• Title/Summary/Keyword: older female

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Impact of Community Health Care Resources on the Place of Death of Older Persons with Dementia in South Korea Using Public Administrative Big Data (공공 빅데이터를 이용한 치매 노인 사망장소의 결정요인: 지역보건의료자원의 영향)

  • Lim, Eunok;Kim, Hongsoo
    • Health Policy and Management
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    • v.27 no.2
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    • pp.167-176
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    • 2017
  • Background: This study aimed to analyze the impact of community health care resources on the place of death of older adults with dementia compared to those with cancer in South Korea, using public administrative big data. Methods: Based on a literature review, we selected person- and community-level variables that can affect older people's decisions about where to die. Data on place-of-death and person-level attributes were obtained from the 2013 death certification micro data from Statistics Korea. Data on the population and economic and health care resources in the community where the older deceased resided were obtained from various open public administrative big data including databases on the local tax and resident population statistics, health care resources and infrastructure statistics, and long-term care (LTC) insurance statistics. Community-level data were linked to the death certificate micro data through the town (si-gun-gu) code of the residence of the deceased. Multi-level logistic regression models were used to simultaneously estimate the impacts of community as well as individual-level factors on the place of death. Results: In both the dementia (76.1%) and cancer (87.1%) decedent groups, most older people died in the hospital. Among the older deceased with dementia, hospital death was less likely to occur when the older person resided in a community with a higher supply of LTC facility beds, but hospital death was more likely to occur in communities with a higher supply of LTC hospital beds. Similarly, among the cancer group, the likelihood of a hospital death was significantly lower in communities with a higher supply of LTC facility beds, but was higher in communities with a higher supply of acute care hospital beds. As for individual-level factors, being female and having no spouse were associated with the likelihood of hospital death among older people with dementia. Conclusion: More than three in four older people with dementia die in the hospital, while home is reported to be the place of death preferred by Koreans. To decrease this gap, an increase in the supply of end-of-life (EOL) care at home and in community-based service settings is necessary. EOL care should also be incorporated as an essential part of LTC. Changes in the perception of EOL care by older people and their families are also critical in their decisions about the place of death, and should be supported by public education and other related non-medical, social approaches.

Health Status of Dependent Older People and Pattern of Care among Caregivers: A Case Study of Hong Ha Health Promoting Hospital, Lampang, Thailand

  • Wicha, Sumitra;Saovapha, Benjaporn;Sripattarangkul, Sirirat;Manop, Natchapan;Muankonkaew, Thanakrit;Srirungrueang, Supha
    • Asian Journal for Public Opinion Research
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    • v.5 no.3
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    • pp.228-249
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    • 2018
  • In 2015, the population of elderly people in Thailand was 16% of the total population and is predicted to be over 20% by 2021 and nearly 28% by 2031. The increase of the elderly population in Thailand has also increased the proportion of dependent elderly people, and caring for them poses many challenges for both families and the government. This descriptive method research aimed to survey the health status of dependent older people in the rural community of Lampang province in northern Thailand. The participants consisted of 62 older people and 62 primary family caregivers from Hong Ha Health Promoting Hospital, Lampang, Thailand (totaling 124 people). The researchers assessed the health status of older people and their activities of daily living (ADL). In addition, researchers assessed the health status and stress of caregivers. All the participants were interviewed about their experiences with caregiving. The results showed that most of the older respondents were female with an average age of 78.15 years. Based on the ADL assessment, 50 of the 62 older persons were homebound while the rest were bedridden. The majority of older people had chronic or long-term conditions that required hospitalization from time to time. Their frequent health problems included oral disorders such as tooth decay or caries/gum disease/no teeth, reduced sight, psychological disorders, knee pain and risk of falling, low BMI, risk of malnutrition, and urinary leakage and incontinence (58.06%, 66.13%, 62.90%, 70.97%, 38.71%, 66.13%, and 37.10%, respectively). Usual care provided by the family members included personal hygiene care, food preparation and feeding, medication management, housekeeping and organizing necessary equipment, supply of needed equipment, prevention of falls, helping with travel for medical checkups and treatment, and providing companionship. Families experienced shortages of medical supplies, daily use equipment, lack of employment, inadequate income, and difficulty accessing health care services due to lack of transportation. Some caregivers experienced caregiving stress related to a lack of social interactions as well as routine caregiving activities. Families need different types of support in order to promote the well-being of older people and caregivers. This highlights the need for a community participation model for the care of older people in order to reflect sustainable long-term outcomes.

