• 한국농촌간호학회지
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• 제2권2호
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• pp.120-126
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• 2007

Purpose: The objective of this study was to evaluate the effects of leisure programs over 8 weeks on elderly women 60 and over who lived in a rural area. Did the program affect feelings of depression and self-esteem? Method: The leisure programs in this study included rhythm gymnastics for elderly women, recreation, balloon art, paper folding, viewing movies, shuttle cock game, exhibition and evaluation activity. As a Quasi-Experimental study, the design of this study was a Nonequivalent Control Group Pretest-Posttest Design. Results: It was shown that leisure programs for elderly women for 8 weeks, consisting of rhythm gymnastics, self-introduction, hobby activities and recreation can reduce depression and enhance the feeling of self-esteem in elderly women in the rural area. Conclusion: It is concluded that public health centers in rural areas should conduct leisure programs during the farmers' slack season, and that the community halls for elders can contribute to improving the life quality of elderly women by being more affirmative and positive if they develop as healthy and active cultural centers where elderly women will want to come and participate.

• 지역사회간호학회지
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• 제27권3호
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• pp.254-261
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• 2016

Purpose: This study was conducted to investigate the correlation between degrees of health promotion behaviors and life satisfaction and effects of health promotion behaviors on life satisfaction in rural elderly women living alone. Methods: A descriptive correlation study was conducted with 189 rural elderly women living alone aged 65 or older in four senior counties in Jeollanam-do. Descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation, and multiple regression. Results: The subjects' health promotion behaviors and life satisfaction were significantly positive. Among the factors influencing the subjects' life satisfaction, nutrition and diet showed the greatest positive effects, followed by exercise and activity, and drinking and smoking. Among them, drinking and smoking had significantly negative influence. Conclusion: Among the health promotion behaviors that influenced life satisfaction, nutrition and diet, exercise and activity, and drinking and smoking were most significant factors. Therefore, this study provided basic data for improving the life satisfaction among rural elderly women living alone.

• 한국주거학회논문집
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• 제17권3호
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• pp.143-155
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• 2006

The purpose of the study was to examine the housing needs of the elderly who lived in rural area and suggest the planning directions of the housing for the rural elderly. The subjects were 192 elderlies who lived in the rural area in Gyeongnam and Chonbuk. They were selected by using the stratified sampling method. Also the interview method was used for collecting the data. The results were as follows: 1) Most of the rural elderly had some problems in their health. Thus, the housing for them should be planned on the basis of their health conditions. 2) The rural elderly had active interaction with their neighborhoods. Therefore, the housing for them should be planned for maintaining this active relation. 3) The rural elderly has lived in their housing for long time and wanted to live there as long as possible. This implies that the concept of 'aging in place' should be considered as one of the Important design issues in the rural housing for the elderly. 4) Even though many rural elderlies didn't know about the planned housing facilities for the elderly, they had intentions to live in there if they were provided in rural area. 5) The rural elderly preferred the monthly payment system or the life long payment system as the payment system of the planned housing facilities for the elderly. Also, they wanted that facility to be maintained by the government. 6) The detached housing type or three story townhouse type which is located in each rural village as small size would be desirable as the housing for the rural elderly. 7) The 10-30 pyung would be desirable as the size of housing unit. Also, 2-6 persons per room in case of sharing a bedroom. 8) Ondol-bang would be desirable however the size of the bedroom should be determined by considering using the bed.

• Journal of Preventive Medicine and Public Health
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• 제52권6호
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• pp.355-365
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• 2019

Objectives: In rural areas of Korea, where public transportation infrastructure is lacking and alternative systems are poor, the elderly experience inconveniences in using healthcare, although their need is high. This study aimed to analyze the association between the convenience of transportation and unmet healthcare needs among the rural elderly. Methods: The data used were collected in the 2016 Community Health Survey among rural elderly individuals aged 65 or older. Dependent variable was the unmet healthcare needs, explanatory variable was the convenience of transportation. The elderly were divided into 3 groups: with no driver in the household, with a driver, and the elderly individual was the driver (the self-driving group). Covariates were classified into predisposing, enabling, and need factors. They included gender, age, education, income, economic activity, household type, motor ability, subjective health level, number of chronic diseases, anxiety/depression, and pain/discomfort. The data were analyzed using logistic regression and stratification. Results: A significant association was found between the convenience of transportation and unmet healthcare needs. When examined unadjusted odds ratio of the group with a driver in the household, using the group with no driver as a reference, was 0.61 (95% confidence interval [CI], 0.54 to 0.68), while that of the self-driving group was 0.34 (95% CI, 0.30 to 0.38). The odds ratios adjusted for all factors were 0.69 (95% CI, 0.59 to 0.80) and 0.79 (95% CI, 0.67 to 0.91). Conclusions: We confirmed a significant association between inconvenient transportation and unmet healthcare needs among the rural elderly even after adjustment for existing known factors. This implies that policies aimed at improving healthcare accessibility must consider the means of transportation available.

