{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T06:20:25Z","timestamp":1772173225266,"version":"3.50.1"},"reference-count":29,"publisher":"Korean Society of Biological Nursing Science","issue":"1","license":[{"start":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Raphael Nanum Foundation"}],"content-domain":{"domain":["jkbns.org"],"crossmark-restriction":true},"short-container-title":["J Korean Biol Nurs Sci"],"published-print":{"date-parts":[[2026,2,28]]},"abstract":"<jats:p>Purpose: This study compared key health indicators of poor, older urban adults attending a free clinic with those of the general older population, using data from the 2023 Korea National Health and Nutrition Examination Survey (KNHANES). Methods: This cross-sectional comparative study included 60 adults aged \u226560 years who attended the Raphael Nanum Homeless Clinic in Seoul. Participants completed a questionnaire, underwent anthropometric assessment, and provided fasting blood samples for measurement of total cholesterol, low density lipoprotein (LDL)-cholesterol, and triglycerides (TG). Obesity, current smoking, monthly alcohol use, poor self-rated health, and strength exercise (\u2265 2 days\/week) were defined according to 2023 KNHANES criteria and compared with age-matched 2023 KNHANES estimates for adults aged \u2265 60 years using independent t-tests and two-proportion z-tests. Results: Participants were predominantly men (80.0%) with a mean age of 79.9 years; 70.0% reported no regular income, and 46.7% rated their health as poor. Compared with their 2023 KNHANES counterparts, the clinic group had a higher prevalence of obesity (50.0% vs. 35.0%), particularly among men, and a more atherogenic lipid profile characterized by higher LDL-cholesterol despite similar total cholesterol levels and lower TG. The prevalence of current smoking (3.3% vs. 10.6%) and monthly alcohol use (31.7% vs. 53.0%) was significantly lower, whereas participation in strength exercise was low in both groups, with no significant differences observed. Conclusion: Poor, older urban adults exhibited multidimensional health disparities, including obesity, adverse lipid profiles, and markedly poorer self-rated health, despite lower levels of smoking and alcohol consumption. Community-based interventions targeting nutrition, physical activity, and chronic disease management are needed to reduce health inequalities in this vulnerable population.<\/jats:p>","DOI":"10.7586\/jkbns.25.086","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T23:57:11Z","timestamp":1771545431000},"page":"179-190","update-policy":"https:\/\/doi.org\/10.7586\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Health status of poor, older urban adults compared with key health indicators from the 2023 Korea National Health and Nutrition Examination Survey in the Republic of Korea: a cross-sectional comparative study"],"prefix":"10.7586","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3052-6604","authenticated-orcid":true,"given":"Joo 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