• Journal of Korean Public Health Nursing
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• v.14 no.1
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• pp.61-67
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• 2000

뉴욕시 정부의 이민자들에 대한 다각적인 접근과 시도에도 불구하고 의료 서비스 제공자들과 대상자간에 언어적 장벽과 문화적 차이로 인한 상호협조의 어려움은 계속되고있다. 본 연구는 뉴욕시 보건국 소속 다민족 다문화 계층의 의료수준 향상을 위한 노력의 일환으로 실시된 프로젝트 중 일부이다. 뉴욕시의 한국 이민자들이 뉴욕시에서 증가하는 추세를 감안할 때, 이들의 의료시설 이용 및 서비스 수혜에 대한 기초 조사를 실시하여 한국 이민자들의 문화적 배경과 그로 기인한 건강 신념을 알고자하는 시 정부 차원의 요구가 이 연구의 배경이다. 즉, 한국이민 사회의 독특한 특성을 뉴욕시 정부 관련 의료서비스 제공자들에게 그 이해를 높여서 한국 이민자들의 미국에서의 의료서비스 수혜의 기회를 높이고자 한 것이다. 기초 관련 연구가 전무한 한국 이민자들의 건강관련 이슈를 다루기 위해 미국 센서스와 병원 입퇴원 기록 현황에 나타난 한국인 혹은 아시안의 의료보장 실태 등을 고찰하였고, 한국이민사회의 주요 기관의 대표들과의 면담과 이민자들을 대상으로 한 직접 설문조사로 자료를 수집하여 분석한 결과는 다음과 같다. 한국 이민자들은 한국어를 주요 언어$(83\%)$로 사용하는 것으로 나타나 문화의 동화율이 낮았고, 낮은 문화 동화율은 의료 서비스 접근도를 낮추는 요인으로 나타났다. 또한, 의료 보험이 없는 것$(55\%)$이 가장 큰 요인으로 지적되었는데, 이는 미국 직장에 적응하기 어려운 이민생활로 자영업을 주로 하는 생활 양태가 비싼 사 보험(private health insurance)을 사지 못하는 요인과 관련되어있다고 본다. 따라서, 주로 이용하는 의료 서비스의 종류에도 많은 제한점이 있어서, $60\%$가 한국인 의사를 선호하며, $31\%$가 한국인 약사에게 건강관리를 의존하는 것으로 나타나 미국사회의 의료 서비스 접근도는 극히 취약한 것으로 드러났다. 의료서비스 접근을 막는 주요 장벽으로는 비싼 의료비 $(53\%)$ , 의사소통장애$(37\%)$로 나타났다. 보건의료 서비스를 위해 주로 이용하며 생활의 정보를 얻는 통로로는 한국어 신문$(69\%)$과 한국어 TV$(61\%)$, 한국어 라디오 $(57\%)$로 밝혀졌다. 결론적으로 한국 이민자들에게 좀더 나은 의료 서비스 수혜를 위해서는 문화 친밀도가 높은 의료환경 조성 및 의료 서비스 제공자들의 이해를 높이는 일 등과 함께 한국 이민자들이 의료보험을 살수 있도록 한국어로 된 의료 서비스 정보를 제공하는 등의 노력이 필요할 것으로 생각한다.

• Journal of the Korea Convergence Society
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• v.9 no.10
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• pp.549-559
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• 2018

The purpose of this study is to examine the prevalence of depression in Korean middle-aged adults and to identify the gender difference in factors associated with the severity of depression. The data of 2,241 individuals who participated in the Sixth Korea National Health and Nutrition Examination Survey in 2014 were used. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9), and multivariate ordinal logistic regression analysis was performed. The prevalence rate of moderate to severe depression ($PHQ-9{\geq}10$) was identified at 5.2% (men 3.3%, women 7.0%). The factors associated with the severity of depression in men were younger age, living in metropolitan, unemployed, lower body mass index, and heavily drinking. On the other hand, women were affected by having no spouse, lower income, limited physical activity, and sleeping shorter hours.

