• 지역사회간호학회지
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• 제33권1호
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• pp.74-83
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• 2022

Purpose: The purpose of this study was to identify latent classes of health-related quality of life trajectories in middle-aged women and investigate predictors for latent classes. Methods: This study utilized data from the 2^nd, the 4^th to the 7^th Korean Longitudinal Survey of Women & Families. The subjects included 1,351 women aged 40~45 years. The data was analyzed using latent class growth analysis and logistic regression. Results: Two trajectories were identified for health-related quality of life in middle-aged women; 'persistently good' and 'increasing' groups. Predictors for the 'increasing' group were lower economic status, higher depression, and lower perceived health status. Conclusion: This study showed that characteristics of the individual, symptom status, and health perceptions were associated with health-related quality of life in middle-aged women. It is necessary to provide effective intervention for latent classes of health-related quality of life trajectories based on physical, mental, and social factors.

• 디지털융복합연구
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• 제15권1호
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• pp.363-372
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• 2017

본 연구의 목적은 중년기 장기요양 환자의 영양 상태와 우울이 삶의 만족도에 미치는 영향을 평가하는 데 있다. 본 연구는 40-65세의 병원입원 환자 120명을 대상으로 2015년 2월 1일부터 2015년 3월 31일까지 수행된 서술적 조사연구이다. 수집된 자료는 t-test, ANOVA, Scheff's test, Pearson's correlation coefficients와 multiple regression으로 분석하였다. 영양 상태, 우울, 삶의 만족도는 각각 평균 $15.85{\pm}3.85$, $24.70{\pm}15.85$, $3.54{\pm}1.22$점이었다. 영양 상태와 삶의 만족도(r=.281, p<.005)는 양의 상관 관계를 보인 반면, 영양 상태(r=-.439, p<.001), 삶의 만족도(r=-.574, p<.001)와 우울은 모두 음의 상관 관계를 보였다. 삶의 만족도에 영향을 미치는 요인은 주관적 건강(${\beta}=.387$, p=.000)과 우울(${\beta}=.251$, p=.010)이며, 36.0%의 설명력을 보였다. 그러므로, 중년기 장기 요양 환자들의 삶의 만족도 향상을 위한 관리 프로그램이 요구된다.

• 한국학교보건학회지
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• 제32권1호
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• pp.32-40
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• 2019

Purpose: The purpose of this study was to investigate the risk factors for addiction-related behaviors among Korean adolescents. Methods: The study's subjects were 60,040 middle and high school students who participated in the 14th (2018) Korea Youth Risk Behavior Web-based Survey. Frequency analysis, $x^2$ test, and multivariate logistic regression were conducted using SPSS 21.0. Results: The risk factors for addiction-related behaviors were sex, school type, living area, academic performance, economic status, residence type, health status, depression, perceived stress and sleep satisfaction. Conclusion: Addiction-related behaviors are associated with mental health. Therefore, in order to prevent addictive-behaviors of adolescents, it is necessary to develop strategies to prevent addictive-behaviors by improving their mental health.

• 근관절건강학회지
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• 제21권3호
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• pp.195-205
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• 2014

Purpose: This study was conducted to identify factors that influence health-related quality of life in older adults with osteoarthritis. Methods: This study used a cross-sectional design with secondary analysis of the Korean National Health and Nutrition Examination Survey 2011. A total of 362 participants aged 65 years and older who had osteoarthritis were selected. Health-related quality of life using EQ-5D, perceived health status, body mass index, numbers of chronic illness, smoking and alcohol use, exercise, activity limitation, joint pain and stiffness, depression, and perceived stress were measured. Descriptive statistics, $x^2$-test, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression were conducted with SPSS/WIN 21.0. Results: The mean score of EQ-5D was 0.77 in older adults with osteoarthritis. The results of multiple regression analysis showed that age, income, subjective health status, restriction of activity, knee joint stiffness, depressive mood, and perceived stress significantly predicted health-related quality of life in older adults with osteoarthritis, explaining 42% of the variance. Conclusion: Older adults with osteoarthritis have low health-related quality of life. In oder to improve health-related quality of life in older adults with osteoarthritis, it is important not only to enhance physical function but also to provide emotional support.

• 한국학교보건학회지
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• 제27권3호
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• pp.140-147
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• 2014

Purpose: This study aimed to identify the factors affecting on depression among female middle school students. Methods: A survey was conducted on 217 first and second grade female middle school students in C city. Participants' general characteristics, home environment, level of depression, paternal, maternal, peer attachment, school adjustment were measured by self-reporting questionnaire. With SPSS 18.0 program, measured variables were analyzed and compared using descriptive statistics, t-test, ANOVA, Scheff$\acute{e}$ post hoc test, and stepwise multiple regression analysis. Results: The level of depression among female middle school students were higher among students with lower economic status, second in birth order, and second grade in school. The level of depression was negatively associated with the level of paternal attachment (r=-.522), maternal attachment (r=-.487), peer attachment (r=-.376), relationship with teachers in school adjustment (r=-.274), relationship with friends in school adjustment (r=-.378), classroom behavior (r=-.450), school regulation (r=-.267). About 42% of depression among female middle school students were explained by paternal attachment, relationship with friends in school adjustment, and classroom behavior. Conclusion: Paternal attachment was identified as the most influencing factor on depression among female middle school students. Encouraging paternal involvement in the process of school adjustment might be a useful intervention to decrease depression among middle school girls.

