• 제목/요약/키워드: Health effect

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주관적 과잉근로가 건강에 미치는 영향: 위험지각의 조절효과 (The Effect of Subjective Overwork on Health: Moderate Effect of Risk Perception)

  • 임성준;윤다영;문광수;오세진
    • 한국안전학회지
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    • 제32권6호
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    • pp.116-124
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    • 2017
  • The purpose of this study is to examine the effect of subjective overwork on health and the moderating effect of risk perception in the relationship between subjective overwork and health. The data used in this study are the fourth Korean Working Condition Survey (KWCS) conducted by Korea Occupational Safety and Health Agency (KOSHA) in 2014. The items related to actual working hours, subjective overwork, health, and risk perception were used. A total of 18,508 workers who are 1) waged workers, 2) work more than three days a week, 3) work more than 21 hours a week, 4) work longer than preferred work hours or work as longer as they desired were selected. Hierarchical regression analysis was performed to identify the effect of actual work hours, subjective overwork, prevalence of risk, lethalness of accident damage on health and to determine the moderating effects of prevalence of risk and lethalness of accident damage. As a result, actual work hours, subjective overwork, prevalence of risk, lethalness of accident damage had an effect on worker's health problems. Second, lethalness of accident damage had a moderating effect in the relationship between subjective overwork and health. These results suggest that organizations should manage worker's environmental factors and other threats that could increase the lethalness of accident damage.

에코세대의 정신건강 및 신체건강이 건강관련 삶의 질에 미치는 융복합적 영향: 2013년도 한국의료패널 자료를 이용하여 (Convergent Effect of Psychological Health and Physical Health on Health-related Quality of Life in Korean Echo Generation: Using Korea Health Panel Data 2013)

  • 최소은;박민정
    • 디지털융복합연구
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    • 제15권6호
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    • pp.283-295
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    • 2017
  • 본 연구는 2013년도 한국의료패널 자료를 이용하여 에코세대의 정신건강 및 신체건강이 건강관련 삶의 질에 미치는 융복합적 영향을 파악하기 위하여 실시되었다. 2013년도 한국의료패널 자료는 2013년 2월에서 10월까지 조사되었고, 분석대상자는 2,261명이었다. 수집된 자료는 SPSS WIN Version 24.0을 이용하여 기술통계, Independent t-test, ANOVA, 위계적 중회귀분석을 실시하였다. 연구결과, 에코세대의 건강관련 삶의 질 평균은 0.98점이었다. 에코세대 건강관련 삶의 질 영향요인은 미충족의료 유무, 정신적 신체적 스트레스 유무, 기본적 욕구 미충족 유무, 미래에 대한 불안 유무, 우울감 유무 및 자살생각 유무, 흡연 여부, 주중 수면시간, 청력문제 유무, 섭식문제 유무, 활동제한 유무 및 주관적 건강상태로 나타났다. 에코세대의 건강관련 삶의 질을 향상시키기 위하여 에코세대의 정신건강 및 신체건강의 특성을 반영한 건강관리프로그램을 개발하고 지역사회 연계 체계를 구축하여 지속적인 상담과 교육이 필요하다.

손자녀 돌봄이 조부모의 건강에 미치는 영향 (The effects of caring for grandchIldren on grandparents' health)

  • 양혜경
    • 가족자원경영과 정책
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    • 제20권3호
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    • pp.1-23
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    • 2016
  • This study analyzes the effects of caring for grandchildren on Korean grandparents' health, using the Korean Longitudinal Study of Aging from 2006 to 2012. We investigate how caregiving is provided and analyze the effects of caregiving on grandparents' physical health, mental health, and health-related behaviors. As elderly people's health is generally frail, it is unclear whether the provision of childcare affects their health negatively. We control for the endogeneity of caregiving by an individual fixed effect (FE) model and instrumental variable-fixed effect (FE-IV) models. Using these models, we determine the endogeneity of caregiving and show that the significant effects of caregiving on health disappear as we control for endogeneity in the FE and FE-IV models. Even after controlling for endogeneity, we find that caregiving increases the probability of feeling pain as well as the number of different types of pain. Furthermore, caregiving increases the probability of restrictions on daily activities because of pain. On the other hand, caregiving reduces the symptoms of depression. In relation to health-related behaviors, caregiving reduces the probability of physical exercise and regular meals. Our results imply that although caregiving has a positive effect on mental health, the increase in physical pain and in non-healthy behaviors may lead to a deterioration of the caregiver's long-term health, which in turn may increase the medical costs of the elderly. Potential policy alternatives are discussed in the paper.

