• Health Policy and Management
• /
• v.28 no.1
• /
• pp.15-22
• /
• 2018

Background: Health is affected by various local factors. This study aims to investigate the age-standardized mortality variation of Seoul as well as the characteristics of the factors related to the mortality variation. Methods: The Korea Community Health Survey data, Seoul Survey data, Seoul statistics, and e-regional indicators of the National Statistical Office were used. To investigate the basic boroughs standardized mortality variation in Seoul, external quotient, coefficient of variation (CV), and systematic component of variation (SCV) values were suggested; correlation analysis and multiple regression analysis were conducted to investigate the characteristics related to standardized mortality rate. Results: The highest and the lowest standardized mortality rate of Seoul by boroughs had as much as 1.4 times difference; a low level of variation was shown in CV by 8.2; and was shown in SCV by 79. As a result of the multiple regression analysis of the factors that affect standardized mortality variation, the higher the rate of householders with college or higher, the lower the standardized mortality rate, and the higher the high-risk drinking rate, the higher the standardized mortality rate. Of the two, the rate of householder with a degree equivalent or higher than college was shown to have the biggest impact, followed by high-risk drinking rate. Conclusion: We found a variation in age-standardized mortality rate of boroughs in Seoul. The results suggest that policy makers should take into account socioeconomic environmental characteristics of community in developing community-based health promotion rather than focusing on lifestyle changes of residents.

• Journal of Practical Engineering Education
• /
• v.16 no.4
• /
• pp.521-527
• /
• 2024

The COVID-19 pandemic has emphasized the importance of mental health both domestically and internationally. Korea has a high suicide rate, and there is a strong social demand to understand the causes and take measures. In this study, we identified the factors that significantly affect the experience of depression, a leading indicator of mental health. Using data from the 2021 Community Health Survey and KOSIS, we analyzed data at the individual and community level, and found that stress levels, subjective health, and basic living status are key influences. Local health authorities should strengthen mental health for the population, including expanding health education and promotion activities to reduce stress and improve lifestyle, and developing targeted programs for specific groups, such as those living on basic subsistence. They should also work with the central government to strive for comprehensive health care and implement effective mental health policies in harmony with population and family authorities.

• Korean Journal of Health Education and Promotion
• /
• v.14 no.1
• /
• pp.73-95
• /
• 1997

