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Comparison of Family Support and Mental Health Between the Rural and Urban Elderly (농촌과 도시지역 노인의 가족지지와 정신건강에 관한 비교)

  • Min, Kyung-Hwa;Kim, Sang-Soon
    • Journal of agricultural medicine and community health
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    • v.20 no.2
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    • pp.175-185
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    • 1995
  • This study is to compare family support and mental health between the rural and the urban elderly. In order to do that I collected the data through questioning 238 people in 3 urban areas in Busan and 201 people in 9 rural areas near Daegu. The degree of their family support is 36.70 on the average in the rural area and 40.77 in the urban area. The degree of family support of urban elderly is a little higher. According to general characters between the differences of family support in both areas, in the rural area there are differences in sex, age, whether they have a spouse or not, education level, financial state, number of children, number of co living, status of co living, subjective health status, amount of pocket money and how much they are participating in leisure activity. In the urban area there are differences in sex, whether they have a spouse or not, religion, financial state, number of co living, status of co living, subjective health status, amount of pocket money, how much they are participating in leisure activity and house pattern. In the stepwise multiple regression analysis the main variables that affect degree of family support in the rural area are age, whether they have a spouse or not and financial state which account for 33% of the total variance and in the urban area are subjective health status, financial state, whether they have a spouse or not and number of co-living which account for 35%. Health status is better in the urban area(average 36.87) than in the rural area(57.42). In each item the people whose mark was more than 75%(low) have Depression 8.4%, Somatization 8.0% in the urban area and Somatization 8.5%, Depression 8.5%, Anxiety 4.0%, Phobic anxiety 4.0%, Obsessive compulsive reaction 2.5%, Hostility 2.0%, Paranoid ideation 2.0%, Psychoticism 1.5% and Interpersonal sensitivity 1.5% in the rural area. In the mental health condition, on the basis of 4 points in both areas, the average is Somatization(rural : 1.69, urban : 1.51), Depression (rural : 1.64, urban : 1.37) and Obsessive compulsive reaction(rural : 1.33, urban : 0.99). According to the differences between mental health conditions by general characters, in the rural area the differences are presented in sex, age, whether they have a spouse or not, religion, education level, financial state, number of children, status of co living, subjective health status, amount of pocket money and how much they are participating in leisure activity, in the urban area the differences are presented in sex, whether they have a spouse or not, religion, financial state, number of co living, status of co living, subjective health status, house pattern, amount of pocket money and how much they are participating in leisure activity. In the stepwise multiple regression analysis the main variables that affect mental health condition in the rural are family support degree subjective health status, religion sex, age and financial state which account for 43% of the total and in the urban area are family support degree, subjective health status and financial state which account for 51%. In the matter of family support degree and mental health condition the rural area was -0.4555, of urban area was -0.6446. The rural area that has a high percentage in family support degree and mental health condition Depression was -0.5036, Psychoticism was -0.4265 in the urban area Psychoticism was -0.6452, Depression was -0.5955. Family support has a great influence on mental health of old people and family support and mental health condition can be different according to living area. So in their problems nursing intervention through family and nursing strategies according to living area should be established.

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Effects of the Leisure Activity and Social Support of the Elderly on Their Psychological Well-Being (노인의 여가활동과 사회적 지지가 심리적 복지감에 미치는 영향)

  • Lee, Gab-Suk;Lim, Wang-Kyu
    • The Journal of the Korea Contents Association
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    • v.12 no.10
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    • pp.291-306
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    • 2012
  • The Purpose of this study was to investigate the effects of the leasure activity and social support of the elderly people on their psychological well-being and the moderating role of social support. For this study, data were collected from 347 old people participating in the leasure activity programs operated by 10 facilities for the aged in Seoul, using structured questionnaires. Hierarchical regression analysis technique was used as a main data analysis method for hypothesis test. This study found that productive leasure activity had a beneficial effect on psychological well-being of the elderly measured in terms of life satisfaction and loneliness, whereas consumptive leasure activity had a positive effect only on life satisfaction; that, with regard to social support, spouse support had the most important effect on life satisfaction, followed by friend support and children support, whereas friend support had the most important effect on loneliness, followed by spouse support; and that the relationship between productive leasure activity and life satisfaction was moderated by spouse support and friend support, whereas the relationship between productive leasure activity and loneliness was moderated by friend support.

