• 지역사회간호학회지
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• 제26권4호
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• pp.355-363
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• 2015

Purpose: This study identified the relationships among subjective health status, wisdom, and self-care agency of Korean older adults. Methods: The participants were 274 older adults from Daegu, aged over 65 years. Data were collected by visiting two social welfare centers, two senior welfare centers, and nine senior centers in Daegu from January 18 to February 5, 2013. Data were analyzed through one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression using the IBM SPSS/WIN 19.0 statistical program. Results: A significant positive correlation was found among older adults' subjective health status, wisdom, and self-care agency. Self-care agency was affected by wisdom (47%, ${\beta}=.55$), the physical component summary (18%, ${\beta}=.31$) and mental component summary (1%, ${\beta}=.12$) of subjective health status, and the absence of disease (2%, ${\beta}=.13$). Conclusion: This study suggests that nursing interventions to promote self-care agency in older adults should be developed based on the characteristics of their subjective health status and wisdom.

• Journal of Nutrition and Health
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• 제35권1호
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• pp.124-136
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• 2002

As the elderly population has increased in recent years in Korea chronic degenerative diseases prevalent in the aged have garnered attention in relation to food behavior. In general, dietary intakes of elderly Koreans were inadequate in quality as well as in quantity. Especially, intakes of Ca, vitamin A, and riboflavin along with total energy were insufficient. They tended to consume high carbohydrate and low fat energy rates which may be resulted from long standing vegetable-based flood patterns. Relationships between dietary intakes and indices of cardiovascular diseases revealed that blood pressures and serum lipids patterns tended to be poor in individuals having high abdominal fat accumulations which seemed to be related with dietary consumption of high carbohydrate and insufficient intake of many nutrients. These results suggested that a nutritionally balanced diet including animal sources floods is needed in order to prevent an abdominal obesity and cardiovascular diseases. The bone health status of the Korean elderly appeared poor. It was more serious in women recording a higher prevalence rate of osteopenia and osteoporosis than in men. There were strong associations between dietary factors and bone health status. Bone mineral density was found to be higher with higher intakes of protein energy rate, the total amount of feeds, and many nutrients including Ca and p, indicating that a good quality diet is essential in maintaining healthy bone status in later life. mental health condition of the elderly as measured by cognitive function and the degree of depression was also inadequate and had strong association with dietary consumption. The positive results were obtained in individuals having an adequate dict. Therefore, it could be summarized that the physical as well as mental health in elderly Koreans are highly related with their dietary patterns. Thus, the older adults need te consume nutritionally well balanced diet in sufficient amount, which contains various flood items including significant amounts of animal source floods in a daily diet in order to maintain healthy condition.

• 수면정신생리
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• 제28권1호
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• pp.34-42
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• 2021

Objectives: This study investigated sleep quality in female full-time homemakers and evaluated the relationship of sleep disturbance with psychological and socio-environmental factors. Methods: This cross-sectional study adopted a structured survey and sequential recruitment method for randomized participation of community-dwelling full-time female homemakers. Sleep quality and mental health were measured using the Korean version of the Pittsburgh Sleep Quality Index (K-PSQI), Korean version of the Beck Depression Inventory-II (K-BDI-II), Korean version of the Beck Anxiety Inventory (K-BAI), and Korean version of the Beck Hopelessness Scale (K-BHS). The willingness-to-pay (WTP) method was selected to measure the self-evaluated monetary value of household service work. The relationship among the main relevant factors was statistically analyzed through a mediation model. Results: A total of 166 participants were analyzed and classified having poor versus good sleep quality (poor : 24.1%, n = 40 ; good : 75.9%, n = 126 ; cut-off point = 9 on the K-PSQI). Significant between-group differences were observed in mental health status (K-BDI-II, p < 0.001 ; K-BAI, p < 0.001 ; K-BHS, p = 0.003). The moderated mediation model was verified, indicating that depression may mediate the association between nurturing burden and sleep disturbance. The path from nurturing burden to depression may be moderated by average monthly household income. Conclusion: A relatively high portion of full-time female homemakers may suffer from sleep disturbance and interactions between psychological and socio-environmental factors might determine sleep quality, suggesting the need for public health policies targeting improvement of sleep quality and mental health among full-time homemakers.

