A Study on Cognitive Function and Awareness of Dementia in the Elderly in Chok Bang (Shabby One-room) Doyeon Kim1
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전체 글
(2) A Study on Cognitive Function in the Elderly in Chok Bang. (. 1.. , 2013).. . ,. 1 1. 8. 2. .. ,. 25%. (. ,. 3.. 2008). . ,. . 2008 65. ,. 100 , 2012. 60 64.7 .. , ,. . . ( , 2012) .. , (. ,. ,. ),. ,. , . , . , .. . ,. ,. ,. ,. ,. 5. .. , . . , .. .. . . .. , ,. .. 46. .. The Korean Journal of Public Health.
(3) Kim et al. KJPH, 52(2):45-58, 2015. ( .. ( ( (. , 2013).. , 2014), ( 2007), ( , 2007),. , 2013), , 2014), (. ,. 2012). ,. .. , , . (. , 2002).. , ,. 2. .. .. .. 60 ,. 1. (Mini mental. (2008~2014). MMSE). , 60. ,. .. state. examination, , .. 2. ,. ,. ,. 60 6. . 2014. 2014. 8. , . 2014 7 5. . (2010). . . , 2050 15.06%. ( 2008 2012. 65. . 8. , 2012). (. , 2008) , 2012). (. . .. ,. 2745. ,. 3. MMSE. , .. ,. , .. .. The Korean Journal of Public Health. ,. 60 47.
(4) A Study on Cognitive Function in the Elderly in Chok Bang. (N). 300 , 0.05, 95% n=Nz2pq/d2(N-1)+z2pq 162. 0.35,. 14 , . protocol. short form-IPAQ , , , METs. .. . 3,000 METs 1,500 METs ,. . .. 2012 ]. 8. 1 2013 [. scoring. 3 5 600 METs. [ .. ]. twork Scale. ,. 12. .. .. 2 Patione 3 .. Health Questionnare-2 (Korean version of Mini Mental State Examination for Dementia Screening; MMSEDS) , 5 -10 . 19 , , , , , . , , . 2008 2012 . 5 , 3 , 4 , 3 , 15 ,. , , (. %). . .. . t-test. ,. , Chi-square test. . MMSE. . .. 1 , 0 ;. ,. ,. ,. , ,. , , ,. Social Network Scale, Questionnare-2, .. 48. . , ,. , ,. . adjusted odd ratio (aOR). .. , ,. , ,. , Patione Health ,. MMSE ANOVA test 0.05 (SAS Institute). . p-value . SAS 9.4 version .. The Korean Journal of Public Health.
(5) Kim et al. KJPH, 52(2):45-58, 2015. n=1. ). (n= 6) e. d). n=. or. ). 2. pv l e. 90(54.55). 62(72.09). 28(35.44). 22.31***. 75(45.45). 24(27.91). 51(64.56). (<.0001). 73.59(8.47). 69.16(6.92). 78.42(7.32). 8.35*** (<.0001). 32(19.39). 29(33.72). 3(3.80). 26(15.76). 18(20.93). 8(10.13). 0. 27(16.36). 18(20.93). 9(11.39). 5. 36(21.82). 13(15.12). 23(29.11). 0~ 4. 24(14.55). 6(6.98). 18(22.278). 20(12.12). 2(2.33). 18(22.79). 6.96(4.76). 6.77(4.59). 7.18(4.97). 52(31.52). 27(31.40). 25(31.65). 49(29.70). 26(30.23). 23(29.11). 24(14.55). 14(16.28). 10(12.66). 27(16.36). 14(16.28). 13(16.46). 13(7.88). 5(5.81). 8(10.13). 56(35.67). 52(64.20). 4(5.26). 59.35***. 101(64.33). 29(35.80). 72(94.74). (<.0001). 117(71.34). 73(85.88). 44(55.70). 18.25***. 47(28.66). 12(14.12). 35(44.30). (<.0001). 80(48.48). 20(23.26). 60(75.95). 45.77***. 85(51.52). 66(76.74). 19(24.05). (<.0001). 0. (. 0.55 -0.5825. ). (8), (1), * p<0.05, **p<0.01, ***p<.0001. The Korean Journal of Public Health. (1),. (1). .. 49.
