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Factors Affecting Life Satisfaction by Gender and Age of Middle-aged and Elderly 性别、年龄对中老年生活满意度的影响因素
Pub Date : 2022-08-01 DOI: 10.31888/jkgs.2022.42.4.855
Changje Park
The purpose of this study is to analyse factors affecting life satisfaction by gender and age of the middle-aged and elderly over 50 years old empirically, and then to discuss implications for the findings. The findings of this study are summarized as follows. First, demographic and sociological factors affecting life satisfaction of middle-aged and elderly over 50 years old are different by gender and age. education of 60s male and 50s, over 80s female, married 50s~70s male and 50s female, number of child of 50s female, region of 50s female have positive effect on their life satisfaction statistically significantly. Second, economic factors affecting life satisfaction of middle-aged and elderly over 50 years old are different by gender and age. Household income of 50s male and over 60s female, paid work of 50s male and female, preparation for retirement of 50s~60s male and female, real estate ownership of 50s~70s male, having financial assets of 50s and 60s male have positive effect on their life satisfaction. And liabilities of 50s~70s male and 50s and 60s female have negative effect on their life satisfaction. Third, leisure factors affecting life satisfaction of middle-aged and elderly over 50 years old are different by gender and age. Religious activities of 60s male, working out of 60s male, traveling of over 50s male and 50s, over 70s female, friendship activities of 50s, over 70s male have positive effect on their life satisfaction. Fourth, health and activities of daily living functions of middle-aged and elderly over 50 years old are different by gender and age. Physical health of from over both 50s male and female have positive effect on their life satisfaction. negative mental health of over 60s male and over 50s female, ADL of 60s female, IADL of 70s male, and 50s, 70s, and over 80 female have negative effect on their life satisfaction.
本研究的目的是实证分析50岁以上的中老年人的性别和年龄对生活满意度的影响因素,并讨论研究结果的意义。本研究结果总结如下:第一,影响50岁以上中老年生活满意度的人口学和社会学因素因性别和年龄的不同而不同。60多岁男性和50多岁女性受教育程度、80多岁女性、已婚50 ~70多岁男性和50多岁女性、50多岁女性子女数量、50多岁女性所在地区对其生活满意度有显著的正向影响。第二,影响50岁以上中老年生活满意度的经济因素在性别和年龄上存在差异。50多岁男性和60多岁女性的家庭收入、50多岁男性和60多岁女性的有偿工作、50 ~60多岁男性和女性的退休准备、50 ~70多岁男性的房地产拥有量、50多岁和60多岁男性的金融资产对他们的生活满意度有正向影响。50 ~70岁男性和50 ~ 60岁女性的负债对其生活满意度有负向影响。第三,影响50岁以上中老年人生活满意度的休闲因素因性别和年龄的不同而不同。60多岁男性的宗教活动、60多岁男性的工作、50多岁男性的旅游、50多岁男性的旅游、70多岁女性的旅游、50多岁男性的交友活动对他们的生活满意度有正向影响。第四,50岁以上中老年人的健康和日常生活功能活动因性别和年龄的不同而不同。50岁以上男性和女性的身体健康状况对他们的生活满意度都有积极的影响。60岁以上男性和50岁以上女性的负性心理健康、60岁女性的ADL、70岁男性的IADL、50岁、70岁和80岁以上女性的生活满意度均有负性影响。
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引用次数: 0
The Effects of Age-friendly Environments on Health Promotion Behaviors Among Elderly People Living Alone in Community: Focusing on Mediating Effects of Social Support and Sense of Coherence 老年友好环境对社区独居老年人健康促进行为的影响:基于社会支持和和谐感的中介效应
Pub Date : 2022-08-01 DOI: 10.31888/jkgs.2022.42.4.805
Eunha Jang, O. Baik, Seokho Hong
Based on Lawton & Nahemow's Person-Environment fit theory and Antonovsky’s Salutogenesis theory, we examined the level of age-friendly environment for elderly people living alone, social support and a sense of coherence for their impact on health promotion behaviors, and tested a mediating effect of social support and a sense of coherence for the relationship between the level of age-friendly environment and health promotion behaviors. For this purpose, we referenced to a survey conducted by National Research Foundation as part of the project ‘Developing Living and Welfare Integrated Service Tailored to Elderly People through Expanded Living Lab.’ Among the survey participants, we identified elderly people living alone, and used data of 477 people for the final analysis in consideration of missing value and test of normality. The following describes the analysis results. First, an examination of direct influence among the main variables showed that the level of age-friendly environment directly affected social support and health promotion behaviors, and social support directly affected a sense of coherence and health promotion behaviors. Also, a sense of coherence directly affected health promotion behaviors. Second, we tested both individual and dual mediating effects, and observed a meaningful individual mediating effect for the path from the level of age-friendly environment to health promotion behaviors via social support. Also, the level of age-friendly environment showed dual mediating effects on health promotion behaviors via social support and a sense of coherence. Based on these findings, we provide political implications as well as theoretical and practical suggestions.
