• Journal of the Korea Convergence Society
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• v.11 no.7
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• pp.319-328
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• 2020

The purpose of this study is to assess the relationships of alcohol consumption patterns to mental distress and self-rated health. Data of 19,856 adult drinkers over 19 years of age and older from the Korea National Health and Nutrition Examination Survey were evaluated by multivariate logistic regression analysis. Risks of experiencing perceived high stress, depressive symptoms and suicidal thoughts were higher in alcohol use disorder group in male, whereas the risks were higher in both alcohol use disorder and hazardous drinking groups in female, reflecting higher susceptibility to mental distress. In both male and female, former drinkers presented poor self-rated health compared with low-risk drinkers, although no difference was found in the prevalence of mental distress. Specialized mental health management measures for female drinkers are required, and former drinkers are suggested to be assessed separately from never or low-risk drinkers for their physical and mental health status.

• Journal of Korean Academy of Nursing
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• v.35 no.1
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• pp.37-46
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• 2005

Purpose: The purpose of this longitudinal study was to examine the relationship between postpartum care performance and postpartum health status. Sample: The study subjects were 82 mothers who delivered full-term infants at 3 hospitals at P city. Data were collected for their health status at the postpartum unit and the sample was followed up to 6 weeks postpartum to collect postpartum care performance and health status. Results: Mothers rated postpartum care performance as moderate to high and especially rated the maternal role attainment the highest. Mothers experienced 4 physical symptoms and moderate levels of fatigue. In addition, they experienced moderate levels of positive affect and low levels of negative affect at both times. Canonical correlation revealed that ostpartum care performance was related to postpartum health status with 2 significant canonical variables. The first variate indicated that mothers who performed hospitality, physical and emotional recovery, self-caring, and role attainment well showed higher positive affects, lower negative affects, fewer physical symptoms, and lower levels of fatigue. The second variate showed that the greater the performance of caring and physical and emotional recovery, the fewer physical symptoms and lower levels of fatigue. Conclusion: Although Korean traditional postpartum care performance was related to postpartum health status, the further study is needed to identify the causal relationship between them. Nurses need to integrate the perspective of westernized postpartum care and Korean traditional views of postpartum approach to maintain and promote women's health.

• The Korean Journal of Community Living Science
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• v.17 no.1
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• pp.87-99
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• 2006

The purpose of this study was to explore the relationship between self-rated health and Activity of Daily Living (ADL) and self-care behavior of rural elderly in Korea, focused on the difference among three distinctive living arrangements; living alone, living only with his/her spouse, and living with their married children. For this purpose, data were gathered from a nationwide survey, a total of 586 elderly aged 65 or older and living in rural area, using the structured questionnaire. Also, self-care behavior were categorized into 4 groups; life-style practice, medical self-care, adaption to functional limitation, and emotional management. The major findings are as follows; 1) Rural elderly perceived their health little and more 'bad' but their ADL capacity were 'not difficult', especially among elderly living with spouse. 2) The level of 20 items in self-care behavior ($1{\sim}5$score) was ranged from 2.51 to 3.81 score. The behavior level of regular exercise, setting up additional phone, taking a nutrient, and testing BP or pulse regularly were low but that of taking a medicine according to prescription, close contact with other people, and regular eating were proportionally high. 3) The majority of self-care behavior were correlated with subjective health positively but medical self-care behavior were correlated with subjective health or ADL negatively. Based on these results, policy implications are discussed.

