• 가정∙방문간호학회지
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• 제26권1호
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• pp.72-80
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• 2019

Purpose: This study aimed to measure health-related quality of life (HRQoL) and investigate the relevant factors for middle aged women using the 2014 Korea Health Panel data. Methods: The Korea Health Panel data 2014 were collected from February to August 2014 by the Korea Institute for Health and Social Affairs and the National Health Insurance Corporation and included 2,075 people who responded to the questionnaire. Using SPSS WIN program, the data were analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis. Results: Limited activity was the most influential factor for the health-related quality of life of middle-aged women. For health behavior, the factors affecting HRQoL were drinking, sleeping time, and physical activity. For physical health, factors affecting HRQoL were vision problems, eating problems, and hearing problems. For mental health, the factors affecting HRQoL were suicidal impulse, stress, and frustration. Conclusion: These results indicated that to improve HRQoL for middle-aged women, limited activity and suicidal impulses should be addressed.

• 한국융합학회논문지
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• 제11권3호
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• pp.95-100
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• 2020

본 연구의 목적은 노인들의 보건행태가 건강관련 삶의 질에 미치는 요인을 파악하여 노인의 건강관련 삶의 질 향상에 필요한 기초 자료를 제공하기 위한 융합연구이다. 연구대상은 질병관리본부의 국민건강영양조사 제 7기 2차년도(2017년) 원 자료 중 한국에 거주하는 65세 이상 노인 1,367건을 대상으로 하였다. 자료분석은 연구 목적에 맞추어 SPSS/PC 21.0 통계 프로그램을 이용하여 다중 회귀분석을 실시하였다. 연구결과 건강관련 삶의 질에 가장 많은 영향을 미치는 요인으로는 정신건강이고 다음이 신체활동이었다. 이 결과를 토대로 건강관련 삶의 질을 높이기 위해 지역사회 의료기관이나 보건소가 연계한 맞춤형 건강관리 서비스 제공 및 올바른 생활습관 형성을 위한 보건교육이 매우 중요하다는 것을 알 수 있었다. 따라서 향후 노인들의 정신건강과 신체활동 증진을 위한 다양한 프로그램 개발과 적용 효과를 규명하는 후속 연구가 필요하다.

• 대한간호학회지
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• 제40권3호
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• pp.389-399
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• 2010

Purpose: The aim of this study was to construct a structural equation model that would further explain the mental health status of Korean immigrants living in Canada. Methods: Survey using a structured questionnaire was conducted with 386 people in Canada (Vancouver and Toronto). Six instruments were used in this model. The analysis of data was done with both SPSS 14.0 for descriptive statistics and AMOS 5.0 for covariance structure analysis. Results: Based on the constructed model, physical health status, immigrant life stress, self esteem, and quality of life were found to have significant direct effect on mental health. In addition, factors such as physical health status, immigrant life stress, quality of life, English proficiency, family cohesion and social support were found to indirectly affect mental health. The final modified model yielded Chi-square=34.79 (p<.001), df=13, $x^2$/df=2.68, GFI=0.98, AGFI=0.94, NFI=0.95, PNFI=0.44, PGFI=0.35, RMSE=0.07 and exhibited good fit indices. Conclusion: This structural equation model is a comprehensive theoretical model that explains the related factors and their relationship with mental health in Korean immigrants. Findings of this study can contribute to the designing of an appropriate prevention strategy to further improve the mental health of immigrants in Canada.

• 재활간호학회지
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• 제15권2호
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• pp.73-82
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• 2012

Purpose: The purpose of this study was to identify the influencing factors on mental health related quality of life (MHRQoL) in adults across the lifespan. Methods: A total of 688 Korean adults aged 19 years and older were selected. Data were collected by personal interviews or self report using structured questionnaires. For data analysis, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression were used. Results: Mental health related quality of life (MHRQoL) differed significantly according to life cycle, especially showing a lower score in the elderly than others. In addition, elderly adulthood reported the highest stress and depression. The most significant predictors of MHRQoL in young and middle aged people were stress, depression, and subjective health status. Predictors of MHQoL in the elderly were stress and religion. Conclusion: The results indicate that MHRQoL of adult is associated with stress and depression. When the programs are developed to enhance mental health in elderly adulthood, religion should be considered as well as stress.