基于Lawton & Nahemow的人-环境契合理论和Antonovsky的健康发生理论,我们考察了独居老年人友好环境水平、社会支持和协调感对健康促进行为的影响,并检验了社会支持和协调感在友好环境水平与健康促进行为之间的中介作用。为此,我们参考了国家研究基金会的一项调查,该调查是“通过扩展生活实验室开发适合老年人的生活和福利综合服务”项目的一部分。“在调查参与者中,我们确定了独居老人,并使用了477人的数据进行最终分析,考虑了缺失值和常态性检验。分析结果如下所示。首先,对主要变量之间的直接影响进行了检验,结果表明,老年友好环境水平直接影响了社会支持和健康促进行为,社会支持直接影响了和谐感和健康促进行为。此外,连贯性直接影响健康促进行为。其次,我们检验了个体和双中介效应,发现社会支持对老年友好环境水平对健康促进行为的路径具有显著的个体中介效应。老年人友好环境水平通过社会支持和连贯感对健康促进行为具有双重中介作用。基于这些发现,我们提出了政治意义以及理论和实践建议。
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引用次数: 0
노인의 퇴원 후 전환기 돌봄서비스 필요도에 대한 예측요인 对老人出院后转换期照顾服务需求的预测因素
Pub Date : 2022-08-01 DOI: 10.31888/jkgs.2022.42.4.787
Yuliya Dronina, Suki Kim, Heui Sug Jo
Chronic diseases in the growing elderly population lead to repeated hospitalizations and consequent deterioration of older adults' health, highlighting the importance of appropriate post-discharge patient care services during the care transition period from the hospital to their homes or a nursing facility. This study aimed to investigate older adults’ need for transitional care services (TCS) and identify the associated factors. A 1:1 phone survey was conducted on 300 older adults aged ≥65 years who resided in Gangwon Province, Republic of Korea. To identify predictors of older adults’ need for TCS, personal factors (sex, age, education level, residence, economic status), disease-related factors (self-rated health status, noncommunicable diseases and chronic conditions, hospitalization within the last 2 years), and care-related factors (spending time alone during daytime, need assessment of activities of daily living (ADLs), cohabitations) were examined, and the data were analyzed using descriptive statistics and multiple regression analysis. The results indicated that older adults exhibited a high need for TCS, with the greatest need being “information and training on self-management of health after discharge,” “information on social welfare (life support) services available near the patient’s living area,” and “description of the diagnosis, current condition, treatment plan, and outcome at the time of admission.” Additionally, the most common post-discharge difficulties experienced by older adults who had been hospitalized over the last 2 years were “physical discomfort” (3.7) and “psychological discomfort” (3.0). Hierarchical regression analysis revealed that noncommunicable diseases and chronic conditions (among disease-related factors) and need assessment of ADLs (among care-related factors) were identified as predictors of the need for TCS (β=0.206, p<0.001 and β=-0.171, p<0.01, respectively). Based on these results, we proposed the necessity to provide post-discharge TCS for elderly patients, especially older adults with multiple chronic diseases or those with poor ADLs, who should be prioritized for these services.
