• 보건교육건강증진학회지
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• 제26권4호
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• pp.129-143
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• 2009

Objectives: The purpose of this study is to identify prevalence and related factors of the elderly, who took health examination, with metabolic syndrome. Methods: The health examination and lifestyle survey were performed for 21,512 adults at 60 years of age or older who took health examination in H health promotion center during January-March 2009. Results: The prevalence of metabolic syndrome for the subject was 24.0%. Of the subject with metabolic syndrome, the prevalence of the diseases was obesity 60%, abdominal obesity 78.5%, hypertension 82.6%, dyslipidemia 89.7% and diabetes 51.9%. In comparison of the relationship between metabolic syndrome and other diseases, the male subject with metabolic syndrome were significantly higher in BMI, waist circumference, systolic/diastolic blood pressure, hemoglobin, AST, ALT, $\gamma$-GTP, TG, AC glucose, creatinine than normal male(p<0.001). In comparison of the relationship between metabolic syndrome and lifestyle, more drinking frequency and amount in male and more drinking frequency in female were associated with increased risk of metabolic syndrome(p<0.01). Regardless of exercise intensity, practice of exercise contributed to reduce the risk of metabolic syndrome(p<0.01). Conclusion: In conclusion, TLC program, focused on lifestyle behaviors which is strongly associated with the prevalence of metabolic syndrome, should be developed for the improvement of life quality in the elderly with metabolic syndrome.

• 한국치위생학회지
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• 제16권6호
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• pp.815-824
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• 2016

Objectives: The purpose of the study is to investigate the relationship between obesity and periodontal diseases in adults. Methods: The subjects were 6,762 adults over 19 years old selected from the 6th Korean National Health and Nutrition Examination Survey (2013). The study instruments included periodontal status of periodontal diseases, body mass index (BMI), and waist circumference (WC). Periodontal status was evaluated by community periodontal index (CPI). Data were analyzed using SPSS 18.0 program. Results: The prevalence of periodontal diseases was higher in male, older aged people, undereducated people, current smokers, and those having poor cognition for toothbrushing (p<0.001). The rate of obesity by BMI and WC was higher in male, older aged people and current smokers. The rate of obesity was lower in well-educated people and good practice of toothbrushing (p<0.001). The prevalence of periodontal diseases by BMI showed 0.565 times lower in underweight population, 1.302 times higher in overweight population, and 1.311 times higher in highly obese population than normal population. The prevalence of periodontal diseases by waist circumferences showed 1.404 times higher in obese population than the normal population (p<0.05). Conclusions: It is very important to promote periodontal disease prevention and education for obese population in Korea. The risk of periodontal diseases can be preventable by decrease of BMI and WC.

• 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.

• 한국산학기술학회논문지
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• 제19권3호
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• pp.219-228
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• 2018

이 연구는 정보화 사회에서 스마트폰과 같은 정보통신기술의 이용이 노인의 삶의 질에 미치는 영향에 주목하여 노인의 스마트폰 이용이 배우자, 자녀 및 사회적 친분관계 등의 만족도에 미치는 영향에 대하여 고찰하였다. 서울시 지역의 60세 이상 노인을 대상으로 한 설문조사를 통하여 수집된 674명의 자료를 분석하여, 성별, 연령, 배우자유무, 교육, 취업, 소득 및 건강을 통제한 상태에서 중다회귀분석을 통하여 검증하였다. 분석 결과 첫째, 노인의 스마트폰 이용은 배우자관계 만족도에 유의미한 영향을 미치지 않았다. 둘째, 노인의 스마트폰 이용은 자녀관계 만족도에 긍정적인 영향을 미치는 것으로 나타났다. 셋째, 노인의 스마트폰 이용은 사회적 친분관계 만족도에 긍정적인 영향을 미치는 것으로 나타났다. 이 연구결과는 노년기 스마트폰의 이용이 노인의 대인관계 만족도에 미치는 효과는 대인관계 유형에 따라 차등적으로 나타나며, 배우자관계 보다는 자녀나 사회적 친분관계 개선에 긍정적인 역할을 한다는 것을 의미한다. 이 연구는 노년기 가족관계 및 사회적 친분관계 등 대인관계의 증진을 위하여 스마트폰과 같은 정보통신기술 이용의 확대와 노인의 정보화 수준의 향상을 위한 실천적 노력의 필요성을 시사한다.

