• Title/Summary/Keyword: Adult health

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Using Tobit Regression Analysis to Further Understand the Association of Youth Alcohol Problems with Depression and Parental Factors among Korean Adolescent Females

  • Delva, Jorge;Grogan-Kaylor, Andrew;Steinhoff, Emily;Shin, Dong-Eok;Siefert, Kristine
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.2
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    • pp.145-149
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    • 2007
  • Objectives : This study characterized the extent to which youth depressive symptoms, parental alcohol problems, and parental drinking account for differences in alcohol-related problems among a large sample of adolescent females. Methods : The stratified sample consists of 2077 adolescent females from twelve female-only high schools located in a large metropolitan city in the Republic of Korea. Students completed a questionnaire about alcohol use and alcohol problems, their parents' alcohol problems, and a number of risk and protective factors. Data were analyzed using tobit regression analyses to better characterize the associations among variables. Results : Almost two-thirds of students who consume alcohol had experienced at least one to two alcohol-related problems in their lives and 54.6% reported at least one current symptom of depression, with nearly one-third reporting two depressive symptoms. Two-thirds of the students indicated that at least one parent had an alcohol-related problem, and that approximately 29% had experienced several problems. Results of tobit regression analyses indicate that youth alcohol-related problems are positively associated with depressive symptoms (p<0.01) and parent drinking problems (p<0.05). Parental drinking is no longer significant when the variable parental attention is added to the model. Decomposition of the tobit parameters shows that for every unit of increase in depressive symptoms and in parent drinking problems, the probability of a youth experiencing alcohol problems increases by 6% and 1%, respectively. For every unit of increase in parental attention, the probability of youth experiencing drinking problems decreases by 5%. Conclusions : This study presents evidence that alcohol-related problems and depressive symptoms are highly prevalent among adolescent females. Although a comprehensive public health approach is needed to address drinking and mental health problems, different interventions are needed to target factors associated with initiation of alcohol problems and those associated with increased alcohol problems among those who already began experiencing such problems.

A Long Way from Transfer to Transition: Challenges for Pediatric and Adult Nephrologists

  • Lemke, Johanna;Pape, Lars;Oh, Jun
    • Childhood Kidney Diseases
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    • v.22 no.1
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    • pp.7-11
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    • 2018
  • Significant advances in the diagnosis and medical care of children with chronic kidney disease (CKD) are major reasons for the better survival rates of children and adolescents with CKD than the survival rates reported in previous decades. These patients are reaching adulthood, and therefore require a transition to adult medical care. This transition phase is well-recognized to be associated with considerably increased morbidities and medical problems, such as non-adherence, graft loss after transplantation, and loss to follow-up. Low adherence increases morbidity and medical complications and contributes to poorer qualities of life and an overuse of the health care system. However, these tragic outcomes may be avoidable through a structured and well-defined transition program. In the last decade, there has been increasing interest to resolve these medical and psychological problems that occur during the transfer of young adult patients from pediatric to adult renal units. The aims of a successful transition from pediatric to adult medical care include enhancing the individual development of better health-competence and stabilizing, or even improving, the state of health. This review will focus on various aspects of the transition phase of adolescents who have CKD or who underwent kidney transplantation from pediatric to adult nephrology care.

The Effect of Korean Adult's Mental Health On QOL(Quality Of Life) -The Fifth Korea National Health and Nutrition Examination Survey, 2010 (연령대별 성인의 정신건강이 삶의 질에 미치는 영향 -제5기(2010)국민건강영양조사를 중심으로)

  • Lee, Ye-Jong;Choi, Gum-Ju
    • Journal of Digital Convergence
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    • v.11 no.1
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    • pp.321-327
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    • 2013
  • The purpose of this study is to find out how the adult's mental health in Korea has an impact on the quality of the life. By using '2010 National Health and Nutrition Examination Survey' data, 4,211 people among 20-year-old to 59-year-old adults were enrolled in this study. Frequency and percentage t-test using the SPSS WIN18.0 Multiple regression analysis was conducted and the results of this study are as follows. First, it is showed that in the 20s and 30s the females are a little more sleep than the males regarding the relationship between sleeping hours and the quality of the life of adult men and women. However, there are no differences between the 40s and 50s groups. Second, it is indicated that adult men are higher than women for the subjective health status when it comes to the subjective health status and the usual perceived stress. Although there are no statistical differences according to the gender in the 40s and the 50s, they have a little stress in general. Third, it is confirmed that only the subjective health status and usual stress perception give an beneficial influence on the quality of adult's life in the adult's mental health variations and the quality of life. In summary, this study was found that the adults in the 20s and 50s could increase their satisfaction of their life if they have more positive thinking and less stress from their life. Therefore, the systematical education and programs to manage the health and stress are required.