(6) A Study on Cognitive Function in the Elderly in Chok Bang. ) =. ). (n= me. (8), (1), * p<0.05, **p<0.01, ***p<.0001. 50. ). ) rn. n=7 ). r. 2. pv. e. 91(55.15). 31(36.05). 60(75.95). 33.07***. 23(13.94). 12(13.95). 11(13.92). (<.0001). 51(30.91). 43(50.00). 8(10.13). 137(83.03). 66(76.74). 71(89.87). 5.04*. 28(16.97). 20(23.26). 8(10.13). -0.0248. 126(76.36). 62(72.09). 64(81.01). 1.82. 39(23.64). 24(27.91). 15(18.99). -0.1779. 136(82.42). 73(84.88). 63(79.75). 0.75. 29(17.58). 13(15.12). 16(20.25). -0.3865. 153(92.73). 80(93.02). 73(92.41). 0.02. 12(7.27). 6(6.98). 6(7.59). -0.8786. 154(93.33). 78(90.70). 76(96.20). 2.01. 11(6.67). 8(9.30). 3(3.80). -0.1567. 131(79.88). 57(67.06). 74(93.67). 18.04***. 33(20.12). 28(32.94). 5(6.33). (<.0001). 145(8.41). 74(87.06). 71(89.87). 0.32. 19(11.59). 11(12.94). 8(10.13). -0.5736. 146(88.48). 72(83.72). 74(93.67). 4.00*. 19(11.52). 14(16.28). 5(6.33). -0.0455. 103(62.42). 75(87.21). 28(35.44). 47.04***. 62(37.58). 11(12.79). 51(64.56). (<.0001). (1),. (1). .. The Korean Journal of Public Health.
(7) Kim et al. KJPH, 52(2):45-58, 2015. 86 ,. 79. .. . 72.09%,. ,. 27.91. ,. 35.44%,. ,. ,. ,. ,. 64.56% . 73.59. ,. 69.16 ,. 78.42 . 6.77. . 16.28%, ,. 7.18. 6.33% 6. . LSNS15.63. 5.79 ,. .. , 87.21%,. 85.88% 14.12%. ,. 35.44% 44%. .. 55.70% . 76.74%, .. 24.05%. 12.2%-50.6%) 2.5%-15.1%) :. , 50%, 10.13%. 31.4%(95% CI 8.8%(95% CI 2010 DB. .. , 13.95%, 13.92%. . 23.26%,. ~. , 42.1%, 10.13% .. 31.1%, 37.2% 9.0%, . ( 2,3). 2.2%,. 5.1%. 1057035. 0.348. 367664. 1125201. 0.333. 375067. 833242. 0.313. 260388. 978926. 1. 978926. 672894. 0.25. 168224. 893120. 0.167. 148853. 410726. 0.375. 154022. 673641. 0.2. 134728. 260126. 0.333. 86709. 606549. 0.2. 121310. 0 5. 1057035 833242. 0 0.2. 0 166648. 1125201 978926. 0 0. 0 0. 0 5 0. 672894 410726 280744. 0.125 0 0.143. 84112 0 40106. 893120 673641 681374. 0 0 0.138. 0 0 93983. 5 5. 3. The Korean Journal of Public Health. 51.
