• Title/Summary/Keyword: psychological and physical health status

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Psycho-Social Determinants of Subjective Well-being and Physical Health of a Retired Elders in Korea: A Longitudinal Study on the occupational classification (은퇴 노인의 주관안녕과 신체건강에 영향을 미치는 요인들: 은퇴전 직종에 따른 종단 연구)

  • Kun-Seok Park
    • Korean Journal of Culture and Social Issue
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    • v.15 no.2
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    • pp.291-318
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    • 2009
  • The purpose of this study was to find out the impact of psycho-social factors (social relationship and personal) as well as illness history and economic status on physical health and subjective well-being among the retired Koreans elderly. Data were collected from 1,315 elders (mean age = 72.70yrs) residing in Seoul and Chuncheon regional area via interviews(Time 1), and them were re-interviewed two year later(Time 2). Multiple regression analyses indicated that the retired elders' illness history, economic status, marital satisfaction, fulfillment of self-esteem need, drinking behavior, positive affectivity, negative affectivity and physical health to predict their subjective well-being at Time 1(R2=.705). The retired elders' economic status, marital satisfaction, positive affectivity, negative affectivity and physical health to predict their subjective well-being at Time 2(R2=.418). The retired elders' illness history, economic status, expectations for one's offspring, drinking behavior and subjective well-being to predict their physical health at Time 1(R2=.364). And the retired elders' illness history, economic status, marital satisfaction, positive affectivity and negative affectivity to predict their physical health at Time 2(R2=.265). In case of retired elderly, suggested for the psycho-social determenants of subjective well-being and physical health by occupational classification. The implications of this study and the suggestions for furture study were discussed.

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Influential Factors on Health Behavior of the Middle and Elderly Generations in a Rural Community (일개 농촌지역 중.노년층의 건강행위 영향요인)

  • Ahn, Ok-Hee;Bark, Young-Joo;Chung, Hae-Kyung
    • Korean Journal of Health Education and Promotion
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    • v.22 no.2
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    • pp.33-46
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    • 2005
  • Objectives: The purpose of this study is to identify the influential factors on health behavior of the middle and elderly generations in a rural community. Methods: The subjects of this study were 495 people. The data were analyzed using descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient and multiple regression analysis. Results: 1. The differences of health behavior by sample characteristics were found to have significance of age, marital status, residence status, education level, and occupation. 2. The level of health behavior was related positively to the level of social support and self-efficacy. The level of health behavior was related negatively to the level of anxiety and depression. 3. The multiple regression analysis revealed that the most powerful predictor of health behavior was 'social support,' followed by anxiety and self-efficacy. A combination of social support (42.1%), anxiety (3.0%) and self-efficacy (0.8%) accounted for 45.9% of the variance in health behavior in the middle and elderly subjects. Conclusions:. The findings of this study could be effectively used to develop a practical management strategy to help promote health and health behavior of the middle and elderly people living in rural communities. In addition, the one idea to be emphasized should be the development of efficient health education programs that can have a favorable effect on the middle and elderly generations' physical, psychological and social health.

Health-related Quality of Life and Its Influencing Factors according to Gender in Baby Boomers (베이비붐세대의 성별에 따른 건강 관련 삶의 질과 영향요인)

  • Park, Min-Jeong;Suh, E. Eunyoung;Chung, Mi Young
    • Korean Journal of Adult Nursing
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    • v.27 no.3
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    • pp.314-324
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    • 2015
  • Purpose: The purpose of this study was to measure health-related quality of life (HRQOL) and the related factors according to gender in baby boomers by using Korea Health Panel Data 2012. Methods: The Korea Health Panel Data 2012 were collected from February to August 2012 by Korea Institute for Health and Social Affairs and National Health Insurance Corporation and the data of 1,802 respondents categorized as baby boomers were analyzed for this study. The data were analyzed by t-test, ${\chi}^2$ and multiple regression using SPSS/WIN 20.0 program. Results: For male, the influencing factors on HRQOL were economic activity and smoking. For female, the influencing factors on HRQOL were education, psychological and physical stress, unmet basic needs, and psychiatric drugs. The types of insurance, unmet medical needs, anxiety about the future, depression, and self-rated health status showed statistically significant relationships with HRQOL both for male and female. Conclusion: Health care providers are suggested to consider the founded gender differences in this study when they develop interventions for HRQOL improvement for baby boomers in a community.

