• Title/Summary/Keyword: older population

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Multilevel Analysis of Factors Associated with Perceived Good Health and Multimorbidity among Older Adults: Using the 2017 Community Health Survey

  • Boo, Sunjoo;Han, Young Ran;Choi, Hye Young
    • Research in Community and Public Health Nursing
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    • v.31 no.spc
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    • pp.549-562
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    • 2020
  • Purpose: This study aimed to identify individual- and regional-level factors associated with perceived good health and multimorbidity among older adults. Methods: Secondary analysis of the 2017 Korea Community Health Survey was conducted on a sample of 67,532 older adults. The individual level data set was combined with regional-level factors from the administrative data released on the Korea National Statistical Office website. Distribution of perceived good health and multimorbidity in 254 public health centers were calculated using sampling weights and presented as percentages. Multilevel logistic regression analyses were used to identify individual- and regional-level factors associated with perceived good health and multimorbidity. Results: Overall, 21.1% of subjects perceived their health to be good, ranging from 9.3% to 39.4% by region. The prevalence of multimorbidity was 15.9%, and varied between 6.6% and 22.6% by region. At the individual level, perceived good health was associated with men, younger age, higher educational levels, higher income levels, and those married and living with a partner and maintaining a healthy lifestyle. At the regional level, higher rates of health center personnel among public officials and higher levels of financial independence were associated with perceived good health. Multimorbidity was associated with marital status and healthy lifestyle, and higher rates of health center personnel among public officials. Conclusion: Regional factors such as health care personnel and local economy could affect population health. Our findings suggest the need to consider individual- and regional-level factors to promote good health among older adults and reduce the health gap by region.

The re-projections under 7 age on Korean registered population and a comparison with the reported population statistical data (주민등록 0세-6세 인구의 역 추정과 기존 인구통계와의 출생아수 비교)

  • Kim, Jong-Tae
    • Journal of the Korean Data and Information Science Society
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    • v.20 no.6
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    • pp.1145-1153
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    • 2009
  • The problem of Korean registered population is that population classified by age increases as one grows older until 6 age or 7 age. This paper is to suggest an algorithm of the re-projection under 7 age on Korean registered population and to analysis of comparison with the reported population statistical data. As the result, the reprojections population is trusted in the number of 0 age on the comparison of other reported population statistical data.

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An Analysis on the Spatial Spillover Patterns of Aging Population in Rural Areas (공간자기상관을 활용한 농촌지역 인구 고령화의 공간적 확산 분석)

  • Yeo, Chang-Hwan;Seo, Yun-Hee
    • Journal of the Korean Association of Geographic Information Studies
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    • v.17 no.3
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    • pp.39-53
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    • 2014
  • The Korean population is aging rapidly and a disproportionate share of older people(aged 65 and older) lives in rural areas. The rural population is aging more rapidly than the population in urban area. However, the majority of studies on aging population focuses on an urban area rather than a rural area. Rural areas have been alienated from the priority of the national policy. For these reasons, this study is to show the level of population aging and to analyze the spatial spillover patterns of aging population in rural areas for the establishment of localized policy on population aging. The main findings of this study can be summarized as follows. First, the level of population aging varies in different localities such as socio-economic and locational characteristics. Secondly, there are distinct differences between hot spot region(clustering of high aging index) and cold spot region(clustering of low aging index) in spatio-temporal spillover patterns. This study intends to suggest an useful information to establish the area-specific policy on aging population through the results of analysis.

Models of Care for Frail Older Adults

  • Ersek, Mary;Byun, Eee-Seung
    • Journal of Hospice and Palliative Care
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    • v.14 no.2
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    • pp.71-80
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    • 2011
  • The growth of the aging population in Korea will challenge health and social services. As Korean society changes, the U.S. models of end-of-life care and geriatric care for frail older adults may have increasing relevance for the Korean healthcare system. This article reviews three U.S. models of care for frail older adults: hospice and palliative care, the Program for All-Inclusive Care for the Elderly (PACE), and the transitional care model. We describe the strengths and limitations of each model and discuss ways in which these models could be adapted for the Korean healthcare system.

Gender Differences in Hypertension Control Among Older Korean Adults: Korean Social Life, Health, and Aging Project

