• Journal of Preventive Medicine and Public Health
• /
• v.43 no.3
• /
• pp.193-204
• /
• 2010

Objectives: The objective of this study was to analyze the causal relationship between smoking and depression using longitudinal data. Methods: Two waves of the Korea Welfare Panel collected in 2006 and 2007 were used. The sample consisted of 14 426 in 2006 and 13 052 in 2007 who were aged 20 and older. Smoking was measured by smoking amount (none/$\geq$ two packs). Depression was defined when the summated CESD (center for epidemiological studies depression)-11 score was greater than or equal to 16. The causal relationship between smoking and depression was tested using logistic regression. In order to test the causal effect of smoking on depression, depression at year 2 was regressed on smoking status at year 1 only using the sample without depression at year 1. Likewise, smoking status at year 2 was regressed on depression at year 1 only using those who were not smoking at year 1 in order to test the causal effect of depression on smoking. The statistical package used was Stata 10.0. Sampling weights were applied to obtain the population estimation. Results: The logistic regression testing for the causal relationship between smoking and depression showed that smoking at year 1 was significantly related to depression at year 2. Smoking amounts associated with depression were different among age groups. On the other hand, the results from the logistic regression testing for the opposite direction of the relationship between smoking and depression found no significant association regardless of age group. Conclusions: The study results showed some evidence that smoking caused depression but not the other way around.

• Journal of Korean Society of Rural Planning
• /
• v.11 no.3 s.28
• /
• pp.19-27
• /
• 2005

Rural Korea has been becoming heavily aged societies from the end of 20th century due to the massive depopulation of young generation and extension of the average span of human beings. Although rural communities in Korea had been traditionally based on closely webbed social relations, almost all of community self-help organizations disappeared in recent time with very strong urbanization trend. However, almost all rural villages in Korea have the village seniors' union -'NO-IN-HOE' in Korean speaking- of which members usually use, operate and maintain community facilities in terms of voluntary base. Using these facilities, most of public/common/private services and community activities have been being served or provided. So, the purpose of this study is to investigate the usage tendency of community facilities and needs of the rural elderly and to propose the improvement strategies for their optimum usage. For this purpose, data was gathered both from community (107 villages) and individual level surveys(881 older people). The statistical method used for data analysis was descriptive statistics. The major findings were as follows : It was found that the dominant family type of the rural elderly was elderly-only household (75%) with very limited economic capability. There are 2$\sim$3 common community facilities with village including the seniors' center -'KYOUNG-RO-DANG' in Korean speaking. Many of the elderly (74%) use the center once or twice per week. There are several rooms in the center, like as kitchen bathroom and health room, of which usage frequency differs respectively. Many rural elderly want assistance from out-of-village for good maintenance and free use of these facilities.

• Journal of Korean Public Health Nursing
• /
• v.25 no.1
• /
• pp.84-94
• /
• 2011

Purpose: The purpose of this study was to develop a parents education program for early childhood health care and to measure its effects. Methods: This study was a quasi experimental study following a pretest-posttest design model. The subjects were 264 parents who had children aged 0-5 years in 7 rural districts or in the city. The content of this program was child development and management, and the management for health and disease for and emergency care. Parent education was performed by 7 nursing professors in each area, including 2 education sessions. Data were twice collected using a questionnaire, i.e. before the first session and after the second session. Data were analyzed by using the SAS software version 9.1. Result: The hypothesis of this study was that "the parents' score will improve after education". Our hypothesis was supported (t=7.30, p=<.0001). We found corelation in occupation and past experience of similar education. The contentment of education was higher than 90%. Conclusion: The systematic parents education program was very useful and effective, in raising the level of contentment of subjects. There is the needed for the social opportunity of parents' education program to be extended and emphasised by public support.

• Journal of Digital Convergence
• /
• v.17 no.7
• /
• pp.157-165
• /
• 2019

Geron-technology contributing to successful "Aging in place" increases the quality of life for the elderly and decreases the social caring cost. This study aims to identify influencing factors on pre-implementation acceptance of geron-technology for the elderly residing in a community. Data for 129 participants were analyzed. Results indicated that location, physical function, lack of technical support by family members, and the high financial cost as a 28% power were identified as the influencing factors on pre-implementation acceptance of geron-technology. Therefore, in the development of health and welfare strategy, these influencing factors should be considered in order to archive 'aging in place' for the elderly.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.15 no.3
• /
• pp.31-39
• /
• 2009

Population of senior citizens in Korea has been on the increase rapidly through decrease in population by falling birth rate and extension the average life span by development of medical technology and improving people's standard of living. As the booming population of senior citizens, it has appeared to problems of the elderly such as protection, health and supporting and welfare facilities for the elderly have increased there but it leaves something to be desired at plan and improvement of qualitative environment which the elderly's living space. It attaches importance to valuate about nursing homes such as management, quality of service, manufacture of physical environment and so on, so it is required to consider the elderly's emotion on environmental valuation. Healing environment that is a important fact of indoor environment operates powerfully upon the nursing homes as well as general medical facilities. It needs to healing environment for the elderly's physical health and mental stable life, we should know importance of healing environment that affects the elderly's health and life. The elderly have experienced physical, mental, and social changes with advancing years. The people who use the nursing homes are the elderly. We should find fact of healing environment as the elderly's characteristics and have to find healing environment that gives aid to the elderly's health in the nursing homes. In care for the elderly is not house care, it has focused on the elderly's health for improving their life and leading comfortable life.

