• 대한통합의학회지
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• 제9권4호
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• pp.1-9
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• 2021

Purpose : The purpose of this study was to investigate functional disability for the elderly in rural Korea and to identify influencing factors of functional disability. Methods : The data were collected for 76 community-dwelling elderly in rural area and above 65 years. We assessed cognitive function, functional disability, depression using LACLS, WHODAS 2.0, SGDS-K. Data were analyzed using descriptive statistics for general characteristics of subjects, Spearman's correlation among LACLS, SGDS-K, WHODAS 2.0, age, educational levels. And multiple regression was used to find influencing factors of functional disability. Results : As a result of this study, we identified that WHODAS 2.0 total score was 50.59, summary score was 9.94 and functional disability of the elderly in rural area is in the 70^th percentile. The highest level of disability occurred in areas related to 'life activities (household)', 'participation in society' and the lowest level of disability occured in areas of 'self-care', 'getting along with people'. Functional disability was significantly correlated with age (r=.398), cognitive function (r=-.547), depression (r=-.563) but not educational levels (r=-.215). Finally, we confirmed that depression (𝛽=.371), cognitive function (𝛽=-.263), widowed status (𝛽=.303), age (𝛽=.272), non-participation of community program (𝛽=.165) was significantly influencing factors of functional disability and the explanatory power of these factors was 52.80 %. Conclusion : This study revealed important factors of functional disability. Therefore, we need to consider these factors when we developed program related to health for the elderly (aged > 65 years) in rural Korea. Further, we need to standardize WHODAS 2.0 in order to enhance its applicability in clinical practices.

• 한국농촌건축학회논문집
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• 제1권2호
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• pp.53-62
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• 1999

The first of 2000's, Korea will be changed the aging society. And then the many of aged Korean are respected to live alone or with their wives/husbands at the housing for the elderly. Therefore the demand of the housing for the elderly will be increasing rapidly in Korea but it is difficult to provide it to them. The housing policy for the elderly in Korea is not definite so far. For the development of the housing policy for the elderly in Korea, the process of this study is as follows. 1st, The consideration of the residence consciousness of the elderly in Korea. 2nd, Focussing around the welfare of the aged act and the arrangement of agricultural and fishing villages act, the analysis of the housing policy/system for the elderly. 3rd, In conclusion, a proposal for the development of the housing policy for the elderly.

• 가족자원경영과 정책
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• 제20권1호
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• pp.43-60
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• 2016

The purpose of this study was to investigate what life safety services the elderly living alone in rural areas need and to propose the life safety services that they actually need. The research subjects were 1,000 people aged 65 years and over living in the rural areas of Korea. Among the total 1,000 respondents, 283 elderly people who did not live together with their married children were included in this study. Data were analyzed through frequency analysis, descriptive statistics, and multiple regression analysis. The results of this study were as follows. First, the needs of health care services and vehicle support services (when the elderly went to the hospital or walked out) were high. These were services related to health, which means that the health of the elderly is not good and that they are interested in health. Of course, it is important to treat the disease. However, it is more important to prevent disease and maintain health. An expansion of these services is urgently needed. Second, the need for life safety services was affected by the frequency of contact with neighbors, uncomfortable housing, exercise, the frequency of contact with children, gas accidents, and nutrition variables. Through this analysis, we propose to include the housing improvement service, nutrition improvement services, and expanding social relations services in the life safety services.

• 성인간호학회지
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• 제17권3호
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• pp.379-388
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• 2005

Purpose: This study was conducted to explore the degree of depression, perceived health status, chronic disease and quality of life(QOL) among rural elderly and to determine the factors related to their QOL. Method: The design of this study was a correlational study. The subjects were 423 elderly consisted of 157(37.1%) men and 266(62.9%) women dwelling in a rural area of N City. Data were collected from May to December, 2003 using a structured questionnaire. A stepwise multiple regression analysis was performed to identify the factors related to the QOL. Result: It was found that the mean score of QOL was in total with 2.15 out of 5.00 and women elderly's score was significantly lower than men(t=2.20, p=.028). Perceived health status showed statistically significant positive relationship with QOL(r=.608, p<.05), while depression(r=-.751, p<.01) and chronic illness(r=-.336, p<.01) showed statistically significant negative relationship. Depression was found to have the highest correlation with QOL among the subjects. Depression score explained QOL at the most, accounting for 36.8% of the variability, followed by perceived health(8.2%) and the number of chronic illness(.7%). Other factors related to the QOL were economic status and absence of spouse. Conclusion: In order to increase the QOL of rural elderly, it is necessary to decrease the depression, to increase their perceived health status and to decrease the number of chronic illness. We suggest the implementation of a program not only to promote physical health status and self-care ability but to take care of mental health for the rural elderly.

