전․후기 노인들의 사회적 관계와 신체활동 실천과의 관련성

전소연,이석구 한국농촌의학.지역보건학회 2023 농촌의학·지역보건 Vol.48 No.2

Objectives: This study aims to reveal the relationship between social relations and physical activity in the young-old and old-old elderly. Methods: Data from 2020 National survey of Older Koreans were used, and a total of 10,097 subjects over the age of 65 were included in analysis. The dependent variable was physical activity, and the independent variables were social relations barrier and motivational factors. x2-test and binary logistic regression were performed for data analysis. Results: The physical activity rate in the elderly were 40.8% in the young-old and 29.2% in the old-old. The socio-demographic characteristics affecting physical activity were the young-old elderly were sex, residential area, employment status and household income, and the old-old elderly were sex, age, residential area, education level and household income. The social relations barrier factors affecting physical activity were the young-old elderly were number of close friends, family care, exercise information search and video viewing, and the old-old elderly were household type, number of close friends, participation in exercise education, exercise information search and video viewing. The social relations motivational factors affecting physical activity were the young-old elderly were call with children/relative/friend, participation in sports activity, access time from home to parks, and the old-old elderly were call with children/relative/friend, participation in sports activity, satisfaction with green spaces. Conclusions: It was found that social relations barrier and motivational factors of the elderly are important factors to consider when developing physical activity promotion strategy, and there are also difference between the age of the elderly.

취약계층 전기노인과 후기노인의 구강건강실태 : 국민건강영양조사 제7기(2016-2018) 자료를 중심으로

정은주 ( Eun-ju Jung ) 한국치위생학회(구 한국치위생교육학회) 2020 한국치위생학회지 Vol.20 No.6

Objectives: The purpose of this study was to investigate the oral health status and oral health behavior and identify the factors related to the oral health status by age-specific groups in vulnerable elderly individuals. Methods: We used data from the 7th Korea National Health and Nutrition Examination Survey. The differences in the oral health status and oral health behavior by age-specific groups were analyzed using complex sample chi-square tests and a generalized linear model. The relationship between the oral health status and oral health behavior by age-specific groups was analyzed using a complex samples general linear model. Results: The DMFT index of the young-old elderly was 10.65±0.60, and that of the old-old elderly was 12.78±0.72, which was higher. The condition of the mandibular prosthesis was more common in the old-old elderly, and there was a statistically significant difference (p<0.05). The DMFT index in the old-old elderly was found to be higher as the average number of brushings per day decreased, and no oral examination was performed. Conclusions: The vulnerable elderly themselves are interested in maintaining their own health, and the government needs to undertake efforts to reduce the medical blind spots by supporting institutional and environmental conditions so that health care services can be provided to the vulnerable elderly.

전기-후기노인의 질환과 정신건강이 자살생각에 미치는 영향

김창환(Chang-Hwan KIM) 한국의료정보교육협회 2014 보건의료생명과학논문지 Vol.2 No.1

The purpose of the present study is to identify the factors affecting the suicidal ideation of the elderly in Korea. In particular, this study has investigated and identified the relative factors that affect the suicidal ideation of the young-old elderly and the elderly. About 22.3% of the subjects had suicidal ideation. The percentage reporting suicidal ideation among the young-old elderly was 19.2 percent while that among the old-old elderly was 28.7 percent. A survey of 2,794 elderly persons aged 65 years or older, who were listed on the Fifth National Health and Nutrition Examination Survey (KNHANES) which was conducted in 2010-2011. The suicidal ideation of the two groups has been found to be caused by a number of different factors. The young-old elderly with a higher percentage of suicidal ideation were from lower income, Hyperlipidemia, Angina pectoris. In contrast, the old-old elderly who were females and suffered from a Arthirtis and Osteoarthritis, depression experienced for two consecutive weeks, high levels of stress showed a higher percentage of suicidal ideation. The study suggests improvements in targeting the aged and offering customized services in collaboration with the local community. Extra attention should be given to the following: lower income, have chronic disease, Arthirtis, Osteoarthritis, depression experienced for two consecutive weeks, and high levels of stress. The study Also argues that special support and mediation programs should be focused on old-older females who suffer from chronic disease, Arthirtis, Osteoarthritis and bad subjective mental health.

