Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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A Comparative Study on the Factors Affecting the Successful Aging between Users and Non-users of Kyung-ro-dang for Community Care Policy Activation

커뮤니티케어 활성화를 위한 농촌지역 경로당 이용 노인과 비이용 노인 간 성공적 노화 관련 요인 비교

  • Song, Gue-Rum (Department of Health Administration, Yonsei University Graduate School) ;
  • Nam, Eun-Woo (Healthy City Research Center, Institute of Health and Welfare, Yonsei University) ;
  • Jin, Ki-Nam (Department of Health Administration, Yonsei University College of Health Science)
  • 송그룸 (연세대학교 일반대학원 보건행정학과) ;
  • 남은우 (연세대학교 의료복지연구소 건강도시연구센터) ;
  • 진기남 (연세대학교 보건과학대학 보건행정학과)
  • Received : 2019.08.05
  • Accepted : 2019.10.16
  • Published : 2019.12.31
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Abstract

Background: The purpose of this study was to identify the status of Successful Aging among the elderly aged 65 and over in rural areas and to compare factors related with Successful Aging between "kyung-ro-dang" users and non-users. Methods: A total of 181 elderly aged 65 or older were selected from four districts (Heung-upri, Mejiri, Sajerri, and Daeanri) of Wonju city. A survey method using face to face interviews was applied to collect information. Successful aging was measured on a 5-point Likert-type scale using the successful aging scale developed for the Korean elderly, which indicates the higher the score, the higher the level of successful aging. Descriptive statistics, bivariate, and multivariate analyses were computed; the level of significance was set at 5%. Hierarchical polynomial regression was applied to find out the factors associated with successful aging. Results: Of the total, 112 elders used kyung-ro-dang and 69 elders who did not use kyung-ro-dang. The level of successful aging of the elderly was higher among kyung-ro-dang users than non-users. The factors related to successful aging among kyung-ro-dang users were walking and social participation. Users who walk more than 4 times per week and social participation activities have a higher level of satisfaction. In the case of non-users, a higher level of monthly income, having a spouse, social support, and social participation associated with a higher level of successful aging. Conclusion: Monthly income, social participation, and social factors were found to be related to successful aging along with physical and mental health conditions among the elderly in rural areas. Therefore, it can be concluded that income, social as well as mental and physical factors, are more critical for successful aging in the rural community care in Korea.

