• 한국지역사회생활과학회지
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• 제22권4호
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• pp.557-572
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• 2011

This study examines the effect of adult-children support network on the psychological well-being of the single and couple elderly households in rural areas. Adult-children support networks include both structural and functional characteristics. For the purpose of this research, 476 participants, who are older than 60 years old, living in rural areas, were selected. The results of this study are summarized as follows: the average degree of psychological well-being of the rural elderly was high. Emotional support from adult children was higher than economic or instrumental support. In the case of the single elderly households, adult children's economic support was the strongest variable affecting the psychological well-being. In the case of the couple elderly households, adult children's emotional support had the greater effect on psychological well-being. On the basis of this analysis, policy implications regarding the single and couple elderly households in rural areas were discussed.

• 한국지역사회생활과학회지
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• 제25권4호
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• pp.511-531
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• 2014

This study explores supportive and conflictual network structures of elderly single and couple households and analyzes the effects of supportive and conflictual networks on suicidal thoughts by gender and family type. The analysis considered a sample of 522 individuals over the age of 60 who did not live with their adult children. The statistical methods used to analyze data were descriptive statistics, a t-test, a chi-square test and a regression analysis using SPSS WIN 20.0. The results are as follows. First, men and elderly single households had support networks that were smaller than those of women and elderly couple households. The conflictual network of elderly couples households was larger than that of elderly single households. In addition, the larger the network, the more the conflictual was. Second, elderly single households thought about suicide more often than elderly couple households. Third, economic status, the number of adult children, the size of conflictual network and subjective health had considerable influence on suicidal thoughts of elderly single and couple households. The size of the conflictual network had a greater effect on suicidal thoughts of elderly individuals than that of the supportive network. These results have important policy implications for elderly single and couple households.

• 한국사회복지학
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• 제61권4호
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• pp.355-380
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• 2009

본 연구는 빈곤노인의 노화경험의 의미를 발견해내고 이를 바탕으로 빈곤노인을 위한 복지정책을 제시하고자 하였다. 이러한 목적을 위해 빈곤노인을 기준표집방법으로 총 16명 선정하여 심층면접을 진행하였고 Colaizzi(1978)의 현상학적 연구방법을 사용하였다. 연구결과, 빈곤노인의 노화경험의 의미는 27개 주제, 10개 주제묶음과 4개의 범주로 나타났다. 4개의 범주는 '죽음으로 향해 가기', '초라해지는 마음', '험한 인생살이', '삶의 끈을 지켜나가기'이었다. 이러한 의미를 통합해볼 때 빈곤노인의 노화경험의 본질은 '정부로부터 생계비를 받을지언정 제 힘으로 살아가기'로 발견되었다. 빈곤노인의 노화경험은 의존적이라기보다는 독립적이고 긍정적인 삶의 의미를 강하게 드러냈고, 생계비가 최소한의 생존비용임을 보여주었고, 심한 죽음불안을 나타냈으며, 가(家) 중심의 유교문화적 맥락을 통해 이해될 수 있었다. 이에 빈곤노인복지정책은 이들의 독립적이고 긍정적인 생활지원을 위한 사회활동의 촉진, 최저생계비의 현실화, 심리정서적 서비스의 강화, 죽음준비교육의 실시, 빈곤노인복지정책의 매뉴얼 구축 등으로 제시되었다.

• 보건행정학회지
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• 제31권1호
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• pp.74-90
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• 2021

Background: It is getting important to improve the oral health status of the elderly because oral health status may affect their health status of the whole body. In this respect, we aimed to explore the association of oral health status and behavior factors with self-rated health status by sex. Methods: Using the data from the 7th Korea National Health and Nutrition Examination Survey for health surveys and oral examinations (2016-2018), we analyzed a total of 3,070 people aged 65 or older (men: 1,329; women: 1,741). Our dependent variable, self-rated health status, was divided into two groups: not good (bad and very bad) and good (very good, good, and fair), whereas our independent variables of interest were oral health status and behavior factors. In addition to descriptive analysis and the Rao-Scott chi-square test, reflecting survey characteristics, we conducted hierarchical multivariable logistic regression analyses adjusted for socio-demographics and health status and behavior factors. All analyses were stratified by sex. Results: The proportion of people having 'not good' self-rated health was 36.5% in women but 24.5% in men. In a model adjusted for all covariates, the self-rated health status showed significant association with the self-rated oral health status. For example, in men, the risk of having 'not good' self-rated health was high in people having 'poor' (odds ratio [OR], 5.31; 95% confidence interval [CI], 2.34-12.03) self-rated oral health status and in those having 'fair' (OR, 4.03; 95% CI, 1.68-9.70) in comparison with those having 'good' self-rated oral health status. Dental status regarding speaking difficulty seemed to be very important in influencing self-rated health status. For instance, in women, compared to people having 'no discomfort' speaking difficulty, the risk of having 'not good' self-rated health was high in people having 'not bad' (OR, 1.60; 95% CI, 1.14-2.24) and 'discomfort' (OR, 1.79; 95% CI, 1.30-2.47) speaking difficulty. The covariates significantly associated with the risk of having 'not good' self-rated health were: physical activity, chronic disease, stress, and body mass index in both sexes; health insurance type and drinking only in men; and economic activity only in women. Conclusion: Oral health status and behavioral factors were associated with self-rated health status among the elderly, differently by sex. This suggests that public health policies toward better health in the elderly should take their oral health status and oral health behaviors into account in a sex-specific way.

