Objectives: The purpose of this study is to analyze factors associated with depression among workers in South Korea by socio-economic factors, health behaviors, and working conditions. Methods: Study subjects include 4,251 adults (19 and older) who are currently working using the data from 2009 National Health and Nutrition Survey. Data were analyzed using frequency test, $X^2$ test, and multiple logistic regression. Results: Multiple logistic regression analysis showed that gender (OR=1.91, p<.001), age (OR=1.53, p=.030), marital status (31-39: OR=1.88, p=.029) were significantly related to depressing among socio-economic factors. Next, among health behaviors factors, perceived health status (Poor: OR=1.76, p=.049; Very poor: OR=3.46, p=.002) was statistically significant. Among characteristics of work environment, trust and respect (OR=1.34, p=.049) and working with hidden emotion (OR=1.88, p<.001) were significantly related to depression. Conclusions: In order to manage and reduce depression among workers, it is important to develop appropriate mental health promotion programs both in work places and in regulations.
Objectives: This study examined differences in health care spending and characteristics among older adults in Korea by high-cost status (persistently, transiently, and never high-cost). Methods: We identified 1 364 119 older adults using data from the Korean National Insurance Claims Database for 2017-2019. Outcomes included average annual total health care spending and high-cost status for 2017-2019. Linear regression was used to estimate differences in the outcomes while adjusting for individual-level characteristics. Results: Persistently and transiently high-cost older adults had higher health care spending than never high-cost older adults, but the difference in health care spending was greater among persistently high-cost older adults than among transiently high-cost older adults (US$20 437 vs. 5486). Despite demographic and socioeconomic differences between transiently high-cost and never high-cost older adults, the presence of comorbid conditions remained the most significant factor. However, there were no or small differences in the prevalence of comorbid conditions between persistently high-cost and transiently high-cost older adults. Rather, notable differences were observed in socioeconomic status, including disability and receipt of Medical Aid. Conclusions: Medical risk factors contribute to high health care spending to some extent, but social risk factors may be a source of persistent high-cost status among older adults in Korea.
Kim, Young Sun;Park, Jungsun;Rhee, Kyung Yong;Kim, Hye Min
Safety and Health at Work
/
제6권2호
/
pp.85-89
/
2015
Background: The study was designed to assess the changes in working conditions through a comparative analysis of the characteristics of working conditions in 2006 and 2010. Methods: We performed a comparative analysis of the data related to the first Korean Working Conditions Survey (KWCS) and the second KWCS in the categories of demographic characteristics, quality of labor, exposure to hazards, and health problems. Results: From our analysis of the demographic characteristics, we saw an increase in labor force participation rate of women and elderly people. As a result of the investigation with regards to working hours, the ratio of employees who worked for ${\geq}49$ hours per week was decreased and the ratio of employees who worked for ${\geq}40h/wk$ increased. As for exposure to hazards, exposure to tobacco smoke notably decreased in 2010 compared with 2006. With regards to health problems, there was a sharp increase in the number of people who complained of muscle pain in their arms and legs. Conclusion: KWCS data included many aspects of working conditions as a nationwide sample. In addition, because this is a periodic nationwide survey, the labor force, working hours, harmful factor exposure, and the change in health problems characteristics according to the flow of time could be investigated. The information comparing the main results of the first survey conducted in 2006 and the second survey conducted in 2010 obtained through this study can be used as an important base material for the establishment of the national policy.
1. Objectives: We would know what kind of symptom are different according to Cold and Heat characteristics and health state. We also tried to suggest the development of Sasang Constitution diagnosis model considering of them. 2. Methods: We recruited 1,523 subjects between 10 and 80, excluding individuals who have physically or psychologically serious disease or women in pregnancy in the 21 Oriental Medical Clinics. We seperated group according to Cold and Heat characteristics and health state in CRF(Case Report Form, C-2009-002439) questionnaire and we also developed Sasang constitution diagnosis program to compare agreement according to sex and age group with Cold/Heat and health state one. 3. Results: The number of discordance items are much more than that of accordance items in group seperated according to Cold and Heat, and Health state Sasang constitution agreement rate of Cold/Heat and health state group is higher than that of total group through program. When we diagnosed Sasang constitution with different group characteristics to know the group differences, the disparity rate of the group according to Heat/Cold and Health state is lower than that of the group according to sex and age. 4. Conclusions: As Sasang constitution characteristics are different according to Cold/Heat group and Health state classification, we can upgrade Sasang constitution agreement rate with questionnaire considered of Heat/Cold and health state.
This study was the research of health promoting behavior of the 6th grade students of elementary school and general characteristics, health related characteristics and health promoting behavior following the health education were analysed. The performance of health promoting behavior related to the prevention of infectious diseases showed the highest score above all. The school, which received health education by the scheduled education course, home correspondence, and health broadcasting education, showed higher health promoting behavior performance after the health education. On the basis of the results of this study, health promotion program development is required to accomplish health promoting behavior among the elementary school students.