不断增长的老年人口中的慢性病会导致反复住院,从而导致老年人的健康状况恶化,这突出了在从医院到他们家或护理机构的护理过渡期内,适当的出院后患者护理服务的重要性。本研究旨在调查老年人对过渡期护理服务(TCS)的需求,并确定相关因素。对居住在大韩民国江原道的300名年龄≥65岁的老年人进行了1:1的电话调查。确定老年人对TCS需求的预测因素、个人因素(性别、年龄、教育水平、居住地、经济状况)、疾病相关因素(自我评估的健康状况、非传染性疾病和慢性病、过去2年内的住院治疗)和护理相关因素(白天独处时间、日常生活活动需求评估,同居),并使用描述性统计和多元回归分析对数据进行分析。结果表明,老年人对TCS的需求很高,最需要的是“出院后自我管理健康的信息和培训”、“患者生活区附近可用的社会福利(生命支持)服务的信息”以及“入院时对诊断、当前状况、治疗计划和结果的描述”。“此外,在过去两年中住院的老年人出院后最常见的困难是“身体不适”(3.7)和“心理不适”作为TCS需求的预测因素(分别为β=0.206,p<0.001和β=0.171,p<0.01)。基于这些结果,我们提出有必要为老年患者提供出院后TCS,特别是患有多种慢性病的老年人或ADL较差的老年人,他们应该优先接受这些服务。
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引用次数: 1
The Mediating Effect of Affective Solidarity in the Relations of Sense of Community and Loneliness: Focused on the Difference between the Middle-aged and Older Adults 情感团结在社区感与孤独感关系中的中介作用:以中老年人为研究对象
Pub Date : 2022-08-01 DOI: 10.31888/jkgs.2022.42.4.765
Soondool Chung, Ajin Lee
The purpose of this study is to examin the mediating effect of intergenerational affective solidarity in the relations of sense of community and loneliness, focusing on the difference between the middle-aged and older adults. Utilizing the survey data of generation perception in preparation for an aging society in 2017, we analyzed 307 middle aged(age 45-64) and 309 older adults(age over 65), which was the part of a nation-wide survey data collected by adults over 20(n=924). Bootstrapping mediation tests and multiple-group analysis for structural equation modeling were conducted. The results of this study showed that sense of community didn’t directly effect on loneliness in both the middle-aged and older adults. Also, it was found that affective solidarity mediated in the relations between the two variable of sense of community and loneliness and significantly lowered loneliness in both groups. Based on the results, practical ways to increase affective solidarity in order to improve the sense of community for preventing the problem of loneliness were discussed.
本研究旨在探讨代际情感团结在社区感与孤独感关系中的中介作用,并以中老年群体为研究对象。利用2017年“为老龄化社会做准备的世代感知”调查数据,我们分析了307名中年人(45-64岁)和309名老年人(65岁以上),这是20岁以上成年人收集的全国调查数据的一部分(n=924)。对结构方程模型进行了自举中介检验和多组分析。研究结果表明,社区意识对中老年人的孤独感没有直接影响。研究还发现,情感团结在社区意识和孤独感两个变量之间起中介作用,显著降低了两组学生的孤独感。在此基础上,探讨了增强情感团结以提高社区意识以预防孤独问题的可行方法。
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引用次数: 0
Analysis of Influencing Factors on Social Isolation of Older People using Multi-Level Models 老年人社会隔离影响因素的多层次模型分析
Pub Date : 2022-06-01 DOI: 10.31888/jkgs.2022.42.3.617
Soon-Bok Chung, Hae-Sook Jeon, M. Park
The purposes of this study were to examine individual and regional factors affecting the social isolation of older people and to suggest approaches to alleviate social isolation of older people based on the results. For the study, the data of the「Survey on Age Integration and Generational Integration」and administrative statistics were used. Data from 600 people aged 65 years and older were analyzed through a two-level hierarchical linear model(HLM). This study found that first, the the ratio of regional-level variance to the total variance in social isolation of tolder people was 17.5%, confirming that the multi-level model application was appropriate. Second, it was found that the lower the self-esteem and family solidarity at the individual level, the higher the level of social isolation of older people. Third, at the regional level, the social isolation of older people was higher as they lived in areas with a lower elderly population ratio. In other words, even considering the influence of individual-level variables, it was confirmed that there was a difference in the level of social isolation of older people according to the ratio of the elderly population in the area where they lived. With this results, discussions were presented to prevent and alleviate social isolation of older people.
