• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제28권4호
• /
• pp.260-267
• /
• 2017

Objectives: Since 2013, the Students' Emotional and Behavioral Screening Test (SEBT) has been conducted annually for 1st grade and 4th grade elementary school students, 1st year middle school students, and 1st year high school students. The SEBT has been considered to have effectiveness and strength for screening high risk students who have a strong possibility of harboring emotional or behavioral problems in school. Therefore, in this study, we conducted an investigation into the awareness of the SEBT based on the rating score of the parents and teachers to determine its future direction and management. Methods: A total of 731 parents and 149 teachers participated in this study. Each participant completed a self-administered questionnaire on their awareness of the SEBT. Results: 428 (58.5%) parents and 99 (66.4%) teachers rated their overall satisfaction at more than 4 points out of a total of 5 points. The test reliability was rated at more than 4 points out of a total of 5 points by 52.1% of the parents (n=381) and 47.7% of the teachers (n=71). Conclusion: Both parents and teachers consider the SEBT to be highly satisfactory and reliable.

• 한국융합학회논문지
• /
• 제8권9호
• /
• pp.151-159
• /
• 2017

본 연구는 현재 군인들의 구강보건행태와 구강건강 삶의 질에 대한 관련성을 파악하고, 군인들을 대상으로 한 구강보건 교육을 실시함에 있어 근거 및 기초자료로 제공하고자 하였다. 총 400명의 서울 경기 지역의 군인을 대상으로 조사하여 361명의 수집된 데이터를 SPSS 19.0으로 통계 분석하였다. 그 결과, 군인들은 주관적 구강건강 상태는 보통이라고 느꼈으며, 구강보건 행동의 실천률은 높지 않았다. 주관적 구강건강 상태가 좋지 않다고 한사람은 구강건강관련 삶의 질이 좋지 않았다. 또한 군인들은 구강보건교육이 매우 필요하다고 느꼈으며, 주관적 구강건강 상태와 구강보건교육의 필요성은 정적인 상관관계가 있었다. 군인들의 신체적, 정신적, 사회적 건강이 구강건강과 연관되어 있으므로 군인들의 구강보건 교육은 정기적으로 이루어져야 할 것 으로 보이며, 본 연구 결과는 군인들의 구강 보건 교육의 기초자료로 사용될 수 있을 것으로 사료된다.

• 지역사회간호학회지
• /
• 제31권spc호
• /
• pp.525-533
• /
• 2020

Purpose: Workers in special employment relationship (WSERs) are workers in nonstandard employment arrangements who lack worker protection accorded in standard employment arrangements. This study aimed to describe self-rated health (SRH) and depressive symptoms (DS) among Korean WSERs in comparison to regular wage workers (RWW) and identify associations between working conditions and those outcomes. Methods: In this study, secondary data analysis using the 5th Korean Working Conditions Survey was used. The sample totaled 29,120, including 1,538 WSERs and 27,564 RWWs. Sociodemographic and work-related characteristics were employed as explanatory variables and SRH and DS as dependent variables. Using multiple logistic regression, the determinants of fair/poor SRH and DS were identified. Results: The prevalence rates for fair/poor SRH and DS in WSERs were 25.2% and 28.3%, respectively, and 20.7% and 25.0% in RWWs, respectively. Compared to RWWs, WSERs had 31% (aOR=1.31, 95% CI=1.14~1.49) and 20% (aOR=1.20, 95% CI=1.06~1.36) higher odds of SRH and DS, respectively. Some factors, such as a lack of rest guarantee and sickness presenteeism, had a larger influence in the WSER than in the RWW group. Conclusion: Compared to RWWs, WSERs reported having poorer working conditions and were more likely to report poor general and mental health. Therefore, in Korea, public health policymakers should consider measures to protect the working conditions and health of WSERs, a growing segment of the working population. The study produced new epidemiological evidence regarding the relationships between employment arrangements and health.

