• Title/Summary/Keyword: community health problem

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Coping Strategies of Adolescents: Predictor Variables (청소년의 긴장에 대한 대처전략과 관련변인)

  • Chung, Moon Ja;Chung, Hyun Sook
    • Korean Journal of Child Studies
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    • v.15 no.2
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    • pp.3-19
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    • 1994
  • The purpose of this study was to investigate adolescents' coping strategies to various stressors, and to examine factors that related to their coping strategies. The subjects of the study were 355 middle school and 398 high school students. Adolescents' coping strategy was examined with a revision of the Family Crisis Oriented Personal Scale (McCubbin, Olson, & Larson, 1982). Quality of life was measured by an 11-item scale selected from Quality of Life (Olson & Barnes, 1982) in the areas of family, friend, relationship with relatives, and health and community. Parent-adolescent communication was divided into two dimensions of open communication and problem communication, using Parent-Adolescent Communication(Barnes & Olson, 1982). A measure of the self-esteem of adolescents was obtained by using selected items from the Self-Esteem Inventory(Coopersmith, 1967) and Self-Esteem Scale (Rosenberg, 1965). Five types of coping strategies were found. These are "help from relatives/neighbors", "help from families", "self-help", "help from friends", and "help from religion". Hierarchical regression analyses were conducted to examine significant predictor variables for adolescents' coping strategies. Sex, age, quality of parent-adolescent communication, family cohesion and adaptability, religion, and self-esteem were found important in predicting the types of coping strategies by adolescents.

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A Study on the Operating Problems in Dental Mechanical Laboratory in Korea and Their Reformation Devices (한국(韓國) 치과기공소(齒科技工所) 운영상(運營上) 문제점(問題點)과 개선방안(改善方案)에 관(關)한 조사(調査) 연구(硏究))

  • Choi, Un-Jae
    • Journal of Technologic Dentistry
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    • v.18 no.1
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    • pp.39-65
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    • 1996
  • The purpose of this to inquire of the people who run a dental mechanical laboratory having troubles to manage and to find out the reform measures on the point at issue. With having done random sampling for the chiefs of dental mechanical labs across the nation, and then marking the analysis of the data for the survey, I came to a conclusion to be as follow. 1. The operating problems in dental mechanical laboratory in Korea is that it is too near at hand that the requested days for the manufacture of dental prosthesis appliances form dental clinics(45%)(P<0.01) 2. The problem of dental mechanic manpower was due to a small salary and inferior working environment(35% each)(P<0.01) 3. Some of them discount dental mechanical charges in manufacturing dental prosthesis appliances(36.7%)(P<0.01) 4. Many of them employed unlicensed dental technicians(61.7%)(P<0.01) As a counterplan for the aforementioned, I think that the whole dental mechanics should cooperate in breaking off the customary custom to allow a discount on the dental mechanical charges and readjust the dental mechanical charge to a realistic level so as to contribute to the development of the dental mechanical community and the vetterment of the public oral hygience.

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Distribution of the Population at Risk of Cholangiocarcinoma in Bua Yai District, Nakhon Ratchasima of Thailand Using Google Map

