• 보건행정학회지
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• 제18권4호
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• pp.170-184
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• 2008

Objectives: The aim of this analysis was to investigate factors associated with dental visits in terms of getting diagnosis and receiving care for diagnosed dental diseases among Korean adults. Methods: Data used in this analysis were from the 2005 Korean National Health and Nutrition Examination Survey which involved a representative sample of 25,487 adults nineteen years of age and older who resided in Korea. This analysis used data of adults who had completed health interview survey (n = 25,215). Uni- and bi-variate analysis, Chi-square test, and logistic regression analyses. were conducted using SAS. Results: The percentages of people diagnosed (treated) dental canes, periodontal disease. and temporomandibular joint disorder were 70.4(77.1), 16.1 (55.7), and 0.6(37.4), respectively. The reception of treatment for diagnosed dental caries and periodontal disease was significantly associated with older age, high monthly household income, and high education attainment. Logistic regression model indicated that age, monthly household income, education attainment, type of health insurance, and chewing problem were significantly associated with getting diagnosis and treatments of dental diseases. Most frequently answered reason for non - or delayed treatments of diagnosed dental diseases during the last one year was cost of treatments. Conclusions: The findings indicated that socio-economic-status still significantly affected reception of needed dental treatments among Korean adults despite the national health insurance system. Oral health policy and programs should be augmented to provide further support to adults of low socio-economic-status who are more prone to dental diseases yet lack resources for needed dental treatments.

• 한국엔터테인먼트산업학회논문지
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• 제13권6호
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• pp.175-186
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• 2019

본 연구의 목적은 대사증후군을 가진 사람의 성별, 연령에 따른 비만과 성별과 연령, 대사증후군 유무에 따른 주관적 건강인식의 차이를 확인하는 것이다. 국민건강영양조사(NHANES VI-2)의 건강설문조사에 응답한 5,674명의 자료를 이용하여 대사증후군 판정을 하였으며, IBM SPSS STATISTICS 23.0의 복합표본 교차분석과 복합표본 일반선형모형분석을 사용하여 분석하였다. 대사증후군이 있는 경우에 높은 비율로 비만 유병률이 나타났다. 대사증후군을 가진 남성에서는 청장년(19~39세)이 77.2%의 비율로 가장 높은 비만 유병률을 나타냈고, 대사증후군을 가진 여성에서는 중년(40~65세)이 73.9% 비율로 가장 높은 비만 유병률을 나타냈다. 주관적 건강인식은 성별에서는 남성, 연령별로는 3개의 그룹 중 청장년이 가장 높았고, 대사증후군 유무로는 대사증후군을 가진 집단이 주관적 건강인지 정도가 낮은 것을 확인하였다. 추가적으로 사망률이 높게 나타나고 있는 다양한 질환과 주관적 건강인식의 관계에 관한 연구를 살펴볼 필요가 있다.

• 한국도서관정보학회지
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• 제45권1호
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• pp.249-270
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• 2014

본 연구의 목적은 고령층의 모바일기반의 정보행위를 정보활동이 가장 왕성한 계층중의 하나인 대학생과 비교분석을 통하여 파악하고 동시에 이들의 정보격차해소를 위한 기초적인 방안을 모색하는 것이다. 연구의 목적을 위하여 자체 개발한 설문지를 사용하여 대구 경북지역에 거주하는 60세 이상 고령층과 이 지역에 거주하는 대학생을 대상으로 설문을 실시하였다. 회수된 설문지중 불성실하게 응답한 경우를 제외한 고령층 375명과 대학생 323명의 데이터를 카이제곱검정과 독립표본 t-검정으로 분석하였다. 분석결과 두 집단 모두 경제 상태에 따른 모바일기기 보유여부에는 차이가 없었으며, 이들 두 집단이 모바일기반의 정보행위를 하는 첫 번째 이유는 여가를 위한 것으로 나타났다. 한편 고령층은 모바일기기의 활용교육 확대를 통하여, 대학생층은 무상 혹은 저가 모바일기기의 보급을 통하여 정보활용 애로사항을 해소할 수 있다고 밝혔다. 더불어 다양한 연구결과를 표와 그림과 함께 제시하였다.

