• Title/Summary/Keyword: Cross-sectional design

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A Study on Women's Level of Educational Need & Knowledge about Routine Episiotomy and the Degree of Discomforts and Pain after Episiotomy (일상화된 회음절개술에 대한 여성의 지식, 교육요구, 불편감 및 통증정도에 관한 일 연구)

  • Yoo, Eun-Kwang;Kim, Jin-Hee
    • Women's Health Nursing
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    • v.7 no.3
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    • pp.393-406
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    • 2001
  • The purpose of this study was to find out women's need and level of knowledge about episiotomy, pain and discomfort related to episiotomy on a cross-sectional survey design. The subjects were 102 postpartal women agreed on oral consent. 34 postpartal women admitted at obstetric ward of H university hospital, 34 postpartal women admitted at 2 Sanhujoriwons, and 34 women within one year afterbirth. They were selected in Seoul, Korea. Data were collected from July, 1 to September 30, 2000, by a structured questionnaire. The instrument used for this study was a questionaire consisted of 5 items of general characteristics, 12 items of obstetric characteristics, 10 items of level of knowledge (Chronbach $\alpha$ .8176), 8 items of need of education(Chronbach $\alpha$ .8836), 3 items of pain (Chronbach $\alpha$ .9252), and 3 items of discomfort (Chronbach $\alpha$ .8092). The data were analyzed by the SPSS/PC+ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows; 1. 63.2% of respondents had right answer on 6-8 items among 10 items. Only 4.4% of women got right answer on 10 items all. 2. The need of education was high(4.45%) on all items and the range of score was $4.25{\sim}4.64$. 3. The strength of pain was the highest within one week afterbirth(5.93/10) and became lower in 8-14 days afterbirth(2.55). And after 15days of postpartum, the pain level became to the lowest level(1.08). However, pain was delayed until more than one month afterbirth. 4. The level of discomfort was the highest one week afterbirth(6.88/10) and became lower in 8-14 days afterbirth(4.20). And after 15days of postpartum, the discomfort level became to the lowest level(2.47). Universally, the degree of discomfort was higher than pain. 5. There was a strong positive correlation between discomforts and pain ($r=.752^{**}$) and weak positive correlation between discomforts and the level of educational need($r=.308^*$). In conclusion, women have a right to choose whether she will have episiotomy or not according to her decision making based on the comprehensive knowledge of episiotomy before they get episiotomy with consent process and explanation in detail. Women health care providers like nurses have a responsibility to do conscious raising and empowerment for women so that they could lead themselves to choose given medical treatments for women's health and wellbeing and the quality of life in her life cycle.

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Dietary and Lifestyle Factors Associated with Weight Status among Korean Adolescents from Multicultural Families: Using Data from the 2017-2018 Korea Youth Risk Behavior Surveys (우리나라 다문화가족 청소년의 체중 상태와 관련한 식생활 및 생활습관 요인 분석: 2017-2018년 청소년건강행태조사 자료를 활용하여)

  • Song, SuJin;Song, Hyojune
    • Korean Journal of Community Nutrition
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    • v.24 no.6
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    • pp.465-475
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    • 2019
  • Objectives: This study investigated dietary and lifestyle factors associated with the weight status among Korean adolescents in multicultural families. Methods: This cross-sectional study analyzed 1,751 multicultural families' adolescents who participated in the 2017-2018 Korea Youth Risk Behavior Surveys. Information on dietary and lifestyle factors was self-reported using a web-based questionnaire and this information included breakfast and foods consumption, perceived health status, alcohol drinking, smoking, physical activity, and weight control efforts. Body mass index (BMI) was calculated based on the self-reported height and body weight (kg/㎡). Weight status was assessed according to the 2017 Korean National Growth Chart: underweight (weight-for-age <5th percentiles), overweight (85th≤ BMI-for-age <95th percentiles), and obese (BMI-for-age ≥95th percentiles). Multiple logistic regression analysis was performed to examine the dietary and lifestyle factors associated with weight status after adjustment for covariates. Results: Among Korean adolescents from multicultural families, the prevalence of overweight/obesity was 20.9%, whereas about 7% of adolescents were underweight. The weight status did not show differences according to gender, school level, area of residence, and household income. Compared to adolescents who did not have breakfast during the previous week, those who had breakfast 3-4 days/week and ≥5 days/week had a 42% (p=0.021) and a 37% (p=0.009) lower prevalence of overweight/obesity, respectively. The adolescents who frequently consumed carbonated soft drinks (≥5 times/week) showed an odds ratio (OR) of 1.69 (95% CI=1.01-2.83) for overweight/obesity relative to those adolescents who did not consume carbonated soft drinks. The OR of being underweight for adolescents who ate fast food ≥3 times/week was 1.97 (95% CI=1.04-3.71) compared to those adolescents who had not eaten fast food during the previous week. Conclusions: Dietary and lifestyle factors were associated with overweight/obesity as well as underweight among Korean adolescents in multicultural families. Our findings could be used to design and provide nutrition interventions for this specific population.

