• 제목/요약/키워드: Rural Elderly Women

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고령인구 비율이 높은 지역 장년, 노년층의 건강.영양상태 및 이에 영향을 미치는 인자에 관한 연구 - III. 농촌노인의 주관적 건강평가와 건강관련행동 및 식이섭취와의 관련성 - (Nutritional Status and Related Factors of the Elderly in Longevity Areas - III. Relation among Self-rated Health, Health-related Behaviors, and Nutrient Intake in Rural Elderly -)

  • 최정숙;권성옥;백희영
    • Journal of Nutrition and Health
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    • 제39권3호
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    • pp.286-298
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    • 2006
  • The study aimed to identify major factors related to global self-rated health of the community-dwelling elderly people in rural areas. Interviews were conducted with 433 persons over 65 years of age. The socio-economic characteristics, chronic disease status, measures of functional and mental health, life satisfaction, health-related behaviors including smoking, drinking, exercise, social activity, dietary habit, and food intakes were analyzed to determine their influence on self-rated health index. Data on food intake were obtained through the 24-hour recall method. The self-rated health of rural elderly was poor or very poor as reported by 42.6% and 52.4% of the men and women, respectively. Poor self-rated health was found to be related to elderly aged $65{\sim}74$, female, absence of work, more chronic diseases, dependence on Instrumental Activity Daily Living (IADL), higher mental unhealthy days, lower current life satisfaction, less social activity, lower dietary habit scores, lower intake of total food, fruit, eggs, fishes & shell fishes, vitamin C (%RDA), and Nutrient Adequacy Ratio (NAR). The results of the multiple regression analysis showed that poor self-rated health index is significantly associated with more chronic diseases, mental unhealthy days, gastrointestinal disease, musculoskeletal disease, less social activity, and lower intake of fruits. The results also suggested that improving the nutritional status and functional ability, and reducing the burden of chronic diseases are beneficial to the self-rated health index of the elderly.

농촌 노인의 세대간 사회적 지원 교환과 생활만족: 성별 및 연령집단별 비교 (Intergenerational Social Support Exchanges and Life Satisfaction Among the Rural Elderly: Sex and Age Group Differences)

  • 이형실
    • 대한가정학회지
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    • 제41권4호
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    • pp.57-69
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    • 2003
  • This study focused on individual differences in social support among older adults. The purposes of this study were to investigate sex and age group differences in social support and to examine the effects of intergenerational social support on life satisfaction among the rural elderly. Data were from 545 elderly over 60 years of age living separately from adult children in the rural area. With regard to sex differences in support exchanges, no significant differences were found in support-giving and support-receiving. Men reported giving more financial support to children than women, while women reported receiving more financial support from children than men. With regard to age group differences in support exchanges, there was less support-giving in older age group. Older parents in their 60s reported giving more financial, instrumental, and emotional support and receiving less financial support than the group of age 70+ Regression analyses showed that life satisfaction of both men and women was affected by support size and the frequency of contact with children. Giving financial and instrumental support was significantly associated with life satisfaction of men, but giving and receiving each type of social support had no effects on life satisfaction of women. Life satisfaction of parents in their 60s was found to be positively associated with support size, giving financial support and receiving emotional support, and negatively associated with giving instrumental support. In the group of age 70+, the frequency of contact with adult children and giving financial support had positive influences on life satisfaction.

주거환경에서의 여성고령자의 일상생활행위에 관한 연구 (The Study on the activity of daily life of the elderly women in housing environments)

  • 김경일;안옥희
    • 한국농촌생활과학회지
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    • 제9권1호
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    • pp.55-65
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    • 1998
  • The purpose of this study is to suggest the basic data which can be used as comfortable dwelling circumstance to keep a life as self-reliant and secure as possible for their activity daily life in the elderly housing. In the results of this study we can be found that the elderly complain many difficult when they do their activity daily life in the interior housing space. See the aspect of space, improvement of architectural arrangements like stairs, lighting arrangements, bathroom, kitchen are required and in the characteristic of elderly, we can found the effect of health condition, education in activity daily life.

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일개 보건지소의 농촌 거동 불편자 고령 여성 노인 대상 한방 방문진료의 효과 분석 (The Analyze the Effect of Home-based Integrative Korean Medicine Program for the Elderly Women with Mobility Impairment in Rural Areas at a Public Health Center)

  • 주찬호;이진무;이창훈;장준복;황덕상
    • 대한한방부인과학회지
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    • 제36권4호
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    • pp.49-60
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    • 2023
  • Objectives: To explore the impacts of home-based integrative Korean medicine program, on pain, quality of life (QOL), and satisfaction among elderly female residents with mobility impairment in rural areas during the period from August 2021 to November 2022. Methods: Five participants with mobility impairment in rural area were selected from Health Department of Public Health Center. We conducted an investigation into the variations in NRS (Numerical Rating Scale) scores, changes in quality of life (QOL), and levels of satisfaction resulting from a combination of acupuncture, counseling, and the provision of medical supplies. Results: Participants reported improvements in Overall pain and Quality of life. Satisfaction levels reported high. Conclusions: Home-based integrative Korean medicine program showed possibility of improvements for the elderly women with mobility impairment in rural areas in terms of pain, quality of life. In pursuit of improved management, it is advisable to contemplate the adoption of a fresh treatment approach.

