• Research in Community and Public Health Nursing
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• v.15 no.4
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• pp.551-565
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• 2004

Purpose: The purpose of this study is to develop a day care center model focused on public health institutions for the elderly residing in their homes. Method: Research design for this study was a mult-level research, which consisted of a related literature review, an Internet search for knowledge of the current situation at home and abroad, on-site interviews, questionnaires collected from a sample of residents in a rural area, and a key-informants approach. Results: 1) The subjects of service - Generalized service should be provided to the elderly, 65 years and older, regardless of their assets. 2) The contents of service - Providing pre-health oriented and post-social welfare service that can integrate and satisfy a wide variety of public health and welfare needs of the elderly would strengthen the health care service of a day care center for the elderly. 3) Delivery system - Basic-level local self-governments should become a central operating body, and establishing a properly adjusted delivery system to a rural area after considering the efficiency and the access of vulnerable rural areas is needed based on modification of 'a Special Law for Agricultural and Fishery Areas' (rural public health center>rural health sub-center ${\rightarrow}$ unified health sub-center ${\rightarrow}$ public health hospital (public health center) ${\rightarrow}$ public welfare office). 4) Facility - Public health facilities such as public health centers and sub-centers should be located in areas that can easily access the facilities. 5) Funding - For day care center for the elderly in local self-government, the central government should modify a relevant implementation of subsidy in and provide some facilities and service regardless of the degree of self reliance of local self-government. 6) Human resources - It is needed to guarantee the period of workers of a day care center for the elderly, at least 3 to 5 years, with considering their specialty on aged care and avoiding circulation based positions. Furthermore, appropriate specially trained personnel such as medical workers and social workers should be placed to take care of both health service and welfare through strengthening of 'rules of law of elderly welfare,' Conclusion: future research is needed to test the model through a demonstration study using a model which may be developed in the future and to standardize the appraisal criteria of people hoping to enter a day care center for the elderly.

• Korean Journal of Community Nutrition
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• v.7 no.3
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• pp.336-344
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• 2002

In this study, nutrient intake status and energy expenditure were examined to investigate the nutritional status of the elderly in a rural community. The results obtained by questionaries, the 24 hour recall method, and time-diary were as follows: The elderly men surveyed were 73.8 years old, on the average. The elderly women surveyed were 73.5 years old, on the average. The proportion of the elderly with diseases was 51.9%. Most of the subjects (86.1%) had a regular meal pattern of consuming three meals a day. The average daily energy intake of the rural elderly was much lower than the Korean RDA. The dietary assessment data showed that each energy intake of the males and the females was 79.5% and 84.3% of the RDA, respectively. The dietary intake of Ca, Fe, niacin, thiamin, and riboflavin was lower than the Korean RDA, and that of P and Vitamin C was adequate. The Fe intake was significantly different with respect to age and sex (p < 0.05). Although, in both elderly men and elderly women it decreased with age, the elderly men's intake was lower than the elderly women's. The heights of the elderly men and the elderly women was 159.7 cm and 147.5 cm, respectively, and the weights were 60.0 kg and 52.2 kg, respectively, and the BMI was in the moderate range. Heights significantly decreased with age (p < 0.05). According to daily living schedules, leisure time (11.0 hour) was the longest, physiological time (9.6 hours) was next, and work time (3.4 hours) was the shortest. Energy expenditure significantly decreased with age (p < 0.01). Energy intake also decreased with aging. Energy balance (energy expenditure/energy intake) was 93.4% in elderly men and 104.0% in elderly women. Especially, in elderly men in the 65 to 74 age range, the energy balance was the lowest, and the nutrient intake was also much lower than that of elderly women.

• The Journal of the Korea Contents Association
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• v.14 no.9
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• pp.298-310
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• 2014

The purpose of this study was to investigate the relationships among social activity, leisure activity and the level of life satisfaction of the rural elderly. 324 data was collected using structured questionnaires from the rural elderly aged 60 plus. The result of this study were as follows. First, the health and economic status of the demographic characteristics affect the level of life satisfaction of the rural elderly. Second, the economic, religious, and participation in community activity had a positive effect on the overall satisfaction level of the rural elderly life. The religious, participation in community activity. affect on the subjective satisfaction level of health positively. And the economic activity had a positive effect on the subjective satisfaction of economic. Third, the hobby and social life activity had a positive effects on the overall satisfaction of life. The hobby, social life and pastime activities had a positive on the subjective satisfaction level of health. And the hobby and social life activities affected on the subjective satisfaction of economic positively.