An Exploratory Study on the Structural Relationships among Meaningfulness of work, Big 5 character-types and Job Stress (직무 의미감, Big 5 성격유형, 직무스트레스의 구조적 관계에 관한 탐색적 연구)

  • Baek, You-Sung
    • Management & Information Systems Review
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    • v.36 no.5
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    • pp.85-98
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    • 2017
  • The purpose of this study is to exploratory examine the structural relationships among meaningfulness of work, personality(Big 5 character-types) and job stress. To conduct such examination, the author (i) designated meaningfulness of work, personality(Big 5 character-types) and job stress as variables and (ii) designed a research model by conducting preceding studies on the variables. To examine the research model the author collected the survey data from the residents in Kyoungsangbuk-do, 332 copies of questionnaire. Collected data were analyzed using SPSS and AMOS programs. The analysis results are as follows. Especially, (1) the meaningfulness of work had a positive effect on agreeableness, conscientiousness, and extraversion. (2) the meaningfulness of work had a negative effect on neuroticism. (3) the meaningfulness of work had no effect on openness to experience. (4) the neuroticism factor had a positive effect on psychological job stress and physical job stress. (5) the openness to experience had a negative effect on psychological job stress and physical job stress. (6) the meaningfulness of work had no effect on psychological job stress and physical job stress. The implications and limitation which this study are as follows. First, this study has discovered that there was statistically significant relationship between the meaningfulness of work and Big 5 character-types. Second, Big 5 character-types(neuroticism, openness to experience) had statistically effect on psychological job stress and physical job stress. This study have limitation in that was conducted based on cross-sectional design of research. Because, the mechanism of job stress is a dynamic process.

Evaluation of Health Promoting School by School Characteristics (학교특성에 따른 건강증진학교 평가)

  • Lee, Eun-Young;Choi, Bo-Youl;Sohn, Ae-Ree;Ahn, Dong-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.26 no.3
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    • pp.85-96
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    • 2009
  • Objectives: The purpose of this study was to assess input for health promoting schools (HPS), and to evaluate HPS based on WHO's guidelines through school characteristics, and to identify the schools' need among six areas of HPS. Methods: A stratified and random cluster sampling design was used to obtain a cross-sectional sample. A total of 59 elementary, middle and high schools in Seoul and Gyeonggi areas were included, and 333 teachers (males 40.6%, females 59.4%) participated in this survey. A self-reported questionnaire consisted of ten items for input for HPS, 50 items for the evaluation of HPS and three items for the schools' needs among six areas of HPS. Data was analyzed through a t-test, ANOVA, and a Duncan test. Results: The mean score of input for HPS was 48.5 ($\pm$15.3). Elementary schools had higher mean scores of input than middle schools. The mean score of schools with a management committee was higher than those schools without it. The schools which had meetings on health issues had higher mean scores. The mean score for HPS was 76.8 ($\pm$9.4): the area of "School Physical Environment" had the highest score (80.0$\pm$10.9), and the area of "Community Relationships" had the lowest score (67.1$\pm$13.9). Elementary schools had higher mean scores of HPS than middle and high schools. The schools which had less than nine classes and more than 31 classes had higher mean scores. The mean scores of schools with less than 340 students and more than 1201 students had higher. The schools which had meetings on health issues had higher mean scores. The same results were found on six areas of HPS. The teachers responded that the areas of "School Health Policy", "The School Physical Environment", and "Health Service" should be supported among the six areas of HPS. Conclusion: Based on these results, more concerns and support for school health are necessary. Middle schools should give more regard on the development of HPS. For comprehensive school health promotion, all six areas of HPS should be equally supported.

