• 제목/요약/키워드: Mental Health Status

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한국노인의 성공적 노화와 영향을 미치는 요인: 가족지지를 중심으로 (Successful Aging and the Influencing Factors in the Korean Elderly: Focused on Family Support)

  • 한송이;윤순녕
    • 지역사회간호학회지
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    • 제26권4호
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    • pp.372-379
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    • 2015
  • Purpose: This research was conducted to examine the successful aging and identify factors influencing successful aging in the Korean elderly. Methods: The subjects were 4,507 elders and data were collected from the 4th Korean Longitudinal Study of Ageing in 2012. The data were analyzed using frequencies, weighted percentage, ${\chi}^2$ test, and logistic regression. Results: The results of this study showed that 19.6% of the participants were categorized to successful aging. The domains of the absence of disease and disability and maintaining physical and mental functioning showed a high rate of achievement, while the domain of active engagement with life showed a low rate of achievement compared to others. Successful aging was influenced by gender, age, subjective economic status, subjective health status, and family support, particularly spouse's support. Conclusion: Intervention programs to increase the prevalence of successful aging are required. Especially programs for strengthening spouse's support and enhancing subjective health status are required.

국민연금 수급 노인의 경제활동 참여 요인 (Factors in economic activity participation of the elderly receiving the National Pension)

  • 임안나
    • 문화기술의 융합
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    • 제8권5호
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    • pp.185-191
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    • 2022
  • 본 연구는 국민연금 수급 노인의 경제활동 참여에 영향을 미치는 요인을 파악하고자 하였다. 연구를 위하여 국민노후보장패널조사 8차 본조사 자료를 활용하였으며 대상자는 919명이었다. SPSS 20.0을 이용하여 기술통계, t-test, ANOVA, 상관분석, 다중선형회귀분석을 실시하였다. 그 결과 성별, 연령, 배우자유무, 거주지역, 신체적 건강상태, 정신적 건강상태가 경제활동 참여에 유의한 차이를 보였다. 경제활동 참여는 성별, 연령, 배우자 유무, 신체적 건강상태, 심리적 건강상태와 상관관계가 있었다. 국민연금 수급 노인의 경제활동 참여에 영향을 미치는 요인으로 성별, 연령, 교육수준, 거주지역, 신체적 건강상태가 경제활동 참여에 유의한 영향이 미쳤다.

Trends in Gender-based Health Inequality in a Transitional Society: A Historical Analysis of South Korea

  • Chun, Hee-Ran;Cho, Sung-Il;Khang, Young-Ho;Kang, Min-Ah;Kim, Il-Ho
    • Journal of Preventive Medicine and Public Health
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    • 제45권2호
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    • pp.113-121
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    • 2012
  • Objectives: This study examined the trends in gender disparity in the self-rated health of people aged 25 to 64 in South Korea, a rapidly changing society, with specific attention to socio-structural inequality. Methods: Representative sample data were obtained from six successive, nationwide Social Statistics Surveys of the Korean National Statistical Office performed during 1992 to 2010. Results: The results showed a convergent trend in poor self-rated health between genders since 1992, with a sharper decline in gender disparity observed in younger adults (aged 25 to 44) than in older adults (aged 45 to 64). The diminishing gender gap seemed to be attributable to an increase in women;s educational attainment levels and to their higher status in the labor market. Conclusions: The study indicated the importance of equitable social opportunities for both genders for understanding the historical trends in the gender gap in the self-reported health data from South Korea.

2019년 한국 보건의료의 상대적 위치와 추이: 경제협력개발기구 국가와 비교 (Position Value for Relative Comparison of Healthcare Status of Korea in 2019: Comparison with Countries of the Organization for Economic Cooperation and Development)

  • 박민아;윤흰뫼;박은철
    • 보건행정학회지
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    • 제32권1호
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    • pp.113-121
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    • 2022
  • This study aims to compare the healthcare status of South Korea and other member of the Organization for Economic Cooperation and Development (OECD) using the OECD health statistics 2021. We used the position value for relative comparison (PARC) index to measure the five elements of the healthcare system, demand, supply, accessibility, quality, and cost. For the statistical analysis, Mann-Kendall test was performed to examine the trend of the PARC values from 2000 to the most recent year. The results showed that supply, demand, accessibility, and quality were above median than the OECD median and the cost was below median. In sectors such as primary care, health employment and mental health care were below median average. With these result, necessary steps for a sustainable healthcare should be taken into effort by policy makers.

The Use of Virtual Reality in Psychiatry: A Review

  • Kim, Suji;Kim, Eunjoo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제31권1호
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    • pp.26-32
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    • 2020
  • With the advancement in modern information technology, virtual reality (VR) is being increasingly used for the diagnosis, assessment, and treatment of mental disorders. Recently, a VR-based cognitive behavioral therapy for social phobia has been recognized as a new medical technology in South Korea. This might lead to an increase in the use of VR in the field of psychiatry. The present review provides an overview of the status of VR therapies in various psychiatric conditions such as anxiety disorder, post-traumatic stress disorder, psychosis, addiction, and eating disorder. Besides, it summarizes the role of VR therapy in the management of disorders associated with child and adolescence psychiatry as well as various other clinical applications. Additionally, we discuss the merits and limitations of VR therapy, which might serve as a useful reference for researchers. In the current environment wherein novel medical models consisting of a combination of digital devices and medicine are being developed; understanding new technologies such as VR could open new doors to mental health treatments.