• Journal of the Korean Dietetic Association
• /
• v.25 no.2
• /
• pp.142-155
• /
• 2019

The aim of this study was to construct and test a structural equation model for the risk factors of metabolic syndrome in Korean adults. The structural equation model hypothesizes that eating alone and feeling depressed is a risk factor for metabolic syndrome. The data of this study were obtained from the Sixth Korea National Health and Nutrition Examination Survey which was cross-sectional data from the representative national survey. A total of 4,013 subjects replied to the survey item of lifestyle and completed the physical examinations among adults aged 19 years or older in South Korea was in 2015. The structural model in this study was composed of four latent variables: eating alone, depression, negative health behavior, and metabolic syndrome. Two variables, the rate of eating alone and depression, were exogenous variables. Negative health behavior was both a mediating variable and endogenous variable, and metabolic syndrome was the final endogenous variable. The data were analyzed using the Maximum Likelihood method and bootstrapping. The structural model was appropriate for the data based on the model fit indices. The results of this study can be summarized as follows: Eating alone is a direct risk factor of metabolic syndrome in Korean women. Depression can mediate metabolic syndrome through negative health behaviors. Negative health behavior had a direct impact on metabolic syndrome in both men and women. This study may be a guideline for interventions and strategies to reduce the incidence of metabolic syndrome in Korean adults.

• Journal of Preventive Medicine and Public Health
• /
• v.55 no.2
• /
• pp.153-163
• /
• 2022

Objectives: This study divided the factors that affect participation in health screenings into individual, household, and regional levels and conducted a multi-level analysis to identify the factors related to participation in health screenings. Methods: Participants from the 2017 Community Health Survey were classified into 2 groups (under 40 and 40 or older). A multi-level logistic regression analysis was conducted to identify the factors that affected participation in health screenings. Results: The screening rate of the participants was 69.7%, and it was higher among participants aged 40 and older (80.3%) than it was among participants younger than 40 (49.8%). At the individual level, the factors that influenced participation in health screenings included age, economic activity, smoking status, physician-diagnosed hypertension, and a moderate or high physical activity level. At the household level, the odds ratio of participation in health screenings was high for participants who lived in single-person households, lived with a spouse, earned a high monthly household income, and were not beneficiaries of national basic livelihood security. At the regional level, the odds ratio at the 95% confidence interval level of participation in health screenings was high for participants who had trust in the local community and lived in an area with a proportionally high social welfare budget. Conclusions: This study analyzed nationalwide data and confirmed that individual, household, and regional characteristics affected participation in health screenings. Therefore, policies that prioritize the improvement of regional level factors and especially household level factors are likely to be the most effective for improving the screening rate.

• Journal of Family Resource Management and Policy Review
• /
• v.22 no.3
• /
• pp.43-59
• /
• 2018

The purpose of this study were to explorer the factors affecting the psychological well-being of working mothers and to investigate the moderating effect of spousal support and support systems for work family compatibility on relationship between work-family conflict and psychological well-being. The subjects were 300 working mothers who are aged under 50, have more than one child live in Seoul. The collected data were analyzed using SPSS 21.0. The Results are follows. First, the analysis of work-family conflicts, spousal support and support systems for work-family compatibility, and psychological well-being of working mothers indicated that the working mothers perceived family-work conflict to be higher than work-family conflict. The working mothers received stronger support from support systems intended for work-family compatibility than from their spouses. The score of the psychological well-being of the working mothers was 3.27 (standard deviation = .91), which is higher than median. Second, the factors influencing the working mothers' psychological well-being were age, monthly household income, number of children, work${\rightarrow}$family and family${\rightarrow}$work conflict, and spousal support. Greater psychological well-being was linked to a young maternal age, a high monthly household income, a low number of children, low levels of work${\rightarrow}$family and family${\rightarrow}$work conflict, and strong spousal support. Third, spousal support mediated the relationship between family${\rightarrow}$work conflict and psychological well-being.

• Research in Community and Public Health Nursing
• /
• v.31 no.3
• /
• pp.234-243
• /
• 2020

Purpose: This study is aimed to identify the health-related quality of life for children with a mentally ill parent. Methods: The 13 participants were school-aged children whose parents were registered at the D Regional Mental Health Welfare Center. Data were collected using one-on-one interview with illustration cards and analyzed by content analysis. Results: The participants were living a difficult life in anxiety amid a reversal of parent-child role, such as doing housework and taking care of their parents. The study revealed a love-hate family relationship that the participants wanted parental recognition and attention but they were frustrated by insufficient parental care and sibling conflict. Nevertheless, they only had each other themselves to trust and rely on. Their mixed health awareness and negative emotions were influenced by parents. Some of participants were exposed to dangerous environment such as domestic violence, and they need support system for help in difficult situations. Sometimes they felt happy by satisfying physiological, social, and self-esteem needs. They also showed a positive potential that they were matured more than peers through the experience of overcoming difficulties. Conclusion: Not only were there not enough attention and support for the children with mentally ill people, but they were also exposed to an environment that threatens their physical or mental health. Therefore, to improve their health-related quality of life, there should be some integrated support of the community health system to cope with the challenges they face.

• 한국노년학
• /
• v.39 no.1
• /
• pp.109-125
• /
• 2019

This study examined factors that prevent older adults from using computers and/or smartphones for their health information search and health management. This study conducted face-to-face survey of a total of 240 older adults aged over 65. Based on the responses of open-ended questions, this study conducted semantic network analysis. The results showed that low level of perceived usefulness(PU) (e.g., information I want to find, detailed information, and trustworthiness) and perceived ease of use(PEOU) (e.g., how to search for information, how to install applications, and visibility) are main factors that prevent older adults from using computers and/or smartphones for their health information search and health management. Furthermore, based on the results of semantic network analysis, further hierarchical regression analysis confirmed that PU and PEOU were positively associated with intention to use mobile application. Thus, the results imply that increasing older adults' PU and PEOU can promote their intention to use mobile application.