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A Study on Self-esteem and Social Support, Health-promoting Lifestyle of the Elderly (일 지역사회 노인의 건강증진 생활양식, 자아존중감 및 사회적지지 관계연구)

  • Park, Soon-Ok;Paik, Hoon-Jung;Kim, Chun-Mi;Moon, Jjn-Ha;Choi, Soon-Young;Kim, Jung-Sug;Kim, Ae-Jung
    • Research in Community and Public Health Nursing
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    • v.14 no.1
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    • pp.144-156
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    • 2003
  • This study was conducted to investigate the relationship between the self-esteem, social support and health promoting lifestyle of the elderly in a community. The sample consisted of 147 elderly, and data were collected from September 1 to October 15, 2001. The instrument of this study was a structured questionnaire including Health Promoting Lifestyle (47 items), Social Support(18 items), Self-Esteem(10 items), Socio-demographic Characteristics. Analysis of the data was done by use of descriptive statistics, ANOVA, Pearson Correlation Coefficient. The results of this study are as follows: 1. The degrees of self-esteem of the elderly were mean score $25{\pm}2.98$ points, socio-demographic characteristics containing meaningful difference with self-esteem was not significant. 2. The degrees of social support by elderly were mean score $55.03{\pm}9.60$ points and social support according to the socio-demographic characteristics showed meaning difference in family structure $\ulcorner$with off spring$\lrcorner$ (F=8.50, p=.000), health status $\ulcorner$good$\lrcorner$ (t=2.19, p=.030), smoking $\ulcorner$below 1 packet daily$\lrcorner$ (F=4.88 p=.009). 3. The degrees of health enhancing lifestyle by elderly were mean score $113.61{\pm}20.12$ points and health enhancing lifestyle according to the socio-demographic characteristics showed meaning difference in education level $\ulcorner$middle school and above$\lrcorner$ (F=6.37 p=.002), occupation before retirement $\ulcorner$profession, technician, employee of company, education$\lrcorner$ (F=5.00, p=.003), health status $\ulcorner$good$\lrcorner$ (t=3.14, p=0.002), exercise $\ulcorner$weekly 2-3$\lrcorner$ (F=4.31, p=.006), drinking $\ulcorner$weekly 1$\lrcorner$ (F=2.74, p= .046). 4. The item mean score of personal relationship support field in health enhancing lifestyle were $2.90{\pm}.60$ points. item mean scores of exercise and nutrition were $2.26{\pm}.39$ points, item mean scores of stress managing field were $2.25{\pm}.49$ points, item mean scores of health responsible field were $2.14{\pm}.61$ points. 5. The relationship between self-esteem and health enhancing lifestyle revealed a significant correlation(r=.169. p=.041), but self-esteem and social support, showed no significant correlation, and health enhancing lifestyle and social support, revealed a significant correlation(r=.654, p=.001).

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Effects of Heat Wave on Body Temperature and Blood Pressure in the Poor and Elderly

  • Kim, Young-Min;Kim, So-Yeon;Cheong, Hae-Kwan;Ahn, Byun-Gok;Choi, Kyu-Sik
    • Environmental Analysis Health and Toxicology
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    • v.27
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    • pp.13.1-13.10
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    • 2012
  • Objectives: We aimed to investigate the acute effects of heat stress on body temperature and blood pressure of elderly individuals living in poor housing conditions. Methods: Repeated measurements of the indoor temperature, relative humidity, body temperature, and blood pressure were conducted for 20 elderly individuals living in low-cost dosshouses in Seoul during hot summer days in 2010. Changes in the body temperature, systolic blood pressure (SBP) and diastolic blood pressure (DBP) according to variations in the indoor and outdoor temperature and humidity were analyzed using a repeated-measures ANOVA controlling for age, sex, alcohol, and smoking. Results: Average indoor and outdoor temperatures were $31.47^{\circ}C$ (standard deviation [SD], $0.97^{\circ}C$) and $28.15^{\circ}C$ (SD, $2.03^{\circ}C$), respectively. Body temperature increased by $0.21^{\circ}C$ (95% confidence interval [CI], 0.16 to $0.26^{\circ}C$) and $0.07^{\circ}C$ (95% CI, 0.04 to $0.10^{\circ}C$) with an increase in the indoor and outdoor temperature of $1^{\circ}C$. DBP decreased by 2.05 mmHg (95% CI, 0.05 to 4.05 mmHg), showing a statistical significance, as the indoor temperature increased by $1^{\circ}C$, while it increased by 0.20 mmHg (95% CI, -0.83 to 1.22 mmHg) as outdoor temperature increased by $1^{\circ}C$. SBP decreased by 1.75 mmHg (95% CI, -1.11 to 4.61 mmHg) and 0.35 mmHg (95% CI, -1.04 to 1.73 mmHg), as the indoor and outdoor temperature increased by $1^{\circ}C$, respectively. The effects of relative humidity on SBP and DBP were not statistically significant for both indoor and outdoor. Conclusions: The poor and elderly are directly exposed to heat waves, while their vital signs respond sensitively to increase in temperature. Careful adaptation strategies to climate change considering socioeconomic status are therefore necessary.

