• 한국지역사회생활과학회지
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• 제21권2호
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• pp.201-210
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• 2010

Over the past few decades, the proportion of elderly people in Korea has been rapidly increasing. In particular, rural areas are experiencing aging of communities more rapidly compared to urban areas. However, public policy for the elderly does not respond to the needs of rural elderly. To distribute health care resources equitably, it is necessary to gather reliable information on the health status of the elderly. The purpose of this study is to explore factors affecting Korean elderly people's ADL functional status. The data sources are from 2004 Elderly Living Condition Survey. The Analysis sample consists of 3,278 cases. Analysis results show that there is a significant residential variability in education, monthly stipend, living arrangement, subjective health status, regular food in-take, and regular exercise. Logistic regression analysis results also show that 'cognitive ability'(exp(B)=6.603), 'subjective health status'(exp(B)=4.576), 'age'(exp(B)=2.610), and 'living arrangement'(exp(B)=.589) are factors affecting ADLs. Namely, when a respondent's cognitive ability is limited, subjective health status is poor, or if their age is over 75, the probability of having a limited ADL has been 6.6 times, 4.6 times, and 2.6 times higher than otherwise. Among these variables, cognitive ability was the best explanation. In contrast, respondents who live with a spouse or adult children have a lower probability of having limited ADL compared with those who live alone. Considering that the most critical criteria in determining eligibility for social welfare services is ADLs, the development of appropriate ADL assessment tools is in an urgent need. Without the accurate assessment on ADLs, particularly on rural as well as the urban elderly, it seems to be hard to achieve effectiveness in the health care policy for the elderly.

• 한국콘텐츠학회논문지
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• 제16권2호
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• pp.200-210
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• 2016

본 연구는 지역사회에 거주하는 중년과 노년을 대상으로 자가 평가 건강수준 정도를 파악하고 이에 영향을 미치는 요인을 규명하고자 시행한 서술적 상관관계 연구이다. 40-64세의 중년 142명과 65세 이상의 노년 201명을 대상으로 구조화된 설문지를 이용하여 2014년 3월부터 7월까지 자료를 수집하였다. 중년에서는 건강증진 생활양식, 기분상태, 사회적 지지, 자기효능감이 자가 평가 건강수준과 유의한 상관관계를 보였으며, 보유질환 여부, 건강증진 생활양식의 하위개념인 스트레스 관리와 건강책임, 기분상태의 하위개념인 피로, 화, 긴장과 사회적 지지가 자가 평가 건강수준의 영향요인으로 확인되었고 설명력은 43.6%였다. 노년에서는 건강증진 생활양식, 사회적 지지, 자기효능감이 자가 평가 건강수준과 유의한 상관관계를 보였으며, 건강증진 생활양식의 하위개념인 신체활동, 보유질환 여부, 기분상태의 하위개념인 혼동, 운동여부가 자가 평가 건강수준을 40.4% 설명하는 영향요인으로 확인되었다. 이러한 결과를 토대로 중년과 노년의 차별화된 특성을 반영하여 교육, 상담, 건강검진, 레크리에이션 활동 등의 방법을 통한 신체 정서 사회적 영역을 포함하는 포괄적 건강증진 프로그램의 개발과 적용이 요구된다.

• 한국산학기술학회논문지
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• 제16권11호
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• pp.7690-7697
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• 2015

본 연구는 사업시행의 핵심요인이라 할 수 있는 경제적 측면에서 조합원의 실질적인 입주부담금에 영향을 미치는 개별요인들의 구조적 인과구조를 밝히고, 모의실험과 실증분석을 통해 그 영향력을 파악하고자 하였다. 분석결과 첫째, 조합원의 실질적인 입주부담금은 조합원에게 적용되는 특별분양가와 일반분양가와의 차익 및 관리처분계획 인가 시점과 입주 시점의 시차에 의해 발생하는 시세차익을 반영하여 결정되는 것으로 나타났다. 둘째, 조합원의 실질적 입주부담금에 영향을 미치는 개별요인들의 민감도를 분석한 결과, 사업구역에 적용되는 계획용적률이 가장 큰 영향을 미치는 것으로 나타났다. 또한 사업구역 내 기반시설 설치 시 비용분담 주체에 따라서도 조합원의 입주부담금은 크게 영향을 받는 것으로 분석되었다. 셋째, 조합원 입주부담금 결정요인들 간의 인과관계를 기초로 구조모형을 설정하고, 이를 구조방정식모형(SEM)을 이용하여 개별요인들이 미치는 영향경로와 영향력을 실증적으로 살펴보았는데 규제요소 및 지역특성요소가 계획요소를 매개로 하여 입주부담금에 영향을 미치는 구조를 나타내었다.

