Purpose: Public health centers (PHCs) provide a variety of healthcare services according to the Regional Public Health Act (RPHA). We aim to analyze the changes in public healthcare services according to the legislation and the number of public health nurse (PHN) involved in the service, and propose an alternative to effectively distribute the public health nursing workforce for protecting the health rights of people. Methods: This is a review study that deduced the results from literature review. Results: During the revision of the PHC law to the RPHA, several services were added. Health related laws have forced the PHCs to provide services for these legislations. Consequently, the workload on the PHNs has been increasing. However, the PHNs have been consistently lacking. In 2017, there are 16.2 full-time nurses per center. Furthermore, About 50% of the PHCs are not meeting the minimum requirements of licensed or qualified health professional workforce outlined in 1997. In addition, 43% of the nurses in the PHCs are part-time nurses. Conclusion: We suggest that the minimum requirements of health professional workforce should be modified to reflect the increase in the workload of PHNs, and a legislation to enforce PHCs to fulfill these requirements is needed.

Purpose: The purpose of this study is designed to identity the extent of geriatric hospital nurse's knowledge attitude and fall prevention activities toward falls, thereby identifying the relationship between them. Methods: Knowledge of the falls targeting 350 people who work in the nurse elderly hospital, located at J city, attitudes about fall prevention activity data were collected for nurses working in the geriatric hospital. The collected data were analyzed with descriptive statistics, t-test, one-way ANOVA, Scheff's test, correlation coefficients. Results: Attitude and prevention activities of fall showed that there is a correlation. Showed that age was a significant effect on falls prevention activities age 45 years and olde and attitude. The higher the fall prevention activities were found to be low. Conclusion: In relationship between knowledge, attitudes and prevention activities regarding falls, knowledge about falls had no correlation with attitude and prevention activities and a correlation was found between attitudes and prevention activity regarding falls. Accordingly, it is required to implement training program to improve nurse's attitude to falls, and repetitive fall prevention training and education is expected to contribute to increasing the practice of fall prevention activity.

Purpose: The purpose of this study is to investigate the drinking, stress, and sleep on depression of Korean obese women. Methods: The data of this study were derived from the Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-3), conducted from January to December 2015 by Korea Centers for Disease Control and Prevention. The study subjects were 935 adult women between 20 and 70 years old (Body Mass Index${\geq}25$). The data were analyzed by the complex sampling design method applying the weights to the IBM SPSS 23.0 program. Results: The study result showed that the frequency of binge drinking, stress perception, sleeping time and depression of Korean obese women showed significant differences according to age group. In the 20-30's, the stress and sleeping time, the 40-50's were drinking at once, the frequency of drinking and stress, and the drinking and stress at 60-70's were significantly associated with an increased risk of depression in obese women. Conclusion: The intervention program for the management of depression in Korean obese women should include the strategies for managing stress and drinking, taking into account differences according to age.

Purpose: This study was conducted to investigate factors affecting the dementia screening test based on the health belief model. Methods: The survey was conducted with structured questionnaires assessing the knowledge of dementia, health beliefs, self-efficacy and cue to action for dementia screening. Study participants were 156 older adults and data from 121 respondents were analyzed. Descriptive statistics, frequency percentage, chi-squared (${\chi}^2$) test, t-test and logistic regression analysis were conducted using SPSS version 23.0. Results: Factors influencing the dementia screening test were found to be gender, self-efficacy on dementia screening, and the presence of family or friends who underwent dementia screening. Older adults who were female (OR=4.92, p=.003), showed an increasing average score of self-efficacy for dementia screening (OR=2.85, p=.002), and had family members or friends who underwent dementia screening (OR=4.60, p=.003) were more likely to receive dementia screening. Conclusion: This study showed that education and programs enhancing self-efficacy associated with the dementia screening test, as well as utilizing the network of family or friends are necessary to increase the rate of dementia screening.