Perception of Internet Cyber Community Participants on Reconciliation of Divorced Couple (이혼 후 재결합에 대한 인터넷 사이버공동체 참여자들의 인식)

  • Lim, Choon-Hee
    • The Journal of the Korea Contents Association
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    • v.12 no.10
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    • pp.237-253
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    • 2012
  • The purpose of this study was to examine the perception of cyber community participants on reconciliation of divorced couple and find reasons for pros and cons concerning reconciliation after divorce. The data were collected through searching for website or Internet cafe related to 'reconciliation after divorce' on Internet. The contents of 7 cases for asking for advice on reuniting and opinions of cyber community participants on them were analyzed. Cyber community participants expressed their approval of divorced couple's reuniting for following reasons: 'strong motive for reunion', 'sexual relation with ex-partner', 'parental responsibility', 'regarding reconciliation as a better choice than remarriage', 'regarding as a good choice for child' etc. But cyber community members were opposed to divorced couple's reuniting for following reasons: 'doubt about real intention to reuniting', 'no self-reflection on previous marriage and ex-spouse', 'concern for recurrence of former marital conflict', 'reuniting only for child not for couple', 'no prior settlement of former marital conflict', 'no forgiveness and tolerance for ex-spouse', 'no reflection and change', 'no effort on ex-spouse's side' etc. Though these results were restrictive, this study identified issues surrounding reconciliation after divorce through asking and giving advices by anonymous members on cyberspace. These findings implied that we should take more interest in reconciliation as an realistic alternative marriage pattern after divorce and consider what is important to successful reuniting after divorce.

Relationship between Oral Health Behavior and Happiness Index in Elderly People (노인의 구강보건행태와 행복지수와의 관련성)

  • Lee, Hyun-Ok;Park, Ji-Young
    • Journal of dental hygiene science
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    • v.16 no.6
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    • pp.415-423
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    • 2016
  • This study examined the relationship between oral health behaviors and in senior citizens to determine how to improve their happiness index. The subjects in this study were 260 senior citizens aged 65 years or older, who resided in North Jeolla Province. A survey was conducted from June 17 to 30, 2016. The happiness index of elderly people who brushed their teeth more often and had dental checkups on a regular basis was significantly higher (p<0.05). Evaluation of subfactors associated with quality of life related to oral health showed significant differences in functional disturbances according to gender, age, the presence or absence of a spouse, and the use or nonuse of dentifrice (p<0.05). Physical pain significantly varied with the presence or absence of a spouse, educational level, monthly mean allowance, and regular dental checkups (p<0.05); significant differences were found in psychological discomfort according to gender, tooth brushing frequency, and regular dental checkups (p<0.05). There were significant differences in declining physical capacity according to gender, age, educational level, and monthly mean allowance (p<0.05); waning mental capacity significantly differed with age, living alone or with another person, the presence or absence of a spouse, and regular dental checkups (p<0.05). The factors that influenced the happiness index in senior citizens were age, living alone or with another person, educational level, monthly mean allowance and the Oral Health Impact Profile score (p<0.05). The study showed that measures are needed to improve the quality of life and happiness index in elderly people, including the development of oral health programs for this population.

Personal Growth through Spousal Bereavement in Later Life (노년기 배우자 사별 후 적응과정에서의 개인적 성장)

  • Chang, Sujie
    • Korean Journal of Social Welfare
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    • v.65 no.4
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    • pp.165-193
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    • 2013
  • This study purposes to explore the growing process through spousal bereavement in later life, and to develop the theory. A qualitative research was conducted, and the participants were 17 seniors. The analysis according to Strauss and Corbin's grounded theory(1998), resulted in 143 concepts, 43 subcategories, and 19 categories. Range analysis according to paradigm showed that the causal conditions were 'marital relationships', 'independent/dependent tendencies', and 'emotional readiness for the death of a spouse', and the phenomena were 'depression', 'hopelessness', 'daily stress', 'psychological intimidation', 'regret', and 'sense of being freed'. The contextual conditions that affect these phenomena were 'desire for intimate personal relationships' and 'desire to maintain independence'; the action/interaction strategies to manage the phenomena were 'facing reality' and 'efforts for construction of the new life'; and the mediating conditions that promote or suppress these action/interaction strategies were 'social support' and 'spirituality'. The results were 'reconstruction of the meaning in life', 'increase in self-esteem', 'reinforcement of social network' and 'embrace and acceptance'. Furthermore, when personal growth after bereavement of a spouse was analyzed focusing on changes over time, the growth process consisted of three steps: 'sadness and despair', 'embracing and moving forward', and 'personal growth'. The pattern analyses were performed to typify recurring relations by category, and 5 types were derived. The results of our study show that personal growth after spousal loss is an integrative process in life after crisis, and can be conceptualized as the process of overcoming the despair that immediately follows the death of a spouse, seeking a new life by actively taking control, and discovering a strengthened self.

