• Child Health Nursing Research
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• 제24권4호
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• pp.496-505
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• 2018

Purpose: The purpose of this study was to examine changes in the self-rated health of adolescents and to identify its predictors using longitudinal data from the KCYPS. Methods: A sample of 2,351 adolescents who were in the first grade of middle school in 2010 was analyzed. The study employed latent growth analysis using data from 2010 to 2016. Results: Results indicated that self-rated health of adolescents increased, following the form of a linear function. The analyses revealed that adolescent self-perception of health were conceptualized not only by their health-related behaviors, but also by personal, socioeconomic and psychological factors. Specifically, physical activity, passive leisure time activities, gender (initial: b=-.060, slope: b=.030), place of residence (initial: b=-.079), self-rated economic condition (b=.098), working status of mother (b=.016), monthly family income (b=-.001), aggression (b=.061), depression (initial: b=-.104, slope: b=.012), stress (initial: b=-.172, slope: b=.014, ego-resiliency (initial: b=.197, slope: b=-.021), and self-esteem (initial: b=.106, slope: b=-.017) had significant effects on the overall linear change of self-rated health (p<.05 for all estimators above). Conclusion: The findings of this study suggest that adolescents' self evaluation of their health is shaped by their total sense of functioning, which includes individual, health-related behavioral, socioeconomic, and psychological factors.

• 보건의료산업학회지
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• 제10권4호
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• pp.179-196
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• 2016

Objectives : This study investigated poor self-rated health and its associated factors in married Korean women, focusing on the burdens related to family affairs and social support. Methods : Cross-sectional data from 3,039 married women (between 25 and 64 years old) who completed Korean Longitudinal surveys of Women and Families were analyzed. Results : Among working women, only two factors-lack of husband's involvement in housework and insufficient communication with husband - influenced poor self-rated health. Among housewives, lack of husband's involvement in housework, insufficient communication with husband, low satisfaction of marriage, and avoidance of alcohol consumption were associated with poor self-rated health. Conclusions : Regardless of whether women are employed or housewives, husband's support is a very important factor affecting women's health. Social efforts for changing perceptions and values are needed so that men and women mutually support each other in family affairs.

• 한국학교보건학회지
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• 제32권1호
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• pp.41-49
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• 2019

Purpose: The purpose of the this study was to examine the mediating effect of resilience on the relationship between social capital - family, school, and community - and self-rated health in adolescents. Methods: The study is a secondary data analysis based on a cross-sectional design, using the data of 2016 Korean Children and Youth Panel Survey (KCYPS). The study analyzed the data of 2,001 adolescents by descriptive analysis, t-test, ANOVA, Pearson's correlation coefficients and structural equation modeling, using the SPSS and AMOS program. Results: The model's fit was adequate ($x^2/df=4.51$, CFI=.98, RMSEA=.04, SRMR=.02). The adolescents' social capital - family, school and community - had direct effects on their self-rated health. Resilience was found to play a partially mediating role in accounting for self-rated health. Conclusion: Resilience partially mediated the relationship between social capital and self-rated health in adolescents. Based on the results of this study, nursing strategies to build and strengthen social capital at the family, school and community level and to promote resilience are needed to improve the health of adolescents.

• 보건교육건강증진학회지
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• 제21권4호
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• pp.75-97
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• 2004

Objectives: To examine whether the socioeconomic characteristics of communities (contextual effects) are related to the self-rated health of community residents after controlling individual characteristics (compositional effects). Methods: A linked data set including information on individuals from raw data of 1998 Korean National Health and Nutrition Survey(KNHNS) and information on the regions where the individuals lived from the socioeconomic statistical indices of Si-Gun-Gu (city-county-ward) in 1998 was established. The contextual factors of communities were generated from these socioeconomic indices through factor analysis. The contextual effects of community over and above the individual characteristics on the self-rated health were investigated using multilevel analysis. Results: The contextual factors of the community expressed as the factor scores have influence on the self-rated health of their residents above the compositional factors. When the communities were categorized into 5 groups (highest, high, middle, low, lowest) according to each of their factor scores, for factor 1 reflecting urbanization reversely, the residents of the communities that had the high, middle, and low factor scores showed significantly poor subjective health status than the residents of the lowest (most urbanized) group. For factor 2 reflecting community services and health resources, the subjective health status of the residents gradually became poorer when the group went from the highest to the lowest, and the low and lowest groups showed a significant difference. For factor 3 reflecting the manufacturing industry, as compared with the communities that have the highest factor scores, the other 4 groups showed significantly poorer subjective health status. And for factor 4 reflecting the scale of the regional government, as compared with the middle group, the rest of the 4 groups showed significantly better self-rated health. Conclusions: There existed regional contextual effects on their residents' health in Korean adults. To make policies tackling these contextual effects possible, more elaborate researches to find more specific factors and to explain the mechanisms of how health is influenced by the contextual factors are needed.

