• Journal of Preventive Medicine and Public Health
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• 제56권5호
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• pp.440-448
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• 2023

Objectives: The purpose of this study was to assess predictors of health-related quality of life (HRQoL) in elderly Asian American and non-Hispanic White cancer survivors. Methods: We conducted cross-sectional secondary data analyses using the combined datasets from the Surveillance, Epidemiology, and End Results program and the Medicare Health Outcomes Survey. Results: Elderly Asian American cancer survivors reported a lower mental HRQoL but a comparable physical HRQoL relative to elderly non-Hispanic White cancer survivors. Stress factors, such as comorbidities, difficulties with activities of daily living, and a history of depressive symptoms, along with coping resources like self-rated health and the ability to take the survey in English, were significantly associated with mental and physical HRQoL. Among elderly Asian American cancer survivors, a significantly lower mental HRQoL was observed among those taking the survey in the Chinese language. Conclusions: The findings suggest that race exerts a differential impact on HRQoL. Interventions should be designed to address the distinct cultural, linguistic, and systemic needs of elderly Asian American cancer survivors. Such an approach could assist in reducing cancer-related health disparities.

• 한국전문물리치료학회지
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• 제23권4호
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• pp.71-80
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• 2016

Background: Functional capacity evaluations (FCEs) are designed to systematically assess the capacity to perform work-related tasks and to determine worker's ability to return to the previous job following work-related injuries. These evaluations may be rated either by clinician or worker. There has been a lack of consensus between the two scoring methods. Objects: This study aimed: 1) to confirm if the data are fit to the Rasch rating scale model and 2) to investigate the item-level concordance rate between the ratings of clinician and injured worker of the FCE. Methods: A cross-sectional study was conducted with a sample (n=124) of a rehabilitation program with the Occupational Rehabilitation Data Base for workers with low back pain. The functional capacity evaluation at admission and discharge was administered to clinicians and workers. The data were analyzed using both classical test theory-based Pearson's r and intra-class coefficient followed by item-level analysis with Rasch rating scale model. Results: All items of the FCE, except sitting items rated by clinician at admission and handling items rated by both clinician and worker throughout admission and discharge, were acceptable fit statistics with minor out of ranges for a misfit criterion. This may indicate that the items of the FCE overall fit to the Rasch rating scale model. Few problematic items responding differently to clinician and worker both at admission and discharge were detected with the differential item functioning analysis despite the excellent concordance rate using the two conventional statistics-sitting and handling items at admission and handling item at discharge. Conclusion: The item-level speculations using Rasch analysis of the FCE demonstrate that the ratings of clinician and self ratings of worker were psychometrically acceptable though there was an apparent discrepancy between the raters both at admission and discharge.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.63-80
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• 2009

Objectives: This study identified how personal characteristics, healthy behavior and social capital might influence on physical activity of adults. Methods: This study used data from the health survey of a city of Korea. We surveyed 1,000 adults sampled by stratified sampling methods from 67,889 households. Outcome variable was the stage of physical activity which was broken into 5 categories. Sociodemographic factors, healthy behavior, self-rated health status and social capital were used as control variables. Sociodemographic factors included age, sex, educational status, economic status measured by deprivation score, residential period within survey city. Social capital was measured by Integrated Questionnaire for the Measurement of Social Capital (SC-IQ). This study used chi-square test and ordered logistic regression models to examine the associations between independent variables and physical activity. Variables were added to the regression model in three groups using a hierarchical approach. Results: Physical activity was significantly more likely to become active if they have higher educational status, healthier behavior. Among the six dimensions of SC-IQ, only "groups and networks" that is structural dimensions of social capital and "trust and solidarity" that is cognitive dimensions of social capital were significantly related to physical activity of adults. We found that a person having higher density of membership and having larger size of networks showed the high possibility of active physical activity. A person having high solidarity was significantly associated with physical activity, but general trust was inversely related to physical activity. Output dimensions of social capital did not show significant relationship to physical activity. Conclusion: We found that social capital is useful concept to explain health behaviors like physical activity. However we must consider social, cultural and political context of the study to evaluate the effect of social capital to health status and health determinants and to capture the exact meaning of relationship between them. We suggest further researches to refine the concept of social capital and to explain the relationship of social capital to diverse health determinants.