  • Kaewpitoon, Soraya J;Rujirakul, Ratana;Sangkudloa, Amnat;Kaewthani, Sarochinee;Khemplila, Kritsakorn;Cherdjirapong, Karuna;Kujapun, Jirawoot;Norkaew, Jun;Chavengkun, Wasugree;Ponphimai, Sukanya;Polsripradist, Poowadol;Padchasuwan, Natnapa;Joosiri, Apinya;Wakkhuwattapong, Parichart;Loyd, Ryan A;Matrakool, Likit;Tongtawee, Taweesak;Panpimanmas, Sukij;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1433-1436
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    • 2016
  • Background: Cholangiocarcinoma (CCA), a major problem of health in Thailand, particularly in Northeastern and Northern regions, is generally incurable and rapidly lethal because of presentation in stage 3 or 4. Early diagnosis of stage 1 and 2 could allow better survival. Therefore, this study aimed to provide a distribution map of populations at risk for CCA in BuaYai district of Nakhon Ratchasima province, Northeast Thailand. Materials and Methods: A cross-sectional survey was carried out in 10 sub-districts and 122 villages, during June and November 2015. The populations at risk for CCA were screened using the Korat CCA verbal screening test (KCVST) and then risk areas were displayed by using Google map (GM). Results: A total of 11,435 individuals from a 26,198 population completed the KCVST. The majority had a low score of risk for CCA (1-4 points; 93.3%). High scores with 6, 7 and 8 points accounted for 1.20%, 0.13% and 0.02%. The population at risk was found frequently in sub-district municipalities, followed by sub-district administrative organization and town municipalities, (F=396.220, P-value=0.000). Distribution mapping comprised 11 layers: 1, district; 2, local administrative organization; 3, hospital; 4, KCVST opisthorchiasis; 5, KCVST praziquantel used; 6, KCVST cholelithiasis; 7, KCVST raw fish consumption; 8, KCVST alcohol consumption; 9, KCVST pesticide used; 10, KCVST relative family with CCA; and 11, KCVST naive northeastern people. Geovisual display is now available online. Conclusions: This study indicated that the population at high risk of CCA in Bua Yai district is low, therefore setting a zero model project is possible. Key success factors for disease prevention and control need further study. GM production is suitable for further CCA surveillance and monitoring of the population with a high risk score in this area.

Prevalence and Related Factors of Knee Osteoarthritis in Rural Woman (농촌지역 여성들의 무릎 골관절염 유병률 및 관련요인)

  • Kang, Pock-Soo;Kim, Seok-Beom;Lee, Kyeong-Soo;Yun, Sung-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.4
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    • pp.331-336
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    • 2001
  • Objectives : To assess the prevalence of knee osteoarthritis through proper diagnosis in a rural community and to elucidate the relevant factors of this health problem in order to develop educational methods for the prevention of female knee osteoarthritis as well to provide basic data for prospective research. Methods : Over a period of three months starting from August, 2000, 432 women over the age of 40 and living in a rural area were selected by a multistage cluster sampling method in order to investigate the prevalence of knee osteoarthritis and the related factors. The study utilized interviews and radiological examination. The criteria of knee osteoarthritis used was the American College of Rheumatology classification criteria for osteoarthritis of the knee(1995). Results : The adjusted prevalence of knee osteoarthritis among the subjects was 55.0%, and multiple logistic regression analysis showed that the odds ratio(OR) of knee osteoarthritis among subjects 50-59 years of age and subjects older than 60 years of age as compared to subjects 40-49 years of age were 2.43(95% CI: 1.30-4.70) and 4.40(95% CI: 2.47-7.83), respectively. The OR of knee osteoarthritis among factory workers or farmers as compared to others was 1.79(95% CI: 1.03-3.12). The OR of knee osteoarthritis among subjects who had a family history and subjects who had knee injury or surgical history against those subjects had neither were 2.56(95% CI: 1.42-4.03) and 4.70(95% CI:1.45-15.19), respectively. The OR of knee osteoarthritis among smokers against non smokers was 0.47(95% CI: 0.22-0.97). Conclusions : Related factors of knee osteoarthritis included age, occupation, family history, smoking, knee injury and history of surgery In order to prevent knee osteoarthritis in high risked rural woman, education concerning self-care methods and safety guideline must be provided at the work place by the public and private health sectors. Additionally, these women should be continually encouraged to exercise, including jogging and swimming regularly.

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Effects of Ego integrity on QoL of Elderly Living Alone: Focused on Moderating Role of SF36 Health Factors (독거노인의 자아통합감이 삶의 질에 미치는 영향: 주관적 건강요인별 조절효과를 중심으로)

