• 한국지역사회생활과학회지
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• 제17권1호
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• pp.123-139
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• 2006

The purpose of this study is to search how to promote health and improve nutrition and health care of the elderly people in rural area. Behaviors for health promotion and habits against health risk were surveyed. Dietary management was analyzed for surveyed nutrient intake by 24 hr -recall method. 242 subjects were collected in 12 cities or counties in Gyeonggi Province and 20 elderly people (10 male and 10 female) were selected out of 1 village in each district. Questionnaire for health behavior and dietary management was carried out by trained interviewers. Statistical analyses were made by SAS (version 8.1) and Chi-square tests and General Linear Models were used. Characteristics of the elderly people were 61-74 year-olds (68.2%), elementary school educated (78.4%), with spouse (51.7%), monthly living cost of 500-1,000 thousand won(43.4%), and monthly pocket money of 50-100 or 100-200 thousand won(33.5%, 26.5%). 41.4% of the subjects checked up medical examination regularly. The alcohol drinking status was significantly different according to gender: high no-drink rate of female (52.5%) and low no-drink rate of male (25.6%). Kinds of disease were different according to gender: higher proportion of cardiovascular disease(46.3%) and diabetes mellitus(8.1 %) in male and joint lumbago neuralgia(44.4%) and osteoporosis(8.6%) in female. Gastrointestinal complaints were nausea (69.0%) and chronic indigestion (17.8%). Constipation (12.0%) and vomiting (4.3%) were more frequent in female. Dietary management was good (3 meals per day: 93.4%., dining with family: 72.4%, regular mealtime: 72.4%, and 3-4 times of snacks per week: 44.9%) except side dish taking of 3-4 kinds only. However, almost one-third of the female elderly ate alone (30.6%) which was well compared with one-fifth of the male (19.7%). And food and nutrients intake were not significantly different according to gender except that male elderly's intake of energy and protein was lower than that of female's. The surveyed subjects had no difficulties in Activities of Daily Living (ADL), but some female elderly had some difficulties with Instrumental Activities of Daily Living (IADL) like working at home, using transport, and going shopping. These results suggest that low quality of life linked with low economic status of the rural elderly and that congregate meal at village hall would be required for the female elderly eating alone. For the undernourished male elderly, it would be needed to provide snacks and to establish nutrition and health surveillance system.

• 대한지역사회영양학회지
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• 제16권4호
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• pp.466-472
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• 2011

Hazardous chemicals, such as polycyclic aromatic hydrocarbons (PAHs), volatile organic compounds (VOCs) and heavy metals, are known as being harmful to human health were included in oils released by the Herbei Spirit Oil Spill accident in December 2007. To investigate changes of eating habits by the exposure to harmful substances, we conducted 5 focus group interviews for residents at Taean coast areas, who had experienced the oil spill accident. Participants included 46 women (mean age: $57.2{\pm}10.9$) who were mainly responsible for preparing family meals. Focus group discussions were audio-taped, transcribed and categorized by themes. Participants expressed more frequent illness symptoms such as dizziness, vomiting, visual loss, and skin diseases after the accident. They mentioned that their worries about economic hardship and worsened health status since the accident induced mental problems, such as depression about their children. Regarding eating habits, participants reported less intakes of fishes and meats and relatively more intakes of vegetables and kimchi due to the lack of household incomes after the accident. Although the participants had been used to collecting or catching fish or shellfish for their consumption previously, they mainly purchased these foods from local markets after the accident. Changes of eating habits induced by the accident included drinking boiled water and having steamed or fried seafood rather than raw seafood. Changes of food intakes occurred less frequently in older adults due to their longterm fixed eating habits, although they felt uncomfortable for having raw fish. The findings of this study clearly present that the exposure of hazardous substances by the oil spill accident had a significant impact on changes in eating habits besides economic, physical, and mental problems among the residents in Taean. Continuous health and nutrition monitoring and support are needed.