Predictors of Wish to Undergo Cosmetic Surgery according to Experience of Cosmetic Surgery in Female College Students (여대생의 미용성형 경험 유무에 따라 미용성형욕구에 영향을 미치는 요인)

  • Lee, Haekyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.285-293
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    • 2013
  • This study was to investigate which predictors influenced the wish to undergo cosmetic surgery according to experience of cosmetic surgery in female college students. A cross-sectional descriptive design was used with self-report questionnaires, which were completed by 254 subjects. Data was analyzed with t-test and regression. There were statistically significant differences in acceptance and social motivation of cosmetic surgery and the wish to undergo cosmetic surgery in the future between the two groups. Body area satisfaction and acceptance of cosmetic surgery were significant predictors to the wish to undergo cosmetic surgery in the non-experienced group. The significant predictor of the wish to undergo cosmetic surgery for the experienced group was acceptance of cosmetic surgery. The findings from this study suggest that there is need to different approaches to discuss or council for wish to undergo cosmetic surgery according to individual cosmetic surgery experience.

Population Characteristics Influencing Treatment Service Use among Individuals with Drug Dependency (마약류 의존자 치료재활 서비스 이용에 영향을 미치는 개인적 특성에 관한 연구)

  • Kim, Nang-hee
    • Korean Journal of Social Welfare Studies
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    • no.39
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    • pp.395-423
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    • 2008
  • This study investigated population characteristics that influencing treatment service use of people who are voluntarily using drug dependency treatment services by using logistic and hierarchical regression analysis. The research model of the current study was driven by the framework of the 'the Behavioral Model of Health Services Use(the Andersen model)' that has been broadly applied to study on health behavior. This study used data from a sample group of 80 adults by using purposive sampling. This study found that some predisposing factors, enabling factors and need factors have direct effects on service use. In detail, individuals who graduated from high school use drug dependency treatment utilities more than those who did not. Further, individuals who were given more support from family, peers, or others, use the treatment utilities more frequently and were more willing to use the utilities continuously. Furthermore, the greater the perceived need felt by the dependent, the greater the tendency to enter hospitals or shelters. The important implications of this study for social work practice and social policy can be summarized as follows: first, this study supports the idea that intervention for drug dependents in Korea should be focused on environment resources rather than population characteristics; and government must support drug dependent treatment systems; the present study was the first to investigate Korean drug dependents through taking a more positive view, as well as the first to apply 'the Behavioral Model of Health Services Use', and as such represents an example of how studies could be productively conducted in the future. Despite these implications, there remain some limitations in this study. These include the following: limitation in generalizability of the results; the cross-sectional nature of the study design; survey research through the questionnaire method; using foreign scales; and the difficulty of classifying treatment settings.

Factors Associated with the Quality of Life among Persons with Severe Mental Illness Living in Supported Housing (독립주거 거주 중증 정신장애인의 삶의 질에 영향을 미치는 요인에 관한 연구)

  • Lee, Sung-eun
    • Korean Journal of Social Welfare Studies
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    • no.36
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    • pp.281-299
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    • 2008
  • The objective of this study was to examine the association between personal, housing, program, and service characteristics and quality of life among persons with severe mental illness living in supported housing. A cross sectional survey of a random sample of 237 clients residing in supported housing in Philadelphia was used to assess the association between personal and environmental characteristics, and quality of life. Data were collected from structured interviews, administrative data, the 2000 U.S. Census data file and the Philadelphia police crime database. Multiple regression analyses were used to identify personal and environment characteristics that are associated with quality of life. Clients with diagnoses of schizophrenia, those with lower levels of psychiatric symptoms, those with higher levels of physical health status, and those with higher levels of perceived supportiveness with staff had higher levels of quality of life. Findings of this study suggested that clients' clinical characteristics and consumer staff relationships can be important variables for understanding quality of life among supported housing residents. Factors associated with quality of life identified in this study may help service providers design and plan services to promote quality of life and stable independent living in the community of supported housing residents.

