세대통합형 초고령사회 커뮤니티 조성을 위한 지역사회 고령친화정도 분석: 영등포구와 용인시를 중심으로

윤현숙(Yoon, Hyun-sook),전현수(Jeon, Hyeon-Su) 한림대학교 고령사회연구소 2018 한림고령사회연구 Vol.6 No.1

본 연구는 초고령사회에 대응하기 위한 커뮤니티를 조성하는 것이 필요하다는 인식에서 시작한다. 초고령사회에서는 20%의 노인이 아동, 청소년, 청년, 중장년 등 80%의 다양한 세대와 함께 어울려 살아간다. 이러한 초고령사회 커뮤니티를 조성하기 위해서는 어르신들이 지역사회에서 AIP를 실현하며 편안한 삶을 영위함과 동시에 세대 간의 갈등이 없이 함께 교류하는 세대통합적 환경과 인식이 필수적이다. 본 연구에서는 WHO의 고령친화도시 가이드라인을 토대로 영등포구와 용인시를 중심으로 지역사회 고령친화정도 조사를 실시하였다. 연구결과 인식과 태도, 노인의 사회참여, 시민참여와 고용, 존경과 사회적 통합 등의 항목에서 각 세대간 인식 차이가 나타났으며 영등포와 용인시 모두 보건복지서비스 영역의 평균점수가 가장 높았으며 시민참여와 고용 영역의 점수가 가장 낮은 것으로 나타났다. 세대통합형 초고령사회 커뮤니티를 조성하기 위해 어르신들의 사회관계망과 사회참여 확대, 세대 간의 갈등조정 기제가 필요하며 이에 대한 제언으로 향후 초고령사회에 주역이 될 베이비부머 세대를 활용하여 지역사회 내에서 지역사회공헌, 재능기부, 갈등조정 등 다양한 활동을 통해 세대통합형 지역사회를 모색해 볼 수 있겠다. This study begins with the perception that it is necessary to create a community to cope with a super-aged society. In a super-aged society, 20 percent of the elderly live together with 80 percent of the diverse generation, including children, teenagers, youth and middle-aged people. In order to create such a super-aged society community, it is essential for the elderly to realize AIP in their communities, to live a comfortable life, and to have an integrated environment and awareness of the generations in which generations interact without conflicts. In this study, based on WHO’s guidelines for the aged-friendly urban areas, the Yeongdeungpo and Yongin were surveyed on the level of age-related conditions in the community. The study showed that the difference in the recognition and attitude of the elderly, social participation by the elderly, employment and employment, respect and social integration, and that the average score in the health service sector was the highest in both Yeongdeungpo and Yongin. In order to create a super-aged community, we need to expand social relationships, expand social participation, and adjust conflicts among generations.

노인의 독거여부와 사회참여활동수준이 자살생각에 미치는 영향

이정은(Jung-Eun Lee) 한림대학교 고령사회연구소 2020 한림고령사회연구 Vol.8 No.1

본 연구는 노인의 독거여부와 사회참여활동수준에 따른 자살생각을 분석하였다. 이를 위해 전국의 만 65세이상 노인을 대상으로 실시한 ｢2017년도 노인실태조사｣ 자료를 활용하였다. 변수의 결측치를 제외한 10,082명이 분석에 활용되었고, SPSS 25.0을 이용하여 로지스틱 회귀분석을 실시하였다. 본 연구에서는 노인의 독거여부와 사회참여활동수준을 함께 고려하여 독립변수를 설정하였다(1=독거-사회참여활동 적음(reference), 2=독거-사회참여활동 많음, 3=비독거-사회참여활동 적음, 4=비독거-사회참여활동 많음). 독립변수만 모델에 투입한 결과(unadjusted model), 독거이면서 사회참여활동이 적은 집단이 다른 집단들에 비해 자살생각이 높은 것으로 나타났다. 통제변수로 인구사회학적 변수와 건강관련 변수를 투입한 결과(adjusted model), 독거이면서 사회참여활동이 적은 집단에 비해 비독거이면서 사회참여활동이 적은 집단(OR=.461, p<.001)과 비독거이면서 사회참여활동이 많은 집단(OR=.538, p<.001)의 자살생각이 낮은 것으로 나타났다. 본 연구의 결과를 바탕으로 노인의 자살생각을 줄일 수 있는 실천적 근거를 제시하였다. This study was aimed to examine effects of living alone and social participation level on suicidal ideation among older Koreans. For this purpose, data from the 2017 National Survey of Older Koreans were used. After listwise deletion, a total of 10,082 people were used for the analysis, and logistic regression was performed using SPSS 25.0. In this study, an independent variable was assessed with a set of categorical variables considering both living arrangement and social participation level (1=living alone & low social participation, 2=living alone & high social participation, 3=living with others & low social participation, 4=living with others & high social participation). In unadjusted model, living alone & low social participation group showed higher suicidal ideation than other groups. When socio-demographic and health-related variables were controlled, living with others & low social participation group (OR = .461, p <.001) and living with others & high social participation group (OR = .538, p <.001) had lower suicidal ideation than living alone & low social participation group. Based on study results, implications for elderly suicide prevention strategies were suggested.

