• 보건교육건강증진학회지
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• 제21권4호
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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.

• 융합정보논문지
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• 제10권7호
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• pp.108-115
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• 2020

본 연구의 목적은 중년(45~64세) 남녀를 대상으로 주관적 사회계층과 자살생각의 관계에서 자아존중감과 사회적 지지의 이중 매개효과를 파악하는 것이다. 대상자의 주관적 사회계층이 자살생각에 영향에 사회적 지지와 자아존중감의 매개효과를 확인하기 위해 병렬 이중 매개모형으로 분석하였다. 성별, 연령, 동거인 여부와 우울을 보정한 상태에서 독립변수인 주관적 사회계층은 매개변수인 사회적 지지(β =0.23, p<.001)와 자아존중감(β =0.12, p <.001)에 사회적 지지는 자아존중감에 유의한 영향을 미쳤다(β =0.21, p<.001). 종속변수인 자살생각에 주관적 사회계층(β =-0.25, p<.001), 사회적 지지(β =-0.32, p<.001)와 자아존중감(β =-0.19, p=.001)이 모두 통계적으로 유의한 영향을 미쳤다. 주관적 사회계층이 자아존중감을 매개로 하여 자살생각에 미치는 간접효과와 주관적 계층이 사회적 지지 그리고 자아존중감을 거쳐 자살생각에 이르는 다중 간접효과 모두 유의하였다. 본 연구의 결과에 따라 중년성인을 대상으로 생활터 기반의 사회적 지지체계 구축이 필요하다. 이는 중년성인의 자아존중감 향상에 기여하여, 자살예방에 긍정적 영향을 미칠 것이다.

• 한국컴퓨터정보학회논문지
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• 제29권8호
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• pp.147-155
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• 2024

본 연구는 중고령 장애인의 주거비 부담과 정신건강과의 관계를 분석하고, 이러한 관계에서 사회자본의 조절효과를 검증하는 것이다. 이를 위해 본 연구에서는 한국복지패널의 16차 조사에 응답한 45세이상 장애인 938명을 최종 분석대상으로 설정하고, Stata 17.0을 활용한 조절다중회귀분석을 실시하였다. 연구의 결과는 다음과 같다. 첫째, 주거비부담의 증가는 중고령 장애인의 정신건강 수준을 저하시키는 것으로 나타났다. 둘째, 사회자본의 다차원적 요소 중 사회적 관계망이 정신건강 상태에 긍정적 영향을 미치는 것으로 나타났다. 셋째. 주거비부담과 정신건강 간의 관계는 사회자본의 핵심요소인 사회적 관계망에 의해 조절되는 것으로 나타났다. 이상의 결과를 토대로, 본 연구는 주거비부담으로 주거빈곤을 경험하는 중고령 장애인의 정신건강 증진을 위한 보호요인으로 사회자본의 유용성을 확인하고, 사회자본 개발 전략에 대한 사회복지적 함의를 제시하였다.

• Journal of Korean Biological Nursing Science
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• 제22권4호
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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.

• 가정∙방문간호학회지
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• 제27권3호
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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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• 제14권4호
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• pp.204-211
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• 2011

목적: 본 연구는 중년층 성인에게 적용한 죽음준비교육이 죽음불안과 삶의 질에 미치는 효과를 검증하기 위한 비동등성 대조군 전후설계를 이용한 유사실험연구이다. 방법: 대상자는 서울시 노원구에 거주하는 40~65세 성인으로서 실험군은 2010년 3월 19일부터 6월 4일까지 죽음준비교육에 참여한 38명이었고 대조군은 죽음준비교육을 받은 경험이 없는 중년층 성인 45명이었다. 대상자에게 제공한 죽음준비교육은 매주 4시간씩 총 11주 동안 교육이 이루어졌으며 교육과정은 앎의 기쁨이 있는 삶, 의미를 발견하는 삶, 나눔과 관계의 삶, 황혼의 준비된 삶의 4부로 이루어진 중년층에게 보다 실제적으로 삶과 죽음을 생각해보도록 구성된 교육이었다. 자료분석은 대상자의 인구학적 특성은 서술통계, 동질성 검증은 t-test, ${\chi}^2$ test, Fisher's exact test, 가설검증은 ANCOVA를 적용하였다. 결과: 동질성 검정결과 대상자의 일반적 특성 중 월평균 소득을 제외한 모든 특성과 죽음불안과 삶의 질 사전 점수는 실험군과 대조군 모두 동질하였으며, 가설 검정에서 죽음준비교육은 대상자의 죽음불안 감소에 긍정적인 효과(P<0.000)가 있었으나 삶의 질에는 통계적으로 유의한 효과(P=0.188)를 나타내지 않았다. 결론: 결론적으로 죽음준비 교육은 대상자의 죽음불안을 감소시키는 데 효과적인 것으로 확인되었다. 중년층 성인이 죽음을 준비해 봄으로써 죽음에 대한 막연한 불안을 감소시키고 보다 풍요롭고 의미 있는 삶을 영위하기 위해 죽음준비교육이 매우 필요로 되는 교육임을 확인할 수 있었으나 보다 객관적인 근거자료를 위해 표본 수를 확대한 반복연구가 수행될 필요가 있겠다. 앞으로 중년층 성인에게 중요시 되는 건강을 포함하여 삶과 죽음을 준비하게 하는 교육이 지역사회의 보건소 중심으로 확산되기를 기대한다.

• 대한간호학회지
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• 제29권4호
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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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• 제56권1호
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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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• 제45권3호
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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.

• 한국사회복지학
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• 제67권2호
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• pp.183-202
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• 2015

본 연구는 장애과정모델을 이론적 토대로 하여 중노년기에 낙상두려움이 위험요인 혹은 악화요인으로써 ADL/IADL장애와 우울증상에 영향을 미치는지를 검증하기 위하여 한국고령화패널조사를 통해 수집된 2차 자료(2006년, 2008년, 2010년)를 이용하여 종단연구모형을 검증하였다. 분석 결과를 살펴보면, 먼저 낙상두려움은 ADL/IADL장애와 우울증상에 직접적인 영향을 미쳤고, ADL/IADL장애를 통해 우울증상에 영향을 미치는 간접적인 영향 또한 유의미한 것으로 나타났다. 다음으로 낙상두려움이 악화요인으로써 역할을 하는지 살펴본 결과, 중노년기에 신체질환의 경험과 함께 낙상두려움을 가진 경우에는 ADL/IADL장애발생의 위험성이 증가하는 것으로 나타나, 낙상두려움은 장애과정에서 있어서 위험요인이자, 악화요인으로써도 작용할 수 있는 것으로 나타났다. 분석 결과를 바탕으로 중노년기의 ADL/IADL장애와 우울증상을 예방하기 위하여 낙상두려움 관련한 적극적인 개입방안 마련이 필요함을 논의하였다.