho;Lee, Dong Geon;Hong, Soung Kyun;Lee, Gyu Chang
    • Physical Therapy Rehabilitation Science
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    • v.10 no.4
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    • pp.387-397
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    • 2021
  • Objective: The purpose of this case study was to investigate selective region high-frequency diathermy at trigger points with therapeutic exercises on pain, function, balance and gait in older patients with degenerative knee osteoarthritis (DKO). Design: A case report. Methods: The patient who participated in this study was a 71-year-old woman, who had been diagnosed with moderate osteoarthritis with grade II Kellgren & Lawrence grading scale. The intervention consisted of selective region high-frequency diathermy at trigger points, with hip and knee stretching and strengthening exercises. The participant was given assessments before and after every intervention session using the Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), the Timed Up and Go test (TUG) and the 10 Meter Walk Test (10MWT). The participant performed the intervention 18 times for a total of 30 minutes each. Results: As a result of this study, the patient VAS decreased to 3 points, and the WOMAC decreased to 53 points. In addition, the TUG decreased to 3.25 s and the 10MWT decreased to 1.14 s. Conclusions: The results of this study suggest that selective region high-frequency diathermy at trigger points with therapeutic exercises may be an effective intervention to decrease pain, improve knee function, balance and gait in patients with DKO. The selective region high-frequency diathermy with therapeutic exercises may be feasible and provide potential benefits for rehabilitation of DKO.

Analysis of Sarcopenia Using an Integrated Evaluation Tool : Targeting the elderly over 65 years of age in Korea (통합적 평가 도구를 활용한 근감소증 분석 : 국내 65세 이상 노인을 대상으로)

  • Chae-Rim Park;Hae-In Kim;Myung-Chul Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.1
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    • pp.31-41
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    • 2023
  • Purpose : This study was conducted to identify the common characteristics of older persons with sarcopenia and to explore the relationship between gait, balance, and stress using an integrated assessment tool. Methods : In this study, 95 people aged 65 years or older were screened using the sarcopenia diagnostic evaluation algorithm presented by the Asian Working Group for Sarcopenia in 2019. Skeletal muscle index, grip strength, and short physical performance battery were used as sarcopenia evaluation measurements. Based on the results of this evaluation, participants were grouped into the 'non-sarcopenia group' (41 participants) or the 'sarcopenia group' (54 participants). Participants underwent further assessment using an integrated evaluation tool capable of measuring gait, balance, and stress. Gait ability was evaluated using the timed up and go test, and balance ability was evaluated using the berg balance scale. And the stress of the last month was measured by modifying the stress index developed by a Korean researcher. Collected data were statistically analyzed using the independent t-test and Mann Whitney-U test. Results : The sarcopenia group and the non-sarcopenia group showed significant differences in all elements of the sarcopenia diagnostic evaluation. There were significant differences in all three integrated evaluation tools. For the evaluation of walking ability, the time measured in the timed up and go test was longer in the sarcopenia group, the berg balance scale score for the evaluation of balance ability was lower in the sarcopenia group, and the stress index was higher in the sarcopenia group. Conclusion : Through sarcopenia analysis using an integrated evaluation tool, it was confirmed that sarcopenia is closely related to decreased walking ability, poor balance, and increased stress. We recommend using this tool to reduce the risk of sarcopenia progression and stress exposure through the planning and implementation of an exercise program for sarcopenia prevention.

Clinical Analysis of Acute Intrinsic Renal Failure in Neonates and Children (소아에서의 급성 신성신부전의 임상적 고찰)

  • Kwon, Eun-Ji;Jung, Ji-Mi;Chung, Woo-Yeung
    • Childhood Kidney Diseases
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    • v.12 no.1
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    • pp.30-37
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    • 2008
  • Purpose: The present study is an investigation of the progression and prognosis of acute intrinsic renal failure in neonates and children with a diagnosis of acute renal failure or other diseases on admission. Methods: This research is based on a retrospective analysis conducted on 59 patients(male: female=2.2:1) diagnosed with acute intrinsic renal failure between January 2000 and June 2006 at Busan Paik Hospital. The clinical diagnostic criteria of acute renal failure used was serum creatinine <1.2 mg/dL, oliguria with urine output$\leq$0.5 mL/kg/hr and anuria with urine output <50 mL per day. Results: Among those placed under investigation, 7 patients were neonates, 10 patients were 2 months-2 years old, 12 patients were 3-6 years old, 21 patients were 7-12 years old and 9 patients were 13-16 years old. It took 3.1${\pm}$2.8 days on average until the diagnosis was made. The urine output distribution was 21 persons for the oliguria group, and 36 persons for the non-oliguria group, and 2 persons for the anuria group. For the underlying causes, 30 persons were classified in the primary renal disease group, 14 persons in the infection group, 9 persons in the malignancy group, and 6 persons were categorized in another group. As for age distribution, the infected group was predominantly neonates, whereas the dominant age ranges for the primary renal disease and infection categories were 2 months to 2 years old. Also, the primary renal disease was dominant among older children, aged 3 and up. No difference was detected according to seasonal prevalence. However, there was a high morbidity rate among hemolytic uremic syndrome diagnosed in the summer. Peritoneal dialysis was used to treat 4 patients. It took 10.0${\pm}$6.7 days until the patients improved. 18 patients died. The non-oliguria group's mortality rate was lower than other groups. There was a high mortality rate in the neonates and malignancy group. Conclusion: Acute renal failure in childhood seems to take a better clinical course than in adulthood when there is an early diagnosis and proper treatment of underlying diseases.