Relationships between Knowledge, Attitude and Preventive Behavior about Tuberculosis in Service Workers (서비스직 종사자들의 결핵관련 지식, 태도 및 예방행위)

  • Kang, Seung-Rang;Kim, Eun-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.354-363
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    • 2016
  • This study examined the relationships among levels of knowledge, attitude and preventive behavior regarding tuberculosis in service workers. The survey period was 1 - 7 October, 2015 with service workers who work in large scale stores in Jeonnam. The collected data were analyzed using an independent t-test, ANOVA, and Pearson's correlation coefficients using the SPSS WIN 12.0 program. The mean score for knowledge about tuberculosis was $14.05{\pm}6.39$, the mean score of attitude toward tuberculosis was $29.87{\pm}4.89$ and the mean score of preventive behavior for tuberculosis was $31.44{\pm}4.86$. Preventive behavior was found to have significant relationships with gender, marital status, smoking, job satisfaction, and subjective health status. A slightly positive correlation was observed between the knowledge of tuberculosis and the attitudes toward tuberculosis. A positive correlation was noted between the attitude toward tuberculosis and preventive behavior for tuberculosis, while there was a negative correlation between the preventive behavior and age. Therefore, is necessary to consider the related factors for the development and implementation of systematic education programs that can encourage and promote preventive behavior for tuberculosis among service workers.

Quality of Sleep and its Associated Factors among Male Workers in Small-scale Manufacturing Industries (소규모 제조업 사업장 남성 근로자의 수면의 질 및 관련요인)

  • Park, Eui-Soo;Shin, Eun-Sook;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.10
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    • pp.6193-6203
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    • 2014
  • This study was conducted to determine the quality of sleep, and its association with the sociodemographic characteristics, health-related characteristics, and job-related characteristics among male workers in small-scale manufacturing industries with fewer than 50 members. A self-administered questionnaire was distributed to 856 male workers from April $1^{st}$ to June $30^{th}$, 2011. The survey items included the variables of sociodemographic, health-related, job-related, and quality of sleep. As a result, the quality of sleep according to the PSQI of the study subjects revealed 32.0% to be good and 68.0% to be poor. The quality of sleep assessed by hierarchical multiple regression analysis was significantly lower in the married group, those with lower BMI, and those with a lower level of subjective health status, non-smoking, alcohol drinking, without regular exercise, coffee drinking, blue color, had a longer of working hours, subjective health status, had a visiting out-patient department, and had a history of hospitalization. With the above model, the job characteristics had 13.1% explanatory power. This suggests that the quality of sleep (PSQI) has more power when combined with the job characteristics.

Glutathione S-transferases (GSTM1, GSTT1 and GSTP1) and N-acetyltransferase 2 Polymorphisms and the Risk of Gastric Cancer (위암 환자에서 Glutathione S-transferases (GSTM1, GSTT1, GSTP1) 및 N-acetyltransferase 2 유전자 다형성 분포)