• 한국산학기술학회논문지
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• 제21권12호
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• pp.719-730
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• 2020

본 연구는 중노년기 성인의 뇌졸중 문해력, 건강정보 문해력, 뇌졸중 지식과 자기관리의 정도를 비교하고 그 관계를 확인함으로써 뇌졸중 발병률이 높은 중노년기 성인의 뇌졸중 예방을 위한 자기관리의 유의한 영향요인을 파악하고자 수행되었다. 2019년 12월 5일부터 2020년 3월 31일까지 198명을 대상으로 인구사회학적 특성, 뇌졸중 문해력, 건강정도 문해력, 뇌졸중 지식 및 자기관리에 관한 자료를 체계적인 설문지를 통해 수집되었다. 자료분석은 독립표본 t 검정, 일원배치 분산분석, Pearson 상관계수, 다중회귀분석을 사용하여 기술 통계량에 대해 SPSS/WIN 23.0 프로그램을 사용하였다. 중노년기 성인의 자기관리에 영향을 미치는 요인은 연령(β=.190. p=.015), 흡연을 할 때(β=-.226, p=.001), 주관적 건강상태(β=.297, p<.001)와 뇌졸중 지식(β=-.168, p=.014)으로, 이들의 설명력은 약 20.3%였다. 본 연구 결과를 볼 때, 중노년기 성인의 자기관리를 향상시키기 위한 간호 중재를 개발할 때 주관적 건강상태 및 뇌졸중 관련 지식을 고려해야 함을 알 수 있다. 또한, 지역사회에 거주 중인 중노년기 성인들의 뇌졸중 지식과 자기관리 사이의 매개변수 탐색이 필요하며, 뇌졸중 예방에 대한 체계적이고 지속적인 교육의 중요성이 강조된다.

• 실천공학교육논문지
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• 제16권2호
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• pp.203-214
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• 2024

본 연구의 목적은 65세 이상 고령자의 직업훈련 참여에 영향을 미치는 요인을 규명하여 고령자의 고용가능성 제고하는 것이다. 연구 결과에 따르면, 고령층의 학력과 경제활동 상태가 직업훈련 참여에 영향을 미치며, 경제활동과 직업훈련은 고령자의 역량 개발과 고용가능성 증진에 밀접한 관련이 있음을 확인하였다. 또한, 고령자 중 상당 수가 근로를 계속 희망하며 이들의 경우, 직업훈련에 더 많이 참여하는데, 이는 고령자의 직업훈련 참여를 촉진하고 적합한 모델을 개발하는 것이 정책적으로 중요함을 시사한다. 로지스틱 회귀분석에서는 성별, 학력, 경제활동 여부, 근로 희망, 연금 수령액이 직업훈련 참여에 영향을 미치는 것으로 확인되었는데, 이를 통해 정부 지원 정책이나 저학력 고령자를 위한 구체적 대책을 수립할 필요성이 있음을 확인하였다. 또한, 연금 수령액이 낮을수록 직업훈련 참여를 촉진하는 접근이 요구된다는 점도 본 연구의 중요한 시사점이라 할 수 있다.

• 한국콘텐츠학회논문지
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• 제10권8호
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• pp.433-450
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• 2010

이 연구의 목적은 정규학위 과정의 온라인대학에 다니는 노인학습자들의 삶의 경험을 묘사하고 이해하는 것으로 질적 연구방법론을 적용하여 노인학습자들이 대학에서의 학업에 대해 해석하고 의미하는 바를 고찰하였다. 자료는 사이버대학에 입학하여 학업을 수행하고 있는 서울과 수도권 지역에 거주하는 10명의 노인들과의 심층면접을 통해 수집되었다. 사이버대학에서의 노인학습자들의 학업경험에 대한 분석 결과 과거의 자아, 관행 깨뜨리기, 새롭게 도전하기, 자기실현을 얻기, 새로운 정체성으로 통합됨, 미래지향적 자아라는 6개의 중심주제가 파악되었다. 결론적으로 참여자들은 온라인대학에서의 학업의 경험을 통해 과거지향적인 자아감에서 더욱 긍정적이고 미래지형적인 자아감으로 변화한 것으로 나타났다.

