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Tobacco Smoke Exposure and Breast Cancer Risk in Thai Urban Females

  • Pimhanam, Chaisak;Sangrajrang, Suleeporn;Ekpanyaskul, Chatchai
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.17
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    • pp.7407-7411
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    • 2014
  • The incidence of urban female breast cancer has been continuously increasing over the past decade with unknown etiology. One hypothesis for this increase is carcinogen exposure from tobacco. Therefore, the objective of this study was to investigate the risk of urban female breast cancer from tobacco smoke exposure. The matched case control study was conducted among Thai females, aged 17-76 years and living in Bangkok or its surrounding areas. A total of 444 pairs of cases and controls were recruited from the Thai National Cancer Institute. Cases were newly diagnosed and histologically confirmed as breast cancer while controls were selected from healthy women who visited a patient, matched by age ${\pm}5$ years. After obtaining informed consent, tobacco smoke exposure data and information on other potential risk factors were collected by interview. The analysis was performed by conditional logistic regression, and presented with odds ratio (ORs) and 95% confidence intervals(CI). From all subjects, 3.8% of cases and 3.4% of controls were active smokers while 11.0% of cases and 6.1% of controls were passive smokers. The highest to lowest sources of passive tobacco smoke were from spouses (40.8%), the workplace (36.8%) and public areas (26.3%), respectively. After adjusting for other potential risk factors or confounders, females with frequent low-dose passive smoke exposure (${\leq}7$ hours per week) from a spouse or workplace had adjusted odds ratio 3.77 (95%CI=1.11-12.82) and 4.02 (95%CI=1.04-15.50) higher risk of breast cancer compared with non-smokers, respectively. However, this study did not find any association of breast cancer risk in high dose passive tobacco smoke exposure, or a dose response relationship in cumulative passive tobacco smoke exposure per week, or in the active smoker group. In conclusion, passive smoke exposure may be one important risk factor of urban female breast cancer, particularly, from a spouse or workplace. This risk factor highlights the importance of avoiding tobacco smoke exposure as a key measure for breast cancer prevention and control.

A Comparative Study of Influencing Factors on Depression in Housewives (주부 우울에 영향을 미치는 요인들에 관한 비교연구)

  • Yee, Sam-Yean
    • Korean Journal of Social Welfare
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    • v.39
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    • pp.238-265
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    • 1999
  • The purpose of this study was to examine the degree of depression in housewives and to analyze the effects of psychosocial factors on the depression. Especially the focus was on the differences in the degree of depression and the influencing factors on depression between those in early adulthood and those in middle adulthood The subjects consisted of 130 early adulthood housewives and 142 middled adulthood housewives. They asked to complete several self-report measures that were used to assess the variables of interest. The result indicated that the depression in housewives were serious enough to arouse social workers' attention. The average housewives were suffered from mild depression, and 17.1% of the housewives were in need of professional treatment. There was no significant difference in the degree of depression between the early adulthood housewives and the middle adulthood housewives. There were, however, differences in the factors which explain and predict the depression between these two groups. The results of step-wise multiple regression analysis indicated that the factors which predict the depression for the early adulthood housewives were self-esteem, conflict with the spouse, experience of painful events, age, and conflict with the children. On the other hand, the factors which predict the depression for the middle adulthood housewives were self-esteem, conflict with the spouse, job, and income. Implications of the findings for social work interventions were discussed.

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Factors Influencing the Depression Level of Couples Participating in the National Supporting Program for Infertile Couples (정부 난임부부 지원사업 참여 대상자의 우울에 영향을 미치는 요인)