  • Chu, Sang Hui;Baek, Ji Won;Kim, Eun Sook;Stefani, Katherine M.;Lee, Won Joon;Park, Yeong-Ran;Youm, Yoosik;Kim, Hyeon Chang
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.1
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    • pp.38-47
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    • 2015
  • Objectives: Controlling blood pressure is a key step in reducing cardiovascular mortality in older adults. Gender differences in patients' attitudes after disease diagnosis and their management of the disease have been identified. However, it is unclear whether gender differences exist in hypertension management among older adults. We hypothesized that gender differences would exist among factors associated with hypertension diagnosis and control among community-dwelling, older adults. Methods: This cross-sectional study analyzed data from 653 Koreans aged ${\geq}60years$ who participated in the Korean Social Life, Health, and Aging Project. Multiple logistic regression was used to compare several variables between undiagnosed and diagnosed hypertension, and between uncontrolled and controlled hypertension. Results: Diabetes was more prevalent in men and women who had uncontrolled hypertension than those with controlled hypertension or undiagnosed hypertension. High body mass index was significantly associated with uncontrolled hypertension only in men. Multiple logistic regression analysis indicated that in women, awareness of one's blood pressure level (odds ratio [OR], 2.86; p=0.003) and the number of blood pressure checkups over the previous year (OR, 1.06; p=0.011) might influence the likelihood of being diagnosed with hypertension. More highly educated women were more likely to have controlled hypertension than non-educated women (OR, 5.23; p=0.013). Conclusions: This study suggests that gender differences exist among factors associated with hypertension diagnosis and control in the study population of community-dwelling, older adults. Education-based health promotion strategies for hypertension control might be more effective in elderly women than in elderly men. Gender-specific approaches may be required to effectively control hypertension among older adults.

A Study on the Adult Internet Usage and an Effective Alternative for the Elderly Internet Users in the Aging Society (노인층을 포함한 성인들의 인터넷 이용실태 조사 및 고령화 사회의인터넷 사용자를 위한 효과적 대안)

  • Kwak, Ji-Sun;Park, Min‐Yong
    • Journal of the Ergonomics Society of Korea
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    • v.25 no.4
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    • pp.121-128
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    • 2006
  • Although population of the elderly is increasing rapidly, the older adults are the least users of the Internet in Korea. Prior research suggests that older adults are physically and psychologically disadvantaged when using the Internet. With the existence of the digital divide over different age groups, the objectives of this study were to identify the current status of Internet usage of Korean adults and to suggest some alternatives for solving digital divide on Internet usage. A total of 654 Korean adults, including the elderly, participated in both on-line and off-line (on-site interview) surveys using structured questionnaires. The results of statistical analyses indicated that the gap between the percentages of Internet users in younger and older groups was significantly wide, though many older adults had strong interests of Internet. To reduce this gap on digital divide, with an appropriate help from family and government, several characteristics of the elderly should be considered in designing some age-related web sites. Some effective alternatives suggested in this study may be used as basic data for universal design of Internet-oriented software.

Effect of Anxiety about Climate Change on Life Satisfaction and Mediating Effect of Subjective Health Status (노인의 기후변화 불안감이 생활만족도에 미치는 영향과 주관적 건강의 매개효과)

  • Lee, Sungeun
    • Journal of Environmental Health Sciences
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    • v.45 no.3
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    • pp.267-272
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    • 2019
  • Objectives: The purpose of this study was to examine effect of anxiety about climate change on life satisfaction and mediating effect of subjective health status between anxiety about climate change and life satisfaction among older persons. Methods: This study used data from Statistics Korea 2018 Social Survey and a total of 7,870 older persons aged 65 and over were selected for the analyses. Descriptive statistics was used to identify characteristics of study participants and correlation analysis was used to examine the associations among anxiety about climate change, subjective health status, and life satisfaction. Also, multiple regression analyses were performed to examine effect of anxiety about climate change on life satisfaction and mediating effect of subjective health status between anxiety about climate change and life satisfaction. Results: Study findings show that anxiety about climate change had significant effect on life satisfaction. A higher level of anxiety decreased the level of life satisfaction of the elderly. A higher level of anxiety about climate change also decreased the level of subjective health status. In addition, the effect of anxiety about climate change on life satisfaction was partially mediated by subjective health status. Conclusions: Findings of the study suggest that the needs of older population should be considered in designing policy and interventions on climate change.