제주지역 노인의 비동거자녀와의 지원교환이 삶의 만족도에 미치는 영향 : 전기노인과 후기노인 비교

김재희(Kim, Jaehee) 한국사회복지실천연구학회 2021 미래사회복지연구 Vol.12 No.2

본 연구는 제주지역 노인의 비동거자녀와의 지원교환이 삶의 만족도에 미치는 영향을 전기노인과 후기노인 집단으로 구분하여 비교 분석하였다. 이를 위하여 보건복지부와 한국보건사회연구원에서 2017년에 실시한 노인실태조사의 제주지역 전기노인 200명, 후기노인 232명, 총 432명 자료를 활용하였다. 독립변수인 비동거자녀와의 지원교환은 정서적, 도구적, 신체적, 경제적 영역으로 구분하였고, 다중회귀분석을 통해 전기노인과 후기노인의 비동거자녀와의 지원교환이 삶의 만족도에 미치는 영향을 분석하였다. 주요 결과는 다음과 같다. 첫째, 자녀에게 도움받음은 도구적, 신체적, 경제적 지원 영역에서 전기노인보다 후기노인이 더 높게 나타났다. 반면, 자녀에게 도움줌은 경제적 지원 영역에서 후기노인보다 전기노인이 더 높게 나타났다. 둘째, 지원교환이 삶의 만족도에 미치는 영향을 분석한 결과, 전기노인 집단에서는 지원교환 변인들이 삶의 만족도에 유의미한 영향을 미치지 않았다. 반면, 후기노인 집단에서는 자녀에게 정서적 지원을 많이 제공할수록, 경제적 지원을 많이 제공할수록 노인의 삶의 만족도가 높아지는 것으로 나타났다. 연구 결과, 전기노인과 후기노인의 비동거자녀와의 지원교환 수준에 차이가 있고, 삶의 만족도에 영향을 미치는 비동거자녀와의 지원교환 영역이 다르게 나타남을 확인할 수 있었다. 이를 바탕으로 제주지역 노인의 비동거자녀와의 지원교환 특성과 그에 따른 시사점을 논의하고, 노인의 삶의 만족도를 증진할 수 있는 노인가족복지 정책적·실천적 제언을 제시하였다. This study compared the influence of the intergenerational support of children not living with their parents on the life satisfaction of young-old and old-old groups among the Jeju elderly. The study analyzed 432 cases (200 young-old and 232 old-old) of elderly in Jeju from the 2017 national survey of the elderly in Korea. Intergenerational support of children living apart was categorized into four factors: emotional, instrumental, physical, and financial support. The main results are as follows. First, children’s instrumental, physical, and financial support of the elderly score are higher in the old-old than in the young-old category. Besides, the elderly’s financial support of their children shows a higher score in the young-old than the old-old category. Second, in the young-old group, none of the intergenerational support variables influence life satisfaction. However, in the old-old group, the elderly’s providing their children with emotional and financial support positively impacts their life satisfaction. Based on the results, the study discusses improving the young-old and old-old elderly’s life satisfaction by enhancing the relationship between families and their children who live apart.

전ᆞ후기노인의 평생교육프로그램 참여유형에 따른 사회여가문화활동 만족도 연구

황재연 한국성인계속교육학회 2023 성인계속교육연구 Vol.14 No.4

The purpose of this study was to investigate the effect of the elderly's participation type in lifelong education programs on satisfaction with social leisure and cultural activities, in young-old and old-old elderly groups classified based on their sociodemographic characteristics. For the purpose, cross-analysis and binomial and multinomial logistic regression analyzes were conducted using microdata from the 2020 Survey on the Living conditions of the Elderly. First, while there were differences between groups in sociodemographic characteristics and satisfaction with social leisure and cultural activities, there were no differences between groups in the type of participation in lifelong education programs. Second, satisfaction according to type of participation in lifelong education programs was in the order of‘non-participation type’,‘cultural life type’, and ‘employment/start-up type’in the young-old elderly group and, in the old-old elderly group, no significant difference in satisfaction was observed depending on the type of participation. Third, there was a difference in satisfaction with social leisure and cultural activities according to type of participation in lifelong education programs between young-old and old-old elderly groups. Satisfaction with social leisure and cultural activities was high in the ‘employment/start-up type’ group in the yong-old elderly group, while it was high in the ‘cultural life type’ in the old-old elderly group.

