• 한국학교보건학회지
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• 제31권3호
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• pp.167-177
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• 2018

Purpose: This study examined the factors that affect suicidal ideation among Korean adolescents according to their family type. Methods: The data of the 2017 Korea Youth Risk Behavior Web-based Survey was used in this study. Out of 62,276, a total of 60,077 adolescents (51,367 adolescents from two-parent families and 8,710 adolescents from single-parent families) were included in the analysis. Results: This study demonstrated that the level of suicidal ideation of the adolescents in single-parent families was significantly higher than that of the adolescents in two-parent families. The factors that affect suicidal ideation among the two-parent family adolescents were gender, grade, economic status, academic performance, smoking, drinking, physical activity, subjective health status, subjective body image, subjective happiness, stress, and depression. The factors that affect suicidal ideation among the single-parent family adolescents included gender, grade, smoking, subjective health status, subjective happiness, stress and depression. Conclusion: Single-parent family adolescents are likely to have a higher level of suicidal ideation along with higher levels of depression and stress and lower levels of subjective health and happiness, compared to single-parent family adolescents. For this higher-risk group of suicidal ideation, more thoughtful attentions and proactive policies are needed to manage their mental health and stress in school and family situations.

• 한국보건간호학회지
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• 제22권2호
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• pp.237-245
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• 2008

Purpose: The objectives of this study were to conduct assessments of health education status and needs in health education programs in child daycare centers. Methods: An 11-subject instrument was developed to assess health education for children. The Cronbach's alpha of the importance and implementation were found to be .904 and .862. A survey was conducted by mail using a sample of 337 teachers who were working in 71 child daycare centers in a district in Seoul. Results: 26.5% of the respondents reported that they teach health education regularly, and 19.3% of them reported never teach health education. Deficits of material, knowledge, and skill were the principal reasons for difficulties in health education. All of the respondents identified a need for health education, and also that health professionals are the most appropriate people to teach health education. The priorities of needed health education were, in order: sex education, information on community health, and mental health. Conclusion: Health education programs for preschoolers should be developed by health professionals. In health education programs, environmental health should be included, as well as health and illness education.

• 농촌의학ㆍ지역보건
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• 제15권2호
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• pp.97-106
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• 1990

1. Background Women's health and their involvement in health care are essential to health for everyone. If they are ignorant, malnourished or over-worked, the health &-their families as well as their own health will suffer. Women's health depends on broad considerations beyond medicine. Among other things, it depends upon their work in farming. their subordination to their families, their accepted roles, and poor hygiene with poorly equipped housing and environmental sanitation. 2. Objectives and Contents a. The health status of rural women : physical and mental complaints, experience of pesticides intoxication, Farmer's syndrome, experiences of reproductive health problems. b. participation in and attitudes towards housework and farming c. accessibility of medical care d. status of maternal health : fertility, family planning practice. induced abortion, and maternal care 3. Research method A nationwide field survey, based on stratified random sampling, was conducted during July, 1986. Revised Cornell Medical index(68 out of 195 items). Kawagai's Farmers Syndrome Scale, and self-developed structured questionnaires were used to rural farming wives(n=2.028). aged between 26-55. 4. Characteristics of the respondents mean age : 40.2 marital status : 90.8% married mean no. of household : 4.9 average years of education : 4.7 yrs. average income of household : \235,000 average years of residence in rural area : 36.4 yrs average Working hours(household and farming) : 11 hrs. 23 min 5. Health Status of rural women a. The average number of physical and mental symptoms were 12.4, 4.7, and the rate of complaints were 22.1%, 38.8% each. revealing complaints of mental symptomes higher than physical ones. b. 65.4% of rural women complained of more than 4 symptoms out of 9, indicating farmer's syndrome. 11.9 % experienced pesticide overdue syndrome c. 57.6% of respondents experienced women-specific health problems. d. Age and education of respondents were the variables which affect on the level of their health 6. Utilization of medical services a. The number of symptoms and complaints of respondents were dependent on the distance to where the health-care service is given b. Drug store was the most commonly utilized due to low price and the distance to reach. while nurse practitioners were well utilized when there were nurse practitioner's office in their villages. c. Rural women were internalized their subordination to husbands and children, revealing they are positive(93%) in health-care demand for-them but negative(30%) for themselves d. 33.0% of respondents were habitual drug users, 4.5% were smokers and 32.3% were alcohol drinkers. and 86.3% experienced induced-abortion. But most of them(77.6%) knew that those had negative effects on health. 7. Maternal Health Care a. Practice rate of contraception was 48.1% : female users were 90.9% in permanent and 89.6% in temporary contraception b. Induced abortions were taken mostly at hospital(86.3%), while health centers(4.7%), midwiferies(4.3%). and others(4.5%) including drug stores were listed a few. The repeated numbers of induced abortion seemed affected on the increasing numbers of symptoms and complaints. c. The first pre-natal check-up during first trimester was 41.8%, safe delivery rate was 15.6%, post-natal check-up during two months after delivery. Rural women had no enough rest after delivery revealing average days of rest from home work and farming 8.3 and 17.2. d. 86.6% practised breast feeding, showing younger and more educated mothers depending on artificial milk 8. Recommendations a. To lessen the multiple role over burden housing and sanitary conditions should be improved, and are needed farming machiner es for women and training on the use of them b. Health education should begin at primary school including health behavior and living environment. c. Women should be encouraged to become policy-makers as well as administrators in the field of women specific health affairs. d. Women's health indicators should be developed and women's health surveillance system too.

