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저소득 한부모가정, 사례에 비추어 본 지원방안 연구 : 건강가정지원센터 활용을 중심으로 (A Study on How to Provide Support to Poor Single Families based on Case Studies)

  • 이승미;김선미
    • 가족자원경영과 정책
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    • 제9권4호
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    • pp.95-112
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    • 2005
  • The purpose of this study is to identify the characteristics and the limits of, as well as, Propose an improvement of, the government based policies that support poor single families. For this purpose, this study has analyzed the government based supporting policies for poor single families into four different aspects; income support, dwelling support, medical support, and child-caring support. Also, in order to analyze the situation of the poor single family as well as the limits of the government based supporting policies, an in-depth interview has been conducted with 8 personnel (including 7 single parents and 1 social worker). In the final analysis, a total of 5 case studies have been used to identify the characteristics of the government based supporting policies for various poor single families. As a result, it turned out that the economic situation of the poor single families were extremely unfavorable, and the quality of life was extremely low in the aspects of dwelling, nutrition, health child nurturing and education. Therefore, we are proposing the following supporting policies for the improvement of these families' living conditions: increasing income levels, providing job opportunities, securing dwelling places, providing medical support, and implementing child care benefit policies. Furthermore, we are proposing an expansion of the human services provided by the healthy family support center to these poor single families.

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한국 연근해 어류 14종의 일반성분 및 지방산 조성 (Proximate and Fatty Acid Compositions of 14 Species of Coastal and Offshore Fishes in Korea)

  • 이두석;윤호동;김연계;윤나영;문수경;김인수;정보영
    • 한국수산과학회지
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    • 제44권6호
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    • pp.569-576
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    • 2011
  • Proximate and fatty acid compositions in muscle tissue were studied in 14 species of coastal and offshore fishes in Korea. Lipid content ranged from 0.57 to 10.5% and was higher in migratory and reef dwelling fishes than in demersal fishes. Protein content ranged from 14.4 to 20.3% and moisture content ranged from 72.4 to 81.8% in all fish samples. There was a negative correlation between lipid and moisture content in all fish samples (r= -0.90, P<0.001). The prominent fatty acids were 16:0, 22:6n-3 (docosahexaenoic acid, DHA), 18:1n-9, 20:5n-3 (eicosapentaenoic acid, EPA), 16:1n-7, 18:0 and 18:1n-7. Most demersal fishes contained considerably higher amounts of 20:4n-6 and/or 22:5n-3 compared with migratory and reef dwelling fishes. The proportion of total polyunsaturated fatty acid (PUFA), including DHA and EPA, was higher in demersal fishes (38.6-54.0%) than in migratory and reef dwelling fishes (23.5-35.2%).

긍정심리치료 프로그램이 지역사회 조현병 대상자의 긍정정서, 대인관계, 극복력 및 정신건강회복에 미치는 효과 (Effects of a Positive Psychotherapy Program on Positive Affect, Interpersonal Relations, Resilience, and Mental Health Recovery in Community-Dwelling People with Schizophrenia)

  • 김진희;나현주
    • 대한간호학회지
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    • 제47권5호
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    • pp.638-650
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    • 2017
  • Purpose: Recently, the interest in positive psychotherapy is growing, which can help to encourage positive relationships and develop strengths of people. This study was conducted to investigate the effects of a positive psychotherapy program on positive affect, interpersonal relations, resilience, and mental health recovery in community-dwelling people with schizophrenia. Methods: The research was conducted using a randomized control group pretest-posttest design. A total of 57 adults with schizophrenia participated in this study. The study participants in experimental group received a positive psychotherapy program (n=28) and the participants in control group received only the usual treatment in community centers (n=29). The positive psychotherapy program was provided for 5 weeks (of 10 sessions, held twice/week, for 60 minutes). The study outcomes included positive affect, interpersonal relations, resilience, and mental health recovery. The collected data were analyzed using repeated measures ANOVA for examining study hypothesis. Results: Results showed that interpersonal relations (F=11.83, p=.001) and resilience (F=9.62, p=.003) significantly increased in the experimental group compared to the control group. Although experimental group showed a slight increase in positive affect, it was not significant. Conclusion: The study findings confirm that the positive psychotherapy program is effective for improving interpersonal relations and resilience of community-dwelling people with schizophrenia. Based on the findings, we believe that the positive psychotherapy program would be acceptable and helpful to improve recovery of mental health in schizophrenia.

