• Title/Summary/Keyword: Community health survey data

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Older Drivers' Perception and Attitudes Towards Driving Cessation (노년기 운전중단 결정 인식과 태도에 관한 연구)

  • Choi, Moon Jeong;Oh, HakJun;Suh, Yi-Jong
    • 한국노년학
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    • v.38 no.3
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    • pp.593-605
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    • 2018
  • This study examines factors that influence older drivers to consider stopping driving in advance and whose advice plays an important role in the driving cessation decision. Data came from a nationally representative cross-sectional survey of community-dwelling older adults (N=2,076). About two thirds reported that they have considered stopping driving (62.8%) and they preferred to decide by themselves (66.0%). Logistic regression results showed that women and residents in urban areas were twice as likely to consider voluntary driving cessation compared to their counterparts. Each one year increase in age contributed to the probability that respondents would consider driving cessation by five percent. Those with greater difficulties in ADLs due to chronic illnesses were also more likely to consider driving cessation. No sociodemographic and health factors were related to whether older drivers preferred to decide by themselves or listen to others. These results imply that policies to promote self-motivation to stop driving among older drivers would be effective. Furthermore, they suggest it could be important to help older drivers plan their driving cessation in advance while still at a young-old age, and that more attention needs to be paid to men and those living in rural areas among older drivers.

Self-archiving Motivations across Academic Disciplines on an Academic Social Networking Service (학술 소셜 네트워킹 서비스에서의 학문 분야별 연구자의 셀프 아카이빙 동기 분석)

  • Lee, Jongwook;Oh, Sanghee;Dong, Hang
    • Journal of Korean Library and Information Science Society
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    • v.51 no.4
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    • pp.313-332
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    • 2020
  • The purpose of this study is to compare motivations for self-archiving across disciplines on an academic social networking site. We carried out an online survey with ResearchGate(RG) users, testing 18 motivational factors that we developed from a previous study (enjoyment, personal/professional gain, reputation, learning, self-efficacy, altruism, reciprocity, trust, community interest, social engagement, publicity, accessibility, self-archiving culture, influence of external actors, credibility, system stability, copyright concerns, additional time, and effort). We adapted Biglan's classification system of academic disciplines and compared motivations across different categories of discipline. First, we compared motivations across the four combined categories by the two dimensions - hard-pure, hard-applied, soft-pure, and soft-applied. We also performed a motivation comparison across each dimension between soft and hard disciplines and between pure and applied disciplines. We examined investigated statistical differences in motivations by demographic characteristics and RG usage of participants across categories as well. Findings showed that there were differences of motivations, such as enjoyment, accessibility, influence of external actors and additional time and effort, and personal/professional gains, for self-archiving across disciplines. For example, RG users in the hard-applied were more highly motivated by enjoyment than others; RG users in the soft-pure were more highly motivated by personal/professional gains than others. It is expected that findings could be used to develop strategies encouraging researchers in various disciplines contributing to share their data and publications in ASNSs.

The Effect of Social Support and, Avoidance Coping Style and Depression on Suicidal Ideation among in the Elderly over the Age 65 in G City (G시 65세 이상 노인의 사회적 지지, 회피적 대처방식 및 우울이 자살생각에 미치는 영향)

  • Oh, Eum-Jung;Chang, Koung-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.92-103
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    • 2021
  • This study was undertaken to examine the effects of social support, as well as avoidance coping, depression and suicidal ideation, of the elderly over 65 years, in G city. This was a descriptive survey study, enrolling 482 subjects from 9 elderly schools in G city, from October 31, 2019 to 1. Data collected were analyzed with t-test, ANOVA, Pearson's correlation coefficients and multiple regression, using the SPSS WIN 24.0 program. The average score of social support was 5.71±1.11, avoidance coping style 12.41±3.45, depression 6.33±2.77, and suicidal ideation 6.17±1.87. Suicidal ideation (r=0.292, p<0.001) positively correlated with avoidance coping, and negatively correlated with gender (r=-0.02, p=0.018), number of family (r=-0.12, p=0.008), social support (r=-0.19, p<0.001), and depression (r=-0.24, p<0.001). Results of regression indicated that gender, social support, avoidance coping style, and depression explained 12.8% of variance in suicidal ideation. Therefore, our results indicate the necessity to develop a support program that improves the social support, and addresses avoidance coping style, depression and suicidal ideation, thereby helping to reduce negative thinking amongst the community of seniors aged over 65 years.