• 한국임상보건과학회지
• /
• 제6권1호
• /
• pp.1056-1064
• /
• 2018

Purpose. This study reported on body type perception of people aged ${\geq}19years$, regardless of gender, and on its association with disease morbidity and the quality of life and aimed to observe the effects of stress on body weight perception, disease morbidity, and the quality of life. Methods. The data from 218,899 persons aged ${\geq}19years$ who were respondents to the 2010 Community Health Survey were finally analyzed. A designated program was used to perform complex sample analysis; chi-square test was carried out to determine body type perception by the general characteristics and disease status and analyze health-related behavior and weight control behavior by body type perception, and multiple logistic regression was used to observe the effects of body type perception on mental health and the quality of life. Results. 34.9% of all the respondents misperceived their body type and females were more likely to misperceive their body type. The older they were, the more poorly they perceived their body type; those perceiving their body type poorly were significantly more susceptible to both hypertension and diabetes. When correction was made in relation to gender, age, and so on, those perceiving their body type excessively were more susceptible to hypertension (1.43[1.367-1.050]) and diabetes morbidity (1.36[1.294-1.428]). Body type perception affected the quality of life: the respondents perceiving their body type poorly (0.91[0.884-0.940]) or excessively (0.75[0.720-0.770]) showed lower quality of life than those perceiving their body type correctly. Conclusions. Distorted body type perception affected disease morbidity and the quality of life: the respondents excessively perceiving their body type were significantly more susceptible to both hypertension and diabetes and those perceiving their body type excessively or poorly showed lower quality of life than those perceiving it correctly. It is therefore necessary to make multilateral efforts to cultivate correct body type perception.

• 보건행정학회지
• /
• 제28권4호
• /
• pp.369-377
• /
• 2018

Background: Catastrophic health expenditure (CHE) occurs when medical expenditure of a household passes over a certain ratio of household income. This research studied the effect of gender on CHE based on Korea Health Panel data. Methods: This study implemented binary logistic regression model to figure out whether gender affects CHE and how different gender groups show pattern of CHE process. With gender, age, marital status, income level, economic activity, membership of private insurance, existence of chronic disease, and self-rated health were included in the model. Results: Results showed that females faced CHE 1.5 times more than males (odds ratio, 1.241). Also, main determinants of CHE in female groups were marital status, while age and economic activity status were significant in male groups. Subgroup analysis displayed that married female under 35 years old are located in intersectionality of CHE including pregnancy and delivery, multiple health risk behaviors, mental stress, and relatively vulnerable social status due to lower income. Meanwhile, both gender above 50 years old faced remarkably high chance of CHE, which seems to be caused by complex health risk behaviors and chronic diseases. Conclusion: Such results implied not only that gender is an important determinant of CHE, but also other determinants of CHE differ according to gender, which suggests a necessity of gender-based CHE support and rescue policy.

• 대한불안의학회지
• /
• 제15권2호
• /
• pp.109-114
• /
• 2019

Objective : The purpose of this study was to investigate changes in the satisfaction levels and mental health among North Korean defectors over two years. Methods : At the beginning of the study, the subjects were comprised of 300 North Korean defectors registered with a regional adaptation center (the Hana Center) in South Korea. Participants reported self-questionnaires including socio-demographic variables and self-rating scales for satisfaction levels, depression symptoms, trauma-related symptoms, resilience and alcohol use behavior. In the follow up study after two years, 189 North Korean defectors participated in an online survey, responding to the same questionnaires as at baseline. Results : The self-rated scores for satisfaction with one's overall life (p=0.008), sense of autonomy (p=0.001), sense of physical health (p<0.001), and expected life satisfaction five years later (p<0.001) had all decreased significantly at follow-up after two years. Depression symptoms (p<0.01) and trauma-related symptoms (p<0.001) increased significantly over two years, and the resilience score (p<0.01) decreased significantly during the same period. No significant differences in alcohol use behavior (p=0.059) were observed at follow-up. Conclusion : Satisfaction levels among North Korean defectors gradually decreased over the follow-up period, and this may be due to the difficulties encountered in the process of assimilating to daily life in South Korea. Economic, medical, and psychological support is needed for successful assimilation of North Korean defectors.

• 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.