(8) 52. 4. 9 %. R ). u (95. OR. Cru. C. %. R ). d (9. OR C. Cru 5. R ). j (9. R ). 1 1 4.71 (1.91-11.57)*** 4.11(1.04-16.22)**. 5. 1 1.41(0.42-4.77). 1 0.87 (0.31-2.42). 1 2.69(0.68-0.68). 1 0.98 (0.32-2.99) 0.50 (0.15-1.70) 0.28 (0.08 0.99)** 0.42 (0.14 1.25). 1 1.62(0.40-6.55) 0.45(0.09-2.18) 0.43(0.09-2.12) 0.93(0.16-5.26). 1 1.21 (0.36-4.09) 0.54 (0.14-2.09) 0.84 (0.21 3.44) 0.63 (0.11 3.73) 1 (0.13-1.44) (0.15-2.34) (0.15-2.34) (0.14-6.80). 0.34 0.65 0.43 1.10. 1 (0.12-0.98) (0.20-2.06) (0.13-1.45) (0.29-4.11). 1 0.21(0.06-0.80)** 0.58(0.13-2.70) 0.25(0.05-1.27)* 1.43(0.24-8.55). 0.44 0.58 0.58 0.97. 1 2.14 (0.64-7.15). 1 0.71 (0.15-3.42). 1 n/a. 1 1.84(0.54-0.54) 0.26(0.06-0.06) 0.58(0.12-0.12) 0.09(0.02-0.02)*. 1 n/a n/a n/a n/a. 1 n/a n/a n/a n/a. 1 0.19(0.03-0.03)* 0.49(0.13-0.13) 0.31(0.07-0.07) 0.92(0.18-0.18). 1 n/a 0.58 (0.06-5.97) n/a 1.75 (0.26-11.99). 1 n/a n/a n/a n/a. 1 1.95(0.32-0.32). 1 2.63 (0.53-12.96). 1 5.42(0.30-96.57). The Korean Journal of Public Health. 1 3.97 (1.67-9.41)***. 1 2.56(0.82-7.94)*. 1 2.12 (0.86-5.24)*. 1 1.74(0.53-5.71). 1 1.65 (0.58-4.67). 1 1.41(0.45-0.45). 1 1.55 (0.16-14.77). 1 n/a. 1 1.16 (0.34-3.92) 2.51 (1.11-5.71)**. 1 0.51(0.08-3.03) 1.45(0.41-5.03). 1 0.42 (0.08-2.29) 1.13 (0.42-3.00)**. 1 0.98(0.08-3.03) 0.25(0.41-5.03). 1 3.11 (0.50-19.54) 2.00 (0.20-20.51). 1 0.37(0.00-27.18) n/a. 1 0.32(0.10-0.10) 0.04(0.01-0.01)**. 1 0.23 (0.04-1.48) 0.30 (0.03-2.98). 1 0.05(0-inf)* 0.00(0.00-1.27)*. 1 1 1 0.38 (0.17-0.88)** 0.31(0.11-0.90)** 0.32 (0.11-0.93)** 0.19 (0.05-0.72)*** 0.09(0.02-0.48)** 0.12 (0.02-0.66)***. p<0.25 * p<0.10 **p<0.05 ***p<0.01 adjusted for area, sex, age, education, living alone, drinking, smoking, exercise, DM, stroke, head injury, LSNS adjusted for sex, age, education, living alone, drinking, smoking, exercise, DM, stroke, head injury, LSNS. A Study on Cognitive Function in the Elderly in Chok Bang. 5 5. 1 0.50 (0.23-1.11).
(9) rud 5% C ) 1 0.92 (0.43-1.96). A u. R %. ). Cru e 5. R ). 30. R ). r 5. OR ). A. R 5%. ). 1 0.91 (0.37-2.26). 1 0.39(0.11-1.41). 1 1.07 (0.22-5.11). 1 0.46(0.03-7.82). 1 0.23(0.06-0.84)**. 1 0.34 (0.10-1.12) *. 1 0.11(0.02-0.59)**. 1 0.69 (0.08-6.21). 1 n/a. 1 1.61 (0.64-4.04). 1 1.97(0.61-6.67). 1 2.12 (0.64-7.06). 1 1.52(0.30~7.81). 1 1.66 (0.29-9.45). 1 2.41(0.05-119.22). 1 0.76 (0.16-3.63). 1 0.81(0.14-4.86). 1 1.10 (0.10-6.41). 1 1.21(0.15~9.9). 1 n/a. 1 n/a. 1 40.0(7.33-7.33)**. 1 n/a. 1 n/a. 1 0.89(0.15-0.15). 1 2.83 (0.27- 29.56). 1 n/a. 1 n/a. 1 n/a. 1 0.17(0.02~1.19)*. 1 2.67 (0.55-12.88). 1 2.93(0.19-44.87). 1 1.6(0.16~5.9). 1 n/a. 1 n/a. 1 1 1 5.4 (1.54-18.95)** 7.99(1.33-48.01)** 8.14 (1.52-43.55)**. 5. d. 1 0.79(0.30-2.06). 1 0.49 (0.18-1.37). SNS. A u 5. 1 2.48 (1.05- 5.83)**. 1 0.91(0.29-2.85). 1 1.42 (0.54- 3.74). 1 0.42 (0.09-1.89). 1 0.14(0.02-1.16)*. 1 0.44 (0.09-2.17). 1 1.89 (0.82-4.36) 1 1.56 (0.52-4.74). 1 0.64(0.18-2.21) 1 1.24(0.28-5.60). 1 0.32 (0.09-1.18) 1 1.45 (0.43-4.93). 1 0.17(0.01~1.94). p<0.25 * p<0.10 **p<0.05 ***p<0.01 adjusted for area, sex, age, education, living alone, drinking, smoking, exercise, DM, stroke, head injury, LSNS adjusted for sex, age, education, living alone, drinking, smoking, exercise, DM, stroke, head injury, LSNS. Kim et al. KJPH, 52(2):45-58, 2015. The Korean Journal of Public Health. 4). 53.
