• Journal of Family Resource Management and Policy Review
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• v.23 no.1
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• pp.17-34
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• 2019

Older women who live alone are among society's most vulnerable people, since they experience increased risk of multiple chronic diseases and have limited financial protection. This can lead older women living alone to catastrophic health expenditure(CHE), which is defined as a healthcare expenditure that exceeds a certain portion of a household's ability to pay. Using the Korean Longitudinal Study of Ageing(KLoSA), this study investigated the incidence of CHE among older women living alone and identified the factors related to this incidence. Applying health expenditure thresholds of 10%, 20%, 30% and 40% of ability to pay, the proportions of those with CHE were 41.3%, 22.9%, 14.6%, and 9.4%, respectively. Logistic regression models were used to identify factors related to CHE incidence, which include demographics, income, the number of chronic diseases, perceived health status, and health insurance type. The results show that the health care safety net in South Korea is insufficient for older women living alone. The findings can guide policymakers in improving healthcare and welfare policies to protect people from catastrophic payments. Particularly, welfare policies should be established for poor non-recipients who are not included within the benefits scope of the National Basic Livelihood Security System due to the unrealistic criteria of income recognition and family support obligation.

• Korean Journal of Health Education and Promotion
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• v.33 no.2
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• pp.27-37
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• 2016

Objectives: This study investigated the relationship between adolescents' suicidal ideation and their physical health conditions to contribute to lower suicide rates among adolescents. Methods: Secondary analysis of 2108 high school students of $10^{th}$ grade was conducted using the Korean Child and Youth Panel survey in 2013. The association between suicidal ideation and socio-demographic and health characteristics were analyzed using Chi-square tests and regression models. Results: Adolescents' physical health conditions were significantly related to suicidal ideation. In particular, rhinitis and various symptoms such as feeling feverish, low appetite, feeling of nausea, stomachache while studying, and sleeping problem showed statistically significant relationships with suicidal ideation (P < .05). Furthermore, the higher frequency of diseases and body symptoms increases the rate of suicidal ideation. Considering socio-economic characteristics, family structure was also important. Conclusions: Physical health condition is a major contributor to adolescent's suicidal ideation. results suggest that improving social support system for adolescents' physical health conditions across family and school may be important in suicide prevention efforts.

• The Journal of Korean society of community based occupational therapy
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• v.3 no.2
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• pp.1-12
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• 2013

Objective : The objective of this study is to present basic data to find health care plans for the elderly by comparing time-management ability and ADL and identifying the relationships between groups with subjects of elderly people living alone and living with family in Daejeon Metropolitan City. Method : A total of 80 elders who lived alone or with family that were aged 65 or older were selected with MMSE-K, 40 people were selected as subjects for each group. For time-management ability, a questionnaire was used. ADL were assessed by using FIM. The study period was May to June 2013. Result : Comparison of scores for time-management ability and FIM of the elderly who live alone or living with family did not show any statistically significant difference. In comparison of detailed scores between groups, there were statistically significant differences between the two groups being social interaction, problem solving and memory in social cognition items among detailed items. Conclusion : Through this study, we understood that social cognitive function of the aged living alone who had less opportunity of interaction compared to that of the aged living with family was lowered. Based on this, development and study on various programs should be made with consideration of sociodemographic characteristics of the elderly within community-based occupational therapy in the future.

• Child Health Nursing Research
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• v.25 no.2
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• pp.234-243
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• 2019

Purpose: The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetes-related attitudes, family support, and self-efficacy in adolescents with type 1 diabetes mellitus based on the information-motivation-behavior skills model. Methods: Data collection was conducted between March 18 and September 30, 2018. Patients (N=87) aged 12 to 19 years were recruited from the outpatient clinic of S children's hospital and an online community for patient with type 1 diabetes mellitus. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearsons correlation, and hierarchical multiple linear regression with SPSS IBM 23.0, with the two-tailed level of significance set at 0.05. Results: The mean score of self-management in adolescents with type 1 diabetes mellitus was $61.23{\pm}10.00$ out of 80. The regression analysis showed that self-efficacy and family support significantly explained 56.9% of the variance in self-management (F=21.38, p<.001). Self-efficacy (${\beta}=.504$, p<.001) and family support (${\beta}=.188$, p<.001) were significant predictors of self-management. Conclusion: It is necessary to develop individual interventions to improve self-efficacy and family support for adolescents with type 1 diabetes mellitus to help them enhance their self-management.

