• Journal of Nutrition and Health
• /
• v.50 no.6
• /
• pp.603-614
• /
• 2017

Purpose: This study was performed to identify the health and nutritional status of Korean adults according to food security by age group. Methods: The subjects were 20~79 year old adults (n = 16,595) who participated in the fifth Korea National Health and Nutrition Examination Survey (2010~2012). Subjects were divided into three groups based on food security such as secure, mildly insecure, and moderately/severely insecure groups. Dietary intake was estimated by 24-hour dietary recall. As for mental health status, the data on mental stress, sleep hours, depression symptoms, and suicide ideation were used. Results: Korean adults who were exposed to high food insecurity typically had low income levels, lived alone, and were recipients of basic welfare. In the 20~39y group, people with higher food insecurity had lower concentrations of hemoglobin and higher iron-binding capacity. In the 40~59y group, people with higher food insecurity had lower HDL-cholesterol. In the 60~79y group, people with higher food insecurity had higher total cholesterol levels, more stress, more experiences of depression symptoms, and were more suicidal. Mean intakes of energy, protein, calcium, phosphorus, potassium, vitamin A, carotene, vitamin $B_1$, vitamin $B_2$, niacin, and vitamin C were lower in the food insecure groups. Amounts of vegetables, fruits, and seasoning intakes tended to be lower in people with higher food insecurity. The effects of food security on nutrition intake were greater in the 40~59y and 60~79y groups than the 20-39y group. Conclusion: Food insecurity was related to certain health indicators such as anemia and cholesterol levels and affected mental health. The effects of food insecurity on health and nutritional status were different by age group.

• Women's Health Nursing
• /
• v.22 no.4
• /
• pp.191-201
• /
• 2016

Purpose: The purpose of this study was to identify relationships of periodontal disease and health related quality of life (HRQoL) in pregnant women. Methods: The participants in this study were 129 pregnant women. Data were collected using questionnaires of characteristics of the participants and subjective perception of periodontal disease and a dentist's assessment of periodontal disease. Data were analyzed using descriptive statistics, correlation, and hierarchical multiple regression. Results: The physical QoL showed significant negative correlation with subjective perception of periodontal disease (r=-.21, p=.013). Mental QoL had significant negative correlations with subjective perception of periodontal disease (r=-.32, p<.001) and objective periodontal disease (r=-.34, p<.001). Hierarchical multiple regression analyses revealed that pregnant women who had a history of abortion and had higher subjective perception of periodontal disease tended to report lower levels of physical QoL. Pregnant women whose age are between 30-34 years and higher subjective perception and objective periodontal disease tended to report lower mental QoL. Conclusion: To improve HRQoL of pregnant women, nurses should pay attention on the status of periodontal disease. Careful assessment of oral healthy behaviors and proper intervention for oral health of pregnant women are needed to enhance HRQoL of pregnant women.

• Journal of the Korean Society of School Health
• /
• v.29 no.3
• /
• pp.189-200
• /
• 2016

Purpose: The purpose of the study is to examine the factors that influence Korean adolescents' depression and suicidal ideation from individual, social and environmental perspectives by gender. The study used the date of the 2015 Korea Youth Risk Behavior Web-based Survey and the subjects were 68,043 middle and high school students. The levels of depression and suicidal ideation were the dependent variables and the factors influencing the dependent variables included 11 individual factors, 3 social factors and 7 environmental factors. The data were analyzed using odds ratios (OR) from multi-variable logistic regression analysis. As a result, the most significant individual factors that influenced both depression and suicidal ideation were stress and subjective happiness both in boy and girls, the most significant social factor was participation in violence treatment programs, and the most significant environmental factors were economic status, father's educational level, and whether or not they lived with their family. Therefore, programs and policies to improve adolescents' mental health should be developed considering individual, social, and environmental factors.

• The Korean Journal of Health Service Management
• /
• v.6 no.4
• /
• pp.295-308
• /
• 2012

This study aimed to investigate gender differences in prevalence and correlates of depression and suicidal ideation among Korean adolescents. The analysis was performed using data from the 2009 Korean Youth Risk Behavior Web-based Survey. Logistic regression models and Wald chi-square statistics were used to identify the difference in the coefficients between the gender-specific models. Female students reported higher prevalence for depression(42.9%) than male students(31.4%), as well as higher level of suicidal ideation(girls:23.1%, boys:14.7%). Lower school achievement, worse self-rated health status, more conflicts were associated with higher level of depression and suicidal ideation. The impact of school achievement and conflicts with friends on mental health was greater among girls than boys. We suggest that the efficient strategies focusing on the gender differences should be established to improve mental health among Korean adolescents.

• Journal of Korean Public Health Nursing
• /
• v.33 no.2
• /
• pp.214-227
• /
• 2019

Purpose: This study examined the socio-demographic factors, the disaster related factors, the physical health related factors and the psychological factors of older adults exposed to natural disaster and these factors may possibly cause the occurrence of PTSD. Methods: A cross-sectional study was designed using the secondary data from the 3rd Disaster Victims Panel Survey (2012-2017). The data from 1,397 disaster victims were analyzed using descriptive statistics and logistic regression analysis. Results: Compared with the younger adult disaster victims, the elderly were more likely to have symptoms of PTSD (15.0% vs. 12.1%). Factors such as the number of years since being exposed to the disaster, anxiety, depression and social adjustment were significantly associated with occurrence of PTSD for both older and younger adults. Female gender was the additional risk factors for the older adults, while marital status, income, having witnessed another person's injury or death, and having lost a home were associated with the occurrence of PTSD. Conclusion: The elderly were more likely to develop PTSD as compared with younger adults. More targeted post-disaster mental health services to the elderly with the symptoms of depressive, anxiety and impaired social adjustments, should be provided to improve their mental health.