• 대한불안의학회지
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• 제17권2호
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• pp.49-58
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• 2021

Objective : The purpose of this study was to investigate the longitudinal trajectories of life satisfaction, loneliness, and depression and to identify the factors that influence these trajectories in North Korean Defectors (NKD). Methods : NKD (n=300) who registered in the multi-regional adaptation center (Hana Center), within three years of settling in South Korea, were recruited into this study. Life satisfaction, loneliness, and depression were assessed with self-report questionnaires over a period of 4 years (7 waves of data). Latent growth modeling was conducted to assess the changes in life satisfaction, loneliness, and depression. Results : Findings from both unconditional and conditional models (with gender, South Korea settlement age, household income, marital status, and PTSD at wave 1) indicated a linear increase in loneliness and depression, and a linear decrease in life satisfaction over the 4-year period. In the conditional model, gender predicted the intercept of life satisfaction and depression. In addition, PTSD predicted the intercept of life satisfaction, loneliness, and depression and slope of depression. Conclusion : Our finding suggests that the mental health of NKD tends to deteriorate over time after settling in South Korea. Therefore, continuous support is necessary for their successful adaptation to the South Korean Society.

• 디지털융복합연구
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• 제19권7호
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• pp.409-417
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• 2021

본 연구는 청소년의 우울에 개인 요인, 가족 요인, 학교 요인이 어떠한 영향을 미치는지 파악하고 신체화 증상과 우울 간의 장기적 영향력을 탐색하는 데 그 목적이 있다. 이를 위해 한국아동·청소년패널조사(KCYPS) 중학교 1학년 패널의 4차년도(2013년)와 6차년도(2015년) 2개 연도 자료를 활용하였고 1,668명을 대상으로 구조방정식모형 분석을 실시하였다. 분석 결과, 첫째, 개인 요인에서는 성별, 신체건강 상태, 자아탄력성은 청소년의 우울에 유의미하게 영향을 미쳤다. 둘째, 학교 요인 중 학업적응과 교우관계가 청소년의 우울에 유의미하게 영향을 미쳤다. 셋째, 신체화 증상과 우울은 동시효과와 시간에 따른 자기회귀효과를 보였다. 이러한 결과를 바탕으로 청소년의 신체화 증상과 우울에 대한 예방 및 개입 방안에 대해 논의하였다. 향후 청소년의 우울에 영향을 미치는 부모의 정신건강 변수 등을 포함한 연구가 필요하다.

• 여성건강간호학회지
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• 제27권2호
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• pp.93-103
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• 2021

Purpose: The purpose of this study was to explore unmet healthcare needs among low-income overweight and obese women and to identify the factors affecting unmet healthcare needs. Methods: The study was a secondary analysis of data from the 2017 Korea National Health and Nutrition Examination Survey. A final sample of 388 out of 8,127 participants was analyzed using complex descriptive statistics, the chi-square test, the independent t-test, and logistic regression. Results: The mean age of the participants was 66.51±1.05 years. Unmet healthcare needs were experienced by 19.4% of low-income overweight and obese women. Women with depression, stress, and poor self-reported health status were significantly more likely than their counterparts to experience unmet healthcare needs. Poor self-reported health status was confirmed to be related to unmet health needs in low-income overweight and obese women (odds ratio, 2.65; p=.011). Conclusion: The study provides the novel insight that the unmet healthcare needs of low-income overweight and obese women were influenced by self-reported health status. Healthcare providers should make efforts to develop strategies to reduce unmet healthcare needs among low-income overweight and obese women, who constitute a vulnerable population.

• Journal of Preventive Medicine and Public Health
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• 제50권1호
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• pp.10-17
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• 2017

Objectives: The purpose of this study was to examine the relationship of meeting the recommended levels of physical activity (PA) with health status and preventive health behavior in adults. Methods: A total of 5630 adults 18 years of age or older were included in this study. PA was assessed using a series of questions that categorized activities based on their metabolic equivalent values and then categorized individuals based on the reported frequency and duration of such activities. Participants reporting 150 minutes or more of moderate-intensity PA per week were considered to have met the PA guidelines. Multiple logistic regression was used to model the relationships between meeting PA guidelines and health status and preventive health behavior, while controlling for confounding variables. Results: Overall, 53.9% (95% confidence interval [CI], 51.9 to 55.9%) of adults reported meeting the recommended levels of PA. Among adults with good general health, 56.9% (95% CI, 54.7 to 59.1%) reported meeting the recommended levels of PA versus 43.1% (95% CI, 40.9 to 45.3%) who did not. Adults who met the PA guidelines were significantly more likely not to report high cholesterol, diabetes, chronic obstructive pulmonary disease, arthritis, asthma, depression, or overweight. Furthermore, adults meeting the PA guidelines were significantly more likely to report having health insurance, consuming fruits daily, consuming vegetables daily, and not being a current cigarette smoker. Conclusions: In this study, we found meeting the current guidelines for PA to have a protective relationship with both health status and health behavior in adults. Health promotion programs should focus on strategies that help individuals meet the current guidelines of at least 150 minutes per week of moderate-intensity PA.

• 동의생리병리학회지
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• 제31권5호
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• pp.294-303
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• 2017

The purpose of this study was to investigate self care, depression, and Yangsaeng and to confirm the factors related to Yangsaeng of diabetes mellitus patients. The survey was conducted on 116 subjects who consented to Institutional Review Board for diabetes mellitus patients in the area and data were collected by self-report questionnaire. The questionnaires consisted of self care, depression, and Yangsaeng. Date analysis was done by SPSS 22.0 with T-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient, and multiple regression. Yangsaeng was significantly related to the educational level, partner, income, perceived health status, depression, and admission for diabetes mellitus. Yangsaeng and self care showed positive correlation, on the other hand Yangsaeng and depression showed negative correlation. Yangsaeng was found to be related to education level, self care, and depression through the multiple regression. In conclusion, the Yangsaeng score increased with improving of blood glucose level and depression. Based on these results, we considered various characteristics such as patient's age and illness characteristics, therefore it is necessary to develop a method to measure Yangsaeng.