本研究的目的是研究影响老年人社会孤立的个人和地区因素,并根据研究结果提出缓解老年人社会隔离的方法。在这项研究中,使用了“国家统计局关于年龄融合和代际融合的调查”的数据和行政统计数据。通过两级层次线性模型(HLM)分析了600名65岁及以上人群的数据。本研究发现,首先,tolder人群社会隔离的区域水平方差与总方差之比为17.5%,证实了多层次模型的应用是合适的。其次,研究发现,在个人层面上,自尊和家庭团结越低,老年人的社会孤立程度就越高。第三,在区域一级,老年人的社会孤立程度更高,因为他们生活在老年人口比例较低的地区。换言之,即使考虑到个人层面变量的影响,也证实了老年人的社会隔离水平根据其居住地区老年人口的比例而存在差异。有了这些结果,就预防和缓解老年人的社会孤立进行了讨论。
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引用次数: 0
Why am I still Marginalized?: A Study on the Heterogeneity of Digital Divide among Older Adults 为什么我仍然被边缘化?:老年人数字鸿沟的异质性研究
Pub Date : 2022-06-01 DOI: 10.31888/jkgs.2022.42.3.731
S. Nam, Sangyoon Han, Tae Hyun Kim, Y. Park
The purpose of this study is to examine the diverse experience of the use of digital technologies for older adults, while also paying attention to the digital gap within the older adult group. In particular, based on the grounded theory, the long-term phenomenon and experience of older adults were analyzed. During the analysis, we developed a discussion on intra-group heterogeneity that could be overlooked in treating older adults as a group. For this purpose, in-depth interviews were conducted with 12 older adults aged 65 years or older who had experience using digital devices. As a result of the study, 54 concepts, 26 sub-categories, and 14 categories were found. The core phenomenon of ‘standing in the maze of the digital world’ was discovered, and the surrounding causal conditions, contextual conditions, intervention conditions, behavior/interaction strategies, and outcomes were presented as a paradigm model. This study provides guidelines for digital inclusion policies and interventions, including building a senior digital plaza that takes into account the heterogeneity of the older population and reflects the needs, desires, and limitations of each group.
本研究的目的是研究老年人使用数字技术的不同体验,同时也关注老年人群体内部的数字差距。特别是在扎根理论的基础上,对老年人的长期现象和经验进行了分析。在分析过程中,我们讨论了在将老年人作为一个群体对待时可能被忽视的组内异质性。为此,我们对12名65岁以上有使用数字设备经验的老年人进行了深度访谈。结果发现了54个概念,26个子类别和14个类别。发现了“站在数字世界迷宫中”的核心现象,并将其周围的因果条件、语境条件、干预条件、行为/互动策略和结果作为范式模型呈现。本研究为数字包容政策和干预措施提供了指导方针,包括建立一个考虑到老年人口异质性的高级数字广场,并反映每个群体的需求、愿望和局限性。
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引用次数: 0
The Relationship between Hypertension and Cognitive Function among Korean Older Adults: The Moderating Role of Regular Exercise 韩国老年人高血压与认知功能的关系:定期运动的调节作用
Pub Date : 2022-06-01 DOI: 10.31888/jkgs.2022.42.3.653
Jun-Kuk Lim, Giyeon Kim
The purpose of this study is to investigate the moderating effect of regular exercise on the relationship between hypertension and cognitive function among Korean older adults. Drawn from the 2018 Korean Longitudinal Study of Ageing (KLoSA), a total of 6,536 subjects aged 55 and older who responded to all the variables examined in this study were included in analyses. Hierarchical regression analyses were conducted to examine moderating effects of regular exercise on the relation between hypertension and cognitive function. After adjustment for covariates, older adults with hypertension reported better cognitive function and those doing regular exercise showed better cognitive function than their counterparts. The interaction between hypertension and regular exercise was significant only for those doing regular exercise(p<.01). The findings highlight the importance of regular exercise as an intervention for mitigating the association between hypertension and cognitive decline.
