• Korean Journal of Health Education and Promotion
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• v.21 no.4
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• pp.109-119
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• 2004

This study was conducted to examine factors influencing mental health of middle-aged adults(N=203) in relation to sociodemographic variables, health behaviors, and social support. The survey with questionnaire was carried out for the subjects of the residents in two communities of a local city located in Gangwon-do, Korea from September 3 to 15, 2003. Data analysis procedure included stepwise multiple regression using mental health as the dependent variable, and sociodemographic variables, health behaviors, and social support as independent variables. There were significant differences in the mental health by birth place(t=-1.67, p<0.10), religion (t=2.27, p<0.05) and subjective economic status(F=2.29, p<0.10). Mental health showed significant positive correlations with both health behavior (r=0.462, p<0.001) and social support (r=0.142, p<0.05). Stepwise multiple regression analysis for mental health revealed that the most powerful predictor was health behavior(β=0.453, p<0.001). Health behavior and religion explained 24％ of the variance. The results suggest the necessity of a intervention that considers the health behaviors should be included in middle-aged adults so as to promote mental health.

• Journal of Convergence for Information Technology
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• v.10 no.7
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• pp.108-115
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• 2020

The purpose of this study is to identify the double mediating the effects of social support and self-esteem in the relationship between the subjective social class and the suicide thoughts of middle aged men and women. The subjective social class was analyzed in a parallel double-mediated model to check the mediating effect of self-esteem and social support on the idea of suicide. Social support and self-respect, which are mediating variables of subjective social class on suicide idea, both were a statistically significant. Putting the results of this study together, it is essential to establish a living-based social support system for middle-aged adults. This will contribute to improving self-esteem among middle-aged adults.

• Journal of the Korea Society of Computer and Information
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• v.29 no.8
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• pp.147-155
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• 2024

The purpose of this study is to analyze the relationship between housing cost burden and the mental health status of middle-aged and older adults with disabilities, and to examine whether this relationship is moderated by social capital. To achieve this goal, a final analysis was conducted on a sample of 938 individuals aged 45 and above with disabilities who participated in the 16th wave of the Korean Welfare Panel Study. Moderated multiple regression analysis was performed using Stata 17.0. The results of the study are as follows. First, an increase in housing cost burden was associated with a decrease in the mental health status of middle-aged and older adults with disabilities. Second, among the multidimensional elements of social capital, social networks were found to be a factor that positively influenced mental health status. The relationship between housing cost burden and mental health status was moderated by social networks, a key element of social capital. Based on these findings, this study confirms the value of social capital as a protective factor for improving the mental health status of middle-aged and older adults with disabilities who experience housing poverty due to housing cost burden, and suggests implications for social welfare strategies targeting the development of social capital.

• Journal of Korean Biological Nursing Science
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• v.22 no.4
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• pp.297-307
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• 2020

Purpose: The purpose of this research was to identify the relationships between stroke knowledge, health perception, exercise self-efficacy and stroke prevention behaviour and the factors influencing stroke prevention behaviour in middle-aged adults. Methods: A cross-sectional survey was conducted in 2 cities of Korea from May to July 2020, using structured questionnaire. The participants were 168 middle-aged adults without a history of stroke. Collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression with SPSS/WIN 25.0. Results: There was significant correlations among degree of stroke prevention behaviour, stroke knowledge about warning sign (r= .20, p= .010), health perception (r= .35, p< .001) and exercise self-efficacy (r= .43, p< .001). The most important factor influencing stroke prevention behaviour was exercise self-efficacy (β= 0.38, p< .001), followed by health perception (β= 0.18, p= .008), body mass index (β= -0.17, p= .011), stroke knowledge about warning sign (β= 0.13, p= .045) in that order. These factors explained 37.7% of total variance in stroke prevention behaviour (F= 11.09, p< .001). Conclusion: The results of this study suggest that the development of nursing intervention for stroke prevention behaviour improvement is needed considering exercise self-efficacy and stroke knowledge.