• 성인간호학회지
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• 제17권3호
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• pp.379-388
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• 2005

Purpose: This study was conducted to explore the degree of depression, perceived health status, chronic disease and quality of life(QOL) among rural elderly and to determine the factors related to their QOL. Method: The design of this study was a correlational study. The subjects were 423 elderly consisted of 157(37.1%) men and 266(62.9%) women dwelling in a rural area of N City. Data were collected from May to December, 2003 using a structured questionnaire. A stepwise multiple regression analysis was performed to identify the factors related to the QOL. Result: It was found that the mean score of QOL was in total with 2.15 out of 5.00 and women elderly's score was significantly lower than men(t=2.20, p=.028). Perceived health status showed statistically significant positive relationship with QOL(r=.608, p<.05), while depression(r=-.751, p<.01) and chronic illness(r=-.336, p<.01) showed statistically significant negative relationship. Depression was found to have the highest correlation with QOL among the subjects. Depression score explained QOL at the most, accounting for 36.8% of the variability, followed by perceived health(8.2%) and the number of chronic illness(.7%). Other factors related to the QOL were economic status and absence of spouse. Conclusion: In order to increase the QOL of rural elderly, it is necessary to decrease the depression, to increase their perceived health status and to decrease the number of chronic illness. We suggest the implementation of a program not only to promote physical health status and self-care ability but to take care of mental health for the rural elderly.

• 성인간호학회지
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• 제20권1호
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• pp.91-101
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• 2008

Purpose: The purpose of this study was to investigate the relationships between a experience of falling, fear of falling, depression, and perceived health status in urban areas. Methods: After obtaining Institutional Review Board (IRB) approval, a one-time, face-to-face, and private interview was conducted with each participant who was eligible and agreed to participate in this study from May 2007 to August 2007 by trained graduate-level nursing students. The questionnaires consisted of Fall Efficacy Scale, K-GDS, and SF-36. The collected data were analyzed with SPSS/PC 12.0 program, which was used for frequency, percentage, mean, standard deviation, t-test, and hierarchical regression. Results: The major findings of this study were as follows; 1) approximately 9% of participants had fallen within one year. Study participants reported moderate fear of falling(M=43.80); moderate physical health (M=42.31) and mental health(M=46.05); and low depression status(M=10.38). 2) there were significant differences in fear of falling according to gender, experience of falling, exercise, and depression. 3) significant factors influencing on fear of falling were experience of falling and physical health status. Conclusion: The results of this study indicate that nurses working closely with older adults should be taught the impact of previous falls and physical health status on fear of falling and need to reinforce exercise behavior for older adults who are vulnerable to fear of falling.