농촌노인가구의 빈곤특성에 대한 비교연구 - 빈곤율과 빈곤감을 중심으로 - (A Study on Poverty Characteristics of Rural Elderly Households)

  • 김영주
    • 한국사회복지학
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    • 제60권4호
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    • pp.31-53
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    • 2008
  • 본 연구는 한국복지패널에서 제공하는 1차년도조사데이터(2006)를 사용하여 농촌노인가구에 대하여 최저생계비를 기초로 한 절대적 빈곤율, 상대적 빈곤율, 주관적 빈곤율과 빈곤감의 지표로 주관적 경제수준 및 생활만족수준을 농촌비노인가구, 도시노인가구, 전체가구와 비교함으로써 농촌노인가구의 빈곤특성을 파악하고 있다. 연구결과는, 첫째, 농촌노인가구의 인구사회학적 특성에 따른 빈곤율에서는 남성보다는 여성이, 연령이 많을수록, 국민기초생활보장 수급가구일수록, 노인단독세대일수록 더 높은 빈곤율을 보이고 있다. 둘째, 절대적 빈곤율과 상대적 빈곤율에서는 농촌노인가구가 다른 집단에 비해 높은 빈곤율을 나타내고 있는 반면, 주관적 빈곤율에서는 도시노인가구와 전체가구가 더 높은 빈곤율을 보이고 있다. 셋째, 주관적 경제수준 및 생활만족수준에서는 도시노인가구가 농촌노인가구에 비하여 더 높은 빈곤감을 나타내고 있다. 따라서 실질적인 빈곤수준은 농촌노인가구가 다른 집단에 비해 현저히 높은 반면, 주관적인 빈곤감은 다소 낮은 빈곤특성을 보여주고 있다.

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거주지역별 노인의 자살생각과 관련요인 - 도시와 농촌의 비교 - (Suicidal Ideation and Associated Factors of the Elderly According to Residence Area - Focusing on the Comparisons between Urban and Rural Areas -)

  • 문영희;임미영
    • 한국보건간호학회지
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    • 제27권3호
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    • pp.551-563
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    • 2013
  • Purpose: This study was conducted in order to investigate the incidence and associated factors of suicidal ideation among the elderly according to residence area. Methods: This cross-sectional study used secondary data from the 2011 Korean National Health and Nutrition Examination Survey (KNHANES V-2). A representative sample of 1,464 men and women aged 65 and over was selected. Rao-scott $X^2$-test, multiple logistic regression models based on sampling scheme of the data were used. Results: Of the 1,464 respondents, 22.4% had experienced suicidal ideation during the past year. Higher incidence of suicidal ideation was observed in rural seniors (23.7%) than in urban seniors (21.1%). The incidence of suicidal ideation showed correlation with age, education level, depression, stress, lying in a sick bed, and current smoking status among elderly living in urban areas. However, among elderly living in rural areas, the incidence of suicidal ideation showed correlation with household income, depression, stress, and daily activity. Conclusion: Based on the results, nurses should manage effective and individualized nursing interventions for elders in planning suicide prevention programs with consideration for residence areas, because there were differences in the factors affecting suicidal ideation among elders according to residence area.

농촌 지역 노인들의 사상체질에 따른 건강상태 조사연구 (A Study on the Health Status according to Sasang Constitutions for the Elderly in a Rural Community)

  • 이동훈;남철현
    • 농촌의학ㆍ지역보건
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    • 제29권2호
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    • pp.213-221
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    • 2004
  • 이 연구는 노인들의 사상체질에 따른 건강상태와 질병양상을 조사하여 노인의 건강증진을 위한 보건의료 정책수립과 보건교육 프로그램을 개발하기 위한 기초 자료를 제공하고자 시도되었다. 2002년 7월 1일부터 7월 31일까지 경상북도 성주군에 거주하는 65세 이상 노인 200명을 대상으로 본 연구의 목적을 설명한 뒤 조사에 응하지 않은 4명을 제외한 남자 노인 79명 여자 노인 117명 총 196명을 대상으로 분석한 결과 그 결론은 대상자 남자 노인 중 소양체질이 30.4%, 소음체질이 12.6%, 태음체질이 57.0% 이고 여자 노인 중 소양체질이 32.5%, 소음체질이 16.2%, 태양체질이 8.6%, 태음체질이 42.7%였다. 사상체질에 따른 노인들의 주관적인 건강상태는 다른 체질에 비해 태양인이 건강하지 못하다는 비율이 적고 건강하다는 바율이 상대적으로 높았으며, 소음인에서 건강하지 못하다는 비율이 높고 건강하다는 지율이 낮았다.