• 보건의료산업학회지
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• 제11권2호
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• pp.105-115
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• 2017

Objectives : The aim of this study was to suggest the optimal cut off for best, very good, good, slightly bad, and bad grades. Methods : The subjects were recruited from 4 areas of South Korea and 487 questionnaires were analyzed. The nominal and continuous self-rated health questions were used to reveal the optimal cut off and the Short Form-12 Health Survey questionnaire (SF-12) was additionally used. Frequency, Pearson's correlation coefficient, and ROC-curve analysis were used; the significance level was <.05. Results : Subjects assigned 15(3.1%), 90(18.5%), 237(48.7%), 130(26.7%), and 15(3.1%) to best, very good, good, slightly bad and bad groups respectively. The self-rated health score was associated with total Component (r=.563, p<.001), Physical Component (r=.520, p<.001) and Mental Component of SF-12 (r=.303, p<.001). The optimal cut off was 80.5, 70.5, 53.5, and 40.5 for best, very good or more, good or more, and under slightly bad respectively and area under curve was 0.898, 0.908, 0.945, and 0.908 accordingly. Conclusions : This study suggests that the self-rated health score and grade could be integrated with the optimal cut off.

• 기본간호학회지
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• 제15권3호
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• pp.284-290
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• 2008

Purpose: This study was done to identify factors that influence self-rated health in elderly women. Method: The research design for this study was a descriptive survey design using a convenience sampling method. Data collection was done using a self-questionnaire with 201 women participating in the study. Frequencies, percentages, means, standard deviations, Pearson's correlation coefficients and stepwise multiple regression with the SPSS 10.0 program were used to analyze the data. Results: The age of the women ranged from 65 to 89 and mean was 72.9. The main factors that affected self-rated health were depression, sleep, family APGAR, economic level, social activities and number of illnesses. These variables accounted for 44% of self-rated health. Conclusion: The findings of this study provide useful information for constructing intervention programs for elderly women.

• 디지털융복합연구
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• 제18권8호
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• pp.321-330
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• 2020

본 연구는 청소년의 주관적 건강수준이 삶의 만족도에 미치는 영향에서 자아탄력성의 매개효과를 분석하고 검증함으로써 다양한 청소년정책 수립에 필요한 기초자료를 제공하고자 시행되었다. 2016년 한국아동·청소년 패널 조사 이차자료이며, 청소년기에 해당하는 고등학생 1학년 자료(n=1,979)를 분석하였다. SPSS와 AMOS 프로그램을 사용하여 데이터를 기술 분석, t-test, ANOVA, Pearson의 상관계수 및 경로분석을 하였다. 분석결과 주관적 건강수준은 자아탄력성에 유의한 영향을 미쳤다(β=.26, p<.05). 주관적 건강수준(β=.18, p<.05)과 자아탄력성(β=.45, p<.05)은 삶의 만족도에 유의미한 영향을 미치는 것으로 나타났다. 또한 자아탄력성은 주관적 건강수준과 삶의 만족도의 관계에서 부분매개효과를 가지는 것으로 확인되었다. 본 연구의 의의는 청소년의 주관적 건강수준이 높을수록 삶의 만족도에 긍정적 영향을 주며, 주관적 건강수준과 삶의 만족도의 관계에서, 자아탄력성의 간접효과가 있다는 사실을 밝혔다는데 있다. 이로써 청소년의 삶의 만족도를 높이기 위해서는 개인의 주관적 건강수준 뿐만 아니라 자아탄력성을 고려하여 다차원적인 접근이 필요함을 확인 할 수 있었다.