• 한국농촌건축학회논문집
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• 제20권4호
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• pp.31-38
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• 2018

The purpose of this study is to analyze the characteristics and changes of elderly households in rural area. The elderly were classified as elderly living alone, elderly couple living together, and elderly living with their children. Data from the survey of Ministry of Health and Welfare conducted in 1998, 2008, 2017 were used for the analysis. The subjects of the study included a sample of 9,401 respondents who represent aged 65 or more in Korea. The result of analysis was as follows; First, over the past 20 years, there has been no significant difference in the composition of the sexes of elderly in rural area, and aging is becoming more serious. Second, elderly living with children continue to decrease, and elderly couple are increasing. The number of elderly living alone is on the increase, but it tends to decrease in 2017. Third, the proportion of houses in elderly households is still very high, but it is gradually decreasing and the proportion of apartments is increasing. Fourth, the frequency of communication with children tended to increase slightly in all household types, while the frequency of encounter decreased slightly in 2008 and then increased in 2017. Fifth, the health status and economic status of the elderly have been gradually improved over the past 20 years. Finally, the emotional support in all elderly households is maintained constantly, but the instrumental support is gradually weakened.

• 보건교육건강증진학회지
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• 제26권2호
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• pp.35-47
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• 2009

Purpose: The purpose of this study was to investigate the chronic disease, health status and lifestyle, and to test the chronic disease and health status and lifestyle of rural elderly by gender. Method: The interview survey was performed in September 2004 with structured questionnaires(Scale of Long-Term Health and Welfare Need Survey) to 770 of the elderly who lived in Muan-Gun of Chunnam Province. The percentage, Chi-squire test and regression method were used for some of the cross-sectional data. Results: The 770 elderly respondents were composed of 51.3% male and 48.7% female. 59.1% of the elderly had chronic disease. About the subjective health status that 54.3% of the respondents have been answered not good health status, 87.9% of the respondents have been health examination. The related variables of chronic disease and general characteristics were education and religious level in male, age, marital status, type of social security, education and religious level in female, and health status variables were subjective health status, cognitive function, ADL, IADL, and lifestyle factors was exercise in male, examination in female. Conclusion: These results suggested that special health promotion and education programs of the health habits such as physical exercise and health examination were necessities for the elderly of rural area.

• 지역사회간호학회지
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• 제14권2호
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• pp.274-286
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• 2003

Purpose: The purpose of this study is to provide a basic data that may help develop health promotion programs by identifying health problems and perceived health status of the rural elderly. Method: The subjects of the study were 366 elders recruited from 24 villages located in Mari Myun, Geochang Gun, Korea. The sample was selected using a quota sampling method. The instruments used in the study included 117 items for health problems and 4 items for perceived health status. The data were analyzed with descriptive statistics, Pearson correlation coefficient, t-test, ANOVA and scheffe test using SPSS program. Results: 1) The most prevalent health problem was ailments in 'musculoskeletal system', followed by 'fatigue', 'eyes and ears', 'genitourinary system', 'mood & temper patterns', 'cardiovascular system', 'digestive system', 'nervous system', 'respiratory system' and 'skin'. 2) Womens health problems were more prevalent than men's health problems. 3) The mean score of perceived health status was 7.68. 4) Health problems of the rural elderly were significantly correlated with demographic variables such as education (F=9.532, p=0.000), gender (t=-4.246, p=0.000), marital status (t=-3.531, p=0.000), family type (F=5.742, p=0.00l), and occupation (t=3.356, p=0.001). 5) Perceived health status of the rural elderly was significantly correlated with demographic variables such as education (F=6.408, p=0.002), gender (t=2.949, p=0.003), marital status (t=0.802, p=0.034), family type (F=4.844, p=0.003), and occupation (t=-2.485, p=0.011). 6) Health problems of the rural elderly were significantly correlated with life style pattern variables such as drinking (F=5.223, p=0.006), smoking (F=4.087, p=0.007), salty food intake (F=3.424, p=0.034), greenish yellow vegetables intake (F=6.343, p=0.002) and fat food intake (F=5.327, p=0.005). 7) Perceived health status of the rural elderly was significantly correlated with life style pattern variables such as sleeping hours (F=3.966, p=0.020) and drinking (F=7.231. p=0.001). Conclusion: The findings of this study indicate that nurses need to understand health problems and perceived health status of the rural elderly and to develop health promotion programs for them in the future in the consideration of regional and environmental elements.