• 대한영양사협회학술지
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• 제24권2호
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• pp.169-180
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• 2018

Depression is a major health problem that can lead to mortality. This study was conducted to assess the risk factors associated with depression in a group aged over 65 years by analyzing nationally representative Korean survey data. A total of 1,209 subjects were analyzed among the participants of the 2014 Korean National Health and Nutrition Examination Survey. Statistical methods for a complex sample were applied by using SPSS program(windows ver. 24.0). Depression assessments were carried out by using the 9-item depression module of the Patient Health Questionnaire-9 (PHQ-9). Depression ($PHQ-9{\geq}5$) was more frequently found in females (33.2%) compared to males (16.1%). However, there was no evidence suggesting that characteristics such as residence area, income level and age, except for educational level, were related with depression. The results of the logistic regression analysis showed that i) health habits such as smoking (OR: 2.26) and lack of aerobic physical activity (OR: 1.62), ii) mental health status such as bad self-rating of health status (OR: 4.30), more stress (OR: 8.31), and bad health-related quality of life (by EQ_5D, OR: 3.41), iii) chronic diseases such as obesity (OR: 0.66), hypercholesterolemia (OR: 1.57), anemia (OR: 1.91), and iv) low intake of energy (OR: 1.84) and calcium (OR: 1.71) were significantly associated with depression. This study suggests that certain characteristics of health habits, mental health status, chronic diseases and nutrient intake may be associated with depression. Prospective research on long-term control is needed to establish causal connections among those factors with depression.

• 보건교육건강증진학회지
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• 제27권4호
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• pp.39-49
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• 2010

Objectives: This study analyzed the factors that influence the mental health of adolescents in Korea, China, and Japan. Methods: The survey was conducted in each country between November 2008 and January 2009. The respondents were 1,390 Korean, Chinese, and Japanese students aged between 14 years and 16. The mental health was measured by the School Mental Health Scale of Ochanomizu University (2004), which is composed of six scales: physical symptoms, eating disorders, depression, interpersonal relationship, powerlessness, and impulsiveness. Results: The relationship with family and friends are strongly associated with mental health. As for Korean and Chinese female students experienced mental illness more than male. Regarding Korean students, the time to use TV computer game is related to relationship and impulsiveness. The mobile phone use more than three hours is related to depression and relationship for Japanese, and the number of family member less than three, is associated with powerlessness for Chinese. Conclusion: Regular and effective health education is required in order to improve students lifestyles and family and peer relationships. This study also offers the fundamental information for health promotion programs for Korean, Chinese and Japanese students.

• Journal of Korean Biological Nursing Science
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• 제25권3호
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• pp.160-171
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• 2023

Purpose: To identify factors influencing health-related quality of life for young single-person households, this study investigated physical and mental health status, health behavior, depression, resilience, and health-related quality of life. Methods: An online survey was administered to members of young single-person households from March 22 to 30, 2022. The data were analyzed using the chi-square test, independent t-test, one-way analysis of variance, Pearson correlation coefficients, multiple regression, and a simple mediation model applying the PROCESS macro model 4 with 95% bias-corrected bootstrapped confidence intervals. Results: The participants were 229 members of young single-person households. Health-related quality of life showed significant relationships with residence (t = 2.80, p = .006), month (F = 3.70, p = .026), mental health status (F = 20.33, p < . 001), and high-intensity exercise (F = 7.35, p = .001) among general and health-related characteristics. Health-related quality of life had significant correlations with depression (r = -.72, p < .001) and resilience (r = .58, p < .001). Multiple regression analysis showed that depression (β = -.57, p < .001) and resilience (β = .21, p < .001) influenced health-related quality of life. Moreover, resilience had a mediating effect between depression and health-related quality of life (indirect effect = -0.002, 95% bias-corrected bootstrapped confidence interval = -0.003 to -0.001). Conclusion: Members of young single-person households tended to be more vulnerable to emergency situations, such as during the coronavirus disease 2019 pandemic, when lockdowns and quarantines were frequent. To improve health-related quality of life in young single-person households, people with high levels of depression or low levels of resilience need special attention and support to promote mental health.

