• 대한영양사협회학술지
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• 제25권2호
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• pp.83-104
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• 2019

Elevated high-sensitivity C reactive protein (hs-CRP) levels and metabolic syndrome are considered important predictors of cardiovascular mortality. This study examined the influence of the alcohol consumption level on the hs-CRP level and the prevalence of metabolic syndrome in South Koreans. The study subjects were 3,884 participants (${\geq}19$ years) from the KNHANES in 2015. The subjects were divided into four groups according to their alcohol consumption; None (none-alcohol consumption), Low (less than 15 g/day), Medium (15~29.9 g/day), and High (over than 30 g/day). The odds ratio for high-risk hs-CRP of men was significantly lower in the Low or Medium groups compared to the None group. In women, the odds ratio for high-risk hs-CRP was not decreased in the Low or Medium groups but was significantly higher in the High group than in the None group. Compared to nondrinkers, the prevalence of metabolic syndrome was lower in the Low group and Medium group in both men and women, whereas it was significantly higher in the High group in men only. In particular, the prevalence of low HDL-cholesterol was lower in all drinking groups. When the confounding factors were adjusted, the odds ratio for low HDL-cholesterol appeared to decline in the Low groups in both men and women. On the other hand, in the Medium group, women showed an elevated odds ratios of high blood pressure (HBP) and high fasting plasma glucose but men showed an elevated odds ratios of HBP and high triglyceride levels. The overall results suggest that low alcohol consumption is more appropriate than medium alcohol consumption. Nevertheless, more study will be needed to evaluate the appropriate alcohol consumption level.

• 대한간호학회지
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• 제52권4호
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• pp.451-463
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• 2022

Purpose: This study examined the reciprocal relationships between depression and income, and gender differences in these relationships among older adults in South Korea. Methods: Using 2015 to 2019 of the Korea Welfare Panel Study (KoWePS), we studied 6,070 older adults (2,394 men and 3,676 women) aged 60 years over in 2015. The generalized estimating equation was employed to explore the effect of an individual income on depression and the reverse causal link-that of depression on income. Results: The study found the reciprocal relationships between income and depression. Income has a significant impact on depression. Higher-income was linked to decreased risks of the Center for Epidemiologic Studies Depression (CES-D) scores among older adults (B = - 0.121, p < 0.001). Estimates of the reverse causal link show that higher CES-D scores were also linked to income reduction among Korean older adults (B = - 0.007, p < 0.001). In addition, we also observed gender differences in the impact of income on depression but not in the reverse causal link. Income has more detrimental to psychological consequence for older men (B = - 0.108, p < 0.001) than older women (B = - 0.057, p < 0.001). Conclusion: The finding implies that both psychological and social protection policies for the elderly are needed in view of gender perspective.

• 대한지역사회영양학회지
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• 제6권3호
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• pp.371-379
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• 2001

The present study was conducted to determine whether the food shortage situation in North Korea has affected its people differentially according to social class. We performed a literature search on North Korean books and documents on food and nutrition. We also conducted a mail survey on North Korean defectors to estimate the energy and nutrient intake and the practice of foraging for wild foods at the time of food crisis in North Korea. The subjects were 150 adults, 104 men and 46 women, aged 20 years and older, who resettled in the South Korea after the food crisis. The mean energy intakes for men and women were estimated to be 1,260 kcal and 980.6 kcal, respectively, which were far less than 2,900 kcal and 2,600 kcal, the intake levels recommended for North Korean men and women, respectively. Thirty seven percent of the subjects reported a lack of foods adequate enough for work and other daily activities, and fifty seven percent reported a routine use of wild foods such as roots, grass, stalks, and tree bark with an average of 4 items per day. Food consumption patterns on a typical day were different by social classes with the high class people consuming an affluent diet in the midst of a severe food shortage.

• Journal of Preventive Medicine and Public Health
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• 제43권2호
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• pp.125-130
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• 2010

Objectives: The current study was performed to assess the distribution of intraocular pressure (IOP) and its association with metabolic syndrome (MS) in a community. Methods: We measured IOP and MS components from 446 adults, age 20 or more years old, who reside in a community in Kyunggi Province, South Korea. We compared the level of IOP according to the number of metabolic abnormalities and between normal and abnormal metabolic components. Linear regression analyses were used to determine the relationship between IOP and metabolic components. Results: No significant difference in IOP (mean${\pm}$SE) was found between men ($12.24{\pm}2.42$) and women ($12.55{\pm}2.41$ mmHg, p > 0.1), while IOP of men tended to decrease as age increased (p for trend < 0.01). After adjusting for age, IOP of subjects with abdominal obesity in men and high blood pressure in women were significantly higher than those without abdominal obesity or high blood pressure (p < 0.05). Female subjects with MS showed significantly higher IOP than those without MS. Participants with more metabolic disturbances tended to have a greater IOP elevation with a linear trend after adjusting for age and sex. In the univariate regression analysis, age and waist circumference were significantly associated with IOP in men, but systolic and diastolic blood pressure were associated with IOP in women. In final multiple regression model, age, systolic blood pressure, and triglyceride were associated with IOP in women, and age in men. Conclusions: These findings suggest that MS and its components may be important determinants of elevated IOP.