비공식 사회지원망 종류와 삶의 만족도 : 전기 노인과 후기 노인의 차이를 중심으로

김영범(Kim, young Bum),윤혜경(Yoon, Hye-Gyung),윤현숙(Yoon, Hyun Sook) 지역사회학회 2019 지역사회학 Vol.20 No.3

본 연구의 목적은 비공식 사회지원망과 노인이 인식하는 삶의 만족도 사이의 관계가 전기 노인과 후기 노인에게서 차이를 보이는지 분석하는데 있다. 본 연구는 비공식 사회지원망을 가족·혈연지원망과 친구·이웃지원망으로 구분한 후 각각의 크기가 삶의 만족과 유의미한 관계를 보이는지 전기 노인과 후기 노인으로 나누어 분석하였다. 본 연구에서는 춘천 지역 거주 65세 이상 노인 1,000명에 대한 조사 결과를 활용하여 분석을 실시하였다. 본 연구의 주요한 결과는 다음과 같다. 첫째, 나이가 들수록 삶의 만족도는 증가하지만 후기 노년기에는 나이와 유의미한 관계를 보이지 않는 것으로 나타났다. 건강관련 요인 중 외로움, 우울이, 사회경제적 요인 중 소득은 노인의 삶의 만족도에 영향을 주는 것으로 나타났다. 둘째, 지원망 전체 크기는 노인의 삶의 만족과 유의미한 관계를 보이는 것으로 나타났다. 셋째, 전기 노인의 경우 가족·혈연이나 친구·이웃지원망의 크기가 삶의 만족과 유의미한 관계를 보이지 않는 반면 후기 노인의 경우 가족 지원망의 크기는 삶의 만족도와 유의미한 관계를 보이는 것으로 나타났다. The purpose of the study was to analyze the relationship between the types of informal social support networks and level of life satisfaction perceived by the elderly. The study focused on the difference of the relationship between the young old and old-old elderly group. This study divided informal social support network into family support network and non-family support network, and analyzed the relationship of each social support network size and life satisfaction in young old and old-old groups. In this study, we analyzed the survey results of 1,000 elderly people over 65 years of age living in Chuncheon. The main results of this study were as follows. First, life satisfaction increased with age, but there was no significant relationship with age in later age. Income among socioeconomic factors and loneliness and depression among health-related factors were found to affect the life satisfaction of the elderly. Second, the overall size of the support network was found to have a significant relationship with the life satisfaction of the elderly. Third, the size of family or non-family support network showed no significant relationship with life satisfaction in the young old elderly group, while the size of family support network had a significant relationship with life satisfaction in the old-old elderly group.