• Journal of Digital Convergence
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• v.14 no.11
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• pp.27-35
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• 2016

The study was conducted to identify related risk factor of elderly's suicidal ideation. This study used a cross-sectional design with secondary analysis of the $6^{th}$ 2013 Korea National Health and Nutrition Examination Survey (KNHANES). Data for 1,201 elderlies who aged over 65 years old from the KNHANES were included. Suicidal ideation, general characteristics, physical health, psychological health, EuroQoL, and health behavior were measured. Chi-square test, t-test, and multiple logistic regression were used to analyze this data through the SPSS win 22.0 program. In the results, 7.7% of the elderly had suicidal ideation. The odds ratios of suicidal ideation were significantly higher among those with restriction of activity (OR=1.31, CI=1.40~3.82), those with depression (OR=4.44, CI=1.66~7.40), and those with high levels of stress (OR=9.24, CI=3.48~24.5). Therefore, the activity level, depression level, and stress level need to be regularly assessed in order to prevent suicidal ideation among the elderly.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.6
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• pp.3889-3901
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• 2015

This study was examined the effects of social capital influenced on health related quality of life of old-old-elderly of more than 70-year-old. The subjects were 258 people of old-old-elderly of more than 70-year-old who dwell in M city. The first, October 15 to November 15, 2013, the second, December 1 to 30, 2014 were surveyed. The data were analyzed with SPSS Statistics 18.0 and the structural equation modeling of AMOS 21.0. The Sobel test was conducted to analyze the statistical significance of the mediated effects. The factors of health-related quality of life were influenced significantly by gender, education level, whether or not exercise, amount of sleeping time, family can be a help request, relatives can be a help request, general trust. In the results of the test of the research model, social capital was found to directly affect health behavior, and health behavior was found to directly affect health related quality of life. Therefore, social capital was found to indirectly affect health related quality of life. Social capital of old-old elderly of more than 70-year-old can be recognized as one of the factors influencing their health related quality of life. The results suggest that policy should be established to increasing the level of social capital and improved the health related quality of life.

• Proceedings of the KAIS Fall Conference
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• 2012.05a
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• pp.100-103
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• 2012

본 연구는 복강경 위절제환자의 임상적 건강관리에 영향을 미치는 요인을 규명하고자 시도하였다. 자료수집은 2012년 1월 16일부터 2월 16일까지 수도권 지역의 종합병원 외과에 내원한 환자 201명을 설문 및 면접조사를 하였다. 연구결과로는 첫째, 수행성과 효율성은 유의한 양의 상관관계를 나타내었다(r=0.24, p<.01). 둘째, 건강실천정도는 선정된 변수들에 의해 42.7% 설명되었다. 효율성이 0.25로 가장 영향력이 있는 변수였으며 유의한 것으로 나타났다(p=.02). 이러한 결과를 토대로 복강경 위절제술환자의 건강실천정도를 높이기 위해서는 이전의 건강관련행위 분석과 건강증진 생활양식을 행하였을 때의 성취감을 통해 향상시킬 수 있을 것으로 본다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.10
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• pp.4694-4702
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• 2012

The purpose of this study was a descriptive research that identified the levels of health-promoting behaviors, previous related behavior, perceived benefits/barriers, self-efficacy, and social support. In addition, it was to establish the relations among the variables, and determine the factors affecting the health-promoting behaviors. Study participants were 311 middle aged between 55-64 in urban areas, and the data were collected through self-reported structured questionnair. According to the results, the mean score for the levels of health-promoting behaviors of the late middle aged was 2.64. Also, among the variables related to health-promoting behaviors, perceived benefits were the highest score (30.7), and perceived barriers were the lowest one (2.08). Meaningful positive correlations were found among health-promoting behaviors and previous related behavior, social support, perceived benefits, and self-efficacy, but perceived barriers showed weakly negative correlations. In addition, the factors affecting health promoting behaviors were revealed in order as following: Previous health related behavior(${\beta}$=.35, p<.001), perceived benefits(${\beta}$=.32, p<.001), social support(${\beta}$=.28, p<.001), and life satisfaction(${\beta}$=.13, p<.001), and this model's explanatory power was 68.8%(F=166.71, p<.001). Based on the findings from the study, in order for the late middle aged to have a well-being old age, an health promoting education program including exercises and stress management should be provided to maintain and improve proper health promoting behaviors. The network with the same age groups also should be supported to share useful information and back up one another.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.7
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• pp.365-374
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• 2017

