• 제목/요약/키워드: subjective social status

검색결과 361건 처리시간 0.025초

이중차이분석을 활용한 노인장기요양보험제도의 방문간호서비스 효과 (The Effects of Visiting Nursing Services in Long-term Care Insurance: A Difference-in-Difference Analysis)

  • 김지은;이인숙
    • 지역사회간호학회지
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    • 제26권2호
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    • pp.89-99
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    • 2015
  • Purpose: The purpose of this study was to demonstrate the effects of visiting nursing services in long-term care (LTC) insurance on changes in health status and physical functions among the elderly. Methods: We analyzed survey data on the living status and welfare needs of the elderly from 2008 and 2011 using the difference-in-difference method with propensity score matching. Results: The subjects were 76 elders including 38 visiting nursing service users(intervention group) and 38 home-based LTC service users (control group). Results from DID analysis confirmed that the subjective health status level of the intervention group was 2.2 points higher (p=.044) and the depression level was 0.3 point lower (p=.039) than the control group. In addition, the intervention group's ADL score was 1.9 (p=.027) and IADL 3.9 (p=.030), showing that their health was deteriorated less. Conclusion: Visiting nursing service in LTC insurance was associated with delayed deterioration of subjective health status, depression, ADL and IADL. These findings suggest the need of rebuilding visiting nursing service programs focusing on prevention services, which will be more contributive to elderly health care and the reduction of social costs.

사회경제적 수준과 구강건강과의 관련성 연구: 제6기 국민건강영양조사 자료를 이용하여 (A study on the relationship between socioeconomic level and oral health: analysis of data from the Sixth Korean National Health and Nutritional Examination Survey)

  • 송애희;윤혜정
    • 한국치위생학회지
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    • 제19권4호
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    • pp.565-575
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    • 2019
  • Objectives: In this study, both subjective and objective levels of oral health were used to identify the relationship between oral health inequalities. Methods: Korean National Health and Nutritional Examination Survey data from 2013 to 2015 were combined to create an analysis plan. Oral health questions categorized as subjective oral health conditions and oral health-related diseases used dental tissue disease status as data measured by the Community Periodical Index(CPI) and decayed, missing, filled teeth(DMFT) experience. Other data on oral health behaviors such as toothache experience, the frequency of toothbrush use, chewing problems, oral examination status, and unmet dental care needs were classified and analyzed according to the socioeconomic level. Data were analyzed using frequency and cross analyses, and the statistical significance level was set at 0.05. Results: It was found that higher the economic and educational level, better was the subjective oral health, lower the CPI, lower the experience of toothache, higher the frequency of toothbrush use, lower the number of people having chewing problems, and higher the frequency of oral checkups. Conclusions: Oral health inequality exists among social classes. It is suggested that continuous research and efforts be carried out to promote oral health while considering socioeconomic and educational levels. Further, active government efforts will be needed to address polarization by social class.

일부지역의 노인에서 구강보건교육 경험이 주관적 구강건강수준에 미치는 영향 (Effects of Oral Health Education Experience on Subjective Oral Health Level of Elderly in Some Area)

  • 성미애;최성숙;이윤희
    • 한국임상보건과학회지
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    • 제7권2호
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    • pp.1298-1307
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    • 2019
  • Purpose. This study was to correlations between oral health education experience and subjective oral health level of elderly in Yeongnam region. Methods. The data were collected from 254 elderly in Yeongnam region. Data analysis was performed using cross Analysis, t-test(One-way ANOVA), logistic regression by SPSS WIN 17.0 program. Results. According to the general characteristics of the study subjects, 42.8% of those under 75 years and 57.2% of those over 75 years of age had never been educated, 50.7% of living expenses less than 1 million won and 37.3% of those below 2 million won had never received oral health education (p<.05). The differences in subjective oral health levels with or without oral health education experience showed higher limitations of function and impairment of social psychic function in the elderly with no experience than those with oral health education experience(p<.05). Correlation between oral health education experience and subjective health level of the elderly showed a positive relationship with each factor, meaning that the subjective oral health level was higher with oral health education(p<.05). Subjective oral health levels for functional limitations or social and psychological disorders were high in the elderly without oral health education(p<.05). Conclusion. Considering the impact of oral health education experience on the subjective oral health level of the elderly as above, we should develop various continuous and systematic programs that can increase prevention and post-education practices for the increase of education beneficiaries through diverse approaches to enhance their usability.

