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長壽에 關한 老人醫學的硏究

A Gerontological Study on Longevity

공중보건잡지 1966년 3권 2호 p.61 ~ 77
서경환,
소속 상세정보
서경환 (  ) - 서울대학교 의과대학 예방의학교실

Abstract


A study was carried out toward 1,497 persons (male 522, female 975), randomly selected, whose ages were over 60 years old, residing in Seoul city and Kyung Ki, choong chung Nam and choong chung puk provinces for the purpose of finding out their living status, hereditary tendency, relating to longevity, morbidity and medical care. the results were obtained as follows;
1) Living status
a) It was observed that 57.6% of male and 53.2% of female are born in rural area and more people lived in rural area when they married.
b) Average ages at marriage are shown as 19.2±4.5 for males and 16.3±3.4 for females. 66.6% of the males were older than their wife, while 34.1 percent of them were younger. Most of interviewees which occupy 87.9 percent of males and 95.7 percent of females had married once.
c) The total number of live births per person averaged 4.54±2.85 and the number of living children averaged 3.25±2.14
d) majority or 75.3% of males and 97.4% of females did not have any occupation.
2) Hereditary tendency in longevity
a) Average ages at death of grandparents and parents were 58.9±11.8 years for grand fathers, 60.0±10.4 years for grand mother, 59.2±14.5 years for father and 62.7±12.0 years for mother, in general, their grandparents and parents lived longer.
b) Average age at death of the siblings who lived over 5 years of age was 59.0±13.5 years and it is longer than the expectation of life of the group of five years in general population of Korea.
3) Morbidity status
a) Morbidity status by showed that, in male the average sickness days for a year was 60.1±18.6 days, Bed rest days averaged 19,.2±5.1 days and The days treated averaged 11.7±6.1 days. in female, the average sickness days for a year appeared to be 57.8±12.8 days, Bed rest days averaged 16.4±6.4 days and the days treated showed 11.8±4.6 days in average. the days treated is comparable with one fifth or one sixth of the total sickoness days.
b) Disease-specific morbidity showed that diseases respiratory system were the most frequent one with 670 cases, the disease of the circulatory system and symptoms, senility and ill-defined conditions among the aged showed higher rate in morbidity than that of general population.
4) Medical care
a) Total expenses for medical care by disease groups showed that the expenses for the diseases of the circulatory system amounted highest with 327,153 Won, while the expenes for the diseases of the blood and blood forming organs amounted least with 2,510 won. the expenses for medical care by Case showed that the expenses for Neoplosm were spent most with 2,100±796won per case and the cases of symptoms, senility and ill-defined canditions spent least with 145±46 won per case.
b) The expenses for medical care by its kind showed that the most expenses were spent for modern medical care which was followed by the expenses for herbmedicine The expenses for care by health center were least.
c) Medical expenses of the aged over 60 years had no significent differences according to their ages and educational level.

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