• Journal of the Korean Society of School Health
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• v.32 no.1
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• pp.50-58
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• 2019

Purpose: The purpose of this study was to examine the mediating effect of self-perception on the relationship between body image and depressive symptoms in middle school adolescents. Methods: This study performed a pathway analysis with a sample of 284 adolescents recruited from three middle schools. Self-reported questionnaires consisted of items regarding body image, self-perception, and depressive symptoms. Results: Body image, self-perception, and depressive symptoms showed a significant correlation. Self-perception was directly affected by body image and depressive symptoms were not affected by body image. The mediating effect of self-perception on body image's impact on depressive symptoms was confirmed. Self-perception had a significant indirect effect on depressive symptoms, which means that self-perception has a full mediating effect on body image's impact on depressive symptoms. Conclusion: The effect of body image on depressive symptoms was fully mediated by self-perception in early adolescents. It suggests that self-perception needs to be considered when providing nursing interventions for adolescents.

• Health Policy and Management
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• v.29 no.4
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• pp.431-444
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• 2019

Background: This study aimed to properly manage diseases such as blood sugar control so that patients with diabetes can benefit from both medication and health activities. Also, these health practices are greatly influenced by self-rated health, a subjective assessment of health status. Because self-rated health does not necessarily match the objective health status, it is important to identify which factors affect self-rated health. Methods: For the study, the data was gathered from the 4th-6th National Health Nutrition Survey (2007-2015). Out of the total 73,353 participants in the survey, 2,303 patients with uncontrolled blood sugar with an HbA1c level of more than 7% were selected for the final study. Dependent variables fell into two categories depending on how the participant reported whether he or she was in good health or not. Independent variables included socio-demographics, health behavioral, and health status factors. This study performed logistic regression analysis. Results: Out of 2,303 participants, 18.1% reported that their heath was 'good,' despite the fact that their blood sugar level was not controlled. After running a logistic regression model, the odds ratio of groups that perceive subjective health awareness as good was higher in the groups of people as below: in the people over 60 years old; in the people who graduated from a junior college or higher than those who had a level of education of primary school completion or less; in the people living in Chungnam than those living in Seoul; and in the group with hypertriglyceridemia. Conclusion: The study identified factors associated with those failed to perceive the blood sugar level as a severe health problem despite of the fact that blood sugar was not controlled. To improve public health, diabetes management policies need to be addressed to population groups with these problems above.

• Journal of the Korean Society of School Health
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• v.35 no.1
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• pp.31-39
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• 2022

Purpose: The purpose of the study was to examine the meditating effect of unconditional self acceptance on the relationship between life stress and depression in nursing students. Methods: Data was collected from a survey of 140 nursing students using self-reported questionnaires. The data was analyzed using IBM SPSS Statistic 25.0. The mediating effect of unconditional self-acceptance on the relationship between the subject's life stress and depression was analyzed using Baron and Kenny's method. In addition, the Sobel test was conducted to determine the significance of the mediating effect. Results: The regression model explained 43% of the variance in nursing students' depression. Significant factors were task-related life stress, unconditional self acceptance, and academic achievement. Unconditional self acceptance had a partial mediating effect on the relationship between nursing students' task-related life stress and depression. Conclusion: To prevent depression in nursing students, it is necessary to build effective strategies to manage task-related stress and improve unconditional self-acceptance.

• Annals of Geriatric Medicine and Research
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• v.20 no.3
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• pp.149-159
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• 2016

Background: Since the mid-20th century, the ways in which social networks and older adults' health are related have been widely studied. However, few studies investigate the relationship between self-rated health and position in a complete social network of one entire Korean rural village. This study highlights use of a complete network in health studies. Methods: Using the Korean Social Life and Health Project, the population-based data of adults aged 60 or older and their spouses in one myeon in Ganghwa island (Ganghwa-gun, Incheon, Korea), Incheon, Korea (with a 95% response rate), this study built a $1,012{\times}1,012$ complete social network matrix of the village. The data were collected from 2011 to 2012, and 731 older adults were analyzed. The ordered logistic models to predict self-rated health allowed us to examine social factors from socio-demographic to individual community activities, ego-centered network characteristics, and positions in a complete network. Results: From the network data, 5 network components were identified. Even after controlling for all other factors, if a respondent belonged to a segregated component, the probability that he or she reported good health dropped substantially. Additionally, high in-degree centrality was connected to greater self-rated health. Conclusion: This finding highlights the importance of social position not only from the respondents' point of view but also from the entire village's perspective. Even if a respondent maintained a large social network, when all of those social ties belonged to a segregated group in the village, the respondent's health suffered from this segregation.

• Korean Journal of Health Education and Promotion
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• v.22 no.3
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• pp.29-47
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• 2005

Objectives: Individuals' self-reported unmet needs are an important indicator of heath care of their society. Using data from the Canadian Community Health Survey (CCHS) Cycle 1.2, we examine unmet needs for mental health care in Canada and discuss its implications to health education. Results: The most frequently reported reason for unmet needs was barriers to acceptability issues, which stem primarily from lack of knowledge of mental health, negative attitudes towards mental disorder, and mistrust of mental health professionals. Unmet needs for mental health care appeared an especially serious issue among the young. Also, individuals who reported unmet needs tended to have some ill health behavior such as illicit drug use that could be their coping mechanism. On the other hand, emotional and informational support factors have shown an important mitigating effect on unmet needs. Conclusions: These findings of unmet needs pose a major challenge to health education. To effectively address unmet mental health care needs, it is recommended that the focus of relevant policies and programs should be on enhancing a multi-level mental health education strategy including efforts on individual, environmental and professional level education.