本研究旨在探讨定期运动对韩国老年人高血压与认知功能之间关系的调节作用。从2018年韩国老龄化纵向研究(KLoSA)中提取,共有6536名年龄在55岁及以上的受试者对本研究中检查的所有变量做出了回应,并被纳入分析。采用层次回归分析来检验规律运动对高血压与认知功能之间关系的调节作用。调整协变量后,老年高血压患者的认知功能较好,定期锻炼的老年人的认知功能较好。高血压与定期运动之间的相互作用仅在定期运动的人群中有统计学意义(p< 0.01)。研究结果强调了定期锻炼对于缓解高血压和认知能力下降之间关系的重要性。
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引用次数: 0
The Effects of Self-Reflection on Retirement Anxiety on Middle-aged Adults: The Dual Mediating Effects of Self-Concept Clarity and Career Adaptability 自我反思对中年人退休焦虑的影响:自我概念清晰和职业适应的双重中介作用
Pub Date : 2022-06-01 DOI: 10.31888/jkgs.2022.42.3.671
Juyeon Ha, J. Jang
The purpose of this study was to verify the dual mediating effect of self-concept clarity and career adaptability in the effect of self-reflection on retirement anxiety in middle-aged adults and to check whether there is a gender difference in each path. To this end, a survey was conducted on 272 adults in their 40s and 60s, and 252 data were analyzed using a structural equation model. The main results of the study are summarized as follows. First, to examine the demographic characteristics of the data, there was no significant difference in retirement anxiety in gender, age and level of education excluding household monthly income. Second, Self-reflection did not directly affect retirement anxiety, but it was found to have an indirect effect through self-concept clarity and career adaptability. Third, it was found that self-concept clarity and career adaptability double-mediated the relationship between self-reflection and retirement anxiety. Fourth, as a result of multi-group analysis, it was found that there was no significant difference between male and female groups in each path. Based on these research results, proposals for direction of intervention in career counseling for middle-aged adults who expect retirement, significance and limitations of the study, and implications of subsequent studies were discussed.
本研究的目的是验证自我概念清晰性和职业适应性在自我反思对中年人退休焦虑影响中的双重中介作用,并检验各路径是否存在性别差异。为此,对272名40 ~ 60多岁的成年人进行了问卷调查,并利用结构方程模型分析了252份数据。本研究的主要结果总结如下:首先,为了检验数据的人口统计学特征,排除家庭月收入,性别、年龄和教育水平对退休焦虑的影响没有显著差异。第二,自我反思不直接影响退休焦虑,但通过自我概念清晰度和职业适应性发现了间接影响。第三,发现自我概念清晰度和职业适应性在自我反思与退休焦虑的关系中起双重中介作用。第四,通过多组分析,发现各路径上男女组间无显著差异。在此基础上,讨论了对预期退休中年人职业生涯咨询干预方向的建议、本研究的意义与局限性以及后续研究的启示。
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引用次数: 0
Factors Associated with Types of Exercise Participation Motivation among Older Adults 与老年人运动参与动机相关的因素
Pub Date : 2022-06-01 DOI: 10.31888/jkgs.2022.42.3.713
Bomi Choi, Hayoung Park, Su-Min Joo, Y. M. Lim, Daeeun Kim, C. O. Kim, Kwang Joon Kim, Changmin Lee, Yoon-Seok Kim
This study aims to analyze the types of motivations toward physical exercise participation among older adults and to examine relevant factors of subgroup membership. The sample was drawn from the online survey data of 179 older adults (aged 65 or above) who reported participating in regular exercise. Latent Class Analysis (LCA) and multinomial logistic regression were applied. Motivations for physical exercise were measured with six indicators including medical recommendations, fun, weight loss, leisure, keeping fit, and social relationship. Potential factors for latent class membership include sociodemographic factors (age, gender, spouse) and socioeconomic status (education, household income), health (subjective health, life satisfaction), attitudes toward aging, and perceived neighborhood environment. Results of LCA showed that the classifications to three subgroups revealed the optimal fit: ‘fitness-oriented (46.0%)’, ‘fun-seeking (46.0%)’, ‘complex motivations (7.5%)’. The results of multinomial logistic regression analysis showed that attitudes toward aging, gender, education, and perceived neighborhood environment are significantly associated with the latent class membership. This study has significance in that it elucidated the heterogeneity in older adults based on different patterns of exercise motivation. The results of this research can be applied to the field aiming to promote exercise motivation among older adults.
