• Title/Summary/Keyword: late middle-aged

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Subjective Fatigue and Coping Types between Middle Aged Adults and Elders (중년기 성인과 노인의 피로와 대처유형)

  • Chon Mi Young;Ryu Eun Jung;Yeon Eun Ja
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.387-397
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    • 2001
  • Fatigue is a ubiquitous symptom and is a part of many acute and chronic health conditions. This complex symptom is so prevalence in contemporary society that it motivates a large percentage of the health care-seeking behavior among late-middle aged adults and elders. The purpose of this study was to examine perceptions of fatigue. to identify coping types of fatigue, and to explore factors affected fatigue between middle aged adults and elders who have no critical health problems. The results are as follows: 1. The elderly that manifested high level of fatigue revealed more fatigue than adults. 2. There are three coping types of fatigue. The three types were analyzed by Q-methodology. These three are action-evading, action-limited, and action-oriented. 3. The levels of fatigue manifested by the participants varied significantly according to age, vocation, education, present disease, and income. By identifying the nature of each of the coping types of fatigue, it is recommended to develop an effective nursing interventions for middle aged adults and elders.

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Effect of Usual Source of Care on Health Behavior of the Middle Aged and the Elderly (상용치료원 보유가 중노년층의 건강행동에 미치는 영향)

  • Yun, Sunghun;Song, Yeonjae;Kwon, Soonman
    • Health Policy and Management
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    • v.32 no.1
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    • pp.29-44
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    • 2022
  • Background: This study was conducted to analyze the impact of having a usual source of care on health behaviors of the middle aged and the elderly, in order to investigate the potential effect of enhancing primary health care in a Korean context. Methods: This study constructed a balanced panel of middle-aged and elderly samples using the Korea Health Panel 2016-2018, and fixed-effect models were used to analyze the data. Results: Among three sets of dependent variables (physical activity, smoking, drinking), statistically significant results were found only in physical activity. Subgroup analysis showed that this effect was not observed in the late elderly (aged 75 and older) and those without chronic diseases. Conclusion: Results of the study implied that enhancing primary health care among middle age and the elderly may have an effect on improving health behaviors. Moving forward to person-centered primary health care from disease-focused primary health care should be considered in high-risk groups such as the middle aged and the elderly with chronic diseases.

Factors influencing oral health according to life cycle characteristics of patients with diabetes (생애주기별 당뇨질환자의 구강건강영향요인)

  • Hye-Sook Choi
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.3
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    • pp.253-262
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    • 2024
  • Objectives: This study aimed to identify the factors influencing the relationship between diabetes and oral health in Korean adults. Methods: We analyzed 5,319 adults who were included in the 9th Korea National Health and Nutrition Examination Survey. The data were analyzed for demographic characteristics, daily health care, and oral health care according to diabetic conditions using a complex sample analysis. Multiple logistic regression analysis was performed to analyze the factors influencing the oral health of patients with diabetes. Results: The factors influencing the oral health of patients with diabetes varied according to life cycle. In late middle-aged adults, statistically significant differences were observed in sex (p<0.001), educational level (p=0.030), economic activity (p=0.018), aerobic exercise (p=0.034), smoking (p=0.004), periodontal therapy (p=0.011), and prosthesis production/repair (p=0.025). In younger elderly individuals, statistically significant differences were found in terms of whether they lived together (p=0.027) and educational level (p=0.032). Conversely, no statistically significant differences were observed in the older elderly group. Conclusions: The results of this study showed that the level of oral health of patients with diabetes is already determined in middle and old age; therefore, a system should be prepared to ensure that health care can be systematically performed in late middle-aged adults.

The Factors Related to Health Promoting Behaviors of the Late Middle Aged (중년후기 성인의 건강증진행위 관련요인)