Factors Associated with Unawareness of Early Symptoms of Stroke and Myocardial Infarction in Adults with Hypertension and Diabetes: Focused on Management related to Disease (고혈압, 당뇨병 성인의 뇌졸중 및 심근경색증 조기 증상 비인지 관련 요인: 질병 관리 관련 특성을 중심으로)

  • Kwon, Young-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.1
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    • pp.60-74
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    • 2021
  • The purpose of this research was to determine the degree of awareness of early symptoms of stroke and myocardial infarction in adults diagnosed with hypertension and diabetes, and to analyze factors related to unawareness. Raw data from the 2017 Community Health Survey were utilized. A total 12,277 adults older than 40 years were included in analysis finally. The early symptom awareness rates of stroke and myocardial infarction were 53.6% and 46.8%, respectively. Logistic analysis was performed to assess factors associated with unawareness of early symptom of stroke and myocardial infarction. After correcting for socio-demographic variables, education for the management of hypertension, recognition of blood pressure level and HbA1c level were significantly related to stroke early symptom unawareness on multivariate analysis. (Education for the management of hypertension, recognition of blood pressure level and HbA1c level were significantly related to the unawareness of early stroke symptoms even after socio-demographic variables were corrected in multivariate analysis.) Recognition of blood pressure level and HbA1c level were also significantly associated with unawareness of early symptoms of myocardial infarction. Therefore, it is required to interventions and strategies to improve the level of awareness of early symptoms of cardio-cerebrovascular disease, such as accelerating promotion and strengthening education for high-risk groups who must manage both hypertension and diabetes.

A Study on Antecedents of Suicidal Ideation among Korean Older Adults: A test of the Stress-diathesis Model (노인의 자살 생각에 영향을 미치는 선행요인에 관한 연구: 스트레스 소질 모델(Stress-diathesis Model)을 중심으로)

  • Ahn, Joonhee;Chun, Miae
    • 한국노년학
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    • v.29 no.2
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    • pp.489-511
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    • 2009
  • While late-life suicide has been increasing and become an important issue for public health in Korea, little is known about the phenomenon and its contributing risk factors based on which effective preventive measures can be made. Since suicidal ideation is a major precursor to attempted and completed suicide, the objective of the present study was to reveal primary contributors to suicidal ideation. Data were collected from a cross-sectional survey of 247 community-dwelling Korean older adults (age≥60) in the mid-size city in Korea. The statistical methodology employed a robust hierarchical regression procedure that iteratively downweights outliers. Based on the stress-diathesis model, the study examined major diathesis and stressors directly explaining suicidal ideation. The study also explored the significant interaction among these factors. The findings revealed that living alone and depression were significant main antecedents of suicidal ideation. In addition, neuroticism X life events and neuroticism X depression were significant interaction terms with the strongest explanatory power, which provides an empirical evidence to support the stress-diathesis model in explaining suicidal phenomenon of the Korean elderly. The result demonstrates the theoretical implication as well as the practical implication for developing and implementing late-life suicide prevention strategies. Limitations and directions for future research are discussed.