• Journal of Nutrition and Health
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• 제33권5호
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• pp.540-547
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• 2000

The present study was conducted to document North Korea's long standing food shortage situation and to evaluate the devastating effects of its recent food crisis on the already poor health and nutritional state of the people in North Korea. We analyzed the mail survey data on food consumption patterns and anthropometry of 109 North Korean defectors, male, aged 20 years and older, who resettled in the South during the period of 1988-1999. The result of our survey data indicated that during 1988-1993 when North Korea's food supply was not yet emerged as a serious problem, food and nutrient intake of North Korean defectors was estimated to be significantly lower that the recommended intake levels for maintenance. Energy and protein intake of subjects who defected further with the recent food crisis. For subjects who defected after 1994, the total and animal food intakes were reduced to 67% and 25%, respectively, of the amounts consumed by those who defected in the period of 1988-1993, and their energy and protein intake was decreased by 27% and 30% to the level of 1,181kcal and 40g. Regardless of the time of defection, the mean height and body weight of defectors was significantly lower than that of South Korean reference men. The prevalence of infectious diseases and malnutrition signs was higher among defectors who resettled in the South after 1994 compared to those who resettled during 1988-1993.

• Journal of Preventive Medicine and Public Health
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• 제39권2호
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• pp.141-148
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• 2006

Objectives : We wanted to evaluate the medical underutilization for benign prostatic hyperplasia (BPH) and lower urinary tract symptoms (LUTS) among Korean elderly men and we wanted to determine their associated factors. Methods : This study was conducted on 239 men with LUTS and 116 men with BPH who were compatible with the diagnostic criteria from a total of 641 participants. These participants were over 50 years old and they were randomly chosen in a community-based study for estimating the prevalence of BPH. Using a self-reported questionnaire, we surveyed the sociodemographics, health status, quality of life, lower urinary tract symptoms, medical utilization and reasons for not seeking treatment. Results : Only 27.6% of the men with LUTS and 31.0% of the men with BPH reported having visited a doctor for urinary symptoms. The reasons for not visiting a doctor were, in order of responses from the group with LUTS: 'considered the symptoms as a part of the normal ageing process', 'not enough time to visit a doctor', 'financial difficulty' and 'the symptoms were not severe or bothersome'. Regarding BPH, the responses were the same as those of the group with LUTS however, 'financial difficulty' placed second. Among the men with experience of visiting a doctor for urinary symptoms, 33.3% of those with LUTS and 28.1% of those with BPH were not treated. The most common reason in both groups was 'the symptoms were not severe to be treated'. On a multiple logistic regression analysis, the larger size household (odds ratio (OR) 3.03, 95% confidence interval (CI)=1.40-6.54) and an unsatisfactory quality of life related with urinary symptoms (OR 2.98, 95% CI=1.23-7.21) were associated with medical utilization in the group of LUTS. For BPH, the current employment status was related with the medical utilization (OR 2.80, 95% CI=1.10-7.11), in addition to the larger size household (OR 3.24, 95% CI=1.14-9.21). Conclusions : Many men with urinary symptoms do not visit a doctor. This medical underutilization for people with LUTS and BPH may be associated with economic status in Korea.

• Human Ecology Research
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• 제61권2호
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• pp.219-231
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• 2023

This study examined attitudes toward factors underpinning a successful marriage and their associations with marital satisfaction among married men and women in midlife. The sample comprised 201 married men and women aged between 40 and 59 living in Seoul, South Korea, and the data were collected by a self-report survey in 2019. Attitudes toward factors underpinning a successful marriage were measured using 12 items from the European Values Study Master Questionnaire 2008 and marital satisfaction was measured using three items from the Kansas Marital Satisfaction Scale. Exploratory and confirmatory factor analysis were performed in order to identify the factors deemed important for a successful marriage, as well as a t-test to explore gendered domains. Additionally, regression analysis was conducted to examine the association between attitudes toward factors underpinning a successful marriage and marital satisfaction. The results revealed two factors that were deemed important for a successful marriage: 'marital exchange based on conditions' and 'qualitative interaction based on sharing.' Women were more likely to believe that both factors were important for a successful marriage than men. The regression analysis revealed that 'qualitative interaction based on sharing' had a positive association with marital satisfaction, while 'marital exchange based on conditions' had a negative association with marital satisfaction, and also that these associations did not differ by gender. The findings imply that a successful marriage can be achieved when married partners make efforts to maintain their relationships through positive interactions and share intimacy in midlife.

