• Title/Summary/Keyword: subjective social status

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Factors Associated with Unmet Healthcare Needs According to Households (가구 구성원에 따른 미충족 의료 관련요인)

  • Kim, Yun-Jeong;Choi, Seong-Ji;Hwang, Byung-Deog
    • The Korean Journal of Health Service Management
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    • v.12 no.2
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    • pp.39-49
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    • 2018
  • Objectives : In this study, we used the data of the 2015 National Health and Nutrition Survey in its 6th Phase, and the total number of subjects included was 4,884. Methods : Frequency analysis, crosstab and logistic regression analysis were conducted to investigate unmet medical factors related to family members. Results : The subjects of the study were 10.3% single-person households and 89.7% non-single-person households. There were statistically significant differences in age, education level, marital status, income level, private health insurance, and subjective health status. Factors associated with unmet healthcare needs according to single-person households was subjective health status. Age, gender, marital status and subjective health status were the factors associated with unmet healthcare needs according to non-single-person households. Conclusions : It is necessary to establish health care policies that can expand the health education necessary for providing appropriate information on medical care and improving awareness of social illnesses and improving affordability and convenience.

A Study on the Determinants of Suicide Attempts among the Elderly Living Alone: Focused on Seniors in Seoul and Gyeonggi Province (독거노인 자살시도 영향요인에 관한 연구: 서울 및 경기지역 노인을 중심으로)

  • Kwon, Oh-Gyun
    • Journal of Families and Better Life
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    • v.32 no.5
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    • pp.207-219
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    • 2014
  • The purpose of this study was to examine the characteristics of suicide attempts and non-attempts of the elderly living alone and the subjects in this study were 690 elderly persons living alone in Seoul and Gyeonggi Province. For data analysis, this study used descriptive analysis, mean comparison correlation analysis, and binominal logistic regression analysis using PASW 20.0. To explain the suicide attempts of elderly persons who live alone, variables such as sex, age education level, monthly household income, religion, subjective economic status, subjective health status, ADL/IADL, depression, hopelessness, social support, and stress were used. The findings of the study were as follows: First, 9.2 percent(64) of the elderly living alone had attempted suicide and 90.8 percent(626) had never attempted suicide. Second, monthly household income, hopelessness, and social support were identified as the factors that affected their suicide attempts. In other words, the elderly living alone who had lower monthly household income, less social support, and greater feelings of hoprlessness had made more suicide attempts. As it is a cross-sectional research using data from non-probability sampling, this has a limitation in generality sampling, this has a limitation in generalizing the study results. To overcome this limitation, longitudinal research using data from probability sampling is necessary.

An Analysis on Factors Affecting Korean Elderly People's ADL (우리나라 노인인구의 ADL 결정요인에 관한 연구)

  • Lee, Mee-Ae
    • The Korean Journal of Community Living Science
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    • v.21 no.2
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    • pp.201-210
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    • 2010
  • Over the past few decades, the proportion of elderly people in Korea has been rapidly increasing. In particular, rural areas are experiencing aging of communities more rapidly compared to urban areas. However, public policy for the elderly does not respond to the needs of rural elderly. To distribute health care resources equitably, it is necessary to gather reliable information on the health status of the elderly. The purpose of this study is to explore factors affecting Korean elderly people's ADL functional status. The data sources are from 2004 Elderly Living Condition Survey. The Analysis sample consists of 3,278 cases. Analysis results show that there is a significant residential variability in education, monthly stipend, living arrangement, subjective health status, regular food in-take, and regular exercise. Logistic regression analysis results also show that 'cognitive ability'(exp(B)=6.603), 'subjective health status'(exp(B)=4.576), 'age'(exp(B)=2.610), and 'living arrangement'(exp(B)=.589) are factors affecting ADLs. Namely, when a respondent's cognitive ability is limited, subjective health status is poor, or if their age is over 75, the probability of having a limited ADL has been 6.6 times, 4.6 times, and 2.6 times higher than otherwise. Among these variables, cognitive ability was the best explanation. In contrast, respondents who live with a spouse or adult children have a lower probability of having limited ADL compared with those who live alone. Considering that the most critical criteria in determining eligibility for social welfare services is ADLs, the development of appropriate ADL assessment tools is in an urgent need. Without the accurate assessment on ADLs, particularly on rural as well as the urban elderly, it seems to be hard to achieve effectiveness in the health care policy for the elderly.

