• Journal of Korean Academy of Nursing
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• v.43 no.1
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• pp.1-10
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• 2013

Purpose: The purpose of this study was to develop a prediction model for the characteristics of older adults with depression using the decision tree method. Methods: A large dataset from the 2008 Korean Elderly Survey was used and data of 14,970 elderly people were analyzed. Target variable was depression and 53 input variables were general characteristics, family & social relationship, economic status, health status, health behavior, functional status, leisure & social activity, quality of life, and living environment. Data were analyzed by decision tree analysis, a data mining technique using SPSS Window 19.0 and Clementine 12.0 programs. Results: The decision trees were classified into five different rules to define the characteristics of older adults with depression. Classification & Regression Tree (C&RT) showed the best prediction with an accuracy of 80.81% among data mining models. Factors in the rules were life satisfaction, nutritional status, daily activity difficulty due to pain, functional limitation for basic or instrumental daily activities, number of chronic diseases and daily activity difficulty due to disease. Conclusion: The different rules classified by the decision tree model in this study should contribute as baseline data for discovering informative knowledge and developing interventions tailored to these individual characteristics.

• Korean Journal of Human Ecology
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• v.21 no.6
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• pp.1199-1210
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• 2012

This study investigated the influence of obesity on depression and stress by analyzing the results of the national survey on health and nutrition. Relationships between normal, obese, and severely obese groups were investigated. The results of the study are as follows. First, obesity caused by demographic variables showed a relationship to both gender and average monthly income. In the case of the seriously obese group, females had higher rates of depression than males, and the high obesity group had lower average monthly income than the normal and obese groups. Second, obesity caused by health-related variables found that high blood pressure, hyperlipidemia, and diabetes that was not angina-related displayed higher rates of depression in the serious obesity group than in the other groups. As for subjective evaluations of one's own health condition, the serious obesity group showed a high tendency to evaluate their own health conditions negatively. Third, the difference between depression and stress related to obesity level showed no difference between the normal weight group and the obesity group; however, the seriously obese group demonstrated relatively higher occurrences of depression and higher stress scores. Fourth, the result for depression and stress level caused by demographic variables, health-related variables, and obesity demonstrated a direct relationship to gender, subjective level of satisfaction with one's personal finances, average monthly income, subjective perception of one's own health and severely obesity status. More specifically, it was found that the ratio of depression and stress score was higher when the subject was female, among those whose subjective evaluation of their own finances and health condition was negative, and those who suffered from severe obesity.

• Korean Journal of Community Nutrition
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• v.3 no.4
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• pp.609-621
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• 1998

Although many people initially enroll in health education programs, there are many instances of erratic participation and dropouts. Inconsistent participation in intervention programs minimizes their impact on health promotion. Therefore, a theoretical understanding of factors influencing participation in these programs can potentially enhance the effectiveness of its educational strategy. This study used the Pender's Health Promotion Model to examine specific factors influencing incentives to participate in an elderly nutrition education program. The Elderly Nutrition Counseling and Education Program was conducted with 147 volunteers (76 males, 71 females), aged 60 to 87, at 5 separate community elderly centers, by public health dietitians from February to April 1997. Some participants dropped out during the program. Overall, 61 people(18 males, 43 females) finished all 7 steps over 2 months. Pre-intervention data were collected by trained dietitians. This data included individual cognitive-perceptual factors(perceived benefits of nutrition improvement, importance of health, perceived control over health by multidimensional health locus of control, self esteem, perceived health status, concern about health, depression scale and social health scale), which were known to influence the likelihood of health behavior, and modifying factors(socioeconomic variables, biological characteristics, behavioral factors, such as smoking, alcohol drinking and exercise). Male finalists had a significantly lower chance for health locus of control, and better social health status with their children and grandchildren, compared to males who dropped out. Female finalists had a significantly higher locus of control regarding food behavior, higher self-esteem, better recognized nutritional status, worse self-recognized health status and lower concern about health than those who dropped out. There was no significant difference between the attendees and dropouts in age, BMI$(kg/m^2)$, Nutritional Risk Index, depression scale and daily nutrient intake. These results suggest that elderly nutrition intervention plans should focus on the individual cognitive and perceptual factors, with interpersonal influences, to increase participation in nutrition in nutrition improvement programs.