Exploring Relationships of Factors Influencing Career Choices Among Asian American Social Workers (동양계 미국 사회복지사의 진로선택에 영향을 미친 요소들 간의 관계에 대한 연구)

  • Lee, Soon-Min
    • Korean Journal of Social Welfare Studies
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    • v.40 no.3
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    • pp.181-211
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    • 2009
  • Asian Americans are one of the fastest growing minority groups in the United States. One of the stereotypes associated with Asians is that they are more likely to choose careers in science, medicine, and engineering rather than social science, inclusive of social work, mass communication, or humanities (Leong & Serafica, 1995; Tang et al., 1999). This occupational stereotyping of Asians is not just a myth in that only a few Asians choose social work as a career (Lennon, 2005; NASW, 2006). Few studies exist on Asian Americans who do not choose Asian stereotypical career choices, such as social work. Acknowledging this lack of research, the present study was developed to explore the relationships between factors that may influence Asian Americans who choose social work as their career. Based on Social Cognitive Career Theory (Lent, Brown, & Hackett, 1994), it was hypothesized that acculturation and family immigration status influenced parental involvement, disapproval by significant others as a perceived career barrier among Asian American social workers. A cross-sectional survey design was used in this study. The sample was derived from the members'database of the National Association of Social Workers (NASW). A total of 900 were randomly chosen among 1,802 of Asian American social workers in the NASW database, and 370 Asian American social workers participated in this study with 41 percent of a return rate. Quantitative data were collected through standardized measurements: Suinn-Lew Asian Self-Identity Acculturation Scale (Suinn, Rickard-Figueroa, Lew, & Vigil, 1987); Career Barriers Inventory Revised (Swanson, et al., 1996); and eight items from Tang et al.'s (1999) Asian American Career Development Questionnaire. The data were collected through a combined method of an online survey with option of a paper mail-return questionnaire. Results of the study found significant group differences among family immigration status groups on parental involvement, and perceived likelihood and hindrance of disapproval by significant others. The group of the 2nd generation reported the highest scores of parental involvement among the family immigration status groups. Also, Asian American social workers who represented the 3rd and higher generation of immigration reported lowest perceived likelihood and hindrance scores of disapproval by significant others. However, there was no significant multivariate effect of acculturation on parental involvement, and perceived likelihood and hindrance of disapproval by significant others. Implications and limitations of this study, as well as suggestions for future research, are discussed.

Evaluation on the Structural Performance and Economics of Ultra-high Performance Concrete Precast Bridges Considering the Construction Environment in North Korea (북한 건설환경을 고려한 초고성능 콘크리트 프리캐스트 교량의 구조성능 및 경제성 평가)

  • Kim, Kyoung-Chul;Koh, Kyung-Taek;Son, Min-Su;Ryu, Gum-Sung;Kang, Jae-Yoon
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.9 no.2
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    • pp.208-215
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    • 2021
  • In this study, a customiz ed bridge system was developed for North Korea application. For the application of North Korea, the customized bridge system design, fabrication, and construction performance evaluation were performed using ultra-high performance concrete a compressive strength 120MPa or more and a direct tensile strength 7MPa or more. The comparison of the North Korean truck luggage load(30, 40, 55) and the Korean standard KL-510 load showed that cross-section increased as the load increased. Furthermore, a bridge with a span length of 30m was fabricated with ultra-high performance concrete for the construction performance evaluation. The evaluation of the load condition analysis was performed by a flexural test. The results showed that a bridge with a span length of 30m secured about 167% of sectional performance under initial cracking load conditions and about 134% of load bearing capacity under ultimate load conditions. As a result of economic analysis, the customized bridge system using ultra-high-performance concrete was less than about 11% of the upper construction cost compared to the steel composite girder bridge. Therefore, these results suggest that the price competitiveness can be secured when applying the ultra-high-performance concrete long-span bridge developed through this study.

Frailty and Health Care Utilization among Community-dwelling Older Adults (노쇠와 의료 이용의 관련성: 일부 지역사회 거주 노인들을 중심으로)

  • Jung, Youn;Bae, Jung-Eun;Song, Eunsol;Kim, Namsoon
    • 한국노년학
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    • v.38 no.4
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    • pp.837-851
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    • 2018
  • This study aimed to investigate the relationship between frailty and health care utilization in a cross-sectional design of a population-based sample of community-dwelling older adults. We used the data of 516 participants who dwell in Daejon, aged between 65 and 84 years old. Using K-frailty index, frailty status were measured and categorized as three groups: robust, prefrail, and frail. Logistic regression analysis was used to examine if frailty affects emergency department(ED) visit or hospitalization. In addition, negative binomial regression was used to examine the association between outpatient visits and frailty. Our results showed that the frail elderly increased the ED visit and the number of outpatient visit significantly after controlling for demographic characteristics, socioeconomic status, the number of chronic diseases, and self-rated health status. Considering that frailty is an important independent factor affecting health care utilization, more attention is required to prevent the frailty in our health care system.