This study examined the effects of the demographic and health characteristics and chronic diseases on the health-related quality of life in service employees. From January 1, 2013 to December 31, 2014, this study analyzed the data on 607 service employees based on the 2nd data of the 6th National Health and Nutrition Examination Survey with at-test, ANOVA, and hierarchical regression analysis use of SPSS. The results of the analysis showed that the quality of Life in women was lower (${\beta}=-.074$, p=.050) than that of men, and the older the subjects were, the lower their quality of life(${\beta}=307$, p=.000). Regarding the subjective health status, there was a significant increase in the "very Poor"(${\beta}=186$, p=0.027) and "good"(${\beta}=196$, p=.001) status. The quality of life improved with increasing activity (${\beta}=-0.222$, p=0.000)). Some of the subjects perceived "high stress" (${\beta}=-0.123$, p=0.003) and the others perceived "low stress"(${\beta}=-0.176$, p=0.000). The less they perceived stress, the higher their quality of life. The factors explained 24.6％ of the health-related quality of life of the subjects. Therefore, to improve health-related quality of life of service employees, more activity opportunities should be given, the subjective health status should be positively perceived and psychological measures to decrease the level of stress should be developed.

• Journal of Digital Convergence
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• v.17 no.11
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• pp.357-367
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• 2019

This study was to investigate the effects of workers' attitudes to internet health information(AIHI), e-health literacy(eHL) on internet health information seeking behavior(IHISB) and health-related behavioral intention(HBI). 152 workers conducted the structured questionnaires from May to July 2017. Data analyzed by t-test, ANOVA, and multiple regression analysis. Factors affecting IHISB were identified to be eHL (${\beta}=.33$, p<.011), and perceived usefulness for internet health information(PU)(${\beta}=.28$, p=.002), and factors affecting HBI were identified to be PU(${\beta}=.33$, p=.001), information utilization(IU)(${\beta}=.24$, p=.003), and eHL(${\beta}=.18$, p=.002). As above results, considering the eHL of workers, it is necessary to build an internet health information system and develop education program that increase IU.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.2
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• pp.780-785
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• 2010

This research have aimed for analyzing the effect of relative factors on healthy life styles by the income level in a medium-sized city. Especially, the research tried to figure out whether the public health center's health-promotion-activity had different effects on healthy life styles by the income level. The random sampled data of 809 citizens aged between 19 and 69 were analyzed through phone survey by the Korea Gallop inc(surveyed from 2006.10.11 to 10.13). In the low socioeconomic status, the relation between people's positive conception about public health center's health-promoting-program and healthy behavior tendency is low. But in the high socioeconomic status, the relation is high. This result suggest that the effect of public health center's health promotion programs on healthy life styles is different by income level.

• Journal of Convergence for Information Technology
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• v.11 no.7
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• pp.307-317
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• 2021

This study was a secondary data analysis conducted to identify the factors affecting the health-related quality of life according to the stress perception level of middle-aged. Data from the 2014, 2016, and 2018 Korean National Health and Nutrition Examination Survey were used, and 7,995 people aged 40-64 who answered the level of stress perception were targeted. Data analysis was performed using IBM SPSS ver.25.0, and the significance level was set to .05. As a result of the study, in the feeling less stressed group, household income level, education level, frequency of dinning out, drinking amount at a time, smoking, subjective health, and depression were found to be significant influencing factors, and the explanatory power was 21.4% (p < .001). In the feeling a lot stressed group, household income level, education level, living with a spouse, weekly breakfast frequency, aerobic physical activity, smoking, subjective health, and depression were significant influencing factors, and the explanatory power was 38.7% (p < .001). Therefore, it is suggested to consider each influencing factor in the middle-aged stress reduction intervention.