• Health Policy and Management
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• v.20 no.2
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• pp.104-127
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• 2010

To vitalize the link program of Korean long-term care insurance system to community-based services for non-eligible people, we analysed the claim data from the Korean National Health Insurance Corporation (NHIC), and conducted a questionnaire survey to charging employees of elderly service department at local governments. The subjects were all 81,377 people, 57,454 of them were arranged to community-based services. The link program was more necessary among the missed subjects rather than the arranged people due to the need for physical or psychological assistance. By the result of the survey to the local government employees, 59.5% of subjects responded their proportion of link service was over 10% and under 20%, and 54.3% of them responded their job boundary are not clear. Major type of linking was notification the subject list to local government, 91.4%; proportion of periodical notification on the status of their service link were 57.1%, only 7.1% were followed to manage after the link. Difficult factors at the link process were pointed out the overload by other side work, deficiency of resources, rigidity of priority of link, and so on. Considering these results, to vitalize the community-based services to the non-eligible people, it may be essential the active participation of the subjects, construction of parts working in coordination among the institutions including NHIC, local governments, and service providers; development of various services for maintenance or promotion of the non-eligible peoples' health and functional status; and active participation of institutions from the third sector, and so on.

• The Journal of Korean Society for School & Community Health Education
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• v.25 no.2
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• pp.1-14
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• 2024

Objectives: The purpose of this study is to analyze the relationship between health information literacy and life satisfaction according to households type of the elderly targeting 9,820 people aged 65 or older using data from the 2021 Community Health Survey. Methods: This study used SPSS 27.0 to conduct logistic regression analysis to analyze the relationship between the study subjects' health literacy and life satisfaction. Results: Single-person households had higher life satisfaction when they perceived written health literacy to be easy to understand, and multi-person households had higher life satisfaction when they perceived health information explained verbally by medical staff to be easy to understand. Conclusions: There is a need to develop customized education programs and elderly health policies that take into account the characteristics of each households type.

• Journal of agricultural medicine and community health
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• v.49 no.2
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• pp.111-120
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• 2024

Objective: This study aimed to analyze the correlation between factors affecting health risk behaviors of rural residents according to regional scale. Methods: Restricted-access data from the 2016~2021 Korea National Health and Nutrition Examination Survey and the multivariate probit model were used. As for health risk behaviors, smoking, drinking, lack of aerobic exercise, low level of healthy eating index, unvaccination, and non-participation in health examination were considered. Results: Controlling for individuals' socio-demographic characteristics, in general, correlation coefficients between unobservable factors affecting health risk behaviors were significant. However, the magnitude and statistical significance of the correlation coefficients varied by regional scale (dong/eup/myeon). This suggests that rural residents engage in health risk behaviors due to their different characteristics compared with urban dwellers, which also varies by whether residents are located in eup or myeon area. Conclusion: It is necessary to differentiate health care services between urban and rural areas in terms of type of service and programs based on the relationship between unobservable factors affecting each type of health risk behaviors.

• The Journal of Korean Society for School & Community Health Education
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• v.24 no.3
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• pp.23-35
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• 2023

Objectives: The purpose of this study is to examine the marital status, drinking behavior, and mental health characteristics of alcohol consumers, and to explore the relationship between marital status and mental health among alcohol consumers. Methods: The research data utilized raw data from the 8th Korea National Health and Nutrition Examination Survey (2020), Second Round. A total of 3,713 participants were included in the final analysis. Data analysis was performed using the statistical software SPSS version 26.0. Results: The relationship between the study participants and mental health revealed that compared to those with a spouse, individuals who were divorced or separated had an odds ratio (OR) of 2.598 for 'depression' and an OR of 2.142 for 'suicidal thoughts'. In the case of 'stress perception', individuals who were divorced or separated had an OR of 3.434. In terms of gender, females had an OR of 4.867 for 'depression', an OR of 2.510 for 'suicidal thoughts', and an OR of 1.847 for 'stress perception', compared to males. Regarding age, the odds of 'depression' were 1.801 times higher in the 60 to 79 age group compared to the 18 to 39 age group. For smoking status, smokers had an OR of 2.812 for 'depression' compared to non-smokers. The OR for 'suicidal thoughts' was 3.047, and the OR for 'stress perception' was 1.463. However, the relationship between mental health and binge drinking frequency and quantity of alcohol consumed in a single session was not significant. Conclusion: The divorced, separated, or bereaved groups may be vulnerable to 'depression,' 'suicidal ideation,' and 'stress.' Therefore, there is an expectation to explore strategies for the development and enhancement of community-based mental counseling and health education support programs, aiming to improve the mental well-being and quality of life of individuals and the local community.

• The Journal of Korean Society for School & Community Health Education
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• v.18 no.3
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• pp.45-53
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• 2017

Objectives: This study aimed to analyze the association between adolescent depression and personal factors such as interpersonal relationship and personal characteristics. Methods: The data used for this study was taken from the 2014 Korean Children and Youth Panel Survey. Of those 2,351 subjects in a data set, data of 1,938 subjects were analyzed after excluding 413 subjects with missing information. Hierarchical regression analysis was conducted for multi-variate analysis. In addition, controlling effects of ego-resiliency was analyzed. SPSS 22.0. was utilized for statistical analyses. Results: The study found that the depressive index was higher in women than men, and lower in adolescent who has a good relationship with parents and friends. This study also found that adolescents with high ego-resiliency are more vulnerable to depression. Conclusions: It is recommended to understand and to utilize ego-resiliency of adolescents, in order to reduce adolescents depression. Promoting good relationship with parents and friends will also positively impact to lower adolescents depression.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.11
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• pp.6965-6969
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• 2013

