• 한국노년학
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• v.31 no.1
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• pp.97-109
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• 2011

The purpose of this work is to examine how work stressors are related to the burnout among staff in long-term care facilities for the elderly. This study offers some responses to a growing stress and burnout for the long-term care workers. The demand for long-term care workers is set to rise in light of an increasing share of older people and dependent elderly. Long-term care workers provide long-term care services to persons with a reduced degree of functional, physical or cognitive capacity. Cross-sectional survey data were collected from 216 staff in long-term care facilities. The standardised Maslach Burnout Inventory(MBI) was used to assess levels of burnout in long-term care workers. The MBI consists of 22 items using a 5-point Likert scale, measuring three sub-scales of burnout; Emotional exhaustion, Depersonalization, and Personal accomplishment. Data were analyzed using regression. This study is empirically tested the degree of association between burnout and its antecedents. The majority of differences in burnout could be explained by work stressors such as client relationship, job overload, job role conflict, and conflicts with clients' family. The study also identified workers' perceptions of their image in society and emotional support as predictors of burnout. Therefore long-term care facilities are encouraged to review their practices so that workers well-being is supported. The study findings suggest attention for organizational oriented initiatives to cope with burnout.

• Korean Journal of Social Welfare Studies
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• v.44 no.2
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• pp.327-358
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• 2013

This study aimed to analyze the trajectories of cognitive function and functional disability, and to identify the impacts of socio-demographic factors on the two variables. Based on the assumption that there are differences according to the progress of cognitive impairment, it focused on examining the differences in trajectories of cognitive function and functional disability between two groups: dementia conversion group and dementia non-conversion group among cognitively normal older adults. This study was conducted based on the data from a 3-wave panel study of a sample of 966 Yeoncheon elderly cohort aged 65 and over between 1997 and 2003. Latent growth curve model and multi-group structural equation modeling were used to examine the hypothesis. Results revealed that dementia conversion group exhibited faster rate of cognitive decline as well as lower initial cognitive level. Difference between two groups was not significant in the initial level of functional disability, yet dementia conversion group showed greater degree of deterioration in the functional disability over time than dementia non-conversion group did. In terms of the influence of socio-demographic factors on cognitive function and functional disability, the cognitive decline was more drastic in the female group, whereas functional decline was more apparent for the male group. The level of education in early life had a strong impact on the cognitive function in later life. Based on these findings, practical implication for high risk groups in cognitive function and functional disability were discussed.

• 한국노년학
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• v.37 no.3
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• pp.583-600
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• 2017

The purpose of this study is to explore qualitatively what kind of coping strategy the Korean older adults use when they are depressed and why. Participants were users, older than 60, of an elderly welfare center in Seoul, and answers of 34 respondents who experienced depression were included in the analysis. The collected data were analyzed through content analysis. The results of the analysis showed that strategies to cope with depression used by participants were composed of 6 domains and 11 sub-domains: health behavior (medical approach / exercise and diet), family and social contact (social interaction / going out and going on a trip / communication with family), Religious activities (Religious activities), lifelong education (hobbies / educational activities), productive activities (labor), health risk behaviors (drinking and gambling / resignation). The depression coping strategies of the older adults and their characteristics are as follows. First, older adults used diverse problem-focused coping strategies to cope with depression. Second, older adults considered various coping strategies together and used them simultaneously. Third, the facility space for older adults functions as a shelter. Fourth, although there were cases where medical approach was used, the intention to reuse was very low. Through this study, the following suggestions were made to help older adults cope with depression more successfully. First, access to various coping strategies should be promoted. Second, more places where older adults can spend their time comfortably need to be provided. Third, resistance to mental health care should be resolved.