• 지역사회간호학회지
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• 제6권1호
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• pp.84-97
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• 1995

There is a widespread concern that women's increasing involvement in dual role (job plus family role) may harm their physical health. Longevity of women is longer than that of men. By contrast, prevalence rate is higher in women than men, and No. of prevalence days, No. of days in bed and No. of days with treatment are more in women. Generally, women live longer, but women are worse in health status than men. Rate of labor participation in women is increasing gradually in Korea. This study presents an analysis of the relationships between employment. marital status and health for both Korean women and men to examine how women's increasing involvements in dual role affect their physical health. The data used in this analysis were collected by The National Statistical Office in the spring of 1992. Households, which were sampled by using a three-stage stratified cluster sampling method, were interviewed. Response rate was 99.43%. Of these, student or widowed or divorced people were excluded. 47,552 women and men aged 21-50 were available for the analysis. Health status was measured by self-assessed health status (1=excellent, 5=poor), No. of prevalent days, No. of days with treatment, and No. of days in bed in two previous weeks. And control variables are age, and education. Research findings are as follows : 1. Men have better self-rated health, fewer prevalent days, fewer days in bed, and fewer days with treatment than women. 2. The employed are more healthier than the non-employed. 3. Unmarried people are more healthier than married people. 4. Interaction effects of sex, marital status, employment are significant. This finding shows that effects of empolyment, marital status on health status is not same for women and men. 5. For male, employed people are more healthier than non-employed people. Unmarried people are more healthier than married people. This differences are significant. For female, The employed are more healthier than the non-employed. However, no differences are noticed between the married and the unmarried in health status. In conclusion, there is no evidence that women's involvements in dual role affect their physical health negatively.

• 대한간호학회지
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• 제30권4호
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• pp.893-904
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• 2000

The sample of this study consisted of 140 informal caregivers who provided care to the older adults(over 60 years of age) in Great Cleveland, USA. Self-rated questionnaires were utilized to collect information. The purpose of the study was to identify coping strategies most frequently utilized by informal caregivers of older adults and to examine predictors of the caregivers' health responses to the caregiving situation applying Lazarus and Folkman stress model(1984). Stepwise multiple regression was used to identify significant predictors among caregivers' demographic-socio-economic factors, older adult's dependency of activities of daily living(ADLs), caregiver's appraisal to the caregiving situation, and coping strategies. Informal caregivers (N=140) included in the study utilized help-seeking and problem-solving coping strategies more than self-blame and minimization of threat coping strategies. Caregivers' responses to the caregiving situation were observed by caregivers' perceived physical health, depression and life satisfaction. For perceived physical health, threat appraisal, older adult's dependency on ADLs, existential growth coping strategy, and monthly income accounted for 25% of the variance. Caregivers who appraised the caregiving situation as more threatening, reported higher dependency on ADLs, used more existential growth coping strategy, and had higher monthly income reported better physical health. For depression, threat appraisal, stress appraisal, existential growth coping strategy, self-blame coping strategy, and monthly income accounted for 48% of the variance. Caregivers who used more existential growth coping and less self-blame coping, appraised the situation as less threatening, less stressful, and had higher monthly income reported less depression. For life satisfaction, self-blame coping, existential growth coping, monthly income, stress appraisal accounted for 49% of the variance. Caregivers who used more existential growth coping, less self-blame coping, less stress appraisal, lower monthly income reported better life satisfaction. In conclusion, informal caregivers in this study utilized positive coping strategies such as problem-focused, existential growth, help-seeking, rather than negative coping strategies including self-blame. When they utilized positive coping strategies more often, caregivers experienced higher perceived physical health, higher life satisfaction and lower depression. Therefore, nursing intervention which utilized positive coping strategies is needed to enhance informal caregivers to have positive health responses to the caregiving demands.

