• 한국사회정책
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• v.24 no.2
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• pp.61-86
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• 2017

Along with the well-established evidence on the negative effect of social isolation on physical and mental health, increasing attention has been paid to multi-dimensional nature of social isolation. One line of study on social isolation has discussed different pathways between objective and subjective social isolation and health. Another stream of the research focused on the possibly non-linear association between social isolation and health by age cohort groups. Drawing from the two lines of research, this study aimed at empirically examine to what extent objective and subjective social isolation are associated with physical and mental health independently and how the associations vary by three age cohorts(i.e. the middle-aged, the young old, the old-old). Data came from the first wave of Korean Social Life, Health and Aging Project (KSHAP) (N= 814). Findings showed 1) objective subjective isolation were significantly related with worse physical and mental health, interestingly, subjective social isolation was associated with mental health only, 2) pattern of association between social isolation and physical health varied by age cohorts. Specifically, compared to the middle-aged, the young old with higher objective social isolation exhibited lower level of physical health, while the old-old with higher subjective social isolation were likely to experience lower physical health. Based on the findings, we discussed implications and suggestions for future research and relevant policy/program development for ameliorating objective and subjective social isolation.

• Safety and Health at Work
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• v.14 no.3
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• pp.340-346
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• 2023

Background: Truck driving is a highly sedentary occupation that places workers at risk for chronic health conditions, such as obesity and high blood pressure. The primary purpose of this study was to objectively describe truck drivers' typical physical activity (PA) patterns. Methods: We used ~7-10-day baseline PA actigraphy data samples from drivers in the Safety & Health Involvement For Truckers (SHIFT) study (n = 394). Driver PA patterns (e.g., average number of ≥10 minute Freedson bouts per week, time in bouts, and common days/times for PA) were summarized with descriptive analyses. We also compared objective accelerometer data to self-reports. Results: Drivers' weekly PA averaged 14.4 minutes (SD = 37.0), and most PA occurred between 5-6 pm on Tuesdays and Wednesdays. Drivers overestimated self-reported weekly exercise by over 60 min/week compared to accelerometer data. Conclusion: Our results suggest that objective PA assessment may be warranted over self-report when possible, and timing may be key in future PA intervention work with truck drivers.

• Health Policy and Management
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• v.21 no.4
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• pp.565-584
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• 2011

Objective: This study is examined the factors affecting forms of untreated experiences in persons with physical disability. Method: The data collected from 461 persons with physical disability in community. Based on the Behavioral Model of Andersen, predisposing, enabling, and need factors are hypothesized to affect persons with physical disability's untreated experiences. The data were analyzed by statistical methods such as frequency and multiple logistic regression analysis. Result: Participation rates of untreated experiences were 26.7%. The significant factors of persons with physical disability's untreated experiences are predisposing factors (gender, partner, and religion), enabling factors (income, private insurance, information of assistive device, disability discrimination, and subjective discrimination), and need factors(subjective health status health screening and chronic disease). Also untreated experiences related to gender, subjective health status, health screening, and chronic disease factors using multiple logistic regression analysis. Conclusion: Implications of the findings were discussed and the recommendations for the improvement of health care utilization, subjective health statue. Especially, development of health education and program should be needed persons with physical disability.

• Korean journal of aerospace and environmental medicine
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• v.30 no.1
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• pp.40-49
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• 2020

In accordance with ICAO SARPs, the states should implement appropriate aviation-related health promotion for airmen subject to an aviation medical examination to reduce future medical risks to flight safety. We aimed to analyze the results of the aviation medical examination to use as objective evidence for establishing an aviationrelated health promotion plan. The results of the final issuance of airmen medical certificate from 2015~2017 were collected from the e-sky computer system. The 30 cases (0.3%) in 2015, 22 cases (0.2%) in 2016, 38 cases (0.3%) in 2017 were unfit for flight duty. The 34 unfit out of the total 90 cases were renewal physical examinations. The cardiovascular disease was most commonly in 11 cases, followed by 8 tumors, 4 psychiatric diseases, 3 ophthalmic diseases, 2 respiratory diseases, 2 neurologic diseases, 2 otolaryngological diseases, 1 endocrine disease and 1 digestive disease. The results of this study can be used as objective data in aviation-related health promotion plan. The health promotion activities based on objective data can contribute to improving aviation safety by improving the lifestyles of airmen.