  • Hong, Su-Hyung;Kim, Jung-Wan;Kim, Ho-Gak;Park, In-Kyu;Ryoo, Jun-Wook;Lee, Chang-Hyeong;Sohn, Yoon-Kyung;Lee, Jong-Young
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.2
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    • pp.135-140
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    • 2006
  • Objectives : Polymorphisms of genes from glutathione Stransferases (GSTs) and N-acetyltransferase 2 (NAT2) have been associated with increased susceptibility to various cancers. Previous results showed that East Asians such as Koreans, Japanese and Chinese have a much higher frequency of the GSTM1 and GSTT1 null genotypes and NAT2 rapid acetylator type. Therefore, we investigated the association between the polymorphic types of GSTs (GSTM1, GSTT1, GSTP1) and NAT2 and the incidence of gastric cancer which is one of the most prevalent cancers among the East Asians. Methods : It was performed in a case-control study consisting of 238 healthy subjects and 108 cancer patients (54 distal and 54 proximal carcinomas). We also evaluated the association between GSTs and NAT2 and the risk factors for gastric cancer such as alcohol consumption, smoking, H. pylori infection, family history of gastric cancer, and tumor location. Results : In our study, the percentage of cases whose hometown was rural was higher than those of controls (odds ratio (OR) =2.88; 95% CI=1.72-4.76), and the frequency of the lower socio-economic status increased significantly in patients (OR=2.53; 95% CI=1.59-4.02). There was no significant difference in the GST polymorphic types between the cases and controls. However, NAT2 rapid or intermediate acetylator types were frequently detected in the cases with family history of gastric cancer (OR=1.92; 95% CI=1.79-26.0). Conclusions : These results suggest that the hometown and socio-economic status are important environmental factors for gastric carcinogenesis, and NAT2 polymorphic types could be associated with familial gastric carcinoma.

Correlation between Oral dryness and Stress level of college students (대학생의 구강건조감과 스트레스)

  • Nam, Mi-Jung;Uhm, Dong-Choon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.9
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    • pp.4030-4037
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    • 2011
  • The purpose of this study was to investigate the correlation between oral dryness and stress and to collect baseline data for health promotion plan of college students. This research design is correlation study. Data of 835 were collected from May 2 to June 17, 2011, and analyzed using the SPSS PASW Statistics 18.0 Program. There was a statistical significant between oral dryness and perceived health status(p<.001). there were statistical significant in gender(p<.001), age(p<.001), grade(p<.01), major(p<.01), perceived health status(p<.001), exercise(p<.001), smoking(p<.001), drinking(p<.01) between general characteristics and stress. The mean score of oral dryness level was $12.89{\pm}10.15$ from 0 to 60 score range. Higher percentage in oral dryness action was "When I swallowing dry food, drink water or beverage"(48.7%). The mean score of stress was $7.17{\pm}4.78$ from 0 to 20 score range. Oral dryness level was positively related to stress(p<.01) and oral dryness action(p<.001). It is necessary to develop the educational program for health promotion of college students.

Grip Strength as a Predictor of Cerebrovascular Disease (뇌혈관질환의 예측인자로서의 악력)

  • Jung, Seok-Hwan;Kim, Jae-Hyun
    • Health Policy and Management
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    • v.29 no.3
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    • pp.303-311
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    • 2019
  • Background: Cerebrovascular disease is included in four major diseases and is a disease that has high rates of prevalence and mortality around the world. Moreover, it is a disease that requires a high cost for long-term hospitalization and treatment. This study aims to figure out the correlation between grip strength, which was presented as a simple, cost-effective, and relevant predictor of cerebrovascular disease, and cerebrovascular disease based on the results of a prior study. And furthermore, our study compared model suitability of the model to measuring grip strength and relative grip strength as a predictor of cerebrovascular disease to improve the quality of cerebrovascular disease's predictor. Methods: This study conducted an analysis based on the generalized linear mixed model using the data from the Korea Longitudinal Study of Ageing from 2006 to 2016. The research subjects consisted of 9,132 middle old age people aged 45 years or older at baseline with no missing information of education level, gender, marital status, residential region, type of national health insurance, self-related health, smoking status, alcohol use, and economic activity. The grip strength was calculated the average which measured 4 times (both hands twice), and the relative grip force was divided by the body mass index as a variable considering the anthropometric figure that affects the cerebrovascular disease and the grip strength. Cerebrovascular diseases, a dependent variable, were investigated based on experiences diagnosed by doctors. Results: An analysis of the association between grip strength and found that about 0.972 (odds ratio [OR], 0.972; 95% confidence interval [CI], 0.963-0.981) was the incidence of cerebral vascular disease as grip strength increased by one unit increase and the association between relative grip strength and cerebrovascular disease found that about 0.418 (OR, 0.418; 95% CI, 0.342-0.511) was the incidence of cerebral vascular disease as relative grip strength increased by unit. In addition, the model suitability of the model for each grip strength and relative grip strength was 11,193 and 11,156, which means relative grip strength is the better application to the predictor of cerebrovascular diseases, irrespective of other variables. Conclusion: The results of this study need to be carefully examined and validated in applying relative grip strength to improve the quality of predictors of cerebrovascular diseases affecting high mortality and prevalence.