• 치위생과학회지
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• 제15권5호
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• pp.594-602
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• 2015

본 연구는 구강건강상태와 구강건강관리 행태에 따른 삶의 질을 측정하기 위하여 2013년 3월부터 7개월간 일부지역의 치과병 의원에 내원한 환자를 대상으로 구강검사 및 설문조사를 실시하여 최종 384명을 분석하였다. OHIP-14는 일반진료를 받은 환자에서 가장 높았고, 하위영역으로 기능제한 교정치료 8.27점, 신체적 동통 7.24점, 정신적 불편감 7.90점, 신체적 능력저하 7.79점, 정신적 능력저하 8.14점, 사회적 능력저하 8.24점 모두 일반진료에서 높았고, 사회적 불리에서는 교정치료(8.78)점으로 통계적으로 유의한 차이를 보였다. 성별에서는 모두 남자에서 높았고, 연령에서는 연령이 증가할수록 삶의 질이 나빠졌으며, 직업은 주부에서 대부분 낮게 나타났고, 전신질환이 없는 경우 삶의 질이 높게 유의한 차이를 보였다. 구강건강관리 행태에서는 정기검진을 받지 않고, 통증 시 치과내원이 가능한 경우 삶의 질이 높게 유의한 차이를 보였다. 구강건강상태에서는 실란트 시술을 받은 치아, 충전치료를 받은 치아와 상실치아, 보철치료를 받은 치아, 임플란트 식립 치아가 없는 경우 삶의 질이 높은 것으로 나타났다. 이상의 결과에서 개인의 삶의 질에 영향을 향상시키기 위해서는 개인의 구강건강관리 시스템구축뿐만 아니라 사회적으로도 예방진료와 구강보건교육을 바탕으로 관리시스템을 구축하여 자연치아를 오래 보존 하여야 할 것이다. 또한 이를 기초로 하여 삶의 질을 향상하기 위한 끊임없는 노력과 연구들이 이루어져야 하리라 생각된다.

• 대한지역사회영양학회지
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• 제6권5호
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• pp.773-788
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• 2001

The purpose of this study was to investigate the difference in nutrient intake according to the level of self-perception of health status, aging status and life satisfaction of the rural elderly. The factors for the study were surveyed by interview method. The subjects were 270 people(71 male, 129 female) aged over 65 years(73.5 $\pm$ 5.6ys) in the Ham-an area. The obtained results as follows : By evaluation of self-perception of health status, 57.5% of subjects answered they are in a bad health condition. The 91.5% of subjects had diseases(rheumatitis & arthritis 31.4%, cardiovascular disease 20.2%, gastric disease 10.2%). The women had more diseases than the men(p < 0.01). The subjects took medical treatment in private hospital(40.5%) and public health centers(35.0%). The men showed better level of aging status(p < 0.001) and life satisfaction index(p < 0.01) than the worsen. Living with spouse influenced the aging status(p < 0.05) and the more pocket money influenced life satisfaction(p < 0.05) and aging status(p < 0.05). The elderly who eat regularly 3 times a day(p < 0.05) and have a good appetite(p < 0.001) appeared to have positive effect on the self perception of health status and aging status. An increasing level of the self-perception of health status and regular exercise worked to improve aging status(p < 0.001). The habits of smoking and alcohol drinking, however had no effect on any index. The self-perception of health status affected the nutrient intake, but only in female elderly. The aging status and the life satisfaction index related overall positively to the intake of nutrients. In conclusion, the study shows that gender did influence nutrient intake in the elderly. The women who live alone rated lowest in social resources and health condition therefore their nutrient intake was also extremely in deficit. For successful aging, a program for rural elderly is needed, i.e. actions to provide minimum economic life, food delivery and psychological/physical health care through regional public health centers.