• 한국치위생학회지
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• 제17권2호
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• pp.181-191
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• 2017

Objectives: The objective of the study was to investigate the use of dental hygiene devices in Korean adolescents. Methods: The study subjects were 70,362 adolescents in 800 schools who completed the 2015 Korean Youth Risk Behavior Web-based survey. Dependent variables included usage of dental floss, interdental brushes and mouthwash solutions. Independent variables included demographic characteristics of the subjects, health state and behaviors, and oral health behaviors and experience of oral diseases. Results: The related factors of usage of dental hygiene devices included gender, where females showed higher usage (OR=1.10) compared to males, father and mother's level of education where usage was higher in above university graduates (OR=1.20, OR=1.14) compared to less than high school graduation, economic status where usage was higherin high and middle (OR=1.93, OR=1.26) compared to low, vigorous physical activity where usage was higher in those who responded yes (OR=1.35) compared to no, subjective weight recognition where usage was higher in normal (OR=1.07) compared to under weight, sleep time where usage was higher in enough (OR=1.12) compared to not enough, number of toothbrushing (day) where usage was higher in 2 times or over 3 times (OR=1.35, OR=1.75) compared to below 1, oral health education experience (OR=1.10), sealant experience (OR=1.17) and scaling experience (OR=1.45) where usage was higher in those who responded yes compared to no, school where usage was lower in high school (OR=0.64) compared to middle school, residential type where usage was lower in rural area (OR=0.74) compared to metropolitan area, living form where usage was lower in other (OR=0.77), compared to with family, smoking (OR=0.93), and alcohol drinking (OR=0.90) where usage was lower in those who engage in the activities compared to those who didn't, BMI where usage was lower in normal (OR=0.87) and over weight (OR=0.98) compared to under weight. Conclusions: To expand the use of dental hygiene devices in the adolescents, it is necessary to improve the continuing education program for need and motivation of dental hygiene device usage.

• Journal of Preventive Medicine and Public Health
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• 제24권4호
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• pp.516-530
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• 1991

일상생활을 통한 연섭취로 인한 고혈압 발생 가능성 및 이때 연이 혈압에 영향을 미칠 수 있는 기전을 밝히기 위한 연구의 일환으로 환자 대조군 연구를 실시하였다. 대상자로서 울산 및 그 인근지역의 직업적 연폭로 과거력이 없는 남자 근로자 중 고혈압 환자 72명, 대조군 69명을 선택하였다. 혈중 연과 혈장레닌활성도(Plasma renin activity, PRA)를 측정하였으며 동시에 흡연유무, 음주유무, 고혈압 가족력 유무를 확인하고 body mass index(BMI), 혈청 소디움, 포타시움, 이온화 칼슘, 크레아티닌 및 총 콜레스테롤을 측정하였다. 고혈압군의 혈중 연농도는 $19.8{\pm}5.5{\mu}g/dl$로서 대조군의 $12.5{\pm}4.7{\mu}g/dl$에 비해 유의하게 높았고(p<0.01) 또한 혈중 연의 고혈압발생에 대한 교차비(odds ratio)가 1.38로서 역시 유의하였다(p<0.01). PRA나 In(PRA)가 고혈압군과 대조군 사이에 유의한 차이가 없었으나 고혈압군에서 혈중 연농도가 증가함에 따라 PRA도 어느정도 증가하는 양상을 보였고(p<0.1), In(PHA)를 종속변수로 하는 중회귀분석을 실시하였을 때 혈중 연농도(회귀계수 ; 0.037)가 10% 수준에서 유의하였다. 본 연구를 통해 볼 때, 지금까지 알려진 정상치 범위 이내의 혈중 연과 고혈압 발생간의 인과 관계에 대해 계속 연구해 볼 필요성을 느끼며 이때 PRA의 변화가 작용 기전의 일부에 관여할 가능성이 있을 것으로 추측된다.