  • Hwang, Nami;Jang, Insun
    • Research in Community and Public Health Nursing
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    • v.26 no.3
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    • pp.179-189
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    • 2015
  • Purpose: The purpose of this study was to identify factors influencing depression of participants in the National Supporting Program for Infertile Couples (NSPI) who received a treatment of IVF (in vitro fertilization) or IUI (intra-uterine insemination). Methods: Using the 2013 NSPI Satisfaction On-line Survey data, secondary data analyses were conducted on 830 cases of IVF and 706 cases of IUI. Descriptive statistics, independent t-test, ${\chi}^2$ test, and logistic regression were performed using SPSS/WIN 21.0. Results: Logistic regression analysis showed that non-pregnancy status (OR=3.05), unexplained infertility (OR=4.29), relationship trouble with spouse (OR=3.57), and relationship trouble with the in-law family (OR=2.78) were significant factors predicting the depression level in the IUI treatment group. Non-pregnancy status (OR=5.28), childlessness (OR=1.92), financial support helpful hardly or not at all (OR=2.63), relationship trouble with spouse (OR=3.28), relationship trouble with the in-law family (OR=2.83), and unemployment (OR=1.60) were significant factors in the IVF treatment group. Conclusion: To reduce infertile women's depression, adequate attention and care need to be paid to these psychological symptoms. It is suggested to develop counseling and couple-therapy along with methods to enhance social support (including that from the in-law's family).

The Relationship between Perceived Family Functioning and Depression in Patients with Chronic Low-Back Pain (만성요통환자가 지각하는 가족기능과 우울의 관계)

  • Son Jung-Tae;Park Hyun-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.2
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    • pp.316-331
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    • 2000
  • This study was conducted using a descriptive correlational survey design to identify how patients with chronic low-back pain perceived family function and to examine the relationship between family function and depression. The participants of the study were 116 patients with chronic low-back pain patient who were having follow-up treatment in a local pain clinic, located in Daegu. A structured questionnaire was filled out participants themselves and the structured interview was given during January and February, 2000. The data collection instrument were FACE II-Korean version and Beck's Depression Inventory(1983). The data collected were analysed using mean, standard deviation(SD), t-test, F-test, Duncan test and Pearson correlation coefficient, done with SAS. The results are as follows; 1. The mean of the respondents' perceived family function was 3.47, with emotional bonding at 3.61, acceptability and sharing at 3.61, participation at 3.23, negotiation and satisfaction at 3.24 and responsibility and expectation at 3.76. 2. The mean of the respondents' perceived depression was $17.53{\pm}8.76$. 3. There was significantly negative correlation between family function and depression(r=-0.4817, p=.0001). 4. Research variables included demographic characteristics and showed that subjects who were aged 65 years or older showed significantly lower scores in patient's perceived family function than those who were aged 45 years or below(p=.0502). Perceived family function of females respondents were significantly lower than males(p=.0026). The illiterate showed significantly lower scores than other groups(p=.0001). Respondents with spouse and extended family tended to show significantly higher scores than those who were living with spouse only or by themselves alone(p=.0091). Those who had higher income showed significantly higher scores than in the lower income group(p=.0001). 5. For family function regarding pain characteristics, those who reported severe pain-related daily activity impediments showed significantly lower scores in family function than others with less pain(p=.0357).

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Knowledge Level and Compliance of Health Behavior in Patients with Myocardial Infarction (심근 경색증 환자의 질병관련 지식과 건강행위 이행)

  • Jeong Hye-Sun;Yoo Yang-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.3
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    • pp.334-345
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    • 2001
  • Purpose : This study purposes to examine the knowledge level and compliance of health behavior in patients with myocardial infarction to develope a cardiac rehabilitation program. Method: The subjects consisted of 72 patients with myocardial infarction, hospitalized at three university-affiliated hospitals. The data were collected by interviewing their subjects using a questionnaire and reviewing the medical records from September 15, 1999 to July 31, 2000. Data were analyzed using the SAS program for Windows version 6.12. Results: 1 The average knowledge score of the patients was 19.7 and the average compliance score was 53.9. 2. Knowledge scores were highest in the items of avoiding overeating and taking medicine at prescribed dosage, and lowest in the item of when to avoid sexual activity. 3. Knowledge level were highest on domains of exercise & daily activities, and risk factors and followed by diet. medication. and nature of disease. 4. Those who had higher education, or were living with a spouse were significantly higher in knowledge score. 5. Compliance score was highest in the item of smoking cessation and lowest in the item of measuring heart rate regularly. 6. Compliance score was highest on domain of smoking cessation and followed by diet, exercise, others, and managing mental stress. 7. Female patients had significantly higher compliance scores of health behavior on domain of diet than male patients. 8. The knowledge score was positively correlated to compliance of health behaviors. Conclusion: According to the above findings, it can be concluded that intensive nursing care and education should be provided to the patients who have lower education or are living without a spouse. Also, nursing intervention should be developed to increase compliance of managing mental stress and doing regular exorcise.

