• Korean Journal of Occupational Health Nursing
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• v.29 no.1
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• pp.49-57
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• 2020

Purpose: This study aimed to identify and compare the risk factors of depression among middle-class Korean workers. Methods: A cross sectional study was designed for secondary data analysis. From the 8th Korean Medical Panel Survey (2008~2013), a total of 3,056 data was drawn and analyzed. With SPSS version 24, a developmental stage comparison, with the stage being young adults (20~39), middle-aged adults (40~64), and older adults (65+) were conducted. Frequency, percentage, 𝑥² test and logistic regression analysis were statistical tools used to analyze the data. Results: In all developmental groups, experience of frustration was found to be a common risk factor of depression. Stress from excessive task, peer-compared subjective health status, and self-perceived social class were risk factors of depression in the young adults and the middle-aged adults. Anxiety for the future significantly influenced depression in the middle-aged adults and older adults. Conclusion: Experience of frustration was a major risk factor of depression among Korean middle-class workers. Interventions to reduce depression need to be developed focusing on the specific risk factors by developmental stages such as experience of frustration, stress from task burden, poor peer-compared subjective health status and anxiety for the future.

• Korean Journal of Adult Nursing
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• v.16 no.4
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• pp.668-676
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• 2004

Purpose: The purpose of this study was to investigate factors determining health behavior for middle-aged adults in relation to stress coping behaviors, cognitive factors, social support, and sociodemographic variables. Method: The questionnaire survey was carried out on a convenience sample of 203 middle aged in a community settings. The data analysis procedure included frequency, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regressions using health behavior as dependent variable. Result: Among the sociodemographic variables, factors such as sex, educational and eonomic levels were associated with the health behaviors. There were significant correlations between health behaviors and saliency of health, social support, and positive-stress coping behaviors. Stepwise multiple regression revealed that the factors such as positive-stress coping behaviors, saliency of health, sex, and education turned out to be significant affecting factors. Twenty eight percent of varience in health behavior was explained by these factors. Conclusion: Positive-stress coping methods were turned out to be the most important effective factors in practicing of health behaviors of middle aged. The necessity of an intervention considering the situation related to their stress and coping methods in middle aged so as to promote positive health behaviors was suggested.

• The Korean Journal of Rehabilitation Nursing
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• v.20 no.1
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• pp.1-11
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• 2017

Purpose: This was a methodological study to develop a valid and reliable health assessment tool for middle-aged adults in long-term care settings (HATMAL). Methods: At the first stage of this study, initial 56-items HATMAL were derived via literature review, survey for needs assessment, and focus group interviews with experts. At the second stage, 54 items HATMAL were finalized via content validity test with 5 experts and a pilot study with 30 nurses. At the third stage, validity and reliability tests were conducted with 100 middle-aged patients in a long-term care hospital. Data were analyzed by factor analysis using SPSS 18.0 program. Results: Exploratory factor analysis resulted in 3 factors; functional assessment, symptom assessment, and comfort assessment. These 3 factors explained 83.8% of total variance and construct validity was confirmed. Test-retest reliability was .67 for appetite changes, .76 for regulating for behavior problems, and 1.0 for other items. Conclusion: Results indicate that HATMAL is valid and reliable to assess the health for middle-aged patients in long-term care settings. This study would contribute to provide more effective personalized treatment and care for middle-aged patients in long-term care settings considering their own characteristics.

• Korean Journal of Adult Nursing
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• v.18 no.2
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• pp.272-283
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• 2006

Purpose: This research was done to explore the meaning of 'well-being' as experienced by middle aged people. Method: The data were collected by individual in-depth interviews with 107 middle aged adults and it was analysed using qualitative content analysis. Results: 4 components of the meaning of well-being as perceived by the participants were identified as follows: the life of free without physical discomfort and psychosocial distress; the life of comfort with plenty of time, space, material, and mind; the life of purity with natural material and honest mind; the life of harmony with extended consciousness. Conclusion: Therefore the identified meanings of the well-being in this study should be reflected to the nursing education and the nursing practice.

