• Title/Summary/Keyword: elderly age

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A Study on Factors Causing the Burden of Medical Expenses to The Elderly with Chronic Disease (만성질환 노인의 의료비부담 관련요인에 관한 연구)

  • Kim, Mee-Hye;Kim, So-Hee
    • Korean Journal of Social Welfare
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    • v.48
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    • pp.150-178
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    • 2002
  • The elderly have higher potential for contracting chronic diseases and suffering from development of a complication. Also, the extended old age period leads the elderly to demand more medical services. All those facts indicate that the elderly need more medical services than any other age groups. Consequently, medical care for the elderly with chronic diseases causes high costs burden. However, there is few studies researching the financial burden of chronic illness of the elderly. This study aimed to 1) understand how much the elderly with chronic diseases pay for medical expenses; 2) find out some specific factors related to health care financial burden; 3) suggest the alternative policies to decrease excessive financial burden of caring for the elderly with chronic illness. National Health and Nutrition Survey, which was surveyed by the Korea Institute for Health and Social Affairs in 1998, was used in this study. 4,707 persons with chronic diseases out of 5385 persons over age 60 were selectively sampled. Using SPSSWIN, correlation analysis, T-test, ANOVA and Regression were used as statistical methods in this study. Stepwise multiple regression was employed to analyze the data with a ratio of health care expenditure to income(financial burden) as a dependent variable. Out of Korean old people, 87% had the chronic diseases and their health care financial burden rate showed the average of 17.9%, which meaned they expended almost 20% income to buy medical services. The variables having a great influence on financial burden were monthly income, activity, limitation and single household of an old person. The excessive financial burden was experienced by people who had more than 4 activity limitations(37.1%) and were in the lowest Income level(32.6%), and single household of an old person(31.4%). The new policies should be considered to 1) reduce the financial burden in these groups and to develop the sliced medical cost system considering the characteristics of chronic illness and income level; and 2) develop the medical management system to care for the elderly with chronic illness.

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Effect of Age-related Changes in Taste Perception on Dietary Intake in Korean Elderly (노인의 영양상태에 미각변화가 미치는 영향)

  • 김화영
    • Journal of Nutrition and Health
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    • v.30 no.8
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    • pp.995-1008
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    • 1997
  • This study was performed to investigate the change in taste perception during aging and its effects on dietary intake in Korean elderly. The subjects were female aged 65 through 90 in the Anyang area, and college women were included as a comparison group . Dietary intake of the elderly(n=155) and young subjects (n=38) was measured by a 3 day diet record. The taste threshold and 'just right' concentrations(JRC) for sweet and salty tastes were assessed by sensory evaluation . Sucrose solution (0.0.,0.4,0.6,0.8,1.0, 1.2%) and salt solution(0, 0.02, 0.03,0.06,0.09,0.12,0.15%) were used to establish thresholds. for JRC assessment, four suprathreshold sucrose concentrations of 5, 8, 11 and 14% in orange-pineapple flavored juice and salt concentrations of 0.20, 0.34, 0.50and 0.75% in beef stock were prepared. Mean intakes of energy, protein , vitamin A, thiamin , riboflavin, niacin ,calcium and iron of the elderly were below the Korean Recommended Dietary allowances. The elderly showed higher taste thresholds than young subjects of both sweet and salty tastes consumed less calories. Needs to bespecified. The older subjects having high threshold or JRCs for sweet and salty tastes consumed fewer calories from protein and fat. Pearson correlation coefficients was between JRC for sweet and salty tastes 0.54(p<0.01). The correlation coefficients between tastes threshold and nutrient intakes were very low for both age groups. Unlike the college women, in the elderly the JRC of sweet taste of the orange-pineapple juice were negatively correlated with intakes of energy, protein, fats, thiamin , riboflavin , niacin ,vitamin C , iron and consumption of meat and egg food groups (p<0.01). In summation age-related alterations in sweet and salty taste perception were observed in the elderly and dietary intakes of the elderly see to be influenced by these taste perception changes.