• Journal of Preventive Medicine and Public Health
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• v.52 no.4
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• pp.242-249
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• 2019

Objectives: Elderly individuals with diabetes should maintain a normal body mass index (BMI) to help control their blood glucose levels. This study investigated barriers to physical activity (PA), self-efficacy to overcome those barriers, and PA self-efficacy among elderly individuals with diabetes in relation to BMI. Methods: This cross-sectional study included 56 participants. Data were collected by a questionnaire interview and direct measurements for anthropometric data. PA self-efficacy was measured using 8 questions describing different levels of PA, where participants rated the strength of their belief that they could engage in that activity. Self-efficacy to overcome barriers was measured using 10 questions capturing participants' confidence in their ability to engage in PA despite different possible barriers. Mean scores for these parameters were analyzed using the chi-square test and the independent t-test. Results: In total, 89.3% of participants had a low PA level and 58.9% had more than 3 hours of sedentary activity per day. Furthermore, 55.4% were obese and 14.3% were overweight. The mean scores for PA self-efficacy and self-efficacy to overcome barriers were $59.1{\pm}26.4$ and $52.5{\pm}13.8$, respectively. PA level was related to BMI (p<0.001; r=0.116) and sedentary activity (p<0.05; r=0.274). PA self-efficacy and age were not related to BMI. Barriers to PA were associated with PA levels (p<0.05). Conclusions: Physical inactivity was a major problem in elderly individuals with diabetes, and was correlated with higher BMI. Lower levels of PA might be mediated by sedentary activity.

• Korean Journal of Health Education and Promotion
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• v.28 no.1
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• pp.81-92
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• 2011

Objectives: The purpose of this study is to evaluate the influence of depression symptom on the self-rated health status(SRHS), the outpatient health service utilization and quality of life(QOL) also the relationship depression symptom with socio-demographic and health related factors. Methods: We selected 9,550 participants without chronic diseases from a total of 18,104 in the '2009 community health survey in Gyeongnam. They were assessed by using a Korean version of the Center for Epidemiological Studies-Depression Scale(CES-D). Those with CES-D scores of 21 or greater were defined as having probable depression. Results: A probable depression were associated in bivariate analysis with gender, age, educational status, monthly household income, marital status, current smoking status, drinking habit, physical activities and body mass index. After adjustment for covariates, probable depression groups predicted a lower status in SRHS. Likewise probable depression groups predicted a higher utilization in outpatient health service. Also probable depression groups predicted a lower score in QOL. Conclusions: Probable depression influence SRHS, outpatient health service utilization and QOL even after adjusting for the socio-demographic, health related factors and chronic medical illness. Programs for prevention and management of depression will be helpful to promote health and QOL.

• Korean Journal of Child Studies
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• v.25 no.5
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• pp.129-145
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• 2004

This research aimed to analyze the quality of center-based infant/toddler programs in Korea. Scale for infant and toddler programs divide accreditation standards into 4 areas(physical environment, curriculum, health care, management system) with 60 standards. Standards can be divided into basic criteria and general criteria. The subjects are 149 day care centers(44 infant day care centers and 105 day care centers), and raters(teachers or principal) assessed the quality of each item on a 5-point Likert scale. The results of this study are as follows: 1) Self-evaluation result have marked 3.67 as average(range : 2.32~4.90), which barely meets basic criteria level. 2) Physical environment area has received worst score(3.41) and Health care area has received best score(3.92). 3) Each standard's score indicate the quality of infant/toddler care program: Feed care(4.29), Affectionate teacher-infant interaction(4.14) were highly rated while Nature environment/anmal/plant(2.75) and Teacher's facilities(2.74) were rated low. 4) Some variation factors showed differences in the qualitative level; number of child, education level of principal.

• The Korean Journal of Community Living Science
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• v.17 no.2
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• pp.15-30
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• 2006

The purpose of this study is to examine how the rural elderly assess the multi-dimensions of health. This includes the physical, mental and social dimensions of health, correlations among them, and whether there are gender differences and age-group (60's, 70's, 80 and over) differences. For this purpose, survey data was gathered from 881 rural elderly who live in a village. The statistical methods used for data analysis were descriptive statistics, t-test, ANOVA and correlations. The major findings of this study are as follows: Physical health was measured by self-rated health, ADL, IADL, and farmer symptoms. The respondents classified as 80 and over and female perceived their physical health more negatively. Mental health was perceived somewhat positively in general but female participants perceived their mental health more negatively than males. Social health of the rural elderly was relatively positive in comparison to the other dimensions of health. The rural elderly engaged in many social activities, and the majority of them had many social support networks composed of more than 12 persons. Relationships among the physical, mental and social health dimensions were different. The correlation of physical and mental health and the correlation of social and psychological health were statistically significant. However, the correlation of physical and social health had no significant meanings.

