• Journal of Korean Clinical Nursing Research
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• v.21 no.1
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• pp.116-126
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• 2015

Purpose: The purpose of this study was to examine the relationship between social support (family, healthcare provider, friends/peer), treatment belief, hope, and health status in patients on hemodialysis, and to identify direct and indirect effects of the variables on patients' health status. Methods: The self-regulation model was used to establish a path model. Data were collected from 240 patients. Multidimensional Scale of Perceived Social Support, Revised Illness Perception Questionnaire, Herth Hope Index, and Medical Outcomes Study Short Form-12 were used. Data were analyzed using the SPSS and AMOS programs. Results: The model was supported by fit statistics ($x^2=3.33$, p=.343, GFI .995, RMSEA .021, AGFI .968, NFI .986, CFI .999, TLI .993). Family and friends/peer support showed a significant direct influence on hope, while healthcare provider support directly influenced treatment belief. Social support, treatment belief, and hope directly and indirectly influenced health status, explaining 28.7% of the variance. Conclusion: These results show mechanisms underlying connections between social support and health status by demonstrating impact of social support and showing treatment belief and hope as mediators between social context and outcomes. To promote health of patients on hemodialysis, it is necessary for patient, family, healthcare professional, and friends to collaborate.

• Nutrition Research and Practice
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• v.13 no.3
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• pp.222-229
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• 2019

BACKGROUND/OBJECTIVES: Aging is an imperative problem for many countries in this century, and presents several challenges for the maintenance of good nutritional status. This study aims to assess the impact of socio-demographic factors, lifestyle and health status on the nutritional status among the elderly in Taiwan. SUBJECTS/METHODS: A cross-sectional study was carried out in Taiwan. Data were obtained from the Mei Jau Health Management Institution, which is a private health evaluation provider with multiple health screening centers in Taiwan and Asia. This study included 7947 adults aged 65 years or above. The data were extracted between 2001 to 2010. Nutritional status was assessed using anthropometric data, biochemical data and dietary intake information. RESULTS: Among the 7947 participants with mean age of 70.1 (SD = 4.5) years, 20.2%, 6.6%, 10.5% and 52.5% experienced underweight, protein malnutrition, anemia and inadequate dietary intake in the past month, respectively. Age was negatively correlated with body weight (r = -0.19, P = 0.02), body mass index (r = -0.41, P < 0.001), albumin level (r = -0.93, P < 0.001) and hemoglobin level (r = -0.30, P = 0.008). Age above 70 years, gender, unmarried status, retirement, lack of education, low family income, smoking, alcohol drinking, sleep duration of 6-8 hours, vegetarian diet, multiple medications, comorbidity and dysphagia were positively associated with malnutrition in older adults. CONCLUSIONS: Underweight and inadequate dietary intake are prevalent among the elderly in Taiwan. Vegetarian diet, multiple medications, comorbidity, dysphagia and lifestyle factors such as smoking, alcohol drinking and sleep duration of 6-8 hours are risk factors for undernutrition in older adults.

• Journal of Korean society of Dental Hygiene
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• v.13 no.3
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• pp.481-489
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• 2013

Objectives : The purpose of this study was to evaluate the relationship between smoking and peridontal diseases in Korean adults based on the data from the Korea National Health and Nutrition Examination Survey 2010. Methods : The study subjects were 5,605 adults aged 19 years or older whose information were community periodontal index (CPI) and smoking status. and statistical analyses were conducted by applying complex sample analysis technique. Results : In terms of the relationship between smoking and periodontal status, the risk of periodontitis was 1.63-fold higher in smoker group than in nonsmoker group, and 1.02-fold higher even after adjustment of gender, age, income levels, educational background, alcohol consumption, exercising, body mass index (BMI), oral examination, the frequency of tooth brushing, the use of oral hygiene devices, and perceived oral health. Chi square analysis also showed that the prevalence rate of periodontitis was higher in smoker group than in nonsmoker group. Conclusions : It is very important to provide oral health education by smoking cessation and prevent periodontal diseases through anti-smoking campaign.