다문화가족 청소년의 성별에 따른 주관적 구강증상경험의 비교 연구 (A comparative study of subjective oral symptom experiences according to gender in adolescents of multi-cultural families)

  • 박지영;정기옥
    • 한국치위생학회지
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    • 제19권2호
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    • pp.287-295
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    • 2019
  • Objectives: The purpose of this study was to investigate the factors affecting subjective oral symptoms according to the gender of youth from multi-cultural families in Korea using data from the 14th (2018) Korean Youth Health Behavior Survey. Methods: The independent variables used in this study consisted of gender and sweet drink intake. The dependent variable was experience of subjective oral symptoms. Compensation variables consisted of general characteristics of school type, academic performance, economic status, drinking status, smoking status, and number of tooth brushings day before. The subjects of the study were 835 children of multi-cultural families whose parents were foreigners. All statistical analyses were performed by complex samples cross-tabulation analysis and complex samples logistic regression analysis. Statistical analysis was performed using the PASW statistical package 21.0 (Statistical Packages for Social Science Inc., Chicago, IL, USA). A significance level of 0.05 was used for statistical significance. Results: The composite sample logistic regression analysis showed that there was a statistically significant difference between gender and intake of sweet drinks in experience of subjective oral symptoms. Conclusions: These results suggest that factors influence subjective oral symptoms in Korean multi-cultural adolescents. Therefore, I hope that they will be used as basic data for the introduction and development of a customized oral health education program for improving oral health of multi-cultural adolescents.

청소년의 온라인 게임 캐릭터 지위 비교가 주관적 행복 변화에 미치는 효과 (The Effects of Adolescents' Online Game Character Status Comparison on their Subjective Happiness Change)

  • 이국희
    • 인지과학
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    • 제32권2호
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    • pp.75-98
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    • 2021
  • 본 연구는 온라인 게임에서 형성된 지위를 비교하는 성향의 청소년들이 그렇지 않은 청소년들보다 평상시에 더 불행한지 확인하려는 목적으로 이루어졌다. 이를 위한 실험 1은 자신이 조종하는 게임 캐릭터의 지위를 게임 세계 평균과 비교하게 한 후(평균보다 낮은지, 같은지, 높은지), 주관적 행복 변화를 측정하였다(지위를 비교하는 상황이 있기 전과 후의 변화). 실험 2는 자신이 조종하는 게임 캐릭터의 지위를 아는 사람의 지위와 비교하게 한 후(지인보다 낮은지, 높은지), 주관적 행복 변화를 측정하였다. 실험 3은 자신이 조종하는 게임 캐릭터의 지위가 평균보다 낮다고 제시한 후, 아는 사람은 더 낮다는 추가 정보를 제시하는 집단과 제시하지 않는 집단으로 구분하여 주관적 행복 변화를 측정하였다. 또한 실험 3은 자신이 조종하는 게임 캐릭터의 지위가 평균보다 높다고 제시한 후, 아는 사람은 더 높다는 추가 정보를 제시하는 조건과 그렇지 않은 조건을 구분한 후 주관적 행복 변화를 측정하였다. 결과적으로 실험 1은 평소 주관적 행복이 낮은 청소년은 게임 세계에서의 지위가 평균보다 낮을 때 불행해지고, 높을 때 행복해지지만, 평소 주관적 행복이 높은 청소년은 행복 수준에 큰 변화가 없음을 확인하였다. 실험 2는 평소 주관적 행복이 낮은 청소년은 게임 세계에서 타인보다 지위가 낮을 때 불행해지고, 높을 때 행복해지지만, 평소 주관적 행복이 높은 청소년은 그렇지 않음을 관찰하였다. 실험 3은 평소 주관적 행복이 낮은 청소년은 게임 세계 평균보다 지위가 높더라도 자신보다 더 높은 사람이 있으면 불행해지고, 게임 세계 평균보다 지위가 낮더라도 자신보다 더 낮은 사람이 있으면 행복해지지만, 주관적 행복이 높은 청소년은 큰 변화가 없음을 확인하였다. 본 연구는 가상 세계에서의 사회비교가 행복에 미치는 영향을 확인한 드문 연구로서 중요하다.