• Korean Institute of Interior Design Journal
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• v.24 no.2
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• pp.217-226
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• 2015

As the aging society is globally increasing, the guide for the aged-friendly city is suggested by WHO and many cities are preparing to meet with it. The base of this guide for an age-friendly city is an active aging. This study examined how degree the neighborhood environment is age-friendly from older persons' standpoints. The data were collected through the interview with old persons who aged more than 65 years, 117 persons in an urban area and 110 ones in a rural area. The age-friendly degree of neighborhood environment was examined from two aspects. One is how close 12 neighborhood facilities were from the elderly's houses. Another one is how degree the elderly were considered in 4 areas: pedestrian road, traffic, the amount of housing for the elderly, and space layouts of their houses. Findings were as follows. First, the elderly related neighborhood facilities in urban area were closer located to old persons' houses than in rural area, except the senior center. Second, in case of the age-friendly degree of their neighborhood environments, the space layout of house was the highest, and then traffic, pedestrian road, and the amount of housing for the elderly, in order. The consideration degree of wheelchair users was the lowest. Third, the age-friendly degree of pedestrian road, traffic, and room layout of house in rural area were higher than in urban area. However, the amount of housing for the elderly in urban area was higher than in rural area.

• Journal of Families and Better Life
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• v.29 no.3
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• pp.23-41
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• 2011

The purpose of this study is to explore social supports for elderly housing and their residential lives in small cities along rural counties of the United States and Canada, and suggest future implications for age-concentrated rural villages in Korea. In this study, five small and medium cities in non-metropolitan counties of California and Ontario province were visited and elderly residents and service experts were interviewed about their perceptions of community integrated social support networks for senior residences. The senior housing complexes were built due to influx of both metropolitan and rural residents seeking warm localities, traffic connections, business purposes in active production areas. and leisure attractions. There are five main social support networks for senior housing issues in these areas. First, the areas are claimed for senior zones and accordingly health industries are encouraged by local authorities. Second, the community is homogeneously constructed as a senior friendly environment and include features such as an RV park and mobile cottages. Third, senior-helping seniors are offered active work through golf-cluster active retirement communities. Fourth, traditional theme production camps are mobilized by the elderly workers. Lastly, an information system is maintained for screening volunteers and for senior abuse prevention. On the other hand, residential lives are occasionally negatively influenced by unbalanced concentrations of elderly facilities such as nursing stations and funeral homes. For the future of Korean rural elderly policies, suggestions are made as follows: first, an integrated urban and rural township that contains attractive places for early retiring people who seek a warm atmosphere in later life needs to be constructed. Second, an integrated model retirement village of urban and rural retirement life needs to be initiated as a measure of evaluating the adaptation process of movers in senior concentrated zones. Third, a cooperation system among governmental ministries needs to be formed with the long- term goal of establishing a traditional rural town of independent housing districts and medical facilities in rural areas. Fourth, productive and active lifestyles need to be maintained as the local community and government develop successful retirement rural villages, by limiting the expansion of nursing related facilities. Finally, generation integrated visiting welfare programs and services need to be further developed for the housing areas especially in the winter, when social integration and activity are relatively low.

• Journal of the Korean Institute of Rural Architecture
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• v.17 no.1
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• pp.65-72
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• 2015

Recently the concerns of aging & care according to the aged Society were on the increase about Home for the elderly facility. In order to moment, the purpose of this study is to analyze planning direction and Architectural Environments in medium and small scale Elderly Care Facilities. This survey are used to investigate with latest building data, which is Long-term Care Insurance Code for the Elderly was started on July 2008 in Korea. The results of this paper are as follows. First, various type of home for the elderly and the elderly group homes are spread out, attached to day care center type, nursing home type, city region type, countryside rural type, near the university and remodeling type. Secondly, per capita room area-$6.32m^2$ are sufficient in regal comparison with $6.6m^2$. Thirdly, Sunlight environments is inappropriate condition as south direction proportion-41.95%. According to the present situation various facility type and model for our baby boomers generation should be more developed with preemptive systems of senior welfare concept.