• Journal of Home Health Care Nursing
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• v.27 no.3
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• pp.284-293
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• 2020

Purpose: Based on Anderson's model of health service utilization, we investigated the factors that affect the influenza vaccination status in Korean adults aged 50-64 years, who live alone. Methods: Data of 194 Korean adults aged 50-64 years, who live alone were obtained from the Korea National Health and Nutrition Examination Survey 7th Edition (2016-2018). Descriptive statistics and a multiple logistic regression model were used for statistical analysis. Results: The influenza vaccination rate in the study population was 39.3%. Educational status and health behaviors such as smoking habits and regular medical check-up were associated with the influenza vaccination rate in Korean adults aged 50-64 years, who live alone. Multiple logistic regression analysis showed that educational level lower than middle school graduation (odds ratio [OR] 2.02), non-smoking status (OR 1.98), and lack of regular medical check-up (OR 0.62) were significantly associated with the influenza vaccination rate in Korean adults aged 50-64 years, who live alone. Conclusion: The influenza vaccination rate in Korean adults aged 50-64 years, who live alone, is relatively low; therefore, policies should be implemented to improve the influenza vaccination rate in this population. Influenza vaccination in single households was affected by health promotion activities; therefore, interventions are warranted to encourage overall health promotion activities.

• Journal of Hospice and Palliative Care
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• v.14 no.4
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• pp.204-211
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• 2011

Purpose: This study used a nonequivalent control group pre-post test design to analyze how a death preparation education program helps middle-aged adults deal with life and death anxiety. Methods: We studied 83 adults at the age of 40 to 65 years. An experimental group of 38 people participated in the death preparation education, and a control group of 45 people did not. The death preparation program comprising four sections was given for four hours per week, and the program ran for 11 weeks. Data were analyzed by descriptive statistics, t-test, ${\chi}^2$ test, Fisher's exact test, and ANCOVA using SPSS version 17.0. Results: The death anxiety score of the experimental group was significantly lower than that of the control group (P<0.000). The quality of life did not show significant difference between the experimental and control groups (P=0.188). Conclusion: It was confirmed that the death preparation education program is effective in alleviating death anxiety. Although the program was confirmed as a necessity for the middle-aged adults, repeated observations with a wider range of experimental group is needed to collect objective and solid data. Death preparation education for middle-aged adults is expected to be more widely provided, starting from local health facilities.

• Journal of Korean Academy of Nursing
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• v.29 no.4
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• pp.977-990
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• 1999

This study was done to examine the relationship among psychosocial well-being, perceived health status and health promoting lifestyle practices, and to Identify those variables affecting a health promoting lifestyle. Three hundred and forty five ruddle-aged adults completed a multiple self-reported questionnaire on psychosocial well-being, perceived health status and health promoting lifestyle profile. Data analysis were conducted by using Pearson correlation coefficients, t-test, ANOVA, Scheffe test and stepwise multiple regression nth SAS program. The results are as follows : 1. The average item score for psychosocial well-being was low at 55.98, the level of perceived health status was moderate at 5.76, and health promoting lifestyle practices were low at 110.09. Among the subscales of the health promoting lifestyle profile, stress management and self-actualization were scored higher than exercise and health responsibility. 2. Performance of health promoting lifestyle was positively correlated with perceived health status and negatively correlated with psychosocial well-being. Also, negative correlations were observed between perceived health status and psychosocial well-being. 3. There were statistically significant differences for health promoting lifestyle, psychosocial well-being and perceived health status according to sociodemographic variables. The performance of health promoting lifestyle was significantly different according to education, economic status and marriage satisfaction. Psychosocial well-being was also significantly different according to education, marriage satisfaction, and exercise. Perceived health status was significantly different according to education, occupation, and economic status. 4. Perceived health status, psychosocial well-being, marriage satisfaction and level of education together explained 21.62% of varience in the performance of health promoting lifestyle. These findings help to clarify relationships among psychosocial well-being, perceived health status, and health promoting lifestyle practices in middle-aged adults. Therefore, the result of study provide clues for encouraging people to adopt healthier lifestyles and constructing alternative strategies for promoting health practices.