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Longitudinal Relationship between Public Care and Family Care: Focusing on Home Care for Older People in South Korea (공적돌봄과 가족돌봄의 종단적 관계: 재가 노인 돌봄을 중심으로)

  • Lee, Seungho;Shin, Yumi
    • 한국노년학
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    • v.38 no.4
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    • pp.1035-1055
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    • 2018
  • The purpose of this study is to investigate the relationship between public care and family care. Public care for older adults began in 2008 with the implementation of the Long-Term Care insurance in South Korea. Although the expansion of public care has the purpose of reducing the care burden for the family, it is not easy to say whether the developments of public care system reduce the amount of family care for older family members. Theoretically, public care and family care are expected to have various relationships depending on the degree of the role and function(substitution, hierarchical compensatory, task specific, supplementation, complementarity). And literatures have showed inconsistent results depending on the country, data, and methods. In this study, we analyzed the relationship between two care types focusing on home care services for older persons. Analyses were based on data from the second(2008) to sixth(2016) waves of Korean Longitudinal Study of Ageing(KLoSA). To investigate elderly care dynamics in the households, we pooled the data for four changes between two periods(2008-2010, 2010-2012, 2012-2014, and 2014-2016). This study used an analytic sample of 262 older adults, who are aged 55 over and experienced public care at least one point of time. We used Fixed-Effects(FE) model to analyze the differences within the same individuals under the condition that time-invariant unobserved factors are controlled. This study distinguished the cases of entry into public care and other cases of exiting public care. The results showed that older people who are dependent on public care are less dependent on family care than before. In both entry and exit groups, negative relations were maintained, but in the entering stage of public care, the degree of negative relations was relatively small, whereas in the stage of maintaining or departing from public care, relatively negative relations were strong. At the beginning periods, even though public care increased, family care did not decrease significantly. On the other hand, at the time of ending public care and relying on family care, family care increased significantly. The results of this study show that the relationship between public care and family care is close to hierarchical compensatory model and varies according to the stage of caring transition. Also, it was found that the cases of transition from public care to family care have the biggest burden of elderly care than other groups.

Gallstones Risk Factor and Prevalence in the Elderly in Jeju Island (제주지역 노인의 담낭결석 유병률 및 위험요인)

  • Sim, Hyun-Sun;Choi, Joon-Lock;Park, Jae-Jin;Lee, Su-Yeon;Lee, Ji-Min;Jung, Hong-Ryang;Lim, Chung-Hwan;Kim, Jung-Gu
    • Journal of radiological science and technology
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    • v.32 no.3
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    • pp.293-298
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    • 2009
  • Background/aim : Gallbladder stone is the most common disease of biliary tract. It is lead to acute abdominal pain. The cholecystitis which is caused by in gallbladder stone occurs frequently and the possibility of the gallbladder cancer comes to be high. Our study was designed to determine the prevalence and risk factors gallbladder stone in a population who community. Materials and Methods : We enrolled a total of 826 (male : 297, female : 529) persons who 60 or older in Jeju-do 10 places from 2008 July one months. The height, weight, liver function tests, lipid profile, fasting blood sugar, were all measurement. They had their gallbladder examined with using ultrasonography. Statistical significance was defined as a p-value less than 0.05. Results : Among 826 persons, gallbladder stone was found in 49 persons (5.9%). The male is 6.1% and the female is 5.8%, the male 1.03 times appeared more highly the female. The body mass index above of 23.0 kg/$m^2$ with the gallbladder stone was 69.3% (p<0.047). Conclusion : The gallbladder stone appeared highly according to age increases. The obesity is the risk factor of gallbladder stone. The weight management and diet control is a possibility of reducing a gallbladder stone creation.