• Journal of Korean Biological Nursing Science
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• v.14 no.3
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• pp.166-173
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• 2012

Purpose: This study was designed to find differences between physical activity and health-related factors of Korean male adults. Methods: Using the 2010 Korean National Health and Nutrition Examination Survey (NHANES V-1), the data of 1,876 Korean males over 30 years old who completed the Health Interview, Health Behavior Surveys and International Physical Activity Questionnaire (IPAQ) were analyzed. Analysis of differences in physical activity according to socio-demographic factors, physical health-related factors and psychological health-related factors was tested using the F-test and chi-square test with SPSS 12.0. Results: The high physical activity group was merely 2.5% and the moderate group was 51.4%. In each group, the study showed significant differences in age (p=.017), education status (p=.019), and economic status (p=.032) of socio-demographic factors, in body mass index (p=.003), vitamin D (p=.020) and hypertension status (p=.007) of physical health-related factors, and in recognition of stress (p=.027) of psychological health-related factors. Conclusion: These results revealed that physical activity can play an important role in nursing intervention of physical and psychological health-related factors in male adults.

• The Journal of Korean Society for School & Community Health Education
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• v.12 no.2
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• pp.69-80
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• 2011

Objectives: The purpose of this study was to explore relationship among dft index, diet and oral health behavior, parental awareness in oral health care and social status. Methods: This study was conducted from 8 January, 2009 to 11 June, 2009 in Asan city and Seosan city in Chungnam area. 4 kindergratens, 3 preschools and 1 children language academy were randomly selected to research on dft index, diet and oral health behavior. cross-sectional study conducted among 561 valid samples out of 641 samples collected using the survey was and then followed by oral examination. Throughout the research, numerus SPSS 15.0 statistical techniques, T-test and ANOVA and Spearman correlation coefficients were used for analysis. Results: Key results of the study are as follows: Age was found to be statistically very significant to dft index(p=0.036). Age of mother, especially between 30 to 49, was found to be statistically significant to dft index rate(p=0.001). Occupation of father was also found to be statistically significant to dft index(p=0.036). High parental awareness in oral health care led to low dft index rate, which also was found to be statistically significant(p=0.036). Conclusions: In conclusion, as Spearman correlation coefficient demonstrates, occupation of father affects most on long-term healthy oral behavior followed by parental awareness in oral health care and age of mother.

• Journal of dental hygiene science
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• v.5 no.2
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• pp.89-95
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• 2005

Dental caries is the most prevalent dental issue of childhood. So it is important to control caries form 5 years children and above all, the study of oral health status have been preceding for preventive dental caries. The purpose of this study was to assess the oral health status of 5 years children in seongnam city. The study population consisted of 1035 kindergraten children which had been selected stratified random sampling. The survey is based on WHO, 2000 oral health assessment, which has been modified. From data dt index, ft index, dft index, dt rate, ft rate, percentage of active caries, percentage of pit and fissure sealant, and so on. The findings were as follows: (1) In 5 years children, the experience of dental caries was 73.0% and the percentage with active caries was 49.4%. Dmf index was 4.13 and this observation shows a statistical singnificance. (2) Average number of 5 years children the experience of dental caries surface index was 3.11 and dfts index was 8.91. (3) The experience of dental caries fo the frist molar was 1.9% and the percentage with active caries was 1.1%. Otherwise the percentage of pit and fissure sealant of the first molar was 6.7%. It is show the low percentage for preventive dental caries. (4) Shows percentage of teeth needing treatment for one surface and above two surface was each 27.3%, 34.0%. And percentage of children required single crown and pulp treatment & single crown and tooth extraction was each 3.8%, 4.7%, 3.3%. (5) Soojung-gu and jungwon-gu were having poor oral hygiene as compared to bundang-gu. So it is necessary to establish community oral health program effectively. And for preventive dental caries and early diagnosis and early treatment consider with community characteristic.

