• 한국학교보건학회지
• /
• 제11권2호
• /
• pp.243-270
• /
• 1998

This study was designed to find characteristics and patterns in Obese student's attitudes toward the school obesity program. Q-methodology was used as a research tool and the data were collected from October 1st, 1997 to April 30th, 1998. The results are as follows: 1. Q-sampling has been derived from the literature, and in-depth interviews of different groups (primarily students and normal weight students. Its credibility and validity were also tested by nursing and Q-methodology professors as well as school nurses. 34 statements were selected from a total of 197 statements collected. 2. In a P-sampling, 38 samples were selected. 3. Based on a 9 point scale, the selected respondents rated their operant definition of Obese student's attitudes toward school obesity programs. 4. The results of the above procedures were analyzed by a PCQ program. The results revealed that there are four attitudes toward the school obesity program. These four are the following: 1) First, demand for little exposure, which consisted of thirteen subjects. 2) Second, demand for other's support, which consisted of six subjects. 3) Third, demand for self-control, which consisted of four subjects. 4) Forth, demand for other's stimulation and motivation, which consisted of five subjects. In conclusion, this study discovers obese students have attitudes toward the school obesity program. By identifying the nature of each of the these types this study can be useful to manage and develop a school obesity program.

• 가정∙방문간호학회지
• /
• 제19권1호
• /
• pp.5-10
• /
• 2012

Background: The purpose of this study is to investigate the needs for wound care services in the elderly care institutions by analyzing hospital-based home care nursing in select facilities in Korea. Methods: A total of 92 staffs at the elderly care institutions, located throughout the country, completed self-report questionnaires between February 1 and November 31, 2009. SPSS ver. 17.0 was used for data analysis, regarding frequency and chi square. The 5% level of significance was the critical level for acceptance of the study's hypotheses. Results: Results were as follows; group A and group B were rated as 'high' and 'very high', respectively, in care of simple pressure ulcer, care of complicated pressure ulcer, stitch out, care of simple surgical wound, ostomy care, complicated ostomy care, simple dressing and complicated dressing. Conclusion: Political decisions intended to promote visits by hospital- based home care nurses to the elderly care institutions would be a prudent course.

• 한국콘텐츠학회논문지
• /
• 제15권1호
• /
• pp.276-285
• /
• 2015

이 연구의 목적은 우리나라의 지역사회 건강관련 삶의 질에 영향을 미치는 지역사회 요인을 확인하기 위함이다. 2012년 단면연구이며, 국가통계포털의 209개의 시군구별 2차 자료를 사용하였다. 기본 틀은 International Council of Science(ICSU)에서 제시한 지역사회 건강결정요인을 바탕으로 구성하였고, 6가지 측면으로 분류하였다. 분석방법은 지역사회 EQ-5D지수와 지역사회 요인들에 다변량 회귀분석을 실시하였다. 분석결과로, 흡연율, "양호한" 주관적 건강수준 인식률, 상수 및 하수도 보급률 그리고 재정자립도가 EQ-5D에 통계적으로 유의하게 긍정적인 연관성이 있었다. 순인구이동률, 비만율, 필요서비스 미치료율 그리고 지역사회 유형이 EQ-5D에 통계적으로 유의하게 부정적인 연관성이 있었다. 이 연구는 지역사회 수준의 건강관련 삶의 질에 영향을 미치는 지역사회 요인들의 연관성을 확인했으며, 이것은 지역사회 건강 정책 개발에 유용한 증거를 제공할 수 있다.

• 한국직업건강간호학회지
• /
• 제25권4호
• /
• pp.329-339
• /
• 2016

Purpose: The purpose of this study was to investigate the influences of job insecurity on job related depression and anxiety in large- and small-sized company employees. Methods: Data of the third Korean Working Condition Survey in 2011 were used. Subjects were 2,050 large-sized company employees and 18,924 small-sized company workers. $x^2$ test and multiple logistic regression using SAS 9.2 were conducted. Results: Large- and small-sized company employees showed significant differences in terms of demographic, health-related, and job-related characteristics. From the bivariate analysis, gender, income, self-rated health, occupation, working hours per week, job-related stress, workplace violence, and job insecurity were significantly related to job-related depression/anxiety in large-sized company employees. From the multivariate analysis, higher income (AOR: 0.22, 95%CI: 0.07~0.71), better health perception (AOR: 0.05, 95%CL: 0.01~0.18), 40 or more working hours per week (AOR: 0.20, 95%CI: 0.05~0.79) showed lower risk for job-related depression/anxiety. From the bivariate and multivariate analysis, better health perception (AOR: 0.32, 95%CI: 0.20~0.53), higher job-related stress (AOR: 2.57, 95%CI: 1.68~3.93, workplace violence experience (AOR: 4.26; 95%CI: 2.88~6.30), and job insecurity experience (AOR: 1.90, 95%CI: 1.18~3.05) were significantly related to job-related depression/anxiety in small-sized company employees. Conclusion: Results of this study suggest that job insecurity experience was significantly related to job-related depression/anxiety in small-sized company employees but not in large-sized company employees. Therefore, small-sized company workers who have experienced feeling of job insecurity are vulnerable population in terms of job-related depression/anxiety.

