• Korean Journal of Family Medicine
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• v.39 no.6
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• pp.364-369
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• 2018

Background: Compared with other chronic diseases, hearing loss is generally overlooked from the perspective of disease burden. However, hearing loss is emerging as an important issue in the current society. The objective of this study was to investigate disease burdens and marginal utilities associated with hearing loss and other chronic diseases. Methods: This study analyzed the cross-sectional data of 32,986 participants aged 19 years and older who completed the Korea National Health and Nutrition Examination Surveys between 2009 and 2013. Additionally, this study used the pure tone audiometric test, European Quality of Life-Five Dimensions Questionnaire, and chronic disease status. The data were analyzed using a multiple linear regression method. Results: The data of 23,297 people who underwent a pure tone audiogram and completed the European Quality of Life-Five Dimensions Questionnaire were used in this analysis. The marginal utility of hearing loss ranked fifth among nine chronic diseases. The estimated loss of quality-adjusted life years associated with hearing loss was -93.69 years per 100,000 people, which is similar to other chronic diseases. Conclusion: This study assessed the marginal utilities and public burdens of hearing loss and eight chronic diseases in a South Korean population. Although the values may vary depending on country and race, this study may provide an indispensable foundation for more detailed studies on hearing loss.

• Quality Improvement in Health Care
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• v.4 no.1
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• pp.36-49
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• 1997

Background : Hypertension is one of the most important risk factors of the cerebrovascular accident and coronary artery disease which are the major causes of mortality in Korea. In Korea, the quality of care provided by office-based physicians has not been evaluated formally. The purpose of this study is to assess the quality of hypertension management of office-based physicians. Method : Self-administered questionnaires were mailed to the office-based physicians with the speciality of internal medicine, general surgery, family medicine, and general practitioners. Among 2,045 physicians, 981 doctors(48.0%) replied the questionnaires. Contents of questionnaires were based on the recommendation from the JNC-V report(the Fifth Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure), and included the criteria of diagnosis, treatment, follow-up interval, and other characteristics of physicians(age, sex, type of speciality, and location of practice). Results : Eighty four percent of the office-based physicians made diagnosis of hypertension with less than 3 times of blood pressure measurements. The performance rate of required examination for hypertensives was very low in most items. Rate of fundoscopic examination is the lowest one among them(5.9%). The performance rate of laboratory examination was also low in most items. Internists tended to order more frequent laboratory examinations than any other type of physicians. Only 11.4% of the physicians did appropriate treatments for the mild hypertension case. The antihypertensives selected by the physicians as a first line drug were in the order of beta blocker(26.4%), calcium channel blocker(23.4%), diuretics(23.1%), ACE inhibitors(14.3%). The visit interval for established hypertensives was very short. Proportion of physicians with follow-up interval longer than 4 weeks was only 4.3%. Conclusions : The overall quality of hypertension management of office-based physicians in Korea is very problematic in many aspects. So further investigations to find out the reasons of low quality arid quality of care should be initiated.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.11
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• pp.5823-5828
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• 2012

Background: Breast cancer (BC) is one of the most common cancer affecting women worldwide. Although a great deal of progress has been made in the health sciences, early diagnosis, and increasing community awareness, breast cancer remains a life-threatening illness. In order to reduce this threat, breast cancer screening needs to be implemented in all communities where possible. Objective: The purpose of this study was to examine health beliefs, attitudes and behaviors about breast cancer and breast self-examination of Turkish women. Methods: Data were collected from a sample of 656 women, using an adapted Turkish version of Champion's Health Belief Model Scale (CHBMS), between January and May 2011, in Ordu province of Turkey. Results: The results showed that 67.7% of women had knowledge about and 55.8% performed BSE, however 60.6% of those who indicated they practiced BSE reported they did so at irregular intervals. CHBMS subscales scores of women according to women's age, education level, occupation, family income and education level of the women's mothers, family history of breast cancer, friend and an acquaintance with breast cancer, knowledge about breast cancer, BSE and mammography were significantly different. Conclusion: Knowledge of women about the risks and benefits of early detection of breast cancer positively affect their health beliefs, attitudes, and behaviors. Health care professionals can develop effective breast health programs and can help women to gain good health behavior and to maintain health.