• 보건교육건강증진학회지
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• 제21권2호
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• pp.87-100
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• 2004

Purpose： This study was to identify the degree of health-promoting behavior and quality of life and the factors influencing quality of life of solitary elderly in rural areas. Method： The subjects of this study were 202 solitary elderly, and 65-89, who had been living in four rural areas. Data was collected through 4 questionnaires from July 10th, 2003 to August 30th, 2003. The collected data was analyzed using descriptive statistics, t-test, ANOVA, Duncan's multiple-range test, Pearson correlation coefficient and Stepwise multiple regression with SPSS/PC. Results： The average item score for the health-promoting behavior was 2.43； the highest score on the subscale was self-actualization (M＝2.58) with the lowest being exercise (M＝2.05). 2) The average item score for the quality of life was 2.81； the highest score on the subscale was neighbor relationships (M＝3.27) with the lowest being economic conditions (M＝2.24). There were significant differences in the health-promoting behavior by educational level and leisure-activity, in the quality of life by age and religion. Quality of life scores correlated negatively with depression scores (r＝-.063, p＝.000) and positively with health-promoting behavior (r＝.144, p＝.000), social support scores (r＝.383, p＝.000). Stepwise multiple regression analysis for quality of life revealed that the most powerful predictor was health-promoting behavior. Health-promoting behavior, social support, depression and age explained 51.8％ of the variance. Conclusion： These results suggested that elderly people in rural areas with high degree of quality of life are likely to be high in health-promoting behavior and social support and low in depression. Therefore, it is necessary to develop health promotion programs in due consideration of health-promoting behavior and social support and depression in order to enhance the quality of life of solitary elderly in rural areas.

• Journal of Nutrition and Health
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• 제39권3호
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• pp.286-298
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• 2006

The study aimed to identify major factors related to global self-rated health of the community-dwelling elderly people in rural areas. Interviews were conducted with 433 persons over 65 years of age. The socio-economic characteristics, chronic disease status, measures of functional and mental health, life satisfaction, health-related behaviors including smoking, drinking, exercise, social activity, dietary habit, and food intakes were analyzed to determine their influence on self-rated health index. Data on food intake were obtained through the 24-hour recall method. The self-rated health of rural elderly was poor or very poor as reported by 42.6% and 52.4% of the men and women, respectively. Poor self-rated health was found to be related to elderly aged $65{\sim}74$, female, absence of work, more chronic diseases, dependence on Instrumental Activity Daily Living (IADL), higher mental unhealthy days, lower current life satisfaction, less social activity, lower dietary habit scores, lower intake of total food, fruit, eggs, fishes & shell fishes, vitamin C (%RDA), and Nutrient Adequacy Ratio (NAR). The results of the multiple regression analysis showed that poor self-rated health index is significantly associated with more chronic diseases, mental unhealthy days, gastrointestinal disease, musculoskeletal disease, less social activity, and lower intake of fruits. The results also suggested that improving the nutritional status and functional ability, and reducing the burden of chronic diseases are beneficial to the self-rated health index of the elderly.

• 지역사회간호학회지
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• 제7권2호
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• pp.244-256
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• 1996

This Study was conducted to investigate and compare of elderly lived in a urban and rural Area. The Subject were sampled in convenient sampling and total number of sample were 450 Persons (Urban=150, Rural=300). The Data were collected through one by one interview with interview schedule in the period of March 1-30, 1995. The Study Tools for this study were 1) CMI, 2) Self Rating Score for Health Status, 3) No. of Dignosed Diseases, 4) ADL to investigate for physical health status, 5) IADL for social health status and, 6) Life Satisfaction for psychological health status. The Data was analyzed in percentage, t-test, $x^2$ and pearson correlation by SAS program The Results could be summarized as follows; 1) In the status of physical health, the group of rural elderly were tended to have more physical problems but more active in daily life (ADL, IADL) and more satisfactory psychologically in their life than urban elderly. 2) There were negative correlations between the number of Health Problems and Self Rating Score for Health, ADL, IADL, Life Satisfaction. And there was positive correlation between the Number of Health Problems and Diagnosed Diseases.