• Title/Summary/Keyword: Health Effect

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Chronic Health Conditions, Depression, and the Role of Financial Wellbeing: How Middle Age Group (45-64) and Older Adults (65-79) Differ?

  • Cha, Seung-Eun;Kim, Jin-Hee;Anderson, Elaine
    • International Journal of Human Ecology
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    • v.12 no.2
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    • pp.77-93
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    • 2011
  • This study investigates the association between chronic health conditions (CHD) and depression with a focus on the mediating effect of financial strain. We tested if age makes any difference in the effect of CHD and financial strain on depression. The data comes from the 2006 Korea Longitudinal Study of Aging (KLoSA) collected by the Institute of Korean Labor Research. The sample consisted of information from 8,961 individuals ages 45-79. Separate analyses were done for middle-age (45-64) and older-adult groups (65-79). There were significant financial portfolio differences among CHD patients and non-CHD, for both age groups, that may constitute the impact of a health event on financial wellbeing; in addition, the associations of CHD on depressive symptoms were different by age groups. The mediating effect of financial wellbeing on the association between CHD and depressive symptoms was verified; in addition, the role of financial wellbeing on the association was especially strong for the older-adult group. The effect of CHD on depression was contingent on the amount of net assets and annual personal income. Implications are discussed based on the findings.

Regional Factors Affecting the Avoidable Mortality: 2010~2019 (회피가능한 사망에 미치는 지역 영향요인 분석: 2010~2019)

  • Lee, Hyun-Ji;Lee, Kwang-Soo
    • Korea Journal of Hospital Management
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    • v.27 no.1
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    • pp.43-57
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    • 2022
  • Background: Avoidable mortality rate has been widely used as an indicator of the quality of health care and the degree of inequality in health levels. The purpose of this study was to identify the factors affecting the avoidable mortality rate in the region. Methods: The data was MDIS(Microdata Integrated Service) Causes of Death Statistics, and the analysis period was from 2010 to 2019. Panel analysis was performed to identify the influencing factors on the avoidable mortality rate. Findings: Result showed that the current smoking rate had a significant positive effects on the avoidable mortality rate of both men and women. And the smoking cessation trial rate, low salt diet rate, weight control trial rate, annual vaccination rate had a significant negative effect. In the social environment, the divorce rate had a significant positive effect. In the economy environment, financial independence and social welfare budget rate had a significant negative effect. In the physical environment, the factory area rate had a significant positive effect. Practical Implication: Practical implication in order to lower the local avoidable mortality rate, various social determinants of health as well as health care resources should be considered together.

A Study on the Stress and the Health Status of Newspaper Employees (신문사 근로자들의 스트레스와 건강상태에 관한 연구)

  • Kim, Jin-Hee
    • Korean Journal of Occupational Health Nursing
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    • v.10 no.1
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    • pp.41-54
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    • 2001
  • This study was designed to assess the relationship between occupational stress and health status in a study group of 197 workers employed in four newspaper publishing companies, using a self-adminstrative questionnaire. The types of occupation of them were reporters(79), clerical workers(54), and engineers (64). The studies on workers' health have been focused mainly on the physical, chemical, and biological diseases in our country. Therefore, the study of mental health, especially of occupational stress, is to be carried out. I consider stress as a factor having an effect on the health status of the newspaper employees, who have been well known to have high stress due to time pressures. I expect that this research will be helpful not only for understanding of health status by occupation, but also for making clear the issues that have been raised continuously from the previous researches. The results of this study are as follows; 1. The mean values of stress by occupation were statistically significant; the reporters had the highest stress symptom scores, and the engineers had the lowest levels of stress. The mean values of stress symptoms were higher in the workers who had long working hours. 2. The health status by occupation showed significant differences in gastrointestinal systems and in depression. The clerical workers were healthier than the engineers in gastrointestinal systems, and the reporters were more depressed than the engineers in depression. 3. The health status by the general characteristics, there was a statistical significance as for a gender, marital status, and absenteeism in the gastrointestinal systems. The men, the married, and the workers who had not been absent were more healthy. Only absenteeism had an effect on the problems in optical-dermal systems and in oro-fecal systems. Gender, marital status, absenteeism, and working hours were related with health status : the men. the married, the workers who had not been absent, and the workers who had longer working hours were more healthy. In mental stability, gender had a significant effect : the men were more healthy than the women. In general condition, the men, the older, the married, and the workers who had not been absent were more healthy. 4. Stress level had an effect on the health status in the respiratory systems, optical-dermal systems, oro-fecal system, depression, mental stability, general condition, and health condition. The workers who perceived more stress had more problems in their health status. 5. In the results of the multiple regression analyses, age in the respiratory systems, absenteeism in the optical-dermal systems, occupation and absenteeism in the gastrointestinal systems and in the oro-fecal systems, gender in depression and in mental stability, gender, age, absenteeism, and working hours in the general condition, absenteeism in the health condition had an effect on the health status of the workers.