  • Lim, Eun Ju;Noh, Jun Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.10
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    • pp.4694-4702
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    • 2012
  • The purpose of this study was a descriptive research that identified the levels of health-promoting behaviors, previous related behavior, perceived benefits/barriers, self-efficacy, and social support. In addition, it was to establish the relations among the variables, and determine the factors affecting the health-promoting behaviors. Study participants were 311 middle aged between 55-64 in urban areas, and the data were collected through self-reported structured questionnair. According to the results, the mean score for the levels of health-promoting behaviors of the late middle aged was 2.64. Also, among the variables related to health-promoting behaviors, perceived benefits were the highest score (30.7), and perceived barriers were the lowest one (2.08). Meaningful positive correlations were found among health-promoting behaviors and previous related behavior, social support, perceived benefits, and self-efficacy, but perceived barriers showed weakly negative correlations. In addition, the factors affecting health promoting behaviors were revealed in order as following: Previous health related behavior(${\beta}$=.35, p<.001), perceived benefits(${\beta}$=.32, p<.001), social support(${\beta}$=.28, p<.001), and life satisfaction(${\beta}$=.13, p<.001), and this model's explanatory power was 68.8%(F=166.71, p<.001). Based on the findings from the study, in order for the late middle aged to have a well-being old age, an health promoting education program including exercises and stress management should be provided to maintain and improve proper health promoting behaviors. The network with the same age groups also should be supported to share useful information and back up one another.

Characteristics of Crashes with Early and Late Elderly Drivers by Injury Severity (부상 심각도에 의한 초기 및 후기 고령 운전자 사고 특성 분석)

  • Kim, Sangsu;Choi, Borim;Chung, Younshik
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.4
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    • pp.477-484
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    • 2023
  • The number and age of elderly drivers are continuously increasing according to the extension of the human lifespan. Therefore, in transportation, efforts are being made to differentiate and manage elderly drivers by age group. This study aims to identify the factors affecting the crash severity of early and late elderly drivers, compared to middle-aged drivers, and to identify the characteristics between these groups. Crash data that occurred on nationwide roads for the past 5 years (2017-2021) was applied. Unlike previous studies, this study only targeted drivers in their 40s and older, when presbyopia begins: middle-aged driver (40-64), early elderly driver (65-74), and late elderly driver (75+). As a result of logistic regression analysis, a total of 18 variables were found to affect serious injuries including fatalities in early and late elderly drivers. Most of these variables appeared to lead to severity more sensitively in the late elderly group. The results of this study are expected to be useful as basic information for establishing traffic safety policies for elderly drivers in the future.

The Phenomenological Study on the early recollection and lifestyle of middle-aged men (중년남성의 초기회상과 생활양식에 관한 현상학 연구)

  • Shin, Kyoung-Ae;Shin, Dong-Yeol
    • Industry Promotion Research
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    • v.5 no.3
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    • pp.97-104
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    • 2020
  • The study participants selected three participants in their late 40s and conducted a total of six sessions and in-depth interviews for 90 minutes to collect and analyze data using the phenomenological Giorgi research method. The conclusion according to the research results was drawn as follows. First, the shame, fear, reprimand, violence, passive attitude, and childhood that had to be adjusted seemed to maintain a stable life in the late forties, but still appeared in the present life. It was found that they showed a low self-satisfaction rather than positive satisfaction with self-concept and pursued an ideal self-image. Second, lifestyle was a time of severe depression, lethargy, and emptiness as a child, experiencing an unstable childhood due to a violent family, loss of attachment, overprotection, difficult economic conditions, and parental strife. It has been found that in the late forties, families have been established and religious life is being stabilized, and the responsibility for the family is valued. This shows how a lifestyle that gives meaning and recognizes what experience gives meaning to the childhood that one experienced. Insight into change and growth in middle-aged life, searching for and interpreting the initial recollections that they have experienced, accompanied by social and psychological changes in middle-aged men, discovering inappropriate meanings and goals and preparing for a second life in the age of 100 It is meaningful to provide.

Impact of Menopausal Status, Metabolic Syndrome and its Risk Factors on Impaired Quality of Life above Middle-aged Women (중년 이후 여성에서 삶의 질 저하에 영향을 미치는 요인: 폐경 형태와 대사증후군 위험요인을 중심으로)

  • Kim, Jisoon;Ahn, Sukhee
    • Women's Health Nursing
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    • v.22 no.4
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    • pp.275-286
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    • 2016
  • Purpose: This study explored influencing factors on quality of life (QoL) above middle-aged women in relation to demographic factors, health-related factors, menopausal status, metabolic syndrome (MS) and its risk factors. Methods: This study was secondary data analysis from the Sixth Korea National Health and Nutrition Examination Survey 2013~2015 that utilized a complex, multi-stage probability sample design. Study sample of 2,310 was inclusive of (28.8%) of women who were over 40. To evaluate the factors that would influence an impaired quality of life, $x^2$ test, GLM, and logistic regression analysis were done. Results: Level of quality of life was lower in women with late post-menopause(over 10 years since menopause) than women with pre-menopause. Factors influencing impaired QoL were as follows: graduated middle school and elementary school or less (OR=2.43, 4.42, respectively, p<.05), no job (OR=1.92, p<.001), stress (OR=1.92, p=.001), depression (OR=1.93, p=.001), insufficient sleep (OR=1.64, p=.003), late post-menopause (OR=2.61, p=.044) and over 85cm of waist circumference (OR=1.76, p=.01). Conclusion: These results suggest that late post-menopause may be an independent factor influencing an impaired QoL. To promote post-menopausal womens' health, a nursing strategy is required to teach women how to manage levels of stress, depression, insufficient sleep, and abdominal obesity through health education, nutritional counselling, and physical activity program.

