• 한국노년학
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• v.38 no.3
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• pp.627-643
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• 2018

This study aims to analyze gender differences in the prevalence of and risk factors for self-neglect among the elderly in South Korea. In order to investigate the differences between male and female elderly group, we compared 793 elderly men and 1,089 women from the data "Research on the Healthy Aging and Well-being of the Elderly" conducted in 2018. First, t-test and ${\chi}^2$-test and multiple regression analysis identified that gender differences in the prevalence of elder self-neglect was not statistically significant. Second, There are differences in risk factors affecting self-neglect between genders. age and class(perception) are the factors only affecting men. Income(monthly), having-religion, living-alone, satisfaction with life, social network are the ones only affecting women. Third, the risk factors for both men and women are depression and social support(public support). It is notable that we verify the empirical evidence supporting the hypothesis that risk factors for elder self-neglect may exist differently according to gender. In particular, gender characteristics revealed in this study can be reasonably explained through exchange theory and feminist theory. Therefore, we emphasize that the policy approach should be done depending on the gender of the elderly, and that the social safety net more paying attention to the depression of the elderly should be strengthened.

• The Journal of the Korea Contents Association
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• v.19 no.12
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• pp.84-92
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• 2019

The deterioration of the urban heat environment due to climate change and the occurrence of heat-related diseases have emerged as one of the major social problems. This has led to more research on climate change, including heat waves, but it is mainly focused on climate factors. However, the urban heat island phenomenon accelerates the summer heat wave, and the increasing trend of heat-related patients in urban areas suggests the impact of the city's environment. Thus, this study analyzed the effects of physical and social characteristics of urban areas on heat-related patients in Seoul and Gyeonggi-do. The analysis showed that the ratio of the total area of residential, commercial and industrial facilities, the main source of heat energy locality, among the land use statuses, was not statistically significant, but the road area and the green area were found to have a positive and negative The population density and the percentage of people aged 65 or older, the percentage of people living alone and the proportion of people receiving basic living were all shown to be significant, with only the ratio of elderly living alone and the ratio of population density having negative effects. The results of the study can be used to develop urban policy alternatives related to local warming patients.

• International Journal of Advanced Culture Technology
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• v.8 no.4
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• pp.82-88
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• 2020

With the development of medical care in the 21st century and the rapid development of the 4th industry, electronic devices and household goods taking into account the physical and mental aging of the silver generation have been developed, and apps related to health and health are generally developed and operated. The apps currently used by the silver generation are a form that provides information on diseases by focusing on prevention rather than treatment, such as safety management apps for the elderly living alone and methods for preventing diseases. There are not many apps that provide information on foods that have a direct effect and nutrients in that food, and research on apps that can obtain information about individual foods is insufficient. In this paper, we propose an app that analyzes food factors and provides self-medication for health promotion of the silver generation. This app allows the silver generation to conveniently and easily obtain information such as nutrients, calories, and efficacy of food they need. In addition, this app collects/categorizes healthy food information through a textom solution-based crawling agent, and stores highly relevant words in a data resource. In addition, wide deep learning was applied to enable self-medication recommendations for food. When this technique is applied, the most appropriate healthy food is suggested to people with similar eating patterns and tastes in the same age group, and users can receive recommendations on customized healthy foods that they need before eating. This made it possible to obtain convenient healthy food information through a customized interface for the elderly through a smartphone.

• Korean Journal of Construction Engineering and Management
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• v.19 no.1
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• pp.21-31
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• 2018

The rapid increase of the elderly living alone is a critical issue in worldwide as it leads to a rapid increase of a social support costs (e.g., medical expenses) for the elderly. In early stages of dementia, the activities of daily living (ADL) including self-care tasks can be affected by abnormal patterns or behaviors and used as an evidence for the early diagnosis. However, extracting activities using non-intrusive approach is still quite challenging and the existing methods are not fully visualized to understand the behavior pattern or routine. To address these issues, this research suggests a model to extract the activities from coarse-grained data (spatio-temporal data log) and visualize the behavioral context information. Our approach shows the process of extracting and visualizing the subject's spaceactivity map presenting the context of each activity (time, room, duration, sequence, frequency). This research contributes to show a possibility of detecting subject's activities and behavioral patterns using coarse-grained data (limited to spatio-temporal information) with little infringement of personal privacy.

