• 한국노년학
• /
• v.36 no.3
• /
• pp.611-632
• /
• 2016

Solutions for elderly health issues need to be found that take into account not only a medical perspective, but also interactions with social conditions such as socioeconomic status. With this in mind, this study aims to understand how socioeconomic status leads to health inequalities for the elderly. Specifically, this study investigates the mediating effects of socioeconomic status(income and education levels), health activities as an intermediary of the three dimensions of physical health(medical health, functional health, subjective health), accessibility of medical facilities, social participation, and social network. To test the research model, a secondary data analysis was conducted on the 2014 National Survey of Senior Citizens. The participants of the study were 10,451 elderly men and women aged 65 and above. To test the mediated model, hierarchical multiple regression analysis was conducted following the procedures suggested by Baron and Kenny(1986). In addition, a Sobel test was conducted to test the mediated model's significance. According to the analysis, the effects of income and educational levels on the health of the elderly were not the same. Additionally, different results were found depending on health dimensions. However, the overall direction of the results showed that the socioeconomic status of the elderly creates health disparities, and health behaviors, accessibility of medical facilities, social participation, and social network had significant mediation effects between socioeconomic status and physical health. Study findings especially worth noting are as follows: education was shown to have a stronger effect on health than income; effects of social integration factors such as social participation were highlighted; and significant mediating effects on the accessibility of medical facilities remained even after taking residential area into account. Results of this study shed light on health inequality mechanisms due to socioeconomic conditions and the need to find alternatives to alleviate these problems.

• Women's Health Nursing
• /
• v.9 no.3
• /
• pp.245-255
• /
• 2003

Purpose: This study is to define the structural patterns of pregnancy motivation of married women. Method: Q-methodology was used on 110 statements collected from interviews with women and a literature review. 38 Q-samples were selected. The Q-samples were administerd to 30 randomized P-sample. Result: Data analysis of Q-type obtained by QUANL program shows three types of subjectivity in the perception of pregnancy motivation. Type 1, $\ulcorner$Family-connection strengthening$\lrcorner$, Pregnancy motivation is characterized by the tendency to make home, to tie family member, to connect couple firmly. Type 2, $\ulcorner$Self-satisfaction$\lrcorner$, Women of this type take pleasure and happiness from child rearing in terms of being a mother and having maternal affection. Type 3, $\ulcorner$Self-centered$\lrcorner$, This type of pregnancy motivation puts on high emphasis on self achievement and they make a family planning suitable for the maternal role. Conclusion: The stronger was women's pregnancy motivation, the more positive were women's pregnancy experience and maternal role attainment. Conclusion: Therefore, When nurses take care of pregnancy women, they should understand the women's psycho-social aspects and then apply a program of nursing intervention to the pregnant women, It is necessary to continue to study on social and psychological problems related to pregnancy.

• Asian Pacific Journal of Cancer Prevention
• /
• v.17 no.sup3
• /
• pp.245-252
• /
• 2016

Due to increasing incidence of breast cancer, recognition of risk factors has become increasingly important. Over the past few decades, among risk factors of this disease, stressful life events have attracted particular attention, but their relationship with breast cancer incidence and survival remains a mystery. This study aimed to examine the relationship between severe stressful life events and incidence and survival of women with breast cancer. In this case-control study, using a structured telephone interview with 355 women with breast cancer and also with 516 women with benign breast diseases who were matched in demographic characteristics, necessary information about the experience of major stressful events in the years before the diagnosis were collected. Data were analyzed using statistical methods of ${\chi}^2$, t, and Kaplan-Meier with a significance level of <0.05. Generally, in the case and control groups, there were no significant association between experience of stressful life events and incidence of breast cancer. Regarding associations between each of the events and incidence of breast cancer only "severe interpersonal problems with spouse" was significant. In the breast cancer group, even after controlling confounding variables, there was no significant association between major stressful events and disease-free survival, or overall 5-and 10-year survival. In this study, only "severe interpersonal problems with spouse" was confirmed as a risk factor. This result can be useful in developing preventive policies. More research regarding the interactive effects of psycho-social factors in the incidence and survival of breast cancer with stressful life events is recommended.