Effect of Subjective Health Perception and Mental Health Status on the Quality of Life in the Late Middle Age

  • Kim, Jungae
    • International Journal of Advanced Culture Technology
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    • v.8 no.2
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    • pp.18-27
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    • 2020
  • This study was cross sectional descriptive survey study to analysis effect of health perception and mental health status on the quality of life in the late middle aged people (45-65 years old). The data for the study were collected online from November 20 to December 10, 2019, from those who agreed to participate in the study voluntarily. A total of 192 data were used for the study. This study analyzed the Pearson correlation analysis, Descriptive analysis and Regression analysis using SPSS 18.0. As a result, the participants were 41.7% male and 58.3% female. The age group was 45-50 years old 4.2%, 51-55 years old 20.8%, 56-60 years old 54.1% and 61-65% 20.8%. Mental health status was associated with physical QOL(r=-347, p<0.01), Psychological QOL(r=-.439, p<0.01), and Social QOL(r=.280, p<0.01). Subjective health perception was associated with physical QOL(r=-589, p<0.01), Psychological QOL(r=.222, p<0.01), and Social QOL(r=.286, p<0.01). subjective health perception was found to affect all sub-factors except environmental quality of life under the statistical significance (p<0.01).

Factors influencing the health-related quality of life in Korean menopausal women: a cross-sectional study based on the theory of unpleasant symptoms

  • Kang, Ji-Hyun;Kim, Moon-Jeong
    • Women's Health Nursing
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    • v.28 no.2
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    • pp.100-111
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    • 2022
  • Purpose: Based on the theory of unpleasant symptoms (TOUS), this study aimed to examine the direct effect of antecedent factors on health-related quality of life (HRQoL) and its indirect effect via symptoms in Korean women during the late menopausal transition (MT) and early postmenopause. Methods: This cross-sectional survey employed a descriptive correlational research design. The respondents were 152 middle-aged women 40 to 60 years with an intermenstrual interval of 60 days or more (late MT) or less than 5 years from the last menstrual period (early postmenopause). The respondents were recruited through convenience sampling in Busan, Korea, from December 1, 2020, to January 31, 2021. Based on the TOUS, self-report data were collected on perceived health status, psychological distress, social support, menopausal symptoms, and HRQoL. The collected data were analyzed using descriptive statics, independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and the Hayes' PROCESS macro. Results: TOUS was supported on this sample (n=152) of Korean women during the late MT and early postmenopause. Perceived health status, psychological distress, and social support had significant direct relationships with HRQoL. Menopausal symptoms had significant indirect relationships between antecedent factors (perceived health status, psychological distress, and social support) and partially mediated HRQoL. Conclusion: The findings of this study indicate that menopausal symptoms play an important role as an intervening factor of HRQoL in women during the late MT and early postmenopause. Therefore, women need an integrated program that manages antecedent factors and menopausal symptoms to improve HRQoL in these menopausal stages.

A Model for Health Promoting Behaviors in Late-middle Aged Woman (중년후기 여성의 건강증진행위 모형구축)