Objectives: This study was conducted to investigate the relationship between general characteristics and oral health behavior, oral health knowledge, and oral health literacy for adult workers. Methods: This study chose some adult workers located D City by convenience sampling method, and accepted those who understood the purpose of the study and agreed with a survey as subjects. The final study subjects were 297 except 24 with unsound questionnaires among a total of 321 questionnaires. The contents of a survey were demographic characteristics, oral health behavior, oral health knowledge, and oral literacy, and the survey was done by a self-administered questionnaire. Results: In the verbal oral health literacy distribution based on REALM standard of the subjects, a scale of 7-8, 45-60 points by score was the highest with 62.0%. In average monthly household income and oral health knowledge level of general characteristics, oral health literacy was statistically significant, and was statistically significant according to oral health literacy, monthly income of house hold, and marital status as well, and was statistically significant in oral health knowledge and oral health literacy level according to oral health behavior and in the oral health knowledge level depending on a regular checkup. And In experience existence and nonexistence of oral health education and understanding and misunderstanding of dentistry and dental health education, and main body of the decision of dental treatment, verbal oral health literacy of oral health knowledge and oral health literacy was significant. It can be seen that based on correlation among general characteristics, oral health knowledge level, verbal oral health literacy, and functional oral health literacy, there is a correlation among gender and education level, age and average monthly income, and age and marital status. Conclusions: This study presented the need for oral health literacy along with the oral health knowledge of oral health behavior affecting adult workers' oral health, and tried to establish the connection among them. Accordingly, it is thought that an improvement plan of oral health literacy for the prevention and promotion of adult workers' dental disease in the future.
Objectives : This study aims to prepare the basic data of the teeth color by measuring tooth mode using the color of the maxillary central incisor of the college students in their twenties as the dental colorimeter, and oral health and eating habit characteristics were examined. Methods : The maxillary central incisor(1 teeth) of the subjects of study as 467 students(male 89, female 378) was measured during the period from November 14, December 2 2011, so the color of total 467 teeth were examined, and oral health and eating habit characteristics were researched. Results : 1. As the results of measurement of the shade, value, hue of maxillary central incisor by the general characteristics of the subject, the major(shipbuilding information, special rehabilitation for young children) was higher at 3.3 of the shade, and the grade(1), age($$\geq_-20$$), major(beauty culture & cosmetic, occupational therapy) showed higher at +2 of the value, and the grade(1) and all major showed higher at R3 of the hue. 2. As the results of measurement of the shade, value, hue of maxillary central incisor by the oral health characteristics, the subjective teeth color(yellow) and the education of oral health(no) showed higher at 2.5 of the shade. 3. As the results of measurement of the shade, value, hue of maxillary central incisor by the eating habit characteristics of the subjects, the chocolate showed higher at 3.0 and 2.0 of the shade, and the red pepper paste showed higher at +2 and STD of the value, and the green tea showed higher at $R_3$ of the hue. Conclusions : This study demonstrates that the color of the maxillary central incisor showed differences various tendency according to the oral health and eating habit characteristics.
Background: The long-term care (LTC) group has higher rates of chronic disease and disability registration compared to the general older people population. There is a need to provide integrated medical services and care for LTC group. Consequently, this study aimed to identify medical usage patterns based on the ratings of LTC and the characteristics of benefits usage in the LTC group. Methods: This study employed the National Health Insurance Service Database to analyze the effects of demographic and LTC-related characteristics on medical usage from 2015 to 2019 using a repeated measures analysis. A longitudinal logit model was applied to binary data, while a linear mixed model was utilized for continuous data. Results: In the case of LTC ratings, a positive correlation was observed with overall medical usage. In terms of LTC benefit usage characteristics, a higher overall level of medical usage was found in the group using home care benefits. Detailed analysis by medical institution classification revealed a maintained correlation between care ratings and the volume of medical usage. However, medical usage by classification varied based on the characteristics of LTC benefit usage. Conclusion: This study identified a complex interaction between LTC characteristics and medical usage. Predicting the requisite medical services based on the LTC rating presented a challenge. Consequently, it becomes essential for the LTC group to continuously monitor medical and care needs, even after admission into the LTC system. To facilitate this, it is crucial to devise an LTC rating system that accurately reflects medical needs and to broaden the implementation of integrated medical-care policies.
In order to evaluate the erects of regular health education by a school nurse on a child's health-related knowledge and health-related behavior, a questionnaire survey was conducted with primary school students (4th, 5th, 6th grade) from December 5 to December 15, 1998. Subjects of the study were composed of two groups; one group who had regular health education by a school nurse and the other group who had no regular health education by a school nurse. The results obtained from the data analysis were as follows: 1. There was no significant difference in general characteristics between broth groups, but significant difference in parent-related characteristics and health-related characteristics were detected. 2. The health-related knowledge score was 21.98 in the regular health education group and 21.04 in the control group. There was significant differences between both groups (p<0.05). 3. Significant differences in the practice of health-related behaviors were detected between both groups (p<0.05). 4. The variables associated with the practice of health-related behaviors were regular health education, health-related knowledge, the education level of the mother, ignorance of health and parent's concern about the child's health (p<0.05). 5. The practice of regular health education was significantly related to the prevention of communicable disease, concern about health and total health behavior (p<0.05). From the above results, it can be concluded that there is a positive relationship between regular health education and the practice of health-related behavior after controlling other variables. According to the results, suggestions are as follows; 1. Evaluation of health-related knowledge and behaviors be conducted by the school nurse on pre and post-education. 2. The primary school student can be educated about health by the school nurse.
Purpose: Few studies have considered the psychosocial work environment factors in relation to employee health. This study explored the relationship between psychosocial work characteristics and self-rated health among Korean employees. Methods: The study population of 21,476 employees was derived from the 2014 Korean Work Environment Survey (KWES). Psychosocial work environment was measured by Copenhagen psychosocial questionnaire scales. Results: Among employees at workplaces (n=21,476), 23.3% rated their health as poor. Among 12 indicators of psychosocial work environment characteristics, 'higher emotional demand', 'demands for hiding emotions', 'work-family conflict', and 'social community at work' were independently associated with risk of poor self-rated health of Korean employees after adjustment of all sociodemographics, work condition characteristics and physical work environment exposure. In addition, higher 'possibilities for development' and 'social support from supervisor' were more likely to decrease the risk of poor health. Conclusion: We suggest that psychosocial work environment is an important determinant of employees' health. The study results provide a good starting point for developing intervention and strategies for health improvement.
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