• 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.

• Korean Journal of Health Education and Promotion
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• v.31 no.3
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• pp.39-50
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• 2014

Objectives: The purpose of this study is to examine the factors for self-rated health by gender in South Korean adolescents. Methods: The population consisted of a nationally representative sample of adolescents(n= 37,414 boys, 37,522 girls) in middle and high school who completed the Korea Youth Risk Behavior Web-based Survey(KYRBWS) in 2011. Using logistic regression analysis, self-rated health was regressed on all predictors, including socioeconomic factors, behavioral and psychological factors. All analysis were conducted according to gender. Results: Girls showed more negative self rated health than boys (respectively 28.4%, 40.7%). Adolescent perceptions of health was associated with socioeconomic status, behavioral and psychological factors. Logistic regression analysis revealed that physical activity, body weight perception, despair, level of happiness and stress were the main influencing factors. Conclusions: The findings show that adolescent perceptions of their health are associated with overall sense of functioning, which are associated with health behaviors and psychological factors. Further interventions that focus on improving health behaviors and psychological health may make adolescents more healthy.

• Korean Journal of Health Education and Promotion
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• v.30 no.3
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• pp.47-58
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• 2013

Objectives: Everyday correctional officers confront with so many criminals, so this situation could be a bad environment on correctional officer's mental health. But the study about their mental health status and related factors have rarely been focused, and besides, the actual mental health conditions of them have also been rarely investigated. Consequently, this study aimed to identify mental health status and related factors of correctional officers. Methods: Data were collected from July 10 to August 25, 2012. The Participants included 1,496 correctional officers in 50 correctional facilities. Results: The risk factors of mental health problems were living in urban region, 40 ages group, less experience in correctional field, unmarried marital status & not living with their spouse, over nine hours contact with criminals and so forth. On the other hand, stress coping methods were not related with socioeconomic and other factors. Conclusions: Lessening working hours or contact hours with criminals, providing a risk-group management for those who have many risk factors, making self-support group will be helpful to manage or promote their mental health status. Besides, employee assistance programs should be developed such as job stress management methods or counselling communication skills.

• The Korean Journal of Health Service Management
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• v.12 no.3
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• pp.119-129
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• 2018

Objectives: The purpose of this study was to provide basic data for the improvement of healthy habits and development of an oral health promotion program among Korean youth. Therefore, this study investigated adolescent health risk factors, oral health risk factors, and oral disease symptoms. Methods: This study used data from the Korea youth web-based survey, 2016. The subjects selected for the study were 61,086 persons who did not exhibit health risk factors, oral health risk factors, and oral disease symptoms. The statistical analyses were conducted by applying a complex sample analysis technique. Results: Those who drank carbonated beverages at least once a day were 1.15 times more likely to experience oral disease symptoms. The more sweet drinks they drank, the higher the risk of experiencing oral disease symptoms. Subjects who consumed alcohol had a 1.30 times greater risk of experiencing oral disease symptoms while subjects with smoking experience had a 1.13 times greater risk of experiencing oral disease symptoms. Conclusions: As a result, in order to maintain the physical and mental health of Korean adolescents, it is necessary to develop an oral health program for the prevention of unhealthy eating habits and oral diseases.

• Women's Health Nursing
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• v.30 no.1
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• pp.56-66
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• 2024

Purpose: This study explored the factors influencing the health-related life satisfaction of people with disabilities who engaged in physical activity, by age and gender. Methods: A secondary analysis was conducted of the 2020 Third Disability and Life Dynamics Panel (2021). The participants were 2,796 people who performed regular physical activity at least once a week. The variables selected were disability-related factors (degree of disability, multiple disabilities, and type of disability), sociodemographic factors (age, gender, living alone, and mean monthly family income), and health-related factors (amount of physical activity, self-esteem, depression, chronic disease, subjective health, and health-related life satisfaction). Descriptive statistics, the chi-square test, the t-test, two-way analysis of variance, and multiple regression analysis were conducted. Results: In total, 58.0% of participants were male, and 42.0% were female. For age groups, 14.4% were children/adolescents (0-19 years), 42.6% were adults (20-59 years), and 43.0% were seniors (≥60 years). The mean score for health-related life satisfaction was 5.0±2.15 out of 10. Adults and seniors whose level of physical activity met or exceeded recommendations had higher subjective health. Moreover, men had better subjective health than women in seniors. Health-related life satisfaction was higher among those who had higher self-esteem, were not depressed, did not have chronic diseases, and had better subjective health. Conclusion: Gender significantly influenced health-related life satisfaction in children/ adolescents and seniors. Disability-related factors were significant in adults, and health-related factors were significant in all age groups. Therefore, these factors should be considered when designing interventions to promote subjective health and health-related life satisfaction of people with disabilities.