• Journal of muscle and joint health
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• v.25 no.3
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• pp.218-229
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• 2018

Purpose: The purpose of this study is to investigate relationships among workplace face to face bullying, cyber bullying, self-esteem, and turnover intention of hospital nurses, and to identify affecting factors for turnover intention through their relationships. Methods: Data were collected from 178 hospital nurses by self-reported questionnaire. The relationship among variables were analyzed with Pearson's coefficient correlation and affecting factors for turnover intention were identified by using multiple linear regression. Results: The mean score of turnover intention was $3.55{\pm}0.94$. Turnover intention was significantly different by age, marriage status, educational background, total experience as a nurse, designation, health status, bullying experience, and bullied experience. Turnover intention had positive relationships with workplace face to face bullying and hospital size, but negative relationships with self-esteem and health status. Workplace face to face bullying, health status and hospital size were identified as influencing factors in turnover intention. Conclusion: It is necessary to nursing community's efforts to decrease face to face bullying in order to lower the turnover intention of nurses. In this regard workplace bullying among nurses should be addressed using a comprehensive strategy that considers both individual and organizational factors. It is also necessary to nurse 's efforts to increase self-esteem.

• Research in Community and Public Health Nursing
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• v.28 no.3
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• pp.271-279
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• 2017

Purpose: Non-Suicidal Self-Injury (NSSI), a highly prevalent behavior in adolescents, refers to the direct destruction of one's body tissue without suicidal intent. To date, the prevalence of adolescent self-injury in South Korea and its associated factors remain unknown. This study aims to determine the prevalence of self-injury in Korean adolescents as well as its associated factors. Methods: We assessed 717 middle school students by means of an anonymous self-report survey. Information about demographic characteristics, lifestyle, anxiety and depression, self-esteem, and parenting behavior was obtained. Data were analyzed using $x^2$ test, t-test and multiple logistic regression. Results: NSSI was reported by 8.8% of respondents. Univariate analyses showed associations of exposure to alcohol use, anxiety, depression, self-esteem, and parenting methods with self-injury. In multiple analyses, alcohol use, anxiety, and parental abuse were associated with lifetime self-injury. Conclusion: The rate of NSSI in the South Korea was found to be lower than those of other countries. As our study suggests that alcohol use, anxiety, and parental abuse are associated with lifetime self-injury, health care providers at school should take these factors into account when developing prevention and intervention programs for adolescents.

• Journal of Korean Public Health Nursing
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• v.31 no.1
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• pp.58-70
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• 2017

Purpose: This study was conducted to determine if women's depression is influenced by their self esteem, stress, and social support. Methods: This study was a descriptive survey, and data were collected from the November 1 to December 20, 2015 using a self-reported questionnaire. The measurements were SES for self esteem, and CES-D for depression. A total of 165 middle-aged women participated through convenient sampling. Results: There were significant difference in self-esteem according to education level and monthly income. Additionally, there was an inverse correlation between stress and self esteem, as well as a significant strong correlation between self esteem, stress, social support and depression. Finally, multiple regression showed that self-esteem and stress had significant effects on depression, and their explanatory power was ${\Delta}R2(%)=47.9$ (${\Delta}F=66.526$, p<.001), p<.001). Conclusion: This study confirmed that depression was closely related to self-esteem and stress among middle-aged women. Based on these findings, we suggest that the health policies of reducing depression for middle-aged women should focus on reducing stress and reinforcing their self-esteem.

• Journal of Korean Academy of Nursing
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• v.23 no.4
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• pp.694-712
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• 1993

A number of nursing researchers have used the concept of health locus of control over the past decade in Korea. This article reviewed 92 nursing research papers on health locus of control conducted since 1982, and examined type of subjects, design, measurement instruments, the scores of each dimension of the HLOC, and significant variables. Most of the research were correlational in design, used an 18-item 6-point score instrument and studied the relationship between HLOC, health re-lated variables, and cognitive-emotional variables, The health related variables included health behavior, health management, preventive health behavior, compliance to treatment regimen and self care behavior The cognitive-emotional variables included depression, anxiety, stress and self- esteem. Some consistent findings are beginning to emerge. The concept of internal HLOC was positively correlated with the health related variables. But few studies found any significant correlation between powerful others HLOC and health related variables. In the case of chance HLOC, few studies reported a significant relationship. Many of the articles reported significant relationships between internal HLOC and cognitive-emotional variables, but few reported a significant relationship between powerful others or chance HLOC and cognitive -emotional variables. all experimental studies but one found that only internal HLOC was significantly changed following experimental manipulation. When the different groups of subjects such as normal persons, chronic patients, acute patients were compared in terms of mean scores, it was found that the HLOC appeared to change depending on the status of the patients. Recommendations for future research include modification of the instrument to increase the reliability and validity, study about the pattern of response suggested by Wallston and Wallston(1982) and further experimental study on changing the belief of subjects to internal HLOC.

• Journal of Preventive Medicine and Public Health
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• v.45 no.2
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• pp.113-121
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• 2012

Objectives: This study examined the trends in gender disparity in the self-rated health of people aged 25 to 64 in South Korea, a rapidly changing society, with specific attention to socio-structural inequality. Methods: Representative sample data were obtained from six successive, nationwide Social Statistics Surveys of the Korean National Statistical Office performed during 1992 to 2010. Results: The results showed a convergent trend in poor self-rated health between genders since 1992, with a sharper decline in gender disparity observed in younger adults (aged 25 to 44) than in older adults (aged 45 to 64). The diminishing gender gap seemed to be attributable to an increase in women;s educational attainment levels and to their higher status in the labor market. Conclusions: The study indicated the importance of equitable social opportunities for both genders for understanding the historical trends in the gender gap in the self-reported health data from South Korea.