• 여성건강간호학회지
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• 제22권4호
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• pp.210-220
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• 2016

Purpose: The purpose of this study was to construct and test a structural equation modeling on the reproductive health behavior of single women with sexual experiences. This study employed Ajzen's Theory of Planned Behavior (TPB). Methods: The data were collected after receipt of consent from 250 single women with sexual experiences, and analyzed using SPSS 18.0 and AMOS 18.0. Results: Model fit indices for the hypothetical model were suitable for the recommended level: $x^2=362.407$, RMR=0.065, RMSEA=0.070, GFI=0.867. TLI=0.927, CFI=0.938, IFI=0.939, and $x^2/dF=2.237$. Intention showed direct effect with the biggest effect being on reproductive health behavior. Attitude, subjective norm and perceived behavioral control were found to have a direct effect on intention. Among them, perceived behavioral control revealed the largest influence. Conclusion: This study suggests that the TPB is a suitable model in explaining the reproductive health behavior of single women with sexual experience. Strategic plans for educational and intervention programs should be aimed to encourage single women to engage in reproductive health behavior.

• 한국식생활문화학회지
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• 제22권5호
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• pp.590-596
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• 2007

The purpose of this study was to measuring the effects of health involvement, attitude, perceived behavioral control (PBC), behavioral intention on seafood consumption. A total of 235 questionnaires were completed. Structural equation model was used to measure the causal relationships among constructs. Results of the study demonstrated that the structural analysis result for the data also indicated excellent model fit. The direct effect of health involvement on attitude was statistically significant. The direct effects of health involvement, attitude and PBC on consumption were statistically significant. As expected, attitude, PBC and behavioral intention had significant direct effects on consumption. Moreover, health involvement had a significant indirect effect on behavioral intention through attitude and PBC. Health involvement also had a significant indirect effect on consumption through attitude, PBC and behavioral intention. Attitude and PBC had significant indirect effects on consumption through behavioral intention. In conclusion, based on structural analysis, a model was proposed of interrelations among health involvement, attitude, PBC, behavioral intention and seafood consumption. Other variables(sensory variable, habit, norm etc) may be incorporated to form models that consist of new antecedent and consequence pairs.

• 디지털융복합연구
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• 제17권2호
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• pp.243-254
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• 2019

본 연구의 목적은 65세 이상의 노인을 대상으로 무력감, 우울, 주관적 건강상태, 가족지지, 사회지지가 건강증진행위에 미치는 영향을 파악하고자 시도되었다. 연구대상은 G시와 C시의 복지관 3개소, 경로당 3개소, 요양병원 2개소의 노인 225명이었으며, 서술적 통계, 신뢰도, 상관관계, 확인적 요인분석, 적합도 검증, 총효과, 직접효과, 간접효과로 분석하였다. 연구결과 건강증진행위에 영향을 미치는 변수들의 직접효과는 사회지지, 우울, 가족지지와 주관적 건강상태, 무력감 순으로 나타났고 이들 변인들은 건강증진행위를 66% 설명하였다. 우울과 무력감은 가족지지와 사회지지를 통한 유의한 간접효과가 있었으며, 주관적 건강상태는 사회지지를 통한 간접효과는 유의하였으나 가족지지를 통한 간접효과는 유의하지 않았다. 따라서 사회지지를 높일 수 있는 다양한 프로그램 개발, 지역사회와의 연계를 통한 지지체계 구축이 필요하며 이는 가족지지와 상호보완적인 역할을 할 수 있어야 한다. 또한 노인의 우울과 무력감, 주관적 건강상태는 개인별 상황에 따른 적절한 개입을 통한 간호중재 제공 및 지속적인 관리체계가 필요하다고 사료된다.

• 한국콘텐츠학회논문지
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• 제22권8호
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• pp.607-618
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• 2022