건강수준이 노인의 삶의 질에 미치는 영향 (Health Status and the Quality of Life of the Rural Elderly)

  • 최헌;김한중;진기남;주경식;이규식;손명세
    • 보건행정학회지
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    • 제8권2호
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    • pp.149-165
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    • 1998
  • The purpose of this study is to examine the effect of the health status on the quality of life of the rural elderly, and to examine the conditional effect of socialsupport for that influence. 'Quality of life' used in this study was defined by unidimensional approach. The data were collected by conducting individual interviews with 296 rural elderly people aged 60 and the above who were living in one township of Kangwondo, between the time period of October and November 1995. The main findings are as follows: 1. Hierarchical regression analyses were carried out to examine the relative contribution of three set of variables on the quality of life. The first step, which included sociodemographic factors showed that the coefficient of determination (R$^{2}$) was 8% and income was a statisically significant variable. The second step, by adding health related factors, revealed that the R$^{2}$ was increased to 34% by 26% point and the degree of health recognition was the statistically significant variable. The third step, by projecting additionall social support related variables revealed that the R$^{2}$ was 42% 2. The conditional effect of social support was analyzed to examine the influence the health status has on the quality of life. The results are as follows: 1) The IADL and the degree of social contact interacted, resulting in that the higher degree of social contact boosted the stronger effect of IADL. 2) The effect of subjective health recognition on the quality of life is depended upon degree of family ontact. 3) The effect of eyesight on the quality of life is depended upon degree of satisfaction in social relation. The lower the degree of social support was, the bigger the influence of health related variables affecting quality of life became. This study explains that health status is a major factor in predicting the quality of life of the aged. Particularly the subjective health recognition was an important factor as the perception of quality of life.

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보건계열과 비보건계열 대학생의 자기효능감이 스트레스 대처 방식에 미치는 효과 (A study on the Effect of Self-Efficacy on Stress-Coping methods of Health department and Non-health department university students)

  • 박창식;이형수
    • 대한물리치료과학회지
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    • 제18권2호
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    • pp.63-71
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    • 2011
  • Purpose: This study is designed to examine the effect of self-efficacy on stress-coping methods of health related and non-health related department college students. Method: A questionnaire survey was conducted on 533 students (268 health department and 265 non-health department) of health department and non-health department students at 1 university and 2 university in Gyeonggi-do, jeollabuk-do and jeollanam-do. Results: The results were statistically analyzed using SPSS 12.0, which made no statistically-significant difference among health and non-health students. The study on the effect of self-efficacy on stress-coping methods has revealed that both health and non-health department students showed statistically-significant positive correlation between self-efficacy and emotion-centered coping methods. Also, Social efficacy had negative correlation with social-supported coping methods. While non-health department students had statistically-significant positive correlation between self-efficacy and wishful coping. Conclusion: Accordingly, it has been revealed that self-efficacy is effective in stress-coping methods.

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지역보건의료계획 수립이 보건소의 조직성과에 미치는 영향 (The Effect of Community Health Planning on public health centers' organizational performance)

  • 장명화;김창엽;이화경;박선희;나백주
    • 보건행정학회지
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    • 제22권2호
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    • pp.225-248
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    • 2012
  • Community Health Planning has been used in public health centers for over 10 years, but little is known about its effect and how it is utilized by public health centers. This paper examines the effect of Community Health Planning on public health centers'organizational performance through the use of the Structural Equation Modeling(SEM) technique. We conducted e-mail surveys of chiefs, people in charge of planning and other staff members in all the public health centers in the country. The instrument measured self-evaluated levels of Community Health Planning, implementation and the effect on the public health centers. The model of the SEM technique has five latent constructs: requirements of planning, plan formulation, implementation, organizational capacity and performance. The SEM technique validated the instrument used in the study and exhibited a relatively good fit. Results of this study were as follows. First, the requirements of planning have positive effects on plan formulation. Second, plan formulation has positive effects on organizational capacity but plan implementation doesn't. Third, there was no statistically significant path between plan formulation, implementation and performance. Fourth, organizational capacity has positive effects on performance. Consequently, this study revealed that Community Health Planning has a positive influence on organizational performance through organizational capacity.