Study on the Factors related to School Adjustment of upper Elementary Students (초등학교 고학년 학생의 학교적응 관련요인에 관한 연구)

  • Kim, Na-Young
    • Journal of the Korean Society of School Health
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    • v.29 no.3
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    • pp.201-208
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    • 2016
  • Purpose: This study was designed to examine the factors related to school adjustment of upper graders in elementary school. Methods: Data was collected through a questionnaire survey of 304 fifth and sixth grade students from October to November, 2014. The collected data was analyzed statistically through frequency, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient and multiple regression analysis, using the SPSS/WIN 22.0 program. Results: First, subjective school record and subjective health status showed significant differences in school adjustment. Second, social support and ego-resilience were positively correlated, while bullying was negatively correlated with school adjustment. Third, significant factors related to school adjustment were social support, ego-resilience, subjective school record. These variables explained 56.4% of the students' school adjustment. Bullying was negatively correlated with school adjustment, but the correlation disappeared in the multiple regression analysis, where protective factors such as social support, ego-resilience were controlled for. Conclusion: School nurses should develop plans to enhance social support (teacher support, parents support, friends support) as well as programs to improve the ego-resilience of upper elementary students to help them adjust to school and to prevent and manage bullying. Also family, school and the community should be connected cooperatively with each other.

Perceptions of the Self-Efficacy of Youth and Subjective Quality of Life (청년기 남녀 대학생의 자기효능감과 주관적 삶의 질에 관한 연구)

  • Hong, Sung-Rye
    • Journal of Families and Better Life
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    • v.29 no.6
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    • pp.71-87
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    • 2011
  • The purpose of this study was to investigate perceptions of the self-efficacy of youth (self-confidence, self-regulatory efficacy, and task difficulty preference) and the subjective quality of life. The participants in this research were 697 university students 314 males and 383 females. All respondents submitted their answers on a self-report questionnaire. The data were analyzed with descriptive statistics, t-tests, Pearson's correlations, and multiple regression analyses. The major results of this study were as follows: (a) Young males exhibited higher levels of self-efficacy perception compared to young females. Regarding the subjective quality of life, gender was not a significant factor. (b) The subjective quality of life was highly correlated with the self-efficacy of youth (self-confidence, self-regulatory efficacy, and task difficulty preference). (c) Self-satisfaction, self-confidence regarding one's career, satisfaction with one's friends, satisfaction with one's parental relationship, quantity of reading, and the amount of study-time all had significant influences on the self-efficacy of youth, whereas the family's socioeconomic status and campus life satisfaction were not significant factors. (d) Self-efficacy had the strongest influence on the youth subjective quality of life. Self-satisfaction, campus life satisfaction, and satisfaction with friends all had significant influences on the youth subjective quality of life, whereas the quantity of reading, the amount of study-time, self-confidence with one's career, the family's socioeconomic status, and satisfaction with one's parental relationship were not significant factors. However, self-confidence with one's career, satisfaction with one's parental relationship, the family's socioeconomic status, and quantity of reading all had different levels of influence on the subjective quality of life for young males and females.