• The Journal of Korean Society for School & Community Health Education
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• v.24 no.3
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• pp.13-22
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• 2023

Objectives: The purpose of this study was to provide baseline data for management policies by exploring the association between alcohol and mental health in menopause and andropause middle-aged Methods: This study used the data from from the 8th National Health and Nutrition Examination Survey (2019-2021). Adults between the ages of 40 and 64 were considered menopause and andropause middle-aged and 7,704 of the total number of 8,549 subjects were selected as the final study subjects without missing data. Mental health was defined as depression diagnosis and suicidal thoughts, and drinking was defined as current drinking and high-risk drinking. SAS 9.4 was used for all statistical analyses. Results: There were significant differences between menopause middle-aged men and women in current drinking (83.4% for men and 66.6% for women) and in high-risk drinking (24.2% for men and 4.9% for women). The significant factors affecting the depression diagnosis were identified as economic activity, income level, and subjective health status for men and economic activity, income level, subjective health status, and smoking for women (p < .05). The significant factors affecting suicidal ideation included economic activity, income level, and subjective health status for men and economic activity, high-risk drinking, current smoking, and subjective health status for women (p < .05). Conclusion: As a result of analyzing the association between alcohol and mental health in menopause and andropause middle-aged adults, Drinking alcohol and high-risk drinking in women were associated with mental health, but insignificantly in men. Based on this study, it is necessary to program development and health education for the physical and mental health of menopausal middle-aged women exposed to alcohol, and to develop menopausal mental health management policies that take into account the gender differences.

• Journal of Korea Entertainment Industry Association
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• v.14 no.4
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• pp.341-347
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• 2020

The purpose of this study is to identify factors affecting the perceived health conditions of the elderly in Korea, and to provide basic data on ways to improve the perceived health conditions of the elderly and future direction of the elderly welfare project. As an analysis method, Pearson's correlation was used to examine the correlation betwwen perceived health conditions, ADL, IADL, social participation, depression, nutritional conditions, and multiple regression analysis was used to find out which of these factors influenced. Also, to see the difference in depression according to the degree of perceived health conditions, a post-test(Scheffe) was used after one-way variance analysis(p<0.5). As a result of the analysis, perceived health conditions was positively correlated with ADL, IADL, social participation, and nutritional conditions, and negatively correlated with depressive state. In addition, as a result of examining the degree of depression according to the perceived health status, it showed a significant difference between groups. and the more the group perceived that their health was bad, the more severe it was. perceived health condition was found to be most associated with depressive status. and the positively perceived health conditions showed that the degree of depressive status also decreased, indicating that it is effective to actively manage depression to promote perceived health conditions.

• Journal of Korean Living Environment System
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• v.24 no.3
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• pp.360-367
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• 2017

Although the elderly collecting and selling wastepaper is one of the most vulnerable groups in society, this group has not been studied specifically. Subjective health status is an important aspect of quality of life in old age. The purpose of this study is to examine factors affecting subjective health status among the elderly collecting and selling wastepaper. Analyses are based on data from 2014 Korean Elderly Survey. Multiple regression analysis showed that gender, depression, and fear of falling were associated with subjective health status. The results of this study suggest that gender and mental health aspects should be considered in making intervention plan for assessments and providing services for health among the elderly collecting and selling wastepaper. The study findings also indicate that efforts to improve safety in worksite of elderly persons collecting and selling wastepaper are needed.

• The Korean Journal of Community Living Science
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• v.24 no.1
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• pp.37-49
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• 2013

The purpose of this study is to explore how health and health behavior factors moderate the relation between socio-economic position(SEP) and Korean elderly people's self-rated health status. The data sources are from the Korean Longitudinal Study of Aging(2008). The analysis sample consists of 4,040 cases. Analysis of the results shows that health characteristics such as ADL, MMSE, geriatric depression, and pain are significant predictors of self-rated health status. In addition, exercise and drinking alcohol also prove to be factors influencing self-rated health status. Health factor such as MMSE and health behavior factors such as drinking alcohol served as moderators of the influences of SEP on one's self-rated health status. For example, higher MMSE provides a slight increase to the positive relationship between SEP and self-rated health status. In addition, those who responded yes to drinking alcohol, compared to those who responded no, provides an increase to the positive relationship between SEP and one's self-rated health status.