• 디지털융복합연구
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• 제11권1호
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• pp.321-327
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• 2013

본 연구는 우리나라 성인의 정신건강이 삶의 질에 미치는 영향을 알아보고자 '2010년 국민건강영양조사' 자료를 이용하여 20대~50대 성인 4,211명을 대상으로 하였다. SPSS WIN 18.0을 사용하여 빈도와 백분율, t-test, 다중회귀분석을 실시하였으며, 연구결과는 다음과 같다. 첫째, 성인 남녀 수면시간과 삶의 질의 관계에서는 20 30대에서 여자가 남자보다 조금 더 수면을 취하는 것으로 나타났고, 40 50대에서는 수면시간의 차이가 없었다. 둘째, 성인 남녀 주관적 건강상태와 평소 스트레스 인지정도에서는 주관적 건강상태에서는 남자가 여자보다 성인초기와 중기에서 모두 높은 것으로 나타났고, 평소 스트레스 인지정도에서는 20 30대에서만 여자가 남자보다 조금 더 스트레스를 인지하고 있는 것으로 나타났다. 40 50대에서는 성별에 따른 통계적 차이는 없었으나 대체적으로 약간의 스트레스를 느끼고 있었다. 셋째, 성인의 정신건강변인과 삶의 질에서는 주관적 건강상태와 평소 스트레스 인지정도만이 삶의 질에 유의한 영향을 미치는 변인임이 확인되었다. 이를 종합해보면, 우리나라 20대~50대 성인은 자신의 건강상태를 긍정적으로 인식하고 평소 스트레스를 적게 받을수록 삶의 질이 높아짐을 알 수 있었다. 따라서 건강관련과 스트레스 관리를 위한 교육적 개입과 실천 가능한 프로그램 활성화가 요구된다.

• 재활간호학회지
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• 제15권1호
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• pp.39-46
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• 2012

Purpose: This study was to examine the relationship between mental health status and suicidal thinking among cancer patients. Methods: The data set of the 4th Korea National Health and Nutrition Survey (2009) was used and 230 subjects with cancers were included in the present study. Using SPSS/WIN 18.0 program, data were analyzed with descriptive statistics, ${\chi}^2$ test and logistic regression analysis. Results: About one-third of subjects had stress, symptoms of depression and suicidal thinking. Female had more suicidal thinking than male (${\chi}^2$=5.44, p=.020). In addition, subjects with high income level had more thinking about suicide compared with those in low income level (${\chi}^2$=7.54, p=.023). There was a significant difference in suicidal thinking according to the educational levels (${\chi}^2$=13.25, p=.004). In the logistic regression analysis, it was indicated that gender, depression and stress were significant predictors on suicidal thinking, accounting for 26.7~38.1%. Conclusion: From the findings in this study, it was suggested that the healthcare providers should try to improve their mental health status in order to prevent suicidal thinking among the individuals diagnosed with cancer.

• Journal of Preventive Medicine and Public Health
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• 제19권2호
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• pp.233-243
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• 1986

Our study was designed to identify the difference in the mental health status among hospitalized patients due to occupational diseases and accidents and pre-employment physical examinees, and to identify the relationship between mental health status and socio-demographic variables, and to provide information useful to non-psychiatric clinicians in caring of such patients. Samples were comprised of 189 pneumoconiotic patients, 132 industrial accident-induced patients and 122 pre-employment physical examinees who were interviewed with 90-item symptom cheklist (SCL-90). The following results were obtained: 1) Mean scores of symptom dimension on socio-demographic subgroup showed higher tendencies in older aged, male, lower educated, miner, married, mining residence, and pneumoconiotic patients. 2) Mean scores of total samples on all symptom dimensions were as follows in the order of their magnitudes; Depression, Somatization, Obsessive-compulsive, Anxiety, Psychoticism, Interpersonal sensitivity, Phobic-anxiety, Hostility, and Paranoid ideation. 3) The highest mean scores on each socio-demographic subgroup were as follows; Depression in younger aged and Somatization in older aged; Depression in male Somatization in female; Somatization in lower educated and depression in higher educated; Somatization in miners and depression in non-miners; Somatization in married and Depression in unmarried; Depression in all kind of residences; Somatization in patients and Depression in pre-employment physical examinees(normal). 4) In consequence of stepwise multiple regression, the important socio-demographic variables were age, occupation, diagnostic classification, and residence. Age was the most imprtant variable in Somatization, Depression, Obsessive-compulsive, Anxiety, Phobic anxiety, Paranoid ideation, and Psychoticism. Occupation was the most important one in Interpersonal sensitivity and Hostility and also had significant realtionships with all symptom dimensions.