• Journal of Preventive Medicine and Public Health
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• v.56 no.1
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• pp.50-58
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• 2023

Objectives: Socioeconomic inequality in metabolic syndrome (MetS) remains poorly understood in Iran. The present study examined the extent of the socioeconomic inequalities in MetS and quantified the contribution of its determinants to explain the observed inequality, with a focus on middle-aged adults in Iran. Methods: This cross-sectional study used data from the Ravansar Non-Communicable Disease cohort study. A sample of 9975 middleaged adults aged 35-65 years was analyzed. MetS was assessed based on the International Diabetes Federation definition. Principal component analysis was used to construct socioeconomic status (SES). The Wagstaff normalized concentration index (CI_n) was employed to measure the magnitude of socioeconomic inequalities in MetS. Decomposition analysis was performed to identify and calculate the contribution of the MetS inequality determinants. Results: The proportion of MetS in the sample was 41.1%. The CI_n of having MetS was 0.043 (95% confidence interval, 0.020 to 0.066), indicating that MetS was more concentrated among individuals with high SES. The main contributors to the observed inequality in MetS were SES (72.0%), residence (rural or urban, 46.9%), and physical activity (31.5%). Conclusions: Our findings indicated a pro-poor inequality in MetS among Iranian middle-aged adults. These results highlight the importance of persuading middle-aged adults to be physically active, particularly those in an urban setting. In addition to targeting physically inactive individuals and those with low levels of education, policy interventions aimed at mitigating socioeconomic inequality in MetS should increase the focus on high-SES individuals and the urban population.

• Journal of Preventive Medicine and Public Health
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• v.45 no.3
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• pp.188-195
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• 2012

Objectives: This study was conducted to examine the association between health condition and leaving the labor market among middle-aged and older adults in South Korea. Methods: Data was obtained from individuals aged 45 years and older participating in the 2006 and 2008 Korean Longitudinal Study of Ageing. We used various health measures including chronic diseases, comorbidities, traffic accident injuries, disabilit of instrumental activities of daily living, depressive symptoms, and self-rated health. The odds ratios of job loss, and retirement, versus employment were calculated using multinomial logistic regression by each health measure. Results: In our cross-sectional and longitudinal analysis, health problems related to physical disabilities had the greatest effect on leaving the worksite. A shift in health condition from good to poor in a short period was a predictor of increased risk of unemployment but a persistent pattern of health problems was not associated with unemployment. Women with health problems showed a high probability of retirement, whereas among men, health problems instantly the possibility of both job loss and retirement. Conclusions: Health problems of middle aged and older workers were crucial risk factors for retirement and involuntarily job loss. Especially functional defect and recent health problems strongly and instanty affected employment status.

• Korean Journal of Social Welfare
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• v.67 no.2
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• pp.183-202
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• 2015

This study examined the relationships among fear of falling, ADL/IADL disability, and depressive symptoms among Korean community-dwelling middleaged and older adults based on the disablement process model. The panel data from the Korean Longitudinal Study of Aging(KLoSa) were used to test whether fear of falling affects disablement process as a risk factor and an exacerbator. The results of path analysis showed that middle-aged and older adults who reported fear of falling were more likely to experience ADL/IADL disability and depressive symptoms, and fear of falling influenced depressive symptoms through increasing the risk of ADL/IADL disability. In addition, fear of falling exacerbate the risk of ADL/IADL disability among middle-aged and older adults who had chronic illnesses. The results indicated that fear of falling is not only risk factor but also excerbator in predicting ADL/IADL disability and depressive symptoms prospectively.