본 연구의 목적은 자활사업참여자의 가족탄력성이 자활의지에 미치는 영향을 파악하고, 그 관계에서 정신건강의 매개효과를 검증하는 것이다. 조사대상자는 강원도의 지역자활센터 참여자 283명이다. 분석방법은 기술통계, 차이검증을 실시하였고 연구모형 검증을 위해 위계적 회귀분석과 매개효과 방법을 실시하였다. 분석결과 첫째, 차이검증은 돌봄가족이 있는 경우 자활의지 수준이 더 높았다. 연령이 30대 이하보다 40-50대, 결혼상태가 미혼보다 결혼, 건강상태가 매우나쁨보다 보통이거나 매운건강한 경우, 돌봄가족이 있는 경우 가족탄력성 수준이 더 높았다. 건강상태가 매우나쁨보다 매우건강함인 경우, 부채가 없는경우 정신건강 수준이 더 높았다. 둘째, 자활의지에 미치는 영향관계를 분석한 결과 연령이 높을수록, 돌봄가족이 있을수록, 가족탄력성과 정신건강 수준이 높을수록 자활의지 수준이 높았다. 셋째, 매개효과 분석결과 가족탄력성과 자활의지 사이에서 정신건강은 부분매개효과가 있었다. 따라서 자활사업참여자의 자활의지 수준 향상을 위한 요인으로 가족탄력성과 정신건강 증진을 위한 함의에 대해 논의하였다.

• 디지털융복합연구
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• 제13권12호
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• pp.423-431
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• 2015

본 연구는 저소득 독거노인들을 대상으로 우울이 건강증진행위에 미치는 영향력에 있어서 사회적 지지의 매개효과를 검증하고자 하였다. 이를 위해 경기도 지역 거주 국민기초생활수급권을 가진 독거노인 294명의 자료를 활용하여 연구를 수행하였다. 경로분석을 통해 건강증진행위에 대한 우울과 사회적 지지의 직접적인 영향력과 우울이 사회적 지지를 매개하여 나타내는 간접적인 영향력을 검증하였다. 연구결과 저소득 독거노인의 우울과 사회적 지지는 건강증진행위에 직접적인 영향력을 갖고 있었고, 우울은 사회적 지지를 매개하는 간접적인 영향력도 갖고 있었다. 이를 통해 저소득 독거노인의 건강증진행위에 우울과 사회적 지지가 갖는 의미를 다시 확인할 수 있었고, 특히 건강증진행위에 있어서 우울과 사회적 지지가 갖는 관계에 대한 이해를 바탕으로 하여 개입방법을 모색해야 함을 확인할 수 있었다. 연구결과를 바탕으로 저소득 독거노인의 건강증진행위를 향상시키기 위한 제언들을 제시하였다.

• 보건행정학회지
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• 제8권1호
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• pp.52-96
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• 1998

To find causal factors and improvement plans of organizational commitment of public servants in urban health centers, a hypothetical causal model, which included 2 endogenous variables(organizational commitment & organizational satisfaction) and 15 exogenous variables, was constructed. Exogenous variables consisted of individual factors (sex, age, education, job-grade, and annual salary), psychological variables(pride for organization, extrinsic motivation, intrinsic motivation and support of supervisor) ad structural variables(formalization, centralization, communication, job-conflict, job-decision, and workload). In the hypothetical causal model, organizational commitment was supposed to be effect variable, and organizational satisfaction was presumed to be intervening variable to mediate between organizational commitment and exogenous variables. For data collection, cross-sectional self-administered questionnaire survey was conducted to 1,295 public servants from 32 urban health centers nationwide. The survey responses were from 934, 72.1% of subjects. But 756 responses(58.4%) were analyzed because of excluding ones with missing values. The hypothetical causal model was fitted by covariance structural analysis with maximum likelihood method. Main results were as follows: (1) The fitted causal model accounted for 33 and 55 percent of total variance of organizational commitment and organizational satisfaction of public servants, respectively. (2) In order of effect size, pride for organization, supervisor support, communication, extrinsic motivation and centralization had an indirect effect effect on organizational commitment through organizational satisfaction. However, the effect of centralization was negative. (3) Pride for organiztion, intrinsic motivation, organizational satisfaction, job-conflict, supervisor support, communication, age, centralization, annual salar and extrinsic motivation had indirect or direct effects on organizational commitment in order of effect size. Among them, effects of job-conflict and centraldization were negative. In conclusion, these results suggested that organizational commitment of public servants in urban health centers could be enhanced by pride for organization, intrinsic and extrinsic motivations, prevention of job-conflict and excess centralization, supervisor support and active communication. Especially, pride for organization and intrinsic motivation were expected to play the most important role.