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A Study on the Housing Satisfaction of Elderly Living Alone or with Spouse - A Comparision between Urban and Rural Area - (단독가구노인의 주거만족도에 관한 연구 - 도시.농촌지역간의 비교를 중심으로 -)

  • 이경희;장온정
    • Journal of Families and Better Life
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    • v.9 no.2
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    • pp.225-240
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    • 1991
  • The purpose of this study is to find the main factor which influences the housing satisfaction of elderly who lives alone or with spouse and to make it sure that housing satisfaction is an important factor to life satisfaction of elderly. The specific purpose of this study is as follows; 1) How does the locus of control of elderly influence a housing satisfaction\ulcorner 2) How does the housing characteristics of elderly influence on the housing satisfaction and this relationship has any difference between urban and rural area. 3) Which variables influence upon the housing satisfaction and life satisfaction of elderly and how much do they influence \ulcorner The locus of control scale, housing satisfaction scale. life satisfaction scale were composed on the basis of precedent researches. For this study 202 elderly sho live in urban and rural area ere interviewed. To analyze the data, such as F-test, t-test, two-way ANOVA, Multiple regression analysis were used with SPSS program. The results are as follows; 1) The interrelation between locus of control and housing satisfaction is as follows. Namely , if he believes in his deeds and will rater than his fate, he feels more housing satisfaction. 2)the housing satisfaction of the elderly was found to be influenced by location, Namely, the elderly living in the urban area feels more housing satisfaction, especially he lives in apartment and unshared house. On the contrary, the elderly living in the rural area was not affected by housing type and the number of household who live together, The housing satisfaction of the elderly living in the rural area or the urban area equally influenced by the housing tenure, heating system, bathroom facility, flush toilet, and convenient service form the outside. 3) The main factoers which influence the housing satisfaction of the single household elderly are bathroom facility louse of control and income. When we concern about the location in urban area the housing satisfaction of the elderly were mainly influenced by income, but in the rural area, they were influenced by the service facility from the outside. As a Conclusion, the main factor which influenced life satisfaction of the elderly proved to be housing satisfaction inn both rural and urban area.

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The Influences of Variables Related to Family and Employment on Work-Family Negative Spillover in Dual-Earner Couples (맞벌이 부부의 일-가족 부정적 전이에 영향을 미치는 가족 및 직업관련 변수)

  • Jang, Yoon Ok;Jeong, Seo Leen
    • Journal of Families and Better Life
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    • v.34 no.2
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    • pp.65-83
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    • 2016
  • The purpose of this study was to investigate the influences of variables related to family and employment on work-family negative spillover. The subjects of this study were 570 dual-earner with children. The research tool was questionnaires. For data analysis, factor analysis, Cronbach ${\alpha}$, and multiple regression were performed. The main results of this study were as following. First, among variables related to family, spouse support, parental satisfaction, marital satisfaction, perceived fairness in the division of household labor, daily housework hour and family strengths had an influence on $work{\rightarrow}family$ negative spillover in wives, and weekends housework hour, perceived fairness in the division of household labor, perception of the gender role, and satisfaction of the division in household labor had an influence on $work{\rightarrow}family$ negative spillover in husband. Second, among variables related to family, parental satisfaction, number of children influence on $family{\rightarrow}work$ negative spillover in wives, and spouse support, parental satisfaction, satisfaction of the division in household labor, marital satisfaction, and perception of the gender role had an influence on $family{\rightarrow}work$ negative spillover in husband. Third, among variables related to employment, support from workplace, weekly working hour, monthly income, and job satisfaction had an influence on $work{\rightarrow}family$ negative spillover in wives, and support from workplace, monthly income, household income, and weekly working hour had an influence on $work{\rightarrow}family$ negative spillover in husband. Forth, among variables related to employment, support from workplace in wives, and job satisfaction in husband had an influence on $family{\rightarrow}work$ negative spillover. To conclude, there was some difference in the variables influencing $work{\rightarrow}family$, $family{\rightarrow}work$ negative spillover between wife and husband. So, We have to take this difference into consideration in establishing work-family life balance policies.