Background: Tobacco consumption has been identified as the single biggest cause of inequality in morbidity and mortality. Understanding pattern of socioeconomic equalities in tobacco consumption in India will help in designing targeted public health control measures. Materials and Methods: Nationally representative data from the India Global Adult Tobacco Survey (GATS) conducted in 2009-2010 was analyzed. The survey provided information on 69,030 respondents aged 15 years and above. Data were analyzed according to regions for estimating prevalence of current tobacco consumption (both smoking and smokeless) across wealth quintiles. Multiple logistic regression analysis predicted the impact of socioeconomic determinants on both forms of current tobacco consumption adjusting for other socio-demographic variables. Results: Trends of smoking and smokeless tobacco consumption across wealth quintiles were significant in different regions of India. Higher prevalence of smoking and smokeless tobacco consumption was observed in the medium wealth quintiles. Risk of tobacco consumption among the poorest compared to the richest quintile was 1.6 times higher for smoking and 3.1 times higher for smokeless forms. Declining odds ratios of both forms of tobacco consumption with rising education were visible across regions. Poverty was a strong predictor in north and south Indian region for smoking and in all regions for smokeless tobacco use. Conclusions: Poverty and poor education are strong risk factors for both forms of tobacco consumption in India. Public health policies, therefore, need to be targeted towards the poor and uneducated.

• Research in Community and Public Health Nursing
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• v.23 no.3
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• pp.296-306
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• 2012

Purpose: This study was conducted to measure the relationships between ecological factors and Navy personnel's physical activity (PA) based on McLeroy's Ecological model. Methods: A cross-sectional survey was conducted with a convenience sample of 184 Navy personnel working in 10 Navyships. A self-reporting questionnaire consisted of measures of intrapersonal, interpersonal, organizational and community factors related to Navy personnel` s PA. Data were analyzed by descriptive statistics, $x^2$-test, t-test, analysis of variance, and hierarchical multiple regression using SPSS/WIN 17.0 programs. Results: Their mean PA level was $2,848.1{\pm}3,344.5$ MET-min/week, and mostly moderate level (50.5%). Hierarchical multiple regression analysis showed that religion, working department, working type, perceived health status and community environment were significant PA correlates. Conclusion: Community environmental factors as well as intrapersonal factors were significantly associated with Navy personnel's PA, indicating that community health nurses should expand an approach for individual-level behavioral change to incorporate Navy personnel specific community environmental barriers into PA interventions.

• Research in Community and Public Health Nursing
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• v.23 no.4
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• pp.358-365
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• 2012

Purpose: The purpose of this study was to investigate factors associated with the intention to quit smoking in community-dwelling elderly smokers. Methods: From the database of the Fourth Korean National Health and Nutrition Examination Survey (KNHANES-IV), the researchers selected 448 elderly smokers over the age of 65. Data were analyzed with the $x^2$ test and multiple logistic regression using the SPSS/WIN 18.0 program. Results: Of the respondents, 45.5% intended to quit. The factors associated with the intention to quit were relative youth, having limit of activity day living and having past attempts to quit. Conclusion: Population-based smoking cessation programs, especially those targeted at the elderly, should take these predictors into consideration in the design of interventions.

• The Journal of Korean Society for School & Community Health Education
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• v.11 no.1
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• pp.41-55
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• 2010

Objectives: This study was conducted to identify the characteristics of health behavior and self-esteem and the relationship between the two factors among elementary school students with multi-cultural family background. Participants: Survey participants were 87 multi-cultural family children who lived in Seoul and Kyoungi areas and were registered in the local elementary schools. Methods: Data collection was conducted by face-to-face interview survey. Elementary education majored undergraduate students who participated in the education support program for multi-cultural family children in the Ministry of Education and Science and primary researcher of this study interviewed the target students and finished the survey questionnaire based on the students' responses. Survey included general characteristics, multi-cultural family characteristics, self-esteem, and (physical, mental, and social) health behavior. Results: 1. The self-esteem scores of the multi-cultural families children were greater in girl than boys among the children whose parents were graduated from college or more, and whose father had his job. The participants' health behavior scores were different by mothers' educational level. 2. The better they speak in English the greater the self-esteem scores. There was no statistical difference in health behavior scores by the participants' multi-cultural family background. 3. Self-esteem had moderate level correlation with health behavior (r= .56, p= .00) including all sub-categories of physical, mental, and social health. Conclusions: Positive self-esteem level is more sensitive to explain multi-cultural family children's health behaviors, which means that self-esteem is an important factor determining multi-cultural children's health behaviors and their health status in future. Therefore, more research to identify the factors related to health behaviors should be supported and the health promotion programs utilizing self-esteem should be developed for the child and youth with multi-cultural family backgrounds.

• Journal of Korean Academy of Nursing
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• v.43 no.2
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• pp.176-184
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• 2013

Purpose: The purpose of this study was to investigate expectations regarding aging by middle-aged women in the community, and identify factors contributing to their expectations about aging. Methods: Participants in the survey for this study were 303 middle-aged women from community health centers and religious facilities in Seoul, Gyeonggi Province, and Chungcheongbuk Province. Data were collected from March 2 to April 17, 2012 using self-report structured questionnaires. The instruments were the Health Perceptions, Rosenberg Self-esteem Scale (RSES), Family APGAR, Expectations Regarding Aging (ERA-12). The data were analyzed using t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficients and hierarchical multiple regression with IBM SPSS/WIN 20.0 program. Results: Perceived health status (${\beta}$=0.16, p=.009) and self-esteem (${\beta}$=0.20, p=.001) of middle-aged women were identified as significant predictors of expectations regarding aging, after adjusting for age, education, occupation, monthly income and menstrual status. Conclusion: These results suggest that nurses should make an effort to improve expectations about aging among middle-aged women. Ultimately, community health programs for middle aged women need to be developed to achieve successful aging.