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The Effects of Social Participation on Daily Life Satisfaction in Elderly with Disabilities: Mediating Effect of Self-Rated Health Status and Self-Esteem (장애노인의 사회참여가 일상생활만족도에 미치는 영향: 주관적 건강상태와 자아존중감의 매개효과)

  • Ko, Min-Seok
    • The Korean Journal of Health Service Management
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    • v.9 no.3
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    • pp.221-232
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    • 2015
  • Objectives : The purpose of this study was to analyze the relationships among social participation, self-rated health status, self-esteem and daily life satisfaction of the elderly with disabilities. It especially focused on the mediating effects of self-rated health status and self-esteem on the relationship between social participation and daily life satisfaction. Methods : From the fifth panel survey of employment for the disabled, data for 518 elderly over age of 65 were analyzed with SPSS 22.0, SmartPLS 2.0 M3 and the Sobel test. Results : First, social participation of the elderly with disabilities had a positive influence on the self-rated health status and self-esteem. The direct effect of self-rated health status and self-esteem on daily life satisfaction was statistically significant. However, the influence of social participation on daily life satisfaction was not statistically significant. Second, the self-rated health status and self-esteem had a mediating effect on the relationship between social participation and daily life satisfaction. Conclusions : This study shows that it is important to provide an integrated social participation support program that coincides with a variety of social programs to elderly with disabilities.

Validation of a Path Model on Elderly Women's Yangsaeng (Yangsaeng; 養生; traditional oriental health promotion) (여성노인의 양생행위 경로모형 분석)

  • Park, Yeong-Sook;Lee, Hwa-Yean;Kwon, Yun-Hee
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.325-332
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    • 2011
  • Purpose: This study examined the fitness of a path model on the relationship among perceived health status, self-esteem, self-efficacy, and Yangsaeng for elderly women. Methods: The subjects consisted of 633 aged women. Data were collected through self.report questionnaires. The data were analyzed with the SPSS and AMOS programs. Results: Perceived health status, self-esteem, and self-efficacy showed a direct effect on elderly women's Yangsaeng while perceived health status and self-esteem showed an indirect effect on their Yangsaeng. Perceived health status and self-esteem showed a direct effect on elderly women's self-efficacy. The hypothetical path model of elderly women's Yangsaeng was proven correct. Conclusion: These results suggest that elderly women's Yangsaeng can be enhanced by increasing their perceived health status, self-esteem and self-efficacy. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes the enhancement of perceived health status, self-esteem and self-efficacy in order to improve elderly women's Yangsaeng.

Pre-home Health Nurses' Attitude and Cognition Toward Alternative Therapies (가정간호교육생의 보완요법에 대한 태도와 인지정도 조사 연구)

  • Park, Jee-Won;Lim, Nan-Young
    • Journal of Home Health Care Nursing
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    • v.9 no.2
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    • pp.90-102
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    • 2002
  • Purpose: Home health nurses could affect patients' choice of alternative therapy. This study was carried out to investigate home health nurses' attitudes and cognition toward alternative therapy. Method: The subjects were 92 nurses who preparing the home health nurses at 2 university in Seoul and Suwon. Using the questionnaire. we measured the subjects' attitudes and cognition toward alternative therapy. Result: The mean score of attitudes about application was 3.14. and the score of attitudes about therapeutic effect was 2.57. The score of attitudes about therapeutic effect were significantly positive correlation to the score of cognition about alternative therapy. The attitudes about therapeutic effect were different significantly according to number of working years. But they commonly wanted to apply the soojichim. aroma-therapy. massage. danjon breathing. music therapy. plant therapy. and foot reflexology to their home health care subjects. Conclusion: Alternative therapies became a popular source of health care in Korea. This study showed pre-home health nurses had positive attitudes toward alternative therapies and they had wide variations of knowledge in how to use each therapy. But they acknowledge the value of alternative therapies as useful nursing interventions. so we all nurses should pay attention to develope the nursing intervention using alternative therapy.