• Journal of Preventive Medicine and Public Health
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• v.36 no.4
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• pp.359-366
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• 2003

Objectives : This study was conducted to review the diffusion process and factors affecting the adoption of the Health Center Information System (HIS). Methods : Data were collected from POSDATA (private company), MOHW, other Ministries and local governments. To specify the date of adoption, supplementary information was collected from 40 health centers. The following three kinds of factors were analyzed. Internal factors included type, size, and innovativeness of health centers. Community factors were composed of population sire, economic status, and level of education. Organizational environmental factors consisted of information score of the municipalities, financial support of the from central government, and the neighborhoodness of innovator health centers. Results : All health centers in the metropolitan cities of Seoul, Gwangju and Jeju adopted the HIS. The laggards were those in the metropolitan cities of Busan (18.8%), Incheon (20.0%) and Daejun (20.0%), and cities with population more than 300,000 (54.8%) and counties with health center hospitals (47.1%). Financially supported rural health centers adopted the HIS more rapidly than those not supported. The factors identified as being statistically significant (p<0.05), from a univariate analysis by Kaplan-Meier method, were: (1) internal factors of the type, size and innovativeness of health centers; (2) community factors of population size and economic status; (3) organizational environmental factors of the central government financial support and the neighborhoodness of innovator health centers. A multivariate analysis, using a Cox proportional hazard method, proved the innovativeness of health centers, central government financial support and the neighborhoodness of innovator health centers, were statistically significant (p<0.05). Conclusions : The innovativeness of health centers, financial support from central government and the neighborhoodness of innovator health centers, rather than community factors related to regional socioeconomic status, affected ffe adoption of the HIS in health centers. Further in-depth studies, modifying the MOHW's strategy to propagate the HIS to the laggard health confers, are recommended.

• Korean Journal of Community Nutrition
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• v.5 no.4
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• pp.608-614
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• 2000

The purpose of this study was to evaluate the relative importance among various biological and environmental factors on refractive errors. Various factors such as diseases, health related behavior such as drinking, smoking and exercise, as well as dietary factors were considered as a possible determinant. Surveys of 492 residents over 20 years of age in Kuri city were conducted during 1998. The survey included a refractive error test adopting a autokerato-refractometer, dietary survey using a 24 hour recall method, disease survey including blood and other diagnosis tests, and a health behavior survey using questionnaires with variables of smoking, drinking, and exercise. A stepwise logistic regression analysis was adopted to analyse the relative importance among independent variables of health behaviors, disease, and dietary factors on ametropias. As a result, in the case of myopia, liver dysfunction appeared to be the most important factors followed by the health related behavior of smoking and exercise as the second most important factors. Nutrient factors such as carotene and protein appeared to be the third most important factors. Similar results had been shown in the case of the hyperopia. In summary, liver dysfunction and the health related behaviors of drinking and smoking appeared to be more influential factors on abnormal eye sight of myopia and hyperopia than dietary factors.

• Research in Community and Public Health Nursing
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• v.26 no.2
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• pp.150-159
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• 2015

Purpose: This study was performed in order to identify the relationships among self-care behavior, health conservation, and cardiovascular risk factors and to examine the influence of self-care behavior and health conservation on cardiovascular risk factors among Korean elders with diabetes mellitus. Methods: The participants were 105 elders with diabetes mellitus using senior welfare centers and elderly leisure houses in Daegu. Data were collected through interviews during the period from April to May in 2014. Self-care behavior was measured with Kim's (1997) Self-care Behavior Scale, health conservation with Sung's (2005) Health Conservation Scale, and cardiovascular risk factors with the Arizona Heart Institute Cardiovascular Risk Factor Questionnaire. Collected data were analyzed through one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression using the SPSS/WIN 19.0 program. Results: A negative correlation was found between self-care behavior and cardiovascular risk factors, and between health conservation and cardiovascular risk factors. Self-care behavior explained 6% and health conservation did 49% of variance in elderly diabetes mellitus patients' cardiovascular risk. Conclusion: The results indicate that, in order to reduce cardiovascular risk factors among Korean elders with diabetes mellitus, we need nursing interventions for increasing health conservation and self-care behavior.

• Korean Journal of Adult Nursing
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• v.16 no.4
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• pp.668-676
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• 2004

Purpose: The purpose of this study was to investigate factors determining health behavior for middle-aged adults in relation to stress coping behaviors, cognitive factors, social support, and sociodemographic variables. Method: The questionnaire survey was carried out on a convenience sample of 203 middle aged in a community settings. The data analysis procedure included frequency, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regressions using health behavior as dependent variable. Result: Among the sociodemographic variables, factors such as sex, educational and eonomic levels were associated with the health behaviors. There were significant correlations between health behaviors and saliency of health, social support, and positive-stress coping behaviors. Stepwise multiple regression revealed that the factors such as positive-stress coping behaviors, saliency of health, sex, and education turned out to be significant affecting factors. Twenty eight percent of varience in health behavior was explained by these factors. Conclusion: Positive-stress coping methods were turned out to be the most important effective factors in practicing of health behaviors of middle aged. The necessity of an intervention considering the situation related to their stress and coping methods in middle aged so as to promote positive health behaviors was suggested.

• Health Policy and Management
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• v.30 no.1
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• pp.62-71
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• 2020

Background: The purpose of this study is to analyze the current status and factors of elderly patients' hospitalization for hip replacement, knee replacement, and general spine surgery. Methods: National health insurance data in 2018 was provided by the National Health Insurance Service. We used multiple regression to analyze factors associated with the medical utilization of hip replacement, knee replacement, and general spine surgery in elderly patients over 65 years old. The dependent variables are the length of stay and total health expenditure. The independent variables are the demographic-social factors (sex, age, region, insurance type, income level) and surgery-related factors (institution type, location of the hospital, surgery classification). Results: The most common factor affecting surgery was the location of medical institutions. Compared with the medical institutions located in metropolitan, the length of stay in rural medical institutions was higher and total health expenditure was lower. The lower quartile of income, the higher the length of stay and total health expenditure. In addition, the variables of age, type of health insurance, and type of medical institution were statistically significant. Conclusion: In this study, we confirmed the effect of sociodemographic factors and medical institution factors on the Healthcare Utilization of spinal and joint surgery.