유교문화와 노년

이석주 ( Seog Ju Lee ) 한국사상문화학회 2012 韓國思想과 文化 Vol.63 No.-

Elderly in Korea are facing as an alternative for overcoming the limitations and meaning of old age, were analyzed from two aspects. Especially in old age to a standstill for the misunderstandings and lies the first problem to solve, referring to his own old age Elderly boundaries of the self-proclaimed love of learning (好學), the second, which is called old age by the Elderly understanding of others, or of the third person Elderly roles and reconciliation (和諧) Review the meaning of the problem was through. First, the boundaries of the self-proclaimed love of learning the topic of Elderly in the current Elderly hierarchy in Korea suffered the most serious confusion and opportunity to overcome this internal reflection by none other than the identity of their own, ensuring that the establishment of self can be possible by said. As a first for this methodology to fixing errors on your own is always actively to embrace the attitude that it is important to. Next on his errors and bias control of the acceptance of radical resection and the reason can be related with the others soon means. This reality can maintain such a love of learning for learning as a continuous iterative learning and it will be out by applying in relation to others. Finally, in relation to others, my own passion and interest in how soon can focus on what is an opportunity to establish his identity. This situation toward the batter at the same time as the instrument was out of expanding. Next you need to perform the role as the third person Elderly to perform this role in the ultimate reconciliation directive point is based. And such a thesis based on the Confucian culture of Korea and the Elderly society, a misunderstanding of the correct recognition could make a turning point sought. Where old people to identify themselves properly for the current location, from which Elderly role as a focus is not merely dwell on himself. As for this most basic attempt to reach Elderly themselves to the brink of death through the constant activity in their lives doing the best practical attitude. This is no longer Elderly retired underprivileged in society, rather than understanding, openly practice in older people, faithful to his role as a hierarchy that is Elderly. And those who act as their own old age without resorting to these influences naturally played by gifts unto others soon to expand to meet everyone happy when you finally have a community will be able to configure. This is reconciliation 본고에서는 한국 사회에서 노년이 직면하고 있는 한계와 이를 극복하기 위한 대안으로서 다음 두 측면에서 노년의 의미를 분석했다. 특히 노년에 대한 오해와 답보상태로 놓여있는 문제해결을 첫째, 노년이 자기 스스로에게 일컬을 수 있는 자칭노년의 경계와 호학(好學), 둘째, 노년이 타인에 의해서 일컬어지는 노년의 이해, 즉 타칭노년의 역할과 화해(和諧)에 대한 의미를 통해서 문제를 검토했다. 먼저 자칭노년의 경계와 호학의 논제를 현재 한국 사회에서 노년계층이 겪는 가장 심각한 혼란과 이를 극복할 수 계기가 다름아닌 자신의 내면적 성찰을 통한 주체성의 확보, 즉 자기의 확립에 의해서 가능함을 밝혔다. 이를 위한 방법론으로서 자신의 과실을 고치는 것에 있어서 언제나 적극적으로 포용할 수 있는 자세를 마련하는 것이다. 다음으로, 자신의 과오와 편견에 대한 과감한 절제와 통제의 수용은 곧 타인과의 상관적 사유가 가능함을 의미한다. 이를 위해서 자신을 존립시켜 줄 수 있는 배움으로서의 호학에 대한 끊임없는 반복학습과 이를 타인과의 관계 속에서 적용시켜 나가는 것이다. 마지막으로, 내 자신이 타인과의 관계를 통해서 얼마나 열정과 관심으로 집중할 수 있는지는 곧 자신의 주체성을 확립을 통해서 확인할 수 있다. 동시에 이는 타자의 확충을 위한 계기가 되었다. 다음은 타칭노년으로서 수행해야 할 역할론의 궁극적인 지향점은 화해(和諧)에 두고 있다. 그리고 이 논지를 토대로 한국 사회의 유교문화와 노년에 대한 오해를 올바로 인식시켜 줄 수 있는 전환점을 모색했다. 여기서 노년은 자신에 대한 현위치를 정확히 파악하고, 이로부터 노년으로서 역할론의 초점이 단지 자신에게만 머물지 않게 하는 것이다. 이를 위한 가장 기본적인 시도로서 노년 스스로가 죽음에 이르기 직전까지 끊임없는 활동을 통해서 자신의 삶에 최선을 다하는 실천적인 태도이다. 이는 노년을 더 이상 우리 사회에서 은퇴한 소외된 계층으로 이해하는 것이 아니라, 당당하게 노년층으로서 자기의 역할을 충실히 실천하는 계층으로서의 노년이다. 그리고 이러한 노년이 각자의 역할을 누구에게 의지하지 않고 스스로 자연스럽게 수행해 나감으로써 이같은 영향은 곧바로 타인에게로 확충된다. 그리고 마침내 모두가 만족하는 행복한 공동체 사회를 구성할 수 있게 된다. 이것이 화해(和諧)이다.

농촌지역 전기노인과 후기노인의 건강증진행위 관련요인

이명숙(Myung Suk Lee),임현자(Hyun-Ja Lim) 한국농촌의학 지역보건학회 2010 농촌의학·지역보건 Vol.35 No.4

Objectives: The purpose of this study was to investigate the level of health promoting behaviors and the significant factors in rural elderly(young-old vs old-old). Methods: The data was collected using structured questionnaires from June 22th to Sep. 18th, 2009. A total of 556 elderly aged 65 years or over were selected from 14 rural districts in C province, South Korea. Age was divided into two groups as below 65-74 and 75 or older. A structured questionnaire was used to obtain information on the demographic characteristics, their perceived health status, the difficulty of activities of daily living, quality of life, self-efficacy and health promoting behaviors. The health promoting behaviors included nutrition, stress management, interpersonal support, exercise, health responsibility and self-actualization. The scores for health promoting behaviors were used mean and standard deviation. The data was analyzed using SPSS Win 12.0. Results: Of the 556 subjects, we found that the young-old(65-74 aged) were 359 and the old-old elderly(over 75 aged) were 197. We found that the level of health promoting behavior was higher for young-old (2.75±0.374) compared to old-old elderly people (2.67±0.399). In multiple linear regression, quality of life, self-efficacy, living with spouse, and number of generation living together for the young-old, and quality of life for old-old elderly were significantly associated with health promoting behaviors. Conclusions: The study findings indicate that there are age differences in associated factor of health promoting behaviors. Therefore our findings may provide useful assistance in developing effective intervention programs to improve health promoting behavior of the elderly in rural areas according to their age differences.