Predictors of Community Health Practitioners' Practice Regarding Urinary Incontinence (보건진료원들의 요실금 관련 간호행위에 영향을 미치는 요인)

  • Kim, Eun-Young;Kim, Jin-Sun
    • 한국노년학
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    • v.25 no.2
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    • pp.53-71
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    • 2005
  • Objectives: The purposes of this study were to investigate CHPs' knowledge, attitude, and practice regarding UI, and to identify predictors of their UI related practice. Methods: A descriptive-correlational study using self-administered questionnaire was conducted. A total of 330 members of the local Korean Association of CHPs were included in this study. A mailed survey was conducted to collect data. Findings: Of CHPs surveyed, 170(51.5%) returned completed questionnaire. Educational preparation of CHPs regarding UI was limited. The mean correct score of knowledge scale was 68.96%. Overall, CHPs exhibited positive attitudes toward UI. CHPs in this study were not actively participate UI related practice. Contrary to expectation, knowledge was not significantly related to CHPs' practice regarding UI. In the final analysis, CHPs' practice regarding UI was predicted by attitude toward the care of UI clients and educational needs for UI and these two variables explained 9% of variance of UI related practice. Conclusion: The results of this study suggest the importance of attitude and educational needs in shaping UI related practice among CHPs. To facilitate UI related practice among CHPs, efforts for attitudinal change related to UI among CHPs are needed. Moreover, continuing educational program for UI management should be developed, applied and evaluated.

The Burden and Caregiving Satisfaction of Primary Family Caregivers of Older Adults with Dementia: Cultural and Non-Cultural Predictors (치매노인을 돌보는 주가족 간호자의 부담감과 간호만족감: 문화적, 비문화적 요인)

  • Kong, Eun-Hi;Cho, Eunhee;Song, Misoon
    • 한국노년학
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    • v.29 no.2
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    • pp.701-716
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    • 2009
  • The aim of this study was to investigate the burden and caregiving satisfaction of primary family caregivers of older adults with dementia, and to identify cultural predictors and non-cultural predictors of burden and caregiving satisfaction. This study included 112 primary family caregivers of community-dwelling older adults with dementia who utilized 13 dementia day care centers in Seoul or Gyeonggi-do. Data were collected by survey questionnaires. The majority of the primary caregivers were female (81%) and daughters-in-law (46%). The mean burden score was 49.4 and the mean caregiving safisfaction score was 42.3. Regression analyses revealed that the significant predictors of primary caregivers' burden were the non-cultural factors of caregiver's perceived health (β= .421, p= .049) and care recipient's memory and behavioral problems (β= .183, p= .041). The cultural factor of familism (β= .466, p= .005) was the only significant predictor of caregiving satisfaction. There is more need to develop programs which improve caregiver's burden and caregiving satisfaction. Strategies to increase caregiver's utilization of the programs also need to be developed.

The Effects of Perceived Social Stigma on the Life Satisfaction of Sexual Minorities (사회적 낙인 인식이 성소수자의 삶의 만족도에 미치는 영향)

  • Kang, Byung Chul
    • Korean Journal of Social Welfare Studies
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    • v.42 no.2
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    • pp.381-417
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    • 2011
  • The primary goal of this study is to examine the factors that affect how satisfied sexual minorities are with their lives. This study focuses on how sexual minorities perceive social stigma, the social influences involved in its perception, and the effects this perception has. Using stress-coping theory, this study looks at how social stigma, as a perceived stress, affects social support and self-esteem, how the stigma influences the degree to which individuals "come out" in an effort to cope, and the resultant effects of this coping mechanism on life satisfaction. The data used if from a sample of 478 individuals who self identify as gay, lesbian or bisexual. It was collected through an online survey. Using SEM, the quality was evaluated by analyzing the measurement model, and the relationship of the variables included in the theoretical model was verified by analyzing the structural model. The results of this study show that social stigma directly affects the life satisfaction of Korean sexual minorities. It significantly influences the social support they receive(from family and sexual minority peers), and their self-esteem. The degree to which the individual "comes out" is shown to affect life satisfaction as well. In contrast, the mediating effect of heterosexual support is shown to be insignificant. Based on the analyses, practical strategies regarding social stigma, social support, self-esteem, and "coming out" are suggested for sexual minorities. The social stigma should be reduced and society-scaled campaigns promoted in order to improve their level of life satisfaction. In addition, institutional protection should be developed and specialized educational courses on human rights provided which will empower these minorities with self-help mechanisms. Furthermore, issues such as establishing support system and providing a social welfare system for the sexual minority community are discussed.