• Journal of Nutrition and Health
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• 제37권3호
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• pp.223-235
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• 2004

A functional ability and adequate nutritional status are the major determinants of health status, Self-rated health (SRH) is a worldwide method to assess health status and it is recognized as a predictor of morbidity and mortality in the elderly, This study was designed to evaluate the functional ability and nutritional risk according to SRH in the elderly. Four hundred nine free-living elderly people (118 male, 291 female), aged $\geq$ 65 years were interviewed by trained interviewers using structured questionnaires including demographic information, SRH, anthropometric measurements, functional ability, general health status, and nutritional risk. SRH was divided into three status such as “Good”, “Moderate” and “Poor” status. And all the data were analyzed by oneway ANOVA, spearman correlation, and x$^2$ analysis using SPSS 9.0 version at p 〈 0.05. Of all the subjects, 48.9％ perceived their health status as “poor”, and their functional abilities (activities of daily living, instrumental activities of daily living) were more impaired than their counterparts (“good” and “moderate”). Poor self-rated health was also related to: a higher prevalence of illnesses (p 〈 0,001) especially in hypertension, arthritis. Self-rated health was significantly related to food security (p 〈 0.001), food enjoyment (p 〈 0.001) ,and nutritional knowledge (p = 0.0 13). Also NSI checklist total score was the highest in “poor” health status (p 〈 0.001). Better self-rated health was related to better food security, and better food enjoyment. However, smoking, alcoholic intake, exercise, eating behaviors, and demographic characteristics were not significantly different among the three SRH status. SRH was closely related to chronic diseases, functional ability, and nutritional risk in the elderly. Therefore, public health strategies for the elderly should be focused on the elderly who are “poor” in SRH, to improve nutritional status and functional ability, and to reduce risk factors of chronic diseases.

• 융합정보논문지
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• 제9권12호
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• pp.81-87
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• 2019

대학생의 건강행위를 중심으로 건강관련 삶의 질 및 관련요인에 있어 성별에 따른 차이를 알아보고자 본 연구를 시도하였다. 삶의 질 측정도구로는 문화적 배경을 반영하여 개발된 KQOLS(Korean health related Qualtiy of Life Scale)l을 이용하였으며 D지역 남녀대학생 115명을 대상으로 자기기입식 설문조사를 시행하였다. 연구 결과 남성의 삶의 질이 여성에 비해 높았으나 통계적으로 유의한 차이는 없었고, 삶의 질 하부요인인 신체적 기능, 활력, 정신적 건강, 영적 건강은 남성이 여성에 비해 통계적으로 유의하게 높게 나타났다. 성별에 따른 삶의 질 영향요인 차이 분석에서는 남성의 경우 삶의 질 영향요인으로 질병유무(t=-2.118, p<.05), 규칙적 운동(t=2.346, p<.05), 정상 비만도(t=2.274, p<.05)가 포함되었으며, 이들 변수는 남자 대학생의 삶의 질을 약 25.1% 설명하였다. 반면에 여성에서는 건강행위가 삶의 질을 설명하지 못하는 것으로 나타났다.

• 농촌의학ㆍ지역보건
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• 제48권4호
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• pp.275-284
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• 2023

Objectives: This study aimed to assess hand grip strength and femoral neck bone mineral density levels among Korean fishery workers and investigate their association. Methods: Hand grip strength and femoral neck bone mineral density were measured in a survey and health examination conducted in 2021 among fishery workers in a southern region of South Korea. Covariates including gender, age, education level, income level, smoking behavior, drinking behavior, family history of hip fractures, use of calcium and vitamin D supplements, hypertension, diabetes, regular exercise, and body mass index were investigated. Multiple regression analysis was employed to assess the association between hand grip strength and femoral neck bone mineral density. Results: Among 147 fishery workers, 8.16% exhibited low hand grip strength levels indicative of possible sarcopenia, and a significant association was found between low hand grip strength and decreased femoral neck bone mineral density (β = -89.14, 95% CI = -160.50, -17.78). Additionally, factors such as women gender, advanced age, family history of hip fractures, and a body mass index below 25 kg/m² were associated with decreased femoral neck bone mineral density. In the subgroup analysis by gender, a correlation between low hand grip strength and decreased femoral neck bone mineral density was observed only in men. Conclusions: Further research is needed to explore various determinants and intervention strategies to prevent musculoskeletal disorders among fishery workers, ultimately enhancing their quality of life and well-being.