• Journal of the Korean Home Economics Association
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• v.40 no.10
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• pp.217-230
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• 2002

This article explored the perceptions of ‘family’and the factors related to respondents' definitions of a family. The data were collected from two types of people: one was 472 university students and high school students' parents who were asked whether or not each of 22 scenarios represented a‘family’, and the other was 40 young and middle-aged adults who were asked,“what is a family member?”. Results showed that (1) the overwhelming majority of respondents considered a married couple without a child(scenario #5) as a family and the least respondents agreed a divorced couple(scenario #18) as a family, (2) the majority perceived consanguinity, co-residence, parental status, and marital status to be important in the definition of a family, (3) middle-aged adults were more likely than young generation to agree that consanguinity and paternal relations were important in determining what a family member is.

• Nutrition Research and Practice
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• v.14 no.5
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• pp.519-531
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• 2020

BACKGROUND/OBJECTIVES: Regional disparities in dietary factors might be related to regional disparities in cardiometabolic health. Therefore, this study investigated the associations of cardiometabolic risk factors and dietary factors with regional types in Korean adults. SUBJECTS/METHODS: Based on data from the 2007-2017 Korea National Health and Nutrition Examination Survey, the study included 39,781 adults aged ≥ 19 years who completed the dietary survey and a health examination. Healthy and unhealthy dietary factors (fat, sodium, fruit, and vegetable intakes) were evaluated using 1-day 24-h dietary recall method, as well as the use of nutrition labels with a questionnaire. RESULTS: Of the participants, 48.7%, 36.0%, and 15.2% lived in metropolitan, urban, and rural areas, respectively. Adults living in urban and rural had higher odds ratios (ORs) for obesity (OR for urban, 1.07; 95% confidence interval (CI), 1.01-1.14; OR for rural, 1.14; 95% CI, 1.05-1.24) than adults living in metropolitan areas; these associations were significantly observed in middle-aged adults. Compared to metropolitan residents, rural residents had lower ORs for hypertension in middle-aged (OR, 0.86; 95% CI, 0.76-0.96) and metabolic syndrome in older adults (OR, 0.78; 95% CI, 0.67-0.91). Regarding urban residents, a lower OR for diabetes in middle-aged adults (OR, 0.85; 95% CI, 0.74-0.97) and a higher OR for hypertension in older adults (OR, 1.19; 95% CI, 1.02-1.39) were observed. Overall rural residents had higher ORs of excessive carbohydrate, low fruit, and high salted-vegetable intakes than metropolitan residents. Low fruit intake was positively associated with obesity, metabolic syndrome, and hypertension, after adjustment for regional type and other confounders in total participants. CONCLUSIONS: These findings indicate that cardiometabolic risk and unhealthy dietary factors differ among regional types and age groups within Korea. Nutritional policy and interventions should consider regional types for prevention and management of cardiometabolic risk factors.

• Journal of Korean Biological Nursing Science
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• v.13 no.3
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• pp.245-252
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• 2011

Purpose: This study was designed to find the correlations between physical activity and insulin resistance of the middle-aged adults. Methods: One hundred thirty one subjects participated in this study were age 40-60 from Y university's center for physical exercise in W city. The data were collected from August 5 to October 5, 2009. To measure physical activity, the contracted Korean version of the Self-Report of Physical Activity Questionnaires of IPAQ was used. Insulin resistance was measured using fasting glucose levels, serum insulin levels, and HOMA method (serum insulin${\times}$fasting glucose/22.5). Results: The continuous physical activity overall in this study was on average $1,792.30{\pm}2,216.81$ MET (min/week), and as a result of categorical classification: no activity was 66 subjects (50.4%); minimum activity, 41 (31.3%); and health-improving activity, 24 (18.3%), respectively. The overall degree of insulin resistance in these subjects was $2.20{\pm}2.62$(0.28-12.74). There was negative correlation between moderate intensity activity and insulin resistance (r= -.189, p<.05). Conclusion: These results revealed that promoting moderate-intensity physical activity is important in preventing and improving insulin resistance and possibly other metabolic risk factors in the middle-aged adults.

