• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.12
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• pp.4833-4842
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• 2010

The purpose of this study is to identify the differences of stress according to general characteristics and find stress related factors to reduce stress level of family caregivers for demented elderly. Subjects were 72 family caregivers for demented elderly in Seoul and Gyunggi province. Stress were analyzed by t-test, ANOVA, Scheffe test and multiple regression according to gender, age, residence, marital status, number of family members, number of children, religion, education level, occupation, monthly income, relation with the demented elderly, caring years of the demented elderly and symptom of family caregivers for demented elderly. The results were as follows. First, the stress of family caregivers for demented elderly were significantly high in number of family members who live alone with demented elderly, education level with elementary school or below, monthly income with below 2,000,000 won, and the ones who have symptom by taking care of demented elderly. Second, stress related factors of family caregivers for the demented elderly were women, age between 60-69, number of family members that live alone with demented elderly, education level with elementary school or below, monthly income with between 1,000,000 - below 2,990,000 won, daughter-in-law and son of demented elderly. The family who live alone with demented elderly, family with low education level and low monthly income were important variables of family caregivers' stress for the demented elderly. Therefore it is assumed that support for family who living alone with demented elderly, family with low education level and low monthly income can reduce the stress of family caregivers for the demented elderly.

• Journal of the Korean Dietetic Association
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• v.14 no.4
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• pp.337-350
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• 2008

The principal objective of this study was to assess the nutritional status and dietary quality in low-income elderly individuals residing at home (LH) or in health care facilities (LHCF) with dietitian. This study was conducted via anthropometric measurements, questionnaire interviews, and dietary surveys using a 24 hr recall method with 120 low-income elderly individuals (LHCF=46, LH=74). The average ages of the LH and LHCF group were 76.3 years and 78.6 years, respectively. The LH group evidenced a significantly higher frequency of skipping meals than the LHCF group. The average energy intakes of the LHCF and LH group were 1921.0 kcal and 1443.9 kcal, with a significant difference (p<0.001). Most of the nutrient intake and intake rates for recommended intake were significantly higher among the LHCF group as compared with the LH group. The LHCF group showed significantly higher values for the nutrient adequacy ratio (NAR), the mean adequacy ratio (MAR), nutrient density (ND), and the index of nutritional quality (INQ) by dietary qualitative estimation than in the LH group. The Korean diet diversity scores (KDDS) were 3.66 for LH group and 4.93 for the LHCF group, thus were significantly higher in the LHCF group than in the LH group. The results of the present study demonstrate that the LH group appeared to experience more dietary problems than the LHCF group. It was suggested that nutritional education is needed for low-income elderly individuals living at home, in order for them to learn proper dietary management. This can be achieved via educational programs in social welfare institutions, incentives toward employment as a dietitian, and implementation of community-based support.

• Korean Journal of Community Nutrition
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• v.3 no.4
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• pp.594-608
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• 1998

Comparative studies regarding the nutritional status of 93 home-living elderly people taking free congregate lunch meals(FL) and 87 middle income class elderly people(MI) were performed in Taejon city. Data was obtained from questionaires, anthropometry and interviews for the 24-hour dietary recall of 2 nonconsecutive days during August, 1996. The average age for FL was 75.8 years. The monthly familly income for FL belonged to the low-income class. FL females had lower heights and weights than MI females. The average daily nutritional intake of both FL and MI were low, particularly in FL whose %RDA of energy was 68.5%, protein 65%, Ca 29.6%, Fe 50.8%, vitamin A 34.5%, vitamin E 30.5%, riboflavin 40.6%, vitamin C 76.9%. MI's %RDA of energy was 76.4%, protein 80.a2%, Ca 48.1%, Fe 78.6%, vitamin A 67.3%, vitamin E 117.4%, riboflavin 45.6%, vitamin C 136.5%. Comsumption of Zn, vitamin $B_6$ and folic daily average. There was no nutrient having average INQ(Index of nutritional quality) over 1 for either group. The INQs for protein, Ca, Fe and vitamin A were 0.802, 0.377, 0.625 and 0.296 in FL, and 0.900, 0.601, 0.784 and 0.602 in MI, respectively. The MAR(Mean adequacy ratio) was low with the value of 0.500-0.518 in FL and 0.630-0.723 in MI. The percentage of main nutrients from lunch was the highest among the three meals for FL males, while that from breakfast was the highest for MI. Free lunches taken by FL supported higher percentages of main nutrients than home-lunches taken by MI. Eating-out was done more frequently by MI than by FL and that eating-out brought them more nutritional intake. The above data indicated that the dietary nutritional intake status of the FL elderly was very poor in both quantity and quality and that free congregate lunch significantly contributed to the daily nutrient-intake for the FL elderly.

• The Journal of the Korean dental association
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• v.49 no.6
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• pp.334-339
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• 2011

The purpose of this study was to investigate the oral health condition and dental treatment need of low socioeconomic elderly people. A total of 116 elderly people who visited Boramae Hospital were evaluated with oral examination and panoramic radiogaph. The results showed that the most expecting treatment of low income aged people was removable partial denture. It was very clear in the age group of 70-84. In the age group under 70, most of the patients wanted prosthodontic tratement using fixed partial denture or crown. As the result of this study, elderly people with low socioeconomic status under age 85 needed removable partial denture or fixed prosthesis than complete denture. It is necessary to develop a more expanding and customized Senile prosthetic restoration program.