Subjective oral health perception and oral health behaviors of the elderly people in Busan and Gyeongnam province (부산·경남지역 노인의 구강보건행동과 주관적 구강건강인식도 조사)

  • Jang, Kyeung-Ae;Kim, Dong-Yeol
    • Journal of Korean society of Dental Hygiene
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    • v.8 no.4
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    • pp.1-10
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    • 2008
  • The purpose of this study was to compare the oral health status of elderly people living in nursing home with private home in Busan, Kimhae and Jinju in Gyeongnam province for development oral healthy policy of elderly people. 253 elderly subjects aged more than 65 in a hall for the aged and special medical treatment hospital are made up questions. The date was analysed using the SPSS 13.0 program. The obtained result were as follows. 1. 39.5 percent elder people recognize that their subjective oral health is not good. In the case of above three times in brushing tooth a day, 29 percent people are less their oral health is good. As the number of times of brushing tooth decreases, the percent feeling their oral status good decrease(p<.05). 2. The respondents who have visited the dentist within one year are less than people with no visit. Also the percent having a mind that their oral health status is good is higher in the respondents having scaling than them without scaling(p<.05). The respondents who answer that their diet is not bad is most in the ratio of people feeling subjective oral health status good(p<.001). 3. The portion of people feeling their oral status not healthy is highest in the respondents without tooth(p<.05). 4. Among the respondents answering their subjective oral health is not good, the some problem of conversation due to no tooth or denture and relation with others is issued each(p<.001). This study suggests that perceived toothbrusing frequency and periodic scaling with oral health among the elderly. The finding of this study will helpful to policy makers to design plants to increase the oral health related quality of life among the elderly.

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The comparison of health-related quality of life between the institutional elderly and the community living elderly (일 도시 시설노인들과 지역노인들의 건강관련 삶의 질 비교)

  • Park, Kyeong-Soo;Seo, Yong-Gil;Nam, Hae-Sung;Sohn, Seok-Joon;Rhee, Jung-Ae
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.2 s.61
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    • pp.293-309
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    • 1998
  • The purpose of this study is to compare the level of health-related quality of life and relating factor between institutional elderly and community living elderly. The subjects were 390 from Sanatorium or Nursing home and 467 from the community in Kwangju. The results are followed : 1) A comparison of ADL between two groups, institutional elderly and community living elderly, resulted in that community elderly were more significantly independent in the areas of bathing and transfer than institutional elderly. 2) A comparison of IADL between two groups resulted in that : Community elderly were more independent in the areas of using telephone and transportation, food preparation, house keeping, and doing laundry. Institutional elderly were more independent in the area of handling finances. 3) In the case of poor health-related quality of life, institutional elderly showed 2.4 times in the dimension of physical fitness, 1.8 times in daily activity, 2 times in social activity, 2 times in pain, 26.7 times in social support, and 0.4 times in subjective quality of life higher than community elderly There was no significant differences in the rest of dimensions. 4) In institutional elderly, the analysis of variables related to the health-related quality of life resulted in that; The relating factors were sex, education, and chronic illness in the dimension of physical function. Direct contact with family or significant others in the dimension of social activity. Chronic illness in the dimension of pain and perceived health status. Direct or indirect contact with family or significant others over the phone or through letters in the dimension of social support. 5) The analysis of variables related to the health-related quality of life showed that community elderly has more relating variables in each area than institutional elderly. The relating factors were age, sex, and chronic illness in the dimension of physical function. Education and chronic illness in the dimension of emotional status. Age and chronic illness in the dimension of daily activity and social activity Education and chronic illness in the dimension of pain and perceived health status. Sex, education, family size in the dimension of social support. Education and chronic illness in the dimension of subjective quality-of-life. Throughout general daily activity, community elderly showed more satisfactory results than institutional elderly, but in the subjective area of health-related quality of life, such as subjective quality of life, institutional elderly group showed more positive results. And community elderly had more relating factors than institutional elderly. For the health care of the elderly that focused on quality of life, new approaches considering the characteristics of both group, institutional and community living elderly, are needed.

