• 제목/요약/키워드: health determinants

검색결과 839건 처리시간 0.026초

사회자본과 신체활동 행위변화단계 (Social Capital and Stage of Change for Physical Activity in a Community Sample of Adults)

  • 김길용;김은미;배상수
    • 보건교육건강증진학회지
    • /
    • 제26권1호
    • /
    • pp.63-80
    • /
    • 2009
  • Objectives: This study identified how personal characteristics, healthy behavior and social capital might influence on physical activity of adults. Methods: This study used data from the health survey of a city of Korea. We surveyed 1,000 adults sampled by stratified sampling methods from 67,889 households. Outcome variable was the stage of physical activity which was broken into 5 categories. Sociodemographic factors, healthy behavior, self-rated health status and social capital were used as control variables. Sociodemographic factors included age, sex, educational status, economic status measured by deprivation score, residential period within survey city. Social capital was measured by Integrated Questionnaire for the Measurement of Social Capital (SC-IQ). This study used chi-square test and ordered logistic regression models to examine the associations between independent variables and physical activity. Variables were added to the regression model in three groups using a hierarchical approach. Results: Physical activity was significantly more likely to become active if they have higher educational status, healthier behavior. Among the six dimensions of SC-IQ, only "groups and networks" that is structural dimensions of social capital and "trust and solidarity" that is cognitive dimensions of social capital were significantly related to physical activity of adults. We found that a person having higher density of membership and having larger size of networks showed the high possibility of active physical activity. A person having high solidarity was significantly associated with physical activity, but general trust was inversely related to physical activity. Output dimensions of social capital did not show significant relationship to physical activity. Conclusion: We found that social capital is useful concept to explain health behaviors like physical activity. However we must consider social, cultural and political context of the study to evaluate the effect of social capital to health status and health determinants and to capture the exact meaning of relationship between them. We suggest further researches to refine the concept of social capital and to explain the relationship of social capital to diverse health determinants.

Effects of Smoking on Cost of Hospitalization and Length of Stay among Patients with Lung Cancer in Iran: a Hospital-Based Study

  • Sari, Ali Akbari;Rezaei, Satar;Arab, Mohammad;Majdzadeh, Reza;Matin, Behzad Karami;Zandian, Hamed
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제17권9호
    • /
    • pp.4421-4426
    • /
    • 2016
  • Background: Smoking is recognized as a main leading preventable cause of mortality and morbidity worldwide. It is responsible for a considerable financial burden both on the health system and in society. This study aimed to examine the effect of smoking on cost of hospitalization and length of stay (LoS) among patients with lung cancer in Iran in 2014. Materials and Methods: A total of 415 patients were included in the study. Data on age, sex, insurance status, type of hospitals, type of insurance, geographic local, length of stay and cost of hospitalization was extracted by medical records and smoking status was obtained from a telephone survey. To compare cost of hospitalization and LoS for different smoking groups, current smokers, former smokers, and never smokers, a gamma regression model and zero-truncated poisson regression were used, respectively. Results: Compared with never smokers, current and former smokers showed a 48% and 35% increase in hospitalization costs, respectively. Also, hospital LoS for current and former smokers was 72% and 31% higher than for never smokers, respectively. Conclusions: Our study indicated that cigarette smoking imposes a significant financial burden on hospitals in Iran. It is, however, recommended that more research should be done to implement and evaluate hospital based smoking cessation interventions to better increase cessation rates in these settings.