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Effects of Couple Breast-feeding Education Program for the Enhancement of Primipara Suyu (초산모 모유수유를 위한 부부교육프로그램의 효과)

  • Park, Yun-Hee;Park, Mi-Kyung
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.329-338
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    • 2017
  • The purpose of this study was to develop the couple breast-feeding education program and to investigate the effects of program on breast-feeding self-efficacy, spouse support and breast-feeding satisfaction of primipara. The 3 session(20-40 min/one day) the breastfeeding spouses education program was developed and a non-equivalent control group quasi-experiment design was used. Sixty-three participants were assigned to either the experimental group (n=32) or the control group (n=31). A pre-test and post-test were done to identify the effect of the program. Effects were tested using $x^2$-test, t-test. Scores for breast-feeding self-efficacy(t=3.44, p=.001), spouse support(t=3.03, p=.004) and breast-feeding satisfaction(t=3.64, p=.001) of the experimental group after program were significantly higher than the control group scores. The effects of the couple breast-feeding education program for elevating breast-feeding self-efficacy, spouse support and breast-feeding satisfaction of primipara were validated. Therefore, this program can be recommended for vigorous use in clinical practice.

Research Study on the Marriage View of Partial Unmarried Women -Seen at the Side of Family Health- (일부 미혼여성의 결혼관에 대한 조사연구 - 가족보건 측면을 중심으로 -)

  • Lim, Jin;Kim, Cho-Kang
    • Korean Journal of Health Education and Promotion
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    • v.9 no.1
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    • pp.48-65
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    • 1992
  • The purpose of this study is to examine the influence that the marriage view of unmarried women have on future marriage, and to study which meaning this result have in the family health. Thus, for the study purpose which corresponds with it, the question survey was made, by making 500 unmarried women in the twenties in Seoul, from Aug. 16, 1991 to Sept. 5, 1991. And, as for the concrete survey contents, the idea on the marriage and family, marriage tiem, marriage selection, and the family planning after marriage etc. were center. As for the result examined in accordance with this, the data analysis was made by use of SPSS. And, as a result of the analysis, following conclusion was obtained. 1. About the necessity of marriage, 72.2% among the whole respondents had the affirmative attitude. On the other hand, the negative attitude about the necessity of marriage showed as 8.9%. This result is higher than 4.6% of Japan. Thus, it can be regarded as what reflected the tendency that the spinsterhood is increasing, with the decrease of the necessity about the marriage of the unmarried women of our nation recently. 2. Desiring marriage time is average 26.93 years old. Thus, it foreshowed that the late marriage tendency would continue. The relevancy to this late marriage was high (P<.001), in case that the age is high, and that the education level of parents is low (P<.01), and in case of the lone father and mother(P<.001) 3. The age difference with the spouse at the time of marriage is average 3.1 age. Thus, it was the tendency that 0.2 age was narrowed than the recent data of Statistics Agency. And, the difference appeared narrow, in case that the age of respondent is high and the level of education is high(P<.001). The selection condition of spouse showed the tendency to take a serious view of individual rather than family clan, in the oder of character, health and job etc. In addition, as for the selection method of spouse, the tendency to prefer love marriage to marriage made up by a go-between. And, in case of the respondent whose age is low, education level is high, both parents are in existence (P<.001), number of brother is small, education level of parents is high, it showed to prefer the love marriage(P<.05).

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The Relationship between Stress Coping, Spouse Support, Intentional Rumination and Post-traumatic Growth in Women with Hysterectomy (자궁 절제술을 경험한 여성의 스트레스 대처, 배우자지지, 의도적 반추와 외상 후 성장의 관계)

  • Chae, Yeo-Joo;Kim, Young-Ran;Lee, Ok-Suk;Kim, Bo-Ram;Ko, Young-Shim;Han, Sang-Mi;Ha, Yeong-Mi
    • Journal of the Korea Convergence Society
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    • v.11 no.8
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    • pp.237-245
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    • 2020
  • The purpose of this study was to identify the relationship between stress coping, spouse support, intentional rumination, and post-traumatic growth of subjects who experienced traumatic events hysterectomy. The subjects collected from 67 women who had hysterectomy were analyzed using t-test, ANOVA and multiple regression analysis. As a result of this study, the post-traumatic growth of the subjects was passive coping (r=0.27, p=.026), active coping (r=0.34, p=.004), and intentional reflection (r=0.46, p<.001)), and passive coping was positively correlated with active coping (r=0.74, p<.001). Regression analysis to identify factors affecting on the post-traumatic growth of women with hysterectomy showed that intentional rumination was the significant factor(β = 0.42, p <.001). and their total explanatory power was 26% (F = 8.68, p < .001). Therefore, results of this study, in order to promote post-traumatic growth of subjects with hysterectomy, an intervention program is needed to increase the intentional rumination to effectively face the trauma they suffer.