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The influencing factors of denture satisfaction in the low income elderly people (저소득층 노인의 의치만족도에 영향을 미치는 요인)

  • Lee, Ji-Hui;Cho, Mi-Hyang;Moon, Deog-Hwan
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.1
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    • pp.73-79
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    • 2015
  • Objectives: The purpose of this study was to investigate the factors influencing on the denture satisfaction in the low income elderly people. Methods: The subjects were 143 elderly people from 60 to 75 years old wearing dentures and receiving consistent follow-up in the public health center in Busan. A self-reported questionnaire was filled out by the elderly people from February 1 to March 1, 2013. The questionnaire consisted of denture satisfaction, social variables, and psychological variables. Data were analyzed by ANOVA and multiple regression analysis using SPSS 18.0. The sociodemographic characteristics included gender, age, and chronic diseases. The recognition of oral health included pronunciation, denture maintenance, mastication ability, and education for denture care. The questionnaire was measured by Likert 5 scale. Results: Gender, chronic disease, denture care instructions, and the self-preception of the oral health after denture treatment were closely correlated with denture satisfaction(p<0.001). Age and the number of repairs were very important factor to denture satisfaction(p<0.05). Elderly women were more satisfied with denture than men and those who had no chronic diseases tended to be more satisfied with denture. Those who received oral care instructions were more satisfied with the denture than those who did not. The younger age group and no repairing prosthetic group tended to be more satisfied with the denture. Conclusions: It is important to provide the denture management services to the low income elderly when they demand the services. The national dental health policy must be focused on connection of the elderly people denture services with the public health center.

Factors Influencing Poverty of the Elderly : Utilizing the Panel Data Model (노인 빈곤에 영향을 미치는 요인에 대한 연구: 패널자료를 활용한 분석)

  • Choi, Ok-Geum
    • Korean Journal of Social Welfare
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    • v.59 no.1
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    • pp.5-25
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    • 2007
  • The purpose of this study is to explore factors influencing the poverty of the elderly in Korea. In spite the fact that poverty of the elderly is more serious than any other demographic group, this important issue is rarely studied. Using the 7-year accumulated data from the KLIPS(Korean Labor and Income Study), I combined the work history of the elders, their demographic characteristics and residence to estimate pooled data analysis of the elderly after reaching age 55 and who are also only living by themselves(only the elders). The results of this study are as followed: first of all, age, education, marital status, wealth, residence and work history are shown to be significant predictors for the poverty of elderly. Second, the results show that factors influencing the poverty is different depending on the elder's (demographic) characteristics. For example, age and marital status is a more important predictor in female than in male, and wealth and health status is a more important predictor in elders who do not have a spouse than in elders who do. Such results suggest that the policy of the poverty of the elderly which is only focused on elder's characteristic is limited. Therefore we can suggest that a policy which workable people can earn decent income and saving wealth for their elderly in job is needed. Especially, policies on the 'Working Poor' and reconstruct the current public pension system is very much needed.

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A Comparative Study of Social Support, Depression, and Life Satisfaction in the Urban and Rural Elderly; (일부 도시와 농촌 지역 노인의 사회적지지, 우울, 생활 만족도에 관한 비교 연구)

  • Park, Jeong-Mo;Sim, Mi-Kyung
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.689-698
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    • 2002
  • Purpose: The study was carried out to identify the correlations among social support, depression and life satisfaction, and compare them between the rural and urban elderly. Method: The study participants included 57 rural elderly and 59 urban elderly, who were surveyed and interviewed using social support and depression. like satisfaction inventories by nursing students from May, 2002 to June, 2002. Result: The mean scores of social support and life satisfaction in the urban elderly were higher than those in the rural elderly. However, significant differences in the variables between the two elderly groups were not found. The mean score of depression in the rural elderly was higher than that in the urban elderly, but a significant difference between the two groups in depression was not found. Social support was significantly correlates with age, religion, health status in the urban elderly and with family in the rural elderly. Depression was significantly correlated with religion, monthly expenditure, health status in the both groups. Life satisfaction was significantly correlated with age. marital status, religion, monthly expenditure in the urban elderly and with health status in the rural elderly. Social support, depression and life satisfaction were correlated each other in the urban elderly. The significant correlations were found between depression and life satisfaction, and between social support and life satisfaction in the rural elderly. Conclusion: The results suggest that further replicated studies are needed with larger samples. Appropriate nursing interventions with the consideration of characteristics of the rural and urban elderly are needed and developed to improve their social support and depression.