• The Korean Journal of Emergency Medical Services
• /
• v.27 no.3
• /
• pp.113-124
• /
• 2023

Purpose: The purpose of this study was to determine the level of depression, anxiety, and stress among health college students and to identify factors affecting sleep quality to provide a basis for improving sleep quality among health college students. Methods: Data was collected using a structured questionnaire from 181 college students at a university in City D from October 1 to October 31, 2023. Results: Sleep quality was significantly and positively correlated with depression (r=.703, p<.001), anxiety (r=.680, p<.001), and stress (r=.708, p<.001), and its predictors were caffeine consumption (β=-.174, p=.044), Satisfaction with college life (β=-.137, p=.009), depression (β=.251, p=.013). Stress (β=.277, p=.007), with an explanatory power of 56%. Conclusion: To improve the sleep quality of college students, we should encourage them to reduce their caffeine intake, run various programs to improve their satisfaction with college life, and expand mental health counseling programs on campus to monitor their mental health status regularly so that they can actively manage depression and stress.

• Journal of the Korean Society of School Health
• /
• v.30 no.3
• /
• pp.181-193
• /
• 2017

Purpose: This is a qualitative descriptive study with the purpose of identifyng the health problems and related factors of socially vulnerable school-age children in Seoul, South Korea. Methods: Two focus group interviews and two individual interviews were conducted with eleven participants. They were two class teachers, three school nurses and two daycare teachers working at elementary schools and three social workers and a welfare worker working at community childcare centers. Data were analyzed using qualitative content analysis. Results: The identified psychosocial problems were 'distracting and excessive behavior', 'depression and helplessness,' 'aggression and violent behaviors', and 'internet overdependence'. The revealed physical health problems were 'poor hygiene', 'obesity', and 'gastrointestinal problems'. In addition, the fact that physical and psychosocial problems are closely inter-linked was reaffirmed through practical examples. Meanwhile, socioeconomic, family environmental, social experiential and individual factors were found to affect children's health. Relationships within a family or a peer group and healthy lifestyle were considered critical issues to deal with in order to improve the childrens' health status. Conclusion: It was proved that socially vulnerable school-age children have various physical and mental health problems due to multiple factors. Therefore, it is required to design nursing approaches that help them achieve optimal health status.

• The Journal of Korean Society for School & Community Health Education
• /
• v.23 no.4
• /
• pp.49-61
• /
• 2022

Objectives: It is reported that the depression of women with disabilities is higher than that of men with disabilities and people with disabilities. Therefore, the purpose of this study is to identify the depression level and influencing factors of middle-aged women with disabilities. Method: For this study, the 2020 survey on the disabled was used. The subjects were 2,546 middle-aged and disabled women over the age of 40 who responded to the survey. For data analysis, SPSS Window 26.0 program was used. Descriptive analysis, chi-square test, and multiple logistic analysis were performed to identify factors affecting depression in middle-aged women with disabilities. Results: In this study, marital status, subjective economic status, disability type, subjective health status, subjective obesity, chronic disease, exercise, stress and suicidal ideation, and self-going ability variables of middle-aged and elderly women with disabilities were found to be related to depression. Factors affecting the depression of middle-aged women with disabilities were analyzed to be marital status, smoking, stress, and suicidal ideation variables. Conclusion: Stress and suicidal ideation should be reduced to effectively reduce depression and improve depression in middle-aged and elderly women with disabilities. And the development and application of health education and programs that can promote mental health are required.

• 재활복지
• /
• v.21 no.2
• /
• pp.113-137
• /
• 2017

In this study, we explore whether and how the experience of discrimination and social support affects physical health and mental health through disability identity among the disabled aged 50 and over. We also examine such relationship differs by the degree of disability. For the empirical test, we utilized the data from the Panel Survey for the Disabled conducted by our research team in 2016. According to structural equation model analysis, social support has a direct effect on disability identity. It also has a direct effect on physical health. As for the mental health, there are found direct effects of discrimination experience, social support, disability identity, and physical health, Furthermore, social support influences the mental health through disability identity. This finding suggests that social support for the disabled in old age increases disability identity and, in turn, it contributes their mental health. In the meanwhile, multiple group comparison analysis reveals the effect of discrimination experience on disability identity is found for those with lower level of disability but not for their counterparts. This seems to result from that the level of common ground which constitutes disability identity is low for the severely disabled. Thus, it requires our efforts to enhance disability identity focusing on common ground for the severe disabled.

• Journal of Korean society of Dental Hygiene
• /
• v.7 no.1
• /
• pp.61-72
• /
• 2007

The purposes of this study were to investigate the oral health status of the disabled children attending special schools in Seoul and Gyeonggi area, which were to collect baseline data for set up a oral health center in special schools. The study group comprised 915 disabled children aged 12~15 year. They were examined clinically and surveyed on 4 oral health related characteristics according to the type and level of disabilities The results may be summarized as follows: 1. DMFT index was the highest in children with crippled disorder. The plaque control was more required to the children with mental retardation or developmental disorder other than another types of disabilities. 2. About one third of the children with mental retardation or developmental disorder had their teeth brushed at least 3 times daily without any help. Over the half of the children with crippled disorder had their teeth brushed 2 times daily, 33.3% were independent and 38.9% totally dependent on help from others. 3. The more level of disabilities was higher, the more frequency of tooth brushing was lower and degree of dependance of the tooth brushing was higher. 4. There was tendency to visit to dental office more frequently for relief of dental symptoms in children with crippled disorder 5. The inability to call for help from others was the major barrier to dental care for the disabled.