• The Journal of the Korea Contents Association
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• v.16 no.1
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• pp.1-12
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• 2016

The purpose of this study was to identify latent classes of socioeconomic status and to explore whether those of socioeconomic status influenced self-esteem among elderly living alone. From the data of 2009 National Elder Abuse Investigation, 1,333 older adults who were over 65 years and living alone were analyzed. Latent class analysis, one-way ANOVA, and hierarchical regression analysis were performed to test the purpose of this study. Results of this study found 5 latent classes of socioeconomic status, named as high education-low income group, low education-low income group, middle education-low income group, high education-high income group, and low education-high income group. Next, there were significant differences in self-esteem depending on 5 latent classes of socioeconomic status. Finally, compared to low education-low income group, high education-low income group, middle education-low income group, high education-high income group, and low education-high income group showed higher levels of self-esteem, even after adjusting for confounding factors. Findings from this study suggested fundamental characteristics and public policy for elderly living alone.

• Journal of Korean Physical Therapy Science
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• v.6 no.2
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• pp.953-975
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• 1999

The purpose of this document is to provide the direction of the policy for welfare of the elderly, by identifying the problems and status of the welfare service for the elderly. The primary source of degrading the living standard of the elderly is the increase of the elderly population and life longevity. The Welfare service for the elderly to enhance the poor living level of the elderly population should be established, to compensate their former economic and social contribution in the society and also to promote the basic human right. The agenda to achieve this goal sums up like these : First, the basic living of the unhealthy elderly belonging to the low-income group, such as government-provided income and medical service should be provided. Second, for those with working ability, more opportunity for working and social activities should be given, focusing on expanding the employment rather than adding income. Third, for those with middle and high income, silver industry and pastime activities should be nurtured. Lastly, rather than institutional protection for the elderly, the welfare service for those staying home should be enforced, thus naturally leading to the family support for the elderly. There cannot be a sound policy for welfare and improvement of living standard ignoring the Well-being of the elderly population. The effort to better the welfare for the minority groups who compose the base of the social base will, eventually, result in the progress of the entire society.

• Research in Community and Public Health Nursing
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• v.21 no.2
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• pp.200-209
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• 2010

Purpose: This study was conducted to determine the effects of a fall prevention program on knowledge, efficacy, and prevention behavior of falls among the low-income elderly. Methods: This study used a nonequivalent control group pre and post test quasi-experimental research design. The study was conducted from August to October, 2008 with 20 subjects in the experimental group and 22 in the control group who were registered at the public health center of S District in D City. Results: Hypothesis 1 "The experimental group that participated in the fall prevention program will show a higher degree of knowledge about falls than the control group" was supported. Hypothesis 2 "The experimental group will have a higher degree of self-efficacy of falls than the control group" was not supported. Hypothesis 3 "The experimental group will report fall prevention behavior more frequently than the control group" was supported. Conclusion: It was verified that the fall prevention program in this study was an effective intervention to improve knowledge about falls and fall prevention behaviors among the low-income elderly. The results can be used as part of an intervention to prevent falls for the vulnerable elderly such as the low-income elderly.

• Journal of Home Health Care Nursing
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• v.23 no.1
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• pp.16-24
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• 2016

Purpose: This study aimed to identify the mediating effect of self-esteem and depression in the relationship between perceived health status of the low-income elderly and their suicide ideation. Methods: Participants were 201 elderly people living at home in two cities who were receiving home health services from public health centers. Face-to-face interviews were conducted from October in 2013 to April in 2014. Data were analyzed using SPSS 21.0 and AMOS 21.0. Results: Subjects' perceived health status had a direct effect on increasing self-esteem and reducing depression. Subjects' self-esteem and depression had a direct effect on suicide ideation. Perceived health status had an indirect effect on suicide ideation that was mediated by self-esteem and depression. Conclusion: Results of this study indicate that to prevent suicide of the elderly, it is critical to increase their health status. Additionally, there is a need to construct and implement strategies to strengthen self-esteem of low-income elderly in order to decrease depression.

• Journal of Korean Academy of Nursing
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• v.35 no.2
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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.

• Journal of the Korean Society of Food Culture
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• v.36 no.1
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• pp.92-102
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• 2021

There is little information on the nutrient intake according to the city size and small town in Korean elderly. This study analyzed the nutritional consumption of older people in metropolitan, middle and small cities, and rural areas according to four income levels. The recent data from the 2016~2018 Korean National Health and Nutrition Survey, Centers for Disease Control and Prevention were used. The final analysis included 4,325 individuals (Male: 1,856, Female: 2,469) over 65 years old. Multivariable regression with a complex sample design was conducted to compare the nutrient intake among the groups. In a comparison within regions, the nutrition status of the elderly in small towns was more vulnerable than metropolitan and middle & small cities. The energy intakes were similar between the groups. The carbohydrate intake of middle & small cities was significantly higher than the other regions. The intake of other nutrients in metropolitan and middle & small cities appeared to be higher than in rural areas. The number of nutrients with statistical significance between low and high-income levels were 19 in metropolitan, 11 in middle & small cities, and 5 in rural areas. Each contribution of carbohydrate, fat, and protein to the total energy intake was lower in the low-income level than the high-income level in metropolitan and middle & small cities. On the other hand, in rural areas, only the contribution of protein to energy intake was lower in the low-income level than the high-income level. Cities with higher levels of urbanization had more severe nutritional inequality in relation to the income level. There was also nutritional inequality present in rural areas but it was to a lesser extent. Moreover, the generally low level of nutrient intake was problematic in rural areas. These findings could be used as fundamental evidence for developing community nutritional policies for the elderly.