• Nutrition Research and Practice
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• 제17권6호
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• pp.1255-1266
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• 2023

BACKGROUND/OBJECTIVES: This study aimed to predict the association between nutritional intake and diabetes mellitus (DM) by developing an artificial neural network (ANN) model for older adults. SUBJECTS/METHODS: Participants aged over 65 years from the 7th (2016-2018) Korea National Health and Nutrition Examination Survey were included. The diagnostic criteria of DM were set as output variables, while various nutritional intakes were set as input variables. An ANN model comprising one input layer with 16 nodes, one hidden layer with 12 nodes, and one output layer with one node was implemented in the MATLAB^® programming language. A sensitivity analysis was conducted to determine the relative importance of the input variables in predicting the output. RESULTS: Our DM-predicting neural network model exhibited relatively high accuracy (81.3%) with 11 nutrient inputs, namely, thiamin, carbohydrates, potassium, energy, cholesterol, sugar, vitamin A, riboflavin, protein, vitamin C, and fat. CONCLUSIONS: In this study, the neural network sensitivity analysis method based on nutrient intake demonstrated a relatively accurate classification and prediction of DM in the older population.

• 한국노년학
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• 제40권1호
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• pp.73-89
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• 2020

본 연구는 정순둘 등(2015)이 개발한 연령통합척도를 Riley 등(1994)이 개념구성한 연령유연성과 연령다양성을 하위요인으로 한 단축형 연령통합척도로 척도의 타당성을 검증하여 척도의 실용성을 확보하고, 인구사회학적 특징에 따른 연령통합인식을 파악하는 것을 목적으로 하였다. 이를 위해 한국연구재단에서 지원한 사회과학역량강화지원사업(SSK)의 지원을 받아 수행된 '연령통합 및 세대통합 조사'자료의 총 1433명을 대상으로 분석하였다. 분석방법은 탐색적 요인분석, 확인적 요인분석, 다집단 요인분석, 평균비교 등의 방법을 활용하였다. 분석결과는 다음과 같다. 첫째, 척도는 총 28문항에서 13문항으로 수정되었으며, 연령다양성 8문항, 연령유연성 5문항으로 구성되었다. 둘째, 청년, 중년, 노년 집단으로 분류하여 다집단 요인분석에서 연령집단 간에 유의한 차이를 보이지 않는 것으로 나타나 전 연령에서 사용가능성이 확보되었다. 셋째, 연령집단 간 인구사회학적 특성에 따른 연령통합인식 차이에서 청년집단은 거주지역에서만 연령통합인식, 연령유연성, 연령다양성 차이를 보이는 것으로 나타났으며, 중년집단에서는 거주지역과 계층인식에서 연령통합인식, 연령 유연성, 연령다양성 차이를 보였다. 노년집단은 연령통합인식에서는 거주지역, 교육수준, 계층인식이 유의미하였으며, 연령유연성에서는 거주지역과 계층인식, 연령다양성에서는 거주지역과 교육수준에서 유의미한 차이를 보였다. 이러한 본 연구의 결과를 기반으로 향후 연령통합인식 향상을 위한 연구를 위한 방향과 정책 및 실천을 위한 함의를 제언하였다.

• 한국산림과학회지
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• 제108권4호
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• pp.645-654
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• 2019

본 연구는 연령별 맞춤형 산림교육의 활성화를 위한 기초연구로서 우리나라 성인의 연령별 산림교육 이용현황 및 요구도를 분석하였다. 전국의 일반 성인 1,542명을 대상으로 설문을 실시한 결과, 우리나라 국민들의 산림교육 인지도와 이용경험에는 연령에 따른 차이가 존재하는 것으로 나타났다. 구체적으로 산림교육 인지도와 이용경험, 향후 산림교육 이용의향 및 산림교육이 전인적 성장에 기여하는 정도에 대한 인식에서 상대적으로 높은 연령대가 더 긍정적인 응답을 보였다. 또한, 산림교육 유경험자의 동반자 유형과 참여 동기에서 연령대별 특징이 나타났다. 산림교육 참여 동기는 '산림경관을 즐기기 위해', '새로운 것을 경험해보기 위해', '기분전환을 위해'라는 응답이 모든 연령대에서 공통적으로 높았으나, 30대는 다양한 배움에 대한 욕구, 50대 이상은 건강에 대한 욕구를 가지고 있는 것으로 나타났다. 40대는 모든 연령대 중 자녀를 포함한 가족과 산림교육에 참여하는 비율이 가장 많았다. 산림교육프로그램 운영기간과 진행시간에 대해서는 연령대가 높을수록 장기간을 선호하였고, 산림교육 선택에 있어 모든 연령층이 공통적으로 가장 중요하게 고려하는 것은 '접근성'인 것으로 드러났다. 향후 본 연구를 통해 연령별 산림교육 이용현황과 요구도의 차이를 고려한 맞춤형 산림교육프로그램 개발과 보급이 활성화될 수 있기를 기대한다.