• 한국콘텐츠학회논문지
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• 제16권4호
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• pp.718-728
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• 2016

본 연구는 60세 이상 65세 미만의 준고령자들이 노동시장에서 은퇴한 이후 노인일자리사업에 얼마나 지속적으로 참여하고 있으며, 그러한 참여지속성에 미치는 영향요인은 무엇인지를 분석하여 은퇴를 앞둔 준고령자의 일자리 창출에서 가장 중요하게 고려되어야 할 요인이 무엇인지 밝히는데 목적이 있다. 이를 위해 한국노인인력개발원의 '새누리 시스템'의 원자료(Raw Data)를 변환하여 2차 자료 분석을 하였다. 최종 분석대상은 13,370명이었으며, SPSS 18.0으로 빈도분석, 기술통계, 평균분석, 상관관계 및 로지스틱회귀분석을 실시하였다. 분석결과, 기존의 노인일자리사업에 참여했던 준고령자 중 1년 동안 270일 이상을 지속적으로 참여한 비율은 41.2%이었고, 참여지속성에 영향을 미치는 가장 큰 요인은 급여액이었다. 그 외에 일자리 참여동기 및 일자리 유형 등이 유의미한 결과를 보였다. 연구 결과를 바탕으로 본 연구에서는 노동 시장에서 본격적으로 은퇴를 하는 준고령자들의 소득 확보와 노인일자리사업의 목적을 달성하기 위한 정책적 제언을 하였다.

• 대한통합의학회지
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• 제7권1호
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• pp.75-80
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• 2019

Purpose : This study investigated the effect of bamboo stepping exercises on the blood pressure of the elderly. This study was performed for 8 weeks. Methods : The study participants included 25 people aged 65 and over. Of the participants, 16 were in the hypertensive elderly group and 9 were in the normal blood pressure elderly group. The participants stepped on semicircular bamboo for 20 minutes 3 times a week for 8 weeks. The participants' blood pressure was measured 3 times before and after 8 weeks of exercise. The mean values of the 3 before and after measurements were compared and analyzed statistically. Results : The systolic blood pressure of the hypertensive elderly group decreased significantly from $134.6{\pm}21.1mmHg$ to $119.9{\pm}18.1mmHg$ (p<.05). The diastolic blood pressure of the hypertensive elderly group decreased from $70.2{\pm}10.5mmHg$ to $66.1{\pm}9.8mmHg$, but the difference was not significant. The systolic blood pressure of the normal blood pressure elderly group decreased significantly from $127.2{\pm}18.7mmHg$ to $115.5{\pm}19mmHg$ (p<.05). The diastolic blood pressure of the normal blood pressure elderly group decreased from $72.6{\pm}11.3mmHg$ to $68.2{\pm}12mmHg$, but the decrease was not significant. Conclusion : After completing 8 weeks of the bamboo stepping exercises, the elderly participants' systolic blood pressure was effectively reduced. Today, lifestyle modifications, such as daily exercise, are necessary to control the blood pressure of the elderly. We hope that the bamboo stepping exercises, which are easy to perform and are not restricted by place and time, will become part of the elderly health policy.

• 한국콘텐츠학회논문지
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• 제19권3호
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• pp.328-335
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• 2019

현재 한국사회는 급속하게 빠른 고령화를 경험하고 있고, 그 중 노인부양문제는 노인복지정책의 주요의 제로 떠오르고 있다. 노부모부양에 대한 인식은 지난 10여년새 크게 변화되었고, 인식의 변화가 크다면, 그 원인을 분석하는 의의도 클 것이다. 따라서 본 연구는 2016년(11차) 복지패널데이터를 활용하여 노인복지서비스를 운영 및 전달 측면에서 그리고 재정부담 측면에서 누가 담당하는 것이 바람직한지 국가선택집단과 가족선택집단으로 구분하여 노인부양인식에 영향을 주는 요인을 분석하였다. 분석결과 복지서비스를 경험할수록, 공적연금을 수급할수록, 노인부양은 국가가 책임져야 한다고 생각할수록, 노인분야지출이 늘어나야한다고 생각할수록, 연령과 교육수준이 높을수록 국가를 선택하는 비율이 높은 것으로 나타났다. 이를 통해 노인복지시스템이 충분하지 않은 현 시점에서 노인부양문제 해결에 기초자료를 제공한다는데 의의가 있다.