• The Journal of Korean Society for School & Community Health Education
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• v.1 no.2
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• pp.73-85
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• 2000

This research has attempted to provide the basic data of health education in middle school students whose positions are very important in health promotion of the whole people. Especially, we are focused on the relationship between their individual family environment and health promotion behaviour. We have surveyed and collected all the information of the effects which has come from the family environment, and given the period from 22nd of May to 27Th with 375 boys and girl students who live in the cities and suburbs of Chung Cheong Buk-D, and used SPSS program in the analyse of the information. The conclusions were as follows; 1. Gender, the residential area, the living pattern with parents, and religion have showed very close effects in the promotion health behavior of the middle school students. 2. Statistically, explained health promotion behavior has got 59% and hygiene and daily life habit in inferior group has 48% with these rates, there should be a special management on those factors. 3. The responsibility according to the value direction factors of home has showed relationship as follows; $\circ$ hygiene and daily life habit(p<.001) $\circ$ communicable disease control(p<.01) $\circ$ mental health(p<.05) $\circ$ health promotion behavior(p<.001) The above results showed that the middle school students health promotion behavior were affected by the responsibility according to the value direction factors of family, the responsibility according to the group characteristics factors of family and psychological process factors of family. With this result, family environment is essential factor for students abilities of building up his/hers health promotion behavior.

• Korean Journal of Social Welfare
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• v.52
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• pp.63-87
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• 2003

Our society has had a growing interest in a family volunteering activity which has been proposed to be helpful to strengthen the health of the families. Thus this could be a new alternative strategy for motivating a family life as well as activating a volunteering activity which takes a major portion in the source for social welfare, as a precautionary measure against various social problems. This research therefore studied the effects of the family volunteering activity on the status of family health on the purpose for providing social work implications to activate family volunteering and to enhance the degree of family health. The study subjects were whole family members in Korea (n=494) who had participated in a family volunteering program more than 6 months (experimental group). The control subjects (n=534) were from family members without having an experience in a family volunteering program (control group). The results demonstrated that experimental group experiencing family volunteering activities represents significantly higher status of family health regarding all the study fields, e.g., family values in common, autonomy or flexibility for family, family commitment, communication within a family, family oriented problem-solving ability, compared with control group. Even the cases of control group which were regularly engaged in the social activities together, showed the lower status of family health, as compared with families having experiences in the family volunteering activity. Accordingly, family volunteering experiences has taken more favorable influences upon the status of family health than any other family activities. Therefore, the present study suggests as follows for activating family volunteering activities: 1) the development and management of programs suitable for the voluntary activities of a family unit; 2) the flexible application of the concept of family volunteering; 3) the necessity of connection between various institutions which perform family volunteering services; 4) flexible work system based on individuality getting ready for the time for the family volunteering activity; and 5) the development of the circumstances for family members who need to be taken care of.

• Research in Community and Public Health Nursing
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• v.13 no.1
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• pp.57-67
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• 2002

Purpose: Chronic hepatic disease is caused by inappropriate management of the hepatitis B virus. In Korea. there is an increasing number of chronic hepatic patients. who are at risk of dying from liver failure or hepatocellular carcinoma. Therefore it is important to manage the hepatitis B virus appropriately. Method: The patients diagnosed with chronic hepatic disease or HBV carrier who registered at a community health center or hospital were assessed regarding health man agement status and educational needs. The data was collected from 179 persons by convenient sampling between May, 2000 and April. 2001. The data were was analyzed for general characteristics using the descriptive method, factors influencing educational needs and health management using t-test and ANOVA. Results: 1. The average health management score was 18.2 from 12 to 24 range. Those who unknown were unaware of the presence of HBsAg, attending the educational program and keeping undergoing treatment at the community health center or hospital were had a higher management score(p< .05). 2. The educational needs regarding nutritional management(64.8%) was the highest topic with chronic hepatitis patients. The second highest topic was spreading prevention among family members (52.0%), and keeping medication (45.8%), the degree of physical activities(44.1%), and spreading prevention in public(39.1%). Those who were unaware of the presence of HBsAg (p< .001), less than 12 months after HBsAg (+)(p< .05), keeping treatment (p< .05) were higher educational needs. 3. The use of alternative therapy was 27.9% of subjects. The subjects thought it was helpful for disease management(42.1%), mostly, family members and relatives recommended to use (57.9%), and medical regimen was ignored during the alternative therapy. Conclusion: Based on the results, an educational program about prevention of type B hepatitis and management for patients having type B hepatitis should be developed.

