Journal of Korean Academy of Nursing

Research Paper

A Longitudinal Study of the Reciprocal Relationship between Depression and Income among Korean Older Men and Women: Lee, Jeong , Jeon, Gyeong-Suk; J Korean Acad Nurs 2022;52(4):451-463. Published online August 31, 2022; DOI: https://doi.org/10.4040/jkan.22052

Abstract PDF: Purpose
This study examined the reciprocal relationships between depression and income, and gender differences in these relationships among older adults in South Korea.
Methods
Using 2015 to 2019 of the Korea Welfare Panel Study (KoWePS), we studied 6,070 older adults (2,394 men and 3,676 women) aged 60 years over in 2015. The generalized estimating equation was employed to explore the effect of an individual income on depression and the reverse causal link-that of depression on income.
Results
The study found the reciprocal relationships between income and depression. Income has a significant impact on depression. Higher-income was linked to decreased risks of the Center for Epidemiologic Studies Depression (CES-D) scores among older adults (B = - 0.121, p < 0.001). Estimates of the reverse causal link show that higher CES-D scores were also linked to income reduction among Korean older adults (B = - 0.007, p < 0.001). In addition, we also observed gender differences in the impact of income on depression but not in the reverse causal link. Income has more detrimental to psychological consequence for older men (B = - 0.108, p < 0.001) than older women (B = - 0.057, p < 0.001).
Conclusion
The finding implies that both psychological and social protection policies for the elderly are needed in view of gender perspective.

371 View
7 Download

Original Articles

Health Status, Health Perception, and Health Promotion Behaviors of Low-income Community Dwelling Elderly: Tae Wha Lee, Il Sun Ko, Kyung Ja Lee, Kyeong Hwa Kang; Journal of Korean Academy of Nursing 2005;35(2):252-261. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.2.252

Abstract PDF

Purpose

The purpose of the study was to investigate the health status(present illness, ADL and IADL), health perception, and health promotion behaviors of low-income elderly who are receiving the visiting nurse service in the community.

Method

The sample of the study was 735 elderly over 65years old with basic livelihood security, who were conveniently selected from 245 public health centers nation-wide. Data collection was done using a structured questionnaire through interviews by visiting nurses.

Result

The average number of present illnesses in the study subjects was 4.18. The average scores of ADL and IADL were 15.903.39and 9.772.97 respectively, which indicates a relatively independent everyday life. However, 64.2% of the subjects perceived their health status as ‘ not healthy’. In terms of health promotion behaviors, 77.8% of the subjects had ceased smoking, 83.9% stopped drinking, 56.4% had a regular diet, 45.8% received regular physical check-ups during the past two years, and 66% received flu shots. Approximately 50% of the subjects were practicing 3-4 health promotion behaviors. Significant factors associated with health promotion behaviors were ADL, IADL and self-efficacy.

Conclusion

Health promotion programs which focus on regular diet, exercise, and regular physical check-ups should be developed to improve independence of everyday life and quality of life among low-income elderly.

Citations

Citations to this article as recorded by

Nutritional Risk of the Elderly Receiving a Home-Delivered Meal Service Program and the Factors for Nutritional Risk
Na-Young Yi, Jung-Hwa Choi
Korean Journal of Community Nutrition.2019; 24(3): 197. CrossRef
The Effects of a Health Mentoring Program in Community-dwelling Vulnerable Elderly Individuals with Diabetes
Ki wol Sung, Hye Seung Kang, Ji Ran Nam, Mi Kyung Park, Ji Hyeon Park
Journal of Korean Academy of Nursing.2018; 48(2): 182. CrossRef
Health Status and Health Service Utilization: Barriers and Facilitators for Korea Medicaid Beneficiaries
Sung-Heui Bae, Eun-Ok Choi, In sook Lee, In Young Lee, Chae min Chun
Journal of Korean Biological Nursing Science.2016; 18(3): 144. CrossRef
The Relationship between Psychological Needs and Health Promoting Behavior in Community-dwelling Older Women

Journal of East-West Nursing Research.2015; 21(2): 126. CrossRef
Nutritional Risk, Perceived Health Status, and Depression of the Young-Old and the Old-Old in Low-Income Elderly Women
Myung-Suk Lee
Journal of agricultural medicine and community health.2012; 37(1): 12. CrossRef
Psychosocial Adjustment of Low-Income Koreans with Cancer
Myungsun Yi, Eun Young Park, Dal Sook Kim, Young Sook Tae, Bok Yae Chung, Hyang Sook So
Journal of Korean Academy of Nursing.2011; 41(2): 225. CrossRef
The Influencing Factors of Influenza Vaccination in the Elderly Participating in Lifetime Transitional Health Examination
Eun-Shil Yim, Kyung-Ha Kim, Hyun-Ju Chae
Journal of Korean Academy of Community Health Nursing.2010; 21(4): 502. CrossRef
Life Satisfaction, Activities of Daily Living, Depression and Health Behavior of Low Income Elderly Living at Home
Soon-Yi Seo
Journal of muscle and joint health.2010; 17(2): 162. CrossRef
Aging, Health, and Physical Activity in Korean Americans
Kyung-Choon Lim, Jeanie S. Kayser-Jones, Catherine Waters, Grace Yoo
Geriatric Nursing.2007; 28(2): 112. CrossRef