• Physical Therapy Rehabilitation Science
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• v.11 no.4
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• pp.598-603
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• 2022

Objective: About one-third of college students are exposed to stress to the point that their academic performance is negatively affected. To provide useful information for managing the mental health of young people by analyzing the perceived stress level, depression level, and life satisfaction according to the amount of physical activity and the level of muscular strength in male college students. Design: A cross-sectional study. Methods: Among 304 students who participated in the health exercise class at Sahmyook University in Seoul, the amount of physical activity and the level of muscular strength were divided into 3 quartiles, respectively, and the perceived stress level, depression level, and life satisfaction were analyzed through one-way ANOVA. The physical activity level and muscle strength level of the subjects were ranked, divided into 3 groups, and the difference in variables according to the group was verified. Results: There was no difference in perceived stress level, depression level, and life satisfaction according to the amount of physical activity, but statistically significant differences were shown in perceived stress scale(p=0.008) and life satisfaction(p=0.030) according to muscular strength. Conclusions: Policies to increase physical activity are important to improve and manage the mental health of young people, but it is judged to be more meaningful to provide an environment that can improve muscular strength.

• Physical Therapy Rehabilitation Science
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• v.13 no.1
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• pp.134-142
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• 2024

Objective: This study aimed to compare the subjective health status, physical activity index, and perceived stress rate of obese children with those of healthy children through propensity matching analysis and to use the results to help manage obese children. Design: Descriptive correlation study. Methods: This study conducted a secondary analysis using raw data from the National Health and Nutrition Examination Survey. Propensity matching (1:2) was conducted between obese and healthy adolescents. Results: The number of days of physical activity was 1.22 days for the obese adolescent group and 1.01 days for the non-obese adolescent group, which was higher in the obese group (p=0.003). The subjective health status was 3.43 and 3.81 in the obese and non-obese adolescent groups, respectively, showing a higher difference in the normal group (p<0.001). No statistical difference was observed in the perceived stress rate (p=0.871) or strength exercises (p=0.190) between the two groups. Conclusion: This study suggests the need for development measures to effectively improve youth physical activity, muscle-strengthening programs, stress management, and subjective health status in obese and normal groups.

• Physical Therapy Rehabilitation Science
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• v.11 no.4
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• pp.391-399
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• 2022

Objective: This study aimed to investigate the effects of fall-prevention exercise programs on fall efficacy, depression and health-related quality of life in elderly. Design: a randomized controlled trial Methods: A total of 57 participants over 65-years-old have been allocated to control and experimental groups. The experimental group received 8 weeks of fall-prevention exercises that included strengthening of lower extremities, balance and gait training. They received the exercises twice a week for 50 minutes as a group.Both groups were assessed using Modified Falls Efficacy Scale (MFES), Geriatric Depression Scale (GDS), and 36-Item Short-Form Health Survey (SF-36) prior and post to the intervention. The control group also received the same exercise program after the post evaluation. Results: The experimental group showed overall improvement in MFES, GDS, and physical components of SF-36 (p<0.05). The MFES was significantly increased in the experimental group after the intervention (p<0.05). The GDS was significantly decreased in the experimental group after the intervention (p<0.05). The SF-36, only physical Function, Role limitations due to physical health, general health, and energy and fatigue categories were improved in the experimental group after the intervention (p<0.05). Conclusions: The results showed 8 weeks of fall-prevention exercise programs can increase fall efficacy and physical related quality of life while reducing depression of elderly over 65.