A Study on Adult s Perception of Health Concept (건강개념의 의미에 관한 조사연구)

  • 변영순
    • Journal of Korean Academy of Nursing
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    • v.18 no.2
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    • pp.189-196
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    • 1988
  • Health, a major concept in nursing, has not yet consistent or agreed upon definition. Although effective health care depends on clear communication between health care provider and client clear definition of health would enhance the promotion of quality in health care. There are no agreed definitions or criteria for overall health. An essentialstep would seem to be to determine commonly held meaning about the concept of health. Therefore, the study was aimed at identifying the Adult's perceptions of health concept. The subject's consisting of 312 adults, who were sampled through area sampling from May 10 to May 30,1988. The instruments used for this study were Health Conception Scale, which was developed by Smith, Laffrey's revised and tested its reliability. The data was Analyzed by S.P.S.S. program and the results were as follows ; 1. The results of the reliability test for content of health concept was $\alpha$=.87. 2. The respondents perception of Health Meaning were inclined to emphasize the functional / role performance dimension rather than clinical dimension. 3. The perceptual level of health concept was proved to be significantly different by the variable : age, sex, religion, area marital status. In conclusion, adult's perception of Health Concept is revealed that functional and role performance dimension is more important than other dimensions. Futher study is necessary to clarify the structure of functional, adaptive, eudaimonistic dimension and systematic study with subculture will be and repetitive verification and modification of this tool is demanded.

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A Study on Health Status and Health Related Quality of Life by Job Characteristics in Korean Adult Women (우리나라 성인 여성의 직업 특성별 건강 상태 및 건강관련 삶의 질)

  • Sohn, Shin-Young
    • Korean Journal of Occupational Health Nursing
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    • v.18 no.1
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    • pp.33-43
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    • 2009
  • Purpose: This study was aimed to identify the health related quality of life(HRQoL) by job characteristics and its predictors in Korean adult women. Methods: This study used data from cross-sectional surveys conducted for the 2005 National Health and Nutrition Survey, which was performed by using a face-to-face interview method. The data were analyzed by ANOVA, t-test and multiple regression using the SPSS program. Demographic characteristics, subject health state, EQ-5D were included in the study instruments. Results: The mean HRQoL index in the subjects was $0.792{\pm}0.102$. There were significant statistical differences on HRQoL among job characteristics. The health related quality of life of non-physical workers was the highest. The significant predictors of the HRQoL of all subjects were the subjective health status, the present health status compared to the previous year, education, age, marital status and income. The factors accounted for 22.1% of variance in the health related quality of life and the predictors of the HRQoL among job characteristics were different. Conclusion: These results may contribute to development of nursing strategy to improve female health related quality of life. The health related quality of life program for adult women by job characteristics is advised based on results of the study.

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Prevalence and Related Factors of Metabolic Syndrome among Postmenopausal Adult Women (폐경 후 성인 여성의 대사증후군 유병률 및 관련 요인)

  • Chae, Hyun Ju;Kim, Mi Jong
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.179-188
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    • 2023
  • Purpose: This study was conducted to investigate the prevalence and related factors of metabolic syndrome in postmenopausal adult women in South Korea. Methods: Data of 678 postmenopausal adult women aged 19 to 64 were collected from the Eighth Korea National Health and Nutrition Examination Survey in 2021 and analyzed by a complex sampling design using SPSS 20.1. Results: The prevalence of metabolic syndrome in postmenopausal adult women was 25.8%. The prevalence was 1.93 times (confidence interval [CI]=1.15~3.25, p=.014) higher for high school graduates, 2.55 times (CI=1.33~4.91, p=.005) higher for middle school graduates, and 2.90 times (CI=1.36~6.15, p=.006) higher for elementary school graduates, compared to college graduates. It was found that artificial menopausal women had 2.74 times (CI=1.18~6.38, p=.020) higher prevalence than natural menopausal women. In addition, women who perceived their health as bad were 1.90 times (CI=1.14~3.16, p=.014) higher than women who perceived their health as good, and women who did not muscle exercise more than twice a week had 1.87 times (CI=1.05~3.34, p=.034) higher prevalence than women who did muscle exercise. Conclusion: Therefore, in order to effectively prevent and manage metabolic syndrome in postmenopausal adult women, a focus must be placed on vulnerable groups to manage these factors.