Comparison of Center of Force Trajectory during Sit-to-stand Movements Performed by Elderly and Old-old Elderly Subjects

Kim, Min-hee,Yoo, Won-gyu The Society of Physical Therapy Science 2014 JOURNAL OF PHYSICAL THERAPY SCIENCE Vol.26 No.9

<P>[Purpose] This study compared the center of force (COF) trajectory during sit-to-stand (STS) movements performed by elderly and old-old elderly subjects. [Subjects] We recruited 9 elderly and 10 old-old elderly subjects with no knee joint pain or lower limb orthopedic problems. [Methods] The CONFORMat system was used to measure the length of the COF trajectory as the subjects performed the STS task. [Results] The total length of the COF trajectory during the STS movement was significantly greater for the old-old elderly group than for the elderly group. [Conclusion] Our results highlight the need for novel strategies or the development of assistive devices to reduce the COF trajectory during the STS movement for old-old elderly individuals.</P>

후기 독거노인의 성별, 사회경제적 특성과 건강상태, 정신건강관련 요인

김창환(Chang-Hwan Kim) 한국의료정보교육협회 2017 보건의료생명과학논문지 Vol.5 No.1

후기 독거 노인들의 문제는 급격한 신체적, 정신적, 사회적 변화와 가구 소득의 감소로 인한 경제적 어려움, 독거로 인한 외로움과 과도한 스트레스와 우울, 관절염, 요통, 활동제한 등으로 삶의 만족도를 악화되어 자살 생각을 증가시키는 요인으로 작용하고 있다. 이에 제6기(2013년) 국민건강영양조사의 대상자 중 75세 이상의 후기 독거노인을 대상으로 자살 생각 등의 정신건강과 사회경제적 특성간의 관련성을 분석하여, 후기노인의 각종 문제해결을 위한 기초자료를 제공하고자 한다. 국민건강영양조사 제6기(2013)년 1차년도 조사에서 만65세 이상의 노인 1,192명을 대상으로 연구하였다. 빈도분석과 교차분석을 통해 성별, 연령, 소득수준, 스트레스, 우울증상, 활동제한, 관절염과 요통이 자살생각과 관련성이 있는 것으로 나타났다. 회귀분석을 통해 후기 노인의 자살생각 관련요인은 스트레스와 우울, 거동 불편의 활동 제한이 관련성이 높았으며, 후기 여성 독거 노인일수록, 주관적 건강상태가 나쁠수록, 골관절염, 스트레스와 우울 증상 경험, 거동불편에 의한 활동제한을 가질수록 자살생각, 자살계획, 시도율이 높은 것으로 나타났다. 후기 노인의 자살을 예방 관리하는 프로그램은 위험도가 높은 후기 여성 노인을 대상으로 집중 자살 예방 중재 프로그램을 운영하고, 지속적인 관리 프로그램과 사회적 관계망을 통한 참여를 제공하여 사회전반적인 안정망을 높이는 프로그램을 함께 병행 되어야 하겠다. The purpose of the present study was to identify the factors affecting the Life Satisfaction of the old-old elderly. The factors affecting Mental Hathth Status and suicidal ideation of the aged include socioeconomic status, health behaviors, diseases, activity limitation, being mental health, and use of health and medical treatment. The subject was a total of 1,192 elderly persons who are older than 75. They are the old who are listed on the sixth National Health and Nutrition Examination Survey(KNHANES) that was conducted in 2013. The proportion of the old-old elderly who have suicidal ideation was influenced when subjects were female, older elderly living alone and lower subjective health condition, Osteoarthritis, depression and limited activity, showed statistically significant difference. The results suggest that it should be necessary the systematic management of old-old woman elderly in the depression and behavior uncomfortable of the old-old elderly living alone. It is necessary to reinforce community networks and integrated support system, which should provide better linkage between health and welfare sector.