• 한국인구학
• /
• 제34권1호
• /
• pp.99-127
• /
• 2011

본 연구의 목적은 우리나라에서 교육수준에 따른 건강불평등이 최근으로 올수록 어떻게 변화되고 있는가 하는 것을 포괄적으로 검토하는 것이다. 이러한 연구는 건강 양극화의 극복을 위한 사회복지적 개입의 시급함과 관련한 정책적 함의가 큰 주제의 연구인데, 이에 대한 국내 연구는 매우 제한적이다. 본 연구는 한국노동패널 자료를 이용하여, 최근 시기로 올수록 교육수준에 따른 건강불평등이 악화되었는지, 특히 어떤 하위 집단(교육-연령 집단)에서 건강과 관련하여 특정한 추세가 존재하는지를 잠재성장곡선(latent-growth-curve) 모형을 이용한 노화-벡터(aging-vector) 접근이라는 최신의 효과적 분석 기법을 이용해 확인 한다. 주요 결과를 요약하면, 2003년에서 2007년 사이 세 집단으로 분류된 모든 교육집단에서 대체로 건강이 향상되는 추세가 발견되었으나, 각 교육집단 내 연령에 따라 그 추세는 차별적이다. 고졸미만 집단의 경우는 청년과 중년 집단에서 건강이 향상되었고, 고졸과 대학수준 집단의 경우는 중년과 노년 집단에서 건강이 향상되었다. 그 결과 건강불평등이라는 측면에서의 추세도 연령별로 차이를 보이는데, 청년 집단에서는 교육수준별 건강불평등이 약간 감소했고, 중년 집단에서는 건강불평등에 별 변화가 없었고, 노년 집단에서는 건강불평등이 상당히 증가하였다. 이처럼 특정 교육-연령집단에 대한 추세를 특화할 수 있는 본 연구의 접근은 건강불평등을 완화하기 위한 사회적 개입에서 우선적으로 고려될 필요가 있는 하위 집단에 대한 정보를 제공하는데 교육수준이 낮은 노인층이 그러한 취약 집단임을 발견하였다.

• 치위생과학회지
• /
• 제16권5호
• /
• pp.355-360
• /
• 2016

본 연구는 우리나라 성인의 미충족 치과의료와 그에 관련요인을 파악하기 위해 진행되었다. 미충족 치과의료를 정의하는 데 있어 치과의료의 필요를 치통을 경험한 사람 중 적절한 치과 의료서비스에 접근하지 못한 사람으로 제한하여 의료 필요에 따른 충족을 보다 명확하기 측정하기 위해 노력하였다. 미충족 치과의료의 원인으로는 경제적 부담, 직업/학업적 이유, 다른 문제에 비해 덜 중요해서가 높은 비중을 차지하는 것으로 나타났다. 미충족 치과의료와 관련된 요인으로는 성별, 연령, 본인이 인지하는 구강건강 상태, 씹기 문제가 통계적으로 유의미한 것으로 나타났다. 이와 같은 결과를 바탕으로 건강보험 보장성 강화 정책과 관련하여 치과의료비의 본인부담금의 비중을 낮추는 방안을 제안할 수 있을 것이다. 또한 치과 의료서비스 접근에 있어 취약한 집단을 파악하고, 해당 집단에 대한 보건의료 정책 개발 및 서비스 제공이 이루어져야 할 것으로 생각된다.