DMFT Index, Periodontal Index and Oral Hygiene Status in Diabetic Patients (당뇨병 환자에서 우식경험영구치지수, 치주질환지수 및 구강위생 상태)

  • Lee, Kyung-Dong;Lee, Hee-Kyung
    • Journal of Yeungnam Medical Science
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    • v.22 no.1
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    • pp.62-71
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    • 2005
  • Background: This study examined the oral health condition of diabetic patients and evaluated the oral health behavior through a questionnaires survey. In addition, this study provide primary informations for developing a dental health program for diabetic patients. Materials and Methods: There were fifty patients with diabetes mellitus or glucose tolerance (controlled by a community health center at Dalsung-Gun in Daegu City and fifty nondiabetic age, gender and location matched control subjects. Data were collected by a direct oral examination and by questionnaires from 100 subjects in July, 2004. Results: The DMFT (Decay, Missing, Filling Teeth) mean values in diabetics were significantly higher than that in non-diabetics (p<0.05). The decay teeth index and Filling teeth index was similar in the two groups, but the mean Missing teeth index was significantly higher in the diabetics than in non-diabetics. The PI (Periodontal Index) mean values were significantly higher in the diabetics than in the non-diabetics (p<0.01). There was a significant difference between the diabetics and non diabetics aged in their 50s and 60s, but there was no difference with those aged in their 70s. The oral hygiene status was similar in the two groups. The average number of remaining teeth was significantly lower in the diabetics ($16.1{\pm}10.35$) than in the non-diabetics ($20.04{\pm}8.70$) (p<0.05). Conclusion: In the diabetic patients, the M component of the DMFT index was found to be higher than the controls. Diabetics lose their teeth mainly due to periodontal disease, which is supported by the increased PI mean values.

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A Study on improvement of curriculum in Nursing (간호학 교과과정 개선을 위한 조사 연구)

