• Journal of Nutrition and Health
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• 제37권3호
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• pp.223-235
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• 2004

A functional ability and adequate nutritional status are the major determinants of health status, Self-rated health (SRH) is a worldwide method to assess health status and it is recognized as a predictor of morbidity and mortality in the elderly, This study was designed to evaluate the functional ability and nutritional risk according to SRH in the elderly. Four hundred nine free-living elderly people (118 male, 291 female), aged $\geq$ 65 years were interviewed by trained interviewers using structured questionnaires including demographic information, SRH, anthropometric measurements, functional ability, general health status, and nutritional risk. SRH was divided into three status such as “Good”, “Moderate” and “Poor” status. And all the data were analyzed by oneway ANOVA, spearman correlation, and x$^2$ analysis using SPSS 9.0 version at p 〈 0.05. Of all the subjects, 48.9％ perceived their health status as “poor”, and their functional abilities (activities of daily living, instrumental activities of daily living) were more impaired than their counterparts (“good” and “moderate”). Poor self-rated health was also related to: a higher prevalence of illnesses (p 〈 0,001) especially in hypertension, arthritis. Self-rated health was significantly related to food security (p 〈 0.001), food enjoyment (p 〈 0.001) ,and nutritional knowledge (p = 0.0 13). Also NSI checklist total score was the highest in “poor” health status (p 〈 0.001). Better self-rated health was related to better food security, and better food enjoyment. However, smoking, alcoholic intake, exercise, eating behaviors, and demographic characteristics were not significantly different among the three SRH status. SRH was closely related to chronic diseases, functional ability, and nutritional risk in the elderly. Therefore, public health strategies for the elderly should be focused on the elderly who are “poor” in SRH, to improve nutritional status and functional ability, and to reduce risk factors of chronic diseases.

• 대한지역사회영양학회지
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• 제13권5호
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• pp.723-732
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• 2008

The purpose of this study was to identify the influence of diet related factors, such as diet behaviors, food intake, and nutrient intakes, on self-rated health (SRH). Also, in order to determine fitness of classification for SRH reflecting diet related factors, this study surveyed older adults in Gyeongnam province. A total of 101 responses were collected using the interview survey method. The self- rated health of rural older adults was poor as reported by 49.5%. The level of self-rated health was found to be related to the frequencies of coffee and snack, use of sugar and vegetable in diet, the amount of total food intake, and cholesterol intake. The result of discriminant analysis, which was conducted to assess the adequacy of SRH classification and to determine the class of observation, showed frequency of coffee and use of vegetable in diet among 47 variables as predictive variables for explaining SRH. The fitness of self-rated health function was high to 47.7%. Therefore, diet-related factors were ascertained to be important variables to predict SRH.

• Asian Pacific Journal of Cancer Prevention
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• 제15권5호
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• pp.2231-2238
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• 2014

This study investigated how self-rated health and socioeconomic status are associated with behaviour of cancer survivors regarding desire for information. For this association, we compared survivors who did not seek information about cancer with those who did. We examined how sociodemographic, socioeconomic, cancerrelated, and health information factors are associated with self-rated health (SRH) by health information seeking/avoiding behavior in a survey of 502 post-treatment cancer patients. In the information seeking group, all four factors exhibited significant relationships with SRH. SRH values were significantly high for women (p<0.05), non-Hispanic White (p<0.05), and educated (p<0.01) participants, and for those who had high self-efficacy to use health information by themselves (p<0.01). Furthermore, in the information avoiding group, not only were there no significant relationships between socioeconomic status (SES) and SRH, but there were negative associations between their attitude/capacity and the SRH. In terms of communication equity, the promotion of information seeking behavior can be an effective way to reduce health disparities that are caused by social inequalities. Information avoiding behavior, however, does not exhibit a negative contribution toward the relationship between SRH and SES. Information seeking behavior was positively associated with SRH, but avoiding behavior was not negatively associated. We thus need to eliminate communication inequalities using health intervention to support information seeking behavior, while simultaneously providing support for avoiders.