• Child Health Nursing Research
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• v.11 no.3
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• pp.348-355
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• 2005

Purpose: In order to provide basic information for the development of nursing programs, health promoting behavior of students rewriting college entrance examinations was examined and factors related to health promotion were identified. Method: Data were collected by questionnaire from 804 examines in Seoul and Gyeonggi Province and were analyzed using the SAS program with t-test, ANOVA, Scheffe's test and Pearson correlation coefficients. Result: The mean score for health promoting behavior was 2.50. The highest score for the sub-areas was harmonious relationships and the lowest was, professional health maintenance. There were significant differences in health promoting behavior according to the following general characteristics; religion, frequency of rewriting college entrance examination, economic burden, parents' education level, grade, satisfaction with parents, friends and rewriting of college entrance examinations, parents' health concernsand knowledge of health, need for health education, and health condition and chronic disease over the past year. Correlations between health promoting behavior and family support and self-esteem were positive. The variables that influenced health promoting behavior were family support ($24.5\%$), self-esteem ($11.3\%$), anxiety ($2.6\%$), and stress of studying ($0.5\%$), explaining $38.9\%$ of the total variance. Conclusion: These results will help to develop a nursing program that enhances health promoting behavior of students rewriting college entrance examinations.

• Journal of Korean society of Dental Hygiene
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• v.17 no.1
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• pp.99-110
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• 2017

Objectives: I examined the health and oral health status of elderly people living alone compared to elderly people living with their families by using data (2014) from the 6th Two-Year Korea National Health and Nutrition Examination Survey. Methods: Among 1,454 health survey respondents aged 65 years and over who participated in the 6th Two-Year Korea National Health and Nutrition Examination Survey conducted in 2014, 311 were elderly people living alone and 1,143 were elderly people living with their families. Results: In terms of socio-demographic characteristics, the percentage of elderly people living alone was high especially in women and when the subjects' age, education level, and income level were low. In terms of oral health status, the percentage of elderly people living alone was high when elderly people thought that their subjectively viewed health was poor and the frequency of drinking and exercise was low. In terms of oral health status, the percentage of elderly people living alone was high among elderly people who did not have good oral health in their subjective view and did not get oral examinations for a year and had a lot of difficulty chewing. Conclusions: Family support or additional social support for elderly people who live alone should be considered to promote the healthy lives of elderly people.

• Journal of agricultural medicine and community health
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• v.16 no.2
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• pp.120-124
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• 1991

From the medical examination held on 1988, an interested fact was observed that the cardiovascular disease related examination results of the Ulleung-Gun inhabitants were more marked than those of other areas. An intended search for hypertension with related tests was executed from September $3^{th}$, 1989 to September $7^{th}$, 1989 on 344 Ulleung-Gun inhabitant and the results were as follows. 1) Among the 344 subjects, males were 94 and female, 250. The reason of showing lower number of males than the number of females was due to the fishing work season of showing lower medical examination period was overlapped. 2) 58% of the subjects are the age of over 50 years old. 3) The suspected cases were 68 among 344, and the suspected rate was 19.7%. 4) Abnormality rates of related tests were as follows : suspected ECG 10.1%, hypertension 9.0%. high triglyceride value 5.8%, and high total cholesterol value 4.6%. 5) Table 5 shows that the higher of ages, the higher of ages, the higher of the suspected rates of all 4 related and results. especially the abnormality of hypertension and EOG was marked. 6) Table 6 shows that the incidence of hypertension was higher from the subjects having family history than those who had no family history, from those taking foods salty than those taking foods unsalty, from those taking diet of meat than those taking vegetable diets. 22 cases among 31 had abnormal ECG results and/or high triglyceride values. But there were 5 subjects who had no hypertension related factor.

• Nutrition Research and Practice
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• v.7 no.6
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• pp.495-502
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• 2013

Recent studies suggest that vitamin D deficiency and cardiometabolic disorders are becoming increasingly more prevalent across multiple populations. However, there is a lack of comprehensive data for Korean adults. We investigated the vitamin D status, the prevalence of vitamin D deficiency and its association with metabolic syndrome (MS) risk in Korean adults aged 20 years or older. The study subjects (n = 18,305) were individuals who participated in the Korean National Health Examination and Nutrition Survey (KNHANES) in 2008-2010. Vitamin D status (25-hydroxyvitamin D [25(OH)D]) was categorized as < 20, 21-29, and ${\geq}$ 30 ng/mL, which are the cut-off points for deficiency, insufficiency and normal limits. A wide variety of cardiometabolic risk factors were compared according to the vitamin D status. Vitamin D deficiency was found in 53.9% of men and 70.5% of women. Mean BMI, systolic BP, HbA1c and low density lipoprotein cholesterol (LDL-C) were highest in the vitamin D deficiency group in both genders. Further, the MS was most prevalent in the vitamin D deficiency group in both genders (12.3%, P = 0.002 in men and 9.2%, P < 0.001 in women). Compared to the vitamin D normal group, the adjusted odds ratio (ORs) (95% confidence interval [95% CI]) for MS in the vitamin D deficiency group were 1.46 (1.05-2.02) in men and 1.60 (1.21-2.11) in women, after adjusting for confounding variables. In conclusion, Vitamin D deficiency is a very common health problem in Korean adults and is independently associated with the increasing risk of MS.