• Journal of Preventive Medicine and Public Health
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• 제50권4호
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• pp.228-239
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• 2017

Objectives: This study aimed to examine the association between preschool education experiences and adulthood self-rated health using representative data from a national population-based survey. Methods: Data from the Korean Labor and Income Panel Study in 2006 and 2012 were used. A total of 2391 men and women 21-41 years of age were analyzed. Log-binomial regression analyses were conducted to examine the associations between preschool education experience and self-rated health in adulthood. Parental socioeconomic position (SEP) indicators were considered as confounders of the association between preschool education experience and adulthood subjective health, while current SEP indicators were analyzed as mediators. Age-adjusted prevalence ratios (PRs) and the associated 95% confidence intervals (CIs) were estimated. Results: Compared with men without any experience of preschool education, those with both kindergarten and other preschool education experiences showed a lower prevalence of self-rated poor health (PR, 0.65; 95% CI, 0.47 to 0.89). In women, however, such an association was not evident. The relationship of preschool education experiences with self-rated poor health in adulthood among men was confounded by parental SEP indicators and was also mediated by current SEP indicators. After adjustment for parental and current SEP indicators, the magnitude of the associations between preschool education experiences and adulthood subjective health was attenuated in men. Conclusions: Preschool education experience was associated with adulthood self-rated health in men. However, this association was explained by parental and current SEP indicators. Further investigations employing a larger sample size and objective health outcomes are warranted in the future.

• Journal of Nutrition and Health
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• 제37권3호
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• pp.223-235
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• 2004

A functional ability and adequate nutritional status are the major determinants of health status, Self-rated health (SRH) is a worldwide method to assess health status and it is recognized as a predictor of morbidity and mortality in the elderly, This study was designed to evaluate the functional ability and nutritional risk according to SRH in the elderly. Four hundred nine free-living elderly people (118 male, 291 female), aged $\geq$ 65 years were interviewed by trained interviewers using structured questionnaires including demographic information, SRH, anthropometric measurements, functional ability, general health status, and nutritional risk. SRH was divided into three status such as “Good”, “Moderate” and “Poor” status. And all the data were analyzed by oneway ANOVA, spearman correlation, and x$^2$ analysis using SPSS 9.0 version at p 〈 0.05. Of all the subjects, 48.9％ perceived their health status as “poor”, and their functional abilities (activities of daily living, instrumental activities of daily living) were more impaired than their counterparts (“good” and “moderate”). Poor self-rated health was also related to: a higher prevalence of illnesses (p 〈 0,001) especially in hypertension, arthritis. Self-rated health was significantly related to food security (p 〈 0.001), food enjoyment (p 〈 0.001) ,and nutritional knowledge (p = 0.0 13). Also NSI checklist total score was the highest in “poor” health status (p 〈 0.001). Better self-rated health was related to better food security, and better food enjoyment. However, smoking, alcoholic intake, exercise, eating behaviors, and demographic characteristics were not significantly different among the three SRH status. SRH was closely related to chronic diseases, functional ability, and nutritional risk in the elderly. Therefore, public health strategies for the elderly should be focused on the elderly who are “poor” in SRH, to improve nutritional status and functional ability, and to reduce risk factors of chronic diseases.

• 한국직업건강간호학회지
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• 제25권4호
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• pp.300-310
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• 2016

Purpose: Few studies have considered the psychosocial work environment factors in relation to employee health. This study explored the relationship between psychosocial work characteristics and self-rated health among Korean employees. Methods: The study population of 21,476 employees was derived from the 2014 Korean Work Environment Survey (KWES). Psychosocial work environment was measured by Copenhagen psychosocial questionnaire scales. Results: Among employees at workplaces (n=21,476), 23.3% rated their health as poor. Among 12 indicators of psychosocial work environment characteristics, 'higher emotional demand', 'demands for hiding emotions', 'work-family conflict', and 'social community at work' were independently associated with risk of poor self-rated health of Korean employees after adjustment of all sociodemographics, work condition characteristics and physical work environment exposure. In addition, higher 'possibilities for development' and 'social support from supervisor' were more likely to decrease the risk of poor health. Conclusion: We suggest that psychosocial work environment is an important determinant of employees' health. The study results provide a good starting point for developing intervention and strategies for health improvement.