• 한국노년학
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• 제40권4호
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• pp.729-746
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• 2020

노년기 건강과 삶의 질 증진을 목적으로 정보통신기술(Information and Communication Technology: ICT)을 개발하고, 효과적으로 활용하기 위해서는 사용자인 노인의 개인적 특성을 다각적으로 파악하는 것이 중요하다. 본 연구는 건강 관련 요인을 세부적으로 구분하여 노인의 건강특성과 연령집단별 정보화 수준을 비교하고, 정보화 수준에 영향을 미치는 건강특성을 연령집단별로 탐색하는 것을 목적으로 한다. 정보화 수준은 정보통신기술의 9가지 기능을 사용할 수 있는 능력으로 측정하였다. 본 연구는 2017년 노인실태조사 자료를 사용하였으며, 연구대상은 65세 이상 노인 총 10,058명이다. 분석결과, 첫째, 연령집단별로 정보화 수준의 차이를 살펴보면 전기 노인(65~74세)의 정보화 수준이 가장 높고, 그다음 중기 노인(75~84세), 후기 노인(85세 이상) 순이다. 둘째, 건강특성별로 정보화수준을 비교한 결과 진단받은 만성질환 수가 적을수록, 주관적 건강상태가 높을수록, 그리고 인지기능, 우울, 시력, 청력, 보행기능, IADL이 정상인 경우는 그렇지 않은 집단에 비해 정보화 수준이 높게 나타났다. 셋째, 노인의 정보화 수준에 영향을 미치는 유의미한 요인은 연령, 학력, 가구소득, 주관적 건강, 우울, 인지, 시력제한, 보행기능제한이었다. 넷째, 정보화 수준에 영향을 미치는 건강특성은 연령집단별로 차이가 존재하였다. 전기노인(65~74세)의 경우 주관적 건강, 우울, 인지기능, 보행기능제한, IADL장애가 유의미한 영향요인이며, 중기 노인(75~84세)의 경우는 주관적 건강, 우울, 인지기능, 시력제한, 청력제한, 보행제한이 유의미한 영향요인으로 나타났다. 후기 노인(85세 이상)은 정보화 수준이 다른 연령집단에 비해 매우 낮으며, 이에 따라 건강특성의 영향도 우울과 인지기능만 유의미하였다. 본 연구결과를 통해 노인의 건강관리와 삶의 질 증진을 위한 정보통신기술 개발 및 이를 활용한 개입프로그램을 마련할 때 다양한 건강특성에 대한 고려가 필요함을 제시하였다.

• 대한간호학회지
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• 제34권5호
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• pp.781-790
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• 2004

Purpose: The purpose of this study was to develop a model of an elderly health promotion center after witnessing the effect of a social support program on dependent variables in older adults at a local community health center. Method: The subjects were 60 female adults over 65 years dwelling in a rural area, and they were divided into experimental and control groups each with 30 people. A social support program was implemented 6 hours a day, 3 times a week, for 4 months in the experimental group. Included was health assessment, health education, counseling, consultation, exercise, physical & occupational therapy, primary care, recreation, lunch & transfer service. Data was collected from May 1stto September 14th, 2002 by questionnaires, and analyzed by $x^2$-test, t-test, Pearson's correlation coefficient and stepwise multiple regression using SAS. Result: The social support program in the elderly was very effective on all dependent variables of physical health (t=4.68, p=.001), health knowledge (t=3.60, p=.001), life satisfaction (t=8.65, p=.001), and health promoting behaviors (t=5.23, p=.001). Conclusion: The Social Support Program at a Community Health Center was effective on health promoting behaviors in the elderly.

• 한국치위생학회지
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• 제20권5호
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• pp.593-602
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• 2020

Objectives: This study aims to assess the relationship between the body mass index and waist circumference, which are indicators of obesity, and dental caries according to gender. Methods: Data were used from the 6th Korean National Health and Nutrition Examination Survey (2013-2015). Out of a total of 29,321 subjects, 13,222 persons aged 19 or older and who responded to the survey items of this study were selected as subjects to determine the relationship between obesity and dental caries. Results: In the body mass index, the obese group had a higher prevalence of dental caries in both males (1.25 times) and females (1.35 times) than the normal group. Even in the underweight group, males were 1.83 times more likely to have dental caries than the normal group. In the waist circumference, the obese group had a 1.48 times higher prevalence of dental caries than the normal group in women only. Conclusions: According to the results of this study, it was observed that obesity was related to dental caries, and it was thought that obesity management and oral care education programs for adults in Korea were necessary.