Women's Employment in Industries and Risk of Preeclampsia and Gestational Diabetes: A National Population Study of Republic of Korea

  • Jeong-Won Oh;Seyoung Kim;Jung-won Yoon;Taemi Kim;Myoung-Hee Kim;Jia Ryu;Seung-Ah Choe
    • Safety and Health at Work
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    • v.14 no.3
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    • pp.272-278
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    • 2023
  • Background: Some working conditions may pose a higher physical or psychological demand to pregnant women leading to increased risks of pregnancy complications. Objectives: We assessed the association of woman's employment status and the industrial classification with obstetric complications. Methods: We conducted a national population study using the National Health Information Service database of Republic of Korea. Our analysis encompassed 1,316,310 women who experienced first-order live births in 2010-2019. We collected data on the employment status and the industrial classification of women, as well as their diagnoses of preeclampsia (PE) and gestational diabetes mellitus (GDM) classified as A1 (well controlled by diet) or A2 (requiring medication). We calculated odds ratios (aORs) of complications per employment, and each industrial classification was adjusted for individual risk factors. Results: Most (64.7%) were in employment during pregnancy. Manufacturing (16.4%) and the health and social (16.2%) work represented the most prevalent industries. The health and social work exhibited a higher risk of PE (aOR = 1.11, 95% confidence interval [CI]: 1.03-1.21), while the manufacturing industry demonstrated a higher risk of class A2 GDM (1.20, 95% CI: 1.03-1.41) than financial intermediation. When analyzing both classes of GDM, women who worked in public administration and defense/social security showed higher risk of class A1 GDM (1.04, 95% CI: 1.01, 1.07). When comparing high-risk industries with nonemployment, the health and social work showed a comparable risk of PE (1.02, 95% CI: 0.97, 1.07). Conclusion: Employment was associated with overall lower risks of obstetric complications. Health and social service work can counteract the healthy worker effect in relation to PE. This highlights the importance of further elucidating specific occupational risk factors within the high-risk industries.

Determinants of Quality of Life, Depending on the Presence or Absence of Asthma in Adults, Based on the 6th Korea National Health and Nutrition Examination Survey (제6기 국민건강영양조사 자료에 기초한 성인의 천식 유무에 따른 삶의 질 영향요인)

  • Jo, Eun-hee;Lee, Su-jin
    • The Korean Journal of Health Service Management
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    • v.13 no.3
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    • pp.127-136
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    • 2019
  • Objectives: This study examined the determinants of quality of life, depending on the presence or absence of asthma in adults, based on secondary wave data. Methods: Among the 21,724 people participating in the 6th Korea National Health and Nutrition Examination Survey as it was conducted from the first to third period, 495 participants who were aged 19 or older and responded to the question of the presence or absence of asthma were included in the final analysis. Demographic characteristics were examined using the SPSS/WIN 23.0 software tool for analysis of complex sample survey data. Health-related characteristics were presented using descriptive and multivariate analysis of data. Rao_Scott ${\chi}^2$ was used for the analysis of differences in quality of life, and multiple regression analysis of complex sample survey data was used to analyze factors affecting quality of life. Results: The variable factors negatively influencing quality of life were aging, cognition of their ill health, and limited activities. Conclusions: Based on the analysis, the study suggests that practical and ongoing nursing intervention proposals to improve the quality of life of asthmatic patients should be implemented not only for physical limitations and aging but also for psychological factors that reflect subjective health statuses.