빈곤계층 아동 양육자의 우울, 건강 상태와 양육 스트레스 (Depression, Health Status, and Parenting Stress of Caregivers of Children in Poverty)

  • 방경숙;채선미;박성희
    • 부모자녀건강학회지
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    • 제14권2호
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    • pp.55-61
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    • 2011
  • Purpose: This is a descriptive study to identify the relationships of depression, health status, and parenting stress of caregivers of children in poverty. Methods: The participants were 42 caregivers of preschool or school age children enrolled for the Dream Start Program in a city of Kyeonggi province, which is a program of the Korean Ministry of Health & Welfare offering services for growth and development of low-income children. Data were collected from November, 2009 to February, 2010 by using a questionnaire. Results: The vast majority of the participants were mothers (n=33, 78.6%), and less than a half were married (n=16, 38.1%). Depression of the participants was at the moderate level ($18.60{\pm}10.13$). They perceived their health was fair ($81.10{\pm}18.97$). Their parenting stress was high ($93.45{\pm}20.06$). Their parenting stress was significantly correlated with depression (r=.57, p<.001) and perceived health status (r=.49, p=.001), which indicates their parenting stress was high as their depression was high or they perceived they were not healthy. Conclusion: The study results suggest to provide the caregivers of children in poverty with a well- developed program to manage their depression and parenting stress and ultimately to improve their mental health.

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개인의 성별이 재난적 의료비 지출 여부에 미치는 영향: 세부집단분석을 통한 젠더적 접근 (The Effect of Gender on Catastrophic Health Expenditure in South Korea: Gender-Based Approach by Subgroup Analysis)

  • 김연수;김혜윤
    • 보건행정학회지
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    • 제28권4호
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    • pp.369-377
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    • 2018
  • Background: Catastrophic health expenditure (CHE) occurs when medical expenditure of a household passes over a certain ratio of household income. This research studied the effect of gender on CHE based on Korea Health Panel data. Methods: This study implemented binary logistic regression model to figure out whether gender affects CHE and how different gender groups show pattern of CHE process. With gender, age, marital status, income level, economic activity, membership of private insurance, existence of chronic disease, and self-rated health were included in the model. Results: Results showed that females faced CHE 1.5 times more than males (odds ratio, 1.241). Also, main determinants of CHE in female groups were marital status, while age and economic activity status were significant in male groups. Subgroup analysis displayed that married female under 35 years old are located in intersectionality of CHE including pregnancy and delivery, multiple health risk behaviors, mental stress, and relatively vulnerable social status due to lower income. Meanwhile, both gender above 50 years old faced remarkably high chance of CHE, which seems to be caused by complex health risk behaviors and chronic diseases. Conclusion: Such results implied not only that gender is an important determinant of CHE, but also other determinants of CHE differ according to gender, which suggests a necessity of gender-based CHE support and rescue policy.

수도권 거주 노인들의 여가활동 유무에 따른 정신건강 수준, 식생활 실태 및 영양상태 비교 분석 (A Comparative Analysis of Mental Status, Dietary Life and Nutritional Status among Senior Citizens With or Without Leisure Activities in Urban Area)