• Journal of Community Nutrition
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• 제8권1호
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• pp.38-43
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• 2006

There were numerous evidences that subjective health evaluation was a powerful indicator for morbidity and mortality in many countries. Since self-rated health (SRH) was a reasonable health measure, identifying predictors for SRH would be beneficial for assessment of overall health, monitoring health status, and development of health promotion programs. Health risks, health behavior, socioeconomic characteristics and social capital were potential indicators for SRH. We examined association. between SRH and indicators such as health risk factors, subjective living condition, income, education level and dietary variety score. Total 4,262 subjects, aged between 20 and 69 years old, were selected from KNHANES 2001; those who completed health examination, nutrition survey, and provided their socioeconomic information. Results of logistic regression showed that it was likely to have better SRH for those who were younger, male and have higher education, higher income, better living condition, no metabolic syndrome and higher dietary variety.

• 보건의료산업학회지
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• 제13권4호
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• pp.243-252
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• 2019

Objectives: This study aimed to determine whether the self-rated health (SRH) could be a risk factor for compulsion. Methods: Data related with compulsion and SRH information were collected from 532 young adults aged over 20 years in South Korea. The distribution of the high and low SRH groups was analyzed using the chi-square test, whereas difference in quality of life (QoL) was analyzed using the t-test. Logistic regression was used to analyze the odds ratio (OR). Results: In the high and low-SRH groups, 44 (28.8%) and 23 (31.5%) men and 24 (10.4%) and 21 (27.6%) women, respectively, were at risk for compulsion (p<.001). For women, the compulsion scores of the low and high-SRH groups, respectively, were 15.8±9.53 and 9.9±8.47 (t=5.071, p<.001). The low-SRH group had higher ORs compared with the high-SRH group among women (OR 3.277, 95% confidence interval 1.699 - 6.321, p<.001) in the original model, and this phenomenon was significant even after adjusting for age and residence type. Conclusions: Low SRH may be a risk factor for compulsion. Further research for improving SRH by developing preventive measures against compulsion is necessary.

• 보건교육건강증진학회지
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• 제32권5호
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• pp.53-62
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• 2015

Objectives: The purpose of this study was to examine the associations among self-rated health and socioeconomic status. Methods: Analyses were conducted based on cross-sectional data obtained from the Korea Youth Risk Behavior Web-based Survey. A total of 79,202 students aged 12 to 18 years participated in the study and there was a response rate of 95.5%. Separate logistic regression analyses were performed on each gender group based on a set of independent variables. Those being: the level of parental education level; family affluence scale; subjective household economic status; and subjective school achievement with SRH as the dependent variable. Results: Multivariate analyses revealed significant associations between each SES and adolescent SRH after controlling for other covariates. However, in the models that included all SES indicators, subjective household economic status and subjective school achievement remained significant in boys and girls. Conclusions: The findings demonstrated that subjective SES indicators are more closely related to adolescent SRH when compared with objective indicators.

• 동의생리병리학회지
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• 제34권1호
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• pp.53-59
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• 2020

Dietary habits are known to be closely related not only to chronic diseases such as cardiovascular disease and diabetes, but also to self-rated health (SRH). Consequently, there is a highly important lifestyle component in maintaining a healthy life. The aim of the present study was to determine the correlation between diverse dietary habits based on the Sasang constitutions (SC) and SRH. The data were collected from 2,984 participants who met the constitution pharmacology criteria and whose SC were clinically confirmed by SC professionals. Dietary habits were observed by assessing the regularity of diet, meal volume, and meal speed; single-answer questions were used for SRH. Fisher's exact/chi-square test and logistic regression were used to analyze the correlation between dietary habits depending on constitutional type and SRH. In association with constitutional SRH, the Taeum type is related to the amount of meal, the Soeum and Soyang types are related to the regularity of meal and meal volume. In the Taeum type, there was a significantly higher risk of lower SRH when meal volumes were irregular less than previous amounts. Irregular diet, as well as increased or decreased meal volume, negatively correlated with SRH in the Soeum type; in the Soyang type, irregular diet and decreased or irregular meal volume negatively affected SRH. This showed the presence of the different effects of dietary habits on health depending on constitution and also confirmed the association of the regularity of diet and meal volume based on constitution and the frequency of bad dietary habits with SRH. We suggest that personalized healthcare with adequate dietary improvement considering constitution is needed for health management or improvement.