천안시 주민들의 주택보유형태 및 주택점유형태 결합선택 분석 (An Analysis on Joint Choice of Tenure and Dwelling Type in Cheonan)

  • 박성휘;한종호;이성렬
    • 한국산학기술학회논문지
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    • 제12권4호
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    • pp.1637-1645
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    • 2011
  • 본 연구는 다항로짓분석을 이용하여 천안시 주민들의 가구별 주택특성 및 사회경제적 변수가 주택보유형태 및 주택점유형태의 결합선택에 미치는 영향을 분석하고자 한다. 분석 결과, 자가-비아파트에 살고 있는 가구는 주로 오랜 기간 지역을 지켜온 원주민들의 특성을 나타내고 있음을 확인할 수 있었다. 또한 임대-아파트에 거주하는 가구는 수도권 거주경험도 가지고 있으며 언제든지 수도권으로의 이전을 생각하여 자가 주택을 구입하지 않는다는 것을 알 수 있었다. 한편 가구의 다양한 사회경제적 변수가 주택선택에 영향을 미침을 알 수 있었는데, 예를 들어 가구주의 연령이 높을수록, 그리고 거주기간이 길고, 학생 수가 많을수록, 임대주택보다는 자가주택을 선호하였다.

재가노인의 일상생활활동과 자아존중감이 생활만족도에 미치는 영향 (Effects of Activities of Daily Living and Self-Esteem on Life Satisfaction in Home-Dwelling Elderly)

  • 서순이;장소영;곽오계
    • 한국산학기술학회논문지
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    • 제15권2호
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    • pp.952-961
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    • 2014
  • 본 연구는 재가노인의 일상생활활동과 자아존중감이 생활만족도에 미치는 영향을 파악하여, 노인의 생활만족도를 향상시키는 방안을 모색하고자 수행하였다. 대상자는 D광역시의 재가노인 153명이었다. 자료는 구조화된 설문지를 이용하여 2013년 7월20일부터 8월20일까지 수집하였다. 자료는 SPSS 20.0 Program을 이용하여 t-test, ANOVA, scheffe test, 위계적 회귀분석으로 분석하였다. 일상생활활동, 자아존중감과 생활만족도간에는 각각 유의한 순상관관계로 나타났다. 대상자의 생활만족도에 영향을 미치는 요인은 여가활동(${\beta}$=-3.927, p<.05), 지각된 건강상태(${\beta}$=-2.793, p<.05), 자아존중감(${\beta}$=1.003, p<.001)로 나타났고 설명력은 53.5%였다.

지역사회거주 노인에서 낙상유경험자와 무경험자간의 삶의 질 비교 (Health-related Quality of Life of Fallers vs. Non-fallers in Community-dwelling Elderly People)

  • 추진아;김은경
    • 근관절건강학회지
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    • 제19권3호
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    • pp.373-382
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    • 2012
  • Purpose: The purpose of the study was to compare levels of health-related quality of life (HRQOL) between fallers and non-fallers among community-dwelling elderly people. Methods: A cross-sectional comparative study was conducted with the secondary analysis of 2,067 elderly people registered in S-Gu Visiting Health Care Program in Seoul, South Korea. Participants were 206 fallers and 206 non-fallers who were age- and sex-matched with fallers. HRQOL was measured by SF-8 including physical component summary (physical HRQOL) and mental component summary (mental HRQOL). Results: There were more people in the faller group having more than or equal to three chronic diseases (p<.001), living in multiplex houses (p=.004), and being dependent by the activities of daily living (ADL) (p=.001) and instrumental ADL (IADL) levels (p<.001) than those in the non-faller group. Fallers had higher levels of depression than non-fallers (p<.001). Moreover, fallers had significantly lower levels of both physical HRQOL (p<.001) and mental HRQOL (p=.001), after adjusting for number of chronic diseases, ADL, IADL, depression, healthcare insurance, and living environment. Conclusion: Among the community-dwelling elderly people, falllers had lower levels of HRQOL than non-fallers, and such a difference remained even after the adjustment for covariates. Factors that underlie the different susceptibility to HRQOL need to be explored.

재가 취약계층 여성 노인을 대상으로 한 우울·자살예방 프로그램의 효과 (The Effect of Depression and Suicide Prevention Program for Vulnerable Community-Dwelling Elderly Women)

  • 유재순;김현숙;연현진
    • 한국산학기술학회논문지
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    • 제15권5호
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    • pp.2882-2892
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    • 2014
  • 본 연구는 재가 취약계층 여성 노인을 대상으로 한 우울 자살예방 프로그램을 개발하고 그 효과를 검증하여 지역사회에서 용이하게 활용할 수 있는 프로그램을 보급하고자 하는 데 그 목적을 두고 있다. 우울 자살예방 프로그램은 인지행동 이론에 기초하고, 선행연구결과를 토대로 연구자들에 의해 개발되었다. 프로그램의 효과는 시계열설계를 이용한 실험연구설계로 12명의 재가 여성노인을 대상으로 검증하였다. 우울 자살예방 프로그램을 적용한 결과 중재 직전에 비해 중재 직후에는 대상자의 우울, 자살생각, 무망감 수준에서 통계적으로 유의한 변화가 없었으나, 중재 직전에 비해 중재 4주 후에는 우울, 자살생각, 무망감 수준에서 통계적으로 유의한 변화가 나타났다. 이상 결과에 근거하여 지역사회 정신건강증진센터 또는 복지관의 종사자들이 본 프로그램을 적극 활용할 것을 제언한다.