• 한국노년학
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• v.29 no.2
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• pp.683-699
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• 2009

Family caregiving to the elderly is one of the most important social issues in recent Korea. Among various kinds of family caregivers, spouse caregivers particularly constitute a special group, generally characterized by continuous intimate association with the care recipients at many levels and by special commitments and responsibilities associated with the marriage bond. And the number of spouse caregiver is expected to increase in the future. Moreover, since a conjugal relation is consisted of husband and wife, their caregiving experiences and caregiving burden may vary by gender. Thus, the present study was to examine the effect of caregiving experience, especially caregiving motivation and social support focusing on the gender differences. We analysed 「2001 Survey of Care-giving Status and welfare Needs of Older Persons in Korea」 data by performing descriptive statistics, t-test and logistic regression. As a result, we found that the husband was likely to feel more burden when he started caregiving because of few alternatives. For wife caregivers, the less awareness of social support they had, the more possibility of economic burden they felt. With these results, we suggest the necessity of having gender-sensitive perspective in research and policy making for caregivers.

• Journal of the Korean Society for Library and Information Science
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• v.55 no.4
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• pp.245-266
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• 2021

In this study, in order to practice the social inclusion of libraries, the related policies currently announced in the 3rd Comprehensive Library Development Plan were examined, and the current status of tasks promoted by central administrative agencies and metropolitan and provincial libraries was examined based on these policies. As a result, first, in terms of active information welfare realization, various programs and services are being implemented to bridge the knowledge and information gap, but it seems that the scope of the target should be expanded in the future, cooperation with related organizations, and infrastructure improvement. Second, in terms of expanding the openness of the space, the expansion of the open space as an open space and the application of universal design are being performed. In the future, it seems that the scope of universal design application should be expanded in consideration of budget investment for continuous space reconstruction and diversity of users. Third, in terms of linking services across boundaries, services and programs are provided to infants and toddlers, children, women, the elderly, the underprivileged, job seekers, and multicultural families. In the future, it seems that the improvement of the service system for the expansion of inclusive services in libraries should precede, and cooperation between related ministries should be made to provide differentiated services. Finally, it is expected that future policy-making tasks for social inclusion should be considered not only for books, programs, and spaces, but also for librarians' education, establishment of cooperative networks with related organizations, and marketing for services and programs.

• 한국노년학
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• v.31 no.4
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• pp.1047-1065
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• 2011

The main purpose of this study is to provide the sustainability and continuous development of Long-term care Insurance in projecting changes of the Long-term care Insurance beneficiary population and Cost. We conducted a transformed cohort-component projection method that are employed for the beneficiary population projection and applied the previous experiences in Japan and German. A transformed cohort-component method means that we also projected the increasing beneficiary of long-term care insurance for using the data of geriatric disease in NHIC and estimated the cost of insurance's financial resources. First of all, beneficiary increase and strategy of extending to level 4 are categorized 2 and the expense account projection are categorized 2. If it is thought experience of Japan and German, The Level 4 extend of insuree is projected 2012 or 2013. With the results of this study, we proposed that extended level 4 insuree include the 40%~90% of geriatric disease in elderly people. The number of beneficiaries in 2011 is expected to reach to about 342,896 and in 2015 is 415,905 on scenario 1. Scenario 2(40%of geriatric disease in elderly people), the number of beneficiaries in 2011 is 342,896 and in 2015 is 483,453. Scenario 3(90%of geriatric disease in elderly people), the number of beneficiaries in 2012 is 545,068 and in 2015 is 565,565. The cost of beneficiaries insurance benefit of scenario 1 are projected from 3,000billion in 2012 to 3,500billion won in 2015. Scenario 2 are projected from 3,100billion in 2012 to 4,000billion won 2015. Finally, The cost of Level 4 extending are need minimum 300billion to maximum 1,400billion won.

• Korean Journal of Social Welfare
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• v.69 no.2
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• pp.117-141
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• 2017

The purpose of this study is to investigate the differences of the factors affecting the entry of depression by generations and to present a practical strategy for preventing of depression by life-cycle. For this purpose, we analyzed the factors influencing the depression of adults, middle-aged and elderly people through the discrete-time hazard model. The results of this study are as follows: First, the lower the self-esteem, the lower the income satisfaction and the family satisfaction people have, the higher the likelihood of entering the depression they have. In addition, age, educational level, health status, presence of chronic diseases, employment status, regional area, and leisure life satisfaction were variables that showed difference by generation. In the case of adulthood(aged 20 ~ 39), unemployed persons are more likely to enter the depression than younger workers. On the other hand, the middle-aged(40 ~ 64 year olds) are more likely to enter the depression if they are older, have poor health status, have no chronic disease, and have low leisure satisfaction. Finally, older people(aged 65 and over) are more likely to enter the depression when the education level is higher, the health condition is worse, and the leisure satisfaction is lower. If they lived in an urban and rural complex, they are more likely to enter the depression. Based on these results, it is necessary to establish a support plan reflecting the characteristics revealed by generations in order to prevent the entry of depression.

