• 제목/요약/키워드: the aged in rural and urban

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지방도시 거주 노인들의 재활서비스에 대한 요구 조사 - 안동시 거주 노인들을 중심으로 - (A Survey of the Rehabilitation Services Needs of the Elderly in Rural Area)

  • 김선엽
    • 한국전문물리치료학회지
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    • 제4권3호
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    • pp.1-16
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    • 1997
  • This study was carried out to find out general characteristics and health-related be haviors of elders aged 60 or over and factors related to their activities of daily living, and thus to contribute to their health maintenance and promotion. The subjects were 200 elders who had resided at An-Dong city and participated in this study. To collect data, the field survey was conducted from December 13 to 23, 1996 with structured questionnaires by 6 trained student interviewers. Chi-square test, t-test and Pearson's correlation were used for data analysis by use of SPSS/$PC^+$ program. The major findings were as follows; 1) In the individual characteristics of the respondents, the average age were 73.6 years old. 21.5% of the subjects were 60-69 years old, while 27.5% were 70-74 years old, 25.0% were 75-79 years old, 26.0% were 80 years old or over. 2) For the degree of the subject's perceptive health condition, the aver age 3.39 point and standard deviation 1.09. The perceptive health condition of the subjects was in the mid point range of health condition. 3) 46.6% of men and 25.8% of women practiced exercise regularly for their health maintenance and promotion. 4) For the degree of the subject's perceptive health condition, the difference by sex was not statistically significant. 5) 51.8% of men and 60.2% of women has idea for interventions to health promotion program by rehabilitation services.

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Effects of Multifactorial and Follow-up Programs Applying a Capacity Building Strategy: Focusing on Older Adults Living in a Urban-rural Complex Area

  • Han, Song YI;Ko, Young;Kim, Hee Ryang;Kim, Jiyoun
    • 지역사회간호학회지
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    • 제30권2호
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    • pp.243-255
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    • 2019
  • Purpose: The purpose of this study is to examine effects of a multifactorial program for preventing the frailty of older adults and effects of a follow-up program applying a capacity building strategy. Methods: A quasi-experimental pretest-posttest design was used for the nonequivalent control group. The follow-up group (n=75) and non-follow-up group (n=68) received the same multifactorial program comprising muscle strength exercise, cognitive training, and psychosocial programs for 12 weeks. After completion of multifactorial program, the follow-up group took follow-up programs applying the capacity building strategy for following 12 weeks. The data of physical function, cognitive function, and psychological function, and self-rated health were collected from both groups three times: before intervention, after intervention, and 12 weeks after intervention. The data were analyzed using $x^2$ test and t-test. Results: In comparison with the non-follow-up group, the scores of Timed Up & Go Test, and physical activities energy expenditure were significantly improved in the follow-up group. Conclusion: These results indicate that a multifactorial program with follow-up adapting the strategies of capacity building for the older adults group is feasible to prevent the physical frailty in community.

The Factors Affecting on Elderly' Life Satisfaction in the Residential Environments

  • Jeong, Jae Hoon
    • Architectural research
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    • 제16권4호
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    • pp.149-156
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    • 2014
  • This research is designed to identify factors that affect life satisfaction of the Korean elderly by studying residential environments and individual personalities as independent variables, and life satisfaction of the elderly as a dependent variable. It also includes emotional and instrumental support to describe relations between variables as mediating variables. It utilizes a questionnaire survey as its research method and studies those aged 65 and over living in urban, suburban and rural areas. In addition, regression and path analysis is used to identify casual links between different variables. The results are as follows: (1) Direct factors that impact emotional support are home ownership (direct effect= -.18) and transportation services (.15). That is, those who own their home and have easy access to public transpiration show increased levels of emotional support. (2) Direct factors that affect instrumental support are economic status (direct effect= .311) and living arrangement (.17). In other words, those who are financially stable and live with their children have more instrumental support. (3) Factors linked directly to life satisfaction of the elderly are their age (direct effect= -.10), health status (.19), economic status (.25), region of living (.22) and housing type (.19). (4) Among the mediating variables, emotional support has direct effect (.45) while instrumental support has indirect effect (.16).