• Journal of Digital Convergence
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• v.11 no.4
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• pp.369-382
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• 2013

This study is to identify health promoting behaviors and health problems of female marriage immigrant in Korea and is an descriptive study for searching the factors influencing health problems of them. And to provide basic data for developing health promoting interventions for them. Methods: The tools for this study were HPLP II developed by Walker et al. (1995) and modified and translated by Park (2005), CMI developed by Weider et al. (1945) and translated by Go & Park(1980), and modified by Seo and Park(2010). Data were analyzed with descriptive statistics, t-test, ANOVA, and correlation and stepwise multiple regression with the SPSS WIN 18.0 program. Results Conclusion: Female marriage immigrants have done low level of health promoting behavior(2.01) and they had more mental health problems than physical health problems. Factors influencing health problems of the participants were found to be self-rated health and general character which includes age-gap with partner, partner's education and age of female marriage immigrant. Factors influencing self-rated health of the participants were found to be exercise of health promoting behaviors and monthly income. In consideration of this result, we need to provide health education and develop health programs for female marriage immigrant in Korea.

• The Journal of Korean Physical Therapy
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• v.30 no.6
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• pp.246-255
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• 2018

Purpose: This study was to conduct a Korean cultural adaptation of the WHO disability assessment schedule (WHODAS) 2.0: 36-item version. Methods: An internationally standardized process of translation and cultural adaptation of an instrument was used to develop a Korean version of WHODAS 2.0: 36-item version. Linking each item into the International Classification of Functioning, Disability and Health (ICF) was also conducted in order to ensure the concepts in the translated instrument were compatible with ICF. All translated versions of the instrument, linking results and feedback from participants were used for the final adaptation of the Korean version of the instrument. The Korean version of the instrument was assessed twice on different occasions to examine Inter- and intra-rater reliability, and the intra-class correlation coefficient (ICC) was calculated. Results: Twelve participants were involved in the translation and linking process. Ninety-five volunteers were invited to participate to examine the reliability of the instrument. Fifty participants completed the self-rated version of the instrument and 45 finished the interviewer version. The Korean WHODAS 2.0: 36-item version was found to have excellent reliability: self-rated version and interviewer version reliability coefficients were ICC=0.92 and ICC=0.94, respectively. Thirty-four items of the translated instrument were to be linked to ICF categories. Some adaptation was made; details and a familiar example were added to help respondents answer the questions. Conclusion: The study results show that the adaptation of the 36-item version of WHODAS 2.0 to Korean was successful and the instrument is ready for use in testing its psychometric properties.

• Journal of Industrial Convergence
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• v.22 no.5
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• pp.79-88
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• 2024

The study aim was to investigate the relationship between adolescents' physical activity and subjective health perceptions and determine whether body mass index (BMI), an obesity-related indicator, had a mediating or moderating effect on this relationship. To achieve the purpose of this study, raw data from the 18th Youth Health Behavior Online Survey (2022) were used, and data from 23,612 people were ultimately selected for the research analysis. A confirmatory factor analysis and structural equation modeling were applied to the data, and bootstrapping techniques were used to verify the mediating effect. To verify the moderating effect, a multigroup analysis of the structural equation model was applied to calculate pairwise parameter comparison values. All statistical significance levels were set at .05. The results of this study follow. First, the greater the amount of physical activity among adolescents, the more positive was the effect on subjective health perception. Second, subjective body type perception had a partial mediating effect on the relationship between physical activity and subjective health perception. Third, subjective body type had a moderating effect on physical activity and subjective health perception. Specifically, people who perceived their subjective body types as average viewed their subjective health more positively when they engaged in more physical activity than those who perceived their body types as slightly or very overweight. In conclusion, preventing obesity and positively changing the subjective health status through sufficient physical activity during adolescence are important.