경도인지장애 또는 치매를 겪고 있는 노인들은 만성질환을 앓게 될 가능성이 높음에도 불구하고 이들이 정기적인 건강검진 서비스를 이용하고 있는지에 대한 연구가 부족한 실정이다. 본 연구는 경도인지장애 또는 치매가 국가건강검진과 민간건강검진 서비스 이용에 미치는 영향을 확인하는데 목적이 있다. 이를 검증하고자 한국고령화연구패널(KLoSA)의 7차와 8차 자료를 활용하였으며 연구대상은 60세 이상 연구 참여자중 분석에 사용된 변수에 결측치가 없는 4,559명을 최종대상으로 선정하였다. 로지스틱 회귀분석 결과는 다음과 같다. 첫째, 인지기능이 정상인 노인에 비해 경도인지장애 또는 치매를 경험하고 있는 노인의 국가건강검진 수검률이 낮은 것으로 나타났다. 둘째, 노인의 인지기능이 민간건강검진 이용에 미치는 영향을 분석할 결과 노인의 인지장애는 민간건강검진 서비스 이용에는 영향을 미치지 않는 것으로 나타났다. 이러한 결과를 바탕으로 경도인지장애 또는 치매를 겪고 있는 노인들의 건강을 위한 정책적, 실천적 함의를 제시하였다.
Objectives : Previous research on cognitive impairment and health behaviors has focused largely on how health behaviors affect cognition; rarely has it examined whether cognitive impairment affects health behaviors. The purpose of this study was to examine the impact of cognitive impairment on engagement in health behaviors among older adults. Methods: The study sample included 19,644 adults aged 50 or older from the Health and Retirement Study 1995-2012 surveys. We used mixed-effects logistic regression to analyze the influence of cognitive impairment, measured using the Telephone Interview for Cognitive Status, on the engagement of health behaviors including physical activity, smoking, and drinking. Results: Cognitive impairment without dementia [CIND] (OR = .84, 95% CI = .80-.89) and dementia (OR = .68, 95% CI = .61-.75) were associated with a lower likelihood of engaging in regular vigorous physical activity during longitudinal follow-up, after adjusting for covariates. CIND or dementia was not significantly associated with the likelihood of smoking or alcohol consumption. Conclusions: CIND and dementia are risk factors for physical inactivity among older adults. Promotion of regular physical activity should be an essential component of health promotion programs for persons with cognitive impairment.
Abstract Objectives To examine whether serious psychological distress ( SPD ), a nonspecific indicator of past year mental health problems, was associated with subsequent dental care utilization, dental expenditures, and unmet dental needs. Methods We analyzed data from panel 13 thru 15 of the M edical E xpenditure P anel S urvey ‐Household Component ( n = 31,056). SPD was defined as a score of 13 or higher on the K essler P sychological D istress S cale ( K 6). Logistic regression, zero‐inflated negative binomial model, and generalized linear model ( GLM ) with a gamma distribution were used to test the study hypotheses. Results Adults with SPD had, in the subsequent year, 35 percent lower odds of adhering to annual dental checkups and a twofold increase in the odds of having unmet dental needs. Although adults with SPD did not have significantly more dental visits than those without SPD , they spent 20 percent more on dental care. Conclusions SPD was a modest independent risk factor for lack of subsequent preventive dental care, greater unmet dental needs, and greater dental expenditures. In addition to expanding adult dental coverage, it is important to develop and evaluate interventions to increase the utilization of dental care particularly preventive dental services among people with mental illness in order to improve oral health and reduce dental expenditures among this vulnerable population.
This study conducted focus group interviews with 13 older adults participating in the “Big Data-based Single Household Care Service” project, which utilizes Internet of Things (IoT) and Artificial Intelligence (AI) technologies, to understand their preconceptions, decision-making processes, and experiences regarding the use of smart care services. The study results revealed a total of 6 main themes and 17 sub-themes. Participants reported: 1) Living with various concerns related to lonely death, 2) Encountering smart care services for the first time, 3) Carefully considering the benefits and burdens after being encouraged to use the services, 4) Discovering unexpected advantages and inconveniences during service usage, 5) Experiencing a sense of pride in their decision to use the service through support and encouragement from others, and 6) Suggesting ideas for the improvement of smart care services. The directions for smart care services tailored to the needs and characteristics of older adults living alone are suggested.
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