• Journal of Korean society of Dental Hygiene
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• v.20 no.5
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• pp.571-580
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• 2020

Objectives: This study aimed to investigate the factors associated with unmet dental needs among adults with activity limitations. Methods: Data were obtained from the seventh Korean National Health and Nutrition Examination Survey (KNHANES). The final sample consisted of 945 adults aged 20 years or older with limited activity. Logistic regression analysis was used to examine the influence of predisposing, enabling, and need factors on unmet dental needs. Results: The proportion of adults with unmet dental needs during the last year was 52.2% in the middle-aged group and 45.5% in the older adult group. Higher household income was associated with fewer unmet dental needs in both groups. In the older adult group, married people were less likely to have unmet dental needs. In the middle-aged group, adults who perceived their oral health as poor were more likely to have unmet dental needs. Conclusions: All three factors (predisposing, enabling, and need) were found to be associated with unmet dental needs among adults with activity limitations. Special efforts should be made to improve access to dental care services for middle-aged adults with activity limitations.

• Journal of The Korea Institute of Healthcare Architecture
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• v.16 no.3
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• pp.49-56
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• 2010

In Japan, a lot of elderly housing types have been developed in order to meet various needs of the older person and the change of social situations. Elderly housings can be divided into three categories elderly housings for healthy older persons, elderly care homes for the healthy and elderly care facilities for the unhealthy. Elderly housings include public and private rental housings. Sometimes they can be designated only for the elderly. Elderly care homes for the healthy elderly include full fee charging elderly housing, elderly homes, low fee charging elderly homes and care houses. Elderly care facilities for the unhealthy elderly consist of full fee charging elderly care homes, group homes for the dementia, elderly health facilities, nursing homes, elderly hospitals, and so on. However "elderly care facilities" have been proved not to be efficient for the delivery of elderly welfare services nor satisfactory to the frail older person. Therefore, based on the concept of the "Normalization", daily services have been provided for the elderly in order that they can live at their own home in the community for themselves. As a result, Japan aims not only to reduce elderly welfare expenses but also to increase elderly users' satisfaction. Emphasis on non-institutionalization and in-home services, regional characterization, harmony between Hard and Soft, user oriented services, substantiality, universal design and so on are sought for the sake of those goals.

• The Korean Journal of Health Service Management
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• v.12 no.2
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• pp.113-123
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• 2018

Objectives : The purpose of this study was to investigate the effect of participation in social activities on the subjective health satisfaction of the elderly in groups with and without chronic diseases. Methods : Data were used from the "2014 the Korean Elderly Survey" and the subjects were 10,451 persons aged 65 years or older. Data analysis was conducted using SPSS 18.0 statistical package. Results : The results of this study were as follows. In the case of the elderly without chronic diseases, only the employment status (${\beta}=.135$, p<.01) had a significant effect on the health of the elderly. In the case of elderly people with chronic illness, participation in lifelong education (${\beta}=.183$, p<.001), participation in social group (${\beta}=.277$, p<.001), volunteer work experience (${\beta}=.060$, p<.05), and employment status (${\beta}=.342$, p<.001) had a significant effect on health. Conclusions : Policies and systems are needed to actively encourage and support the social activities of the elderly. Additionly, care and attention are needed to provide social jobs for the elderly and build a sustainable network.

• Journal of Korean Academy of Rural Health Nursing
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• v.19 no.1
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• pp.66-74
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• 2024

Purpose: This study evaluates the effectiveness of providing frailty prevention services by living support workers through a case of community resource connection centered on living support workers to revitalize frailty prevention programs for vulnerable elderly people. Methods: This is a research study using secondary data from a neighborhood health-sharing project among the integrated health promotion projects of one public health center in Daegu Metropolitan City. To assess frailty effects pre-assessments were conducted in August, and post-assessments were conducted in November. Frailty was measured using a 20-item frailty instrument used in home healthcare projects. Data were analyzed using the chi-square, independent t-test, and paired t-test. Results: Preliminary measurements showed that older elderly had higher frailty scores than younger elderly. However, among the elderly aged 75 or older the total frailty score decreased statistically significantly from 5.97 points to 5.30 points (t=3.03, p=.003). Conclusion: The older elderly showed greater effect of frailty prevention than the younger elderly.

• 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.

• 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.