Female Workers' Uniform Preference of the Fiber Firms (섬유업체 근로여성의 작업복 실태 및 선호연구)

  • 이옥희
    • Journal of the Korean Home Economics Association
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    • v.35 no.4
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    • pp.185-198
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    • 1997
  • This study was initiated to research on the uniform preference uniform satisfaction and wearing of female workers' uniform of the fiber firms. Data was obtained from 361 female workers of the fiber firms in Chon Buk. And it was analyzed by frequency percent mean duncan's multiple test. The results of this study were as follows; 1) Pocket sleeve and front hem were parts of the damage. The weaving workers were mostly wore upper and under garments but most of there workers were only wore an upper garment on the basic type of uniform The older and married were small in the fitness of uniform the armhole sleeve girth sleeve length and breast girth were unfitted 2) Workers was dissatisfied to the noise and the dust in working environment. Uniform satisfaction of workers were mostly low design color and fabric were the lowest factors of uniform satisfaction. The satisfaction of material were also low the lowest factors were absorptiveness elasticity breathability. Workers wanted the fashion and light colored uniform but they prefered function activity to work and manageability on wearing rather than externals among the uniform preference.

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Productive Activities and Psychological Well-being in the Elderly (노년기 생산적 활동과 심리적 안녕)

  • Sung, Hea-Young;Cho, Hee-Sun
    • Journal of the Korean Home Economics Association
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    • v.44 no.6 s.220
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    • pp.35-45
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    • 2006
  • The purpose of this study is to investigate productive activities effect on psychological well-being in the elderly. As people grow older, the level of physical function and psychological well-being is decreased. But We verified maintaining productive activities could make buffering effect on psychological well-being. And We investigate what kind of productive activities could effect on psychological well-being by gender. As a result, there were differences in self efficacy belief, life satisfaction and depression by age, education, absence of spouse, subjective economic status and physical function. Group activity and domestic labor had on affirmative effect on self efficacy belief in male and female elder. Learning activity had on positive effect on life satisfaction in female. Depression was negative influenced by voluntary activity and domestic labor in female and pay work, group activity and domestic labor in male.

A Study on Female's Ideal Beauty Based on Word Analysis (어휘분석을 통한 이상적인 여성미 연구)

  • Lee, Kwan-Yi;Lee, Kyoung-Hee
    • Fashion & Textile Research Journal
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    • v.4 no.4
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    • pp.358-368
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    • 2002
  • The purpose of this study was to examine and fully understand the transformation of female's ideal beauty based on word analysis. In order to research the understanding of female's ideal beauty, a random research was done on 438 women, ranging from the ages 10's through 60's. From the resulting poll, a frequency analysis was performed to further analyse the meaning of ideal beauty to each sector of the age group. To the teenage's beauty awareness was defined by the word "individuality", the 20's was "confident", the 30's was "elegant", the 40's was "earnestness", the 50's was "comfortable" and the 60's was "healthy". The research proved that the younger the age group, the more exterior beauty was considered, as opposed to the older generation who found inner beauty to be of most importance.