• Korean Journal of Adult Nursing
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• v.18 no.1
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• pp.10-21
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• 2006

Purpose: The purpose of this study was to identity the effects of a health promotion program for rural elderly people on self efficacy, health problems, farmers syndrome and quality of life. Method: The study was a nonequivalent control group pre-post experimental design. The data collection was performed from April 12th, 2003 to August 2nd, 2003. The subjects were selected at Mari Myun Geochang Gun in Korea. Fortyfour elders were included in the experimental group and 45 elders were included in the control group. The 16-week health promotion program was given to the experimental group. Data were analyzed by descriptive statistics, $X^2-test$, t-test, paired t-test with SPSS/Win 10.0 program. Result: The experimental group showed a lower scores of health problems and farmers syndrome than the control group, and higher scores of quality of life than the control group. There were no significant differences in self efficacy. Conclusion: From the above results, it can be concluded that the health promotion program for rural elderly is an effective intervention for improving the rural elderly's quality of life and reducing health problems and farmer's syndrome. Therefore, development of strategy that can spread the health promotion program for rural elderly to the elderly of other rural areas are needed.

• Korean Journal of Health Education and Promotion
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• v.21 no.2
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• pp.87-100
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• 2004

Purpose： This study was to identify the degree of health-promoting behavior and quality of life and the factors influencing quality of life of solitary elderly in rural areas. Method： The subjects of this study were 202 solitary elderly, and 65-89, who had been living in four rural areas. Data was collected through 4 questionnaires from July 10th, 2003 to August 30th, 2003. The collected data was analyzed using descriptive statistics, t-test, ANOVA, Duncan's multiple-range test, Pearson correlation coefficient and Stepwise multiple regression with SPSS/PC. Results： The average item score for the health-promoting behavior was 2.43； the highest score on the subscale was self-actualization (M＝2.58) with the lowest being exercise (M＝2.05). 2) The average item score for the quality of life was 2.81； the highest score on the subscale was neighbor relationships (M＝3.27) with the lowest being economic conditions (M＝2.24). There were significant differences in the health-promoting behavior by educational level and leisure-activity, in the quality of life by age and religion. Quality of life scores correlated negatively with depression scores (r＝-.063, p＝.000) and positively with health-promoting behavior (r＝.144, p＝.000), social support scores (r＝.383, p＝.000). Stepwise multiple regression analysis for quality of life revealed that the most powerful predictor was health-promoting behavior. Health-promoting behavior, social support, depression and age explained 51.8％ of the variance. Conclusion： These results suggested that elderly people in rural areas with high degree of quality of life are likely to be high in health-promoting behavior and social support and low in depression. Therefore, it is necessary to develop health promotion programs in due consideration of health-promoting behavior and social support and depression in order to enhance the quality of life of solitary elderly in rural areas.

• The Korean Journal of Community Living Science
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• v.15 no.2
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• pp.137-150
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• 2004

The aged population in Korea, especially in rural areas, has been growing rapidly. The welfare for the rural elderly has become a major concern, however we don't have enough information about that population; we don't even have detailed demographics of it. The present research is aimed at; 1) investigating the tendency and changing geographical distributions of the rural elderly, and 2) introducing GIS(Geographic Information Systems) as a useful tool in analyzing geographical distributions of the aged. The General Census Data from 1960 to 2000 was used to carry out this study. The major findings are; 1) There has been a gradual decrease in the rural population over the past 40 years, but this tendency has slowed down more recently; 2) It was observed that the 'oldest-old' group aged 85 years old and over has actuality increased in rural areas faster than any other age group; 3) The changing patterns of the elderly population were different in metropolitan areas and rural areas. In brief, there are far more aged people, especially of the 'oldest-old' group and females in rural areas than those in urban areas. These population, the 'oldest-old' or females, are the most vulnerable and have the greatest need for social welfare and social services of different kinds.

• Journal of the Korean Institute of Rural Architecture
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• v.21 no.1
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• pp.25-36
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• 2019

This study is a basic study for the planning of rural community center space, which introduced the concept of healthcare. As the rural community center is a place where the elderly in rural areas live mainly during the day, this place is very important place for the healthy life of the rural elderly. We conducted an interview survey for 207 users over 65. The survey was organized with three regions to consider the regional characteristics of the community center users and geographical characteristics. As a result of the analysis of planning elements, the main preferences for indoor and outdoor space elements are planning elements such as safety, air quality, light, and the thermal environment and safety handle, night lights, safety walkway. These preferences should be considered for the more healthy friendly rural community center.