Purpose: Self-efficacy encompass one's belief in one's ability to organize and achieve goals. Previous studies have not adequately examined the mediating role of self-efficacy between social support and health promotion behavior. Therefore, this study explored the mediating role of self-efficacy in the relationship between social support and health promotion behavior among older women living alone. Methods: Participants were 145 older women living alone attending a local welfare center for seniors. They completed the Self-efficacy Scale, Medical Outcome Study Social Support Survey Scale, and Health Promoting Lifestyle Profile II. Data were analyzed using Descriptive statistics, Pearson correlation coefficients, Baron and Kenny's regression analysis and the Sobel test with the SPSS program. Results: The average social support, health promotion behavior, and self-efficacy were not high. Self-efficacy was a partial mediating role in the relationship between social support and health promotion behavior. Social support was positively correlated with self-efficacy (r=.31, p<.001) and with health promotion behavior (r=.43, p<.001), and self-efficacy was positively related with health promotion behavior (r=.39, p<.001). Conclusion: To enhance health promotion behavior in older women who live alone, intervention strategies to increase social support and self-efficacy for these women should be developed.
This study aimed to objectively classify the lateral torso posture types and functions of older women. We used 3D body scan data of 119 women aged 70-85 years from the 6th SizeKorea project. First, we defined three torso axes to represent the lateral torso posture types: posterior waist-back, back-cervical, and whole torso axes. Next, we asked experts to select one of four lateral torso posture types-stooped, straight, leaning back, and swayback postures-by looking at the lateral photographic data of 119 older women. To identify the axis that best represented each lateral torso posture type, a discriminant analysis was conducted using the angle of each of the three torso axes as an independent variable and an expert's visual classification as a dependent variable. Based on the analysis, the whole torso and backcervical axis angles were selected as variables for judging lateral torso posture types. Subsequently, we developed a classification function to determine which of the four lateral torso posture types of a particular participant was applicable for a new individual. The method developed in this study is significant in that it enables the objective classification of the lateral torso postures types of older women.
This study was conducted to examine the trend of national health insurance service use with relation to pregnancy, childbirth, and the puerperium among pregnant and postpartum women older than 35 over the last decade. A descriptive analysis was conducted, using the data which were drawn from the "nationwide claim database of Korean National Health Insurance Corporation(NHIC)". Data were composed of the total cases related to pregnancy, childbirth, and the puerperium (International Classification of Disease, $10^{th}$revision [ICD-10] codes O00-O99) from 2001 to 2008. During 2001-2008, the number of pregnant and postpartum women older than 35 had continuously increased and the percentage of them also had increased in both hospital and ambulatory care. There are similar trends in their total use of national health insurance service and total expenditure. According to demographic characteristics, there was the biggest increase of the percentage in residents in large cities, self-employed workers, ones in the highest income level. According to ICD-10 codes, there was the biggest increase of the percentage in O10-O16 (oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium). According to the major prevalent disease, there was the biggest increase of the percentage in O60 (preterm labor and delivery). Throughout the past decade, the necessity has been emphasized of supporting pregnant and postpartum women older than 35. But in maternal and child health care, they are in an early stage of development. The findings of this study would be helpful in developing the support programs for the aged pregnant and postpartum women.
To evaluate the usability of a Kimchi refrigerator, we performed an evaluation test that consisted of an experiment and a post-hoc questionnaire survey. In this study, we focused on the older women who have less physical and cognitive ability than younger women. In physical usability, there was no significant difference between the older and the younger subject group. However, there was some significant statistical difference in the results of cognitive usability test. When the subjects debriefed their operations after finishing the experiment, the all subjects in the older group reported the difficulties in identifying the labels and icons in the control panel and in understanding operation sequences. Also, they couldn't learn and remember the operation procedures well. Based on the analysis of the video protocols, some causes of the problems were found and then several improvement ideas were suggested.
This study examined attitudes toward older adults among a sample of young (496 Participants), midlife (200 participants), and older adults (115 participants). The results indicate that attitudes of the three generations toward older adults were modest in score, being neither positive nor negative. The older adults' attitudes were the most positive regarding elderly people. In other words, each generation of people showed different attitudes toward older adults. There was also a significant interaction effect between generation and gender. Middle aged women were the most negative toward the elderly, yet older women were the most positive. In addition, there were differences among generations in the variables that are related with the attitudes toward older adults. The attitudes were positively correlated with relationship with their grandparents for young adults, whereas care giving stress was significantly related for midlife adults, and the level of preparedness for old age (physical, emotional and economic) was a strong predictor for older adults.
This research is intended for 418 elderly women who reside in Seoul and the National Capital region. the survey and analysis are on the practical behavior related to purchasing decision making of brassieres for elderly women. The purpose of the survey and analysis is to induce contented and rational purchase activity for elderly women; also, to supply the fundamental sources which can support accomplishing scientific and systematic marketing activity to foundation manufacturing business. The main results of this study are as follows; 1. The elderly women tend to decide on purchase of the brassiere subjectively alone than rely on the informants and to listen to sales women's advice more. The younger, more educated and higher income of family, the elderly women tend more to depend on their own subjective sense than others' recommendations and rely on such mass media as TV and magazines for information source. 2) The elderly women tend to purchase their brassieres personally. In particular, the younger, more educated and higher income they tend more to choose their brassieres alone rather than with others. 3) The companions for elderly women's purchase were their daughter, daughter-in-law and friends. The younger, more educated and higher income, they tend more to accompany friends. The older, less educated and lower income, they tend more to be accompanied by their daughter or daughter-in-lay. 4) The elderly women are aware of the trademarks for brassieres. Although most of them know about their brassiere size, the majority of them tend to purchase their brassieres without trying on them. the older, less educated and lower income, they are less aware of trademarks and their brassiere size, and thus are less influential in their purchasing decision making. 5) The places of purchasing on which elderly women rely most for their brassiere are department stores, agent and markets. Other places are private haberdashery's, discount and pension shop. The department stores are most used by the less younger, more educated and higher income, while the markets are most often visited by those older, less educated and lower income, while the markets are most often visited by those older, less educated and lower income. The agent are favored by the medium class old people between two extremes.