• Journal of Preventive Medicine and Public Health
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• 제38권4호
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• pp.391-400
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• 2005

Objective : This study examined the socioeconomic differentials for the health and health related behaviors among South Korean middle school students. Methods : A nationwide cross-sectional interview survey of 3,449 middle school second-grade students and their parents was conducted using a stratified multi-stage cluster sampling method. The response rate was 93.3%. The socioeconomic position indicators were based on self-reported information from the students and their parents: parental education, father's occupational class, monthly family income, out-of-pocket expenditure for education, housing ownership, educational expectations, educational performance and the perceived economic hardships. The outcome variables that were measured were also based on the self-reported information from the students. The health measures included self-rated health conditions, psychological or mental problems, the feelings of loneliness at school, the overall satisfaction of life and the perceived level of stress. The health related behaviors included were smoking, alcohol drinking, sexual intercourse, violence, bullying and verbal and physical abuse by parents. Results : Socioeconomic differences for the health and health related behaviors were found among the eighth grade boys and girls of South Korea. However, the pattern varied with gender, the socioeconomic position indicators and the outcome measures. The prevalence rates of the overall dissatisfaction with life for both genders differed according to most of the eight socioeconomic position indicators. All the health measures were significantly different according to the perceived economic hardship. However, the socioeconomic differences in the self-rated health conditions and the psychosocial or mental problems were not clear. The students having higher socioeconomic position tended to be a perpetrator of bullying while those students with lower socioeconomic position were more likely to be a victim. Conclusions : The perceived economic hardships predicted the health status among the eighth graders of South Korea. The overall satisfaction of life was associated with the socioeconomic position indicators. Further research efforts are needed to explore the mechanisms on how and why the socioeconomic position affects the health and health related behaviors in this age group.

• 보건교육건강증진학회지
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• 제11권1호
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• pp.16-32
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• 1994

Health Education is very important not only in school or community fields but also in industrial fields. And health education is most fundamental and enthusiastic area in industrial health. The purpose of this study was to analyze the workers' health education needs and the factors which could affect them. The subjects for this study was 855 workers selected from 57 factories in Inchon. The results were as follows: 1. For demographic variables, sex, age, educational level, and income of the workers were investigated. Most of the workers were males (80.2%). Of the respondents, 30∼39 years old were 41.3%. Approximately 62% of the workers were high school graduates. In additions, those who reported they earned 500,000∼800,000 won monthly were 41.9%. 2. Behavioral characteristics of the workers investigated in this study included smoking, drinking and physical activities. Of the respondents, 55.9% were smoking cigarettes, and 26.8% of the workers reported they drank alcohol once or twice a week. The workers who were taking any form of exercise regularly were 31.6%. 3. Occupational characteristics of the workers included working period working hours a day, medical examination, and so on. About 37.6% of the workers had worked 1∼5 years and 53.6% of the respondents were working less than 8 hours a day. More than half of the workers in this study were taking special medical examination(59.3%) and 59.6% of the respondents were working at the production line in the factories. And most of the respondents (69.0%) were mere members of the staffs. 4. For perceived health status of the respondents, 41.1% answered they were healthy. And for the level of health status, health grade 20.4% of the workers were unhealthy. 5. Health education areas the workers in this study wanted to learn were as follows: 1) Mental health 2) Worksite environment 3) Safety control 4) Disease contol. 6. Those who reported having ever received health education in the factories were 20.9%. 7. Women had more health education needs in personal health care, disease control and family health areas than men. Each age group had different health education needs in all health areas and the differences were significant statistically. 8. The workers who had received special medical examination had more health education needs in worksite environment, safety control, and disease control areas than those who had received general medical examination. The lower the satisfaction of the work and the working environment was, the higher the health education needs of worksite environment area were. 9. For the levels of health status healthy workers were more likely than unhealthy workers to have health education needs in all health areas.

• 지역사회간호학회지
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• 제14권1호
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• pp.144-156
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• 2003