노인복지 생활시설에서의 노인학대 행위 분석

권금주(Kwon, Kum Ju),이서영(Lee, Seo Young) 한림대학교 고령사회연구소 2014 한림고령사회연구 Vol.2 No.1

The purpose of this study is to analyse the elder abuse behaviors of residential care facilities including homes for the aged, nursing homes, and group homes for aged in Korea. Using the qualitative analysis method, 298 elder abuse cases from 2011 to 2012 were analysed, and the data were classified into 132 behaviors, 43 behavior cluster, 20 sub-categories, and 7 categories of elder abuse occurring at residential care facilities. The seven categories were ‘physical abuse’, ‘emotional abuse’, ‘sexual abuse’, ‘financial exploitation’, ‘neglect’, ‘abandonment’ and ‘environmental neglect.’ Violence using by physical force and various instruments, sexual violence, financial abuse to infringe on lawful rights, and financial neglect to infringe on financial protection for the poor elders were not found at the residential care facilities compared with elder abuse assesment instrument and screening tool. Also, emotional abuse as infringing on autonomy and privacy, financial exploitation as making inappropriate charges of service, and neglect as not reporting elder abuse accidents by co-workers and other elders were found under institutional environments. Comparing with elder abuse assesment instrument and screening tool, ‘environmental neglect was added to the elder abuse categories, due to considering the institutional environmental condition such as making a contract among the elder and the facility and providing the services to the vulnerable elders. The findings of this study have following implications: This study would provide the information to develop elder abuse screening instruments of residental care facilities. Additionally, based on the results of this study, educational materials for facility workers would be provided.

고령화사회 지원을 위한 복지기술 체계와 복지용구산업 발전모델

원병희(Won, Byeong-Hee) 한림대학교 고령사회연구소 2014 한림고령사회연구 Vol.2 No.1

The task for an aging society is to construct a sustainable society and improve the quality of life for the members. Recognizing these fact as basis, this research is to provide a new understanding on the necessity of development for welfare technology and assistive device industry. From this foundation, structuralize the development model to understand technology and industry system. Welfare technology is traditionally compared to and mixed with health (medical) technology. However, welfare technology has independent purpose and content from health technology. Health technology is mainly composed of Med-Bio to overcome disease and disability. whereas welfare technology is composed firstly, support of comfortable everyday live, and secondly of support of social activity for a vital life. The everyday life support here can be interpreted to self-support and to reduce the care burden occurred by physical aging and geriatric illness. Also, social activity support needs a new approach on problem solution more focused on work and leisure rather than the health change of the senior. For the development of the assistive device industry the stakeholder such as government and public sector, supplier, consumer, and intermediary needs to have the proper understanding of their role and balanced development. This is, for example, for a 4-wheel drive car to get to its destination, you need to control the direction (by government and public sector), balanced front-wheel-drive (by supplier; manufacturer and distributer), balanced back-wheel-drive (consumer; home and institution), and proper transmission of engine power to wheels (intermediary). To promote the industry we need to link together to make a synergy between infrastructure, technology development, and government policy to make vitalize the market. Additionally, in the process of developing elderly products, applying a usability test is a valid way of a scientific basis for technology development plan.

Disability Status and Living Arrangements Among Single Asian Older Adults in the United States

Seungah H,Lee 한림대학교 고령사회연구소 2018 한림고령사회연구 Vol.6 No.1

The purpose of this study is to explore the relationship between disability and living arrangements among single Asian older adults in the United States. This study compares six Asian ethnic groups (Chinese, Indian, Korean, Filipinos, Vietnamese, and Japanese), as a majority of older Asians are from one of these six countries. The data from the 2000 5% Public Use Microdata Sample (PUMS) are analyzed to identify the characteristics of Asian older adults’ living arrangements. The findings highlight the importance of measuring disability by its dimensions. It is important to be aware of the Asian ethnic group variations in their living arrangements and to promote well-being of the disabled Asian older adults especially those who live alone.

항암화학요법 치료를 하는 노인 암환자의 삶의 경험 과정

임연옥(Lim, Yeon Ok) 한림대학교 고령사회연구소 2014 한림고령사회연구 Vol.2 No.1

This study is designed as a preliminary study in order to understand the older cancer patients experience and explore the factors that influence their quality of life. This study uses the grounded theory method based on Strauss and Corbin. Focus group interviews were conducted with 5 older cancer patients undergoing chemotherapy. With the data analysis, 57 concepts and 15 categories were generated in open coding. In axial coding, a paradigm model was proposed as follows: The causal condition was ‘Being my fault, and Missing an opportunity . The central phenomenon was ‘Final way to go’ The contextual conditions were ‘Proximity to hospital’ and ‘Financial condition’. The intervening conditions were ‘Relationship between older patients and doctors , Family support’ and Friendship . The action/interaction strategies were ‘Taking the attitude to medical care’ and ‘Being everyday life. The internal consequence was ‘Taking the attitude to death’ and ‘Learning of life meaning’. The core category is ‘Living routinely with last fellow traveler . Through understanding the older cancer patients experience, it provides the basis to find the factors to influence of older cancer patient s quality of life.