Stress, Health Status and Life Satisfaction of Elderly Koreans Living in a Rural Community (일부 농촌지역 노인의 스트레스, 건강상태와 생활만족도와의 관련성 연구)

  • Kim, Ae-Jung;Kim, Jung-Sug;Kim, Chun-Mi;Park, Soon-Ok;Paik, Hoon-Jung;Choi, Soon-Young;Moon, Jin-Ha
    • Journal of Korean Academy of Rural Health Nursing
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    • v.2 no.2
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    • pp.102-110
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    • 2007
  • Purpose: The purpose of this study was to investigate health behavior, life satisfaction and stress in elderly people living in a rural community. Methods: The participants in this study were 198 elders from Y-county. Data were collected using a self-report questionnaire and analyzed through descriptive statistics, Pearson's correlation, t-test, ANOVA and Cronbach's ${\alpha}$. Results: There were statistically significant differences in stress according to the residential area. There were statistically significant differences in the health status of the elders according to age, education level, marital status, and presence of spouse. There were statistically significant differences in life satisfaction according to sex, marital status, education level, use of meeting facilities for elders and presence of spouse. The health status of the elders was also positively related to life satisfaction and negatively related to stress. Conclusion: The results of this study suggest that health status is a core factor determining the quality of life for elders. Therefore, a priority for gerontological nursing has to be a focus on improving the psychological and physical health for elders.

Comparative Study on Fall Related Characteristics between Single and Recurrent Falls in Community-Dwelling Older Women (재가 여성노인에서 1회 낙상군과 반복낙상군의 낙상관련 특성 비교연구)

  • Park, Hyoung-Sook;Chang, Rang;Park, Kyung-Yeon
    • Korean Journal of Adult Nursing
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    • v.20 no.6
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    • pp.905-916
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    • 2008
  • Purpose: The purpose of this study was to identify the influencing factors on the single and recurrent falls in community-dwelling older women. Methods: Seventy eight volunteers aged over 65 were included in the study. The participants experienced at least one fall within the past one year. Data were measured on each participant from May 2007 to September 2007, collected using structured researcher-administered sheets and measuring their physical strengths and analyzed by descriptive statistics, t-test, chi-square test, Mann-Whitney U test and logistic regression analysis. Results: The prevalence of recurrent falls were 53.8%. The level of education(Z = -2.455, p = .014) and the presence of spouse($x^2$ = 4.843, p = .044) showed significant differences between the single-fall group and the recurrent-fall group in the study. Significantly predicting factor on the recurrent falls was the level of education and the variable explained 20.1% of variants in the occurrence of recurrent falls. Conclusion: Although a variety of factors affected the single fall in the elderly women, the level of education and the presence of spouse proved to be the significant factors in their recurrent falls. These factors proven to be significant as the result of this should be reflected in the development of effective programs for preventing the elderly from recurrent falls.

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Incidence and Survival in Breast Cancer Patients and Stressful Life Events

  • Fallah, Raheleh;Akbari, Mohammad Esmaeil;Azargashb, Eznollah;Khayamzadeh, E
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.245-252
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    • 2016
  • Due to increasing incidence of breast cancer, recognition of risk factors has become increasingly important. Over the past few decades, among risk factors of this disease, stressful life events have attracted particular attention, but their relationship with breast cancer incidence and survival remains a mystery. This study aimed to examine the relationship between severe stressful life events and incidence and survival of women with breast cancer. In this case-control study, using a structured telephone interview with 355 women with breast cancer and also with 516 women with benign breast diseases who were matched in demographic characteristics, necessary information about the experience of major stressful events in the years before the diagnosis were collected. Data were analyzed using statistical methods of ${\chi}^2$, t, and Kaplan-Meier with a significance level of <0.05. Generally, in the case and control groups, there were no significant association between experience of stressful life events and incidence of breast cancer. Regarding associations between each of the events and incidence of breast cancer only "severe interpersonal problems with spouse" was significant. In the breast cancer group, even after controlling confounding variables, there was no significant association between major stressful events and disease-free survival, or overall 5-and 10-year survival. In this study, only "severe interpersonal problems with spouse" was confirmed as a risk factor. This result can be useful in developing preventive policies. More research regarding the interactive effects of psycho-social factors in the incidence and survival of breast cancer with stressful life events is recommended.