• 디지털융복합연구
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• 제19권3호
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• pp.1-12
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• 2021

본 연구는 중·고령자의 온라인 사회관계 서비스 활용도(PC, 모바일)와 삶의 만족도 간의 관계에서 사회적 지지의 매개효과를 검증하고자 한다. 이를 위해 한국정보화진흥원에서 수집한 '2017년도 디지털 정보격차 실태조사' 데이터를 활용하였으며, 만 55세 이상 중·고령자 2,300명 중 인터넷을 이용하는 1,488명을 최종 분석대상자로 선정하였다. 이후 구조방정식을 활용하여 온라인 사회관계 서비스 활용도와 삶의 만족도의 관계에서 사회적 지지의 매개효과를 검증하였다. 그 결과 모바일 기반 사회관계 서비스 활용 수준이 높을수록 사회적 지지와 삶의 만족도가 높은 것으로 나타났다. 또한 모바일 기반 사회관계 서비스 활용도와 삶의 만족도와의 관계에서 사회적 지지는 부분 매개 효과를 가지는 것으로 확인하였다. 그러나 PC 기반 사회관계 서비스 활용도는 사회적 지지와 삶의 만족도에 영향을 미치지 않는 것으로 나타났다. 따라서 본 연구의 결과는 중·고령자의 모바일 기반 사회관계 서비스 활용 교육과 사회적 지지 증진 교육과의 연계성을 높이거나 사회적 지지를 함께 활용하여 효과적인 삶의 만족도 증진시킬 수 있는 실천적 방안의 기초자료로 활용 가능하다. 또한 온라인 사회관계서비스 활용도를 하나로 측정했던 한계점을 극복하고, 모바일과 PC로 구분하여 실질적으로 효과가 높은 도구를 선별해내었다는 것에 연구의 의의를 가진다.

• 치위생과학회지
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• 제19권3호
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• pp.205-212
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• 2019

Background: Sleep disorder is a precursor to depression, which is one of the psychological factors associated with periodontal disease that, in turn, affects general and periodontal health. This study aimed to investigate the relationship between sleep duration, depression, and periodontitis in older people aged over 65 years. Methods: A total of 2,002 older adults aged 65 years or older were included in the study. Their general and health aspects, including smoking, drinking, diabetes, hypertension, and depression, were investigated. Periodontitis was examined using the Community Periodontal Index (CPI). Data were analyzed through a complex sampling design method. Frequency and crossover analyses were conducted to investigate the relationship between depression and periodontitis. To investigate the effect of depression on periodontitis, a logistic regression analysis was performed. Results: Regarding depression and participants' general characteristics, statistically significant differences were found in sex, economic activity, smoking habit, and CPI (p<0.05). In the presence of depression, the odds ratio for periodontitis was 1.84, and the adjusted odds ratio for age, sex, economic activity, residence type, household income, education level, smoking habit, drinking, hypertension, and diabetes was 1.72, representing a significant difference (p<0.05). Conclusion: This study examined the relationship between depression and periodontitis in older persons and confirmed a significant correlation. As the population of older adults increases, we should pay attention to their mental and oral health as well as systemic diseases. Various programs for the health promotion of older persons need to be implemented to improve the quality of life of older people.

• 성인간호학회지
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• 제29권3호
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• pp.256-265
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• 2017

Purpose: The aim of this study was to identify levels of health literacy and reported health behaviors among older adults with cardio-cerebrovascular disease residing in rural areas. Methods: A cross-sectional survey was conducted with a convenience sample of 134 older people (mean age=75.5 years, 71.6% Female) registered at seven health centers. The structured questionnaires were used to measure levels of health literacy and health behaviors. Results: The average functional health literacy score was $6.08{\pm}3.04$, and the health behavior score was $62.92{\pm}6.45$. Respectively health behavior was positively associated with health literacy. Education, economic status, number of family members, number of social activities and health literacy were contribution factors explaining 40.64% of the variance in health behavior. Health literacy specifically explained 12.5% of health behavior. Conclusion: These findings suggest that strategies for improving health behaviors and reducing health inequalities may benefit from adopting a stronger focus on health literacy within prevention, patient education, and other public health interventions. Further longitudinal studies are needed to help confirm that improving health literacy in the elderly may be effective in changing health behaviors.