• Health Policy and Management
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• v.30 no.2
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• pp.185-191
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• 2020

Background: From January 2018, a policy was applied to differentially apply the co-payment for medical expenses of 15,000 won or more from 30% to 10%-30% for each medical fee. This policy lowers the burden on the medical use of the elderly, and it is necessary to analyze the effect of the policy by confirming changes in medical use and supply behavior after 2 years. Methods: The National Health Insurance Service's national medical use database was used. As for the analysis method, first, the medical use and medical supply behavior change over the age of 65 years were confirmed, and second, in order to check the net effect of the policy, the 66-year-old as the experimental group and the 63-year-old as the control group were selected as the control group. The propensity score matching was performed using the variables of age, living alone, income quartile, residence, disability, chronic disease, and co-morbid disease scores, and then it was analyzed using the difference in difference analysis method. Results: The share of the number of treatments under 15,000 won decreased from 37.0% in 2017 to 20.2% in 2018, while the share of the number of treatments under 15,001-20,000 won increased from 8.0% to 22.7%. It was confirmed that the reason for the increase in the cost of treatment per treatment was the result of the increase in the amount of physical therapy and examination. As a result of the policy effect, the burden of co-payment per person was reduced, and as a result, the number of hospital visits per person and the total medical cost per person increased. Conclusion: The self-pay rate differential policy reduced the burden of medical expenses for the elderly and confirmed the increase in medical use. However, the interpretation of the increase in medical use was not able to distinguish whether the unsatisfactory medical care was satisfied or the inducement demand. Efficient allocation of resources is a more important point in the future when the super-aged society is in front. It is necessary to prepare a plan to induce rational medical use within a range that does not impair the medical accessibility of the elderly.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.1
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• pp.185-193
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• 2012

This study conducted surveys of 88 eldery people over 100 years in Gyeongnam on April to June, 2011 during 90 days. It was intended to find the factors of longevity, Activity Daily of Living (ADL), and Instrumental Activity Daily of Living (IADL). Major results of this study were as follows: The factors of longevity are getting enough sleep over than seven hours(95.5%), taking in less salty food (69.8%), optimism without even thinking about suicide (86.9%), nonsmoking habit (92%), and moderation in drink (86.4%). The most difficult part of Activity Daily of Living (ADL) is taking a bath, and that of Instrumental Activity Daily of Living (IADL) is taking a bus or subway alone. All items of ADL and IADL, female was higher than the male, but not statistically significant(p<0.05). Therefore, further study is expected to develop the supplementary policy to support the elderly people with declining to carry out physical activities. It is also expected to develop the public welfare programs and policies for the aged, allowing them to take responsibility and to participate as a member of the society.

• Journal of Family Relations
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• v.23 no.3
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• pp.3-29
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• 2018

Objectives: The purpose of this study was to investigate the acceptance of family diversity among college students and related variables. Method: Data were collected by a structured questionnaire with 280 students who attended in three universities located in J province. SPSS Statistics Program version 24.0 was used to analyze the collected data. To answer the research questions, descriptive statistics, t-test, F-test, Pearson's correlation analyses, and regression analyses were performed. Results: The major results of the survey were summarized as below. First, the acceptance of family diversity among college students was slightly higher than the middle level(M=12.11). Most students accepted nuclear family as a typical family. More than half of the students accepted single parent families, adaptive families, step families, unmarried mother families, childless couples, homosexual families, elderly women living alone, and families composed of siblings as a family. Second, there was a significant difference by religiosity. Students without religion were higher than their counterparts with religion in a level of family diversity acceptance. Among the individual factors, third, a level of traditional family value had a significant negative effect on a level of family diversity acceptance. And perspective taking had a positive effect on a level of family diversity acceptance. Fourth, among the family factors, parent-child open communication did not affect a level of family diversity acceptance. However, parents' gender egalitarian beliefs had a significant positive effect on a level of family diversity acceptance. Lastly, regarding the relative effects of the personal and family factors, the traditional family value had the largest effect on a level of family diversity acceptance among college students. Conclusions: Base on these results, the implications and limitations of the study were discussed.

• Journal of the Korean Society of Food Culture
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• v.11 no.4
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• pp.455-463
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• 1996

A survey was conducted to investigate the perceptions of health and foods, and the food habits among the elderly men who came to the Tap-Gol park on a daily basis. A total of 253 subjects were selected for this study. The data was analyzed through the $X^2-test$, Duncan's multiple range test and Pearson Correlation by the use of SAS program. The results were as follows. The majority of the subjects were in their 70's. 56.1% of them lived with their sons' families, 9.1% lived alone, and 27.3% lived with a spouse. 32% of the subjects were living with the expense less than 50,000 won per month. Although some were suffering from such diseases as arthritis, indigestion, and hypertension etc., the subjects were generally in good health. Their dependance on dietary supplements were insignificant. Most of the subject had a common-sensible notion as to health. They put emphasis on the three factors for the maintenance of good health: a balanced diet, a peace of mind and exercising. With regard to the food habits, the majority were fair in general. The subject living with family had more regular meals than the single people did. 41.5% of the subjects responded that they had irregular meals, mainly for lunch due to a poor appetite or a financial problem. The respondents cited protein food, milk, fruit, sea weeds and food cooked with oil as conducive to good health. But what they consumed did not match what they thought was good, particularly milk. The results of this study lead to the suggestion that Korea need to develop such a lunch program for the elderly as is practiced in the U.S., through which dietary motivation can be stimulated and a low-priced and balanced diet offered at least for one meal a day.