Purpose: This study was conducted to determine whether alcohol drinking patterns (drinking frequency, drinking quantity, binge drinking frequency and risk drinking) were related to obesity and abdominal obesity. Methods: A total of 6,749 adult men from the sixth Korea National Health and Nutrition Examination Survey were evaluated. Multivariate logistic regression analyses were employed to determine if obesity and abdominal obesity was associated with alcohol consumption patterns after adjusting for covariates. Results: No relationship was observed between drinking frequency and obesity. The odds ratio vs. nondrinkers for obesity was significantly low for individuals who consumed 5 to 6 drinks per typical occasion and monthly binge drinking. However ${\geq}7$ drinks per typical occasion resulted in a significantly higher odds for obesity relative to nondrinkers. The odds ratio vs. nondrinkers for abdominal obesity was significantly lower in response to monthly binge drinking, whereas ${\geq}10$ drinks per typical occasion and daily binge drinking resulted in significantly higher odds for abdominal obesity. Risk drinking had higher odds for abdominal obesity than non-risk drinking. Conclusion: Although moderate alcohol drinkers have a lower prevalence of obesity and abdominal obesity than nondrinkers, higher drinking quantity and frequent binge drinking are indicators of a higher prevalence of obesity and abdominal obesity in men.

Purpose: This study aims to investigate the effect of employment of elderly over 65 years on elderly depression using the "Nation Elderly Survey 2014". Methods: The subjects were 10,451 elderly aged 65 or older who were selected from 16 cities and provinces via multilevel stratified sampling method. In an effort to represent well the nation's elderly population, composite sample analysis method was used for the study, and a hierarchical logistic regression analysis was performed to identify those factors affecting the depression among the elderly population. Results: The factors affecting the depression were education level, household income, Perceived health status, smoking, drinking, physical activity, body mass index and employment status. It was found that the unemployed persons were 1.68 times more likely to be depressed than those who remain employed. Conclusion: Where the average life expectancy is getting longer and the poverty rate of elderly is high, employment activities of the elderly are of great significance in terms of ensuring economic stability as well as in lowering medical expenses through reduction of depression. Therefore, it is necessary to increase the employment rates of the elderly for economic, social and healthcare perspectives.

Purpose: This study was conducted to investigate factors affecting the somatizationof 4th grade elementary school students in South Korea. Methods: The research used cross-sectional data of 2,031 first grade elementary school students that participated in 4th-year Korean Children and Youth Panel Survey (KCYPS). Data analysis, which included descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation, and hierarchical regression,was performed using SPSS/WIN 23.0. Results: Aggression (r=0.60, p<.001) and depression (r=0.69, p<.001) showed significant positive correlation, while affection (r=-0.22, p<.001), reasonable explanation (r=-0.28, p<.001), peer relationship (r=-0.06, p=.001), and teacher relationship (r=-0.20, p<.001) were negatively correlated with somatization of elementary school students. Hierarchical regression analysis revealed that depression (${\beta}=0.52$, t=25.52, p<.001), aggression (${\beta}=0.27$, t=13.30, p<.001), reasonable explanation (${\beta}=0.05$, t=2.99, p=.002), and affection (${\beta}=0.04$, t=2.13, p=.031) were significant predictors of somatization. This regression model has an explanatory power of 52.8%. Conclusion: To reduce somatization, it is necessary to develop a therapeutic intervention to change student emotions into a positive coping mechanism and strategy. The results of this study will contribute to the development of programs and practices for healthy school life.

Purpose: This study examined the relationship among stressful life events, mindfulness and depression, and explored the mediating role of mindfulness between stressful life events and depression in nursing students. Methods: A cross-sectional survey was undertaken. A sample of 120 nursing students participated in the study. The self-reported measures of stressful life events (revised life stress scale), depression (DASS-D) and mindfulness (MAAS) were adopted in April, 2017. The data were analyzed using descriptive statistics, frequency, Pearson correlation coefficient and multiple regression. Mediation analysis was performed using the Baron & Kenny method and Sobel test. Results: The mean scores of stressful life events, mindfulness and depression were 39.50, 77.03, and 8.18, respectively. Higher levels of stressful life events were associated with lower mindfulness (r = -46, p < .001) and higher depression (r = -44, p < .001), and mindfulness was negatively associated with depression (r = -72, p < .001). Mindfulness showed full mediation in the relationship between stressful life events and depression. Conclusion: Stressful life events influenced the nursing students' depression via the full mediating effect of mindfulness. Promoting mindfulness plays an important role in reducing depression in nursing students. Therefore, it is important to develop a mindfulness program or use a mindfulness-based stress reduction program (MBSR) for nursing students.