(10) A Study on Cognitive Function in the Elderly in Chok Bang. , 2008) ,. ,. 8.28. . , 75-79. , ,. ,. ,. ,. , ,. 8.34 ( 5).. 65. ,. 2008. ,. 9.3 2012 , 2012). , . ,. , (. , 2008). 9.7. . ( 5. , 17.44%, . . ( 4). 93.02%, , . 6. 15 , 15. 18.99% , 14. .. 91.14% 100. 37.21% (p=0.0440).. 1. 22.78% 10,11,14,15. , . (. .. ) = N me. n=7 ) N (%). lu. 8.28 (1.90). 8.34 (2.07). 0.8397. 1. 41 (47.67). 38 (48.10). 0.9563. 2. 75 (87.21). 70 (88.61). 0.7834. 3. 43 (50.00). 47 (59.49). 0.2212. 52 (60.47). 53 (67.09). 0.3769. 15 (17.44). 15 (18.99). 0.7971. 32 (37.21). 18 (22.78). 0.0440 *. 4. ( D). ). (. ). 5 6. 100. 7. 33 (38.37). 31 (39.24). 0.9090. 8. 17 (19.77). 22 (27.85). 0.2223. 9. 77 (89.53). 73 (92.41). 0.5217. 10. 68 (79.07). 65 (82.28). 0.6025. 11. 38 (44.19). 25 (31.65). 0.0977. 12. 36 (41.86). 36 (45.57). 0.6313. 13. 74 (86.05). 73 (92.41). 0.1906. 14. 80 (93.02). 72 (91.14). 0.6536. 15. 31 (36.05). 21 (26.58). 0.1911. *by t-test, by Chi-square test; * p<.05. 54. The Korean Journal of Public Health.
(11) Kim et al. KJPH, 52(2):45-58, 2015. ,. ,. 8.31 ,. ,. (. 8.27 6).. . ,. 8.39 .. 8.00. 18.60%, , . ,. 7.56 8.50 , 8.60. 7.81 , 10.21 ,. , -. , .. ,. 26.03% -. 9.12. .(. 7.92. 32.91% (p=0.0351).. 53.22%, , (. 39.73%-, 14.52%, ),. 7).. .. ) n( *. 6 65 5. ). R. v. e. 62 24. 8.39 (1.94) 8.00 (1.82). 3.00-12.00 4.00-11.00. 0.4003. 29 18 18 13 8. 8.90 8.67 8.06 7.62 6.75. (1.80) (1.64) (1.51) (2.06) (2.43). 5.00-12.00 6.00-12.00 5.00-10.00 4.00-12.00 3.00-11.00. 0.0249*. 27 26 14 14 5. 7.56 (1.85). 3.00-11.00. 0.0002**. 7.81 (1.52) 8.50 (1.79) 10.21 (1.19) 8.60 (2.61). 5.00-11.00 5.00-12.00 8.00-12.00 6.00-12.00. 26 60 16. 9.12 (1.93) 7.92 (1.79) 8.31 (1.78). 5.00-12.00 3.00-11.00 4.00-11.00. 70. 8.27 (1.94). 3.00-12.00. 0.0065** 0.9384. *by t-test, by ANOVA; ** p<.01, * p<.05. The Korean Journal of Public Health. 55.