• Journal of the Korean Home Economics Association
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• v.45 no.3
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• pp.57-69
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• 2007

The purpose of this study is to examine the impacts of the physical health on health behaviors of the rural elderly. In this study, physical health is measured self-rated health and farmer symptoms. The specific questions addressed in this study are: What are the general tendencies of health behavior, self-rated health and farmer symptoms? What are the direct impacts and indirect impacts of respondents' characteristics, self-rated health and farmer symptoms on health behaviors of the rural elderly? For this purpose, survey data was gathered from 881 rural elderly who live in a village. The statistical methods used for data analysis were descriptive statistics, correlations, and path analysis with spsswin 12.0 program. The major findings of this study are as follows: The level of health behaviors and self-rated health is low and the level of farmer symptoms is high. In general, it can be said that respondents of this study have the low level of physical health and health behaviors. A path analysis shows the relation of variables, which influence on health behaviors. Economic status, education status and farmer symptoms play direct and positive effects on health behaviors. Especially, the effect of farmer symptoms is more important than the others. Sex and age are indirectly significant on health behavior. The results obtained from the study confirm that objective physical health, like as farmer symptoms, plays important roles in health behavior of the rural elderly. It means that the Korean rural elderly need many facilities and services to promote their physical health.

• Research in Community and Public Health Nursing
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• v.33 no.4
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• pp.396-407
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• 2022

Purpose: The purpose of this study was to assess insomnia and the quality of sleep, investigate the concordance between objective and self-report sleep patterns, and identify physiological, psychological, and situational factors influencing insomnia and sleep quality among firefighters. Methods: A descriptive, cross-sectional study was conducted with 103 firefighters in Korea. The collected data were analyzed using SPSS 23.0. Descriptive statistics, the independent t-test, and hierarchical logistic regression analysis were performed. Results: Insomnia was found in 66 (64.1 %) of the total subjects, and the average quality of sleep (PSQI) was 5.65 (SD=2.57). Total sleep time (401.00 minutes) and sleep latency (21.60 minutes) measured using self-reported scales were longer than the ones measured using objective measurements by approximately 48.70 and 17.10 minutes, respectively. Factors related to insomnia included the role as a paramedic (OR=4.28, 95% CI: 1.02~17.92), anxiety (OR=1.12, 95% CI: 1.01~1.24), and sedentary lifestyle (OR=0.85, 95% CI: 0.78~0.94), and factors related to sleep quality were physical illness status (OR=5.17, 95% CI: 1.53~17.51) and social support (OR=0.86, 95% CI: 0.78~0.95). Conclusion: The results show a high prevalence of insomnia, poor quality of sleep and the discrepancy between objective and subjective sleep patterns among firefighters. To promote sleep quality and health, early screening and treatment of anxiety and physical illness are required. It is necessary to conduct further studies examining the relationship between physical activity level and sleep.

• Safety and Health at Work
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• v.2 no.3
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• pp.260-272
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• 2011

Objectives: The promotion of health and safety (H&S) awareness among hospital staff can be applied through various methods. The aim of this study was to assess the risk level of physical hazards in the hospital sector by combining workers' perception, experts' evaluation and objective measurements. Methods: A cross-sectional study was designed using multiple triangulation. Hospital staff (n = 447) filled in an H&S questionnaire in a general hospital in Athens and an oncology one in Thessaloniki. Experts observed and filled in a checklist on H&S in the various departments of the two hospitals. Lighting, noise and microclimate measurements were performed. Results: The staff's perception of risk was higher than that of the experts in many cases. The measured risk levels were low to medium. In cases of high-risk noise and lighting, staff and experts agreed. Staff's perception of risk was influenced by hospital's department, hospital's service, years of working experience and level of education. Therefore, these factors should be taken into account in future studies aimed at increasing the participation of hospital workers. Conclusion: This study confirmed the usefulness of staff participation in the risk assessment process, despite the tendency for staff to overestimate the risk level of physical hazards. The combination of combining staff perception, experts' evaluation and objective measures in the risk assessment process increases the efficiency of risk management in the hospital environment and the enforcement of relevant legislation.