  • 김윤혜;하태열;이복희
    • 한국식품영양과학회지
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    • 제35권4호
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    • pp.422-429
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    • 2006
  • 본 연구는 여가활동 여부가 노인들의 정신건강 수준, 식생활 및 영양상태에 미치는 영향을 알아보기 위하여 경기도 수원에 거주하는 60세 이상의 남 여 노인 104명(여가활동을 하는 노인과 하지 않는 노인 각각 82명씩)을 대상으로 실시되었다. 조사항목은 노인 대상자의 일반 환경 요인, 생활습관, 정신건강 수준, 식생활 및 영양소 섭취 등이다 일반환경요인으로는 연령, 성별, 가족관계, 교육정도, 한달 용돈, 용돈의 출처, 직업의 유무와 종류, 주거형태를, 생활습관으로는 음주, 흡연, 수면시간을, 식습관 특성으로는 식사의 규칙성, 결식 여부와 이 유, 식욕정도, 식사소요시간, 식사량, 저작형태 및 치아상태 등을 조사하였다. 영양소 섭취 상태 조사는 24시간 회상법으로, 정신건강 수준은 한국어판 우울증검사를 통하여 조사하였다. 노인 대상자의 평균 연령은 72세정도로서 여가활동을 하는 노인들은 여가활동을 하지 않는 노인들에 비해 교육수준과 소득수준이 높았고 용돈도 많아 경제수준이 높았으며, 노령임에도 불구하고 자신의 일을 가지고 있는 비율이 더 높았다. 생활습관의 경우 여가활동을하지 않는 노인의 경우 음주와 흡연율이 높게 나타났으며 우울증 검사결과, 여가활동을 하지 않는 노인에서 우울증의 비율이 훨씬 높았다. 식생활습관에서도 여가활동을 하지 않는 노인의 경우, 불규칙인 식습관을 갖는 노인의 비율이 높았고, 식욕은 보통정도였으나 식사장애요인이 더 많았으며, 치아상태가 불량하여 식사를 제대로 못하는 것으로 나타났다. 열량 섭취량은 여가활동을 하는 노인이 하지 않는 노인에 비해 약 300 kcal 정도 많았으나 전체 노인 대상자들은 한국인 영양권장량에 비해 적게 섭취하고 있었다. 개별 영양소 섭취량의 경우 여가활동을 하는 노인에서는 아연과 비타민 $B_2$를 제외하고는 영양소 섭취상태가 매우 좋은 것으로 나타났으나 여가활동을 하지 않는 노인의 경우는 대부분의 영양소 섭취량이 매우 낮아 영양문제가 심각한 것으로 나타났다. 결론적으로 노인의 경우 여가활동을 하는 노인들은 여가활동을 하지 않는 노인에 비해 정신건강 수준, 생활습관, 식생활습관 및 영양소 섭취상태가 매우 좋았는데 반해 여가활동을 하지 않는 노인들은 음주와 흡연율이 높고, 불규칙적인 식습관과 심리적인 식사장애요인을 가지고 있었으며, 식사섭취방법이 불량하고 영양소 섭취량도 매우 낮아 심각한 영양문제가 있음을 알 수 있었다. 따라서 노인기의 적절한 여가활동은 육체적, 정신적 건강 유지에 매우 중요한 요인으로 생각되며, 노인 스스로 건강한 생활양식으로의 태도 변화가 이루어지도록 하기 위해서 노인복지를 위한 적극적인 정책이나 영양개선 방안을 수립하는 것이 시급하다고 하겠다.

외국의 건강증진학교 효과에 대한 체계적 고찰 (A Systematic Reviews on the Effectiveness of Foreign Health Promoting School)

  • 김미주
    • 한국학교보건학회지
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    • 제27권3호
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    • pp.169-180
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    • 2014
  • Purpose: This study aims to investigate effectiveness in foreign Health Promoting School through a systematic review. Methods: To perform a systematic literature survey, the researcher searched two database (PubMed and Springer Link) for literature relevant to 'health promoting schools' (published up to April 2013 from 2004). The key words used for the search were "effectiveness", "evaluation" and "health promoting school". five evaluations in this review were selected in the peer reviewed. Results: 1. The areas of standardized assessments were dealing with school health policy, physical environment, psycho social environment, community participation, Literacy on health, personal hygienic skills, academic achievement, self reported health status, and mental health. 2. There was evidence that the health promoting school has some positive influence on various domains of assessment. Conclusion: This systematic review provides evidence concerning the effectiveness of the health promoting school.

OHIP-14를 이용한 일부 요양기관 노인들의 구강건강관련 삶의 질 (Evaluation of the qualite of life related to oral health among elderly people in some elderly care facilities by OHIP-14)

  • 장선희;최미혜
    • 한국치위생학회지
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    • 제11권4호
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    • pp.475-487
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    • 2011
  • Objectives : The growing elderly population and social changes have fueled a rapid increase in demand for elderly care facilities, but health care services for the elderly, especially oral health services, have long been overlooked. The purpose of this study was to examine the oral health care of elderly residents in elderly care facilities in an effort to provide some information on the elderly's oral health care and the development of dental care programs geared toward institutionalized elderly people. Methods : The subjects in this study were 230 elderly people who were in elderly care facilities in Jeolla Province. An individual interview was held, and they got a dental checkup. As for data analysis, t-test and ANOVA were utilized, and Scheffe post-hoc test was employed. Results : 1. In relation to the subfactors of the quality of life related to oral health, the elderly people investigated got a mean of 4.58, 4.47, 4.38, 4.09, 3.94, 3.91 and 3.76 respectively in activity disorder, mental disorder, social disorder, mental inconvenience, functional disorder, physical pain and physical disorder. 2. Concerning the overall quality of life related to oral health, there were statistically significant gaps in this aspect according to gender, age, presence or absence of systemic disorder, presence or absence of eating difficulties, subjective health status, subjective oral health state and oral health concern. 3. The presence or absence of root caries had a significant relationship to physical pain and social disorder among the subfactors of the OHIP-14, but that had nothing to do with functional disorder, mental inconvenience, physical disorder, mental disorder and activity disorder. Conclusions : The oral health indexes of the institutionalized elderly people in Jeolla Province were measured, and what factors affected the subfactors of oral health was checked. As a result, there appeared a close relation ship between oral health and the quality of life. Therefore effective oral health plans that cater to the elderly should be carried out to improve elderly people's quality of life related to oral health who stay in long-term elderly care facilities. In the future, prolonged research should be implemented from diverse angles for the sake of institutionalized elderly people.