• Human Ecology Research
• /
• 제57권1호
• /
• pp.109-125
• /
• 2019

Few studies have utilized observational methods in the field of couple research even though using self-report questionnaires is prone to the subjective biases of the reporter. This study validates the Marital Interaction Coding System-Global (MICS-G), a global version of the well-established microanalytic observational coding system, Marital Interaction Coding System (MICS). Participants in the study consisted of 30 married couples with varied levels of marital adjustment who visited one of the Healthy Family and Multicultural Family Support Centers in Seoul, either for couple therapy or the "Marriage Checkup"program. Ten-minute problem-solving discussions were rated by two undergraduate student raters who were trained for 10 hours. Interobserver agreement based on percentage agreement and intraclass correlation coefficients showed a high level of agreement between raters in establishing interrater reliability. Convergent validity was established by: correlations among marital adjustment, psychological aggression, mental health, and MICS-G categories of conflicts, validation, invalidation, facilitation, and withdrawal. MICS-G categories also were successful in discriminating between distressed and nondistressed couples, which provides evidence of discriminant validity for MICS-G. This study showed that MICS-G is a promising method for researchers to observe couple interactions in a more cost-effective way. Methodological issues and practical applications are also discussed.

• Journal of Preventive Medicine and Public Health
• /
• 제46권6호
• /
• pp.329-335
• /
• 2013

Objectives: To comprehensively examine the relationship between current sleep duration and past suicidal idea or attempt among Korean adolescents. Methods: Data came from the 2009 Korea Youth Risk Behavior Web-based Survey with 75 066 participants (with the participation rate of 97.6%) in 800 middle and high schools. Binary logistic regression was conducted by gender and depressed mood to identify significant factors for suicidal ideation/attempt. The dependent variable was the log odds of suicidal ideation/attempt, while the independent/control variables were sleep duration and other demographic, socio-economic and health-related factors. Results: A negative association between sleep duration and suicidal ideation or attempt was weaker for those with depressed mood than for those without such experience in Korea for Year 2009. The odds ratio of suicidal ideation/attempt regarding less than 4 hours of sleep compared to 6 to 7 hours of sleep, was smaller in a group with depressed mood than in a group without such experience, for example, 1.64 (95% confidence interval [CI], 1.29 to 2.08) vs. 2.06 (95% CI, 1.34 to 3.17) for men's suicidal ideation, 2.50 (95% CI, 1.69 to 3.69) vs. 3.89 (95% CI, 1.74 to 8.66) for men's suicidal attempt. A negative association between age (or self-rated health) and suicidal ideation/attempt was also weaker for those with depressed mood than for those without such experience in the nation for the year. Conclusions: There was a negative association between sleep duration and suicidal ideation/attempt in Korea for Year 2009 and this association was weaker for those with depressed mood than for those without such experience. Based on the findings of this study, adolescents' better mental health and longer, more comfortable sleep might help to prevent their suicidal ideation and attempt in Korea.

• 한국식품영양학회지
• /
• 제32권3호
• /
• pp.189-201
• /
• 2019

The objective of this study was to investigate the health status and nutritional intake of the old population living in Soonchang, Jeollabuk-do, Korea. 69 subjects aged 65 years and older were recruited in July 2016. The WHR, was significantly higher in elderly male group than elderly female group (p<0.05), but both groups had abdominal obesity (0.85 and over). T-score mean of elderly male and female groups were below $-2.5mg/cm^3$ that they were osteoporotic. In the elderly male group, the higher concentrations of creatinine, homocysteine and uric acid were found to be significantly unfavorable factors (p<0.001, respectively). The blood vitamin $D_3$ levels of elderly male group was significantly higher than that of elderly female group (p<0.05). The physical activity and self-rated health were significantly higher in elderly male group than in elderly female group (p<0.05, p<0.01, respectively). The nutrient intakes of male group were found to be significantly favorable factors than in female group. The score of mini nutrition assessment was significantly lower in elderly female group than in the elderly male group. These results could be useful to plan effective strategies to increase the health-life expectancy and the prevention of disease of Korean elderly people living in rural areas.