• 대한간호학회지
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• 제41권6호
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• pp.780-787
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• 2011

Purpose: This study was conducted to examine activities of daily living (ADL) of older adults admitted to Korean long-term care hospitals (LTCHs), and to explore the patient and organizational factors that have an impact on the ADL of this population. Methods: A secondary analysis of the Korean minimum data set (K-MDS) of patients (N=14,369) and of the profiles of LTCHs (N=358) from the Health Insurance Review and Assessment Service was done between January and July 2008. The outcome variable was ADL score 6 months after baseline assessment. Multi-level linear regression was employed to explore the patient and organizational factors that affected ADL scores. Results: Of the patients, 45.4% had a baseline ADL score of between 31 and 40, with a score of 40 indicating that the patient was entirely dependent for all items. None of the organizational characteristics were significantly associated with effects on the ADLs of older adults who had been in a LTHC for at least 6 months. However, patient characteristics, such as age, baseline ADL, frequency of physical therapy, urinary incontinence, fecal incontinence, pressure ulcers, and having a tube or catheter, were significantly associated with ADL 6 months after baseline. Conclusion: In order to maintain and improve the ADL of older adults in LTCHs, we should develop strategies to prevent urinary and fecal incontinence, pressure ulcers, unnecessary tubes or catheters, providing adequate physical therapy. Additional studies should include more detailed information regarding nursing staff, including RN hours for direct care, education level and turnover.

• 근관절건강학회지
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• 제18권2호
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• pp.169-181
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• 2011

Purpose: This paper presents the development process and the final contents of the sellf- management education program integrated with exercise training (Healthy Aging Happy Aging, HAHA program) for community residing older adults with chronic diseases. Methods: The program evaluation methodology was applied which is an interactive program development process based on needs assessment, formative evaluation, process evaluation and outcome evaluation. The program was developed and revised while the program was implementing to 22 hypertension (HT) and 32 diabetic (DM) participants. Results: The final program has two sub-programs for HT and DM participants utilizing self-efficacy resources. They share four common components; 1) health screening of exercise risks, 2) weekly 1-hour group self-management education classes, 3) biweekly 1-hour group exercise training and 4) a mid-term individual counseling. Both sub-programs were 12-weeks long but have different education and exercise contents. Participants-rated mean satisfaction scores were 3.47/4 and 3.61/4 for HT and DM program respectively. Attendance rate were 83.1% ~ 92.3% for the classes. Conclusion: The HAHA program developed by multidisciplinary team which reflected participants needs was accepted well by participants evidenced by high attendance rate and perceived satisfaction level.

• 한국콘텐츠학회논문지
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• 제16권10호
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• pp.96-107
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• 2016

본 연구는 변화되고 있는 노인들의 여가활동욕구를 파악하고, 노인복지관 이용자의 여가활동욕구 정도가 노인의 심리사회적 노화인식에 미치는 영향을 살펴보기 위해 수행되어졌다. 본 연구는 2015년 12월 1일부터 12월 20일까지 수집된 2015년 G구 노인종합사회복지관의 서비스를 이용하는 이용자 1312명의 자료를 분석하였다. 위계적 회귀분석을 한 주요한 연구결과는 다음과 같다. 첫째, 조사대상자 노인들은 심리적으로 노화에 대해 부정적으로 인식하는 것으로 나타났다. 둘째, 참가대상자들의 여가활동욕구 정도에 대한 인식은 스포츠참여 및 건강관련 활동, 문화예술관람활동, 지역사회교류활동, 문화예술참여활동, 취업 및 노후설계교육활동, 취미오락활동의 순으로 높게 나타났다. 셋째, 여가활동욕구 정도가 노인의 심리사회적 노화인식에 미치는 영향을 살펴본 결과, 취미오락활동 욕구와 취업 및 노후설계교육 욕구가 심리사회적 노화인식에 영향을 주는 것으로 나타났다. 넷째, 통제요인인 연령과 주관적 건강상태가 심리사회적 노화인식에 영향을 미치는 것으로 나타났다. 본 연구결과를 바탕으로 한 실천적 제언으로, 노인들을 위한 다양한 여가체험활동 지원, 다양한 여가 프로그램 탐색의 기회 제공, 노년기 여가욕구와 여가활동을 지원하는 맞춤형 매칭 프로그램의 개발이 제시되었다.

• 지역사회간호학회지
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• 제21권3호
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• pp.311-320
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• 2010

Purpose: The aim of this study was to investigate the status of visiting nurses assessment and management of chronic musculoskeletal pain in older adults. Methods: The subjects of this study were 285 visiting nurses working at 24 public health centers located in Seoul, Gyeonggi-do, and Gangwon-do. Data were collected using a structured questionnaire from June to July, 2008. The SPSS/WIN 13.0 program was used for data analysis. Results: Of the visiting nurses, 195 (77.4%) reported lack of pain education for nurses. The education of exercise (83.3%) was used most frequently by nurses as a pain intervention. Barriers to effective pain management were inadequate pain management guidelines and lack of pain education for nurses. Conclusion: It is necessary to develop evidence-based nursing interventions for pain management and to develop systematic educational programs for visiting nurses management of chronic musculoskeletal pain.