미래노인의 성공적 노후에 미치는 요인에 관한 연구

권금주(Kwon, Kum Ju) 한림대학교 고령사회연구소 2015 한림고령사회연구 Vol.3 No.1

The aim of this study was to identify the variables that influence successful aging for middle-aged people. A survey was conducted from May to June 2014, and 571 survey responses were used for the analysis. The data were analyzed using descriptive statistics, Pearrson correlation, and multiple regression. The research findings can be summarized as follows. First, the significant predictors of the rich and active life of middle-aged people were found to be sex (b=-.094, p<.05), parent-child relationship (b=.066, p<.05), and expectations of elderly life (b=.109, p<.001). Second, the significant predictors of the healthy and independent life of middle-aged people were found to be the subjective recognition on socioeconomic condition (b=.060, p<.05), subjective health status (b=.069, p<.05), and expectations of elderly life (b=.052, p<.05). Third, the significant predictors of the acceptance and neat life of middle-aged people were sex (b=-.145, p<.01), subjective health status (b=-.020, p<.05), parent-child relationship (b=.078, p<.05) expectations of elderly life (b=.102, p<.001), preparations for the economic elderly condition (b=-.089, p<.01), and preparations for an active elderly condition (b=.068, p<.05). Finally, the significant predictors of total successful aging of middle-aged people were found to be the parent-child relationship (b=.060, p<.05) and the expectations of elderly life (b=.088 p<.001).

노인장기요양보험의 운영 성과 분석

이기주(Yi, Gi Joo) 한림대학교 고령사회연구소 2015 한림고령사회연구 Vol.3 No.1

South Korea is becoming an aging society faster than any other country. Long-term care insurance was proposed in 2000 by the elderly experts for the first time, and was introduced in 2008. This has formally provided care services to the elderly and has offered jobs to women as new social services. Also, the increased elderly medical expenditure has been offset by the care expenditure. The objective of this study was to explore the operational performance of the long-term care insurance since 2008, and to suggest how its implementation could be improved. For this, context analysis was carried out using Gilbert and Specht’s framework. First, the proportion of 1 st graders enrolled in the long-term care insurance was found to be decreasing. This unnatural pattern will lead people to think that the public grading council is abnormal. Second, the preponderance of small businesses and the harsh treatment of people s careers have led to the low quality of services and relationships, making the possibility and sustainability of long-term care uncertain. Third, the roles of the insurer, the individual departments, and the local governments are not clear. New approaches to the provision of long-term care that emphasize community-based services may reduce the use of nursing home and hospital care, although there is no evidence that in the aggregate such changes will reduce the total expenditures for long-term care.

소양강댐 주변지역 노인의 삶의 질

허미숙(Heo, Mi Sook) 한림대학교 고령사회연구소 2015 한림고령사회연구 Vol.3 No.1

This research attempted to provide basic data for the development of a local-customized welfare system and service in the Shinbuck-town and Bucksan-township-a districts, which are isolated due to the construction of Soyang River Dam and which have reached the level of a super-aged society. For the research, a survey was conducted for the whole month of August 2014 among the elderly over 65 years old residing in Shinbuck-town and Bucksan-township. The quality of life of the survey respondents was examined in five dimensions: health, economy, social activity and social support, psychology, and community environment. Overall, the quality of life of the elderly living around Soyang River Dam was inferior to that of the elderly living in the other rural areas in South Korea. Moreover, the quality of life of the elderly living in Bucksan-town was lower than that of the elderly living in Shinbuck-township. Therefore, it was acknowledged that there is a definite need for a local-customized welfare system and service to improve the quality of life of the elderly living in both regions. It was also found that the elderly living in Shinbuck-town and Bucksan-township need “aging in place” support through the local-customized welfare system and service. This research is significant in that it provided basic data on the quality of life of the elderly living in Shinbuck-town and Bucksan-township.

현 시대 중국 노인의 사회복지보장 문제에 관한 연구

Wang Xiao Jie(王晓,杰) 한림대학교 고령사회연구소 2016 한림고령사회연구 Vol.4 No.1

China is now facing a rapidly aging population. The welfare demand of hundreds of millions of elderly people in China poses serious social problems. The Hyo (norm of filial piety) culture is an ethical prop and moral basis of Chinese society as it is an integral part of Chinese traditional culture. Hyo culture is also the basis of Chinese society s stability and family integration. With an aging population and the increase in the number of nuclear families, problems like elderly poverty and the empty nest syndrome become serious, and the social needs for economic and emotional support and day care services are also increasing. To solve the problems due to population aging, active policy involvement and concrete solutions are needed.