• The Journal of the Korea Contents Association
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• v.22 no.9
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• pp.473-484
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• 2022

This study aimed to verify the reciprocal casual relationship between self-rated health status and depression in the elderly through longitudinal analysis. An autoregressive cross-lagged model was identified. This study analyzed 3,363 elderly people aged 65 or older using the 5th, 6th, and 7th wave data from Korean Longitudinal Study of Ageing(KLoSA). The results are as follows. First, self-rated health status had a positive(+) autoregressive effect. Second, depression had a positive(+) autoregressive effect. Third, self-rated health status had a negative(-) cross-lagged effect on depression, but depression was not a casual predictor of self-rated health status. Based on these findings, it was suggested that there is a need for systematic policies to improve basic fitness in the early stages of old age, as well as the need to expand health promotion programs and implement integrated depression management programs.

• The Journal of Korean Society for School & Community Health Education
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• v.23 no.1
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• pp.1-16
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• 2022

Background & Objectives: Self-rated health has been widely used to evaluate health status and accepted as a subjective measurement of quality of life. This study aimed to analyze the associations between self-rated health, health promotion behaviors, and mental health factors and suggest the approaches to improve health status among university students. Methods: Two thousand six hundred seventy-seven students who had stayed at dormitories on campus participated in the DU health survey by self-reported questionnaire from April 10 to 14, 2017. Multivariate logistic regression analysis was performed to estimate the odds ratios and 95% confidence intervals of association of self-rated health with health-related factors among male and female students. Results: 38.6% of the respondents reported good self-rated health. Male and first-year students were more likely to report good self-rated health than female and third-year students. There were significant differences in sex, grade, health problems, BMI, sleeping hours, eating breakfast, consumption of fruits and vegetables, physical activity (regular walking, strength exercise, moderate exercise, vigorous exercise), perceived stress, depression, and suicide thought (p<0.05). Conclusion: Although health promotion programs for university students are essential to support their adaptation to campus life and academic achievement, evidence-based health programs to encourage their participation are still insufficient. Therefore, it should establish a campus-based health policy and develop health promotion programs to increase self-rated health levels and prevent mental health problems for university students.

• Research in Community and Public Health Nursing
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• v.29 no.1
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• pp.21-32
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• 2018

Purpose: This study attempted to identify regional disparities of self-rated health among Korean wage workers and to investigate the influencing factors on them. Methods: The study subjects were 25,069 workers in 16 regions who were extracted from the 2014 Korean Working Condition Survey (KWCS). A multilevel analysis was conducted by building hierarchical data at individual and regional level. Results: In this study, 'financial autonomy rate' and 'current smoking rate' were identified as regional factors influencing the workers' self-rated health. When the socio-demographic and occupational factors of the workers were controlled, 'current smoking rate', a health policy factor, explained the regional disparity of workers' health status. Conclusion: We found that the health status of workers can be affected by the health behavior level of the whole population in their residential area. In order to improve the health status of working population and to alleviate their regional health inequalities, it is necessary to strengthen macro and structural level interventions.

• Korean Journal of Health Education and Promotion
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• v.25 no.5
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• pp.65-77
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• 2008

Objectives: The purpose of this study was to examine factors associated with the self-rated health status of the elderly and whether these factors were different from younger adults. Methods: An interview survey was conducted on non-institutionalized adults in Wonju City, Korea. Determinants of self-rated health status were identified and compared between individuals aged 19 to 64 years and those aged 65 years and over, using an ordered logistic regression conducted separately on these two groups. Participants were 1,685 younger adults and 188 elderly people. Self-rated health status was measured along a continuous scale from 0 to 100 (0 for the worst and 100 for the best they could imagine) and then binned into 11 categories. Results: Self-rated health status of the elderly in Wonju was associated with household income, education, bereavement, adequate sleep, daily and social life being affected by poor health status, mobility, and anxiety and depression. Household income, adequate sleep, and participation in social activities were significant only in the elderly, while some factors associated with the self-rated health status of younger adults, such as rural dwelling, regular exercise, living alone, and skipping breakfast were not significant in the elderly. Conclusion: In order to improve the health of the elderly in Wonju City, it would be necessary to develop programs addressing those specific needs of the elderly and to integrate them effectively in the Healthy City projects.

• Research in Community and Public Health Nursing
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• v.20 no.1
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• pp.31-40
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• 2009

Purpose: This study was to investigate the factors affecting the self-rated health of vulnerable elderly in community. Methods: The subjects were 2,328 elderly over 65 years who were enrolled in the Visiting Health Care Center in J-gu of S-city from Apr. 2007 to Sep. 2008. Data were collected using questionnaires including general characteristics, health related behavior and health status by nurse at the time of enrollment. The collected data were analyzed by descriptive statistics, test and multivariate logistic regression. Results: 47.2% of the male subjects and 57.2% of the female subjects rated their health "poor". Gender differences were observed in the factors affecting on Self-Rated Health. ADL, depression and the number of diseases played a major role for men, whereas depression, IADL, the number of diseases, ADL, regular exercise and education played a major role for women. These factors explained $17{\sim}29%$ of variance in Self-Rated Health. Conclusion: Gender-specific programs for vulnerable elderly may be developed based on this study. Both physical and psychological functions need to be integrated into the programs to improve self-rated health of vulnerable elderly.