Elderly problem from being aging society, especially health related problem of the elderly is very serious in many parts of this country. The reason is that most of geriatric disease are chronic and debilitating. The cause of chronic and debilitating disease are bad lifestyle and wrong health habit. Health is affected by a result of interaction of environment and human being. Because of difference of lifestyle between a city and a farm village, health behavior and health status of urban elderly and rural elderly may be dissimilar. Thus the purpose of this study was to grasp health behavior and health status, to identify the factors that effect on health status of the elderly. The subfects for this study, 488 persons aged 60 and over who live in Seoul or Cheonbuk Province. The preliminary survey was carried out from Aug. 19, to Aug. 22, 1996. With complement of questions, main survey was carried out from Sep. 29, to Oco. 10, 1996. The data was analysed by using in SPSS/PC+ program. The results were as follows. 1. General Characteristics 1) In the individual characteritics of the respondents, Seoulites aged 80 and over were 24.7%, the average age was 73.14 years old and rural residents aged 60-69 were 63.7%, the average age was 68.90 years old. In Seoul, 142 men and 101 women were respondents. In Cheonbuk Province, 101 men and 144 women were answered. In Seoul, those who graduated form elementary school were 35.4%, in farming region, illiteracy persons were 44.9%. In Seoul, 47.7% of respondents had spouse and in farming village, 66.1% of respondents had spouse. 39.0% of respondents who's imcome type was independent were Seoulite, and 66.1% of respondents who's income type was independent were rural residents. Employed persons in Seoul and in rural region were 16.9% and 62.0%. 2. Health Behavior 1) For the health behavior total score, the difference by region was not statistically significant. But the score of individual item was different and statistically significant. 2) For the Seoulites, younger person(p〈0.01), the female(p〈0.001) showed better health behavior and for the farming village residents, younger person(p〈0.01), the female(p〈0.01), independent income type(p〈0.05), employed person(p〈0.05) showed better health behavior. 3. Health Status 1) For the self-rated health status total score, the difference by region was statistically significant and individual item score was different and statistically significant. For ADL and IADL total score, the difference by region was not statistically significant, but individual item score was different and statistically significant. 2) For the Seoulites, woman(p〈0.05), lower education(p〈0.00l), independent income type(p〈0.05) showed higher score in self-rated health status. For rural residents, woman(p〈0.05), lower education(p〈0.01), independent Income type(p〈0.001) showed higher score in self-rated health status. For the Seoul residents, younger person(p〈0.001), employed(p〈0.05) showed higher score in ADL and IADL, and for the farm area residents, younger person(p〈0.001), higher education(p〈0.01), having spouse(p〈0.001), family type(p〈0.01) showed higher score In ADL and IADL. 3) For the Seoulites, drinking(p〈0.05), breakfast(p〈0.05), exercise(p〈0.05) and for the rural residents, drinking(p〈0.05), deep sleeping(p〈0.05), exercise(p〈0.01), washing hands before meal(p〈0.01) showed higher score In self-rated health status. For the Seoulites, deep sleeping(p〈0.05), exercise(p〈0.05) and for the farm village residents, fruit(p〈0.05), deep sleeping(p〈0.05), exercise(p〈0.001) showed higher score in ADL and IADL. We carried out this study to analyze the effectiveness through health education program in short term which was performed to use the special subject activities. This study was conducted on 63 students who were first grade in S Junior High School from Dec. 1995 to Feb. 1996. To analyze the effectiveness, we performed the Pretest, 1st Posttest, and 2nd Posttest for learned health knowledge. The results were as follows: 1. Most of the students(69.8%) responded that their health were good, and they got the information for health through Mass Com.. The students who had experience of health education were 15.9%, and the 77.8% of the respondents needed the health education. 2. The means of health knowledge on tests were 18.2(Pretest), 21.5(1st Posttest), and 21.4(2nd Posttest). Increase of health knowledge between Pretest and 1st Posttest was 10.9%. 3. The mean of differences between Pretest and 1st Posttest was 3.26, it was significant(p〈0.01). And the mean of differences between Pretest and 2nd Posttest was 3.19, it was significant(p〈0.01);however, the mean of differences between 1st Posttest and 2nd Posttest was not significant(p=0.2514). 4. The significant main contents were Health Facilities(d=0.42), Pregnancy and Labor(d=0.39), Hygiene(d=0.35), Safety Education(d=0.66), and Drug Abuse(d=0.60)(p〈0.01).

• Journal of Korean Public Health Nursing
• /
• v.8 no.1
• /
• pp.73-83
• /
• 1994

This study was conducted to investigate rural residents' health status and lifestyle before inputing the health promotion services in CHP post juridiction area. For the survey. questionaire survey was done during the period from September 1993 to October 1993. Questionare was composed 14 items of general characteristics and 12 items of health age. Respondents were 119 residents among 300 residents in a rural area. For the analysis. descriptive statistics were used by calculating frequencies. percentages and $x^2-test$ Were employed to test the differences and the statistical significance. The major results are as follows; 1. Characteristics of the objects: The sex $61.0\%$ of female. the age was $36.0\%$ of over the fifties. the educational background was $47.4\%$ of elementary graduation. the marital status was $94.9\%$ of married and the monthly income was $35.3\%$ of less than 600,000 won. 2. Health status of the objects; Hepatitis antibody was possessed only $6.2\%$. hypertension was $27.3\%$. pulse rate and disease status were. for the most part, normal. 3. Health care status of the objects: They didn't use $74.1\%$ of medical services for the two weeks and regular health check-up. 4. Health behavior of the objects: The diet was $78.1\%$ of intaking meats and fish below 4 times for 1 week, no smoking was $66.1\%$. drinking was $70.83\%$ below two and half times for 1 week, life satisfaction was $21.8\%$. stress management was $41.5\%$ and exercise for health was $25.2\%$. 5. Experience of common cold for 3 years was $46.2\%$. hypertention by sex was $8.7\%$ of males and $19.4\%$ of females and diabetus was $1.7\%$ 6. Helth behavior by educational background didn't do in low educational background. 7. Health age of the objects was $62.3\%$ of $+1\~+4$ than actual age.