• Journal of dental hygiene science
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• v.15 no.5
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• pp.642-649
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• 2015

The purpose of this study was to evaluate the association between oral health status and oral health-related quality of life (OHRQoL) by using the Oral Health Impact Profile-14 (OHIP-14) among adolescents in a metropolis of Korea. A total of 119 students in 1st grade in middle school and 1st grade in high school participated in this cross-sectional study. Oral examination was conducted by two trained dentists to collect in for mation about Decayed, Missing, and Filled Teeth (DMFT) and Community Periodontal Index (CPI). OHRQoL was evaluated by short-form of OHIP-14. Wilcoxon correlation, Kruskal-Wallis test and multiple regression analyses were performed to assess the association between oral health status and OHRQoL. All data was analyzed by SPSS 22.0 and the significance level was set at 0.05. The average of OHIP-14 score in adolescents having no dental caries ($17.88{\pm}5.13$) was higher than those having more than one DMFT index ($19.75{\pm}7.16$). The average of OHIP-14 score in adolescents having bleeding observed ($20.21{\pm}8.01$) was higher than those having more than calculus detected ($18.66{\pm}5.65$). The level of OHRQoL was higher in the participants perceiving better oral health condition compared to those perceiving poorer condition (p<0.05). The result of this study could provide the information that OHRQoL from adolescents positively associated with self-assessed oral health status than oral health with DMFT and CPI. Further studies are needed to well-designed follow-up studies.

• Health Policy and Management
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• v.31 no.3
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• pp.301-311
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• 2021

Background: This study purposed to analyze the relationship between the local extinction index and medical service uses of chronic diseases. The local extinction index is an indicator of the demographic structure and population aging of the region. Methods: The 2014-2018 statistics of National Health Insurance Corporation and Korean Statistical Information Service data were used for the analysis. First, descriptive statistics were used to analyze the general status of research variables. Second, a panel analysis was performed to analyze the relationship between the local extinction index and medical service uses of chronic diseases (hypertension, diabetes mellitus, periodontal disease, arthritis, mental health, epidemic disease, liver disease). Medical service uses were measured by the number of visits/inpatient days and medical charges of seven chronic diseases. Results: Panel analysis results showed that higher local extinction risks (meaning lower local extinction index) had a positive relationship with the number of visits/inpatient days and medical charges of chronic diseases. But the relationships were varied when the seven chronic diseases were analyzed separately. Conclusion: This study showed a significant relationship between the local demographic structure and medical service uses of chronic disease. Analyzing the local demographic structure will be an essential prerequisite step for implementing appropriate regional health care policies.

• Journal of Nutrition and Health
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• v.32 no.4
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• pp.430-436
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• 1999

This study investigated the correlations among nutrient intakes, and immune status in Korean young women in relation to body mass index(BMI). Subjects were classified as underweight, normal or overweight, with anthropometric measurements of these three groups significatly different in terms of weight, body fat, waist measurement, hip measurement, waist/hip ratio(WHR), and skindfold thickness(p<0.001). Average vitamin A, vitamin B1, vitamin B2, calcium and zinc levles were lower than the Korean RDA. Vitamin A levels were found to be significantly correlated with BMI(p<0.05). There was no significant difference in total T and B lymphocytes or IgG, IgG, and IgM levels with respect to BMI, but Natural Killer(NK) cell levels were found significantly increased with increased BMI(p<0.05). BMI was also positively correlated with iron intake and negatively correlated with vitamin A intake in the normal group. Based upon this study, further research on nutritional, immune and trace-mineral status of overweight and underweight young women is required for better health promotion in this female populaton.

• Research in Community and Public Health Nursing
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• v.16 no.4
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• pp.392-403
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• 2005

Purpose: This study was to evaluate the nutritional status of low-income elders in urban areas and factors affecting their nutritional risk. Methods: A cross-sectional analysis was conducted. The subjects were 300 elders selected from home visiting clients of DongJack Public Health Center. Data were collected using a questionnaire containing questions on socio-demographic characteristics. health behavior and disease. dietary pattern. Nutritional Screening Initiative. Geriatric Depression Scale and Barthel Index for ADL. Collected data were analyzed through descriptive statistics. $X^2-test$ and multiple regression analysis using SPSS. Results: Of the subjects, 63% had high nutritional risk, 21.3% moderate nutritional risk, and 15.7% good nutritional risk. NSI score was significantly different according to economic status, subjective health condition, medication, dental health, depression. regularity of diet and meal with family. Multiple regression analysis revealed that depression, subjective health condition, dental health and regularity of diet and meal with family explain 38.1% of nutritional risk. Conclusion: It is necessary to evaluate nutrition status and to control nutritional risk factors such as depression, dental health, regularity of diet and meal with family for improving the health of the low-income elderly.