Leisure Time Physical Activity in Saudi Arabia: Prevalence, Pattern and Determining Factors

  • Amin, Tarek Tawfik;Al Khoudair, Ali Salah;Al Harbi, Mohammad Abdulwahab;Al Ali, Ahmed Radi
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권1호
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    • pp.351-360
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    • 2012
  • Background: Identification of reliable predictors of leisure time physical activity (LTPA) will enable healthcare providers to intervene and change the patterns of LTPA in the population to improve community health. Objectives: The objectives of this study were to determine prevalence and pattern of LTPA among adult Saudis aged 18-65 years, and to define the socio-demographic determinants that correlate with LTPA in Al-Hassa, Saudi Arabia. Subjects and Methods: A cross-sectional study of 2176 adult Saudis attending urban and rural primary health care centers were selected using a multistage proportionate sampling method. Participants were personally interviewed to gather information regarding socio-demographics, physical activity pattern using the Global Physical Activity Questionnaire (GPAQ). Physical activity (PA) in each domain was expressed in metabolic equivalents (METs). Results: The median total METs minutes/week for LTPA for both genders was 256, higher for men (636 METs minutes/week) compared to women (249METs minutes/week). Overall, only 19.8% of the total PA was derived from LTPA. Of the sampled population 50.0% reported doing no leisure activity. Using the cut off of 600 METs-minutes/day or 150 minutes of moderate intensity over 5 or more days/week, only 21.0% of the included sample were considered as being sufficiently active and 10.4% were in the high active category with beneficial health effects. Multivariate regression analysis showed that male, younger age (<35 years), absence of chronic disease conditions and moderate level of total PA were significant predictors for being active in the LTPA domain. Conclusion: The prevalence and intensity of LTPA among the included sample demonstrated low levels. Nearly 80% of the included sample population did not achieve the recommended LTPA level with beneficial health effects. Female gender, urban residence and associated chronic diseases correlated with a low LTPA.

한국 중년여성의 대두식품을 통한 이소플라본 섭취 수준 조사 (Estimated Isoflavone Intake from Soy Products in Korean Middle-aged Women)

  • 이수경;이민준;윤선;권대중
    • 한국식품영양과학회지
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    • 제29권5호
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    • pp.948-956
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    • 2000
  • There is growing evidence that soy isoflavone play beneficial roles in the prevention of chronic diseases such as hormone dependent cancers, cardiovascular diseases, osteoporosis and also reduced incidence of menopausal symptoms. However current data are not sufficient to determine the effective doses for beneficial as well as harmful effects and to support dietary recommendation for isoflavones. Since soy products containing isoflavone are one of the common food items that Koreans consume daily basis, assessing consumption of soy isoflavone by Koreans will give a valuable information on making dietary recommendations for isoflavones. the present study was designed to assess dietary intake of isoflavone of Korean middle-aged women who might receive the most beneficial effects from isoflavone consumption thereby prevent post menopausal related symptoms and diseases. In this study isoflavone contents of soy products were analyzed and soy products and isoflavone consumption of these subjects were assessed by a self-reported dietary questionnaire and isoflavone intake data base. Subjects were consisted of 178 Korean women (35~60 y) who live in urban and rural area. All subjects provided detailed information on demographics, anthropometry, health history, menopausal symptoms, health history, menopausal symptoms, and dietary intake using food frequency questionnaire (FFQ) which was developed for Koreans. The average age of the subjects was 46.6 years. The soy products which the subjects frequently consumed were soybean paste soup, braised fried soybean, tofu residue stew, tofu, soy milk, natto stew, bean sprouts, and soybean broth which contained 10.68 mg, 3.34 mg, 2.44 mg, 2.42 mg, 2.42 mg, 1.12 mg, 1.02 mg, 0.33 mg of isoflavone per 100 g, respectively. The estimated daily intake (EDI) of isoflavones ranged from 0 to 144.3 mg, and the mean daily isoflavone (sum of daidzein and genisten) intake of the subjects was 24.41 mg.