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Influence of Organizational Health on Customer Orientation: Moderating Effect of Leadership on Middle Managers (간호조직의 건강성이 고객지향성에 미치는 영향: 중간관리자 리더십의 조절효과)

  • Lee, Gyu-Hee;Park, Ok-Sim;Cho, Kyoung Won
    • The Korean Journal of Health Service Management
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    • v.9 no.2
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    • pp.13-22
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    • 2015
  • This study confirmed that the organizational health of nurses have an effect on customer orientation. This survey was conducted March 1 to 31, 2014 and a total of 210 questionnaires were used in the analysis. Descriptive statistics, t-test, ANOVA, factor analysis, and regression analysis were used to analyze the collected data in the SPSS software package. The findings are summarized as follows: First, the business environment and community-oriented organizations on health factors had an influence on customer orientation(p<.05, p<.001). Among the demographic factors, graduating from college as relevant to customer orientation. Seniority and rank in the lower tier showed that customer orientation is vulnerable. Second, when leadership was added to a conventional model, it had no significant effect on the dependent variables. The influence of community-oriented business environment factors on customer orientation was statistically significant(p<.01). In the result, we should apply proper organizational health factors to hospitals by investigating leadership, because there was difference in customer orientation according to type of leadership.

Relationships among Uncertainty, Distress, and Quality of Life in Lung Cancer Patients: Mediating effect of Resilience (폐암 환자의 불확실성과 디스트레스가 삶의 질에 미치는 영향: 극복력의 조절효과)

  • Lee, Jungah;Kim, Minju
    • Journal of muscle and joint health
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    • v.25 no.2
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    • pp.148-156
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    • 2018
  • Purpose: The purposes of this study were to examine health-related quality of life and to identify the mediating effect of resilience on the relationship among uncertainty, distress, and health-related quality of life in lung cancer patients. Methods: A total of 149 lung cancer patients visiting the D hospital in B city completed a questionnaire, including demographic and disease-specific characteristics, uncertainty, distress, resilience, and health-related quality of life. Data were analyzed with descriptive analysis, t-tests, ANOVA, and multiple regression analyses via SPSS 24. Results: Health-related quality of life was $81.00{\pm}21.39$ (range 0~136) in lung cancer patients. In the results of hierarchical regression analyses, the health-related quality of life was associated with education, uncertainty, distress, and resilience. However, there was no mediating effect of resilience on the relationship among uncertainty, distress, and health-related quality of life. Conclusion: Lung cancer patients with high uncertainty and distress and low resilience could experience low health-related quality of life. In order to reduce uncertainty and distress, it is necessary to provide more detailed, systematic information and support, while reinforcing positive thinking.

Effects of Shiftwork on Workers' Safety and Health: The Mediation Effect of WLB (교대근무가 근로자의 안전과 건강에 미치는 영향: 일과 삶의 균형(WLB : Work-Life Balance)의 매개효과)

  • Hong, Min Jee;Oah, Shezeen
    • Journal of the Korean Society of Safety
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    • v.35 no.5
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    • pp.66-73
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    • 2020
  • The change in labor consciousness began to draw social attention to work-life balance (WLB). The WLB is one of the major factors affecting the health and safety problems of workers. Although shiftwork adversely affects WLB, safety, and health problems of workers, WLB of shift workers has received little empirical attention. The purpose of this study was to examine whether WLB mediates the relationship between shiftwork and shift worker's safety and health problems, participation in leisure activities moderates WLB, and finally, whether WLB moderated by participation in leisure activities mediates the relationship between shift work and shift worker's safety and health problems. For the study, the data of the 5th wave of Korean Working Condition Survey(KWCS) conducted by Korea Occupational Safety and Health Agency(KOSHA) of South Korea was used. Conditional process analysis revealed that the relationship between shift work and worker's safety and health problems is mediated by WLB; however, participation in leisure activity showed no moderation effect on WLB. Therefore, the moderated mediation effect has failed to achieve statistical significance. The results indicate that working environment improvement in consideration of the WLB is needed to gain shift worker's long-term safety and health. The implications of this study and suggestions for future research were discussed.

A Panel Study on the Effect of Obesity and the Chronic Diseases on the Health Care Expenditures (비만과 만성질환이 의료비에 미치는 효과에 대한 패널분석)

  • Kim, Sang-Hyun;Sakong, Jin
    • Health Policy and Management
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    • v.25 no.3
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    • pp.152-161
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    • 2015
  • We analyze the determinants of obesity and the chronic diseases using the Korea Health Panel data. Also we analyze the effect of obesity and the chronic diseases on the health care expenditures. Through this study, to reduce the health care expenditures, we suggest the policy implication that might curb the obesity and the chronic diseases. We estimate the determinants of obesity, the chronic diseases, and the health care expenditures using 2SLS (two stage least squares) estimation method under the simultaneous equations framework. Result says that obesity and chronic diseases significantly have positive effects on the health care expenditures. Also the determinants of the health care expenditures that have positive effects are age, income and health care utilization variables.