This study was conducted to investigate the relationship between the self-esteem, social support and health promoting lifestyle of the elderly in a community. The sample consisted of 147 elderly, and data were collected from September 1 to October 15, 2001. The instrument of this study was a structured questionnaire including Health Promoting Lifestyle (47 items), Social Support(18 items), Self-Esteem(10 items), Socio-demographic Characteristics. Analysis of the data was done by use of descriptive statistics, ANOVA, Pearson Correlation Coefficient. The results of this study are as follows: 1. The degrees of self-esteem of the elderly were mean score $25{\pm}2.98$ points, socio-demographic characteristics containing meaningful difference with self-esteem was not significant. 2. The degrees of social support by elderly were mean score $55.03{\pm}9.60$ points and social support according to the socio-demographic characteristics showed meaning difference in family structure $\ulcorner$with off spring$\lrcorner$ (F=8.50, p=.000), health status $\ulcorner$good$\lrcorner$ (t=2.19, p=.030), smoking $\ulcorner$below 1 packet daily$\lrcorner$ (F=4.88 p=.009). 3. The degrees of health enhancing lifestyle by elderly were mean score $113.61{\pm}20.12$ points and health enhancing lifestyle according to the socio-demographic characteristics showed meaning difference in education level $\ulcorner$middle school and above$\lrcorner$ (F=6.37 p=.002), occupation before retirement $\ulcorner$profession, technician, employee of company, education$\lrcorner$ (F=5.00, p=.003), health status $\ulcorner$good$\lrcorner$ (t=3.14, p=0.002), exercise $\ulcorner$weekly 2-3$\lrcorner$ (F=4.31, p=.006), drinking $\ulcorner$weekly 1$\lrcorner$ (F=2.74, p= .046). 4. The item mean score of personal relationship support field in health enhancing lifestyle were $2.90{\pm}.60$ points. item mean scores of exercise and nutrition were $2.26{\pm}.39$ points, item mean scores of stress managing field were $2.25{\pm}.49$ points, item mean scores of health responsible field were $2.14{\pm}.61$ points. 5. The relationship between self-esteem and health enhancing lifestyle revealed a significant correlation(r=.169. p=.041), but self-esteem and social support, showed no significant correlation, and health enhancing lifestyle and social support, revealed a significant correlation(r=.654, p=.001).

• 대한가정학회지
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• 제24권4호
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• pp.57-68
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• 1986

The present survey was designed to investigate correlations among blood pressure, nutritional intakes, and various environmental factors in Korean adult males, and to observe the difference in dietary intakes between hypertensive patients and normotensive subjects. Two hundred forty-three adult men from Seoul and rural areas were interviewed about their food intakes, dietary patterns, food habits, and general environmental factors from December 20, 1982 to February 15, 1983. Their dietary intakes were surveyed by means of 24-hour recall diet method. Dietary score card was used in order to evaluate the quality of routine diet of the subject. Variables of environmental factors and factors related to hypertension were expressed as percentage, and the differences in nutrient intake and food score of each sub-group were examined by means of t-test. Correlation of all the variables were analyzed by Pearsons Correlation Coefficient. The results obtained are summarized as follows: 1. 38% of the subjects were between the ages of 40~49, and about one-half of the subjects were middle or high school graduates. 28% of the subjects earned 210, 000~350, 000 Won per month, and income distribution was almost identical to that of the urban population of Korea. 2. There was more overweight or obese found in the hypertensive patients than in the normotensive subjects. About 40% of the hypertensive patients reported a family history of hypertension, and their knowledge about hypertension was rather poor, but slightly better than the normotensive subjects. The patient group had less adherence to smoking and alcohol compared with the normotensive subjects, but no difference was observed in coffee drinking. The mean value of the blood pressure for the normotensive subjects was 127/86mmHg and 175/109mmHg for the hypertensive group. 3. Nutrient intake for the hypertensive group was lower for most of nutrients than in the healthy group. Hypertensive patients on diet therapy consumed less calories and carbohydrates compared with those who do not follow diet therapy. 4. There was no difference intake of these food groups between patients and the healthy group. Food score was strongly related to consumption of animal protein, saturated fats, Calcium, Iron, Vitamin A, Riboflavin, and Vitamin C, which are prone to be deficient in the typical Korean diet. 5. Blood pressure had a strong positive correlation with age, body weight, and socioeconomic level. In addition, monthly income was positively related with age and education level. 6. Three was a positive relationship between blood pressure and consumption of vegetable protein, and a negative relationship with consumption of Calories, Carbohydrates, Calcium, Iron, Vitamin A, Vitamin B1, Niacin, and Vitamin C. Animal protein intake increased as income and education levels increased, but this tendency was opposite for carbohydrates. In summary, nutritional intakes are strongly correlated with various environmental factors and the level of blood pressure. There was no difference between normotensive and hypertensive subjects with respect to the quality of food consumed except restricting energy and carbohydrate in the patient group.