노인의 주관적 기대여명에 영향을 미치는 요인: 연령집단별 개입요인 비교 (Factors Affecting Subjective Life Expectancy of The Elderly: A Comparison Three Age Groups)

  • 김연경;김태미
    • 한국노년학
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    • 제39권4호
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    • pp.699-721
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    • 2019
  • 주관적 기대여명(Subjective Life Expectancy)이란 자신의 수명에 대한 평가로, 주관적 인지평가에 그치지 않고, 건강한 삶을 위해 건강증진, 사회적 활동, 경제적 활동 등에서 실천적 행위를 하게 하는 기전으로 알려져 있다. 본 연구는 연령집단별 노인의 주관적 기대여명에 영향을 미치는 요인을 일반적 요인과 개입요인으로 나누어 파악하여 비교해보는 것에 목적이 있다. 연구대상자는 제 6차 고령화연구패널(KLoSA)을 이용하여 연령집단별로 연소노인(65세-74세) 2,106명, 중고령노인(75-84세) 1,803명, 초고령노인(85세 이상) 574명으로 총 4,483명이다. 일반적 요인은 통제변수로써 인구사회학적요인, 건강상태요인을, 개입요인은 독립변수로써 건강증진행위, 공적돌봄인지여부, 공식적 사회활동 참여, 일자리 및 소득보장 등에 해당하는 9가지의 변수를 설정하여 카이제곱검정, ANOVA, t-test, 위계적 다중 회귀분석을 실시하였다. 그 결과 주관적 건강상태와 기초연금은 모든 연령집단의 주관적 기대여명에 영향을 미쳤지만, 그 외의 변수들은 집단별로 차이가 있었다. 공식적 사회활동 참여, 일자리 및 소득보장요인은 연소노인과 중고령노인 집단에서 유의했고, 건강증진행위요인은 연소노인에서만 유의했다. 중고령노인은 다른 연령집단에 비해 개입요인보다 일반적 요인에서 유의미한 결과가 치중된 것으로 나타났다. 본 연구의 결과는 연령집단별 노인의 주관적 기대여명과 남은 노후를 잘 보내기 위한 실천적이고 개입 가능한 요인 탐색에 기초자료를 제공할 수 있을 것이다.

장애인의 장애로 인한 활동제약이 일상생활 만족도에 미치는 영향 : 주관적 건강상태의 매개효과를 중심으로 (Effect of Activity Constraint due to Disability on Daily Life Satisfaction among the Disabled : Focusing on the Mediating Effect of Subjective Health Status)

  • 김민수;고민석
    • 한국엔터테인먼트산업학회논문지
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    • 제15권7호
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    • pp.169-180
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    • 2021
  • 본 연구는 장애인의 장애로 인한 활동제약이 주관적 건강상태와 일상생활 만족도에 미치는 영향을 파악하고, 장애로 인한 활동제약과 일상생활 만족도 간의 관계에서 주관적 건강상태의 매개효과를 검증하는데 목적이 있다. 이를 위해 장애인고용패널조사 2차웨이브 5차년도에 참여한 3,809명의 응답자료를 활용하여 분석하였다. 연구결과, 장애로 인한 활동제약 중 보청기를 사용해도 듣는데 어려움이 있는 정도를 제외한 모든 하위요인은 주관적 건강상태에 부정적인 영향을 미쳤고, 일상생활 만족도에는 모든 하위요인이 부정적인 영향을 미쳤다. 또한 주관적 건강상태는 장애로 인한 활동제약 중 보청기를 사용해도 듣는데 어려움이 있는 정도를 제외한 모든 하위요인과 일상생활 만족도 간의 관계에서 유의한 부분매개효과를 보였다. 따라서 장애인의 장애특성을 고려한 체계적이고 차별화된 맞춤형 재활프로그램의 제공을 통해 장애인의 활동제약 수준을 감소시켜야 할 것이며, 이를 통해 장애인의 건강수준과 사회적 자립능력을 향상시켜야 할 것이다. 나아가 장애인의 일상생활 만족도 향상을 위해 자기주도적 활동능력을 향상시킬 수 있는 재활프로그램과 건강수준을 향상시킬 수 있는 건강증진프로그램을 연계한 지역사회기반의 통합적 장애인 지원체계 마련 등의 정책적 지원이 필요하다.