• Women's Health Nursing
• /
• v.8 no.3
• /
• pp.358-370
• /
• 2002

The purpose of this study was to investigate the relationship between college women's resourcefulness and health promoting behaviors. The subjects were 215 college women students who were non-married and ranged in grade from 1 to 4. Data was collected from Nov. 1 to Nov. 30, 2001 by a structured questionnaires. The instruments, which were modified by researcher and used for this study, were the revised Health Promotion Lifestyle Profile (HPLP) developed by Walker, Sechrist and Pender(1987), the Resourcefulness developed by Rosenbaum(1980) and the general characteristic scale developed by the researcher. The data were analyzed by the SPSS/PC+ program using t-test, ANOVA, Pearson Correlation Coefficient and stepwise multiple regression. The results were as follows : 1. The mean score of resourcefulness was 109.29(range:$36\sim180$). 2.There were statistically significant difference in the score of resourcefulness according to the grade(F=2.889, P=.037) and drinking(t=-3.264, P=.002). 3.The mean score of health promoting behaviors was 107.21(range: 44~176). 4.There were statistically significant difference in the score of the health promoting behaviors according to the grade(F=.141, P=.039), smoking(t=-3.314, P=.008) and drinking (t=-4.091, P=.000). 5. College women's degree of resourcefulness showed a positive correlation with the degree of health promoting behavior (r=.573, P=.000). 6. By means of multiple regression analysis, the resourcefulness provided explained 32.9% of health promoting behavior. In conclusion, the resourcefulness should be considered when developing nursing strategies for college women, especially when dealing with the health promoting behaviors. The recommendations from this study necessitate of further studies to investigate how smoking and drinking have an effect on the health promoting behaviors.

• Korean Journal of Adult Nursing
• /
• v.12 no.1
• /
• pp.112-121
• /
• 2000

The purpose of this study was to define the degree of the resourcefulness and the health-promoting behavior of cancer patients, to identify the relationship between the resourcefulness and the health promoting behaviors and to provide the basis for strategic nursing intervention. This study was conducted by an exploratory survey. Data were collected by self-reported questionnaires from 97 cancer patients in a university hospital in Tae-Gu from September to December of 1998. The sample data were collected by using a convenient sampling method. The following instruments were used in the study after some adaptation : Park Chai Soon's Health Promoting Lifestyle Profile, Oh Pok Ja's instrument for health promotion behavior and the Rosenbaum self-control schedule(SCS). The reliability of instruments was tested with Chronbach'alph(.79-.89). Data was analyzed by using the SAS program. T-test, ANOVA, and Pearson's coefficients of correlation. The results of this study were as follows: First, the average score of the resourcefulness variable was 22.20; the range of the score was from -30 to +81 The average score of the performance in the health promoting behavior variable was 96.13; the range of the score was from 39 to 137 Second, the resourcefulness variable was significantly different from such demographic factors as gender and perceived health status, but there was no statistically significant difference between the demographic factors and the health promoting behavior variable, except that of perceived health status. Third, the performance in health promoting behavior of cancer patients was significantly correlated with the resourcefulness of cancer patients(r= .50) In conclusion, resourcefulness was identified to be an important variable that could contribute to promote health-promoting behavior.

• Journal of Preventive Medicine and Public Health
• /
• v.51 no.5
• /
• pp.219-226
• /
• 2018

Objectives: This study aimed to explain the health-related quality of life (HRQoL) gap between the poorest and the wealthiest quintiles in the capitals of Kermanshah and Kurdistan Provinces (Kermanshah and Sanandaj), in western Iran. Methods: This was a cross-sectional study conducted among 1772 adults. Data on socio-demographic characteristics, socioeconomic status (SES), lifestyle factors, body mass index, and HRQoL of participants were collected using a self-administered questionnaire. The slope and relative indices of inequality (SII and RII, respectively) were employed to examine socioeconomic inequality in poor HRQoL. Blinder-Oaxaca (BO) decomposition was used to quantify the contribution of explanatory variables to the gap in the prevalence of poor HRQoL between the wealthiest and the poorest groups. Results: The overall crude and age-adjusted prevalence of poor HRQoL among adults was 32.0 and 41.8%, respectively. The SII and RII indicated that poor HRQoL was mainly concentrated among individuals with lower SES. The absolute difference (%) in the prevalence of poor HRQoL between the highest and lowest SES groups was 28.4. The BO results indicated that 49.9% of the difference was explained by different distributions of age, smoking behavior, physical inactivity, chronic health conditions, and obesity between the highest and lowest SES groups, while the remaining half of the gap was explained by the response effect. Conclusions: We observed a pro-rich distribution of poor HRQoL among adults in the capitals of Kermanshah and Kurdistan Provinces. Policies and strategies aimed at preventing and reducing smoking, physical inactivity, chronic health conditions, and obesity among the poor may reduce the gap in poor HRQoL between the highest and lowest SES groups in Iran.