• 한국농촌건축학회논문집
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• 제18권1호
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• pp.39-46
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• 2016

The purpose of this study is to clarify the actual conditions of the floor area of skilled nursing facilities in rural area. The thorough investigation and observation works were made from the viewpoints of floor area of the skilled nursing facilities. This article discusses about the basic condition and the floor area for daily living activities of the elderly in 3 skilled nursing facilities in west gyeongnam province. As the result, There is a wide gap between floor area ratio of skilled nursing facilities. The characteristics of the private establishment skilled nursing facilities in the west gyeongnam province were figured out through the analysis of spatial composition in skilled nursing facilities for the elderly. The skilled nursing facilities in west gyeongnam mainly focus on the living environment orientated toward the bedroom. The difficulty is to encourage the communication between the skilled nursing facility patients because the facilities are composed of small semi-public zone.

• 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.

• 대한가정학회지
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• 제39권11호
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• pp.129-144
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• 2001

In spite of rapid sociocultural changes and an increase in the number of nuclear families in recent years, quite many families in Korea still have taken the extended family form where daughter-in-law provides care for the elderly parents. Even though the nature of the inter-generational relationship in Korea is reciprocal in many regards, most of the studies looked at the burden or costs of coresidence with the elderly parents while relatively little attention has been given to the positive side of the coresidence. This study is an attempt to fill this gap in the area. The purpose of this study is to examine not only the costs but also benefits of the coresidence with the elderly parents. We also explore whether there is a rural-urban differences in costs and benefits of coresidence and related factors. For the purpose, data were gathered from 876 daughters-in-law of three generational family both in rural and urban area, using structured questionnaire. The statistical methods used for data analysis were descriptive statistics, cross tables, and regression analysis with SPSS/PC+ program. The major findings of this study were as follows: Marital and economic status of the elderly parents, age, job status and filial responsibility attitude of caregiver, sibling support, and coresidence duration were the significant variables predicting the level of perceived benefits. Marital status of elderly parents, income, job status, educational level, and filial responsibility altitude of caregiver, residence region affected the level of perceived costs. Rural-urban differences are found in many aspects of coresidence experiences and related factors. Rural caregivers receive higher level of the sibling support, have more traditional final responsibility altitude and perceived less costs and more benefit than urban caregivers. There also are differences in the factors influencing the level of perceived costs and benefits between rural and urban area. Level of sibling support and final responsibility attitude have significant impact on both the perceived costs and benefits. But there are differences in terms of that perceived costs and benefits of urban caregivers are affected by job status of caregivers while those of rural caregivers are affected by educational level of caregivers and marital status of elderly. The results confirm that Korean caregivers experience both positive and negative aspects of coresidence and shows that the nature of the inter-generational relationships differ between rural and urban Korea.

• 가족자원경영과 정책
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• 제21권3호
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• pp.23-42
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• 2017

The purpose of this study was to identify the social networks used by the rural elderly and to analyze the effects of these social networks on the need for life services. The research subjects were 1,000 people aged 65 years and over living in the rural areas of Korea. Among the total 1,000 respondents, 979 elderly who have children were included in this study. The data were analyzed using frequency analysis, descriptive statistics, and multiple regression analysis. The results of this study were as follows. First, the frequency of contact with friends/neighbors was higher than that of children, whereas the social support of children was higher than that of friends/neighbors(excluding physical support). Second, the rate of use of home services and the elderly welfare center was very low. Promotion, a minimum cost burden, convenient transportation (circulation bus operation, etc.), and the provision of visiting services are examples of ways to be using them much more. Third, the elderly who do not live with their children have a higher need for life services. As well unlike the elderly who live with their children, in the case of the elderly who do not live with their children, the necessity for life services was influenced not only by their children but also by the relationship with their friends/neighbors and by home services. This implies that comprehensive social networks are important for the elderly who do not live with their children. Therefore, it is necessary to activate the social support of the community as well as of children and friends/neighbors.

• 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.

• 한국지역사회생활과학회지
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• 제21권2호
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• pp.201-210
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• 2010

Over the past few decades, the proportion of elderly people in Korea has been rapidly increasing. In particular, rural areas are experiencing aging of communities more rapidly compared to urban areas. However, public policy for the elderly does not respond to the needs of rural elderly. To distribute health care resources equitably, it is necessary to gather reliable information on the health status of the elderly. The purpose of this study is to explore factors affecting Korean elderly people's ADL functional status. The data sources are from 2004 Elderly Living Condition Survey. The Analysis sample consists of 3,278 cases. Analysis results show that there is a significant residential variability in education, monthly stipend, living arrangement, subjective health status, regular food in-take, and regular exercise. Logistic regression analysis results also show that 'cognitive ability'(exp(B)=6.603), 'subjective health status'(exp(B)=4.576), 'age'(exp(B)=2.610), and 'living arrangement'(exp(B)=.589) are factors affecting ADLs. Namely, when a respondent's cognitive ability is limited, subjective health status is poor, or if their age is over 75, the probability of having a limited ADL has been 6.6 times, 4.6 times, and 2.6 times higher than otherwise. Among these variables, cognitive ability was the best explanation. In contrast, respondents who live with a spouse or adult children have a lower probability of having limited ADL compared with those who live alone. Considering that the most critical criteria in determining eligibility for social welfare services is ADLs, the development of appropriate ADL assessment tools is in an urgent need. Without the accurate assessment on ADLs, particularly on rural as well as the urban elderly, it seems to be hard to achieve effectiveness in the health care policy for the elderly.