• 한국융합학회논문지
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• 제10권8호
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• pp.45-52
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• 2019

본 연구는 중년의 건강실천행위가 치주상태를 매개하여 우울을 예측할 수 있는지를 알아보기 위해 시행하였다. 2015년도 국민건강영양조사 데이터를 활용하여 만 45세에서 64세 총 2,064명의 중년을 연구대상으로 하였으며, SPSS 24.0와 SPSS PROCESS macro를 이용하여 자료 분석을 하였다. 그 결과, 중년의 성별에 따른 조사결과 우울은 여성(0.15)이 남성(0.10)보다 높게 나타났다. 동거유형에 따른 조사에서는 1인가구주의 건강실천행위(3.92)가 가장 낮았으며 우울(0.25) 및 치주상태(1.76)는 가장 높은 것으로 조사되었다. PROCESS macro에 의한 매개효과 검증결과, 치주상태는 건강실천행위와 우울의 관계에서 매개효과가 있는 것으로 나타났다(${\beta}=-0.0180$, BCCI [-0.0353~-0.0042]). 이러한 결과는 치주상태가 중년의 우울증에 밀접하게 연관되어 있으며, 향후 중년층을 대상으로 하는 정신건강증진프로그램 개발을 위한 기초자료로 활용될 수 있으리라 생각된다.

• 한국농촌간호학회지
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• 제1권1호
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• pp.11-20
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• 2006

Purpose: To compare of health inequalities between rural and urban areas in term of health status, health behaviors and medical care utilization by using national-wide data. Method: The data came from the 2000 and 2005 census data, 2004 death certification statistics and 2001 national health and nutrition survey. The health indicators used in this study were mortality, perceived health status, health related behaviors, morbidity, accidents and suicides, mental health-related factors, health care accessibility. Korean rural areas have been experiencing a rapid aging process and there are demographic differences between rural and urban populations. Thus, both of crude rates and age-adjusted rates were compared. Result: Although the degrees decreased after adjustment for age, health inequalities between areas still existed. The people who lived in rural areas suffer from higher mortality, morbidity and unhealthy behavior compared to people in urban areas. Especially, regional health inequalities for women were significant. Health care accessibility in rural areas was also lower and medical indirect costs for rural residents were higher than those of urban residents. Conclusion: To reduce health inequalities between geographical areas, political efforts to tackle health inequalities in the rural areas are required.

• 한국보건간호학회지
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• 제15권2호
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• pp.351-362
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• 2001

This study was conducted to investigate and compare the degree of professional self -concept (PSC) of the psychiatric mental health nurse practitioners (PMHNP) in hospitals and public health centers and to identify the factors predicting PSC of them, in order to provide basic data for developing PSC increasing program PSC. The 355 PMHNP were sampled from the university or general hospitals. mental hospitals, community mental health centers and public health centers across the country. The scales used in this study were PSCNI by Arthur (1990), PSI by Heppner & Petersen (1982) and the Index of work satisfaction by Slavitt et al. (1978). The results of the study were as follows : 1. The average item score of PSCNI of PMHNP in hospitals was $2.83\pm0.27$, and that of PMHNP in public health centers was $2.76\pm0.28$. There was significantly different between two groups (p=0.0202) 2. A comparison of the scores for the dimensions of the PSCNI were as follows ; the mean item score of professional practice of nurses in hospital was $2.90\pm0.30$, and that in public health centers was $2.83\pm0.35$. There were significant differences between two groups in the scores of professional practices (p=0.0315), leadership (p=0.0071) and skills (p=0.0231). 3. There were significant differences between two groups according to education (p=0.0057) with no significant interaction effect of group and education. 4. Job satisfaction (JS) was the highest factor predicting PSC of PMHNP in hospitals $(34.5\%)$, and problem solving inventory score (PS) was the highest factor predicting PSC of PMHNP in public health centers $(33.6\%)$. JS and PS accounted for $42.6\%$ in PSC of PMHNP in hospitals. and PS, JS, age, marital status, religion, and career accounted for $57.6\%$ in PSC of PMHNP in public health centers. In the light of these results. to gam the professional self-concept. nurses should be educated continuously through role modeling in clinical nursing and research. Also, nurse educators and administrators need to develop programs and policies to increase professional self-concept of nurses, particularly of community PMHNP.

