• Journal of the Korean Applied Science and Technology
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• v.39 no.6
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• pp.864-873
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• 2022

The subjective health status of adolescence reflects one's overall socio-emotional function and is an important factor in determining the health-related quality of life during this period. This study was to identify the correlation between subjective health status and health equity of adolescents. Data from the 16th online survey of youth health behavior (2020) was used to analyze 39,987 adolescents. Health equity was used as indicator for residential areas, economic conditions perceived by students, household abundance, family type, and parental education. Subjective health status was classified as a healthy group("very healthy", "healthy") and unhealthy group("normal", "unhealthy", and "very unhealthy") in response to the question "how do you think your health is usually?" The data were analyzed using complex sample analysis by using SPSS/Win 22.0. Significant factors related to the subjective health status of subjects were the area of residence (OR=0.86, p=.031), economic level (OR=1.33-2.09, p<.001), and family type (OR=1.24, p=.033). The economic level perceived by adolescents was the most important variable related to the subjective health status of adolescents, and adolescents from multicultural families often perceived their health as unhealthy compared to adolescents from general families. Therefore, there is a need for continuous interest in adolescents with low economic levels and adolescents from multicultural families and specific strategies to improve their health status.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.3
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• pp.544-552
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• 2019

The purpose of this study was to find concrete measures to improve the subjective health level, happiness and quality of life of the elderly according to economic level and to propose social and policy alternatives accordingly. As a research method, 63,929 elderly people aged 65 or older were surveyed using the Community Health Survey (Indicator Bank) _v09, and the frequency of health use by economic level, subjective health level, euphoria and quality of life Analysis and Chi square analysis and independent t-test. Multi variate logistic regression analysis was performed with subjective health level as a dependent variable and multiple linear regression analysis was performed to determine the factors affecting euphoria and quality of life. The results of the study are as follows. In the case of recipients, medical use was lower than that of non-recipients, lower education level, female age of 75 years or older, and less stress, In case of present or past recipients, the result of non - receipt increased as the subjective health level was worse, and the non - recipient had higher euphoria and quality of life. As a result, there is a need for alternatives to increase opportunities for medical use among the recipients, with particular attention being paid to women and elderly people over 75 years old. It is expected to be used as a basic data to effectively improve the health promotion, happiness and quality of life of the elderly people of low income group.

• The Journal of the Korea Contents Association
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• v.17 no.2
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• pp.476-488
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• 2017

The object of this study was to survey the relationship between emotional self-support and the level of subjective health recognition of participators in the self support program. The health condition which is recognized subjectively by participators could affect the participation motive and the attitude to the program, and could be connected to the achievement of self-support. Therefore I tried to survey the implications and the relationship between emotional self-support and the level of subjective health recognition in terms of progress for the economic self-support. The objectives were self-support program participators in Wonju, and 127 questionaries were collected. The results of this study were as followings; First, there was the positive relationship between emotional self-support and the level of subjective health recognition. Second, the participation period in the self-support program affected emotional self-support and the level of subjective health recognition negatively, and the affects of the ages were meaningless. The suggestion of this study is that the level of emotional self-support and subjective health recognition could be developed if the emotional and psychological program is developed which makes the conditional pensioners perceive the living attitude and the thoughts to the works positively.

• Journal of agricultural medicine and community health
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• v.37 no.3
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• pp.131-144
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• 2012

Objectives: This study was performed to identify the associations of empowerment and social capital (such as social participation and trust) with self-rated health in Korean communities with poor health. Methods: This study used the data from community health interviews conducted at 29 administrative sections (dong, eup, or myeon) with high mortality from August to October in both 2010 and 2011 as part of the Health Plus Happiness Plus Projects in Gyeongsangnam-do Province. The study subjects comprised 6,383 individuals composed of approximately 220 adults randomly sampled from each administrative section. The empowerment was measured with five-point Likert scale responses to seven perceived control questions (two at the individual level, five at the community level). The social participation was measured with 'participation in formal and/or informal group' and trust using responses to three questions about trust of others. Results: The high empowerment scores at both individual and community levels, social participation in informal groups, and high trust level had independent and significant associations with good self-rated health after adjusting for socio-demographic factors (sex, age, marital status, occupation, and food affordability) and health behaviors (smoking, alcohol drinking, and exercise) in the logistic regressions. There were weak but significant associations among empowerment, social participation, and trust levels. Conclusions: Empowerment, social participation, and trust were weakly inter-related and significantly associated with self-rated health. More studies are warranted for empowerment and other social capital indices in health promotion.