• Journal of Digital Convergence
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• v.15 no.11
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• pp.485-496
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• 2017

This study aims to examine the moderating effects of social support and subjective social status in the relationship between discrimination and self-rated health among foreign spouses. For the analysis, data from the 2015 National Survey of Multicultural Families was used and a total of 16,870 foreign spouses were selected using hierarchical regression analysis. The results of this study showed that discrimination was negatively related with self-rated health while social support and subjective social status were positively related with self-rated health of foreign spouses. Also, the moderating effect of subjective social status was identified, which means that it enhanced the positive effect of discrimination on self-rated health. This study provided empirical evidence for implementation of social integration policies. The authors suggested future qualitative research of discrimination and health, and social policies and services promoting equal opportunities for foreign spouses.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.5
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• pp.2231-2238
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• 2014

This study investigated how self-rated health and socioeconomic status are associated with behaviour of cancer survivors regarding desire for information. For this association, we compared survivors who did not seek information about cancer with those who did. We examined how sociodemographic, socioeconomic, cancerrelated, and health information factors are associated with self-rated health (SRH) by health information seeking/avoiding behavior in a survey of 502 post-treatment cancer patients. In the information seeking group, all four factors exhibited significant relationships with SRH. SRH values were significantly high for women (p<0.05), non-Hispanic White (p<0.05), and educated (p<0.01) participants, and for those who had high self-efficacy to use health information by themselves (p<0.01). Furthermore, in the information avoiding group, not only were there no significant relationships between socioeconomic status (SES) and SRH, but there were negative associations between their attitude/capacity and the SRH. In terms of communication equity, the promotion of information seeking behavior can be an effective way to reduce health disparities that are caused by social inequalities. Information avoiding behavior, however, does not exhibit a negative contribution toward the relationship between SRH and SES. Information seeking behavior was positively associated with SRH, but avoiding behavior was not negatively associated. We thus need to eliminate communication inequalities using health intervention to support information seeking behavior, while simultaneously providing support for avoiders.

• Health Policy and Management
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• v.24 no.1
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• pp.85-91
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• 2014

Background: This study aims to analyze West African pregnancy experienced women's self-rated health and related factors in Democratic Republic (DR) of the Congo, and provide basic data which can be used in developing maternal and child heath projects and health promotion programs to enhance women's self-rated health in the DR Congo. Methods: A survey was conducted among 400 women, 300 of whom were from Kenge and 100 from Boko in Bandundu Province. Three hundred and fifty-two questionnaires were administered on factors expected to affect the self-rated health, categorized into basic information and economic status of respondents, healthcare service, and illness patterns. The hierarchical logistic regression analysis was performed taking each variable into account. Results: The results show that those who have had nutrition education, work in the office, have no health insurance, or have had no illness for the last one year perceive themselves to be in good health. Conclusion: To improve the self-rated health status and promote maternal and child health in DR Congo, the results suggest that the government or relevant agencies should develop programs to educate people regarding health and nutrition, and policies based on the right status of each country. Systems are also required for healthcare at all social levels along with aspects to avoid illness in daily life.

• Journal of Korea Entertainment Industry Association
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• v.13 no.6
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• pp.175-186
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• 2019

Purposes: This study aimed to investigate the differences in the prevalence of obesity according to sex and age and self-rated health in adults with metabolic syndrome according to sex, age, and the presence or absence of metabolic syndrome. Methods: The study subjects were 5,674 adults, who completed all three components of the KNHANES VI-2. The subjects were categorized, using life transition periods, into young adults, middle-aged adults, and older adults. Research methods were selected based on the research objectives of the KNHANES VI-2. IBM SPSS 23.0 was used for complex samples cross-tabulation and a complex samples general linear model analysis. Results: Obesity was prevalent in 77.2% of young male adults, 66.2% of middle-aged male, and 52.3% of older male adults with metabolic syndrome, whereas it was prevalent in 72.4% of young female adults, 73.9% of middle-aged female adults, and 64.6% of older female adults with metabolic syndrome. Men had higher self-rated health than women. As age increased, self-rated health status decreased. Those with metabolic syndrome had lower self-rated health status than those without metabolic syndrome. Conclusion: The prevalence of obesity was found to be high in those with metabolic syndrome. This study found that based on sex, men had the highest self-rated health status, and based on age, young adults had the highest self-rated health status, whereas those with metabolic syndrome had low self-rated health status.

• Korean Journal of Health Education and Promotion
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• v.32 no.5
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• pp.53-62
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• 2015

Objectives: The purpose of this study was to examine the associations among self-rated health and socioeconomic status. Methods: Analyses were conducted based on cross-sectional data obtained from the Korea Youth Risk Behavior Web-based Survey. A total of 79,202 students aged 12 to 18 years participated in the study and there was a response rate of 95.5%. Separate logistic regression analyses were performed on each gender group based on a set of independent variables. Those being: the level of parental education level; family affluence scale; subjective household economic status; and subjective school achievement with SRH as the dependent variable. Results: Multivariate analyses revealed significant associations between each SES and adolescent SRH after controlling for other covariates. However, in the models that included all SES indicators, subjective household economic status and subjective school achievement remained significant in boys and girls. Conclusions: The findings demonstrated that subjective SES indicators are more closely related to adolescent SRH when compared with objective indicators.