本研究旨在分析老年人参与体育锻炼的动机类型,并探讨亚群成员的相关因素。该样本来自179名老年人(65岁或以上)的在线调查数据,他们报告参加了定期锻炼。应用潜类分析(LCA)和多项逻辑回归。体育锻炼的动机由六个指标衡量,包括医疗建议、乐趣、减肥、休闲、保持健康和社会关系。潜在阶层成员的潜在因素包括社会人口因素(年龄、性别、配偶)、社会经济地位(教育、家庭收入)、健康(主观健康、生活满意度)、对老龄化的态度和感知的社区环境。LCA分析结果表明,“健身导向”(46.0%)、“寻趣”(46.0%)、“复杂动机”(7.5%)是三个亚组的最优契合度。多元逻辑回归分析结果显示,年龄态度、性别、受教育程度、感知邻里环境与潜在阶层成员有显著相关。本研究的意义在于阐明了老年人基于不同运动动机模式的异质性。这项研究的结果可以应用于旨在促进老年人运动动机的领域。
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引用次数: 0
The Effect of 8-Weeks’ Hand-Props Exercise on Muscle Strength, Dynamic Balance and Gait Ability in Elderly Male Farmer 8周手撑运动对老年男性农民肌力、动态平衡和步态能力的影响
Pub Date : 2022-06-01 DOI: 10.31888/jkgs.2022.42.3.499
Wooyeong Park, C. Kim
The purpose of this study was to analyze the changes in muscle strength, dynamic balance, and gait ability of elderly male farmer by applying an hand-props exercise for 8 weeks. The subjects were randomly assigned to two groups, exercise group(n=15), control group(n=16). Exercise was performed for 60min/day with three times for 8 weeks. Measurement variables were muscle strength(grip strength), muscle endurance(30sec chair stand), dynamic balance(3m tandem walking, 3m backward walking, and 3m up and go), and gait ability(4m walking speed, 10m walking, and, 400m walking). As a results of the study, there were significant difference in muscle strength(p<.001) and muscle endurance(p<.001). In the case of dynamic balance, it was significantly difference in time(p<.01) and interaction(p<.05) on tandem walking. And there was a significantly difference in time(p<.01) on 3m up and go. There was no significant difference in 4m walking speed, however, in 10m walking(p<.001) and 400m walking(p<.001) were a significantly difference between time and group. In conclusion, hand-props exercise with elastic band and swiss ball for 8 weeks has significantly effect on the muscle strength, dynamic balance, and walking ability of elderly male farmer, therefore, it is considered an effective exercise method for improving the health of elderly male farmer.
本研究的目的是通过应用手部道具运动8周来分析老年男性农民的肌肉力量、动态平衡和步态能力的变化。受试者被随机分为两组,运动组(n=15)和对照组(n=16)。运动时间60min/天,共3次,共8周。测量变量包括肌肉力量(握力)、肌肉耐力(30秒椅子站立)、动态平衡(3米双人行走、3米后向行走和3米上下行走)和步态能力(4米行走速度、10米行走和400米行走)。研究结果表明,在肌肉力量(p<0.001)和肌肉耐力(p<.001)方面存在显著差异。在动态平衡的情况下,双人步行在时间(p<0.01)和相互作用(p<0.05)方面存在明显差异。在3米上下运动的时间上有显著差异(p<0.01)。4米步行速度没有显著差异,但10米步行(p<0.001)和400米步行(p<0.001)在时间和组之间有显著差异。综上所述,弹力带和瑞士球手撑运动8周对老年男性农民的肌肉力量、动平衡和行走能力有显著影响,是改善老年男性农民健康的有效运动方法。
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引用次数: 0
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Han'guk nonyonhak = Journal of Korea Gerontological Society
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