Relationship between Perceived Neighborhood Characteristics and Vigorous Physical Activity among Adult Seoul Residents

  • Lee, Chung-Gun;Cho, Young-Tae
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.4
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    • pp.215-222
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    • 2009
  • Objectives : Vigorous physical activity is a well-known method to promote people s health. This research aims to investigate whether perceived neighborhood characteristics affect vigorous physical activity among adult Seoul residents (aged 19 to 64). Methods : Utilizing the 2005 Seoul Citizens Health Indicators Survey data, this study estimates the probability of vigorous physical activity. Particular attention is given to the effects of three perceived neighborhood characteristics satisfaction with relationship to the neighborhood, satisfaction with park and recreational facilities, and satisfaction with public security). Logistic regression models are analyzed separately by gender for the parameter estimation. Results : Vigorous physical activity is positively associated with three perceived neighborhood characteristics for women, while neither significant nor substantive association is found for men. Conclusions : As vigorous physical activity among Seoul citizens is differentially affected by perceived neighborhood characteristics and by gender, a different approach will be needed to increase vigorous physical activity of men and women in Seoul.

A Structural Model Development of Health Insensitivity in Korean Adult (한국인 성인의 건강불감증 구조모형 구축)

  • Lee, Dong-Suk
    • Korean Journal of Adult Nursing
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    • v.16 no.3
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    • pp.355-365
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    • 2004
  • Purpose: The aims of this study were to develope a structural model of health insensitivity and to verify the model of health insensitivity. Method: There were three theoretical variables in the hypothetical model. The endogenous variable was health insensitivity which is a concept including bluntness of health risk perception and unhealthy behavior. The exogenous variables were composed of personal factors and socio-cultural factors. In personal factors, neuroticism, external health locus of control, blunting style of information-seeking, deficit of self-efficacy, knowledge deficit related to health, health-related experience, age and education were included. Whereas socio-cultural factors include perceived group size of unhealthy behavior and stereotypes of unhealthy behavior. Result: Personal factors and sociocultural factors were significant in explanation of the health insensitivity. Relationship between personal factors and sociocultural factors was significant, too. However, the optimistic bias as part of health insensitivity was not supported by these data. GFI, AGFI and PGFI were .95, .92, .65, respectively. Therefore, this model was verified to be a good fit to the data and parsimonious. Conclusion: Nursing to change unhealthy behavior has focused on personal factors rather than sociocultural factors. Based on this result, however, the sociocultural factors should be considered as well.

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The Burden of Aged Parents Caring for Adult Children with Disabilities (성인이 된 장애자녀를 돌보는 노인부모의 부양부담감)

  • Suk, Min-Hyun;Kim, Eun-Hye
    • Research in Community and Public Health Nursing
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    • v.21 no.4
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    • pp.439-447
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    • 2010
  • Purpose: This study was to describe the burden of aged parents caring for adult children with disabilities and related factors. Methods: The subjects were 123 caregivers aged over 65 who were caring for 18-year-old or older children with disabilities. The research tool of this study was a structured questionnaire on family burden. Data were collected from June 3 to 25, 2010, and analyzed by Cronbach's alpha, mean, standard deviation, t-test, and ANOVA using SAS 9.2 program. Results: The major findings of this study were as follows. Elderly parents caring for adult children with disabilities perceived a moderate level of burden. The burden from concern over their children's future was highest, and economic and physical burdens were higher when the parents were younger. Burden was significantly different according to parents' characteristics such as gender, perceived health status, disease, the costs of caring for disabled children, and children's characteristics such as disability rating, health status, and ADL. Conclusion: In order to reduce the burden of elderly parents caring for adult children with disabilities, we need to improve their health status and assess comprehensive policies.