Purpose: This study examined the mediating effects of gratitude on the relationship between life stress and depression in nursing students. Methods: The participants were 181 nursing students recruited from 2 universities in B and D cities in South Korea. Baron and Kenny's regression method and the Sobel test were employed to analyze the mediating effects of gratitude on the association between life stress and depression, via the SPSS/WIN 18.0 program. Results: The participants' mean depression score was 9.58, and there were significant differences in depression according to perceived interpersonal relationships and perceived physical health statue. In addition, gratitude exerted partial mediating effects on the relationship between life stress and depression. Conclusion: This study indicated gratitude as factors managing depression in nursing students. Based on the results of this study, strategies to increase nursing students' gratitude are highly recommended for management of their depression.

Purpose: This study was conducted to evaluate the relationship among university students' basic psychological needs, smartphone addiction and degree of adaptation to their university life, as well as to investigate the factors affecting their adaptation to university life. Methods: This study was conducted from May through July in 2017 for 235 university freshmen. Data were analyzed by frequency, t-test, ANOVA, and stepwise multiple regression. Results: The study showed that the group living in the dormitory or other places rather than living with family and satisfying in family life [ED highlight - please clarify this, I cannot infer your intended meaning; however, this text can likely be deleted.] adapted easily to university life. Moreover, adaptation to university life was negatively correlated with smartphone addiction, but positively correlated with basic psychological needs. Consequently, these results confirmed that residence type, satisfaction with family life, smartphone addiction and basic psychological needs were the factors having the greatest influence on university life. Conclusion: Based on the results of this study, it is necessary to lead students to participate in programs that can meet basic psychological needs or prevent smartphone addiction to help university freshmen adapt to university life.

Purpose: The study was conducted to investigate the effects of knowledge and attitude towards dementia on social distance from senile dementia among university students. Methods: The study was a descriptive study based on 235 university students. Data were collected from September 1 to 15, 2017 using a structured self-report questionnaire. Dementia knowledge, dementia attitude, and social distance from senile dementia were measured. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Mann-Whitney U-test, Kruskal-Wallis test, Pearson's correlation coefficients and hierarchical multiple regression. Results: After adjusting for the general and dementia-related characteristics of the participants, the significant predictors of social distance from senile dementia among university students were dementia attitude. Moreover, knowledge and attitude towards dementia explained 27.8% of the variance in social distance from senile dementia among university students. Conclusion: The results indicate that educators need to make efforts to improve dementia attitude and to develop plans to increase dementia knowledge in order to reduce university students' prejudice against senile dementia.

Purpose: The purpose of this study was to develop a Health Mileage Program (EHMP) to promote exercise amongst the elderly and assess the feasibility of the program. Methods: A literature review to identify the effects of exercise in the elderly was conducted. Relevant cases were investigated and in-depth interviews with exercise instructors were conducted, after which the EHMP was developed based on the assessment and tested in three regions. The outcome was evaluated using indicators such as attendance rate, number of participants, proportion of participants who received health education, and proportion of participants who measured their physical and mental status. Results: Based on assessment, we developed an EHMP composed of four steps. Following application of the EHMP in three regions, ${\geq}80%$ of the participants received incentives. Additionally, ${\geq}85%$ of participants underwent measurement of their physical and mental status. The proportion of participants who received health education differed among regions. Conclusion: The EHMP program increased participation and interest in exercise programs for the elderly. However, there is concern regarding availability due to regional differences in resources related to elderly exercise; therefore, it will be necessary to invest in infrastructure, including facilities, and knowledgeable instructors.