Factors of Bodily Pain Among Stroke Patient's Female Caregivers in Their Middle to Older Age (뇌졸중 환자를 돌보는 중·고령층 여성 간병인의 신체통증 영향 요인)

  • Moon, Jong-Hoon;Bak, In-Hye
    • Therapeutic Science for Rehabilitation
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    • v.8 no.1
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    • pp.63-71
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    • 2019
  • Objective: This study aimed to examine the factors affecting bodily pain in women in their middle to older age who are caregivers of stroke patients. Methods: This study selected 75 stroke inpatients and 75 female caregivers in their middle to older age from five hospitals in Daegu and Gyeongbuk. Measurements included general characteristics, cognitive function, upper limb function, and activities of daily living of stroke patients, and general characteristics and bodily pain for the caregivers. We used stepwise multiple regression analysis to determine the factors affecting the bodily pain and Pearson's correlation analysis to confirm the correlation. Results: The factors affecting bodily pain in women in their middle to older age caregivers were the activities of daily living(${\beta}=-.489$, p<.001) and caregiver duration(${\beta}=-.309$, p=.003)($R^2=.276$). Correlation analysis showed that the activities of daily living, upper limb function, and cognitive function of stroke patients were significantly correlated (r=.434~.751, p<.001). Conclusions: The results of this study demonstrate that the functional level of stroke patients being cared for and the caregiver duration are important variables for reducing bodily pain in women in their middle to older age.

A Study on the Recognition and Preference of a Chicken Menu in Adults in the Jeonbuk Area (전북지역 성인의 연령별 닭 메뉴 인지도와 기호도 연구)

  • Rho, Jeong Ok;Kim, Ji Hye
    • Journal of the East Asian Society of Dietary Life
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    • v.23 no.1
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    • pp.12-22
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    • 2013
  • This study investigated the recognition and preference of a chicken menu according to the age of adults in the Jeonbuk area. Self-administered questionnaires were collected from 394 adults (male 55.3%, female 44.7%) residing in the Jeonbuk area. Descriptive and comparative statistical data analysis was completed using SPSS v. 12.0. The frequency of consumption of chicken-containing foods for the younger group (20~30 years old) was significantly higher than the frequency of older groups (over 40) (p<0.001). The younger group also consumed chicken food through a delivery service, whereas the older group consumed chicken through delivery and self-cooking. Approximately 50.0% of the older group preferred the chicken leg whereas 38.1% of the younger group preferred the chicken breast (p<0.001). The most highly recognized chicken menu items, among 36 chicken menus, were Samgyetang (2.93), chicken dori-tang (2.93), and fried chicken (2.93). The older group knew about a chicken menu made by traditional cooking much more than the younger group. The most highly preferred chicken menu item was spicy fried chicken (4.18). The preference for Western-style chicken menu (e.g. Cajun chicken salad, chicken sandwich) was significantly higher in the younger group than the older group (p<0.001, p<0.05). Therefore, to develop a new chicken menu, the consideration of favorite chicken parts and an age-based menu is necessary.

A Study on the Dietary Habit in Residents of Rural District Muan of Chonnam (전남 무안 농촌지역 주민의 식습관 실태조사 연구)

  • Jung, Bok-Mi;Cho, Yoo-Hyang;Jung, Hae-Ok
    • Korean Journal of Community Nutrition
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    • v.11 no.1
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    • pp.83-97
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    • 2006
  • This study was to investigate dietary habit for residents in the rural area of Chonnam, Muan. The subjects were composed of $61.2\%$ male and $38.3\%$ female (510 adults). In regularity of meal time, $56.3\%$ of the subjects had meals regularly. The older people were significantly higher than the younger people at regular intervals of meal times (p < 0.0001) . The majority of the subjects had appropriate meal amounts. $73.5\%$ of the subjects had balanced diets. Unbalanced diet was higher in younger people than in older people. The highest frequency to dining out was once a month and the lower age was significantly higher than older age (p < 0.001) When dining-out, the most important criteria for selecting a meal was the taste of food. $62.4\%$ of the subjects ate meat and greasy animal food more than once a week. The younger in age and higher in educational levels have increased meat intake frequency. In the eating methods of animal fat, $37.5\%$ of the subjects were high by eating generally untouched. The older in age, lower in education level have more increased animal fat intake frequency. $60.7\%$ of the subjects took snacks. The kinds of snacks were fruits, coffee, alcoholic drinks, candies and confectioneries, drinkables and tea, milk and dairy products, in order. Consequently, nutrition education is for them with special emphasis on regularity of meal times, unbalanced diets, dining-out and snacks to the younger people, whereas it is the necessary eating methods of animal fat and snacks to the older people.

