• Journal of Nutrition and Health
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• 제37권8호
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• pp.675-687
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• 2004

This study is designed to assess the prevalence at risk of malnutrition according to the Mini Nutritional Assessment (MNA) and evaluate the factors influencing on the nutritional risk of the elderly. Three hundred and nine elderly (110 men and 199 women: mean age =74.1) who participated in meal service in the Chung-buk province were investigated. Mean MNA total score was 21.9 and women had significantly lower MNA scores than men (respectively, 21.5 and 22.8). In the mean time mean MNA-SF (Short Form) score was 10.7, respectively 10.6 for the women and 11.0 for the men, with the difference being statistically significant. The MNA classified 33% of the elderly as well-nourished, 61.7% as at risk of malnutrition and 5.3% as overt malnourished. However, MNA-SF categorized the examinees 40.2% as good and 59.8% at nutritional risk. Those who identified as malnourished elderly had significantly lower mean BMI, mid-arm and calf circumference, poorer functional abilities (ADL, IADL) , lower MAR and food habits scores, and higher number of nutrient $\leq$ 75% of RDA than those with at risk of malnutrition and well nourished. Also socioeconomic status such as educational level, self-rated economic status, poverty level, and marital status significantly influenced nutritional status. Similar effect was observed in self-rated nutritional status and health status, dental status, appetite change according to MNA score. Stepwise multiple regression analysis indicated that weight loss was the most predictive item in the total MNA and MNA-SF score. It was found that items such as mobility, living status (home vs institution) , mode of feeding, and pressure sores were inappropriate for assessment of the elderly who are able to participate meal service program. Also, some modifications of items in MNA are needed in order to apply to Korean elderly. Even though the MNA seems to be an useful tool to screen those old people at risk of malnourished, a lot of work is still to be done with this assessment tool to secure its reliability.

• KDI Journal of Economic Policy
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• 제41권2호
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• pp.41-58
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• 2019

Health capacity to work for the elderly is an essential piece of information for designing social policies in an aging society. Here, we assess the health capacity to work of older men in South Korea and provide a cross-country comparison. Following the methodology proposed by Milligan and Wise (2012), which uses the cohort mortality rate as a proxy for overall health status, we quantify the additional employment capacity of current older men in reference to the mortality-employment relationship of a generation ago. Despite the high employment rate of older men in South Korea, we find substantial additional employment capacity among older men (those aged 55 or more) as of 2016 comparable in size to those found in other advanced countries. We also find evidence that older men are not merely capable of working but are also willing to work, and many of them are increasingly combining pension income and work. These findings suggest that labor supply disincentives for older men embedded in public pension systems in South Korea need to be thoroughly reexamined and adjusted accordingly lest they should inhibit the labor supply of older workers.

• 사물인터넷융복합논문지
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• 제8권6호
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• pp.65-73
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• 2022

본 연구는 노인일자리 전담기관인 시니어클럽에 활동하고 있는 참여 노인을 대상으로 업무상 위험사고와 코로나-19로 인한 위험사고 발생 가능성을 실증 분석하여 위험사고에 대한 인식 정도를 파악하였다. 연구 결과를 바탕으로 노인일자리 전담기관에서 발생할 수 있는 위험사고 개선방안 마련을 위한 기초자료 제공과 위험사고 예방을 위한 대응방안을 제시하는 것이 목적이다. 연구 대상과 자료수집은 부산광역시 소재 16개 시니어클럽 참여 노인으로 하였고, 수거된 430부 중 최종적으로 425부를 활용하였다. 본 연구 결과 첫째, 노인일자리 전담기관 참여 노인은 업무상 위험사고 발생 가능성과 코로나-19로 인한 위험요인 발생 가능성은 대체적으로 낮게 인식하고 있는 것으로 나타났다. 둘째, 인구사회학적 특성에 따른 업무상 위험사고 발생 가능성은 참여기간에서 통계적으로 유의미한 차이가 있는 것으로 나타났고, 코로나-19와 위험사고 발생 가능성은 참여노인 구분과 연령에서 통계적으로 유의미한 차이가 있는 것으로 나타났다. 본 연구 결과를 바탕으로 사업담당자는 안전사고 관리기록지 작성, 위험관리 매뉴얼 마련, 참여자의 개인적 특성을 반영한 위험관리 시스템 구축 등을 제언하였다.