The purpose of this study was to offer the basis contributes to extract the standardized body data from 3D body measuring for women aged 60 and older. The WB4 of Cyberware was used, and the measuring program of 3D scanning data was 3DM. This study was focused to verify the reliability of 3D data and to offer the effective utilization of 3D measuring on the research for elderly women■s body. Subjects were 19 women aged 60 and older. And three women in late twenties and three dressforms for women were comparing subjects to analyze the signiscant difference by age or human body variable making error. First, 3D scanning was executed twice on each subject, but any significant difference was not appear between two scanning data. So we certifed we could get the consistent and reliable data from the 3D scanner used in this study. Second, the reliability of 3D measuring data was analyzed, and the error range which meant the difference between 3D data and traditional measuring data was analyzed. In elderly women, the significant difference between two data was appeared in 19 body parts. The 7 of 19 were concerned with armpit point. In young women, three significant difference were appeared, and in dressforms, any significant difference was not certified. From these results, we could certify that age or human body variable produced the difference between two data. Third, the data of elderly women from three measuring methods, 3D measuring, traditional measuring, and measuring on 2D photographs were compared. From the result, we found that the 3D measuring data was quite reliable for most body parts excluding some width parts. But in elderly women, there were some limitation to extract reliable data because of their unique body characteristics. In order to be a role of the effective measuring method, the 3D measuring protocol reflected the body characteristics of each age or gender had to be prepared.
Purpose: This study was conducted among older women to (1) identify their levels of knowledge, self-efficacy, and health behavior in dealing with osteoporosis and falls and (2) explore the relationships between the study variables based on a health-beliefs model. Methods: With a cross-sectional survey design, we recruited 94 older women of ages from 65 to 74 at a community setting via convenience sampling. The study participants completed two sets of structured questionnaires (on osteoporosis and fall prevention). Results: The general characteristics of the study participants demonstrated that the women were at high risk for osteoporosis and falls. Overall, the levels of knowledge about osteoporosis and falls, their self-efficacy, and their preventive behaviors were average or slightly above. The relationships between the study variables showed that self-efficacy and healthy behavior, such as doing osteoporosis exercise, eating an osteoporosis diet, and avoiding falls, were related (r=38, p<.001; r=.33, p<.05; r=.26, p<.05). In addition, there were statistically significant relationships between osteoporosis and fall prevention knowledge (r=.37~.46, p<.001), self-efficacy (r=.50~.53, p<.001), and preventive behaviors (r=.50, p<.001). Conclusion: The women's scores on osteoporosis and fall knowledge, self-efficacy, and preventive behaviors suggest an urgent need for the implementation of educational programs for older women. A close relationship between self-efficacy and health behaviors implies a need for transformation of a traditional one-way lecture form.
Purpose: This study was conducted to identify the moderate effect of social support on the relationship between death anxiety and depressive symptoms among poor older women in rural areas. Methods: This was a secondary analysis of the data from 209 women who were participated in the intervention study to evaluate the effectiveness of depression prevention program. Data were collected between April and September 2012. The data were analyzed using moderate multiple regressions. Results: Among these poor older women, depressive symptoms were associated with death anxiety and social support. Self-esteem support had a moderating effect on the relationship between death anxiety and depressive symptoms. Conclusion: The results indicate that the self-esteem support was effective in decreasing depressive symptoms and death anxiety in poor older women. In order to reduce their depression and make positive changes in their lives, self-esteem improvement programs are needed.
The health benefits of dietary fiber are widely recognized, but its impact on muscle health remains unclear. Therefore, this study aimed to elucidate the relationship between dietary fiber intake and muscle strength through a cross-sectional analysis of data from the Korea National Health and Examination Survey (KNHANES). Data from a single 24-h dietary recall and handgrip strength tests of 10,883 younger adults aged 19 to 64 years and 3,961 older adults aged ≥ 65 years were analyzed. Low muscle strength was defined as handgrip strength < 28 kg for men and < 18 kg for women. Multivariable linear and logistic regression analyses were conducted to determine the association of dietary fiber intake with muscle strength. Approximately 43% of Korean adults met the recommended intake of dietary fiber, and those with higher dietary fiber consumption also had higher total energy and protein intake. After adjusting for confounding variables, dietary fiber intake was found to be positively associated with maximal handgrip strength in younger women aged 19 to 64 years (β = 0.015; standard error [SE] = 0.006) and older men aged ≥ 65 years (β = 0.035; SE = 0.014). For older women aged ≥ 65 years, those in the lowest quartile of dietary fiber intake had a higher risk of low muscle strength than those in the highest quartile after adjustment of confounders (odds ratio 1.709; 95% confidence interval 1.130-2.585). These results suggest that adequate dietary fiber intake may reduce the risk of sarcopenia in older Korean women.
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