• 한국노년학
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• v.32 no.4
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• pp.993-1011
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• 2012

The purpose of this study is to investigate the factors associated with the incidence and the transition of disability among Korean older adults. Samples consist of 1,454(42.7%) men and 2,032(58.3%) women aged 65 and over who participated in the 1st and 2nd wave of the Korea Longitudinal Study of Aging: KLOSA. To estimate the level of disability, ADL and IADL disability indexes are used. As the results, major risk factors for ADL/IADL disability incidence include injury, vision problem, cognitive function, depression, health behavior, socioeconomic characteristics and age. Among the normal older adults, the odds ratio of having dementia symptoms at 2nd wave(2008) are 2.0 times greater for the older adults who have less cognitive function than those who don't have at 1st wave(2006). Among the older adults with chronic diseases, the odds ratio of having disability at 2nd wave are 1.8 times greater for the older persons who have depression than those who don't have at 1st wave. Secondly, concerning the predictors affecting the disability transition among the disabled older adults at 1st wave, the likelihood of remaining at the same level or deteriorating the level of IADL disability, as compared with improving the level, is associated with having less instrumental support or being older. These results indicate that it is necessary to prefer multilevel intervention in order not only to prevent the incidence of disability, but also to prolong the deterioration of disability in the older adults.

• The Journal of the Korea Contents Association
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• v.10 no.4
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• pp.424-432
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• 2010

The purpose of this study was to analyse relationship between leisure sports' activities among older adults on activities of daily living and successful aging. For accomplish this purpose of study, the survey questionnaires were used to collect data. This study firstly set up the population as the Korean elderly who were aged over 65 and living at Seoul as of 2009, 300 persons were chosen by sampling. The numbers, used in actual analysis is leisure sports' activities participant 162, non participant 128. total 300. The statistics method utilized in this study for analyzing the collected data were ANCOVA analysis, multiple regression analysis, path analysis. Activities of daily living reliability is $\alpha$=.876 above and successful aging reliability is $\alpha$=.807 above. The conclusions of this study were as being follows. First, according to the experience of in leisure sports' activities of older adults, it was not difference between the activities of daily living. Secondly, the experience of in leisure sports' activities of older adults had positive effect on successful aging. Thirdly, more intensity of in leisure sports' activities of older adults, had positive effect on instrumental activities of daily living. Fourth, more frequency and intensity of in leisure sports' activities of older adults, had positive effect on social successful aging, more frequency and period(time) of participated in leisure sports' activities of older adults, had positive effect on psychological social successful aging. Finally, the degree of in leisure sports' activities of older adults, had direct or indirect positive effect on activities of daily living and successful aging.

• Korean Institute of Interior Design Journal
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• v.24 no.2
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• pp.217-226
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• 2015

As the aging society is globally increasing, the guide for the aged-friendly city is suggested by WHO and many cities are preparing to meet with it. The base of this guide for an age-friendly city is an active aging. This study examined how degree the neighborhood environment is age-friendly from older persons' standpoints. The data were collected through the interview with old persons who aged more than 65 years, 117 persons in an urban area and 110 ones in a rural area. The age-friendly degree of neighborhood environment was examined from two aspects. One is how close 12 neighborhood facilities were from the elderly's houses. Another one is how degree the elderly were considered in 4 areas: pedestrian road, traffic, the amount of housing for the elderly, and space layouts of their houses. Findings were as follows. First, the elderly related neighborhood facilities in urban area were closer located to old persons' houses than in rural area, except the senior center. Second, in case of the age-friendly degree of their neighborhood environments, the space layout of house was the highest, and then traffic, pedestrian road, and the amount of housing for the elderly, in order. The consideration degree of wheelchair users was the lowest. Third, the age-friendly degree of pedestrian road, traffic, and room layout of house in rural area were higher than in urban area. However, the amount of housing for the elderly in urban area was higher than in rural area.

• Journal of the Korea Society of Computer and Information
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• v.13 no.3
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• pp.77-83
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• 2008

According to the development and expansion of software and hardware about recent information technologies(IT), disabled persons in using IT seem to feel more information gap. Devices for IT are important tools for users including disabled persons to communicate with each other and get information. Although the Korea faces ageing society rapidly, products for disabled persons are seldom shown in time for use. As getting older especially, one of the body function disorders is visual disturbance. There are tools, braille lettering, for disabled persons with visual disturbance to communicate or get information from book. Compared to general books, however, braille lettering book is lack of including all of information of our society. Therefore, in this paper, we implement and show an embedded system for disabled person with visual disturbance to get information by scanning text, extγacting characters and converting the text to speech automatically.