• 보건교육건강증진학회지
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• 제26권3호
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• pp.49-62
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• 2009

Objectives: To identify factors affecting the health of male professional soldiers. Methods: Cross-sectional questionnaire data was collected from a randomly stratified sample population of 763 officers and sergeants who were employed in 34 units in the Korean military. Data were statistically analyzed using Chi-square test and multiple logistic regression analysis. Results: Work environment and personal health behavior were influential factors, which were differentiated by recent disease history including cardiovascular disease and self-rated health status. Sergeants in special forces/units or engaged in front-line military activities, and soldiers who were current smokers and heavy drinkers were more likely to have been diagnosed with a disease in the preceding three months. Those who were older, obese, and heavy drinkers were more likely to have cardiovascular disease than those who were less obese and more physical active. Soldiers exhibiting signs of extreme stress were more likely to poorly self-rate their health status. Conclusion: Health behaviors and characteristics of work environment significantly influence the health status among Korean professional soldiers. Health promotion strategies are needed to change individual heath behaviors such as smoking, alcohol consumption, and work stress. A healthier working environment should also be promoted.

• 한국콘텐츠학회논문지
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• 제18권11호
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• pp.623-633
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• 2018

이 연구는 65세 이상 노인의 배우자 유무를 통해서 유배우자 집단과 무배우자 집단의 인구사회학적특성, 건강행태 및 주관적 건강수준, 질병이환, 건강관련 삶의 제한 및 건강관련 삶의 질에 대한 포괄적인 평가를 해 보고자 하였다. 평가를 위해 2014년도부터 2016년도까지 3년간의 지역사회건강조사 자료를 분석하였다. 무배우자 집단이 유배우자 집단보다 여성의 비율이 높고, 가구 총 소득이 낮으며 건강행태가 불량하고 만성질환의 이환률이 높아 주관적인 건강수준도 더 낮게 나타났다. 이러한 특성으로 인해 무배우자 집단이 유배우자 집단보다 삶의 질이 낮은 것으로 분석이 되었다. 지금까지 우리의 인식은 노인을 연령기준으로 하나의 집단으로 바라보면서 그들의 평균적인 특성만을 파악하여, 그들이 가진 여러 가지 상황 문제를 간과하는 결과를 초래하고 있었다. 본 연구의 결과를 통해 배우자유무에 따라서도 노인들의 신체적 정서적 사회적 문제에 포괄적인 조치가 필요함을 알 수 있었다. 또한 개별적인 노인지지프로그램 개발을 위한 보건학적 접근과 더불어 사회 복지적 측면의 개선이 필요한 것으로 나타났다.

• 한국콘텐츠학회논문지
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• 제12권8호
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• pp.300-309
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• 2012

본 연구는 여대생들의 건강행태와 건강상태가 사회성에 미치는 영향과 사회성이 대학생활 만족도에 미치는 영향에 대하여 파악하고자 하였다. 대상은 부산, 대구, 경남에 소재한 보건관련 전공 여자 전문대학생 335명으로, 일반적 특성, 사회성, 대학생활만족도, 건강행태, 건강상태, 인터넷 중독 등을 설문 조사하였다. 분석방법은 chi-square test, t-test, one-way ANOVA, ANOVA for trend 및 구조방정식을 통해 분석하였다. 그 결과 사회성 하위요인으로는 책임성이 영향력이 가장 컸으며, 책임성은 만나이가 높을수록(p<0.001) 높았으며, 본인 인지 체형이 매우 마른경우에서 낮았다(p=0.005). 사회성에는 만나이(p<0.001), 주관적 건강상태(p<0.001), 고3 체육수업(p=0.004)이 직접적인 영향을 보였다. 또한 사회성은 대학생활 만족도에 직접적 영향력을 보여, 만나이가 많을수록, 주관적 건강이 높을수록, 고 3체육수업을 할수록 사회성이 높아져 대학생활 만족도가 높아지는 것으로 나타났다. 따라서 대학생활 만족도를 높이기 위한 방안으로 고등학생의 체육활동 강화와 이들의 삶의 질 향상을 위한 다각적 노력이 필요한 것으로 판단된다.