• 대한지역사회영양학회지
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• 제22권5호
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• pp.441-455
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• 2017

Objectives: The purpose of this study is to describe beverage patterns among healthy Korean adults and investigate their association with prevalence and components of metabolic syndrome. Methods: Subjects consisted of 6,927 Korean adults, aged 19-64 years in the $6^{th}$ Korea National Health and Nutrition Examination Survey (KNHANES, 2013-2015). Beverages were regrouped into twelve groups based on food codes and beverage intake (g/day) was assessed by 24-hour recall. Factor analysis was used to obtain beverage patterns. Waist circumference and body mass index (BMI) were used as anthropometric data; fasting blood glucose, triglyceride, high density lipoprotein (HDL), and blood pressure were used as biochemical indicators. The odds ratio (OR) for prevalence of metabolic syndrome and components of metabolic syndrome was assessed using logistic regression analysis. Results: Three beverage patterns were identified using factor analysis: 1) carbonated soft drinks 2) coffee (without added sugar or powdered creamer), and 3) alcoholic beverages. Subjects with high scores for the carbonated soft drink and coffee without added sugar or powdered creamer patterns were younger and subjects with high scores for the alcoholic beverage pattern were older. There were significant differences in gender distribution in all three beverage patterns, with men more likely to have high scores for carbonated soft drink and alcoholic beverage patterns. On the other hand, women were more likely to have higher scores for coffee without added sugar or powdered creamer pattern. Within each pattern, there were significant differences in sociodemographic and lifestyle characteristics such as education, household income, frequency of eating out, and smoking status according to the quartile of pattern scores. Alcoholic beverages and carbonated soft drinks patterns were associated with an increased levels of metabolic syndrome components, but coffee without added sugar or powdered creamer was not associated with any of metabolic syndrome components in healthy Korean adults after adjusting for age, sex, education, BMI, weight management, household income, smoking status, frequency of eating out, and energy intake. Conclusions: Alcoholic beverages and carbonated soft drinks patterns are associated with increased levels of metabolic syndrome components while coffee without added sugar or powdered creamer pattern is not associated with any of metabolic syndrome components in healthy Korean adults.

• 인간행동과 음악연구
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• 제2권1호
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• pp.35-46
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• 2005

호스피스 환자들은 질병으로 인한 심리 정서적 문제를 동반하는데 이에 대한 적절한 치료적 개입이 이루어지지 않으면 이러한 문제가 신체화 현상으로 나타나면서 삶의 질을 방해하는 요인으로 작용한다. 본 연구는 음악이 부정적인 자기 은폐(self-concealment)를 감소시키고 언어적 비언어적 표현(self-expression)을 촉진시키는 지를 보고자하는 데에 그 목적을 두었다. 호스피스 기관에 있는 전문가들로부터 추천받은 3명의 말기 환자들을 대상으로 4개월간의 음악치료 세션을 실시하였으며, 음악치료는 각 환자들의 상태에 따라 총 9회에서 11회에 걸쳐 진행되었다. 자기은폐척도(Self-Concealment Scale: SCS)와 자기서술문(Personal Descriptive Essays)을 이용하여 음악치료프로그램 사전, 사후 검사를 실행한 후 양적 및 질적 자료를 산출하여 결과를 분석하였다. 연구 결과 다양한 음악적 개입 중에서 특히 노래를 중심으로 구성된 프로그램이 삶과 관련된 여러 가지 주제와 감정적 내용들에 대한 환자들의 반응을 이끌어 내는 데에 효과적임을 보여주었다. 사후 검사에서 환자들의 자기은폐 수준이 낮아졌으며, 자기서술문에서 보고된 자료에는 사실적인 내용 대신 감정적 내용이 증가하였음을 보여주었다. 본 연구는 여러 가지 심리 정서적 어려움을 가지고 있는 말기 환자들에게 감정표현과 의사소통 매개체로서 음악이 효과적이라는 결과를 보여주었다. 또한, 자기감정과의 만남과 이에 대한 표현은 삶의 질을 향상시킨다는 관점에서 감상과 같은 수동적 참여를 기본으로 환자의 활동 수준에 맞추어 음악프로그램을 구성한다면 환자들의 삶의 질을 향상시킬 수 있다는 점을 시사한다.

• 디지털융복합연구
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• 제16권1호
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• pp.389-397
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• 2018

본 연구는 치매전문요양보호사의 치매에 대한 태도에 영향을 미치는 요인을 확인하여 치매돌봄서비스 질을 향상시킬 수 있는 근거자료를 마련하기 위한 서술적 조사연구이다. G시와 J도에 소재한 요양센터에 근무하는 치매전문요양보호사 147명을 대상으로 하였으며, 구조화된 설문지로 설문을 수집하였다. 수집된 자료는 SPSS Win 21.0을 이용하여, 기술통계, Pearson correlation coefficient, Multiple linear regression 등의 방법으로 분석하였다. 연구결과 치매지식 점수는 30점 만점에 평균 $20.18{\pm}3.58$점, 공감은 105점 만점에 평균 $83.12{\pm}9.68$점, 치매에 대한 태도는 140점 만점에 평균 $96.45{\pm}13.72$점이었다. 치매에 대한 태도는 연령, 직업동기에서 유의한 차이를 나타내었으며, 지식 및 공감과 모두 양의 상관관계가 있었다. 태도에 영향을 미치는 주요변인은 공감으로 설명력은 28.6%였다. 연구결과를 토대로 요양보호사의 연령, 동기, 공감에 따른 치매전문교육프로그램을 실시할 것을 제언한다.