Keywords

References

  1. Statistics Korea. Elderly population statistics [Internet]. Daejeon: Statistics Korea; 2018 [cited 2018 Sep 27]. Available from: http://kostat.go.kr/wnsearch/search.jsp.
  2. Cho MH, Park DS, Choi YW. Health status of the rural elderly and policy issues. Naju: Korea Rural Economic Institute; 2013.
  3. Lee HK. A study of the effects of the elderly's social exclusion on their psychological well-being. Korean J Welf Aged 2009;46:315-336. DOI:https://doi.org/10.21194/kjgsw..46.200912.315.
  4. Park KS, Park YR, Yum YS. Who is not going to gyungrodang in rural areas? Soc Welf Policy 2015;42(2):163-184. DOI: https://doi.org/10.15855/swp.2015.42.2.163.
  5. Oh YE, Lee JH. The effects of social network size and a sense of community on the loneliness of rural elderly-only households. J Community Welf 2012;43:555-580. DOI: https://doi.org/10.15300/jcw.2012.12.43.555.
  6. Kim MR. Factors of successful aging affecting the life satisfaction of older women. J Korea Gerontol Soc 2008;28(1):33-48.
  7. Kim KH, Kim JH. A structural analysis of successful aging factors for Korean elderly. J Korea Gerontol Soc 2009;29(1):71-87.
  8. Hong HB, Choi HK. A review of literature: in search of a definition of successful aging. J Korean Home Manag Assoc 2003;21(2):145-154.
  9. Choe EH. Understanding healthy ageing in the Korean rural and urban elderly: an application of Rowe and Kahn's model of successful ageing [dissertation]. Gold Coast (Qld): Griffith University; 2014.
  10. Lee SJ, Song M. Successful aging of Korean older adults based on Rowe and Kahn's model: a comparative study according to the use of community senior facilities. J Korean Acad Nurs 2015;45(2):231-239. DOI: https://doi.org/10.4040/jkan.2015.45.2.231.
  11. Jeong KH, Oh YH, Lee YK, Oh MA, Kang EN, Kim KR, et al. Survey of the elderly in 2017. Sejong: Korea Institute for Health and Social Affairs; 2017.
  12. Sun WD. Policy plan for revitalization of operations kyung-ro-dang. Health Welf Forum 1999;(9):49-58.
  13. Cho SY. An implementary study for the community elderly center program development in Korea. J Welf Aged Inst 2001;11:53-86.
  14. Yoo SH. Exploring ways toward development of kyungrodang: focusing on the characteristics of the elderly based on the types of kyungrodang participation. J Korea Gerontol Soc 2009;29(4):1463-1478.
  15. Ministry of Health and Welfare. Basic plan for integrated community care plan. Sejong: Ministry of Health and Welfare; 2018.
  16. Song MS, Song HJ, Mok JY. Community based cross-sectional study on the related factors with perceived health status among the elderly. J Korea Gerontol Soc 2003;23(4):127-142.
  17. Oh YH, Yoon KL. Evaluating the current status of community senior centers and redefining their roles. Health Welf Policy Forum 2004;(94):62-72.
  18. Cho CY, Jeong MK. A study on factors influencing the mental health of rural elderly by the activities of daily living (ADL) and economic difficulties. Korean J Gerontol Soc Welf 2016;71(1):331-353. DOI:https://doi.org/10.21194/kjgsw.71.1.201603.331.
  19. Kim DB. The study on the development of the Korean Elderly's Successful Aging Scale. Korean J Soc Welf 2008;60(1):211-231. DOI:https://doi.org/10.20970/kasw.2008.60.1.009.
  20. Kee BS. A preliminary study for the standardization of Geriatric Depression Scale Short Form-Korea version. J Korean Neuropsychiatr Assoc 1996;35(2):298-307.
  21. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Personal Assess 1988;52(1):30-41. https://doi.org/10.1207/s15327752jpa5201_2
  22. Lee GO. Structure analysis of successful aging factors in rural elders [dissertation]. Seoul: Seoul National University; 2007.
  23. Weiss RS. The provisions of social relationships. In: Rubin Z, editor. Doing unto others. Englewood Cliffs (NJ): Prentice Hall; 1974. pp.17-26.
  24. Kim JJ. A study on influential factors for successful aging [dissertation]. Cheonan: Baekseok University; 2008.
  25. Sim M, Park JM. A comparative study on factors influencing successful aging between elders attending senior citizen clubs and elders not attending senior citizen clubs. J Korean Gerontol Nurs 2015;17(3):196-206. DOI: https://doi.org/10.17079/jkgn.2015.17.3.196.
  26. Choi YH. A study on quality of life according to social support of elderly in the rural area. J Korean Acad Adult Nurs 2005;17(1):3-11.
  27. Han SJ, Han JS, Moon YS. Factors influencing successful aging in elders. Korean J Adult Nurs 2009;21(4):423-434.
  28. Kim W. Factors influencing self-esteem among the elderly utilizing senior citizen halls. J Welf Aged 2006;32:271-293.
  29. Chung SD. A comparative study on the successful aging for Korean elderly women and elderly men. J Korea Gerontol Soc 2007;27(4):829-845.
  30. Cha KS, Lee HS, Kim C, Kim EM. The level of successful aging and influencing factors of the community elderly. Korean J Health Promot 2019;19(1):39-48. DOI: https://doi.org/10.15384/kjhp.2019. 19.1.39.
  31. Yoo YJ, Kim SK. A research on the condition of leisure activity of elderly women: the case of elderly living in home. Korean J Gerontol Soc Welf 2000;7:73-95.
  32. Kwon MA, Kim TH. A study on the satisfaction with life for the elderly-comparison study of volunteer work group and economic activities group. J Korea Gerontol Soc 2008;28(4):1089-1111.