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Psycho-Social Determinants of Subjective Well-being and Physical Health of a Retired Elders in Korea: A Longitudinal Study on the occupational classification (은퇴 노인의 주관안녕과 신체건강에 영향을 미치는 요인들: 은퇴전 직종에 따른 종단 연구)

  • Kun-Seok Park
    • Korean Journal of Culture and Social Issue
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    • v.15 no.2
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    • pp.291-318
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    • 2009
  • The purpose of this study was to find out the impact of psycho-social factors (social relationship and personal) as well as illness history and economic status on physical health and subjective well-being among the retired Koreans elderly. Data were collected from 1,315 elders (mean age = 72.70yrs) residing in Seoul and Chuncheon regional area via interviews(Time 1), and them were re-interviewed two year later(Time 2). Multiple regression analyses indicated that the retired elders' illness history, economic status, marital satisfaction, fulfillment of self-esteem need, drinking behavior, positive affectivity, negative affectivity and physical health to predict their subjective well-being at Time 1(R2=.705). The retired elders' economic status, marital satisfaction, positive affectivity, negative affectivity and physical health to predict their subjective well-being at Time 2(R2=.418). The retired elders' illness history, economic status, expectations for one's offspring, drinking behavior and subjective well-being to predict their physical health at Time 1(R2=.364). And the retired elders' illness history, economic status, marital satisfaction, positive affectivity and negative affectivity to predict their physical health at Time 2(R2=.265). In case of retired elderly, suggested for the psycho-social determenants of subjective well-being and physical health by occupational classification. The implications of this study and the suggestions for furture study were discussed.

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Effects of Satisfaction with Green Space on Life Satisfaction and Mediating Effect of Subjective Health Status of the Urban Elderly (도시노인의 녹지환경 만족도가 삶의 만족도에 미치는 영향과 주관적 건강상태의 매개효과)

  • Lee, Sungeun
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.371-377
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    • 2020
  • The purpose of this study is to investigate the effects of satisfaction with green space on life satisfaction and to examine mediating effect of subjective health status in the relationship between satisfaction with green space and life satisfaction of older adults living in cities. For the purpose of the study, older adults aged over 65 years old who participated in 2018 Social Survey conducted by Statistics Korea were analyzed. A total of 4,567 older adults were analyzed using multiple regression analyses and significance of mediating effect was examined using bootstrapping method. Results of the analyses showed that satisfaction with green space had a significant effect on life satisfaction. Since a higher level of satisfaction with green space increased the level of life satisfaction, a direct effect of satisfaction with green space on life satisfaction was revealed. Also satisfaction with green space had a significant effect on subjective health status, so persons with a higher level of satisfaction with green space perceive their subjective health more positively. In regard to mediating effect, subjective health status partially mediated the relationship between satisfaction with green space and life satisfaction of the urban elderly. Results of this study show that green space can be used as an intervention method to improve health and life satisfaction of the urban elderly.

Relationship among Chronic Disease, Health Status and Health Related Lifestyle of Rural Elderly by Gender (농촌노인의 성별에 따른 만성질환과 건강상태 및 건강생활양식)

  • Cho, Yoo-Hyang
    • Korean Journal of Health Education and Promotion
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    • v.26 no.2
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    • pp.35-47
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    • 2009
  • Purpose: The purpose of this study was to investigate the chronic disease, health status and lifestyle, and to test the chronic disease and health status and lifestyle of rural elderly by gender. Method: The interview survey was performed in September 2004 with structured questionnaires(Scale of Long-Term Health and Welfare Need Survey) to 770 of the elderly who lived in Muan-Gun of Chunnam Province. The percentage, Chi-squire test and regression method were used for some of the cross-sectional data. Results: The 770 elderly respondents were composed of 51.3% male and 48.7% female. 59.1% of the elderly had chronic disease. About the subjective health status that 54.3% of the respondents have been answered not good health status, 87.9% of the respondents have been health examination. The related variables of chronic disease and general characteristics were education and religious level in male, age, marital status, type of social security, education and religious level in female, and health status variables were subjective health status, cognitive function, ADL, IADL, and lifestyle factors was exercise in male, examination in female. Conclusion: These results suggested that special health promotion and education programs of the health habits such as physical exercise and health examination were necessities for the elderly of rural area.