  • Park, Chai-Soon
    • Women's Health Nursing
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    • v.2 no.2
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    • pp.298-331
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    • 1996
  • Recent improvements in living standard and development in medical care led to an increased interest in life expectancy and personal health, and also led to a more demand for higher quality of life. Thus, the problem of women's health draw a fresh interest nowadays. Since late-middle aged women experience various physical and socio-psychological changes and tend to have chronic illnesses, these women have to take initiatives for their health control by realizing their own responsibility. The basic elements for a healthy life of these women are understanding of their physical and psychological changes and acceptance of these changes. Health promoting behaviors of an individual or a group are actions toward increasing the level of well-being and self-actualization, and are affected by various variables. In Pender's health promoting model, variables are categorized into cognitive factors(individual perceptions), modifying factors, and variables affecting the likelihood for actions, and the model assumes the health promoting behaviors are affected by cognitive factors which are again affected by demographic factors. Since Pender's model was proposed based on a tool broad conceptual frame, many studies done afterwards have included only a limited number of variables of Pender's model. Furthermore, Pender's model did not precisely explain the possibilities of direct and indirect paths effects. The objectives of this study are to evaluate Pender's model and thus propose a model that explains health promoting behaviors among late-middle aged women in order to facilitate nursing intervention for this group of population. The hypothetical model was developed based on the Pender's health promoting model and the findings from past studies on women's health. Data were collected by self-reported questionnaires from 417 women living in Seoul, between July and November 1994. Questionnaires were developed based on instruments of Walker and others' health promotion lifestyle profile, Wallston and others' multidimensional health locus of control, Maoz's menopausal symptom check list and Speake and others' health self-rating scale. IN addition, items measuring self-efficacy were made by the present author based on past studies. In a pretest, the questionnaire items were reliable with Cronbach's alpha ranging from .786 to .934. The models for health promoting behaviors were tested by using structural equation modelling technique with LISREL 7.20. The results were summarized as follows : 1. The overall fit of the hypothetical model to the data was good (chi-square=4.42, df=5, p=.490, GFI=.995, AGFI=.962, RMSR=.024). 2. Paths of the model were modified by considering both its theoretical implication and statistical significance of the parameter estimates. Compared to the hypothetical model, the revised model has become parsimonious and had a better fit to the data (chi-square =4.55, df=6, p=.602, GFI=.995, AGFI=.967, RMSR=.024). 3. The results of statistical testing were as follows : 1) Family function internal health locus of control, self-efficacy, and education level exerted significant effects on health promoting behaviors(${\gamma}_{43}$=.272, T=3.714; ${\beta}_[41}$=.211, T=2.797; ${\beta}_{42}$=.199, T=2.717; ${\gamma}_{41}$=.136, T=1.986). The effect of economic status, physical menopausal symptoms, and perceived health status on health promoting behavior were insignificant(${\gamma}_{42}$=.095, T=1.456; ${\gamma}_{44}$=.101, T=1.143; ${\gamma}_{43}$=.082, T=.967). 2) Family function had a significance direct effect on internal health locus of control (${\gamma}_{13}$=.307, T=3.784). The direct effect of education level on internal health locus of control was insignificant(${\gamma}_{11}$=-.006, T=-.081). 3) The directs effects of family functions & internal health locus of control on self-efficacy were significant(${\gamma}_{23}$=.208, T=2.607; ${\beta}_{21}$=.191, T=2.2693). But education level and economic status did not exert a significant effect on self-efficacy(${\gamma}_{21}$=.137, T=1.814; ${\beta}_{22}$=.137, T=1.814; ${\gamma}_{22}$=.112, T=1.499). 4) Education level had a direct and positive effect on perceived health status, but physical menopausal symptoms had a negative effect on perceived health status and these effects were all significant(${\gamma}_{31}$=.171, T=2.496; ${\gamma}_{34}$=.524, T=-7.120). Internal health locus and self-efficacy had an insignificant direct effect on perceived health status(${\beta}_{31}$=.028, T=.363; ${\beta}_{32}$=.041, T=.557). 5) All predictive variables of health promoting behaviors explained 51.8% of the total variance in the model. The above findings show that health promoting behaviors are explained by personal, environmental and perceptual factors : family function, internal health locus of control, self-efficacy, and education level had stronger effects on health promoting behaviors than predictors in the model. A significant effect of family function on health promoting behaviors reflects an important role of the Korean late-middle aged women in family relationships. Therefore, health professionals first need to have a proper evaluation of family function in order to reflect the family function style into nursing interventions and development of strategies. These interventions and strategies will enhance internal health locus of control and self-efficacy for promoting health behaviors. Possible strategies include management of health promoting programs, use of a health information booklets, and individual health counseling, which will enhance internal health locus of control and self-efficacy of the late-middle aged women by making them aware of health responsibilities and value for oneself. In this study, an insignificant effect of physical menopausal symptoms and perceived health status on health promoting behaviors implies that they are not motive factors for health promoting behaviors. Further analytic researches are required to clarify the influence of physical menopausal symptoms and perceived health status on health promoting behaviors with-middle aged women.

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