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노인 의료급여 수급권자의 지역별 사례관리 효과에 관한 연구 - 대도시, 중소도시, 농촌 지역을 중심으로 - (A study on the Effectiveness of Case Management in Elderly Medicaid Beneficiaries by Geographic Location)

  • 조정현;김순옥;송명경;임은실
    • 한국보건간호학회지
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    • 제26권2호
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    • pp.289-302
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    • 2012
  • Purpose: The purpose of this study was to compare the effectiveness of case management in elderly medicaid beneficiaries according to geographic location. Methods: Data were collected from 23,633 elderly medicaid beneficiaries assigned from over users of medicaid. We used the need assessment tool developed by the government, which consists of 19 items with four subscales. Results: Among elderly medicaid beneficiaries, statistically significant differences in effectiveness of case management were observed for quality of life, self-care competency, medical care utility, and support system. Differences in case management effectiveness were higher in urban areas than in metropolitan or rural areas. Conclusion: The differentiated and tailored intervention model based on characteristics of participants, resource distribution, and geographic location may be needed for effective case management for elderly medicaid beneficiaries.

일부 도시 지역사회 노인의 우울증 유병률 및 관련 요인 (Prevalence and Correlates of Depression among the Elderly in an Urban Community)

  • 이영훈;신민호;권순석;최성우;이정애;최진수
    • 농촌의학ㆍ지역보건
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    • 제33권3호
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    • pp.303-315
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    • 2008
  • - Abstract - Objectives: The purpose of this study was to estimate the prevalence of depression and identify its related factors among an urban elderly. Methods: The data for this study were obtained from 333 men and 514 women, aged 65-79 years who participated in '2007 community health survey' in Donggu, Gwangju metropolitan city. Their depressive symptoms were measured by Korean version of the Center for Epidemiological Studies-Depression Scale (CES-D). Results: The mean CES-D score (mean±S.D) for all subjects was 7.68±0.31. The mean CES-D score was significantly greater in the women (9.09±0.43) than in the men (5.51±0.39) (p<0.001). The prevalence rates of possible depression (CES-D score ≥16), probable depression (CES-D score≥21), and definite depression (CES-D score≥25) were 8.1%, 5.4%, and 3.9% in men, respectively. The prevalence rates of possible depression, probable depression, and definite depression were 19.5%, 11.1%, and 7.2% in women, respectively. Existence of spouse (no/yes), education level (no/high school or higher), health security system (medical aid/national health insurance), self-reported health status (poor/good), vascular risk factors (present/absent) proved to be statistically significant related factors of depression. Conclusions: This study suggests that a systematic effort and attention to support for elderly people living alone, low educational level, medical aid, poor self-reported health status and vascular risk factors should be promoted to reduce the incidence of depression.

지역사회 노인의 사회적 지지, 고독감, 수면의 질, 지각된 건강상태에 관한 연구 (A Study of Social Support, Loneliness, Sleep Quality, and Perceived Health Status among Community-dwelling Older Adults)

  • 강윤희;김미영;이건정;정덕유;마예원
    • 한국보건간호학회지
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    • 제26권2호
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    • pp.303-313
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    • 2012
  • Purpose: This study was conducted to examine the correlation between social support, loneliness, sleep quality, and perceived health status among community-dwelling older adults. Methods: Older adults who lived in urban and rural local communities were taken into account. Among them, 396 people participated in this study. Path analysis was conducted in order to verify the study model and its verification. SPSS WIN 18.0 and AMOS17.0 were used for analysis of collected data. Results: The results showed that social support had a significant effect on perceived health status (${\beta}$=.17, p= .003) and loneliness (${\beta}$=-.56, p<.001), while loneliness had a significant effect on perceived health status (${\beta}$=-.12, p=.045) and sleep quality (${\beta}$=.20, p<.001). In addition, the results also indicated that sleep quality had a significant influence on perceived health status (${\beta}$=-.16, p <.001). According to results derived from the model, Chi-square=.359, df=1 NC=.359, CFI=1.0, NFI=0.98, RMSEA=.000; thus, the model was shown to be significant. Conclusion: For maintenance of the health of the aged, social support, loneliness, and sleep quality should be secured; in order to realize this, an effort should be made toward health promotion while providing the aged with more social attention.