• Journal of dental hygiene science
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• v.17 no.5
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• pp.398-404
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• 2017

The present study aimed to examine the influence of mental health factors on oral health factors using data from the Korean National Health and Nutrition Examination Survey (KNHANES). A total of 1,548 elderly individuals aged over 65 years who completed the screening and health questionnaire were selected as the final study participants. The psychological health factors related to perceived oral health status were depression and stress when the gender was controlled, and in terms of gender, both elderly male and female individuals were stressed and depressed. These results suggested that the psychological health of elderly individuals negatively affects not only perceived oral health but also the quality of life. In addition, the psychological health of the elderly individuals should be systematically managed along with oral health care and overall health care and lifestyle. If a comprehensive health management system is available for low-income groups or an elderly person living alone, it should positively affect and improve the quality of life of elderly individuals.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.3
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• pp.320-329
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• 2013

Purpose: The purpose of this study was to identify resilience's mediating effect between acculturative stress and depression among Chinese students in Korea. Methods: Between February and May 2012, 276 Chinese students from 3 universities located in Chungnam province participated in the current study using a questionnaire survey. Data was analysed using SPSS 18.0 program. Results: The mean score of acculturative stress, resilience, and depression was 82.7, 129.0, and 15.6 respectively. The acculturative stress was significantly related to perceived health status (F=10.57, p<.001), TOPIK(t=7.55, p=.006) and the major(F=2.87, p=.024). Resilience was related to the race(F=13.49, p<.001), perceived heath status (F=10.57, p<.001), tuition(F=8.52, p<.001), and level of Koran language(F=5.91, p=.003). Resilience correlated to acculturative stress (r=-0.21, p<.001) and depression(r=-0.48, p<.001) by showing a mediating effect between accuturative stress and depression. Conclusion: In order to improve resilience as a mediating factor with depression of Chinese students in Korea, we suggest the development various programs about external supporting programs.

• Research in Community and Public Health Nursing
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• v.13 no.2
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• pp.354-362
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• 2002

Objectives: This study was conducted to examine the relationships among perceived life stress, self-esteem, and depression in middle-aged women. Methods: Data were collected from March 30 to May 25, 2000. The study subjects were 123 middle-aged women living in Pusan. The instruments used for this study were the Perceived Life Stress scale developed by Lee (1984), based on the original scale designed by Yu, et al. (1994), Self-esteem scale developed by Rho, et al. (1997), and the Depression scale developed by Ahn (1988). For data analysis, the SPSS PC+ was utilized, by which frequency and percentage, mean and standard deviation, t-test, ANOVA, Sheffe's test and Pearson's correlation coefficients were examined. The reliability of the instruments were tested by Cronbach's $\alpha$, showing the internal consistency of 0.7328 for the self-esteem scale. and 0.8987 for the depression scale. Results: 1) The results showed a relatively low perceived life stress score in the middle-aged women with a mean and standard deviation of 363.18 and 72.92 (range: .00 - 1877.38). 2) The results showed a relatively high self-esteem score in the middle-aged women with a mean and standard deviation of 29.77 and 5.06 (range: 10 - 40). 3) The results showed a relatively high depression score in the middle-aged women with a mean and standard deviation of 39.46 and 9.38 (range: 0 - 61). 4) There were no statistically significant differences in perceived life stress by demographic related factors. 5) There were statistically significant differences in self-esteem by health status (F=8.930, p= .000) and economic status (t=4.792, p= .010). 6) There were statistically significant differences in depression by age (F=3.770, p= .0261). education (F=4.850, p= .003) and regularity of menstrual cycle (F=13.180, p= .000). 7) There was no statistically significant correlation between perceived life stress, and self-esteem in the middle-aged women (r=-.077, p= .399). 8) There was no significant correlation between perceived life stress. and depression in the middle-aged women (r= .010, p= .916). 9) There was a significant negative correlation between self-esteem, and depression in the middle-aged women (r=- .359, p= .000). Conclusion: Higher self-esteem was related to a lower depression status. Therefore, it is necessary to elevate the level of self-esteem in order to reduce the level of depression in middle-aged Korean women.