• 한국병원경영학회지
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• 제17권3호
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• pp.23-36
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• 2012

Objectives : The coverage of Korean National Health Insurance is limited to basic level. Korean government encourages private health insurance for covering medical securities. So, many studies examined the determinants of purchasing private health insurance. However, 11% of Korean population is older than 65 in 2011. Considering the elderly is important to establish a health policy. The aim of this study is to examine factors determining the purchase of private health insurance among middle-aged and elderly Korean adults. Methods : We used the second Korean Longitudinal Study of Ageing (KLoSA), selected 8,688 sample of the aged 47 or older for the analysis. KLoSA collected information on demographic characteristics, income, health- related factors. KLoSA data include in the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Logistic regression was used to examine the relationship between the determinants of purchasing private health insurance and the factors which include age, gender, education, residential district, marital status, smoking, drinking, physical exercise, economic activity status, national health insurance type, income, the number of chronic disease, and the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Results : People who were older, did not live in a city, had higher IADL, currently drunk alcohol, did exercise regularly and had chronic diseases more than three were inclined not to purchase private health insurance. Females, the married, well-educated, past & currently smokers, the employed, high income earners, national health insurers, metropolitan citizens and someone who got high MMSE were more likely to purchase private health insurance. The more people experienced outpatients, inpatients, dental clinics and Chinese medicine clinics, the more private health insurance was purchased. The elderly people over 75 had more private health insurance than the aged 65-74. The strongest factors for private health insurance is gender, and economic status such as income. Conclusion : In this study, we found healthy-high income people were more likely to purchase private health insurance. In contrast, unhealthy-low income and older people did not. The economic factors were strongly related with private health insurance in aged over 75. These mean inequality exists in the using private health insurance. Therefore, the government should consider vulnerable social group before expanding private health insurance.

• 한국산학기술학회논문지
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• 제22권5호
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• pp.411-422
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• 2021

본 연구는 도시 지역 재택 고령자들의 삶의 질과 인구사회학적 특성, 건강관련행위특성 및 건강상태를 나타내는 변수들과의 관련성을 검토할 목적으로 시도하였다. 조사대상은 D광역시에 거주하고 있는 65세 이상 고령자 380명으로 하였으며, 2019년 6월에 조사대상자들을 직접 방문하여 면접조사 하였다. 자료의 분석은 삶의 질을 종속변수로, 인구사회학적 특성, 건강관련행위특성 및 건강상태를 독립변수로 하여 2분형로지스틱회귀분석을 실시하였다. 연구결과, 조사대상자의 삶의 질에 관련된 요인으로는 학력, 배우자 유무, 동거가족유무, 생활비 부담여부, 한 달 평균용돈, 일상생활만족도, 주관적인 수면의 질, 흡연상태, 규칙적 식사여부, 규칙적 운동여부, 취미활동여부, 주관적 건강상태, 신체의 부자유 유무, 청력상태, 시력상태, 치아 상태, 요실금유무 및 건망증유무가 유의한 변수로 선정되었다. 위와 같은 결과는 도시지역에 거주하고 있는 재택 고령자의 삶의 질은 인구사회학적 특성, 건강관련행위특성 및 건강상태를 나타내는 여러 요인들과 유의한 관련성이 있음을 시사하고 있다. 따라서 고령자의 삶의 질은 개인의 인구사회학적 속성뿐만 아니라 일상생활에서의 건강관련행위나 건강상태에 관련된 여러 요인들이 관련되어 있음을 고령자들에게 인지시키고, 삶의 질을 높일 수 있는 프로그램을 구축하여 홍보할 필요가 있다고 생각된다.

• 한국농촌간호학회지
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• 제12권1호
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• pp.13-27
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• 2017

Purpose: The purpose of this study is to identify health-related factors, especially for the elderly who are subject to visiting health care at vulnerable populations. Methods: Tools were Guide to Community Integrated Health Promotion Project 2016, Visit Health Care Health Interview Survey, measures of physical function, motor skills, composite mobility, BMI, and subjective fitness levels. Depression was measured with the Short Results: Older elders living alone were more vulnerable than those with living others. Elders with less education showed greater weakness but the difference was not significant. Average scores for frailty were 2.21 (healthy group), 7.66 (high-risk group) and 15.69 (frail group). Scores based on weakness level differed significantly with the exception of nutrition. Nine out of 10 elders in disadvantaged areas were in the frail group or at high risk. Conclusion: Results support the goal to maintain/improve physical/mental functions through individual management of high-risk/frail older adults at risk of becoming infirm. It is imperative to implement a public health care delivery system to ensure programs are operated effectively and personalized.