Oral Health Knowledge According to Police Officers' Oral Health Behaviors (경찰공무원의 구강건강관리행태에 따른 구강보건지식)

  • Lee, Mi Hak;Lee, Hye-Jin;Oh, Han-Na
    • Journal of Convergence for Information Technology
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    • v.11 no.9
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    • pp.165-172
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    • 2021
  • This study was carried out in order to identify oral health knowledge according to police officers' oral health behaviors. The questionnaire survey was conducted targeting 237 police officers in Gwangju. A tool used general characteristics, oral health knowledge, oral health behavior and oral health education needs. The analysis was processed with descriptive statistics, t-test, Anova and regression analysis. As a result, the oral health knowledge was high in a person of using oral hygiene products and in a person of experiencing a visit to dental clinic(p<0.001). The desired the oral health education were a specialist's direct verbal explanation and the correct tooth-brushing method. Also, marital status, educational level, smoking status, using oral hygiene products and Dental visit experience were identified to have influence upon a oral health knowledge (explanatory power, 40.5%). Hence, the results of this study will be able to be applied to basic data in case of developing an oral health education program and planning a dental health project for enhancing oral health in police officers.

Validity of Self-reported Hypertension and Factors Related to Discordance Between Self-reported and Objectively Measured Hypertension: Evidence From a Cohort Study in Iran

  • Najafi, Farid;Pasdar, Yahya;Shakiba, Ebrahim;Hamzeh, Behrooz;Darbandi, Mitra;Moradinazar, Mehdi;Navabi, Jafar;Anvari, Bita;Saidi, Mohammad Reza;Bazargan-Hejazi, Shahrzad
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.2
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    • pp.131-139
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    • 2019
  • Objectives: Self-reporting can be used to determine the incidence and prevalence of hypertension (HTN). The present study was conducted to determine the validity of self-reported HTN and to identify factors affecting discordance between self-reported and objectively measured HTN in participants in the Ravansar Non-Communicable Diseases (RaNCD) cohort. Methods: The RaNCD cohort included permanent residents of Ravansar, Iran aged 35-65 years. Self-reported data were collected before clinical examinations were conducted by well-trained staff members. The gold standard for HTN was anti-hypertensive medication use and blood pressure measurements. The sensitivity, specificity, positive and negative predictive values, and overall accuracy of self-reporting were calculated. Univariate and multivariate logistic regression were used to examine the discordance between self-reported HTN and the gold standard. Results: Of the 10 065 participants in the RaNCD, 4755 (47.4%) were male. The prevalence of HTN was 16.8% based on self-reporting and 15.7% based on medical history and HTN measurements. Of the participants with HTN, 297 (18.8%) had no knowledge of their disease, and 313 (19.9%) had not properly controlled their HTN despite receiving treatment. The sensitivity, specificity, and kappa for self-reported HTN were 75.5%, 96.4%, and 73.4%, respectively. False positives became more likely with age, body mass index (BMI), low socioeconomic status, and female sex, whereas false negatives became more likely with age, BMI, high socioeconomic status, smoking, and urban residency. Conclusions: The sensitivity and specificity of self-reported HTN were acceptable, suggesting that this method can be used for public health initiatives in the absence of countrywide HTN control and detection programs.

Factors Relating Quality of Sleep: Comparison between Young-old People and Old-old People (수면의 질 영향 요인: 전기노인과 후기노인 비교)

  • Seo, Yeong-Mi;Kim, Jeong-Sook;Je, Nam Joo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.332-341
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    • 2019
  • This study is a descriptive survey study to investigate the quality of sleep and to compare the factors relating quality of sleep in the young-old people and the old-old people. The subjects of the study were 200 elderly people who live in the G-region applying convenient expression method. Using a structured questionnaire, sociodemographic characteristics, lifestyle and health-related characteristics, depression, and quality of sleep were examined. We analyzed ${\chi}^2-test$, t-test, ANOVA(scheffe's test), Pearson's correlation coefficient and multiple regression using IBM SPSS WIN/21.0. The results of the study were as follows. The quality of sleep was significantly worse in the old-old people than in the young-old people. In young-old people, only depression (r=-.22, p=.038) showed a significant negative correlation with sleep quality. Old-old people was a significant negative correlation between sleep quality and depression (r=-.19, p=.045) and subjective health status (r=-.29, p=.002). In the young-old people, job, chronic illness, and economic level were significant influencing factors in the quality of sleep. In the old-old people, chronic disease, subjective health status, and smoking were significant influencing factors. The results of this study can be used as basic data for establishing tailored strategy for ages that can improve health of the elderly.