• Health Policy and Management
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• v.34 no.3
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• pp.334-346
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• 2024

Background: Research on the link between subjective health and unmet healthcare needs is limited. This study examines whether experiences of subjective healthcare needs and unmet needs are related to subjective health in South Korea, where the rate of poor subjective health is notably high. Methods: This analysis utilized data from the Korea Health Panel (2014-2018), incorporating 68,930 observations from 16,535 adults aged 19 or older. The dependent variable, subjective health, was dichotomized into poor (bad or very bad) and non-poor (fair, good, or very good) categories. The primary variables of interest were the experiences of subjective healthcare needs and unmet needs, while control variables included 14 socio-demographic, health, and functional characteristics. The study employed population proportion analysis and multivariable two-level binary logistic regression analysis for each gender, accounting for the complex sampling design. Results: In 2018, the rate of reporting poor health was 8.7% (95% confidence interval [CI], 8.0%-9.5%) for men and 14.7% (95% CI, 13.8%-15.6%) for women. For both genders, compared to individuals whose healthcare needs were met, those without healthcare needs were less likely to report poor subjective health (adjusted odds ratio [AOR], 0.58; 95% CI, 0.39-0.86 for men; AOR, 0.59; 95% CI, 0.37-0.93 for women). Conversely, individuals whose healthcare needs were not met were more likely to report poor subjective health (AOR, 2.31; 95% CI, 2.01-2.65 for men; AOR, 2.19; 95% CI, 1.98-2.43 for women). A policy simulation indicated that reducing the experience of subjective healthcare needs would be approximately 5 times more effective in reducing poor subjective health than a policy focused on reducing the experience of unmet needs. Conclusion: South Korea must make significant efforts to reduce the deterioration of subjective health and promote appropriate healthcare utilization. To achieve this, a set of policies is recommended to address subjective healthcare needs. These policies should include (1) prompting individuals to proactively manage their own health, (2) providing primary healthcare similar to that in advanced countries, (3) ensuring the healthcare delivery system operates effectively, (4) decentralizing the healthcare management system, and (5) reducing the likelihood of people being misled into thinking they have a healthcare need.

• The Journal of the Korea Contents Association
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• v.12 no.6
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• pp.317-327
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• 2012

The purpose of present study was to observe the path and influencing effects between socioeconomic class (SEC), health practices and self-rated health(SRH) by the age bracket. The subjects were 4,987 adults over 25 years old who participated in the 2008 Korean National Examination Health and Nutrition Survey and could be classified into SEC in terms of the three characteristics: education, income and occupation. Path analysis was conducted with the effects of health behaviors execution on the differences in SRH, and the complex samples analysis executed by chi-square test, t-test, ANOVA. As the result, lower SRH level paralleled with the lower SEC, and more health behaviors had differed by SEC in the younger and middle aged group. The lower SEC, the lower SRH: non-smoking and weight control for younger women and exercise for aged men had indirect effects as parameters. In conclusion, when planning a health promotion program, to select the correct target populations with consideration of the age bracket, gender and SEC and to establish tailored contents fit for each of the population would be important.

• Proceedings of the KAIS Fall Conference
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• 2011.05b
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• pp.736-739
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• 2011

