• Journal of Digital Convergence
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• v.19 no.4
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• pp.457-466
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• 2021

This study was a systematic review that aimed to assess the effectiveness of educational programs for members of multicultural families. Therefore, 21 studies from domestic databases - RISS, KISS, NDSL, DBia, and nanet - were analyzed and the data were compiled and encoded by three researchers. Regarding the characteristics of the educational programs for multicultural families, 12 programs were developed for children, eight, for parents, and one, for both parents and children. While most intervention programs included topics on health, responsive care, and early education, none included topics on nutrition and safe space or targeted all members of multicultural families. This study identified the need for developing educational programs for all members of multicultural families and for developing and evaluating programs that can address, on a theoretical basis, the problems encountered by multicultural families.

• Journal of Convergence for Information Technology
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• v.11 no.7
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• pp.307-317
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• 2021

This study was a secondary data analysis conducted to identify the factors affecting the health-related quality of life according to the stress perception level of middle-aged. Data from the 2014, 2016, and 2018 Korean National Health and Nutrition Examination Survey were used, and 7,995 people aged 40-64 who answered the level of stress perception were targeted. Data analysis was performed using IBM SPSS ver.25.0, and the significance level was set to .05. As a result of the study, in the feeling less stressed group, household income level, education level, frequency of dinning out, drinking amount at a time, smoking, subjective health, and depression were found to be significant influencing factors, and the explanatory power was 21.4% (p < .001). In the feeling a lot stressed group, household income level, education level, living with a spouse, weekly breakfast frequency, aerobic physical activity, smoking, subjective health, and depression were significant influencing factors, and the explanatory power was 38.7% (p < .001). Therefore, it is suggested to consider each influencing factor in the middle-aged stress reduction intervention.

• Journal of the Korea Convergence Society
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• v.9 no.12
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• pp.313-319
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• 2018

The purpose of this study was to investigate the relationship between physical activity, diet and mental health of elderly and to use the study as basic data for a program development for elderly. This was a secondary data analysis study using the 2015 National Health and Nutrition Survey and the study subjects included 1,484 individuals aged 65 and over. The results showed that depression and stress perception in young-old were higher than old-old's and the suicidal ideation rate of old-old was higher than young-old's. In case of eating patterns, 'poor eating' in old-old was higher than young old's. Regression analysis showed that middle-intensity physical activity and eating patterns were associated with mental health of the elderly. Based on the results, it is necessary to develop a differentiated nursing intervention program suitable for the elderly by age.

• Journal of Home Health Care Nursing
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• v.26 no.2
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• pp.210-218
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• 2019

Purpose: The purpose of this study was to identify the nutritional status of elderly individuals according to their household types and to investigate the predictors of their nutritional status. Methods: This study, which was a descriptive research study, involved physical measurements, surveys, and biochemical tests in 87 elderly individuals living in the community. Using SPSS/Win 24.0, logistic regression analysis was performed to identify the general characteristics, blood pressure, body mass index (BMI), mini nutritional assessment (MNA) score, and biochemical indicators in elderly individuals according to the household type. Results: Elderly individuals living with family members had higher MNA scores than those of elderly individuals living alone, while showing lower levels of systolic blood pressure and fasting blood sugar. The results of the logistic regression analysis showed that the risk factors were MNA scores (odds ratio (OR)=1.81, 95% confidence interval (CI)=1.36-2.42), systolic blood pressure (OR=0.96, 95% CI=0.92-1.00), and fasting blood glucose (OR=0.94, 95% CI=0.90-0.99). Conclusion: It was confirmed that elderly individuals living alone need differentiated nutrition intervention, since the results showed that they had lower nutritional levels and improper nutritional management than that in elderly individuals living with family members.

• The Journal of the Convergence on Culture Technology
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• v.5 no.1
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• pp.153-167
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• 2019

Purpose: The aim of this study was to examine factors influencing health-related quality of life in middle and old adult one-person households. Method: This study carried out secondary analysis using the data from the $7^{th}$ Korean National Health and Nutrition Examination Survey. Subject samples who were selected are 497 middle and old adult one-person households over 40 years. Data were analyzed using descriptive statistics, simple and multiple regression techniques with the SPSS/WIN 24 program. Result: Factors influencing health-related quality of life in middle adult one-person households were activity limitation, depression, exercise, smoking habits with 57% prediction. In male old adult one-person households they were subjective health, metabolic syndrome, activity limitation, perceived stress with 44.8% prediction and in female old adult one-person households they were subjective health, activity limitation, home income with 35.9% prediction. Conclusion: Therefore, to improve their health-related quality of life it needs to develop & to apply national and local promotion policy and intervention program on health-related quality of life of middle and old adult one-person households.