• 한국사회복지학
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• 제62권2호
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• pp.279-306
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• 2010

본 연구는 정책네트워크이론을 적용하여 한국과 일본의 노인장기요양(개호)보험제도의 정책결정과정을 상호 비교, 분석하고 우리나라에의 정책적 이론적 시사점을 도출하고자 하였다. 연구결과로는, 한국과 일본 모두 노인요양(개호)문제에 대한 정책의제형성은 정부 주도로 이루어지고 정책과정단계별 특성에 따라 정책참여자의 범위가 확대되었으나, 두 나라간 노인요양문제에 대한 정책의제형성 배경에는 차이가 있음을 알 수 있다. 그리고 두 나라 모두 정책의제형성 초기단계부터 정책참여자간의 상호 작용은 비교적 협력적이었으나, 제도골격이 국민들에게 공표되면서 급격히 갈등관계 내지 비판적으로 변화해 갔으며, 정책과정단계별 특성에 따라 주도적 참여자들의 역할이 두드러졌고, 연계형태도 비슷한 모습을 보여주고 있다. 또한 정책과정별로 정책참여자의 범위와 정책산출에의 정책참여자들의 의견 반영 정도가 다르지만, 한국, 일본 모두 정부주도로 노인요양문제에 대한 정책 추진결과로 정책의제형성기부터 국회심의결정기까지 매우 유사한 정책네트워크모형을 보여주고 있다. 정책참여자의 범위 뿐만 아니라 개방적인 상호작용시스템 구축의 중요성, 개호보험제도 정책결정과정의 많은 한계점, 과도한 정부주도 정책네트워크로 인한 정책산출에 정부의지가 너무 많이 반영되는 단점 등이 본 연구의 시사점으로 볼 수 있다.

• 대한간호학회지
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• 제35권2호
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• pp.252-261
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• 2005

Purpose: The purpose of the study was to investigate the health status(present illness, ADL and IADL), health perception, and health promotion behaviors of low-income elderly who are receiving the visiting nurse service in the community. Method: The sample of the study was 735 elderly over 65years old with basic livelihood security, who were conveniently selected from 245 public health centers nation-wide. Data collection was done using a structured questionnaire through interviews by visiting nurses. Result: The average number of present illnesses in the study subjects was 4.18. The average scores of ADL and IADL were 15.903.39and 9.772.97 respectively, which indicates a relatively independent everyday life. However, $64.2\%$ of the subjects perceived their health status as 'not healthy'. In terms of health promotion behaviors, $77.8\%$ of the subjects had ceased smoking, $83.9\%$ stopped drinking, $56.4\%$ had a regular diet, $45.8\%$ received regular physical check-ups during the past two years, and $66\%$ received flu shots. Approximately $50\%$ of the subjects were practicing 3-4 health promotion behaviors. Significant factors associated with health promotion behaviors were ADL, IADL and self-efficacy. Conclusion: Health promotion programs which focus on regular diet, exercise, and regular physical check-ups should be developed to improve independence of everyday life and quality of life among low-income elderly.

• 한국치위생학회지
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• 제12권6호
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• pp.1173-1182
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• 2012

Objectives : The purpose of this study was to examine the factors related to the dental caries and periodontal diseases of Korean elderly people in terms of demographic characteristics, oral health promotion behavior and systemic diseases in an effort to provide information on national policy setting and policy evaluation about the prevention of tooth loss resulting from severe oral diseases and the promotion of elderly people's oral health. Methods : The first-, second- and third-year raw data of the 4th National Health and Nutrition Survey were utilized, and the data of 3,882 elderly people who got a dental checkup were analyzed. The statistical package SPSS WIN 19.0 was employed to make a logistic regression analysis. Results : The senior citizens who did toothbrushing less frequently were more likely to have dental caries. As for periodontal diseases, the men were 1.34-fold more likely to have periodontal diseases than the women, and the respondents whose self-rated health state was worse were 1.40-fold more likely to have periodontal diseases than the others whose self-rated health state was better. The senior citizens who ever received treatment from unqualified people were 1.30-fold more likely to have peridontal diseases, and those who took neither vitamin compound nor minerals were 1.30-fold more likely to have periodontal diseases. Those who suffered from low High-density Lipoprotein cholesterol(HDL) were 1.35-fold more likely to have periodontal diseases than the others who didn't. Conclusions : Those whose self-rated health status is worse should especially be concerned about periodontal diseases. Specifically, it's needed to pay attention to the low-income classes, and the government should take measures to provide quality welfare services for elderly people not to receive treatment from unqualified people. Besides, research efforts should be made to determine the relationship between periodontal diseases and low HDL-cholesterolemia.