A Study on the Life Satisfaction of Married Immigrant Women : focusing on ecosystem perspectives (결혼이주여성의 생활만족도에 관한 연구: 생태체계적 관점에서)

  • Kwon, Taeyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.239-250
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    • 2018
  • This study classified the predictors affecting the life satisfaction level of married immigrant women into socio-demographic factors (age, education, personal system factors (Korean proficiency, self-rated health, depressed mood, multicultural attitude), family system factors (spouse relationship satisfaction, child relationship satisfaction, couple conversation time, decision-making status), and social factors (social support, social capital, experience of social discrimination, multicultural family support center use) based on ecosystem perspectives and comprehensively examined their effects. The data for 14,464 married immigrant women from the National Survey on Multicultural Families 2015 were analyzed through hierarchical multiple regression. The findings of this study are as follow. First, the results indicated that all ecosystem factors- that is personal, family, and social system factors-significantly affected life satisfaction level of married immigrant women and especially personal and family system factors increased the predictability on their satisfaction. Second, among all predictors, spouse relationship satisfaction was the factor most strongly associated with life satisfaction. Finally, the income variable among socio-demographic factors, depression among personal system factors, spouse relationship satisfaction among family system factors, and experience of social discrimination among social system factors all showed the strongest significant effects on the life satisfaction level of married immigrant women. These results suggest that comprehensive factors based on the ecosystem perspectives to intervene and promote the life satisfaction of married immigrant women should be considered.

Biochemically-verified Smoking Rate Trends and Factors Associated with Inaccurate Self-reporting of Smoking Habits in Korean Women

  • Kang, Hyun Goo;Kwon, Kyoung Hyun;Lee, In Wook;Jung, Boyoung;Park, Eun-Cheol;Jang, Sung-In
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6807-6812
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    • 2013
  • Background: Lung cancer is a major cause of Korean female mortality and is clearly associated with smoking. The Korean National Health and Nutrition Examination Survey (KNHANES IV-2,3), which included both self-reports of smoking and urinary cotinine data, revealed a significant discrepancy between the prevalence of self-reported and biochemically-verified female smokers. The factors associated with accurate self-reporting of current smoking status remain poorly understood, however. Materials and Methods: We assessed the prevalence of smoking in KNHANES using both self-report and urinary cotinine data. Subsequently, using univariate and multivariate tests, we assessed whether age, intensity of smoking, marital status, relationship with cohabitants, education, occupation, residential area, or annual household income were associated with inaccurate self-reporting in Korean females. We also investigated whether the prevalence of inaccurate self-reports changed over the survey period, 2008-2009. Results: The prevalence of self-reported smoking was 47.8% in males and 6.6% in females. By contrast, the prevalence of smoking as assessed by urinary cotinine levels was 52.2% in males and 14.5% in females. Of the 746 females with urinary cotinine levels >50ng/ml, 407 (56.0%) provided inaccurate self-reports. In a multivariate model, age group(40-49: OR 3.54, 95%CI 1.42-8.86, p=0.007; ref :20-29), cotinine intensity(OR 0.999, 95%CI 0.998-0.999, p<0.001), marital status (married but without spouse: OR 0.37, 95%CI 0.15-0.94, p=0.037; ref :never married), relationship with cohabitants (living with a spouse and unmarried child: OR 2.63, 95%CI 1.44-4.80, p=0.002; living with 2 generations except unmarried child: OR 2.53, 95%CI 1.09-5.87, p=0.030; living with ${\geq}3$ generations: OR 3.25, 95%CI 1.48-7.10, p=0.003; ref :spouse only) and education(college or higher: OR 2.73, 95%CI 1.04-7.18, p=0.042; ref :elementary or less) were independently associated with inaccurate self-reports. Conclusions: The trend of smoking prevalence of Korean females is likely to decrease. However, an elevated prevalence of inaccurate self-reports by females remains. Factors related to the intensity of smoking and family status appear to influence whether a Korean female provides an accurate self-report when asked about smoking behavior.