• Journal of People, Plants, and Environment
• /
• v.24 no.2
• /
• pp.153-167
• /
• 2021

Background and objective: With the revision of the Act on Urban Parks, Green Areas, Etc. in 2013, the "urban agricultural park" was newly established under the subcategory of "themed park," thereby establishing the institutional basis for the creation of urban agricultural parks. However, urban agricultural parks are still in the early stages of their introduction. There is a lack of research on direction setting and specific operation management that considers urban residents' needs and the city's physical infrastructure. Methods: We utilized the public service design process suggested by the Ministry of the Interior and Safety of the Republic of Korea in 2019 to identify problems and develop directions for urban agricultural parks. The process consisted of the following four steps: Understanding, Discovering people's needs, Defining real problems, and Developing ideas. Results: As four types of ideas for revitalizing urban agricultural parks, 'information users want to know,' 'user participation in design,' 'venue for local communities,' and 'urban agricultural parks as health and rest areas' were derived. This means that urban agricultural parks must provide the information users want; users must plan, decide, and implement such information by directly participating in the creation and efficient management and operation of urban agricultural parks; and urban agricultural parks must be used as a venue for local communities. Urban agricultural parks should also be spaces for health and relaxation. Conclusion: Urban agricultural parks should avoid the unified space and passive participation patterns of existing urban parks, and become real spaces for resident participation that can satisfy all the production, leisure, landscape, ecology, and psycho-social needs of the users of urban agricultural parks. Furthermore, it is necessary to introduce a more systematic and diverse operating system so that it can work to revitalize the local community and connect organically with the function of the city.

• Journal of Hospice and Palliative Care
• /
• v.3 no.1
• /
• pp.60-73
• /
• 2000

Purpose : The purpose of this study was to describe a total pain model in patients with terminal cancer and to identify factors relating to total pain using the Twycross Pain Management Model, which included physical, psycho-social and spiritual pain. Method : The study was a retrospective descriptive study. The first stage included 87 patients who received hospice service at Y hospital in 1997. The second stage included five model patients who suffer severe pain as selected by the four hospice nurses. Data collection was from 1) chart analysis and 2) in-depth interviews with the hospice nurses about their selected patients. Data analysis was performed using SPSS-WIN and content analysis. Result : 1) The main problems of 3 patient with terminal cancer were pain(77%), constipation (25.3%), family coping(35.6%), psycho-spiritual distress(17.2%)and other symptoms. 2. The Twycross model was a useful model. However, new items were added; loneliness, depression, and no improvement in condition as depression factors. In anger, new items were anger due to family neglect, at God and in relationships. The case studies identified the followsing; 1) Patient suffer from physical pain as well as multiple other symptoms when cancer is advanced. 2) Body concept, role change, threat to self concept, fear of pain, fear of death, anxiety, family conflict, financial burden, spiritual distress, hope for a cure, are all affected. Conclusion : 1) It is believed that the Twycross model is useful but further tests and revisions are necessary for deciding priorities in the care plan. 2) Pain management must improve culturally appropriate and family support, psychological, spiritual care are imperative for patient with terminal cancer. 3) Further study is recommended to test correlations of depression, anxiety, spiritual distress and family coping using valid instruments. A qualitative study on the spiritual journey of the patient with terminal cancer is also recommended.

• Journal of the Korean Society of School Health
• /
• v.13 no.2
• /
• pp.261-270
• /
• 2000

Background: Adolescence is the transitional period between childhood and adulthood. We have to pay attention to their psycho-social problems as well as their physical symptoms. In this context, we need to investigate the adolescent depression tendency and its related factors. Method : From May to June in 1008, we chose one elementary school, one middle school and one high school in Seoul and surveyed for all students who were above the 4th grade of elementary school and their parents. We analyzed the data for 3,685 students. Result: From the 6th grade of elementary school to the 1st grade of high school, the girls' DSRS(Depression self-rating scale) score was significantly higher than the boys'. The DSRS score was increased from the 2nd grade of high school for boys and from the 1st grade of high school for girls. The Pearson correlation coefficient between age and DSRS score was 0.16(p<0.01) and that between APGAR and DSRS score was -0.45(p<0.01). The median number of psychosomatic symptoms of the past month was 6, and when students complained for more psychosomatic symptoms, the DSRS scores were higher. Those who drank or smoked ranked significantly higher in DSRS score; and, those who exercised regularly, had leisure activity, and had a faithful person for counselling ranked significantly lower in DSRS score. Conclusion : Adolescents who complained of many psychosomatic symptoms needed to be screened for depression. A primary physician have to intervene about health related behavior such as family function, smoking, exercise and relieving stress.