• 한국가족복지학
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• 제56호
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• pp.135-167
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• 2017

본 연구는 노후소득보장 실태에 초점을 맞추어 국가-시장-가족이라는 복지제공의 3주체가 어떻게변화해 왔는지를 탐색적으로 분석하고자 한다. 이를 위해 눈덩이 표집방법을 활용하여 25명의 북한이탈주민 인터뷰를 통해 노후소득보장 실태를 중심으로 김일성 시대와 김정일 김정은 시대를비교함으로써 복지제공의 3주체가 어떻게 변화되어 왔는지, 그리고 그로 인해 북한 노인의 삶은어떻게 변화되어 왔는지를 탐색적으로 검토하고자 하였다. 분석 결과, 첫째, 김일성 시기에는 국가주도책임, 시장책임부재, 가족보완책임이라고 할 수 있으며, 김정일 시기에는 국가책임약화, 시장책임등장, 가족보완책임이라고 할 수 있다. 둘째, 복지제공 주체에서 제도와 현실 간의 괴리가발생함으로써 북한 노인은 공적 소득보장제도에서 배제되어 있다. 북한의 법령, 즉 제도적 차원에서는 시장의 복지책임이 규정되어 있지 않지만 현실에서는 시장의 복지책임이 최소 20년 전부터나타났으며 여전히 진행 중이라고 할 수 있다. 즉 복지제공 주체 측면에서 김정일 시대에 공고화된 '약화된 국가와 강화된 시장'은 김정은 시대에도 지속되고 있다. 북한 노인들을 위한 공적 소득보장정책이 국가차원에서 강화될 필요가 있다.

• 한국정책학회보
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• 제21권2호
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• pp.277-300
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• 2012

본 연구는 고령화사회에서 노인의 경제활동과 사회참여가 노인 개인뿐만 아니라, 지역 사회 및 국가 전체에 긍정적 파급효과를 미칠 수 있다는 전제를 바탕으로, 우리나라 노인의 경제활동과 사회참여에 대한 시간 배분의 패턴 및 그 변화를 통계청에서 조사한 1999년, 2004년, 2009년 『시간활용조사』를 통해 경험적으로 분석하고자 하였다. 시간 배분과 패턴에 대한 기술적 분석결과, 60-64세 노인의 유급노동 시간이 빠르게 감소하는 반면, 수동적 여가시간은 상대적으로 느리게 증가하는 것으로 나타났다. 그러나 적극적 여가활동만을 비교하면 사회기여적·대인관계 중심적인 여가활동이 감소하고, 자기계발 및 신체적·정신적 건강 증진을 목적으로 하는 개인중심적 여가활동은 증가하는 것으로 나타나, 경제활동 및 사회참여에 배분하는 시간이 전반적으로 감소하고 있는 것으로 나타났다. 이러한 경향은 1930년대 후반 출생집단에 비해 1940년대 후반 출생집단에서 강하게 나타났다. 이것은 노인의 경제활동과 사회참여를 필요로 하는 시대적 요구와 상반되는 것으로 정책적 대응이 필요함을 보여준다. 노인의 여가활동을 종속변수로 하는 토빗분석 결과, 개인중심적 여가활동에 소비하는 시간은 최근에 이를수록 증가해왔으며, 고학력 집단일수록 증가하는 것으로 나타났다.

• 지역사회간호학회지
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• 제10권1호
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• pp.32-43
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• 1999

This study is to classify subjectification and the perceived health of the elderly according to Q-methodology and to provide basic materials for health promotion of the elderly. In this study, 28 elderly people residing in Seoul classified 33 selected statements in to 9 standards. The material taken from this process resulted in 4 types by the analysis using a PC QUANL program. Case 1 thought that religion was important for their health. Case 2 were go-getters they thought they felt healthy at work. Case 3 took a serious view of their relationships with other people. Case 4 centered around the couple, and thought it important to live with their life's companion.