• 대한지역사회영양학회지
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• 제6권4호
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• pp.645-656
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• 2001

The relationship between socio-economic status and food and nutrient consumption patterns was studied in 7,370 Koreans aged 20 years and older in the 1995 Korean Health and Nutrition Survey. The aim of this study was to investigate the effect of rapid economic growth on food and nutrient consumption for Korean adults in the last 30 years. Monthly household income, and individual's educational level and occupation were chosen as variables of socio-economic status for individuals. A one day 24 hour recall method was used for the dietary survey. One way analysis of varience was adopted to test tole association between socio-economic variables and food and nutrient consumption patterns. Individuals who had a high socio-economic status had significantly higher daily intake of most of the nutrients including calcium, vitamin A, vitamin B$_2$which reached above the recommended dietary allowances(RDA) and a higher percentage energy consumption from fat. In addition, individual who belonged to a low socio-economic status consumed less animal foods, including meat, egg, milk and consumed low proportion of energy from fat. The results suggest that in spite of rapid economic growth during the last 30 years in Korea, individuals who belonged to low sorio-economic status categories are still nutritionally vulnerable. Among the sorio-economic variables, income and education except occupation were the influential factors on the food and nutrient consumption of Koreans. Therefore, nutrition policy should focus on influencing the dietary patterns of lower social class individuals to improve the health status of the population as a whole.

• 보건교육건강증진학회지
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• 제29권3호
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• pp.53-61
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• 2012

Objectives: Improving public capability to obtain, understand, and use health information is important for decision-making and communication. This study attempts to measure adults' literacy of the information provided by a public health institution. Factors affecting different health literacy level are also investigated. The relation between public risk perception and health literacy is examined as well. Methods: A total of 800 korean adults were surveyed. To provide the participants health literacy questions, health messages of heavy metals released by KFDA as well as literacy questions developed by NIKL were used. A total of eight questions were developed to measure health literacy. The dimensions of risk perception proposed by Brewer et al.(2008) were modified to measure risk perception. Results: The average percentage of correct answer for all literacy questions was only 65.57%. Individuals at the older age, and with lower education/ income level were more likely to be low literate. In addition, health literacy was strongly associated with risk perception. Conclusions: Public literacy of health information is influenced by socio demographic factors. This study suggested a possibility that low health literacy may affect unrealistically high risk perception. Further studies with sophisticated methodologies to measure health literacy need to be developed.

• 보건행정학회지
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• 제27권2호
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• pp.167-176
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• 2017

Background: This study aimed to analyze the impact of community health care resources on the place of death of older adults with dementia compared to those with cancer in South Korea, using public administrative big data. Methods: Based on a literature review, we selected person- and community-level variables that can affect older people's decisions about where to die. Data on place-of-death and person-level attributes were obtained from the 2013 death certification micro data from Statistics Korea. Data on the population and economic and health care resources in the community where the older deceased resided were obtained from various open public administrative big data including databases on the local tax and resident population statistics, health care resources and infrastructure statistics, and long-term care (LTC) insurance statistics. Community-level data were linked to the death certificate micro data through the town (si-gun-gu) code of the residence of the deceased. Multi-level logistic regression models were used to simultaneously estimate the impacts of community as well as individual-level factors on the place of death. Results: In both the dementia (76.1%) and cancer (87.1%) decedent groups, most older people died in the hospital. Among the older deceased with dementia, hospital death was less likely to occur when the older person resided in a community with a higher supply of LTC facility beds, but hospital death was more likely to occur in communities with a higher supply of LTC hospital beds. Similarly, among the cancer group, the likelihood of a hospital death was significantly lower in communities with a higher supply of LTC facility beds, but was higher in communities with a higher supply of acute care hospital beds. As for individual-level factors, being female and having no spouse were associated with the likelihood of hospital death among older people with dementia. Conclusion: More than three in four older people with dementia die in the hospital, while home is reported to be the place of death preferred by Koreans. To decrease this gap, an increase in the supply of end-of-life (EOL) care at home and in community-based service settings is necessary. EOL care should also be incorporated as an essential part of LTC. Changes in the perception of EOL care by older people and their families are also critical in their decisions about the place of death, and should be supported by public education and other related non-medical, social approaches.

• 보건교육건강증진학회지
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• 제32권2호
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• pp.65-74
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• 2015

Objectives: The purpose of this study was to examine factors that influencing medication adherence in patients with dyslipidemia. Methods: Data were collected from fifth Korean National Health and Nutrition Examination Survey (2010-2012), we selected 1,992 adults aged over 30yr who participants in both health examination and health interview survey. Using the SAS 9.2 Program, data were analyzed using ${\chi}^2$-test, t-test and multiple logistic regression. Results: Medication adherence was associated with age, obesity, educational level and Health screening within 2 years. The cases with older age, obesity, higher level of education and experience of Health screening within 2 years showed significantly high medication adherence, whereas high risk group of dyslipidemia such as cardiovascular disease patients showed low medication adherence. Conclusions: Further study and strategies are needed to improve high levels of medication adherence based on factors influencing such as age, obesity, level of education and health screening experience within 2 years.