• 보건교육건강증진학회지
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• 제33권5호
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• pp.37-46
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• 2016

Objectives: This study examines the awareness of hypertension and its age-specific characteristics among Korean adults. Methods: Data were derived from the fourth Korean National Health Examination and Nutrition Survey (KNHANES IV, 2007-2009) of 14,637 subjects aged 30 and older. Self-reported prevalence of hypertension (HTN) was compared with measured arterial systolic/diastolic blood pressure, employing Kappa index, sensitivity, and specificity. Multiple logistic regression analysis was used to determine factors in hypertension awareness by age groups. Results: Kappa agreement between self-reported and measured data in hypertension was high (0.70, 95% CI 0.68-0.71). Awareness by sensitivity was relatively high (65.3%) and specificity was very high (98.8%) for all ages. After age stratification, the results revealed the very lowest level of hypertension awareness among the youngest age group: 29.1% of adults aged 30-49 years, 57.5% of adults aged 45-59 years, and 76.9% of those aged ${\geq}60years$. Predictors for awareness differed by age group. Among adults aged 30-49 years, men exhibited lower awareness to HTN than women. Among middle-aged adults, workers showed lower awareness than non-workers. Among those aged ${\geq}60years$, men and the less educated showed lower awareness to HTN than their counterparts. Conclusions: Age-specific prevention strategies are needed for hypertension management.

• 가족자원경영과 정책
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• 제17권3호
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• pp.39-58
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• 2013

The purpose of this study was to identify the factors determining the participation of the poor elderly in economic activity. This study analyzed secondary data of the second wave of Korean Longitudinal Study of Ageing. Binary logistic regression was used to identify the factors that are associated with the economic activity of the poor elderly. The results of the analyses showed that age, gender, region, public assistance, education, health status, chronic illness, contacts with acquaintances, and support from children were associated with participation in economic activity. The study's findings have several implications for policies and services. The study identified the need for an age- and gender-specific approach to promoting participation in economic activity among the poor elderly. Regional differences should also be considered in the creation of work opportunities for older adults. In terms of human capital, the positive effect of good health indicates that strategies are needed to address the needs of older adults with health issues. In addition, there is a need for more jobs for elderly job seekers with high levels of education. Finally, policy makers and practitioners should explore interventions for enhancing the social network involvement and community support for the elderly living in poverty.

• Asian Pacific Journal of Cancer Prevention
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• 제15권6호
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• pp.2473-2476
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• 2014

Background: Little is known about the cancer screening prevalence and correlates in older adults from different racial backgrounds. In the context of heightened efforts for prevention and early diagnosis, we collected information on screening for two major types of cancers: cervical and breast cancer in order to establish their prevalence estimates and correlates among older South African women who participated in the Study of Global Ageing and Adults Health (SAGE) in 2008. Materials and Methods: We conducted a national population-based cross-sectional study with a multi-stage stratified cluster sample of 3,840 individuals aged 50 years or older in South Africa in 2008. In this analysis, we only considered the female subsample of (n=2202). The measures used included socio-demographic characteristics, health variables, anthropometric and blood pressure measurements. Multivariable regression analysis was performed to assess the association of socio-demographic factors, health variables and cancer screening. Results: Overall, regarding cervical cancer screening, 24.3% ever had a Papanicolaou (PAP) smear test, and regarding breast cancer screening, 15.5% ever had a mammography. In multivariate logistic regression analysis, younger age, higher education, being from the White or Coloured population group, urban residence, greater wealth, and suffering from two or more chronic conditions were associated with cervical cancer screening, and higher education, being from the White or Indian/Asian population group, greater wealth, having a health insurance, and suffering from two or more chronic condtions were associated with breast cancer screening. Conclusions: Cancer screening coverage remains low among elderly women in South Africa in spite of the national guideline recommendations for regular screening in order to reduce the risk of dying from these cancers if not detected early. There is a need to improve accessibility and affordability of early cervical and breast cancer screening for all women to ensure effective prevention and management of cervical and breast cancer.