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A Study on Nursing Students의 Attitudes toward the Elderly (노인에 대한 간호대학생의 태도조사 연구)

  • 김은일
    • Journal of Korean Academy of Nursing
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    • v.12 no.1
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    • pp.1-12
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    • 1982
  • Presently, there is increasing demand for geriatric nursing care due to increasing proportion of elderly population and extended age. And, of particular importance in deforming the effectiveness of nursing care given to the elderly is the attitude of nursing personnel toward the elderly patient. This study was intendent to investigate the attitudes of baccalaureate nursing students toward the elderly, and to investigate any possible correlation between these attitudes and the following variables: the students' levels (freshman, sophomore, junior, senior), their preferences for var-ious fields of specialization in nursing after graduation, their clinical experiences with geriatric-patients, their personal experience with elderly family members, their educational experience of the elderly's health problems and geriatric nursing, and their experience with relatives and acquaintances over 60 years of age. Therefore, the purpose of this study was to compile basic data about the attitudes of nursing students toward the elderly in order to contribute to the improvement of geriatric nursing. The subjects for this study were 259 nursing students: 163 in the College of Nursing at E-womans University., and 96 in the Department of Nursing in K. College. Data was collected from the 11th of Sep., to the 8th of Oct., 1981, using the Tuckman-Lorge Attitude Questionnaire which contained 131 items excepting 6 items. The attitudes toward the elderly was scored by the use of mean and standard deviation. The relations between attitudes toward the elderly and six independent vairables were analysed by T-test. The results which were obtained are as follows : 1. The attitude score of nursing students was M=71.67 S.D= 16.18. Nursing students agreed with 54.8% of the stereotypic statements, and they had stereotypic attitudes toward the elderly relatively. (P<0.01). 2. There was a significant difference between the attitudes of nursing students toward the elderly, and sophomores had a less stereotypic attitudes than juniors and seniors (P<0.01). 3. There was significant difference between the attitudes toward the elderly and the preferences for various fields of specialization in nursing after graduation, and nursing students those who wanted maternity fields had a more stereotypic attitudes than others (P<0.05, p<0.01). 4. There was no significant difference between the attitudes toward the elderly and the clinical experience with the geriatric patients (P>0.05). 5. There was no significant difference between the attitude3 toward the elderly and the personal experience with elderly family members (F>0.05). 6. There was no significant difference between the attitudes toward the elderly and the educational experience of the elderly's health problems and geriatric nursing (P>0.05). 7. There was no significant difference between the attitudes toward the elderly and the experience with relatives and acquaintances over 60 years of age (P>0.05).

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Cognitive factor Affecting Elderly in Community

  • Lee, Hye-Sun
    • International Journal of Advanced Culture Technology
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    • v.7 no.1
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    • pp.150-154
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    • 2019
  • The purpose of this research is to identify major factors that influence the cognition the elderly in community. There was a significant correlation between the cognitive and visual perceptual skills of the elderly. The subject's cognitive skill was statistically higher for males by gender, for lower age group, and for higher level of education.