• Biomolecules & Therapeutics
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• 제28권1호
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• pp.110-118
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• 2020

Migration presents a substantial social and public health issue. However, it is unclear whether diabetes is worse among Asian migrants than natives of South Korea over time. This longitudinal study investigated the nationwide population, including 2,680,495 adults aged 20 years and older (987,214 Asian migrants and 1,693,281 natives), who received health check-ups, using the Korean National Health Insurance Service data (2009-2015). Joinpoint regression was used to estimate the annual percentage change of diabetes, and multivariable logistic regression was used to examine differences in incident type 2 diabetes between Asian migrants and natives adjusting for age, sex, economic status, body mass index, smoking status, any alcohol use, and physical activity. The age-adjusted prevalence of diabetes increased among native men (from 8.8% in 2009 to 9.7% in 2015, APC=1.64, p<0.05) compared to Asian migrant men, and the age-adjusted prevalence of diabetes increased among native women (from 6.0% in 2009 to 6.7% in 2015, APC=1.88, p<0.05) compared to Asian migrant women. In the multivariate analyses, Asian migrants were less likely to get type 2 diabetes than natives (odds ratio, 0.82; 95% CI, 0.78 to 0.86) between the first and last health check-ups. However, the odds ratio for developing type 2 diabetes was 1.15 (95% CI, 1.10 to 1.20) among low-income levels compared to high-income levels, regardless of whether they were Asian migrants or natives. The results could help to establish a new strategy for prevention, treatment, and management of diabetes among the Asian population.

• Asian Journal for Public Opinion Research
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• 제4권4호
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• pp.208-245
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• 2017

Background: Attitudes toward breastfeeding in public are one potential barrier to optimal breastfeeding rates and durations. Method: Questions about breastfeeding experience and attitudes toward breastfeeding in public were asked in face-to-face interviews as part of the Korean Academic Multimode Open Survey (KAMOS), May-July, 2017. The response rate was 65.8% (2000 respondents nationwide). Results: A majority of Koreans disagreed (1 or 2 on a 4-point scale) with the statement "Women should not breastfeed their child in open, public places" (53.9%) and agreed (3 or 4 on the 4-part Likert scale) with the statements "I do not feel uncomfortable seeing women breastfeed their child in open, public places" (64.0%) and "Breastfeeding a baby, instead of letting the baby cry, in public places is better for other people" (71.8%). However, despite these generally positive attitudes, the majority also said that they would not breastfeed in public (57.4% of women) or, in the case of men, would not want a close female relative to do so (63.8% of men). Breastfeeding in public was positively correlated with the duration of breastfeeding. People were more positive about breastfeeding in public if they: were parents; did not use formula and breastfeeding a similar amount; had children who had been breastfed in public; were older; were Buddhists rather than Christians. An attempt was made to compare attitudes toward breastfeeding in public and breastfeeding durations internationally, but was inconclusive due to not perfectly comparable data. Conclusion: Our results may be useful in planning public health campaigns in South Korea or future attempts at international comparisons to better understand and address the effect of public opinion regarding breastfeeding in public on breastfeeding rates and durations.

• 건축역사연구
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• 제17권1호
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• pp.85-102
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• 2008

As a result of analyzing the floor plan shown in the three drafts, there were a great deal of differences in composing the space of the inner main hall. The inner room facing to the east with the arrangement crossing the inner floor at right angles in the 'Baekdangguje Draft' faces to the south in the east or west in front of the main house thereafter. This represents that it reflects the intent of the owner of the architecture emphasizing the size increase and ceremonies of the main house in the 'ㅁ shape', which has changed to the directions of easily accommodating the Confucian ceremonial activities in the floor plan of the inner house as the size of the main house was gradually increasing from 24 sections to 30 or 38 sections. The expansion in the size of main house further divided the functions of floor into one for daily life and the other for ceremonies as well. In other words, the 30 Sections in Yijeong Draft as being the first planned draft for reconstruction had a hall for memorial services in the main hall of the inner house, whereas the 'Draft with 38 Sections' as being the second planned draft for reconstruction was planning a room with a floor (two sections of Bangdang) for memorial purpose in the back of the inner main hall. The variations in the guest house (or space for men) shown in the drafts confirms the establishment of space for men as the size of the main house increases. We can see the change that a large guest house is placed over the south and in the south and east of the main house as the number of main house increases by 30 sections or 38 sections. Especially, a guest house with a wide space in a 'ㄴ shape' is arranged from the south of main house to the east wing in the Draft with 38 Sections. In addition, the backward sections are advanced in the front and back of guest house in the drafts with 30 and 38 sections, while a back floor or a back floor connecting to the back room or sleeping room or inner house is installed in the backward sections.