이 연구는 스스로 건강상태를 올바르게 인식하고 있는지 알아보고 건강상태 인식 유형에 따른 건강행동과의 관계를 살펴봄으로 건강수준의 향상과 더불어 건강한 노후를 맞이할 수 있도록 하고자 하였다. 2008년 1월부터 12월까지 실시된 국민건강영양조사 제4기 2차년도(2008) 자료원을 사용하였으며, 200개 조사구 약 4600가구의 만1세 이상 9,744명중 만19세 미만을 제외하고 건강설문 및 검진조사에 참여한 4,688 명을 최종대상자로 분석하였다. 자료는 SPSS 18.0을 이용하여 성별에 따른 인구사회학적 특성, 건강상태 인식 유형별 분포, 주관적 건강상태에 따른 객관적 건강상태와 일반적특성 및 건강행동을 교차분석관적 시에 카이제곱검정을 하였으며, 단변량 분석에서 의미 있는 변수들을 독립변수로 하고 올바른 인식군과 그릇된 인식군으로 나눈 건강상태인식유형을 종속변수로 하여 로지스틱회귀분석을 실시하였다. 이 연구의 주요 결과를 요약하면 다음과 같다. 주관적 건강상태에 따라 실제 객관적인 건강상태를 살펴본 결과, 건강상태를 과대평가하는 사람의 비율이 가장 높았으며, 건강상태를 올바르게 인식하는 사람보다 그릇되게 인식하는 사람이 더 많았다. 2. 주관적 건강상태를 좋음으로 인식하는 군에서 객관적 건강상태는 여자보다 남자가 건강을 과대평가하였고, 연령이 증가할수록, 읍/면지역에서, 결혼상태는 별거 사별 이혼상태에서, 교육수준은 낮아질수록 건강을 그릇되게 인식하여 과대평가하였다. 3. 주관적 건강상태를 나쁨으로 인식하는 군에서 객관적 건강상태는 연령이 낮아질수록 건강을 과소평가하는 경향이었고, 읍/면지역보다 동지역에서, 미혼일 경우, 교육수준은 높아질수록 건강상태를 그릇되게 인식하여 과소평가하였다. 4. 건강상태 인식 유형별로 건강행동을 살펴본 결과 주관적 건강상태를 좋음으로 인식하는 군에서는 체중조절, 월간음주, 우울증상경험, 건강검진에서 유의한 결과를 나타냈고, 주관적 건강상태를 나쁨으로 인식하는 군에서는 현재흡연과 월간음주에서 유의한 결과를 나타내었다. 5. 주관적 건강상태를 좋음으로 인식한 군에서 객관적 건강상태를 종속변수로한 로지스틱회귀분석결과를 살펴보면, 건강을 과대평가하는 그릇된 인식군으로 될 위험도가 남자보다 여자에서 감소하였고, 70대에 비하여 연령이 낮아질수록 위험도가 감소하였으며, 미혼에 비하여 기혼, 별거 사별 이혼에서 위험도가 증가하였고, 체중조절을 하는 사람이 체중조절을 하지 않은 사람보다 위험도가 높았다. 6. 주관적 건강상태를 나쁨으로 인식한 군에서 객관적 건강상태를 종속변수로한 로지스틱 회귀분석결과를 살펴보면, 연령을 제외한 모든 변수에서 통계적으로 유의하지 않았다.

• 한국사회정책
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• v.24 no.2
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• pp.61-86
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• 2017

Along with the well-established evidence on the negative effect of social isolation on physical and mental health, increasing attention has been paid to multi-dimensional nature of social isolation. One line of study on social isolation has discussed different pathways between objective and subjective social isolation and health. Another stream of the research focused on the possibly non-linear association between social isolation and health by age cohort groups. Drawing from the two lines of research, this study aimed at empirically examine to what extent objective and subjective social isolation are associated with physical and mental health independently and how the associations vary by three age cohorts(i.e. the middle-aged, the young old, the old-old). Data came from the first wave of Korean Social Life, Health and Aging Project (KSHAP) (N= 814). Findings showed 1) objective subjective isolation were significantly related with worse physical and mental health, interestingly, subjective social isolation was associated with mental health only, 2) pattern of association between social isolation and physical health varied by age cohorts. Specifically, compared to the middle-aged, the young old with higher objective social isolation exhibited lower level of physical health, while the old-old with higher subjective social isolation were likely to experience lower physical health. Based on the findings, we discussed implications and suggestions for future research and relevant policy/program development for ameliorating objective and subjective social isolation.

• The Journal of the Korea Contents Association
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• v.22 no.2
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• pp.420-430
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• 2022

The study attempted a comprehensive assessment of factors affecting health-related quality of life in the young-old and old-old. Data from the Community Health Survey for 5 years from 2015 to 2019 were analyzed. Research Results Health-related quality of life appears to be higher in the elderly than in the late-stage elderly, and various factors such as age, education level, household income, presence or absence of economic activity, presence or absence of moderate physical activity, stress or presence, and subjective health level Has been found to affect health-related quality of life. In particular, good or bad subjective health and subjective oral health had the greatest influence. In terms of the household type, the quality of life was high in young-old adults living in a three-generation household and old-old adults living in a one-generation household. Considering these characteristics, public policy programs should be developed and implemented to help the elderly with successful aging by improving their quality of life.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.3
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• pp.1692-1698
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• 2015

The purpose of this study is to examine the effects of family affluence on happiness and to investigate the mediating effects of self-rated health on the relationship between family affluence and happiness. This study was conducted to analyze the data which were derived from 8th(2012) of the online census on youth health behavior conducted by the Ministry of Disease Control and total subjects were 74,168. The result of this study is that social-economy is regarded as a little poor. On the other hand, subjective health is regarded as a good and they generally satisfied with life. The relationship between family affluence, happiness, and self-rated health, family affluence level is linked to happiness and self-rated health, and self-rated health has positive effects on the level of happiness. That is, it was verified that self-rated health has a partial mediation effect on the way that family affluence influences happiness. Based on the results of study, the followings are suggested: the impact of socioeconomic disparities on health disparities needed to be decreased; The efforts of the social dimension, health policy formulation and execution of multi-dimensional which is to increase happiness should be implemented.