• Journal of Preventive Medicine and Public Health
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• 제54권6호
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• pp.441-450
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• 2021

Objectives: Socioeconomic disadvantages interact with numerous factors which affect geriatric mental health. One of the main factors is the social relations of the elderly. The elderly have different experiences and meanings in their social lives depending on their socio-cultural environment. In this study, we compared the effects of social relations on depression among the elderly according to their living arrangement (living alone or living with others) and residential area. Methods: We defined social relations as "meetings with neighbors" (MN). We then analyzed the impact of MN on depression using data from the Korean Longitudinal Study of Aging Panel with the generalized estimating equation model. We also examined the moderating effect of living alone and performed subgroup analysis by dividing the sample according to which area they lived in. Results: MN was associated with a reduced risk of depressive symptoms among elderlies. The size of the effect was larger in rural areas than in large cities. However, elderly those who lived alone in rural areas had a smaller protective impact of MN on depression, comparing to those who lived with others. The moderating effect of living alone was significant only in rural areas. Conclusions: The social relations among elderlies had a positive effect on their mental health: The more frequent MN were held, the less risk of depressive symptoms occurred. However, the effect may vary depending on their living arrangement and environment. Thus, policies or programs targeting to enhance geriatric mental health should consider different socio-cultural backgrounds among elderlies.

• Safety and Health at Work
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• 제14권1호
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• pp.100-106
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• 2023

Background: Our study aimed to investigate the mediating role of work-family conflict (WFC) on the relationship between long commutes and workers' anxiety and insomnia. Methods: Our study measured the two dimensions of WFC, time-related, and strain-related, which were considered multiple mediators. The mediating effect of WFC on anxiety and insomnia was investigated by decomposing the total effect into a direct effect (long commuting time → anxiety or insomnia) and an indirect effect (long commuting time → WFC → anxiety or insomnia). The combined indirect effect (joint indirect effect) of strain-related WFC and time-related WFC was estimated. The effects were presented as odds ratios and 95% confidence intervals (CIs). Results: The direct effect of 120 min or longer of commuting time was 1.39 (95% CI: 1.17-1.65) times increase in the odds of anxiety and 1.64 (95% CI: 1.41-1.90) times increase in the odds of insomnia than those whose commuting time was less than 60 min. In the case of indirect effects, those whose commuting time was 120 min or longer had 1.13 times higher odds of anxiety (95% CI: 1.07-1.18) and 1.12 times higher odds of insomnia (95% CI: 1.07-1.17) via WFC. The joint indirect effects accounted for 26.4% and 18.5% of the total effect on anxiety and insomnia, respectively. The longer the commuting time, the stronger both direct and indirect effects. Conclusions: Our findings highlight the mediating effect of WFC on the relationship between long commuting times and workers' anxiety and insomnia.

• 보건의료산업학회지
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• 제13권4호
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• pp.179-190
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• 2019

Objectives: This study aimed to investigate the mediating effects of health promotion behaviors on the correlation between self-perceived health and medical care utilization among older adults. Methods: This study used data from a. Data were analyzed with frequency analysis, descriptive statistics, Pearson's correlation coefficient, and hierarchical multiple regression. Mediation analysis was performed according to the Sobel test. Results: The self-perceived health and some health promotion behaviors in older adults had a statistically significant effect on medical care utilization. Only the nutritional management of health promotion behaviors had a mediating effect on the relation between the self-perceived health and medical care utilization of older adults. Conclusions: The nutritional management of older adults was confirmed as an important factor to health promotion and prevention. This study was meaningful in that it identified the political directions for establishing health care policy for the older adults.

• 보건행정학회지
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• 제30권2호
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• pp.178-184
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• 2020

Background: Korea set up a new diagnosis-related group as a demonstration project in 2009. The new diagnosis-related group was reformed in 2016. The main purpose of the study is to identify the effect of reform on coverage of national health insurance. Methods: This study collected inpatient data from a hospital that contains medical information and cost from 2015 July to 2016 June. The dependent variable was the coverage of national health insurance. The dependent variable was divided by total, internal medicine partition, surgical partition, and psychiatric partition. To analyze the effect of the reform, this study conducted an interrupted time series analysis. The final sample included 23,695. Results: The health insurance coverage of internal medicine has the highest, followed by surgery and psychiatry. The health insurance coverage of bundle payment is higher than that of unbundled payment. The proportion of bundled payment and non-benefit decreased and the proportion of unbundled payment increased. The coverage of national health insurance significantly increased after policy reform in internal medicine partition (p-value=0.0356). Conclusion: The results of the study imply that policy reform enhanced the coverage of national health insurance in internal medicine. The government needs to monitor side effects such as an increase of unbundled payment.