• 한국생활과학회지
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• 제18권5호
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• pp.1123-1133
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• 2009

This study attempted to analyze the general and physical characteristics, the status of physical function, the type and number of current diagnosis and self-reported symptoms, healthy life mode and food preference according to self-rated health (SRH) of older adults (135 men and 270 women). It also attempted to assess the factors affecting the SRH standards in agricultural and fishery areas located in southwestern Korea. The subjects considered themselves as being 'good'(57.6%), 'normal'(29.6%) or 'poor'(12.85) SRH, meaning positive self-rating of health and it was found that the correlation between factors such as the gender, current marriage status, monthly wage, the reception of the government's livelihood subsidy and subjective economical status and the SRH were significant. Regardless of the categories of obesity, a large number of the participants rated themselves as 'healthy', but not statistically significant. The subjects who reported poor ADL and IADL capacities, indicators of the status of physical function, were significantly more classified to the 'poor' health category and vice versa (P<0.001). The reported chronic diseases in this study that have lasted more than three months, were lumbago, sciatica, arthritis, high blood pressure and peptic ulcer. The current ratios of smoking, drinking and exercise were 85.3, 39.0 and 18.6%, respectively. The less drinking and exercising there was, the higher the 'good' SRH categories obtained (P<0.05). The respondents who had less chance of eating sour and hot foods estimated their health status as being better.

• 대한간호학회지
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• 제45권3호
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• pp.420-428
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• 2015

Purpose: Purpose was to explore associations between sleep duration and metabolic syndrome (MS) risks, and to determine factors associated with self-rated health (SRH) of adults with MS compared to other adults. Methods: This is a secondary data analysis based on the Fifth Korea National Health and Nutrition Examination Survey KNHANES V (N=12662). Study instruments included sleep duration, MS risk factors, SRH and health-related quality of life (HRQoL). Results: Mean age of participants was $43.68{\pm}12.26years$. Fifty-eight percent were women, and 18.3% were identified as having MS. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and SRH were significantly different according to sleep duration (p <.05) among all participants. In the non MS group, male gender, younger age (19~30 and 41~50 age brackets) upper income level, sufficient sleep duration, and high density lipoprotein (HDL) were positively associated with SRH, whereas, lower education levels (${\leq}$ middle school), glucose level, and waist circumference were negatively associated with SRH (p <.05). In the MS group, lower income, lower education levels (${\leq}$ middle school), glucose level, and waist circumference were negatively associated with SRH, whereas, having an occupation was positively associated with SRH (p <.05). Conclusion: Results suggest that tailored approaches are required for prevention and control of MS and sleep duration of each individual should be considered rather than applying standardized guidelines. However, as sleep quality was not included in the analysis, further investigations regarding influence of sleep quality on MS and SRH and controlling for other lifestyle and health behavior factors are required.

• 대한보건연구
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• 제44권4호
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• pp.25-34
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• 2018

연구목적: 노인의 주관적 건강 수준과 ADL(Activities of Daily Living), IADL(Instrumental Activities of Daily Living)의 관계를 통해 집단 간 동질성과 이질성을 살펴보고자 한다. 연구방법: 2014년도 노인실태조사를 이용하여 주관적 건강 수준을 독립변수로 ADL과 IADL의 제한을 종속변수로 설정하였다. 로지스틱 회귀분석을 실시하였으며 성별로 비교하였다. 연구결과: 남성 노인에 비해 여성 노인이, 사회경제적 수준이 낮고 연령이 높은 노인일수록 주관적 건강 수준이 낮으며 ADL과 IADL의 제한이 있었다. 주관적 건강 수준이 낮을수록 ADL과 IADL에서 제한을 가질 확률이 높은 것으로 관찰되었다. 특히 그 관계는 여성 노인에 비해 남성 노인에서 뚜렷이 나타난다. 연구 결과를 통해 여성 노인의 취약성을 파악하는 한편, 중증도가 높은 질병에 국한해 본인의 건강 수준을 인지하는 남성 노인의 특성을 이해할 수 있었다. 결론: 노인의 삶을 이해하고 노인 정책을 시행하는데 있어 성인지적 접근과 더불어 주관적 건강 수준을 비롯한 다양한 지표를 활용하는 노력이 필요하다.