• Journal of Preventive Medicine and Public Health
• /
• 제34권4호
• /
• pp.323-330
• /
• 2001

Objective : To examine the association between age at menopause and mortality in a population-based sample of women in Kangwha, Korea. Methods : From the Kangwha Cohort, followed-up from 1985 to 1999, the data of the over 55 year old female group(n=3,596) was used in this study to examine the association between age at menopause and mortality. We calculated the all causes mortality risk ratio and the cancer mortality risk ratio by age at menopause grouping using the Cox Proportional Hazards Model with adjustments for age, BMI, smoking, education, chronic disease, self-rated health status, alcohol consumption and age at first birth. Result and conclusion : Compared to women who had menopause at 45-49 years, the all causes mortality risk ratio was 1.24 for women with menopause at less than 40 years(95% CI=1.01-1.53) and 1.05 for women with menopause at over 50 years(95% CI=0.92-1.20). Also, compared to women who had menopause at 45-49 years, the cancer mortality risk ratio was 1.53 for women with menopause at less than 40 years(95% CI=0.78-2.98) and 1.17 for women with menopause at over 50 years(95% CI=0.77-1.80).

• 근관절건강학회지
• /
• 제28권2호
• /
• pp.152-160
• /
• 2021

Purpose: This study, using the International Classification for Nursing Practice, aimed to identify the phenomenon of family nursing care, and the factors affecting it, for high-risk and frail older persons who have a significant need for home healthcare services. Methods: This study was conducted using secondary data collected by students who interviewed 93 healthcare subjects in a health center. The data was used to analyze the general characteristics, health-related characteristics, and confirmed problems of family nursing phenomena of the subjects. Independant t-test, Pearson correlation coefficient, and multiple linear regression were used for the data analysis. Results: The mean age of the subjects was 82.4±6.3 years. The most common problem of the family nursing phenomenon were unhealthy lifestyle, disturbance in family communication, and lack of family interaction in the community. People with greater family nursing phenomenon problems reported a higher degree of frailty and depression, lower quality of life and self-rated health. The factors that influence the family nursing phenomenon of frail older persons are the problems of mobility and hearing. Conclusion: Physical and psychological problems associated with aging can cause not only personal, but family functional problems as well. Therefore, a comprehensive family-oriented support program is required.

• 한국노년학
• /
• 제38권4호
• /
• pp.945-962
• /
• 2018

본 연구는 회복탄력성이 노인의 정신건강에 미치는 영향에 대해 살펴봄으로써 고령사회 속 노인들의 삶의 질 향상을 위한 방안을 마련하는데 기초자료를 제공하는 것이 목적이다. 본 연구에서는 설문에 참여한 춘천지역 65세 이상 노인 2,004명이 분석에 포함되었으며, 정신건강의 부정적 측면으로 우울을, 긍정적 측면으로 정신적 웰빙을 선별하여 회복탄력성과 정신건강의 관계를 보다 통합적으로 살펴보았다. 회복탄력성과 우울의 관계는 로지스틱 회귀분석으로, 회복탄력성과 정신적 웰빙의 관계는 다중회귀분석을 통해 살펴보았다. 연구결과, 첫째, 노인의 회복탄력성은 우울과 유의미한 부적 관계를 보였다. 둘째, 노인의 회복탄력성은 정신적 웰빙과 유의미한 정적 관계를 보였다. 이상의 결과를 통해 회복탄력성이 노인 정신건강의 보호요인으로 작용함과 이를 활용하여 노인의 삶의 질 개선을 위한 효과적인 방안을 구축할 수 있는 가능성을 확인하였다.

• 한국학교ㆍ지역보건교육학회지
• /
• 제20권1호
• /
• pp.69-84
• /
• 2019

Objectives: The purpose of this study is to examine change in adolescent depression across time and to determine the relation between individual and neighborhood socioeconomic status (SES) and depression. Methods: This study employed multilevel latent growth analysis using longitudinal data from Korea Children and Youth Panel Survey. A sample of this study consists of 2,351 adolescents who were in first grade of middle school in 2010. Results: Results showed that both initial level and downward trajectory of depression varied significantly across individuals as well as across neighborhoods. On the individual level, self-rated economic condition(b=-0.203, p<.001) was related to the initial level of depression. Adolescents whose father had a high educational level(b=0.028, p<.001) or whose mother had a low educational level(b=-0.022, p=.011) had lower rates of decline in adolescent depression. On the neighborhood level, neighborhood deprivation index (b=0.003, p=.019) and gini coefficient(b=0.124, p=.040) were associated with lower rates of decline in depression. Conclusions: Low SES in adolescence is correlated with worse mental health, especially depression. Social disparities in depression likely originate before adulthood. The findings argue for the importance of understanding depression in adolescence from a multilevel or ecological framework.