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일부 보건진료소에서 실시한 건강증진프로그램이 농촌여성노인의 노쇠에 미치는 효과 (The Effect of Health Promotion Program on the Frailty of Rural Elderly Women Implemented at Primary Health Care Posts)

  • 김민경;박기수
    • 농촌의학ㆍ지역보건
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    • 제44권3호
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    • pp.115-123
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    • 2019
  • 이 연구는 J시 일부 보건진료소에서 실시한 건강증진프로그램이 농촌여성노인 노쇠정도 확인을 위한 건강상태(지각된 건강상태, 노쇠 점수, 상 하체 유연성, 최대악력, 동적평형검사 Timed Up and Go)에 미치는 효과를 규명하기 위함으로 대한노인병학회에서 개발한 한국형 노쇠측정도구 8개 항목을 통해 보건진료소 관할지역 노인들의 노쇠수준을 파악하고, 농촌 여성노인들의 노쇠수준에 맞는 12주 건강증진프로그램을 적용하였다. 건강증진프로그램(프로그램명: ${\bigcirc}{\bigcirc}$보건진료소와 주민이 함께 만드는 하하호호 백세건강마을 만들기)은 J시 보건진료소 특성화 사업의 한 부분으로 연구자인 보건진료전담공무원이 전문가의 자문을 얻어 농촌여성 노인들에게 적합하도록 수정 보완하여 실시하였다. 연구 결과 노쇠측정도구 8개 항목을 통한 노쇠점수도 실험군이 대조군에 비해서 유의한 차이를 보였는데, 8개 항목 중 주관적인 현재 건강상태와 우울한 감정의 개선이 노쇠점수가 향상에 특히 도움이 되었다. 건강상태 변화로 왼쪽 상체유연성은 실험군이 약 2배(+17cm), 오른쪽 상체유연성은 +11cm, 하체유연성은 실험군이 +6cm 증가하였고, 대조군은 거의 변화가 없어 통계적으로 유의한 차이가 있었다. 노인의 근력평가로 최대악력은 실험군이 약+4kg 증가하였고, 동적 균형 검사(Timed Up and Go test)는 실험군이 3초 빨라지고 대조군은 거의 변화가 없어 통계적으로 유의한 차이가 있었다. 따라서 이 연구에서 실시한 건강증진프로그램이 상 하체 유연성 및 근력, 민첩성 등 운동능력을 향상하는 데 도움이 되었다고 볼 수 있다. 이상의 연구 결과를 바탕으로 의료취약지역 보건 진료소 관할 인구의 평균수명 연장과 고령화로 노쇠한 농촌 노인들의 특성을 반영한 근력강화 및 유연성 운동과 인지개선 활동 등 다양한 건강증진프로그램의 지속적인 개발과 프로그램의 표준화를 통한 확대 적용이 필요하다.

고령인구 비율이 높은 지역 장년, 노년층의 건강.영양상태 및 이에 영향을 미치는 인자에 관한 연구 I. 신체계측, 생화학적 영양상태 (혈청지질, 철분지표, 무기질 등) (Nutritional Status and Related Factors of Residents Aged Over 50 in Longevity AreasI. Anthropometric and Biochemical Nutritional Status)

  • 최정숙;백희영;권성옥
    • Journal of Nutrition and Health
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    • 제37권9호
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    • pp.825-837
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    • 2004
  • Studies on the health problems of the elderly have been increased with increasing life expectancy of Koreans. To assess the health status of people over 50 years old including the elderly (678 free-living people: men (168), women (510)), anthropometric measurements and biochemical nutritional status were analyzed. General characteristics and the prevalences of specific diseases were also examined. The mean anthropometric values for males and females were heights of 162 cm and 149 cm, respectively; and weights of 59 kg and 52 kg, respectively, which were much lower than the Korean standards established in the Korean Recommended Dietary Allowances. The mean BMI, WHR (waist hip ratio), and body fat rate (%), which are obesity indices, were significantly higher in females than in males. As the age went up, height, weight, lean body mass, and mid-arm circumference decreased. Whereas, blood pressure (SBP) for women increased. Mean blood HDL-cholesterol levels of men and women were 46.0 mg/dl and 46.3 mg/dl, respectively; their triglyceride levels were 129.1 mg/d1 and 135.6 mg/dl, respectively, which were not significantly different. Total cholesterol and LDL-cholesterol levels were significantly higher in females than in males. For man there were significantly different in ${\gamma}$-GTP, Na levels by age. As the age went up for women, RBC, hemoglobin, hematocrit, HDL-cholesterol, ${\gamma}$-GTP and $Ca^{2+}$ levels significantly decreased. Levels of total protein and albumin were above the lower normal limit for the majority of the participants. Prevalence of anemia, assessed by hemoglobin using World Health Organization (WHO) definition, was 43.9% for men and 42.1% for women. Also, many of the subjects were out of the normal range in total cholesterol (women), HDL-cholesterol, TAS (total antioxidant status), APase, RBC, hemoglobin, hematocrit levels. Therefore, measures to improve the biochemical nutritional status for the people in rural area are required.d.

농촌지역 독거노인의 사회적 지지 및 만성 의학적 질환이 우울증상에 미치는 영향 (Effects of Social Support and Chronic Medical Conditions on Depressive Symptoms in Elderly People Living Alone in a Rural Community)

  • 채철호;이상수;박철수;김봉조;이철순;이소진;이동윤;서지영;안인영;최재원;차보석
    • 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.