• Korean Journal of Occupational Health Nursing
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• v.7 no.1
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• pp.47-54
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• 1998

The purpose of this study was to identify the factors affected with health promoting lifestyle of teachers to provide the data for efficient health management of teachers. The subjects of this study were 809 teachers, who were chosen in Choong-Buk province. Data were collected by written questionnaires by mail and visiting from September 1 to 30, 1997. Data was analyzed by descriptive statistics, t-test, ANOVA using SPSS/PC(v.4.01) program. The results are as follows; 1. The mean scores of Health Promoting Lifestyle was 2.53 on the average, self-actualization 2.97, nutrition 2.90, interpersonal relationship 2.52, stress management 2.33, exercise 1.91, health responsibility 1.82. Total Health Promoting Lifestyle was significantly different by sex, age, marital status, career, teaching load, monthly income education, number of children. 2. Income was the factors affect with self-actualization, age, marital status, teaching load, number of children, career, education, income were the factors significantly affect with Nutrition. Sex, marital status were the factors affect with stress management, sex, age, career were the factors affect with exercise, and sex, age, marital status, career, teaching load, income, education, number of children were the factors affect with health responsibility. 3. Marital status, sex, age, income, number of children, living with family were the factors significantly affect with Family Function. 4. Sex affected with Self Efficacy. The above findings indicate the need to develop nursing intervention to improve Self-Efficacy, Family Function to improve Health Promoting Lifestyle. Further studies are needed to confirm these findings and to determine factors which significantly influence Health Promoting Lifestyle of teachers.

• Journal of Family Resource Management and Policy Review
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• v.21 no.3
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• pp.1-21
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• 2017

The purpose of this study was to investigate the effect of organizational culture on professionalism. A survey was conducted with 254 family health specialists from July 30th to September 30th in 2013. The results of this study can be summarized as follows; First, three professionalism factors of healthy family specialists were verified -business administration ability, and general administration ability- and five organizational culture factors of the Family Welfare Organization were verified-group culture, development culture, rational culture, sequence culture, and regulation culture. Second, the professionalism scores for healthy family specialists were 3.41 for business practice ability, 3.43 for business administration ability, and 3.18 for general administration. The organizational culture scores for the family welfare organization were 4.08 for group culture, 3.80 for development culture, 3.67 for rational culture, 3.50 for regulation culture,and 3.06 for sequence culture. Third, Rational culture, age, gender, and education level all affected to business practice ability. Position and education level both affected to business administration ability. Monthly income, gender, and education level all affected to general administration ability. This study showed the need for increased management of organizational culture to improve the professionalism of healthy family specialists.

• The Korean Journal of Health Service Management
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• v.12 no.3
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• pp.131-141
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• 2018

Objectives: This study was designed to determine the effects of middle-aged men's family functionality and self-efficacy on their retirement anxiety, in order to produce methods to alleviate this anxiety, including providing basic information for devising programs that help middle-aged men get better adjusted to and increase their awareness about retirement. Methods: For data collection, the study surveyed 364 middle-aged men who were residing in B Metropolitan City from February. 10 to 25, 2017. Results: This study found that the primary factor influencing middle-aged men's retirement anxiety is self-efficacy, for which the explanatory power for the surveyed men's retirement anxiety was 52.0%. In contrast, family functionality had no effect on retirement anxiety. Conclusions: To make middle-aged men less anxious about retirement, a variety of programs must be created and implemented that help them improve their self-efficacy prior to retirement. Furthermore, these men should be provided with educational and intervention programs that facilitate their adjustment to retirement and increase their awareness about retirement.