Factors Affecting Breast Self-examination Behavior Among Female Healthcare Workers in Iran: The Role of Social Support Theory

  • Bashirian, Saeed;Barati, Majid;Shoar, Leila Moaddab;Mohammadi, Younes;Dogonchi, Mitra
    • Journal of Preventive Medicine and Public Health
    • /
    • 제52권4호
    • /
    • pp.224-233
    • /
    • 2019
  • Objectives: In women, breast cancer is the most common cancer and the leading cause of cancer death. Screening tests are the basis for early diagnosis. In Iranian women, the mortality rate of breast cancer is high due to insufficient screening examinations and delayed visits for care. Therefore, this study aimed to determine the factors affecting breast self-examinations among Iranian women employed in medical careers. Methods: This cross-sectional study included 501 women working in the medical professions at Hamadan University of Medical Sciences in western Iran in 2018. The subjects were selected by stratified random sampling. Data were collected using a researcher-developed, self-report questionnaire that contained demographic information and questions based on protection motivation theory and social support theory. Descriptive data analysis was conducted using SPSS version 23 and model fitting with PLS version 2. Results: The mean age of the participants was $37.1{\pm}8.3years$, and most of the women (80.4%) were married. Most women had a bachelor's degree (67.5%). The findings of this study showed that the coping appraisal construct was a predictor of protection motivation (${\beta}=0.380$, p<0.05), and protection motivation (${\beta}=0.604$, p<0.05) was a predictor of breast self-examination behavior. Additionally, social support theory (${\beta}=0.202$, p<0.05) had a significant positive effect on breast self-examination behavior. Conclusions: The frequency of practicing self-examinations among women employees in the medical sector was low; considering the influence of social support as a factor promoting screening, it is necessary to pay attention to influential people in women's lives when designing educational interventions.

노동시장 참여 고령 1인가구의 직무만족 결정요인에 관한 연구 : 성별과 연령을 중심으로 (A Study on Determinants of Job Satisfaction Among the Old Workers Living Alone: Focused on Gender and Age)

  • 허준수;최성헌;김재란
    • 한국콘텐츠학회논문지
    • /
    • 제19권9호
    • /
    • pp.411-429
    • /
    • 2019
  • 그동안 선행연구들에서 고령 1인가구를 대상으로 하는 직무만족도에 대한 연구는 매우 부족한 실정이다. 이에 본 연구에서는 노동시장에 참여하는 고령 1인가구의 직무만족도에 영향을 미치는 결정요인들을 분석하고, 성별과 연령에 따라서 인구 사회적 요인, 건강 심리적 요인 및 노동 관련 요인 등으로 구분하여 고령 1인 가구의 직무만족도를 분석하였다. 본 연구에서는 한국노동패널조사(KLIPS)의 18차 자료를 활용하였고 연구대상자는 55세 이상의 고령 1인 가구 총 308명을 대상으로 하였다. 연구결과 남성 고령 1인가구의 경우 행복, 조직몰입도 및 근로기간 등이 직무만족도에 영향을 미쳤지만, 그러나 여성 고령 1인가구의 경우는 연령, 행복, 조직몰입도 및 기술수준 등이 직무만족도의 결정요인이었다. 55세-64세의 경우 소득, 조직몰입, 고용안정성 및 근로기간 등이 직무만족도에 영향을 미쳤다. 65세-74세의 경우 교육, 조직몰입 및 기술수준 등이 직무만족도에 영향을 미쳤다. 75세 이상의 경우 교육과 행복 등이 직무만족도에 영향을 주는 요인이었다. 그리고 연령, 소득, 행복, 조직몰입도, 고용안정성, 근로기간 및 기술수준 등이 전체 연구대상자들의 직무만족도의 결정요인들이었다. 본 연구결과들을 바탕으로 독거 고령근로자의 직무만족도 향상을 위한 정책적 및 실천적 함의 등을 제언하였다.

노인 생활만족도 결정요인에 대한 통합적 접근 (Study on the Determinants of Life Satisfaction among the Elderly: An Integrative Approach)