• 한국농촌건축학회논문집
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• 제8권2호
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• pp.80-93
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• 2006

This purpose was to explore various directions of elderly service welfare space in village community center. Data were collected 3 types that floor plans of village community centers from 24 villages, interview data of these centers use and needs from 24 aged leaders or 96 elderly. The results were as followed: 1) The floor plans of more than 50% was type IV that was composed a basic spaces(entrance, living room, two rooms, kitchen), a toilet space, a heating system space and a storage space. This type was a current basis of the rural village community centers for elderlies. 2) Elderlies used the centers at winter or out of agricultural season, and visited these to pass the time and to promote friendship among them. 3) Also they went these to take a meal together and to save down personal heating expenses. Their needs for centers were a temporary share dwelling space at winter, a maintain social relationship throughout a health, a education and a side work activity, supplying health or sports facilities, and setting up toilet space. Therefore the current centers were needed to add functions of a temporary share dwelling, a energy saving heat system and a social promoting relationship, and so these could be represented to a elderly welfare service center in rural villages.

• 한국식품영양학회지
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• 제28권6호
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• pp.1056-1064
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• 2015

This study was designed to provide the basic data of an effective nutrition education for desirable lifestyle and dietary habits to improve the nutritional status for the elderly by investigating health-related lifestyle, dietary habits, nutritional knowledge, and food intake of the elderly. The subjects included 58 elderly men and 146 elderly women. 35.8% had no more than an elementary school education. Most subjects (54.4%) were widows/widowers. Most subjects (71.0%) made over 150,000 won. 52.5% of subjects lived in houses. Smoking, drinking, exercise, the average sleeping time were significantly difference between the gender (p<0.05). In terms of dietary habits, our results showed that 80.9% of respondent eat regularly meals, including breakfast (83.5%). Both sexes prefer soft and salty food. Women enjoys more spicy and salty food compared with men and then shows meaningful difference (p<0.05). Their favorite meals are soup, stew, salad and boiled vegetables. Compared to women, men have a higher rate of correct answers about questions related to nutrition knowledge as showing significantly difference (p<0.05). In a study of dietary habits, they take in carbohydrates with the highest percentage and following by vegetables and fruits. The amount of meat, first and egg they eat is more than the previously. Eating meat is higher men as showing significant difference (p<0.05). In summary, nutritional status for the elderly shows healthy lifestyle and diet about half of those and most them try to live healthy life in future. It is hope that the elderly may need to learn proper nutrition knowledge for healthy lifestyle and nutrition education and counseling for building up healthy lifestyle and desirable dietary habits. Furthermore, it is necessary to start work to establish a baseline nutritious evaluation for the elderly and at a time to study the development of standard eating tool proven reliability and validity, consequently to provide a basic framework for the evaluation of nutritional status.

• 대한치과의료관리학회지
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• 제10권1호
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• pp.22-32
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• 2022

This study investigated factors affecting care for elderly patients, management of systemic disease, infection management, improvement of medical care quality, and educational requirements, and provide basic data for quality care for elderly patients with systemic diseases. An online survey was conducted among dental hygienists working at dental institutions and data of 172 individuals were analyzed using the SPSS 21.0 program. Descriptive statistics was performed for general characteristics. For factor analysis by general characteristics, t-test and ANOVA were performed. For differences between groups Scheffe verification was performed. A correlation analysis between factors was performed using Pearson's correlation analysis, and a factor analysis affecting the improvement of healthcare quality was performed using multiple linear regression analysis. Care for elderly patients was 52.33/75, management of systemic disease was 12.65/17, and infection management was 96.92/130. Improvement of medical quality (institutional effort) was 22.87/35, and improvement of medical quality (personal effort) was 22.72/35. The most common educational needs were "necessary". Analysis revealed a positive correlation between factors.. Factors affecting improvement of medical quality (personal effort) were age, final academic background, place of work, and the presence or absence of annual medical examinations. The findings of this study indicate that there is a significant correlation between factors. For the qualitative care of elderly patients, education programs related to elderly characteristics, systemic diseases, and infection management should be actively conducted by dental hygienists, and interest and research on geriatric dental hygiene is needed, centering on associations and educational institutions.

• 한국사회복지학
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• 제46권
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• pp.404-426
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• 2001

The purposes of study were to analyze the characteristics of case management network for the homebound elderly in Puchon and to identify major factors that affect the number of network member. The population of this study was social workers who provide services to the elderly. The results show that license of social work and information closeness have a significant effect on the number of network member among the independent variables. This finding is important for case management in the network. As observed in relationship characteristics, the community welfare center established by the university and city government roles in promoting service coordination.