159 View
3 Download
9 Crossref

Predictors of the Utilization of Oral Health Services by Children of Low-income Families in the United States: Beliefs, Cost, or Provider?: Young Ok Rhee Kim, Sharon Telleen; Journal of Korean Academy of Nursing 2004;34(8):1460-1467. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.8.1460

Abstract PDF

Purpose

This study examined the predictive factors enabling access to children's oral health care at the level of financial barriers, beliefs, and the provider.

Methods

In-depth interviews were conducted with 320 immigrant mothers of low-income families regarding their use of oral health services for children aged four to eight years old. Access to oral health care was measured with frequency of planned dental visits, continuity of care, and age at first visit to dentist.

Results

The mother took her child to the dentist at a younger age if she received referrals to a dentist from pediatrician. Regular dental visits were significantly related to household income, provider availability on weekends, and insurance coverage. The extended clinic hours in the evenings, and the belief in the importance of the child's regular dentist visits increased the likelihood of continuing care. The mothers perceiving a cost burden for the child's dental care were also less likely to return to the dentist.

Conclusion

The available care delivery system, coordinated medical care, and health beliefs were among important predictors of the health service use. The study findings suggest need for culturally competent dental health interventions to enhance access to oral health care among particularly vulnerable populations such as low-income children in Korean communities.

Citations

Citations to this article as recorded by

Organizational Barriers to Oral Health Conversations Between Health Visitors and Parents of Children Aged 9–12 Months Old
Ieva Eskytė, Kara A. Gray-Burrows, Jenny Owen, Bianca Sykes-Muskett, Sue H. Pavitt, Robert West, Zoe Marshman, Peter F. Day
Frontiers in Public Health.2021;[Epub] CrossRef
Exploring the Views of Dentists and Dental Support Staff Regarding Multiple Caries in Children
Wayne Richards, Teresa Filipponi, Anne-Marie Coll, Jamal Ameen
Oral.2021; 1(3): 199. CrossRef
Knowledge, attitudes and behaviour regarding the infant oral health visit: are dentists in Ireland aware of the recommendation for a first visit to the dentist by age 1 year?
J. Djokic, A. Bowen, J. Singh Dooa, R. Kahatab, T. Kumagai, K. McKee, C. Tan, K. FitzGerald, B. Duane, D. Sagheri
European Archives of Paediatric Dentistry.2019; 20(2): 65. CrossRef
Barriers Facing by Parents During Clubfoot Treatment of Children with Clubfoot Deformity
Monoarul Haque
MOJ Orthopedics & Rheumatology.2014;[Epub] CrossRef
Influences on Children's Oral Health: A Conceptual Model
Susan A. Fisher-Owens, Stuart A. Gansky, Larry J. Platt, Jane A. Weintraub, Mah-J Soobader, Matthew D. Bramlett, Paul W. Newacheck
Pediatrics.2007; 120(3): e510. CrossRef

160 View
1 Download
5 Crossref

Economic Evaluation of Visitng Nurse Services for the Low-income Elderly with Long-term Care Needs: Tae Wha Lee; Journal of Korean Academy of Nursing 2004;34(1):191-201. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.1.191

Abstract PDF

Purpose

This study aimed to evaluate economic viability of public health center visiting nurse services for the low-income elderly with long-term care needs.

Method

The sample consisted of 252 community dwelling elderly who enrolled in public health center visiting nurse services for three months or more. Data was collected on physical (ADL and IADL) and cognitive impairments of the elderly, contents and frequency of visiting nurse services, cost per visit, and costs of alternative services for long-term care.

Result

The mean score of ADL and IADL levels of the elderly was 2.80.4904, which indicated these patients were mostly independent. Eighty four percent of the elderly subjects were cognitively intact. Among visiting nurse services supplied, providing assessment was 34%, followed by education and counseling 26%, medication 22%, and referral. The mean cost per visit was 17,824.1 won, which transformed into a total cost per person per year of 161,130.2 won. Comparing the cost of a visiting nurse service with those of other long-term care alternatives, the visiting nurse service was the least costly alternative, followed by an outpatient clinic, hospital based home care, and nursing home.

Conclusion

Overall, the results of the study provide evidence of the economic viability of visiting nurse services for the low-income elderly among long-term care alternatives.