빈집 현황 및 공간 패턴 변화 연구 (A Study on the Spatial Pattern of Other Vacant Housing)

  • 노민지;유선종
    • 부동산연구
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    • 제27권4호
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    • pp.21-34
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    • 2017
  • 본 연구는 관리되지 않고 방치되어 빈집문제를 야기하는 빈집이 무엇인지, 이러한 빈집이 어디에 얼마나 발생하는지, 어떤 지역을 중심으로 발생하는지 분석하였다. 본 연구의 시간적 범위는 2005, 2010년 두 시점이며, 공간적 범위는 전국으로 분석을 위한 공간의 최소단위는 시군구이다. 분석결과 첫째, 전국 수준에서 관리되지 않고 방치된 기타빈집은 0.6%로 심각하지 않은 것으로 보이나, 지역별 기타빈집의 정도와 유형은 매우 상이한 것으로 나타났다. 구체적으로 지방의 기타빈집은 주로 단독주택에서 발생하고 있지만, 도시의 기타빈집은 주로 아파트에서 발생하는 것으로 나타났다. 둘째, 해당 지역과 주변 지역에서 '기타빈집 비율'이 높은 지역은 시간이 지날수록 주변 지역으로 늘어남과 동시에 특정 지역으로 고착화되는 것으로 나타났다. 본 연구의 분석결과를 통해 첫째, 농촌지역은 단독주택 빈집이 많은 지역을 중심으로 기타빈집과 귀농 귀농 대책을 연계하는 방안을 강구하고, 도심은 과거 대량으로 공급된 아파트가 단숨에 노후화되어 대량의 기타빈집이 발생되지 않도록 노후주택을 관리하고, 둘째, 기타빈집이 고착화되는 지역을 중심으로 빈집관리 우선지역을 선정하여 관리할 것을 제안한다. 마지막으로 기타빈집이 많은 지역은 인구 이동, 인구 감소, 고령화가 심각한 지역으로 빈집이 '지방소멸'의 징후 또는 결과라는 관점에서 빈집문제는 장기적인 관점에서 여러 대책과 함께 논의되어야 할 것이다.

한국형 영아발달사정도구의 개발 (Development of Korean Infant Developmental Assessment Scale)

  • 한경자;방경숙
    • Child Health Nursing Research
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    • 제10권3호
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    • pp.321-331
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    • 2004
  • Purpose: To develop an Infant Developmental Assesment Scale appropriate for Korean infants that includes cultural context. Method: The total sample included 990 infants aged birth to 24months. The developmental tests were conducted at hospital well baby clinic, daycare centers, public health centers and homes located in city, urban and rural areas. Item analysis was done to examine content validity of the scale. Test responses were analyzed by SPSS to examine the inter-rater reliability, and construct validity. Result: Based on the naturalistic observation and analysis of other developmenta l instruments, 260 Korean infant developmental items were created. The mean score of the developmental quotient of 966 infants was 101.63±10.89. Correlation coefficient of inter-rater reliability was .99. In addition, 84.6% of total items showed Kappa .70 and above. The development quotient was significantly different depending upon the residential area and father's occupation, therefore, construct validity using known group technique was supported. Conclusion: The developed instrument can be used to assess the development of handicapped infants, as well as normal infant's general abilities and to study individual differences within the normal range for Korean.

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