• Archives of design research
• /
• v.20
• /
• pp.75-85
• /
• 1997

After the second world war the vulgar functionalism, which was called as the international style, was developed in the interest of the post capitalistic society. The vulgar functionalism reflected only inhuman commercialism and brought to psycho-mental and social problems. By the result in the mid-sixties the criticism movement of the functionalism had began as a king of the 68-movement in the german architecture and design scene. And it went on in the seventies, and had a decisive influence on the forming of the extended functionalism. The extended functionalism is bases on the definition of functions in the using process of the mass production and consumption society. Those functions, viz. Practical Function, Theoretical Function, Ecological Function, (formal-) Aesthetical Function, Indicating Function, Symbolical Function, have been the core criteria in the analysis and developing phase of the todays' german design scene.

• Journal of Digital Convergence
• /
• v.11 no.11
• /
• pp.585-593
• /
• 2013

This study was to explore demographic, psycho-social and clinical characteristics and the influencing factors on alcohol use of person with severe mental illness in the community. Cross-sectional descriptive design was used to recruit a convenience sample of 176 participants from four community mental health centers in Korea. The collected data were analyzed using t-tests, $x^2$-test, and logistic regression. Depending on the alcohol use (AUDIT-K), participants were divided into the problem alcohol use group (n=54, 30.7%) and normal group (n=122, 69.3%). The problem alcohol use group was significantly more smoking, anxiety, stress, suicidal thought, and had a lower age of onset, phase of rehabilitation, self-efficacy, and others' support. In logistic regression analysis, factors influencing on alcohol use were smoking, age of onset, phase of rehabilitation and others' support. The findings may provide useful information to develop strategies for prevent from alcohol induced the problems in this populations.

• Journal of Christian Education in Korea
• /
• v.68
• /
• pp.217-243
• /
• 2021

As can be seen from the statement by the UN Secretary-General that "COVID-19 is a crisis with a woman's face," women have experienced great crisis, pain, and difficulties caused by the COVID-19 pandemic. This study examined the situations of women through statistical data and research studies. Through this study, economic, socio-cultural, and psycho-emotional aspects were dealt with in detail, and how these issues appeared in relation to "caring" were examined. In addition, as a response of the church to these problems and crises, pastoral theological reflection was promoted through "Ethics of Care" and "caring ministry". The "caring ministry" of the church extends not only to personal care within the church, but also to social, cultural, economic, political, and ecological issues, and the church has a missionary mission to respond to these issues related to disasters with a public nature. Furthermore, through educational ministry, the change of values and mindsets on "care" and inequality and Diakonia, the loving care of the church community, should be encouraged.

• Korean Journal of Social Welfare
• /
• v.37
• /
• pp.449-473
• /
• 1999

The purpose of this study is to investigate the relationship between suicidal ideation and psycho-social factors such as depression, stress, self-esteem, and support from family, friends, and teachers. Data from a sample of 224 male and female high school sophomore students. The results were analyzed by t-test, one-way ANOVA, person's correlation, and multiple regression. The findings of this research are as follows. Firstly, there was no statistically significant gender difference in suicidal ideation. However females reported greater suicidal ideation than males. Secondly, there were a statistically significant gender differences in depression. stress, self-esteem, and support from teachers. Thirdly, the variables in the cause model accounted for 42.3% for males, and 36.4% for females, of the variance in suicidal ideation. Fourthly, there were gender differences in the predictive power of variables within the cause model for suicidal ideation. Depression, self-esteem. and stress were found to be significant predictors of suicidal ideation in males. On the other hand, depression and lack of family support were shown as significant predictors of suicidal ideation in females. These findings suggest that the following approaches should be taken in order to decrease suicidal ideation among adolescents. With males self-esteem should be strengthened, depression should be reduced, and stress should be managed. With females family problems need attention, and depression need to be reduced.