지역사회 노인의 자살사고에 영향을 미치는 심리사회적 요인 : 전남지역을 대상으로 (Psychosocial Factor Influencing Suicidal thoughts in Community Dwelling Elderly in Jeonnam Province)

  • 차용호;김경민;윤보현;강한고은비;시영화;박수희
    • 우울조울병
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    • 제16권3호
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    • pp.152-157
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    • 2018
  • Objectives : The purpose of this study was to examine psychosocial factors influencing suicidal ideation of community dwelling elderly, using the senior community center in Jeonnam Province. Methods : A total of 2,202 subjects (369 males, 1,833 females) were recruited. We evaluated sociodemographic factors, using a self-reporting questionnaire. Subjects completed the Geriatric Depression Scale-Short Form Korean Version (SGDS), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean version of the General Health Questionale-12 (GHQ-12) and Satisfaction with Life scale (SWLS), to assess psychosocial factors affecting suicidal ideation. Results : Among 2,202 subjects, 179 (8.1%) reported recent suicidal ideation. Self-perceptive health status (p<0.001) and physical disease (p=0.002) revealed differences between two groups. The scores of four scales in the suicidal group were significantly different from the control group: SGDS (p<0.001) and GHQ-12 (p<0.001) were higher, while MSPSS (p<0.001) and SWLS (p<0.001) were lower, in the suicidal ideation group than the control group. Multivariate logistic regression analysis revealed that physical disease (OR 2.575, 95%CI 1.022-6.492), SGDS (OR 1.181, 95%CI 1.120-1.246) and GHQ-12 (OR 1.192, 95%CI 1.108-1.283), were significantly associated with suicidal ideation. Conclusion : Findings support that physical disease, depression, and general mental health may correlate to suicidal ideation in the elderly.

Association Between Dental Implants and Cognitive Function in Community-dwelling Older Adults in Korea

  • Ki, Seungkook;Yun, Jihye;Kim, Jinhee;Lee, Yunhwan
    • Journal of Preventive Medicine and Public Health
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    • 제52권5호
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    • pp.333-343
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    • 2019
  • Objectives: This study aimed to evaluate the association between dental implants and cognitive function in community-dwelling older adults. Methods: Data were collected from the baseline survey (2016-2017) of the Korean Frailty and Aging Cohort Study. The study sample comprised 1115 community-dwelling people aged 70 years to 84 years who had 0-19 natural teeth. Dental implants and natural teeth were identified by panoramic radiography, while the cognitive function was assessed by the Korean version of the Mini-Mental State Examination (MMSE-KC). The association between dental implants and cognitive function was analyzed by multiple linear regression. Sensitivity analysis was performed to test for potential bias. Results: The mean number of natural teeth in the study population was 9.50 (standard deviation [SD], 6.42), and the mean MMSE-KC score was 24.93 (SD, 3.55). In the simple univariate analysis, tooth replacement, age, sex, smoking status, alcohol consumption, body mass index, osteoporosis, number of natural teeth, periodontitis, chewing discomfort, tooth-brushing frequency, education level, monthly household income, participation in economic activity, living alone, and marital status had a significant impact on the association. After adjusting for confounders, the association between dental implants and cognitive function remained significant (B, 0.85; standard error, 0.40; p<0.05). Age, body mass index, periodontitis, tooth-brushing frequency, and education level were also significantly associated with cognitive function. The results of the sensitivity analyses were consistent with those of the primary analysis. Conclusions: Dental implants were associated with cognitive function in older adults living in the community. Dental implants as tooth replacements may play a role in preserving cognitive function.

지역사회 재가노인의 낙상위험주거환경과 낙상경험 (Fall Risk Home Environment and Fall Experiences among Community-Dwelling Older People)

  • 한지윤;박은옥
    • 농촌의학ㆍ지역보건
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    • 제47권1호
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    • pp.27-39
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    • 2022
  • Objectives: The purpose of this research was to explore Fall Risk Home Environment(FRHE) and to investigate the association between FRHE and fall experience among community-dwelling older adults. Methods: The data were collected from 299 older adults using FRHE through observation and interview at home of the participants and were analyzed with SPSS 22.0 applying descriptive statistics, χ2-test, t-test, and logistic regression analysis. Results: The prevalence of fall experience during the past year was 51.5%. 'No handles beside the toilet or bathtub'(73.2%) was most common FRHE factor, 'thresholds in your room or kitchen'(68.9%), 'wearing socks, outer socks, or slipper when you move in the house'(59.5%), and threshold on the gate (apartment entrance)(55.5%) were followed. The findings of logistic regression of FRHE on fall experiences showed darkness of house had the highest Odds Ratio (OR 9.83 95% CI 3.75-25.71), followed by furniture obstructs your walking in the house(OR 7.07, CI 2.88-17.36), dark kitchen (OR 5.13, CI 2.38-11.03). The group having fall experiences presented significantly higher score of FRHE than the group of non experiences of fall. Conclusion: The community dwelling older adults exposures to various FRHE factors and FRHE might increase the risk of falls. Assessing and modifying the home environment could be a good strategy to prevent fall among older adults.