• Korean Journal of Health Education and Promotion
• /
• v.14 no.2
• /
• pp.95-112
• /
• 1997

This study examines knowledge, attitudes and behaviors toward sexual activity among 412 college students in Seoul. An 127-item questionnaire is used in order to understand and consider alcircumstances involved in decisions about sexual activity, and to reflect to the course on healthy sexuality. The major findings are as follows: 1. ‘Books/media’ and ‘friends’ are the primary source of sexual knowledge. 2. Despite the increased number of sxeducation programs, peers apparently remain the major source of information and the counsellor of the sexual problems(71.6%). 3. About ninety percent of males and 14.2 percent of females masurbate. Although mastubation is anormal response to pleasurable bodily feelings, students feel ‘unnatural’, ‘bad’ or ‘guilty’. 4. For some students, sexual intercourse is perceived as the natural outgrowth of love. More than thirty oercent of males and 8. 1 percent of females are engaged in inter -course. 5. Asking parents or teachers to be specific in talking about sex makes it uncomfortable to discuss sex. 6. Sex education should begin in the family and in school in early childhood and continue throughout life. 7. Sexual feelings and emotions are stirred up differently between male and female by sexual sensations. 8. Half of the intimate relationship with opposite sex shows a love relationship with sexual closeness and pleasure. Unguided reading or peers remain the primary source of information about topics like masurbation and sexual technique. Thus, schools should be responsible for the more value-laden subjects (such as birth control, homosexuality, and sexual techniques). And inclusionof a peer education componebt that modified college students' perceived peer norms may be the intervention method of choice. The prevention of health problems is far more desirable than treatment. The earlier the knowledge and skill to make healthful decisions are instilled, the greater the chance a healthful lifestyle will be adopted. School is the logical place in our society to provide the college students learning opportunities essential to developing the knowledge and skills to choose a healthful life course.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.22
• /
• pp.9579-9586
• /
• 2014

There is growing scientific evidence linking excess body weight to breast cancer risk. However, there is no common consensus on this relation due partly to methodologies used, populations studied and the cancer subtype. We report here a summary of the present state of knowledge on the role of overweight and obesity in pathogenesis of breast cancer and possible mechanisms through which excess body weight might influence the risk, focusing on the role of oxidative stress in breast cancer etiology. The findings demonstrate duality of excess body weight action in dependence on menopausal status: a statistically significant increased risk in postmenopausal overweight/ obese women and non-significant preventive effect among premenopausal women. Due to several gaps in the literature on this topic, additional studies are needed. Future research should address factors influencing the excess body weight - breast cancer relationship, such as race/ethnicity, tumor subtype, receptor status, the most appropriate measure of adiposity, reproductive characteristics, and lifestyle components.

• Journal of Korean Physical Therapy Science
• /
• v.13 no.3
• /
• pp.7-14
• /
• 2006

Despite well-known benefits of physical activity for older adults, most older adults remain significantly underactive. The purpose of this study was to examine the effects of a physical activity on blood cholesterol in older adults with an inclusive, choice-based physical activity promotion program to increase lifetime physical activity levels of seniors. A six-month comparison-group trial was conducted with 14 older adults(experimental group = 8, control group = 6) in community senior center. Changes in self-reported physical activity and blood cholesterol were evaluated using paired t-test. The intervention group increased estimated caloric expenditure by 858 calories/week in physical activities of any intensity (p=.050), total cholesterol(p=0.049), high density lipoprotein cholesterol(p=0.045). Control group changes were also negligible. The program led to meaningful physical activity increase. Individually tailored programs to encourage lifestyle changes in seniors may be effective and applicable to health care and community settings.