• 재활간호학회지
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• 제2권2호
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• pp.193-205
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• 1999

This study was carried out to identify the important risk factors for reduced bone mass of postmenopausal RA patients and to develop discriminant function which can classify postmenopausal RA patients with either reduced or normal bone mass. Through the literature review, individual characteristics such as age, body weight, height, age of menarche, duration of menopause, gravity, parity, and breast feeding period and factors of life style such as milk consumption exercise habit, alcohol intake, cigarette smoking, coffee consumpt ion , disease activity, corticosteroid therapy were identified as influencing factors of reduced bone mass in RA patients Sixty eight postmenopausal women with rheumatoid arthritis aged between 42 and 76 were selected among those who checked bone mineral density in lumbar spine and femur from october, 1998 to Apr il, 1999 at Dong-a university hospital in Pusan. Assessment of disease activity, duration of disease and corticosteroid therapy were made by the same rheumatologist and included Ritchie articular index, erythrocyte sedimentation rate, and C-reactive protein on measuring bone mineral density. Cumulative steroid dosage was calculated from the daily dosage multiplied by t h e number of days received. The information of other risk factor including health assessment score, individual characteristics and life style factors were collected by questionnaire. Bone mineral density(BMD) was measured using DXA at lumbar spine and femoral Ward's triangle. Discriminant function(regression equation) was developed for estimating the likelihood of the presence or absence of reduced bone mass. The results are as follows: Among the subjects, thirteen(19.1%) exhibited osteoporosis in lumbar spine and twenty four(35.3%) exhibited osteoporosis in femoral Ward's triangle. For lumbar spine, the variables significant were age, body weight, health assessment score, while for femoral Ward's triangle, age, body weight, duration of disease. But disease activity and corticosteroid therapy were not signigicant to distinguish reduced bone mass from normal bone mass. When the discriminant function was evaluated by comparing the observed out come with predicted out come, the discriminant function correctly classified 85.4% of patients with reduce bone mass and 63.0% of patients with normal bone mass in the lumbar spine and 100% of patients with reduced bone mass and 9.1% of patients with normal bone mass in the femoral Ward's triangle. In summary, we found that osteoporosis in postmenopausal women with RA is more evident at the femur than the lumbar spine. Also the important discriminant factors of reduced bone mass postmenopausal women with RA were age, body weight , duration of disease and health disability. In nursing situation, the efforts to improve of functional capacity of postmenopausal women with rheumatoid arthritis should be considered to prevent osteoporosis and fractures. Also we recommend those postmenopausal women with RA who are classified as a group of the reduced bone mass in the discriminant function should examine the bone mineral density to further examine the usefulness of this discriminant function.

• 지역사회간호학회지
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• 제10권2호
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• pp.330-346
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• 1999

This descriptive correlational study was conducted to identify the variables related to a health promoting lifestyle in high school students. 304 high school students and 189 vocational high school students living in Taegu city were selected by a convenience sampling method. The data were collected by self-reported questionnaires from August 24 to September 4, 1998. Pender and others' Health Promoting Lifestyle Profile, Shere et al's. Self-Efficacy scale, Wallston et al.'s Internal Health Locus of Control scale, Wares' Health self rating scale and Cohen & Hoberman's Social support scale were used. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, t-test, MANOVA, ANOVA. Tukey verification and Stepwise multiple regression with an SAS program. The results of this study were as follows: 1. The average score of a health promoting lifestyle performance was 2.38(SD=.36) of a 4 point scale .Self-actualization (mean = 2.80. SD = .60). interpersonal support(mean = 2.73, SD=.47), health responsibility (mean=1.53, SD=.47), nutrition(mean=2.64, SD=.63), exercise(mean=2.71. SD=.72) and stress management(mean=2.37, SD=.58) were also analyzed. 2. The combination of self-efficacy, social-support, internal health locus of control. father's educational level and perceived health status explained 37.97% of the variance in health promoting lifestyles. 3. A Health promoting lifestyle showed significant positive correlations with self efficacy(r=.5173. p=.0011), perceived health status(r=.254, p=.001) and internal health locus of control(r=.321. p=.001). 4. According to sex(t=7.38. p=.006). economic state(F=6.62, p=.00l), Father's educational level(F=4.25, p=.005), mother's educational level(F=6.94. p=.000l), the grade of educational performance(F=3.74, p=.024), sleeping hours(F=3.47. p=.032) and social support(F=40.76, p=.0001). there were significant differences and modifying factors in health promoting lifestyles. On the basis of the above findings. self-efficacy in cognitive factors, and social support in modifying factors were identified as the variables which explained most of Pender's health-promotion model. Nursing strategies enhancing self-efficacy and social support which have a more significant effect on health promoting lifestyles should be developed. Further research is required to find out the factors influencing health pormoting lifestyle of high school students.