Compliance with Respiratory Infection Preventive Behaviors and Its related Factors in Older Adults using a Senior Center

  • Park, Yeon-Hwan;Lee, Seong Hyeon;Yi, Yu Mi;Lee, Chi Young;Lee, Min Hye
    • Research in Community and Public Health Nursing
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    • v.29 no.3
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    • pp.322-334
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    • 2018
  • Purpose: The purpose of this study is to identify factors related to compliance with respiratory infection preventive behaviors including hand washing, cough etiquette, and oral hygiene of older adults. Methods: A cross-sectional study was conducted with a convenience sample of 100 older adults (mean age: $76.11{\pm}6.35$ years, female: 86.0%). Data were collected from a community senior center through face to face interviews by using instruments including measuring knowledge, perceived threat, self-efficacy, compliance with respiratory infection preventive behaviors. Results: The mean score of knowledge was 7.52 out of 13 in total. The compliance with hand washing with soap was 6.0% for 8 or more times per day. Among the participants, 12.0% adhered to the cough etiquette. Sixty-two older adults (62.0%) didn't use interdental brushes or floss at all. The stepwise linear regression indicated that age and self-efficacy for respiratory infection preventive behaviors were significant factors and explained 24.0% of the compliance with hand washing and the cough etiquette. Education level, cancer diagnosis, and self-efficacy for respiratory infection preventive behaviors were significant predictors of oral hygiene. The factor with the greatest effect was self-efficacy in the two models. Conclusion: The findings suggest that it is necessary to improve compliance with respiratory infection preventive behaviors among older adults using senior centers. In order to enhance the compliance, it is necessary to develop nursing programs based on the self-efficacy for respiratory infection preventive behaviors in the senior centers.

The effect of a physical promotion program on health-related quality of life in older adults (노인의 신체활동 증가가 건강관련 삶의 질에 미치는 영향)

  • Lim, In-Hyuk;Um, Ki-Mai;Kim, Hyun-Sook
    • Journal of Korean Physical Therapy Science
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    • v.13 no.3
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    • pp.55-64
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    • 2006
  • Despite well-known benefits of physical activity for older adults, most older adults remain significantly underactive. The purpose of this study was to examine the effects of an inclusive, choice-based physical activity promotion program to increase lifetime physical activity levels of seniors on physical activity & health-related quality of life outcomes in older adults. The physical activity promotion program guided participants to choose activities that took into account their health, preferences, and abilities. It offered information on ways for them to exercise safely, motivate themselves, overcome barriers, and develop a balanced exercise regimen. A six-month comparison-group trial was conducted with older adults in community senior center. Changes in self-reported physical activity & health-related quality of life(SF-36) by group & within group were evaluated using t-test. Of 30 subjects, 22(73%) completed the trial. Subjects were aged 63 to 75 years(mean=$68.36{\pm}4.02$); 86% were female. The intervention group increased estimated caloric expenditure by 1975 calories/week in moderate intensity activities(MET${\geq}3.0$; p=.008), and by 2312 calories/week in physical activities of any intensity(p=.005). Between-group analyses showed that the changes were significantly different in both measures(p=0.17; p=032). The intervention group also significantly better scores on general health perception(p=.031) & vitality(p=.002). Individually tailored programs to encourage lifestyle changes in seniors may be effective and applicable to health care and community settings.

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