• 한국사회복지학
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• 제61권2호
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• pp.277-301
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• 2009

본 연구의 목적은 남성 폭력행위자의 부부갈등 대처전략이 아내폭력에 미치는 영향을 규명하는 데 있다. 이를 위해 전국 가정폭력상담소14개소에서 가정폭력 문제로 상담을 받기 시작한 남성 폭력행위자를 대상으로 설문조사를 실시하여 회수한 설문지 121부 모두를 본 연구의 분석에 사용하였다. 위계적 다중회귀분석을 실행한 결과, 남성 폭력행위자의 부부갈등 대처전략은 심리적 신체적 아내폭력에 유의미한 영향을 미치는 것으로 나타나서, 문제해결 대처전략을 사용하지 않을수록 심리적 폭력의 빈도가 유의미하게 증가했으며, 회피대처 전략을 사용할수록 신체적 폭력의 빈도가 유의미하게 증가했다. 또한 결혼만족도가 낮을수록 심리적 신체적 아내폭력의 빈도가 증가하고, 적대감이 높을수록, 음주문제 정도가 심각할수록 심리적 아내폭력의 빈도가 증가하는 것으로 밝혀져서, 결혼만족도, 적대감, 음주문제 정도가 아내폭력에 유의미한 영향을 미치는 요인임을 규명하였다. 이와 같은 연구결과는 부부갈등 대처전략이 아내폭력의 발생에 영향을 미치는 요인으로서 행위자 대상의 치료프로그램에서 적극적으로 다루어져야 할 주제임을 보여 주는 것이라 할 수 있다. 또한 가정폭력 문제의 개입에서 행위자의 음주문제를 포함한 정신건강 증진과 전반적인 결혼의 질 향상을 포함하는 포괄적인 개입이 이루어질 필요성이 있음을 제시한 것이라 할 수 있다.

• 여성건강간호학회지
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• 제7권3호
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• pp.305-316
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• 2001

The purpose of this study was to identify characteristics related to self assertiveness in teenage girls, and to identify the relationship between the self assertiveness and sexual experiences in teenage girls in Korea. The subjects for this study were 12,733 girls from an accessible population of 19,000 girls who were a multi-stage cluster sample from a population of 1,988,902 girls attending to 4,684 schools in the seven large cities and nine provinces of Korea. The response rate was 68.9%. Data were collected by mail from October 2 to October 28, 2000. A structured questionnaire of 125 items which included measurement of general characteristics, sexual experiences, and self-assertiveness was used. The sexual experiences were defined as dating, holding hands, putting arms on the shoulders, light kissing, French kissing, touching breasts, touching genitalia, and coitus. The self assertiveness measurement was developed by S. B. Chang et al.(2000) and has a Cronbach's alpha of .6031. Data was analyzed with SPSS 10.0 Program using descriptive statistics, reliability, and t-test. The results of this study are as follows; 1. The subjects were from 9th to 11th graders and 42.7% answered that they followed their partner's request. The range for the self assertiveness score was 7-21 out of a possible range of 7-21. The group of girls who were in vocational schools, lived away from family or in rural areas, attended night school, took part in drinking, smoking, and glue inhalation, who had cyber sex or phone sex or were exposed to pornography, and who had run away from home showed significantly lower self assertiveness scores than those without these characteristics (P<.05). 2. The group which had experience in dating(t=2.379, P=.017), French kissing (t=5.425, P=.000), touching breasts (t=8.637, P=.000), touching genitalia (t=6.057, P=.000), and coitus(t=6.057, P=.000) showed significantly lower self assertiveness scores than the group which had not had these sexual experiences. But there was no difference in the self assertiveness scores between the group which had experience of holding hands, light kissing, and using contraceptives compared to the group which did not. It can be concluded that the group which had delinquent behavior showed lower self assertiveness, and the lower self assertiveness led to unwanted sexual experiences. It is suggested that self assertiveness training be provided for the group with delinquent behavior as a first priority, and then analyze of the process of self assertiveness in relation to sexual experiences.