Objectives: The main purpose of this review is to introduce the current status of environmental health indicators of Korea and to share our experience of the developmental process of Korean version of environmental health indicators. Methods: This paper describes 1) the background of environmental health indicators; 2) the ways how we developed environmental health indicators of Korea; 3) the current status of selected indicators; and 4) suggestions for the further policy development. Results: The 6-year long project for the development of environmental health indicator systems in Korea could provide outputs on three major distinct aspects on the indicator issues. Firstly, we have developed the rational process/manual so that the government can select and advocate the potential indicators with a relatively objective manner. Secondly, we have suggested the potential candidate indicators which can be implemented immediately. We also pooled all indicators in order to evaluate the summary index which we expect to tell the status of environmental health. Third, we provided suggestions on the further utilization of this indicator system. Conclusion: The mission of environmental health policy is to resolve the public health problems occurring because of hazardous environment. In order to identify the environmental determinants of the community health problems and to evaluate the effectiveness of the policy implemented, these environmental indicators can be used. Therefore, the government should implement this ready-prepared system of environmental health indicators.
Objectives: This study aimed to analyze the relationship between the socioeconomic status and oral health of adults. Methods: Data from the 7th Korea National Health and Nutrition Examination Survey (2016-2018) were analyzed, and 13,199 adults aged 19 years or older were selected as study subjects. Various oral health indicators were used to analyze the effect of socioeconomic status on oral health. Disparities in oral health according to socioeconomic status were analyzed using the complex sample chi-squared test and multiple logistic regression analysis. Results: A statistically significant difference was observed between income level, medical aid, and all oral health indicators, which indicated that the lower the income level, the lower the oral health level (p<0.001). Furthermore, all oral health indicators displayed statistically significant differences, with the exception of the prevalence of dental caries and education level. The lower the education level, the lower the oral health level (p<0.001). Therefore, the oral health level of adults presented significant differences according to different socioeconomic status indicators. Conclusions: To prevent oral health inequalities, the government and local governments need to intervene not only in the field of health care but also in the social determinants. Additionally, concerted efforts should be made to eliminate oral health disparities by improving policies and systems.
Kim, Soo-Hyun;Lee, Won-Hee;Kang, Duck-Hee;Park, Jin-Hee;Min, Sung-Gil;Nho, Jae-Hun
Research in Community and Public Health Nursing
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v.17
no.3
/
pp.407-418
/
2006
Purpose: The purpose was to examine the level of perceived stress, lifestyle, and health status indicators and identify the relationships among them in medical center employees. Method: This study utilized data from Cohen's Perceived Stress Scale, health survey developed by National Health Insurance Corporation, and laboratory tests (such as liver enzyme or lipid profile) on 873 medical center employees. The data were analyzed using the SPSS 12.0 program through descriptive statistics, $x^2-test$, independent t-test, ANOVA and ANCOVA. Results: Perceived stress was relatively high, but lifestyle and health status indicators were good. Age, gender, and job were significantly related to perceived stress, life style, and health status indicators: younger employees, men, nurses reported higher stress; older employees, men and medical technicians reported worse life style; older employees, men and doctors showed more abnormal health status indicators. There was a significant relationship between perceived stress and life style: the higher the level of stress was, the more drinking or the more smoking they had. However, there was no clear relationship between perceived stress and health status indicators. Conclusion: Although the subjects' lifestyle and health status indicators were relatively good, their perceived stress was seriously high. Therefore, programs for reducing stress are necessary for medical center employees.
Purpose: The purpose of this paper was to investigate community health status and related factors using community health and social indicators. Method: Data sources were reviewed and data for 10 categories, 75 indicators were collected. Community health status and health-related factors were categorized, and the means and standard deviation of individual indicators were obtained and standardized scores were calculated. In addition, through factor analysis of individual indicators by category using the scores and using the resultant factor coefficients as weights, indexes were calculated by area. Correlation and regression were analyzed. Result: Each indicator was highly correlated with each index, and the indexes were highly correlated with one another. Correlation coefficients were above 0.8 between community health index and population, education, housing, and economy, between population and education, housing and economy, between education and housing and economy, and between housing and economy, environment and industry. But multicollinearity was not found in the result. Significant factors on community health index were population, health personnel and facilities, education, housing and economy, and R-square were 92.4%. Conclusion: Health determinants such as population, health personnel and facilities, education, housing and economy could be influencing factors on community health in community level. These results showed the importance of intersectoral collaboration within a local government. Overall community health can be enhanced by intersectoral collaboration.