궤양성 대장염 환자의 삶의 질 영향요인 (Factors related to Quality of Life of Patients with Ulcerative Colitis)

  • 유양숙;정미영;조옥희
    • 성인간호학회지
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    • 제26권2호
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    • pp.129-138
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    • 2014
  • Purpose: The purpose of this study was to identify factors related to the quality of life of patients with ulcerative colitis. Methods: A total 116 patients with ulcerative colitis were asked on general characteristics, illness-related characteristics, depression, and quality of life. The collected data were analyzed by t-test, ANOVA, and stepwise multiple regression. Results: As for depression the 81.03% were normal, the 8.62% were mild depression, the 6.90% were moderated depression, and the 3.45% were severe. As for quality of life, the social functions was highest, followed by intestine-related symptoms, systemic symptoms, and emotional functions. Quality of life was positively correlated to subjective health status, age, and body mass index, and negatively to depression. Main factors affecting the quality of life included depression, subjective health status, physician's global assessment, age, days of loss in social life, and present abdominal pain. Conclusion: Physical and psychosocial health problems related to ulcerative colitis affected the quality of life of the patients. Further research is warranted for developing educational programs and psychosocial strategies in order to efficiently handle the illness.

20대 성인의 우울감 경험에 영향을 미치는 요인: 2017 지역사회건강조사 자료 활용 (Factors Affecting the Depressive Mood Experience of Adults in Their 20s: Using Community Health Survey Data for 2017)

  • 김경숙
    • 보건행정학회지
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    • 제30권2호
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    • pp.221-230
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    • 2020
  • Background: The purpose of this study is to identify the factors affecting the depressive mood experience of adults in their 20s. Methods: This study is a descriptive survey that conducted a secondary analysis using data from the 2017 Community Health Survey, which is conducted annually in Korea. The study targets 21,324 adults in their 20s. Data analysis was conducted after creating a composite sample plan file that reflected layering variables, colony variables, and weights. Results: Factors affecting the depressive mood experience were suicide thought experience, subjective stress level, gender, monthly household income, smoking status, subjective health level, breakfast status, participation in social activities, and whether the Internet, games, and smartphone interfered with daily life (p<0.05). Conclusion: It is necessary to establish and realize a system that enables early detection and support of depression and suicide high-risk groups at the individual, home, community, and national levels.

정규직 및 비정규직 고용형태가 건강관련 삶의 질에 미치는 영향 분석 연구 (The Effect of Regular and Temporary Employment on Health-related Quality of Life)

  • 손신영
    • 보건의료산업학회지
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    • 제9권4호
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    • pp.171-182
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    • 2015
  • Objectives : The aim of this study was to identify the effect of employment type on health-related quality of life. Methods : This study used data from the Sixth Korea National Health and Nutrition Examination Survey. Data were analyzed with the ${\chi}^2$ test, t-test, ANOVA and multiple regression. Results : There were significant statistical differences the health-related quality of life according to employment type. The health-related quality of life of temporary workers was lower than that of regular workers. The significant predictors of the health-related quality of life of regular workers were the subjective health status, stress, age, and education. The significant predictors of the health-related quality of life of temporary workers were the subjective health status, education, stress, sleeping time, and gender. Conclusions : These results suggest that employment type affects the health-related quality of life. The research on social policy is recommended to resolve health inequalities.