  • 김애실
    • Journal of Korean Academy of Nursing
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    • v.4 no.2
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    • pp.1-16
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    • 1974
  • This Study involved the development of a survey form and the collection of data in an effort-to provide information which can be used in the improvement of nursing curricula. The data examined were the kinds courses currently being taught in the curricula of nursing education institutions throughout Korea, credits required for course completion, and year in-which courses are taken. For the purposes of this study, curricula were classified into college, nursing school and vocational school categories. Courses were directed into the 3 major categories of general education courses, supporting science courses and professional education course, and further subdirector as. follows: 1) General education (following the classification of Philip H. phoenix): a) Symbolics, b) Empirics, c) Aesthetics. 4) Synthetics, e) Ethics, f) Synoptic. 2) Supporting science: a) physical science, b) biological science, c) social science, d) behavioral science, e) Health science, f) Educations 3) Professional Education; a) basic courses, b) courses in each of the respective fields of nursing. Ⅰ. General Education aimed at developing the individual as a person and as a member of society is relatively strong in college curricula compared with the other two. a) Courses included in the category of symbolics included Korean language, English, German. Chines. Mathematics. Statics: Economics and Computer most college curricula included 20 credits. of courses in this sub-category, while nursing schools required 12 credits and vocational school 10 units. English ordinarily receives particularly heavy emphasis. b) Research methodology, Domestic affair and women & courtney was included under the category of empirics in the college curricula, nursing and vocational school do not offer this at all. c) Courses classified under aesthetics were physical education, drill, music, recreation and fine arts. Most college curricula had 4 credits in these areas, nursing school provided for 2 credits, and most vocational schools offered 10 units. d) Synoptic included leadership, interpersonal relationship, and communications, Most schools did not offer courses of this nature. e) The category of ethics included citizenship. 2 credits are provided in college curricula, while vocational schools require 4 units. Nursing schools do not offer these courses. f) Courses included under synoptic were Korean history, cultural history, philosophy, Logics, and religion. Most college curricular 5 credits in these areas, nursing schools 4 credits. and vocational schools 2 units. g) Only physical education was given every Year in college curricula and only English was given in nursing schools and vocational schools in every of the curriculum. Most of the other courses were given during the first year of the curriculum. Ⅱ. Supporting science courses are fundamental to the practice and application of nursing theory. a) Physical science course include physics, chemistry and natural science. most colleges and nursing schools provided for 2 credits of physical science courses in their curricula, while most vocational schools did not offer t me. b) Courses included under biological science were anatomy, physiologic, biology and biochemistry. Most college curricula provided for 15 credits of biological science, nursing schools for the most part provided for 11 credits, and most vocational schools provided for 8 units. c) Courses included under social science were sociology and anthropology. Most colleges provided for 1 credit in courses of this category, which most nursing schools provided for 2 creates Most vocational school did not provide courses of this type. d) Courses included under behavioral science were general and clinical psychology, developmental psychology. mental hygiene and guidance. Most schools did not provide for these courses. e) Courses included under health science included pharmacy and pharmacology, microbiology, pathology, nutrition and dietetics, parasitology, and Chinese medicine. Most college curricula provided for 11 credits, while most nursing schools provide for 12 credits, most part provided 20 units of medical courses. f) Courses included under education included educational psychology, principles of education, philosophy of education, history of education, social education, educational evaluation, educational curricula, class management, guidance techniques and school & community. Host college softer 3 credits in courses in this category, while nursing schools provide 8 credits and vocational schools provide for 6 units, 50% of the colleges prepare these students to qualify as regular teachers of the second level, while 91% of the nursing schools and 60% of the vocational schools prepare their of the vocational schools prepare their students to qualify as school nurse. g) The majority of colleges start supporting science courses in the first year and complete them by the second year. Nursing schools and vocational schools usually complete them in the first year. Ⅲ. Professional Education courses are designed to develop professional nursing knowledge, attitudes and skills in the students. a) Basic courses include social nursing, nursing ethics, history of nursing professional control, nursing administration, social medicine, social welfare, introductory nursing, advanced nursing, medical regulations, efficient nursing, nursing english and basic nursing, College curricula devoted 13 credits to these subjects, nursing schools 14 credits, and vocational schools 26 units indicating a severe difference in the scope of education provided. b) There was noticeable tendency for the colleges to take a unified approach to the branches of nursing. 60% of the schools had courses in public health nursing, 80% in pediatric nursing, 60% in obstetric nursing, 90% in psychiatric nursing and 80% in medical-surgical nursing. The greatest number of schools provided 48 crudites in all of these fields combined. in most of the nursing schools, 52 credits were provided for courses divided according to disease. in the vocational schools, unified courses are provided in public health nursing, child nursing, maternal nursing, psychiatric nursing and adult nursing. In addition, one unit is provided for one hour a week of practice. The total number of units provided in the greatest number of vocational schools is thus Ⅲ units double the number provided in nursing schools and colleges. c) In th leges, the second year is devoted mainly to basic nursing courses, while the third and fourth years are used for advanced nursing courses. In nursing schools and vocational schools, the first year deals primarily with basic nursing and the second and third years are used to cover advanced nursing courses. The study yielded the following conclusions. 1. Instructional goals should be established for each courses in line with the idea of nursing, and curriculum improvements should be made accordingly. 2. Course that fall under the synthetics category should be strengthened and ways should be sought to develop the ability to cooperate with those who work for human welfare and health. 3. The ability to solve problems on the basis of scientific principles and knowledge and understanding of man society should be fostered through a strengthening of courses dealing with physical sciences, social sciences and behavioral sciences and redistribution of courses emphasizing biological and health sciences. 4. There should be more balanced curricula with less emphasis on courses in the major There is a need to establish courses necessary for the individual nurse by doing away with courses centered around specific diseases and combining them in unified courses. In addition it is possible to develop skill in dealing with people by using the social setting in comprehensive training. The most efficient ratio of the study experience should be studied to provide more effective, interesting education Elective course should be initiated to insure a man flexible, responsive educational program. 5. The curriculum stipulated in the education law should be examined.

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