Journal of Korean Academy of Nursing Administration
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v.3
no.1
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pp.107-118
/
1997
This study was designed to obtain basic data for development of evaluation tool which would be needed to measure the outcome of general quality nursing care of individual patient. The purpose of this study was to analyze and classify the outcome indicators of quality nursing care. The 29 articles of quality nursing care and outcome measures were selected coveniently, and analyzed to classify the outcome indicators of quality nursing care using open coding method. The results of this study were as follows: 1. Quality nursing care was defined as level of excellence of nursing care to achieve good patient outcome. 2. The 6 domains of which were health status, satisfaction, self care, patient progress and prognosis, and compliance were identified in outcome indicators of quality nursing care 3. Seven indicators of health status domain which were perceived health status, quality of life, well-being, daily activities, physical-physiological status, psychoemotional status, and social role functioning were identified. 4. Two indicators of satifaction domain which were patient satisfaction and family satisfaction were identified. 5. Three indicators of self care domain which were skill, knowledge, and home management were identified. 6. Seven indicators of patient progress and prognosis domain which were change of clinical status, resolution of nursing diagnosis and problem, days of stay, dicahrge state, recovery state, survival were identified. 7. compliance with therapeutic direction compliance was identified as an indicator of compliance domain. 8. It was sugested that studies for development of evaluation tools for outcomes of quality nursing the results of this study could be executed
Objectives: The purpose of this study was to examine the associations among self-rated health and socioeconomic status. Methods: Analyses were conducted based on cross-sectional data obtained from the Korea Youth Risk Behavior Web-based Survey. A total of 79,202 students aged 12 to 18 years participated in the study and there was a response rate of 95.5%. Separate logistic regression analyses were performed on each gender group based on a set of independent variables. Those being: the level of parental education level; family affluence scale; subjective household economic status; and subjective school achievement with SRH as the dependent variable. Results: Multivariate analyses revealed significant associations between each SES and adolescent SRH after controlling for other covariates. However, in the models that included all SES indicators, subjective household economic status and subjective school achievement remained significant in boys and girls. Conclusions: The findings demonstrated that subjective SES indicators are more closely related to adolescent SRH when compared with objective indicators.
I. Background and Purpose Health Indicator system and measurement of health status are an important fields in national health fields. This study reviewed the overall concepts of health and health indicators, health indicator system. The purposes of this study are to build the conceptual health framework, and suggest a health indicator system, in order to correspond to the situation of national health and the demand of International organizations. II. Scope and Contents The scope of this study ; - Review of tile conceptual health framework, health indicators, and health Indicator system - Selection and development of tile new individual health indicators - Suggestion of tile revised health indicator system III. Results of Study This study intented to build the conceptual and framework of national health and provide the measurement tools of health status. This study developed the health indicator system through the conceptual and hierarchial approach to national health. The health indicator system contains 6 concern: areas and each sub-areas. The major concern areas are health state and behavior, deathㆍdiseaseㆍdisability, health care utilization, health resources, health expenditure and finance, other affecting factors on health. This health indicator system is corresponding to the situation of health status patterns and the demand of international organizations. And this health indicator system is considering the present health data production system and the availability of health data.
Purpose: The purpose of this paper was to compare community health status by region and to investigate related factors using community health and social indicators. Methods: Data were collected from statistics of local districts that were provided by KNSO and KCDC. ANOVA and correlation were analyzed using PASW 18.0. Results: The standardized cancer mortality rate was higher in metropolitan areas than in other areas. On the contrary, the mortality of respiratory disease, traffic accident, and suicide were higher in rural areas. Small cities and county districts showed higher prevalence in obesity prevalence than metropolitan areas. Metropolitan areas presented higher prevalence in alcohol drinking during the previous month, perceived stress, and seat belt use. The age-adjusted standardized mortality rate was correlated with higher prevalence of smoking, obesity, percentage of the elderly, number of beds, number of social welfare facilities, number of registered cars, lower percentage of financial independence, number of doctors, and percentage of water supply service & sewage. Conclusion: Since significant differences in mortality rate and prevalence of health risk behaviors exist between regional areas and the mortality rate was correlated with other social indicators and health indicators, health policies and social policies considering these differences should be develop and implemented to the communities.
Purpose: This study was conducted to combine the effects of pulmonary rehabilitation program (PRP) on exercise capacity/tolerance and general health status of COPD patients based on the primary research results examined the effects of PRP, Method: Seventeen studies were selected by the sampling criteria established to include the studies that reported enough statistics necessary to conduct meta-analysis. Result: According to the study results, the most effective indicators for exercise capacity/tolerance were exercise time (such as cycling time or treadmill walking time) and ground walking distance within given time (6 minutes or 12 minutes), whereas effects on such indicators as VE and VO$_2$ were not statistically significant. PRP induced significant effect on patients' general health status, frequently measured by physical, psycho-emotional, and holistic indicators, the enhancement on psycho-emotional dimension resulted from PRP was more prominent than those of the other dimensions. From the results, it was noted that the place where PRP was given and the contents of PRP exercised their influence on the outcome variables. Which body part was trained was also one of the important factors that influence on the patients' perception of dyspnea during exercise as well as on exercise capacity/tolerance. Conclusion: PRP including exercise training significantly improved the exercise capacity and general health status of COPD patients.
Kim Hwa-Young;Kim Myune-Hwan;Hong Seong-Gil;Hwang Sung-Joo;Park Mi-Hyoun
Korean Journal of Community Nutrition
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v.10
no.2
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pp.216-223
/
2005
This purpose of this study was to investigate the nutrient intake, the health status as determined self-assessment checklist, biochemical indicators of elderly Korean women. We interviewed and 55 female subjects living alone in the Urban aged over 65 years. Information on their dietary intake was collected by 24-hour Recall method. Their health status was determined by a NSI checklist. Biochemical indicators were performed in whole blood and plasma of subjects. Except for protein, Fe, all of the elderly subjects belonged to over moderate nutritional risk. The average daily nutrient intake of the elderly was below the level of the recommended dietary allowances (RDA) for Koreans. A relationship between their health risk score and nutrient intake was observed negatively (not significantly). They had a risk of anemia as hemoglobin and hematocrit of subjects were under the normal value. Therefore, the reason that health risk score and health status badly was thought for lower nutrient intake.
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