Citations

Citations to this article as recorded by

Estimating need for Home Visiting Nurse from Public Health Centers
Hyun-Ji Bae, Jinhyun Kim
Perspectives in Nursing Science.2015; 12(1): 23. CrossRef
The Relationship between Home-Visit Nursing Services and Health Care Utilization among Nursing Service Recommended Beneficiaries of the Public Long-Term Care Insurance
Sae Bom Kang, Hongsoo Kim
Health Policy and Management.2014; 24(3): 283. CrossRef
Health-related Quality of Life and Its Related Factors in Urban Elderly Women
Yoon Joo Na, Yeon Hee Choi
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(12): 7224. CrossRef
Effects of community‐based case management by visiting nurses for low‐income patients with hypertension in South Korea
Gwang Suk KIM, Il Sun KO, Taewha LEE, Eun Jung KIM
Japan Journal of Nursing Science.2014; 11(1): 35. CrossRef
Trends in Home-visit Nursing Care by Agencies' Characteristics under the National Long-term Care Insurance System
Jung Suk Lee, Rah Il Hwang, Eun Jeong Han
Journal of Korean Academy of Community Health Nursing.2012; 23(4): 415. CrossRef
Evaluation of Efficiency of Community Visiting Health Service Units - A Demonstration of Using Data Envelopment Analysis (DEA) -
Ji Young Lim, Mi Ja Kim, Chang Gi Park, Jung Yun Kim
Journal of Korean Academy of Nursing Administration.2011; 17(1): 54. CrossRef
Elders' Health Status, Quality of Life, and Satisfaction with Customized Home Visiting Health Service Depending on Connection to Volunteerism
Ji Eun Park, Chungnam Kim, Yunhee Kwon
Journal of Korean Academy of Community Health Nursing.2010; 21(4): 448. CrossRef

192 View
2 Download
7 Crossref

Nutritional Status and Risk Factors for Malnutrition in Low-income Urban Elders: Hye Sun Hyun, Insook Lee; J Korean Acad Nurs 2014;44(6):708-716. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.708

Abstract PDF

Purpose

The purpose of this study was to evaluate the nutritional status of low-income urban elders by diversified ways, and to analyze the risk factors for malnutrition.

Methods

The participants in this study were 183 low-income elders registered at a visiting healthcare facility in a public health center. Data were collected using anthropometric measurements, and a questionnaire survey. For data analysis, descriptive statistics, χ²-test, t-test, Fisher's exact test, multiple logistic regression analysis were performed using SPSS 20.0.

Results

Regarding the nutritional status of low-income elders as measured by the Mini Nutritional Assessment (MNA), 10.4% of the elders were classified as malnourished; 57.4% as at high risk for malnutrition; and 32.2% as having normal nutrition levels. The main factors affecting malnutrition for low-income elders were loss of appetite (OR=3.34, 95% CI: 1.16~9.56) and difficulties in meal preparation (OR=2.35, 95% CI: 1.13~4.88).

Conclusion

In order to effectively improve nutrition in low-income urban elders, it is necessary to develop individual intervention strategies to manage factors that increase the risk of malnutrition and to use systematic approach strategies in local communities in terms of a nutrition support system.

Citations

Citations to this article as recorded by

The longitudinal reciprocal relationship between food insecurity and depressive symptoms among Korean elderly who live in poverty: application of auto-regressive cross-lagged model
Jayoung Cho
Asia Pacific Journal of Social Work and Development.2023; 33(2): 86. CrossRef
Determinants of nutritional status among old age population in eastern Ethiopia: a general linear model approach
Liyu Derbie, Abdu Oumer, Ketema Ayele, Anteneh Berhane
Journal of Nutritional Science.2022;[Epub] CrossRef
Aging and nutrition. Paving the way to better health
Emilio Molina-Molina, Gabriella Garruti, Harshitha Shanmugam, Domenica Maria Di Palo, Ignazio Grattagliano, Tecla Mastronuzzi, Piero Portincasa
Romanian Journal of Internal Medicine.2020; 58(2): 55. CrossRef
Nutrition as a Health Determinant in Elderly Patients
Tecla Mastronuzzi, Ignazio Grattagliano
Current Medicinal Chemistry.2019; 26(19): 3652. CrossRef
Prevalence of malnutrition and associated factors among community-dwelling older persons in Sri Lanka: a cross-sectional study
H. D. W. T. Damayanthi, F. M. Moy, K. L. Abdullah, S. D. Dharmaratne
BMC Geriatrics.2018;[Epub] CrossRef
Identifying Latent Classes of Risk Factors for Coronary Artery Disease
Eunsil Ju, JiSun Choi
Journal of Korean Academy of Nursing.2017; 47(6): 817. CrossRef
Association of Family Composition and Metabolic Syndrome in Korean Adults Aged over 45 Years Old
Young-Ju Kim
Asian Nursing Research.2015; 9(4): 349. CrossRef
Factors Associated With Food Insecurity Among the Korean Elderly: Using Ordered Logistic Regression Analysis
조자영
Health and Social Welfare Review.2015; 35(4): 375. CrossRef

233 View
5 Download
8 Crossref

First
Prev
Page of 1
Next
Last

Search