Factors influencing health-related quality of life for young single-person households: the mediating effect of resilience (청년 1인 가구의 건강 관련 삶의 질 영향요인: 회복탄력성의 매개효과를 중심으로)

  • Soo Jin Lee;Sujin Lee;Xianglan Jin
    • Journal of Korean Biological Nursing Science
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    • v.25 no.3
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    • pp.160-171
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    • 2023
  • Purpose: To identify factors influencing health-related quality of life for young single-person households, this study investigated physical and mental health status, health behavior, depression, resilience, and health-related quality of life. Methods: An online survey was administered to members of young single-person households from March 22 to 30, 2022. The data were analyzed using the chi-square test, independent t-test, one-way analysis of variance, Pearson correlation coefficients, multiple regression, and a simple mediation model applying the PROCESS macro model 4 with 95% bias-corrected bootstrapped confidence intervals. Results: The participants were 229 members of young single-person households. Health-related quality of life showed significant relationships with residence (t = 2.80, p = .006), month (F = 3.70, p = .026), mental health status (F = 20.33, p < . 001), and high-intensity exercise (F = 7.35, p = .001) among general and health-related characteristics. Health-related quality of life had significant correlations with depression (r = -.72, p < .001) and resilience (r = .58, p < .001). Multiple regression analysis showed that depression (β = -.57, p < .001) and resilience (β = .21, p < .001) influenced health-related quality of life. Moreover, resilience had a mediating effect between depression and health-related quality of life (indirect effect = -0.002, 95% bias-corrected bootstrapped confidence interval = -0.003 to -0.001). Conclusion: Members of young single-person households tended to be more vulnerable to emergency situations, such as during the coronavirus disease 2019 pandemic, when lockdowns and quarantines were frequent. To improve health-related quality of life in young single-person households, people with high levels of depression or low levels of resilience need special attention and support to promote mental health.

Determining the Degree of Disability in Workers with Upper Limb Musculoskeletal Disorders using DASH (DASH로 평가한 상지 근골격계 질환자의 기능 제한)

  • Kim, Kyoo-Sang;Jang, Ki-Un
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.3
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    • pp.311-320
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    • 2010
  • This study aimed to examine the development and characteristics of the workers with upper limb musculoskeletal symptoms and disorders and to analyze the upper limb musculoskeletal symptoms and disorders for its relationship with the individual socio-demographic characteristics. This study investigated the effect on the limitations of physical activities using standardized surveillance tool and clinical diagnosis. Musculoskeletal symptoms and the limitations of physical activities were examined. The clinical diagnosis of musculoskeletal disorders were carried out by physical examination, radiological examination and electromyography-electroneuronography for 22 workers in kitchen hood assembly process and 50 workers in toggle process of leather product manufacturing. The proportion of workers with musculoskeletal disorders was higher and the DASH score was also statistically higher in female and aged workers with longer working hours, longer household working hours, less leisure/hobby activity and higher physical load. Physical activities component score increased in the following order: workers in normal health, workers with musculoskeletal symptoms, and workers with musculoskeletal disorders as clinically diagnosed. Score for each DASH component increased in the following order: sports/performing arts ability, social activities, specific physical functional activities, work or other regular daily activities, work ability, psychological activities, insomnia and upper limb symptoms. The overall and each component DASH scores were higher in workers with symptoms of status praesens and of more severity, and receiving medical intervention. Musculoskeletal symptoms and disorders are associated with individual socio-demographic characteristics, and DASH score for physical activities of upper limb was higher in workers with musculoskeletal disorders. Musculoskeletal symptoms and disorders have a remarkable epidemiological significance for physical activities, social activities, work or other regular daily activities, upper limb symptoms and insomnia, where work ability, sports/performing arts ability and preventive measure is needed.

The status of intimate partner violence against pregnant women in contemporary China: a scoping review