• Research in Community and Public Health Nursing
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• v.30 no.2
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• pp.130-140
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• 2019

Purpose: The aim of this study is to explore levels of suicidal ideation and identify subgroups of high suicidal risk among the depressed elderly in Korea. Methods: A descriptive cross-sectional design was adopted on secondary data from the 6th (1st year) Korean national health and nutrition examination survey (KNHANES). A total of 239 depressed elders aged 60 or over who participated in the KNHANES. The prevalence of suicidal ideation and its related factors, including sociodemographic, physical, psychological characteristics and quality of life (EQ-5D index) were examined. Descriptive statistics and a decision tree analysis were performed using the SPSS/WIN 23.0 and SPSS Modeler 14.2 programs. Results: Of the depressed elderly, 28.9% had suicidal ideation. Three groups with high suicidal ideation were identified. Predictive factors included perceived stress level, household income level, quality of life and restriction of activity. In the highest risk group were those depressed elderly with moderate and low levels of stress, less than .71 of EQ-5D index and restriction of activity, and 80.0% of these participants had suicidal ideation. The accuracy of the model was 80.8%, its sensitivity 85.9%, and its specificity 68.1%. Conclusion: Multi-dimensional intervention should be designed to decrease suicide among the depressed elderly, particularly focusing on subgroups with high risk factors. This research is expected to contribute itself to the policy design and solution building in the future as it suggests policy implications in preventing the suicide of the depressed elderly.

• Journal of Digital Convergence
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• v.17 no.1
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• pp.365-373
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• 2019

This study was conducted to investigate the factors affecting the quality of life of elderly who live alone according to gender. The participants in this study were 959 elderly living alone from a total of 22,948 individuals studied in the 2013-2015 Korean national health and nutrition examination survey. IBM SPSS 23.0 was used to analyze the data. There were significant differences between the two groups in age, level of education, and amount of calorie intake. Economic status, presence of arthritis, presence of restrict activity, subjective health status had an influence on quality of life in men with an explanatory power of 50.5% (p < .001). Presence of back pain, subjective health status, suicidal ideation had an influence on quality of life in women with an explanatory power of 41.4% (p < .001). Therefore, in order to improve the quality of life of elderly living alone, it is necessary to provide appropriate intervention depending on gender.

• Journal of the Korea Convergence Society
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• v.12 no.1
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• pp.361-368
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• 2021

This study was conducted to analyze the effects of smoking and drinking on quality of life in Adults. The content was analyzed for aged 30 years or older using data from the 7th National Health and Nutrition Survey(2017). The total number of subjects of this study was 5,465. Socio-demographic characteristics, health-related variables and EQ-5D index scores were used for the analysis. Statistical analysis was performed using the IBM SPSS ver.23 program. As a result of the analysis, there were statistically significant differences in smoking status, binge drinking, subjective health status and stress perception with quality of life. In the regression after adjusting the control variables, 'the amount of alcohol consumed at once(β=.106)' was statistically significant. However smoking status and binge drinking were not statistically significant. Therefore, it is necessary to develop Convergence drinking intervention program to improve the quality of life in adults.

• Journal of the Korea Convergence Society
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• v.12 no.1
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• pp.317-326
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• 2021

This study was investigated to identify the factors influencing health related quality of life in older women with low muscle strength in Korea. The study design was a cross sectional study based on 7th Korea National Health and Nutrition Examination Survey data and the data were analyzed using the SPSS 26.0 program. The level of Health related Quality of Life(HRQoL) in older women with low muscle strength was 0.84. There were significant differences on HRQoL according to age, education level, perceived health, aerobic exercise, perceived stress, arthritis, osteoporosis and depression. The risk factors of HRQoL in older women with low muscle strength were age, education level, perceived health, perceived stress, aerobic exercise and arthritis. Based on this results to improve HRQoL, physical activity intervention should be developed to improve muscle strength and to manage arthritis in older women.

• Health Policy and Management
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• v.30 no.4
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• pp.505-512
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• 2020

Background: In monitoring exposure to environmental smoke (ETS), biomarkers can overcome the subjectivity and inaccuracy of self-reporting measurements, and have the advantage of reflecting ETS exposure in all places. This study aims to evaluate the effectiveness of ETS exposure measurement using biomarkers such as urine cotinine. Methods: This study used the Korea National Health and Nutrition Survey data from 2009 to 2018. A total of 28,574 non-smokers with urine cotinine data were selected for the study. The cotinine concentration and ETS exposure rate using urine cotinine was estimated and then compared with the self-reporting measurements. The degree of agreement among measurements of ETS exposure was confirmed. Results: As a result of measuring ETS exposure with urine cotinine, 23,594 (83.8%) out of 28,574 subjects were classified as to exposure groups. This estimate differs significantly from measurements made by self-reporting. In addition, the average concentration of cotinine in non-smokers has decreased to a 10th level over the past 10 years. Based on the biomarker, the sensitivity of the self-reporting was 8.5%-29.0%, the specificity was 16.4%-19.5%, and the kappa value was 2.0%-5.8%. Conclusion: The findings of our study show that self-reporting measurement does not well reflect the extent to which non-smoker's exposure to smoking materials. Whereas cotinine concentration has decreased significantly over the past 10 years, the ETS exposure rate has not reduced. It strongly suggests the need for intervention in the group of non-smokers exposed to low concentrations of smoke. Therefore, an assessment using biomarkers such as cotinine-based measurement should be made in the Health Plan 2030.