• Journal of Nutrition and Health
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• v.51 no.1
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• pp.50-59
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• 2018

Purpose: The aim of this study was to identify the nutritional status in Korean children eating breakfast together as a family or skipping breakfast from the 2013 ~ 2015 Korea National Health and Nutrition Examination Survey (KNHANES). Methods: A total of 1,393 subjects (boys = 731, girls = 662), aged 6 ~ 11 years, were presented with a 24 hr-recall method, and classified according to their eating breakfast together as a family or skipping breakfast; and eating breakfast together as a family (EBF group; boys = 580, girls = 548), eating breakfast alone (EBA group; boys = 100, girls = 67), and skipping breakfast (SB group; boys = 51, girls = 47). Results: In the boys, the SB group had a significantly lower carbohydrate (p = 0.0198) and vitamin C (p = 0.0219) density, and a higher fat (p = 0.0020) density than the EBF and EBA groups. In both boys and girls, the EBF and EBA groups showed a significantly larger number of dishes in breakfast than the SB group (p < 0.0001, respectively). In boys, the EBF group showed a significantly higher number of foods in breakfast than the EBA and SB groups (p < 0.0001). Conclusion: Children eating breakfast together as a family may be associated with a variety of food intake than children eating breakfast alone and skipping breakfast.

• Korean Journal of Social Welfare Studies
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• v.44 no.1
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• pp.135-164
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• 2013

The purpose of this research is to examine the effects of family social capital and community social capital on how successfully children adapt to school. Utilizing the second year data from the 1st year of middle school panel found in the 2010 Korea Children and Youth Panel Survey, descriptive statistical analysis, correlation analysis, and hierarchical linear model analysis were conducted successively on 2,056 second-year middle school students living in 93 communities. The data produced was used to determine what degree of influence family social capital and community social capital exert on the ability of children to successfully adapt to school. First, 6.1% of the variables relating to school adaptation were explained by differences among communities, and the remaining 93.3% were explained by differences among individuals. Second, the examination of the effects of family social capital showed that students who experienced lower rates of neglect also experienced less abuse, had parents who were more interested in and better informed about their lives, and better adapted to school. Third, the examination of the effects of community social capital showed that the higher the community spirit the communities had, the better the young students in the communities adapted to school. Fourth, when the effects of family social capital and community social capital were examined in conjunction with each other, it was found that the less neglect the students experienced, the less abuse the students experienced, the greater the interest their parents had in their close friends, the better they themselves adapted to school. In relation to community social capital, the level of community spirit was still found to exert positive effects on the ability of young students to successfully adapt to school.

• The Journal of Korean Physical Therapy
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• v.13 no.3
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• pp.727-734
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• 2001

The purpose of this study was to obtain the information of the home treatment state for children with delayed development and to identify stress and coping pattern in mothers of the children. Data were collected from 211 mothers of delayed developmental children(DDC) by means of structured questionnaires. The results of this study were that in the home treatment mothers had technical insufficiencies to treat their children. so they had a difficulties in treating their children at home. But the home treatment were effective and mothers were assisted by their family and others in their treatment. The mothers had stress by anxiety of prognosis. hurts, responsibility, technical insufficiencies and negligent in housework. And acquisition of home treatment technique, the existence of assistant, and emotion in treatment also influenced on stress in the mother. The coping pattern in the stress were regular medical examination. communication with medical team and other mothers with DDC, faith of recovery and treatment. confidence in home treatment, family coorperation. and leisure time without concern for treatment. The younger mother received the more help from other mothers with DDC. And the mothers with severe, complex DDC had the more help from faith of recovery. Regular medical examination and faith of recovery were helpful coping pattern in mothers who had no treatment skill. Confidence in family coorperation and leisure time without concern for treatment were particularly helpful in mothers whose treatment duration is longer, and home treatment was not effective.