• Journal of Korean Public Health Nursing
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• v.30 no.2
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• pp.326-336
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• 2016

Purpose: This study was conducted to help with the development of an intervention program in efforts to prevent suicidal ideation and suicide. The study also sought to generate strategies for improving health conditions by ascertaining and analyzing potential factors that may influence suicidal ideation according to age group in adults. Methods: Data on general characteristics and suicidal ideation from 447 adults aged between 20 and 59 years, living in Y city, Gyeonggi Province, South Korea, were collected based on a structured questionnaire, The data were analyzed using SPSS20.0 statistics program. Results: The results showed that 48.6% of young and older adults have experienced suicidal ideation while 44.5% of middle-aged adults have had suicidal thoughts. With regard to suicidal ideation, young and older adults revealed relevant differences in terms of gender, residential type, degree of stress and subjective physical and mental health, while middle-aged adults revealed relevant differences in terms of marital status and degree of stress. With regard to factors that influence suicidal ideation, it was found that the relevant variables of young and older adults included gender, residential type, depression, degree of stress, and subjective physical and mental health, while for middle-aged adults, relevant variables included marital status and degree of stress. Conclusion: These findings indicate that as stress and depression decreases, subjective physical and mental health improves. Therefore, this study proposes that developing and operating an intervention program can help prevent suicidal ideation in local residents.

• Journal of the Korean Society of Food Culture
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• v.34 no.6
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• pp.697-706
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• 2019

The purpose of this study was to investigate and compare the consumption behaviors for purchase of Home Meal Replacement (HMR) products and importance and satisfaction on selective attributes of HMR in middle-aged adults by gender. The subjects were 919 middle-aged adults (400 males and 519 females; 40 to 64 years) residing in Seoul and its metropolitan area, who have HMR purchasing experience. The survey was conducted from January to August 2018. Statistical analysis was performed using SPSS 23.0 program. Consumption frequency of HMR products in male and female subjects was 1-2 times a month by 42.3% and 40.8% and 4-6 times a month by 26.8% and 19.8%, respectively (p<0.05). Reasons for purchasing HMR in male and female subjects were shown significantly different from saving time by 44.8% and 50.5% and easy cooking by 25.8% and 16.6%, respectively (p<0.01). HMR products with high preference and satisfaction for the subjects included Gimbap, precooked dried rice, and frozen food. According to the Importance-Performance Analysis (IPA), selective attributes of HMR with high importance and low satisfaction in the second quadrant were food additives, origin, nutrient content, and price, for both male and female subjects; additionally, hygiene was a factor included only by female subjects. Therefore, these results suggest that it is needed to consider to produce HMR products with improved qualities using reliable food materials and ingredients and to maintain competitive pricing for the expansion of HMR products consumption of middle-aged adults.

• Korean Journal of Social Welfare
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• v.64 no.1
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• pp.101-124
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• 2012

This study examined the longitudinal changes of self-perceptions of own aging among middle-aged and elderly adults, using the latent growth modeling with the three waves of the "Aging and the Quality of Life of the Elderly in Korea", which sampled adults aged over 45 living in Seoul and Chuncheon. The dependent variable is attitudes toward own aging, the sub-scale of the Philadelphia Geriatric Center Morale Scale developed by Lawton (1975). The results showed that the research participants' attitudes of their own aging deteriorated over time. In addition, the lower initial status of the research participants' attitudes of their own aging was associated with being older, being non-married, living in rural areas, attaining the lower level of education, having the fewer social activities, reporting the worse subjective economic status, and reporting the worse subjective health status. The slope of the research participants' attitudes of their own aging differed by the residence areas, educational attainments, subjective economic status and subjective health status. In particular, the difference of the initial status by educational attainments grew over time. Social welfare policy and practice implications are discussed for middle-aged and elderly adults to improve attitudes toward their own aging.