An Introduction to Causal Mediation Analysis With a Comparison of 2 R Packages

  • Sangmin Byeon;Woojoo Lee
    • Journal of Preventive Medicine and Public Health
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    • 제56권4호
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    • pp.303-311
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    • 2023
  • Traditional mediation analysis, which relies on linear regression models, has faced criticism due to its limited suitability for cases involving different types of variables and complex covariates, such as interactions. This can result in unclear definitions of direct and indirect effects. As an alternative, causal mediation analysis using the counterfactual framework has been introduced to provide clearer definitions of direct and indirect effects while allowing for more flexible modeling methods. However, the conceptual understanding of this approach based on the counterfactual framework remains challenging for applied researchers. To address this issue, the present article was written to highlight and illustrate the definitions of causal estimands, including controlled direct effect, natural direct effect, and natural indirect effect, based on the key concept of nested counterfactuals. Furthermore, we recommend using 2 R packages, 'medflex' and 'mediation', to perform causal mediation analysis and provide public health examples. The article also offers caveats and guidelines for accurate interpretation of the results.

실손형 민간보험의 비급여 보장축소가 한방의료이용에 미친 영향 (The Effect of Private Health Insurance Coverage Reduction on the Korean Medicine Utilization)

  • 박민정;고성규
    • 대한예방한의학회지
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    • 제19권3호
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    • pp.57-66
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    • 2015
  • Objective : Private health insurance coverage in Korean medicine has been reduced since October 2009 for preventing unnecessary utilization. The aim of this study is to identify how private health insurance coverage reduction affects on the Korean medicine utilization. Method : We analyzed the Korea Health Panel data from 2008 to 2012. Panel negative binominal regression model was used to analyze the relationship between private health insurance coverage reduction and utilization of outpatient service. Panel tobit regression analysis was used to identify the relationship between private health insurance coverage reduction and health expenditure of outpatient service. Results : Private health insurance coverage reduction significantly dropped both utilization and health expenditure of outpatient service by 9%, 9.22% respectively. In addition, therapeutic utilization significantly decreased up to 10%. Conclusion : Private health insurance coverage reduction seems to have an effect to reduce both utilization and the health expenditure of Korean medicine outpatient service. This effect was more noticeable in the therapeutic utilization. Thus, more elaborate policy will be needed to prevent unnecessary utilization of Korean medicine.

지역사회 공공보건자원과 지역사회 정신건강의 관계에서 공공보건서비스 이용률의 조절효과 (Moderating Effects of Public Health Service Utilization Rate between Public Health Resources and Community Mental Health)

  • 김재희
    • 한국응용과학기술학회지
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    • 제37권2호
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    • pp.268-278
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    • 2020
  • 본 연구는 공공보건자원이 지역사회의 정신건강수준에 영향을 미치는 과정에서 공공보건서비스 이용률이 조절 역할을 하는 지를 확인하고자 수행되었다. 연구대상은 144개의 지역사회이며, 자료는 제6기 지역보건의료계획과 2015년 지역사회 건강조사에서 확보하였다. 연구변수 중 공공보건자원은 공공보건예산, 공공정신보건예산 및 공공정신보건인력으로 구성하였으며, 정신건강수준은 스트레스 인지율, 우울감 경험률 및 자살률로 하였다. 조절효과 분석에 사용된 방법은 위계적 회귀분석이었다. 연구결과는 첫째, 공공보건서비스 이용률은 공공정신보건예산이 우울감 경험률에 영향을 미치는 과정에서 조절변수로 작용하고 있었다. 둘째, 공공정신보건인력이 우울감 경험률에 영향을 미치는 과정에서 공공보건서비스 이용률은 조절효과를 나타냈다. 셋째, 공공정신보건인력이 자살률에 영향을 미치는 과정에서도 공공보건서비스 이용률은 조절효과를 나타냈다. 넷째, 공공보건자원의 정신건강수준에 대한 영향이 공공보건서비스 이용률이 높은 집단과 낮은 집단에 따라 다르게 나타났다. 결론적으로 공공보건자원 강화가 지역사회 정신건강수준의 향상으로 이어지도록 하기 위해 지역사회 정신건강증진 방안에 공공보건서비스 이용률 개선을 위한 내용을 포함시킬 필요가 있을 것이다.

Antioxidant and immuno-enhancing effects of Echinacea purpurea (American herb) in vivo

  • Gu, Yeun-Hwa;Maenaka, Toshihiro;Saito, Kiyoto;Yamashita, Takenori;Choi, In-Suk;Terai, Kaoru;Ahn, Kyoo-Seok
    • Advances in Traditional Medicine
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    • 제5권1호
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    • pp.48-56
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    • 2005
  • We studied the protective effect of Echinacea purpurea against radiation by evaluating changes in the peripheral blood cell count and peripheral blood antioxidant activity. Echinacea purpurea administration had a suppressive effect on radiation-induced leukopenia, especially on lymphocytes and monocytes and resulted in a faster recovery of blood cell counts. Mouse peripheral blood antioxidant activity was increased by Echinacea purpurea, and a relationship between the suppressive effect on radiation-induced leukopenia and the antioxidant effect was suggested.