  • 김명숙;고종욱
    • 한국콘텐츠학회논문지
    • /
    • 제13권6호
    • /
    • pp.246-259
    • /
    • 2013
  • 본 연구는 60세 이상 노인들을 대상으로 노인들의 생활만족도에 미치는 결정요인들의 차별적 영향을 탐구하는데 그 목적이 있으며, 이를 위해서 노인 생활만족도 결정요인으로 다양한 건강, 경제, 여가활동, 사회적 지지 및 심리 요인 관련 변수들을 포괄적으로 검토하였다. 본 연구를 위해 서울 소재 10개 노인종합복지관, 노인대학 및 노인문화센터의 여가활동 프로그램에 참여하고 있는 60세 이상 노인 347명을 대상으로 자료를 수집하였다. 자료수집방법으로는 구조화된 설문지를 사용하였으며, 가설검증을 위한 주된 자료분석방법으로는 구조방정식모형분석기법을 사용하였다. 연구결과 건강요인인 주관적 건강상태, 경제적 요인인 주관적 경제수준, 여가활동요인인 생산적 여가활동과 소비적 여가활동, 사회적지지 요인인 배우자 지지와 자녀지지 그리고 심리적 요인인 자아존중감과 외향성이 노인의 생활만족도에 유의미한 영향을 미치는 것으로 나타났다. 본 연구결과가 갖는 이론적 실천적 함의를 논의하고 향후 연구방향을 제시하였다.

지역거점 공공병원의 수익성 결정요인 - COVID-19 유행기간을 중심으로 - (Determinants of Profitability of Regional Public Hospitals in Korea - Focusing on the COVID-19 Pandemic Period -)

  • 지석민;옥현민
    • 한국병원경영학회지
    • /
    • 제27권3호
    • /
    • pp.26-38
    • /
    • 2022
  • Purposes: We analyzed the profitability determinants of regional public hospitals during the entire period between 2010 and 2020 and the period before and after COVID-19. We intended to provide fundamental data for developing publicness evaluation index and task of establishing and expanding regional public hospitals. Methodology: The financial and non-financial information of the regional public hospitals were used as the main analysis data; The financial data was established by the Center for Public Healthcare Policy of National Medical Center, and the non-financial data by the Health Insurance Review and Assessment Service. T-test and regression analysis were used. Findings: The results can be summarized in two. First, the main determinants of profitability of the regional public hospitals were appeared to be the total asset turnover rate and the labor cost rate. Second, during the COVID-19 pandemic in the regional public hospitals, the number of sickbeds, the number of isolation rooms, the total asset turnover rate and the labor cost rate appeared to be the factor worsening the profitability. Practical Implication: The results of this study suggests that the management of the regional public hospitals is not aiming for the profit making, but it performs the functions as the community healthcare safety net such as controlling infectious diseases.

지역사회 건강행태, 고혈압, 당뇨병 유병률 변화와 변이 요인 (Changes and determinants affecting on geographic variations in health behavior, prevalence of hypertension and diabetes in Korean)

  • 김유미;강성홍
    • 디지털융복합연구
    • /
    • 제13권11호
    • /
    • pp.241-254
    • /
    • 2015
  • 본 연구의 목적은 지역의 건강행태, 고혈압, 당뇨병 유병률의 변화와 변화율의 지역 간 변이에 영향을 미치는 요인을 분석하는 것이다. 이를 위해 2008년과 2013년 지역사회건강조사 결과를 이용하였으며, 5년간 지역 간 건강행태 변화와 고혈압 및 당뇨병 유병률 변화의 지역 간 변이 정도, 변이의 요인을 확인하기 위해 지리정보시스템, 의사결정나무 등 융복합적 분석을 하였다. 지난 5년간 현재 흡연율과 월간 음주율의 증가는 남서부 지역에서 높았고, 걷기 실천율의 증가는 서부 지역에서 다소 높게 나타났다. 고혈압은 서부와 남부, 당뇨병은 동부와 북부 지역에서 증가율이 높았다. 고혈압 및 당뇨병 유병률 변화의 지역 간 변이 요인은 고혈압 및 당뇨병 이외에 음주, 신체활동, 비만, 관절염, 우울증상 및 스트레스로 나타났다. 우울증상이 증가하는 지역에서 고혈압과 당뇨병의 유병률의 증가는 중요한 영향을 미치는 것으로 나타났다. 따라서 고혈압과 당뇨병의 유병률을 감소시키기 위해서는 지역특성에 기반한 주민 정신건강 관리 프로그램을 개발할 필요가 있다.