• 한국유통학회:학술대회논문집
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• 한국유통학회 2005년도 동계학술대회 발표논문집
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• pp.125-158
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• 2005

본 연구는 재구매의도에 대한 기존연구에서 중요한 결정변수로 연구되어온 고객 만족과 서비스 품질 외에 소비정서 및 전환비용을 새롭게 도입하여 기존 고객의 유지전략은 재구매의도의 영향요인을 규명하고자 하였다. 이를 위하여 A은행에 거래하는 기업고객들에게 설문지 620부를 배부하여 자료를 수집하였으며 이들 중 374부와 기업고객을 담당하고 있는 은행직원으로부터 112부의 설문지를 회수하여 LISREL 8.12로 분석하였다. 본 연구결과는 다음과 같이 요약된다. 첫째, 재구매의도의 가장 중요한 결정변수는 고객만족으로 제시되고 있다. 둘째, 서비스 품질을 측정시 서비스가 고객에게 전달되어지는 과정을 의미하는 과정 품질 외에 고객이 서비스로부터 실제로 받거나 또는 서비스 공급자에 의해 전달되어지는 결과 품질을 함께 측정하는 것이 바람직한 것으로 나타났다. 셋째, 긍정적인 소비정서는 고객만족에 정(+)의 영향을 미치고, 부정적인 소비정서는 고객만족과 재구매의도에 부(-)의 영향을 미치는 것으로 나타났다. 넷째, 전환비용은 상대적으로 영향력은 크지 않았으나 고객만족, 부정적 소비정서와 함께 재구매의도의 선행요인으로 작용하고 있음을 보여주고 있다. 결론적으로 고객의 재구매의도에 대한 선행요인으로 고객만족과 과정품질의 상대적 영향력이 제일 크게 나타나고 있으며 긍정적 소비정서, 부정적 소비정서, 결과 품질 및 전환비용 역시 기업거래 고객의 재구매의도를 예측하는 변수로 활용될 수 있음을 제안해 주고 있다.

• 기본간호학회지
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• 제4권2호
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• pp.283-300
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• 1997

This study was undertaken to grasp health-promoting behavior of the elderly and to identify variables related to them in order to facilitate nursing intervention for health promotion of this population. The subjects for this study were 291 old persons obtained by cluster sampling from twenty general social welfare centers located in Tague. Data were collected by self-reported questionnaires from August 13 to September 13, 1996. Questionnaires were developed based on Sherer and others' Self-Efficacy scale, Rosenberg's Self-Esteem scale, Wallston and other's Multidimensional Health Locus of Control scale, Northern illinois University's Helath Self Rating Scale, Walker and others' Health Promotion Lifestyles Profile. Analysis of the data was done by use of descriptive statistics, stepwise multiple regression, Pearson Correlation Coefficient, MANOVA, t-test, and ANOVA. The results were summarized as follows : 1. For the practice of health-promoting behavior, the mean score was 2.89 and range was 3.59 to 2.09. The factor of the highest mean score was regular diet(M=3.42) and factor of the lowest mean score as stress management(M=2.27). 2. The combination of self-efficacy, internal health locus of control, family number, and average monthly pocket money explained 30.0% of the variance of health-promoting behavior. 3. With regard to the relationship between health-promoting behavior and cognitive perceptual factor, self-efficacy correlated positively with health-promoting behavior(r=.4951, P=.0001), self-esteem correlated positively(r=.3263, P=.0001), internal health locus of control correlated positively(r=.3244, P=.0001), perceived health status correlated positively(r=.1355, P=.0274). 4. According to age(F=2.50, P=.0431), sex(t=2.14, P=.0332), marital status(F=7.85, P=.0005), education(F=5.44, P=.0003), family number(F=11.18, P=.0001), people living together(F=7.21, P=.0009), previous occupation(F=5.83, P=.0001), average monthly pocket money(F=7.27, P=.0001), there were differences of health-promoting behavior. The above findings show that health-promoting behavior are related to demographic characteristics, four cognitive perceptual factors(self-efficacy, self-esteem, internal health locus of control, perceived health status). On the basis of the above findings the following recommendations are made ; 1. Nursing interventions enhancing exercise or activity, accountability for health, stress management of the elderly must be provided. 2. Nursing strategies enhancing self-efficacy which is most significant effect on health-promoting behavior must be developed.