  • Shin, Hakgene;Jeon, Sang-Nam;You, Gil-Jun;Lee, Eun-Yong
    • 한국노년학
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    • v.30 no.4
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    • pp.1179-1195
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    • 2010
  • In this study, we investigated the effects of ego integrity on QoL(Quality of Life) of elderly living alone, where we focused on moderating role of SF36 health factors. To investigate the cause and effect of factors, we purposively collected 282 samples from senior welfare centers in Jeonju city and exploited reliability analysis, confirmatory factor analysis and SEM(Structural Equation Modeling) for 265 cases excluding some cases with missing values. As the results, first, we confirmed ego integrity was positive predictor of QoL. Second, it was proven that the effect of ego integrity on QoL of elderly living alone was stronger in the lower physical functioning group than higher physical functioning group. Third, we also verified that the group with more difficulties in activities or work as a result of poor physical health showed higher effect of ego integrity on QoL. Based on the results, we could explain the reason of conflicts regarding how elderly's health influenced on ego integrity. Also, in the practice of intervention to elderly's problem, we found the health factors could be an indicator of direction or effect of the intervention

The Study on the Family Functionality and Spousal Relationship of Middle-aged Women to Develop Health Promoting Program (중년여성의 건강증진 프로그램 개발을 위한 기초연구 -가족기능과 부부관계를 중심으로-)

  • Yang, Kyung-Hee;Kim, Young-Hee
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.680-695
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    • 2001
  • The purpose of this study was to provide basic data for developing nursing intervention for middle-aged women. This study identified health status, family functionality and spousal relationship and analyzed relationship between individual characteristics and family functionality/ spousal relationship. The subjects, of this study were 1.723 women from 45 to 55 years of age, who lived in J city. Data were analyzed using percentages, means, t-tests, ANOVA and Pearson's correlation coefficients with the SPSS statistical program. The results of the study were as follow: 1. The rate of women who perceived themselves to be healthy was 36.6%, those who did not was 30.8%. The most frequent health problem was a disease of the skeletal system (13.2%). 2. The mean score of family functionality was $3.25{\pm}.60$, with cohesion score of $3.58{\pm}.66$ and adaptability score of $2.99{\pm}.63$. 3. The mean score of total spousal relationship was $3.22{\pm}.42$; the relationship with in-laws was 3.78; sexual relationship, 3.74; life style, 3.44; and recreational activity. 3.39. 4. The women who experienced menopause perceived themselves to be unhealthier than those who did not. 5. Healthy women had a high score at total spousal relationship. personality of spouse. life style, recreational activity, and children's influence. 6. The women from 40 to 50 years of age. and women who graduated from middle or high school and had medium economic status showed a high score in family functionality. There was no correlation between family functionality and experience of the menopause. 7. Lower aged women were not good in personality of spouse (p<.05), sexual relationship (p<.05), and relationship with relatives (p<.05), Inexperienced women's menopause was influenced by their children (p<.05), Women who graduated from middle or high school (p<.001) and had medium economic status (p<.05) showed a high score in spousal relationship. 8. The higher the family functionality score. the higher spousal relationship. score (p<.001): love and communication (p<.001), personality of husband (p<.05), and religion (p<.001). relationship with relatives (p<.05), but the lower the score of recreational activity (p<.05), and share of role (p<.001) in the spousal relationship. 9. In the family functionality, the higher the cohesion score. the higher was the adaptability score (p<.001). l) The higher the cohesion score, the higher were love and communication, personality of husband. life style. sexual relationship. and children's influence, but the lower were share of role in spousal relationship(p<.001). 2) The higher the adaptability score, the higher were love and communication, religion, but the lower were the personality of husband, life style. sexual relationship, recreational activity, relationship with relatives, share of role(p<.001), and children's influence in spousal relationship (p<.05). 10. Variables within the spousal relationship have relationships with other variables. 1) The higher the love and communication score. the higher personality of husband religion, life style, communication. relationship with relatives, and children s influence (p<.001). 2) The higher personality of husband life style sexual relationship. recreational activity, relationship with relatives, share of role, and children's influence (p<.001). 3) The higher the religion score, the lower the recreational activity score (p<.05). 4) The higher the life style, the higher were the sexual relationship, recreational activity. relationship with relatives. share of role, and children's influence (p<.001). 5) The higher the sexual relationship score. the higher were recreational activity. relationship with relatives, share of role. and children's influence (p<.001). 6) The higher the recreational activity, the relationship with relatives, share of role. and children's influence (p<.001). 7) The higher the relationship with relatives, the higher were the share of role. the higher children's influence (p<.001). In conclusion. the spousal relationship was not good in unhealthy women, and the family functionality was related with the age of women and educational level. Also the spousal relationship was related with the age of women, personality of husband, sexual relationship. relationship with relatives by marriage and influence of sons and daughters. Menopause was related with spousal relationship, not related with family functionality. And the family functionality not related with perceived health status. but was correlated with spousal relationship. Therefore, the health management program for middle-aged woman should take place before menopause and must be based on promoting the family functionality and spousal relationship as well as physical health.