• Journal of Preventive Medicine and Public Health
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• 제45권1호
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• pp.37-46
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• 2012

Objectives: This study was performed to consider the association between Internet using time for non-educational purposes and adolescent health, and to examine how health status differs between Internet users and non-users. Methods: We analyzed 2009 data from the Korea Adolescent Risk Behavior Web-Based Survey, conducted on a nationally representative sample of students in grades 7 to 12. A total of 75 066 adolescents were categorized into four groups according to their Internet using time excluding using for educational purposes: non-Internet users (NIUs), occasional Internet users (OIUs) (<1 h/d), moderate Internet users (MIUs) (${\geq}1$ and <2 h/d), and heavy Internet users (HIUs) (${\geq}2$ h/d). Health factors included eight health risk behavior indices, four mental health indices and six physical health indices. Results: The distribution of Internet use was as follows: NIUs 17.4%, OIUs 68.1%, MIUs 12.7%, and HIUs 1.7%. In multivariate analysis, using OIUs as a reference, U- or J-shaped associations were observed for five health risk behavior indices (current smoking, current drinking, drug abuse, sexual intercourse, sedentary behavior on weekdays) and four mental health indices (stressed, depressed, suicidal ideation, attempted suicide) in both genders. After removing confounding effects, including age, region, school type, subjective school record, subjective economic status, presence of parents, living with family, and sedentary behavior, these associations were still observed. Conclusions: Health professionals should consider both Internet non-users (for non-educational purposes) and heavy users to be high-risk groups in terms of health status. Also, more well-designed studies are needed to clarify what factors are working in these nonlinear associations.

• 보건교육건강증진학회지
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• 제34권1호
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• pp.67-76
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• 2017

Objectives: The purpose of this study was to investigate factors that influence problematic drinking among adolescents in South Korea. The first aim of this study was to examined the problematic drinking status according to ocio-demographics characteristics, mental-health, and health behavior factors. The second aim was to identify factors affecting problematic drinking. Methods: Using statistics from the $11^{th}$(2015) Korea Youth Risk Behavior Web-based Survey, any variations among the subjects were presented by percentages and analyzed by $x^2$-tests, and then logistic regression analysis was conducted. Results: In the final model, gender, economic status, weekly allowance, father's education level, experience of sadness, smoking, and consumption of high-caffeine drinks were all significantly associated with problematic drinking. Conclusions: Awareness of teenagers regarding the potential health effects of problematic drinking, in particular in regards to mixing smoking and high-caffeine drinks with consumption of alcoholic beverages, should be increased through health education. Teenagers need to be taught the physical and mental dangers of drinking. A program that can teach proper drinking habits and prevent excessive drinking is needed. It should be a national matter just like the smoking policy.

• Journal of Information Technology Applications and Management
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• 제29권2호
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• pp.27-37
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• 2022

This study was attempted to identify the effects of physical and mental health on quality of life in middle-aged adults by gender. The Data were analyzed for 4,511 adults (2,260 men, 2,251 women) aged 45 to 65 who had no missing values in major variables based on the data of the 2016 Korea Health Panel. According to the data, the quality of life in middle-aged adults was .92 (±.08) for men and .91 (±.10) for women, which was significantly higher than that of women (t=3.54, p<.001). Factors affecting the quality of life in middle-aged men were subjective health status (β=.40, p<.001), stress (β=-.17, p<.001) and education level (β=.10, p<.001), and these variables explained 23% of the quality of life (F=227.28, p<.001). Factors affecting the quality of life in middle-aged women were subjective health status (β=.40, p<.001), stress (β=-.11, p<.001), education level (β=.05, p=.011) and anxiety (β=-.05, p=.022), and these variables explained 21% of the quality of life (F=145.42, p<.001). Based on the results of this study, the group with low level of education in middle-aged adults needs health management, education on how to relieve stress, and intensive management to improve the quality of life. In addition, the differentiated approach should be required to reduce anxiety in middle-aged women.

• 한국학교ㆍ지역보건교육학회지
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• 제15권3호
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• pp.43-54
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• 2014

Objectives: The purpose of this study was to find out the relation factors of weight control behaviors, mental health status and body image perception in adolescents and to use basis data of health promotion for adolescents. Methods: This study used data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-2, 2011). The subjects were 653 between 12-19 age. Data analysis was done with SPSS/WIN 19.0 using Chi-square test, and Logistic regression. Results: The result is as follows. The case of female adolescents, abnormal perception of body image was significantly higher on weight reduction effort and normal weight, low weight in BMI. The case of male adolescents, abnormal perception of body image was higher on normal weight in BMI. Conclusions: The adolescents tend to do unreasoning weight loss behavior without properly perception for their body image. Therefore, we suggest that adolescents be provided social support for positive body image and be developed perception program with the importance of inner values.