• Women's Health Nursing
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• v.2 no.1
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• pp.53-67
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• 1996

A total health state evaluation of Korean female elderlies was made by using the questionary scheme measuring the physical, mental and social functions of the elderlies, in order to investigate the critical factors for the health maintenance of female elderlies and to develop their preventive nursing program. A total of 280 subjects over 65 years old living in Seoul and the suburban area were selected and interviewed during the period of September and October in 1995. The materials collected were analyzed statistically by using SAS data processing program, and the results and recommendations are summarized as follows. 1. The physical health state of Korean elderly women was evaluated to be satisfactory by showing an average score of 3.722 in 5.0 full-score scale. But this score was lower than those evaluated for the elderlies combined both sexes(4.054). The mental health state of the subjects was also evaluated as high scoring 3.484, possibly due to the fact that 78% of the subjects lived together with their children's family. On the other hand, the social health state of the subjects was relatively low scoring 2.585, mainly due to that 80% of them was widows which was resulted by the 6-7 years longer life-expectancy of Korean women. 2. A significant differences in the physical health state scores between different age groups was observed, indicating the rapid ageing process occurring in this age group. The family structure was appeared to be an important factor influencing the physical health state of the female elderlies ; the physical health score of the women with her husband only was higher than that of those living with children's families, and the lowest score was obtained from those living alone. 3. The age was the most important factor determining the mental health state of the subjects, while the religion, educational status, marriage state and family structure did not significantly influenced the mental health state of the aged women. 4. The social health state of the subject was deeply influenced by the marriage state and family structure, showing significantly lower scores with widowers compared to the married couples. Those living with their married spouse only obtained the highest social health score, while those living along showed the lowest score. The parent and grandparentship of those living with their children and the religion, especially Catholic and Protestant, had positive influence on the social health state of the aged women. 5. The mental health state of aged women showed significant correlation with the factors determining the physical health, except for digestive system related ability and sexual ability and the highest extra home ability. 6. The mental health state of aged women showed significant correlation with the factors determining social health, especially with the parent and grandparentship and the family relative's role. From these results, the following recommendations are made. 1. Since the physical, mental and social health states of aged people are deeply influenced by the sex and the average values of the both sex can create misleading figures, the health evaluation of the elderlies should be made separately by sex. 2. Since the health state of aged women is highly influenced by their family structure, the spouse's role and living with married couple only should be emphasized in respect of preventive health care. 3. The social activity programs and grandparentship teaching programs should be prepared in the nursing care program for aged people.

• Health Policy and Management
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• v.15 no.4
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• pp.136-160
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• 2005

Before introducing the national long-term care insurance in 2008, the want for long term care service has to be estimated and analysed. This study estimates the demand and analyses what determines the want of long term care service. This study investigated data of 3f6 elderlies, that was collected by age stratified random sampling. The elderies resided in Onyang 4 - dong (urban area) and Dogo-myun (rural area) In the city of Asan. The researchers visited the elderlies and their care giver, and assessed their demand for the long term care service and examined physical, mental, socio-economic status by the assessment tools for Korean Long-Term Care System. $64\%$ of the those who are entitled to be served refuse the long term care service. $26.7\%$ of them wants for home care service and $7.9\%$ want facility care service. It is estimated that the want of home care service are three or four times as much as that of facility care service. The demand for long term care service is 5.155 times higher for those who live in rural area (p=0.000), 3.040 times higher for those who do not have spouse(p=0.057), and 3.356 times higher for the people who is in medicaid than medical insurance(p=0.029). However, income(p=0.782), means(p=0.614), living alone(p=0.223), number of family to live with (p=0.341) and age of the elderly(p=0.420) are not related with the demand of long term care service. The assessment tools for Korean Long-Term Care System for need evaluation of the long term care service can reflect the demand well.(p=0.024) If medical care will cover $80\%$ of total cost, the willingness to pay of the out of pocket money of the people with medical insurance is 67,400 Korean Won(66.77 US$) for the home care service and 182,500 Korean Won(180.78 US$) for the facility care service. There is possibility that long term care demand is still small after Introducing the long term care Insurance due to the care given by family members. When developing service delivery system of long term care insurance, rural area has to be given more consideration than urban area because of the higher demand. The people who do not have spouse or are in medicaid have to be given special consideration as well.