• The Journal of Korean society of community based occupational therapy
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• v.10 no.2
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• pp.47-61
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• 2020

Objective : This study aim to identify the relationships among the types of physical activities included related included related work, sports, leisure, transport and sedentary behaviors and mental health in elderly person. Methods : We analyzed using the data of the 7th Korea National Health and Nutrition Examination Survey(KNHANES VII-1) of 978 subjects who underwent the types of physical activities, quality of life, depression, level of stress, and sleeping hours survey. For statistical analysis, the Complex samples linear regression was used for relationships among the variables. Results : High level of physical activity and house-keeping activity associated negatively on health related quality of life. Mid-High level of leisure activities associated positively on health related quality of life. Contrasting from other studies, which show sedentary activities associated negatively on the health related quality of life, and sedentary activities associated positively on the health related quality of life and mental health. Conclusion : This study shows that physical and leisure activity of an elderly person whilst sedentary activities related positively on health related quality of life, and physical activities related to labor associated negatively on health related quality of life. Future studies should be referred when planning an occupation-focused and meaningful activity program for the elderly people.

• 한국노년학
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• v.39 no.4
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• pp.959-976
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• 2019

The purpose of this study was to understand socio-demographic factors related to older adults' participation patterns in lifelong education. For the purpose, this study used the raw data of 2017 Survey of the Living Conditions of the Elderly (SLCE) conducted by The Korea Institute for Health and Social Affairs. From the data of 10,073 older adults, their lifelong education participation, participating program types, participating organizations, and participating frequency were analyzed by their sex, age, educational level, household income, the longest job status, and health status. This study found that female, age of 70-74 and 75-79, educational levels of high school and higher, the longest job status of regular employees and unpaid family workers, and decent health status of older adults more participated in lifelong education. According to lifelong education program types, significant differences were found between education groups of middle school/lower and groups of high school/higher and between 1, 2 quintile income groups and 3, 4, 5 quintile income groups. In relation to the participating organizations, groups of 70 years and older, middle school and higher education level, under 3 quintile income, and poor health tended to participate in lifelong education at the elderly welfare center, senior citizens, and elderly classrooms. In terms of participation frequency, high school and college/higher than 0 year of school education, and regular workers than unpaid family workers were more frequently participated in lifelong education. This study showed the inequality in lifelong education participation according to older adults' demographic characteristics; finally, this study suggested necessary policies and academic discussions for future older adults' lifelong education.

• Journal of the Korea Convergence Society
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• v.12 no.9
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• pp.49-56
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• 2021

The purpose of this study was to provide a convergence suggestion of health care and social welfare services by empirically analyzing the effects of chronic diseases and quality of life on subjective health cognition in single-household women aged 60 or over. This study was based on the 2016-2019 Korea National Health and Nutrition Examination Survey, and 1,111 women who had been divorced or bereaved in single-household aged 60 or over were selected. As a result, it was arthritis that showed the largest average difference in subjective health cognition according to the prevalence of chronic diseases. And in the multiple regression analysis that was controlled for demographic characteristics, chronic disease had a negative (-) effect on subjective health cognition, and quality of life had a positive (+) effect on subjective health cognition. The negative (-) factor that had the greatest effect on subjective health cognition was diabetes(-0.084) among chronic diseases, and the positive (+) factor was mobility(+0.173) among the quality of life. Therefore, it suggests that health care services for chronic diseases should be strengthened in order to improve the subjective health cognition of single-person households over 60 years old, and social welfare policies to improve the quality of life should be considered together in a convergence.