  • Xue Mei Fan;Hae Won Kim
    • Women's Health Nursing
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    • v.30 no.1
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    • pp.41-55
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    • 2024
  • Purpose: This review explored the status of publications on intimate partner violence (IPV) against pregnant women in contemporary China. Methods: The PubMed, Cochrane Library, Embase, CINAHL, and PsycInfo databases were searched using the terms "IPV," "pregnant woman," "Chinese," and synonyms in English, along with related keywords for Chinese publications. All literature pertaining to IPV during pregnancy, conducted in China, and published between 1987 and September 2023 was included. Results: A total of 37 articles from 30 studies were selected. The prevalence of IPV during pregnancy ranged from 2.5% to 31.3%, with psychological violence being the most common form. Frequently identified risk factors included unintended pregnancy, poor family economic conditions, male partners engaging in health risk behaviors, poor employment status of women or their partners, low education levels among women, physical or mental health issues, strained couple relationships, and in-law conflicts. IPV during pregnancy primarily led to mental health problems for the victims and could result in adverse obstetric outcomes, as well as negative effects on the temperament and development of the offspring. Victims in China demonstrated a low willingness to seek help from professionals. Furthermore, relevant research in mainland China is scarce, with a limited number of studies and non-standardized research methodologies. Conclusion: Future research should investigate IPV in pregnancy from various perspectives, identify factors unique to IPV during pregnancy, and focus on high-risk groups. Considering the conditions in China, there is a pressing need to increase public awareness of IPV and to investigate interventions aimed at addressing this issue.

Factors influencing Health-related Quality of Life in Older Adults with Osteoarthritis: Based on the 2010-2011 Korea National Health and Nutrition Examination Survey (골관절염 노인의 건강 관련 삶의 질 영향요인: 국민건강영양조사 자료를 이용하여)

  • Kim, Minju;Bae, Sun Hyoung
    • Journal of muscle and joint health
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    • v.21 no.3
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    • pp.195-205
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    • 2014
  • Purpose: This study was conducted to identify factors that influence health-related quality of life in older adults with osteoarthritis. Methods: This study used a cross-sectional design with secondary analysis of the Korean National Health and Nutrition Examination Survey 2011. A total of 362 participants aged 65 years and older who had osteoarthritis were selected. Health-related quality of life using EQ-5D, perceived health status, body mass index, numbers of chronic illness, smoking and alcohol use, exercise, activity limitation, joint pain and stiffness, depression, and perceived stress were measured. Descriptive statistics, $x^2$-test, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression were conducted with SPSS/WIN 21.0. Results: The mean score of EQ-5D was 0.77 in older adults with osteoarthritis. The results of multiple regression analysis showed that age, income, subjective health status, restriction of activity, knee joint stiffness, depressive mood, and perceived stress significantly predicted health-related quality of life in older adults with osteoarthritis, explaining 42% of the variance. Conclusion: Older adults with osteoarthritis have low health-related quality of life. In oder to improve health-related quality of life in older adults with osteoarthritis, it is important not only to enhance physical function but also to provide emotional support.

Risk Factors for Cervical Cancer in Rural Areas of Wuhan China: a Matched Case-control Study

  • Zhang, Bin;Zhou, Ai-Fen;Zhu, Chang-Cai;Zhang, Ling;Xiang, Bing;Chen, Zhong;Hu, Rong-Hua;Zhang, Ya-Qi;Qiu, Lin;Zhang, Yi-Ming;Xiong, Chao-Du;Du, Yu-Kai;Shi, Yu-Qin
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7595-7600
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    • 2013
  • Cervical cancer is a serious public health problem in developing countries. We investigated possible risk factors for cervical cancer in rural areas of Wuhan China using a matched case-control study with 33 women diagnosed with cervical cancer and 132 healthy women selected from the same area as matched controls. A questionnaire, which included questions about general demography conditions, environmental and genetic factors, the first sexual intercourse, first marriage age, age at first pregnancy, pregnancy first child's age, female personal health history, social psychological factors, dietary habits, smoking and alcohol status and other living habits was presented to all participants. At the same time, HPV infection of every participant was examined in laboratory testing. Results showed HPV infection (P<0.000, OR=23.4) and pregnancy first child's age (P<0.000, OR=13.1) to be risk factors for cervical cancer. Menopause (P=0.003, OR=0.073) was a protective factor against cervical cancer. However, there was no indication of associations of environmental (drinking water, insecticide, disinfectant) genetic (cancer family history), or life-style factors (smoking status, alcohol status, physical training, sleep quality), including dietary habits (intake of fruit and vegetable, meat, fried food, bean products and pickled food) or social psychological factors with cervical cancer. The results suggest that the risk of cervical cancer in Chinese rural women may be associated with HPV infection, menopause and the pregnancy first child's age.