• 한국사회복지학
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• 제43권
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• pp.106-130
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• 2000

When parents as primary care takers to the mentally disabled adult are no longer taking care of their care-needed offsprings because of their own death or illness, instead themselves. who take care of their offsprings with the mental disability? Therefore, 'permanency planning' is very important for reduction of parents' care burden and social integration of mentally disabled adults. Accordingly, this study aims to find out factors which are related to permanency planning for adults with the mentally disability For the purpose of the study, 192 parents of the adult with the mental illness and mental retardation were conducted a survey regarding type of permanency planning, and its related factors including social functioning level of the mentally disabled, care burden, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability. Furthermore, this study examined correlation between these factors and residential planning. Results obtained by the study were as follows: 1) 51% of the parents are having a plan for institution and most parents want other family member to take care for financial planning for their mentally disabled offsprings. 2) As a result of multiple regression for finding out factors which affect parents' permanency planning, social functioning level of the mentally disabled, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability were statistically significant influenced factors, which has 23.3% of explanatory power. 3) As a result of step-wise multiple regression, financial ability, parents' self-perception of being aged, and help from offspring without mental disability were the most powerful influenced factors for permanency planning. 4) In case of having a plan for residential types-which are institution and community living-, parents who have a plan for the mentally disabled offsprings' future residence as community living than institution have the offsprings with more social functioning and also have more help from offspring without mental disability. Therefore, this study concluded that welfare policy for mental health and the handicapped which secure various types of community living facilities and income security is strongly needed. At the same time, mental health profession is needed to have more active interest and intervention for permanency planning for their adult clients and parents.

• 한국콘텐츠학회논문지
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• 제9권12호
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• pp.718-729
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• 2009

본 연구는 보건계열과 비보건계열 대학생의 스트레스 대처방안과 정신건강과의 관계를 파악하여 학생생활지도와 취업지도에 효율적인 관리지침을 개발하는데 기초 자료로 활용하고자 시도되었다. 연구결과는 일반적 특성과 계열 간에는 스트레스요인이 차이가 있으며, 스트레스 대처는 보건계열은 소망대처를 비보건계열은 정서완화 대처를 많이 활용한 것으로 나왔다. 정신건강에서 강박증은 보건계열이 공포와 적대감은 비보건 계열이 높음을 나타냈다. 적극적 대처는 편집증과 부적관계를, 소극적 대처는 많은 정신건강 하부구조와 정적관계를 나타났다. 결론적으로 스트레스 대처방안이 적절하지 못했을 경우 정신건강에 부정적 영향을 미치기 때문에 대학 측과 교수는 학생들이 스트레스를 적절히 관리하고 조절할 수 있는 프로그램을 개발하고, 학생들은 적극적으로 참여하도록 하여 학교생활과 취업지도에 도움이 되리라 사려 된다.

• Journal of Preventive Medicine and Public Health
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• 제56권5호
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• pp.440-448
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• 2023

Objectives: The purpose of this study was to assess predictors of health-related quality of life (HRQoL) in elderly Asian American and non-Hispanic White cancer survivors. Methods: We conducted cross-sectional secondary data analyses using the combined datasets from the Surveillance, Epidemiology, and End Results program and the Medicare Health Outcomes Survey. Results: Elderly Asian American cancer survivors reported a lower mental HRQoL but a comparable physical HRQoL relative to elderly non-Hispanic White cancer survivors. Stress factors, such as comorbidities, difficulties with activities of daily living, and a history of depressive symptoms, along with coping resources like self-rated health and the ability to take the survey in English, were significantly associated with mental and physical HRQoL. Among elderly Asian American cancer survivors, a significantly lower mental HRQoL was observed among those taking the survey in the Chinese language. Conclusions: The findings suggest that race exerts a differential impact on HRQoL. Interventions should be designed to address the distinct cultural, linguistic, and systemic needs of elderly Asian American cancer survivors. Such an approach could assist in reducing cancer-related health disparities.