New Directions in Communicating Better Nutrition to Older Adults

  • Guldan, Georgia-Sue;Wendy Wai-Hing Hui
    • Journal of Community Nutrition
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    • v.2 no.1
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    • pp.62-70
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    • 2000
  • Nutrition education should be an important component of ongoing health promotion for older adults and their caregivers. This is because prevention through sound nutrition and food hygiene practices and regular excercise is the most cost-effective way to reduce risks for and deal with their major health problems. nutritions education services should effectively promote optimum intake and successful self-care. Unfortunately, however relative to other vulnerable groups, nutrition education for older adults has not been systematically developed or evaluated. Usually oder adults care a lot about their health, so this should be a relatively easy group to teach - but their increasing numbers, longevity and great diversity with respect to health, physical, and economic status and educational level present challenges. Some older adults may not perceive they would benefit from nutrition education, so interesting and motivating them is a challenge. The food and nutrition knowledge of older people has been acquired through a lifetime of experience. For most older adults in the Asian region, their sources are restricted by their restricted education, so that their major sources of information have been informal sources, such as television, radio, friends, family, and perhaps newspapers and magazines if they are literature. Nonetheless, dietary advice for older people should build on their existing knowledge and ingrained values. It should provide information useful in daily food selection, and focus on food, not nutrients - the same foods and groups considered appropriate for younger people, with consistent messages as given throughout the population. Attention must also be paid to discovering learning styles in older people. When we teach in schools, the young students are a captive audience resigned to their learning role. Learning by an older adult, however, reflects an effort to meet his or her perceived needs. Therefore, nutrition education should be a positive experience in a non-threatening environment, relaxed and non-competitive, and perhaps even social environment. The messages also need to be practical and achievable. A needs assessment is essential, because our ability to provide the most effective nutrition education will depend on our success in matching the needs, both perceived and unperceived. of this vulnerable group. Therefore, go to the potential older learners to assess their interest and preferences. Nutrition education activities for older adults are widespread, but few have been evaluated. Evaluation is therefore also recommended, particularly when new methods are used. Tips from other countries for giving successful nutrition education will be given, including some examples of applications as attempted in Hong Kong. Research needs will also be described. In conclusion, successful nutrition education for older adults depends on positive needs-based messages. This is may be hard to do, as few good examples are available to illustrate these principles.

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The Impact of the Financial Crisis on Lifestyle Health Determinants Among Older Adults Living in the Mediterranean Region: The Multinational MEDIS Study (2005-2015)

  • Foscolou, Alexandra;Tyrovolas, Stefanos;Soulis, George;Mariolis, Anargiros;Piscopo, Suzanne;Valacchi, Giuseppe;Anastasiou, Foteini;Lionis, Christos;Zeimbekis, Akis;Tur, Josep-Antoni;Bountziouka, Vassiliki;Tyrovola, Dimitra;Gotsis, Efthimios;Metallinos, George;Matalas, Antonia-Leda;Polychronopoulos, Evangelos;Sidossis, Labros;Panagiotakos, Demosthenes B.
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.1
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    • pp.1-9
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    • 2017
  • Objectives: By the end of the 2000s, the economic situation in many European countries started to deteriorate, generating financial uncertainty, social insecurity and worse health status. The aim of the present study was to investigate how the recent financial crisis has affected the lifestyle health determinants and behaviours of older adults living in the Mediterranean islands. Methods: From 2005 to 2015, a population-based, multi-stage convenience sampling method was used to voluntarily enrol 2749 older adults (50% men) from 20 Mediterranean islands and the rural area of the Mani peninsula. Lifestyle status was evaluated as the cumulative score of four components (range, 0 to 6), that is, smoking habits, diet quality (MedDietScore), depression status (Geriatric Depression Scale) and physical activity. Results: Older Mediterranean people enrolled in the study from 2009 onwards showed social isolation and increased smoking, were more prone to depressive symptoms, and adopted less healthy dietary habits, as compared to their counterparts participating earlier in the study (p<0.05), irrespective of age, gender, several clinical characteristics, or socioeconomic status of the participants (an almost 50% adjusted increase in the lifestyle score from before 2009 to after 2009, p<0.001). Conclusions: A shift towards less healthy behaviours was noticeable after the economic crisis had commenced. Public health interventions should focus on older adults, particularly of lower socioeconomic levels, in order to effectively reduce the burden of cardiometabolic disease at the population level.

The Moderating Effect of Home-Based Welfare Facilities for Older Adults between ADL/IADL and Depressive Symptoms among Korean in Later Life (노인의 일상생활수행능력이 우울감에 미치는 영향에 대한 지역사회 재가노인복지시설의 조절효과)

  • Joo, Susanna;Jun, Heyjung;Choi, Bomi
    • 한국노년학
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    • v.38 no.1
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    • pp.243-259
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    • 2018
  • The purpose of this study is to investigate the moderating effect of home-based welfare facilities for older adults on the associations between the activities of daily living (ADL) / instrumental activities of daily living (IADL) and the depressive symptoms among Koreans in later life. Multilevel analysis was conducted with Korean Longitudinal Study of Aging 5th data and the public report about welfare facilities from Ministry of Health and Welfare in Korea. Samples were 4,139 older adults over 65 years old. The dependent variable was depressive symptoms, and individual level independent variables were ADL and IADL. The ratio of home-based welfare facilities out of 10,000 older adults in each city and province was the moderator. As a result, the effects of ADL on depressive symptoms vary according to the proportion of elderly welfare facilities out of the old population in the community. In specific, the older adults who live in the place where the elderly welfare facility rate was higher were less affected by ADL. Also, the more IADL people had, the more depressive symptoms they had. However, the interaction effect between IADL and the proportion of home-based welfare facilities was not significant. It suggests that delivering welfare services helping ADL through the home-based welfare facilities may be useful for decreasing depressive symptoms. Moreover, considering the proportion of facilities and older population will be helpful to make the welfare facilities efficiently work.