• Journal of Nutrition and Health
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• 제56권5호
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• pp.496-509
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• 2023

본 연구는 국민건강영양조사 2019년, 2021년 자료를 활용하여 전기노인 여성의 기운에 따른 건강행태와 영양상태를 비교하고자 하였다. 65-74세 전기노인 여성을 대상으로 하였으며 (n = 1,113) 기운 정도에 따라 네 그룹 (항상 기운 있음, 자주 기운 있음, 가끔 기운 있음, 전혀 기운 없음)으로 나누어 비교하였다. 사회경제적 요인에서 교육수준이 높을수록, 가구소득이 많을수록, 식생활 형편이 좋을수록, 경제활동을 하고 있는 경우에 기운이 높게 나타났다. 만성질환 유병률을 비교했을 때, 관절염, 당뇨병, 골다공증 유병의 경우 기운이 낮게 나타났다. 건강행태를 비교했을 때, 주관적 건강인지가 좋을수록, 유산소 신체활동을 실천할수록 기운이 높게 나타났다. 흡연과 음주에서는 유의적인 차이가 없었다. 정신건강 요인에서 6-8시간 정상 수면 시간일수록, 스트레스 정도가 낮을수록, 우울감이 적을수록 기운이 높았다. 식품 섭취를 비교한 결과 식품 섭취량과 감자·전분류, 버섯류, 과일류, 육류, 우유류, 동물성 유지류, 음료류 섭취량이 많을수록 기운이 높았다. 영양소 섭취를 비교한 결과 단백질, 지방, 포화지방산, 단일불포화지방산, 다가불포화지방산, n-6계 지방산, 식이섬유, 당, 인, 칼륨, 마그네슘, 철, 아연, 리보플라빈 섭취량이 많을수록 기운이 높았다. 본 연구를 통해 전기노인 여성의 기운 넘치는 생활을 위해서는 사회경제적인 안정, 관절염, 당뇨, 골다공증 등의 만성질환 예방, 운동, 충분한 수면, 정신건강, 고른 영양섭취가 필요함을 확인하였다. 본 연구 결과가 향후 전기노인 여성의 기운을 향상시키기 위한 기초자료로 활용될 수 있을 것이다.

• Safety and Health at Work
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• 제10권4호
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• pp.504-511
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• 2019

Objectives: We evaluated the physical and mental health problems of waged workers in Korea who had different classes of occupation. Methods: We used data from the Korean National Health and Nutrition Examination Survey (2007-2017) to examine 22,788 workers who were waged employees and categorized these workers into 5 occupational classes. Results: "Unskilled manual workers" were more likely to be older, less educated, have lower monthly income, and work fewer hours per week. Among men and relative to "managers and professionals" (reference group), "skilled manual workers" were more likely to have physician-diagnosed osteoarthritis, "clerks" were less likely to report suicidal ideation, and "unskilled manual workers" were more likely to report suicidal ideation. Among women and relative to "managers and professionals" (reference group), "service and sales workers" and "unskilled manual workers" were more likely to report physician-diagnosed osteoarthritis, depressive feelings, and suicidal ideation. However, hypertension, hyperlipidemia, diabetes, and cardiovascular diseases did not differ among the occupational classes for men and women. Conclusion: We identified differences between men and women and among those in different occupational classes regarding employment status, physical health, and mental health. "Unskilled manual workers" of both genders were more likely to be older, less educated, have less monthly income, work fewer hours per week, and have suicidal ideation. Female "service and sales workers" were more likely to have osteoarthritis, depressive feelings, and suicidal ideation.