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A Study on the Family Life Cycle Model in the Rural Area (농촌의 가정생활주기 모형 설정에 관한 연구)

  • 최정화;김화임;이동태;정용복
    • Journal of Families and Better Life
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    • v.8 no.1
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    • pp.83-100
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    • 1990
  • The purposes of the study are to understand of rural family life cycle(FLC) and to get a FLC model for the twentieth in rural area. Data for the study were collected from 603 farm households in rural area. The major findings are as follows; 1) The age of first marriage was 21.5 years old(urban : 22.4), the first bearing 23.2(24.2), the last bearing 31.7(32.6), the first child marriage 47.2(46.5), and the last child marriage 59.7(52.7). The number of child and interval were 3.9 persons and 2.9 years respectively. From the survey results, the rural family life cycle was established. Establishment stage(from the marriage to the 1st child birth) : 21-23 yrs. Extension stage(from the 1st child birth to the last child birth) : 23-32 yrs. Complete extension stage(from the last child birth to the 1st child's marriage) : 32-47 yrs. Shrinking stage(from the 1st child's marriage to the last child's marriage) : 47-60 yrs. Complete shrinking stage(from the last child's marri ge to the death of husband) : 60-63 yrs. Dissolution stage(from the death of husband to the death of wife) : 53-75 yrs. 2) In general, the older the age, the younger the first marriage age, the greater the number of child, and the longer the interval of child bearing. The last child's marriage was too last to have the period of recovery stage. In terms of FLC by marital chorts, the later the year of marriage, the older the age of the first marriage and first baby bearing, the smaller the number of child, and the faster the launching stage. The higher the educational level, the older age of the first marriage and the first baby bering, the smaller the number of child, and the shorter the interval of child bearing. 3) Two types of rural FLC model for the twentieth were formulated. Type A was formulated based on the survey results and type B was formulated based on 『'88 population dynamics survey』 of Economic Planning Board(EPB). 「TYPE A」*Establishment stage(from the marriag to the 1st child birth) : 22.5-23.5 yrs. one child : the 1st child's marriage(49.5yrs), the death of husband(64.2yrs), the death of wife(71.7yrs) two children : the last child's birth(25.7yrs), the last child's marriage(51.7 yrs) three children : the last child's birth(27.9yrs) the last child's marriage(53.9yrs) 「TYPE B」*Establishment stage(from the marriage to the 1st child birth) : 25.3-26.3 yrs. one child : the lst child's marriage(52.3yrs), the death of husband(67.0yrs), the death of wife(74.5yrs) two children : the last child's birth(27.8yrs), the last child's marriage(53.8 yrs.) three children : the last child's birth(29.3yrs), the last child's marriage(55.3yrs).

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Evaluation of the Health Status of the Aged in rural Area by Anthropometry and Clinical Laboratory Tests (농촌지역(農村地域) 노인(老人)들의 신체계측(身體計測) 및 임상검사(臨床檢査)에 의한 건강상태(健康狀態) 평가(評價))

  • Cho, Seong-Eok;Yeh, Min-Hae;Park, Jung-Han;Chun, Byung-Yeol
    • Journal of agricultural medicine and community health
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    • v.10 no.1
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    • pp.16-25
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    • 1985
  • To evaluate the health status of the aged in rural area, 476 men and women of 65 years old and older among the residents of Gunwee County in Kyungpook were examined at the county health center between 4th and 22nd of June, 1984. Physical examination included measuring height, weight, chest circumference and blood pressure and chest x-ray. Laboratory tests were done for serum cholesterol, glucose and GOT, and urine glucose and protein. The mean heights of male and female were 160${\pm}$7.0cm and 147.7${\pm}$6.9cm, respectively. The height decreased as the age increased. The mean body weight of male was 53.5${\pm}$7.8kg and 46.7${\pm}$7.5kg for female and the older, the eighter. The mean chest circumference of male was 85.4${\pm}$7.5cm and 79.5${\pm}$79cm for female and it had no remarkable differences by age group. The average height, body weight, chest circumference, and serum cholesterol level of the age 65 years and older in rural area were lower than the standard this may be due to undernutrition of the aged. The mean diastolic and systolic blood pressure of male were 75.9${\pm}$13.5 mmHg/126.3${\pm}$24.1 mmHg and those for female were 73.1${\pm}$13.9 mmHg/125.8${\pm}$32.4 mmHg. Both male an d female in the age group of 65-69 years showed the lowest mean blood pressure. Among the study population 18.3% the borderlin hypertension and 14.3% had hypertension. Average hemoglobin level of the male(12.5${\pm}$0.8 g/dl) was higher than that of the female(11.6${\pm}$0.8 g/dl) (p < 0.01). Mean serum G.O.T. level was 25.2${\pm}$8.7 IU for male and 23.6${\pm}$7.5 IU for female and all of the study population were within the normal range. Mean serum glucose level was 110.4${\pm}$16.0 mg/dl for the male and 110.5${\pm}$15.7 mg /dl for the female and 41.4% of the study population were above the normal limit of serum glucose level. However, there was only one person she had glycosuria. Hyperglycemia could be due to non-fasting before the test. Two of the study population had proteinuria and five persons (1.05%) were diagnosed as pulmonary tuberculosis by the chest x-ray.

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