(12) A Study on Cognitive Function in the Elderly in Chok Bang. 7 ). *. ). N (%). N %). 70 (81.40). 53 (67.09). 16 (18.60). 26 (32.91). 33 (53.22). 29 (39.73). 6 (9.68). 4 (5.48). 0 (0.00). 3 (4.11). 3 (4.84). 7 (9.59). 9 (14.52). 19 (26.03). 11 (17.74). 11 (15.07). 0.0351*. *by Chi-square test; * p<.05. , Social Network Scale 60 , .. .. . 60. , 8.28. 8.34. , 2012. 65 .. 9.3. . 18.6%. 32.91%. ,. . .. , ,. , .. 1 MMSE .. , 2008. . 1 .. 56. The Korean Journal of Public Health.
(13) Kim et al. KJPH, 52(2):45-58, 2015. .. (SMMSE-DS) in the Korean elderly, J Korean Geriatr Psychiatry 2010; 14:27-37.. ,. .. 3. Hye-suk Min. Cognitive Function among the Elderly and Its Correlated Factors. The Journal of Korean Academic Society of Adult Nursing. 2007 ; 19(1) : 78-88. e. 4. Hye Ryoung Kim. Prevalence and Risk factors of Depression in Women Elderly Living alone in Korea. Journal of Safety and Crisis Management. 2014 ; 10(2) : 307-326. .. 5. Hyo-jin Kim. Life of the Split-Room Village in Yeongdeungpo and the Function as a Space for the Urban Poor. Hanyang University. 2009. .. 6. Jae-Hyun Shin et al. The Standardization of the Korean Version of the Patient Health. , ,. 7. Jung-Ah Park, Young-Chae Cho. Comparison of Depression and Cognitive Function between Elderly Welfare Recipients and Non-Elderly Welfare Recipients in a Public Health Center. Journal of agricultural medicine and community health , 2007 ; 32(1) : 1-12. . ,. . ,. . .. .. 1. Chun MY, Validity and Reliability of Korean Version of International Physical Activity Questionnaire Short Form in the Elderly, Korean J Fam Med, 2012; 33(3):144-151 2. Han JW et al, A normative study of the MiniMental State Examination for Dementia Screening (MMSE-DS) and Its Short Form. The Korean Journal of Public Health. 8.. Kim Min-Jin ,Jo Hyun-Mi. Living Status of Jjok-bang (small single room) Region Residents and Reproduction of Poverty. Discourse and policy in social science. 2013; 3(2):183-205.. 9. Kim, T. H., Jhoo, J. H., Park, J. H., Kim, J. L., Ryu, S. H., Moon, S. W., et al. Korean version of mini mental status examination for dementia screening and its short form, Psychiatry Investigation2010; 7:102-108. 10. Kwang-Hi Park,Hye-Soon Kim , Yeo-Jin Yi. Comparison of Risk Factors in Cognitive Impairment between Non-depressive Elderly and Depressive Elderly. The Journal of the Korea Contents Association. 2013 ; 13(7) : 301-310 11. Kyung Woo Lee, MD. The Validity and Reliability of Korean Version of Lubben Social Network Scale, Korean J Fam Med, 2009; 30:352-358. 57.
(14) A Study on Cognitive Function in the Elderly in Chok Bang. 12. ML Booth et al, International physical activity questionnaire: 12-country reliability and validity, Medicine & Science in Sports & Exercise, 2003; 195:3508-1381 13. Questionnaire-2, J 2013;52:115-121. Korean. Neuro. Assoc,. 14. Reinert, Duane F. et al, The alcohol use disorders identification test: an update of research findings, Alcoholism: Clinical and Experimental Research, 2007; 31(2):185-199. 15. Sang-kyu et al. Park.Gender Differences in Cognitive Impairment related to the Elderly. The Journal of Korea Society for Wellness. 2012 ; 7(3) : 85-95 16. Study for assessment of health status and policy development of health promotion among homeless . Ministry of health and welfare. 2012 17. Young-Sook Kwon. Factors associated with Cognitive Decline in the Elderly in Community. The Society of Digital Policy & Management. 2014 ; 12(2) :587-594 18.. . . 2012. 19.. .. .. 2008 20.. 58. . 2013 . 2013. The Korean Journal of Public Health.
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