• 보건의료산업학회지
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• 제12권3호
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• pp.95-106
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• 2018

Objectives: The purpose of this study was to analyze the recent research trends in health and mental health literacy and suggest their implications for future research. Methods: Ninety six articles on the topics of health literacy and mental health literacy that were published in journals in Korea during the last 10 years analyzed. Results: The majority of articles were published in medical journals, whereas the articles published in social and natural sciences journals were conducted by multidisciplinary research teams and seemed to be increasing generally. The participants studied in the selected articles were mostly older adults followed by adults aged 18 and over, and other various groups including health professionals and immigrant groups. More than 97% of the articles used quantitative research methods. Conclusions: Health literacy mirrors other health inequalities. To increase the level of understanding of health information, studies should be conducted using various variables. It is also necessary to develop a community education program that can be implemented in the community. Futher, the results highlighted the importance of interdisciplinary research. It is hoped that this effort will help solve t health inequality.

• 동서간호학연구지
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• 제27권1호
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• pp.51-60
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• 2021

Purpose: The purpose of this study was to identify factors associated with high risk drinking in adults. Methods: Multi-variate logistic regression was used to analyze the data of 15,949 adults age 19 years or older from the sixth (2013-2015) Korea National Health and Nutrition Examination Survey. Results: Factors associated with high risk drinking included education level, employment and smoking status among the age group of 19-39. In the 40-59 year age group, the associated factors were gender, employment, smoking, obesity, and depressive mood. In the over 60 year age group, related factors included gender, employment, smoking, abdominal obesity, and subjective health status. Conclusion: The result of this study suggests that early risk factor screening may be helpful to avoid the progression to high-risk drinking. An individualized approach for each age group can be used as a preventive measure.

• 한국치위생학회지
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• 제11권2호
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• pp.149-158
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• 2011

Objectives : The objective of this study was to analyze cognition and status of oral health education of dental hygienists who manage the patients visiting dental clinics and to utilize the findings as continuous study data required for development of systematic oral health education program for management of peridontal disease of adults. Methods : Survey was carried out for 261 dental hygienists working in dental clinics who are performing oral health education of patients with peridontal disease living. Results : 1. In the socio-dynamic diagnosis, it was analyzed that, the younger the age is and the lower the career is, the more the work is centered around assisting medical treatment job and, the older the age is and the higher the career is, the work is centered around oral health education job. 2. In the behavioral diagnosis, it was analyzed that, as to source of knowledge acquisition, guide of dentists and senior dental hygienists was the highest and, as to education media, visual education and demonstration education were mainly used. 3. In educational diagnosis, as to the degree of knowledge about oral health education and the degree of practice, it showed that the degree of knowledge was lower than the degree of practice in peridontal disease process and oral prophylaxis as well as scaling part. 4. In both the cases of independent practice and group practice, it showed that the most frequent obstacle was insufficient educational materials and tools and it was analyzed that acquisition of new knowledge and technology is required as a matter to be improved. Conclusions : It seems to be required for the dental hygienists to develop detailed knowledge and professional technology in order to induce actions and motive of patients during oral health education of peridontal patients and to develop and produce data for efficient education of peridontal patients.

• 근관절건강학회지
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• 제29권3호
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• pp.218-227
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• 2022

Purpose: This study aimed to describe the current level of physical activity (PA) and to explore the relationships between self-efficacy for PA, perceived health status (PHS), attitudes toward aging, ego-integrity and PA in community-dwelling older Koreans. Methods: A total of 164 participants were recruited from community centers, churches, and senior welfare centers in Korea. With questionnaires, a survey was conducted from June 3rd to 22th, 2016. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA and Pearson's correlation coefficient using SPSS/WIN 22.0 program. Results: The mean amount of total PA was 5,295.33±6,272.38 MET/min/week. The number of subjects engaged in vigorous, moderate, and low-intensity activities were 87 (53.0%), 45 (27.4%), and 32 (19.5%), respectively. Overall, physical activities were different according to the presence of spouse (t=-2.79, p=.006) and the presence of housemate (t=2.03, p=.044). The mean scores of self-efficacy for PA, PHS, attitudes towards aging, and ego-integrity were 17.16±4.45, 9.00±2.41, 68.12±9.28 and 51.62±7.59, respectively. There were significant positive correlations between overall PA and self-efficacy for PA (r=.34, p<.001), PHS (r=.23, p=.003), attitudes towards aging (r=.26, p=.001). Conclusion: Specific programs to promote physical activities in addition to continuous education for improving self-efficacy for PA, PHS, and attitudes towards aging in community-dwelling older adults are needed.