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Gender Differences in Risk Factors of Self-reported Voice Problems (성별에 따른 주관적 음성문제 인지와 관련 위험 요인)

  • Byeon, Hae-Won;Hwang, Young-Jin
    • Phonetics and Speech Sciences
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    • v.4 no.1
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    • pp.99-108
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    • 2012
  • Recent research has identified that self-reported voice problems are a risk indicator for voice disorders. However, previous studies concerning the general population did not take into account the influence of gender on self-reported voice problems. The purpose of the present cross-sectional study was to determine the gender differences in risk factors of self-reported voice problems in the Korean adult population using national survey data. This study utilized data from the Korea National Health and Nutritional Examination Survey 2008. Subjects inclued 3,622 people (1,508 male and 2,114 female) aged 19 years and older living in the community. Data were analyzed using t-test, one-way ANOVA, and multiple logistic regression. The prevalence of self-reported voice problems was 5.9% in males, and 8.1% in females Females had higher incidents of self-reported voice problems than males. Adjusting for covariates, in males, age (OR=2.47, 95% CI: 1.07-5.70), pain and discomfort during the last two weeks (OR=3.64, 95% CI: 2.20-6.01) were independently associated with self-reported voice problems (p<0.05). In women, age (OR=1.96, 95% CI: 1.18-3.26), education (OR=2.09, 95% CI: 1.06-4.12), smoking (OR=2.70, 95% CI: 1.48-4.93), thyroid disorders (OR=2.58, 95% CI: 1.47-4.53), pain and discomfort during the last two weeks (OR=1.75, 95% CI: 1.21-2.54) were independently associated with self-reported voice problem (p<0.05). Self-reported voice problems related risk factors differed according to gender. These findings suggest that there needs to be different program strategies that reflect gender differences in self-reported voice problems.

Elderly people's understanding level of their life style in next generation (차세대 노인의 노후생활 형태 인식에 관한 연구)

  • Kim, Hee-Chung;Chung, Yeong-Kang;Gwun, Young-Mi
    • Research in Community and Public Health Nursing
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    • v.8 no.2
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    • pp.211-224
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    • 1997
  • The purpose of this study is to find a solution to effectively nurse elderly people in the aging society of next generation by analyzing relationship among the social problem of elderly people in the future society, their preferred life style, and their understanding level of an asylum for the aged. Data for this study were collected by questioning 316 persons(257 visitors at C University hospital and 59 residents in Chun - Ra Nam Do) from December 1996 to March 1997. The results were as follows: The assumption that an individual's preferred life style at old age depends on his /her understanding level of the social problem of elderly people was verified ($X^2=9.75$, p<0.00). The assumption that one's understanding of an asylum for the aged depends on his /her understanding level of the social problem of elderly people was verified ($X^2=4.40$, p<0.05). The assumption that one's understanding of an asylum for the aged depends on his/her pre-ferred life style at old age was verified($X^2=34.51$, p<0.01). Among those who want to live together with children when they get old, the following differences in their conception were noted: Elderly people who has lost his /her wife /husband should marry again(p<0.01). Children should take care of their parents(p<0.01). Children should live with their parents(p<0.01), A desirable living style for an elderly people. An undesirable living style for an elderly people. Among those who want to live alone when they get old, the following differences were observed: It is okay for children to live separately from their parents as long as they provide financial support(p<0.01). Any child, regardless of the distinction of sex or the order of birth among siblings, can take care of his/her parents(p<0.05), It is desirable for an elderly people to live alone (p<0.01). It is undesirable for an elderly people to live in an asylum for the aged(p<0.05). It was verified that those who view an asylum for the aged in a negative way believe that children should take care of their parents. Also, it was verified that those who view an asylum for the aged in a positive way believe that children should provide financial support to their parents even though they do not live together(p<0.01). Regardless of the subjects' opinions on seriousness of the social problem of elderly people, the assumption that any child, regardless of the distinction of sex or the order of birth among siblings, can take care of his/her parents was verified(p<0.01) (p<0.05). Regardless of the subjects' view on asylum for the aged, the assumption that it is undesirable place for an elderly people to live was verified (p<0.01). The assumption that one's understanding of an asylum for the aged depends on the distinction of sex among general characteristics such as sex, age, educational background, occupation, and religion was verified(t=-2.82, p<0.01). The assumption that an individual's preferred life style at old age depends on the distinction of sex among general characteristics such as sex, age, educational background, occupation, and religion was verified(t=l.68, p<0.l).