Elevation Factors of Fibrinogen in the Elderly Koreans

  • Lee, Mi-Hwa
    • Biomedical Science Letters
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    • v.14 no.4
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    • pp.275-281
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    • 2008
  • Plasma fibrinogen is risk factor of vascular disease including stroke, ischemic heart disease, atherosclerosis and thrombosis. Many studies have confirmed that high plasma fibrinogen levels are related with age, obesity, cholesterol, alcohol consumption, and genotype. This study was carried out to investigate the effect of fibrinogen genotype and other characteristics on the plasma fibrinogen levels in the elderly Koreans. For this study the blood samples were collected from 178 healthy elderly Koreans (102 males and 76 females, $55{\sim}80$ year olds). The blood samples were analyzed by smoking status, cholesterol levels, genotype, age, exercise, drinking, and gender. The plasma fibrinogen was assayed by clotting method, cholesterol being assayed by cholesterol oxidase method. The $\beta$-fibrinogen genotype was detected by PCR of relevant region and digestion with Alu I. The alleres with the restriction site and the non cleavable alleres were designated $A_1$ and $A_2$. In conclusion, genotype $A_1A_2$ and exercise are increased and associated with plasma fibrinogen levels. But, there were no significant differences by smoking, gender, age, drinking and cholesterol.

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On Change of Manual Dexterity with Aging (연령증가에 따른 수지교치성의 변화에 대하여)

  • 신승헌;김경수
    • Journal of the Korean Society of Safety
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    • v.11 no.4
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    • pp.127-134
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    • 1996
  • Recently, in Korea the birthrate is declining and the average life span has been increasing. Thus, compared to the previous periods nowadays, older people are required to work. Even elderly people are rejoining the workforce. Korean companies set the retirement age between 55 and 60 years of age, however, accidents occur frequently. Thus, it becomes necessary to evaluate the ability of the elderly person. Since the required function of the worker varies from job to job the evaluation of the capability must also be conducted according to the desired functions. One of the methods used in this study is the continuous control knob to evaluate the tracking control ability to investigate the relationship of manual dexterity and age. The result of the study Indicates that the manual dexterity decreases with age. However, there are differences among individuals. The individuals lifestyle affected the manual dexterity of that individual. As a result, a company may use the manual dexterity as an measure to evaluate the elderly persons work ability.

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A Plan for Activating Elderly Sports to Promote Health in the COVID-19 Era (코로나19 시대 건강증진을 위한 노인체육 활성화 방안)

  • Cho, Kyoung-Hwan
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.141-160
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    • 2020
  • The purpose of this study was to devise a specific plan for activating sports to promote health in old age against the prolonged COVID-19 pandemic. Through literature review, it also analyzed the association between health status and COVID-19 in old age, suggested health promotion policies and projects for elderly people, and presented a plan for activating sport to promote health in old age against COVID-19 era. First, it is necessary to revise the relevant laws, including the Sport Promotion Act and the Elderly Welfare Act, partially or entirely, make developmental and convergent legislations for elderly health and sports, and establish an institutional device as needed. Second, it is necessary to build an integrated digital platform for the elderly and make a supporting system that links facilities, programs, information, and job creation as part of a New Deal program in the field of sports on the basis of the Korean New Deal. Third, it is necessary to train elderly welfare professionals. Efforts should be made to establish more departments related to elderly sports in universities and make it compulsory to place elderly sports instructors at elderly leisure and welfare facilities. Fourth, it is necessary to develop contents related to health in old age. This means performing diverse movements by manipulating them through a virtual reality (VR) simulation. Fifth, it is necessary to make a greater investment in research and development related to elderly sports and relevant fields. This means the need to conduct constant research on healthy and active aging in a systematic and practical way through multidisciplinary cooperation. Sixth, it is necessary to establish and operate an elderly management agency (elderly health agency) under the influence of the Office of the Prime Minister. This means the need to secure independence in implementing the functions related to health promotion in old age and make comprehensive operation, which involves all the issues of health promotion in old age, daily function maintenance and rehabilitation, social adjustment, and long-term care, by establishing an elderly management agency in an effort to give lifelong health management to the elderly and cope with the untact, New Normal age.