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A Design Methodology of the Welfare Building for Providing u-Healthcare Services: Focused on the Gayang 7th Apartment Complex (유헬스케어 서비스 제공을 위한 주거복지동 계획방법에 관한 연구: 가양 7단지 영구임대주택을 중심으로)

  • Lee, Ji-Eun;Yoon, Young-Ho;Yang, Dong-Suk
    • Land and Housing Review
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    • v.5 no.1
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    • pp.1-10
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    • 2014
  • Health care services in a residential area would accelerate the aging in place. In addition, these changes would play a key role in terms of reducing healthcare costs and leading a healthy lifestyle. The purpose of this study draws the design methodology of community facilities and each dwelling with healthcare services in apartment complex, which the elderly people will enjoy a better health status. This paper presents the result focused on the welfare building in Gayang 7th apartment complex. The intention to receive healthcare services was investigated by occupants. Moreover, design requirements were drawn through in-depth interviews and the state observation to use the service. In the complex, stronger intention to serve the u-Healthcare services was shown to the pre elderly group than the elderly. Both of them had a problem to use and keep the health equipment due to the fact there is not enough space in the unit. Reporting the observation results, the upright-posture furniture attaching the healthcare equipment and the equipment storage should be prepared in the unit. In the public space, the program for these healthcare services can be divided into three parts, i.e. the health status measurement, the healthcare, and the service connected to the surrounding facilities. The health status measurement can be the basic to the health services and its function should be gradually extended. In the complex, the hybrid type with various functions could be applied owing to a new building for welfare; moreover, semi-independent user should be able to receive the home healthcare service.

A Study on Employment Stress and Self-esteem of Health College Students (일부 보건계열 대학생의 취업 스트레스와 자아존중감에 관한 연구)

  • Shin, Seon-Haeng
    • Journal of dental hygiene science
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    • v.12 no.3
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    • pp.217-225
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    • 2012
  • The purpose of this study is to measure the relation of employment stress and self-esteem in some health college students and to consider a proper means for the solution. The population of the research is some randomly chosen health college students located in Seoul City during the period from May 10 to June 11 2010, and the sample of 295 students were recruited as the analysis object group. The data on general characteristics and employment stress were collected by a questionnaire survey. The collected data were analyzed with the SPSS WIN 12.0 program. The following shows the results of this study. 1. Employment stress was low in high group of satisfaction in campus life. It was statistically significant(p<0.001). 2. Mean scores of total self-esteem in study population were 3.1 and positive self-esteem level(3.76) were higher than negative ones (2.44)(p<0.001). 3. The relation between employment stress and selfesteem(r=0.132) revealed significant correlation. 4. In regression analysis, home economy, competence for a schoolwork, satisfaction in campus life, self-esteem(p<0.001) were proved as significant factors that is related to the employment stress. In other words, It is significant statistically that the lower home economy, competence for a schoolwork, satisfaction in campus life, self-esteem, the higher employment stress level. I suggest with the result of the study that for coping effectively employment stress of health college students, we will need to open an educational development considering self-esteem and an exclusive employment counsel window for better administrationwelfare service in campus, to expand industry-academic cooperation in community. Because of students are independent responsibility of employment, active effort must take precedence in order for the solution of problem by themselves. Also, we will need to create better academic environment and show more concern, consideration, love in family.