• 보건행정학회지
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• 제13권2호
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• pp.44-66
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• 2003

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.

• Korean Journal of Health Education and Promotion
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• 제2권1호
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• pp.21-30
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• 2000

The growing population of the elderly who have diverse health needs is receiving more attention from the health promotion field. This paper describes some of the findings of quantitative study into the health function of Korean immigrant elderly living in Washington State of Northwest America. One hundred-two community-dwelling Korean immigrant elderly, aged from 65 to 93 with a mean 77.97 years, were interviewed with a structured questionnaire to report their health function defined in three domains; perceived health status, physical functioning, and psychosocial functioning. The main results of the study were identified: (a) Overall, Korean immigrant elderly's perceived health status and physical functioning were good, but psychosocial functioning was poor; (b) Elderly with higher health functioning scores perceived better health status. Data indicates that health functioning measures are good indicators of the degree of perceived need for immigrant elderly. The paper argues that the understanding of physical and psychosocial functioning of elderly is vitally important in the provision of health care.

• 대한간호학회지
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• 제37권6호
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• pp.941-948
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• 2007

Purpose: The purpose of this study was to investigate the risk of malnutrition and its relationship with depression and perceived health status. Methods: A total number of 154 elderly over 60 years participated in the study through a community elderly center. The risk of malnutrition was measured by NSI (Nutritional Screening Initiative), depression by CES-D, and health status by a self-rated Likert scale. Results: About one fourth (22.7%) of the subjects had a high risk, and 31.2% had a moderate risk of getting malnutrition. Regarding depression, 34.4% (53 elderly) of the subjects had a high risk. Overall health status had a mean of 3.46 within the range of 1 to 5. In relation to demographic factors, female elderly (${\chi}^2=6.68$, p= .04), aged younger than 75 years old (${\chi}^2=8.60$, p= .01), and having co-morbidity (F=9.81, p= .001) were significantly related to a high risk of malnutrition. Having a higher depression score, higher number of co-morbidity, and lower perceived health status were significantly related to a higher risk of becoming malnourished. Conclusion: The elderly's risk of getting malnutrition was significantly related to their depression and perceived health status. With these findings nursing interventions focusing on these factors should be developed in order to improve the elderly's multidimensional well-being.

• 한국식품영양과학회지
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• 제44권3호
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• pp.370-378
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• 2015

본 연구는 노인식 개발에 앞서 노인들의 구강 및 전신 건강 상태에 기반을 둔 노인식 개발 요구도를 조사하고 그 상관관계를 통해 노인들에게 필요한 제품 개발을 위한 기본 자료를 제시하고자 수행하였다. 설문 분석 결과 본인의 전신건강에 관한 평가로는 보통이다(35.2%), 건강하다(30.7%), 건강하지 않다(19.9%), 매우 건강하지 않다(8.5%), 매우 건강하다(5.7%) 순으로 응답하였으며, 구강건강에 관해서는 보통이다(31%), 건강하지 않다(28.2%), 대체로 건강하다(17.8%), 매우 건강하지 않다(17.8%), 매우 건강하다(5.2%)의 순으로 대답하여 구강건강과 전신건강 간에 유의적 상관관계(P<0.01)를 보였다. 노인들이 좋아하는 맛은 담백한 맛(51.5%), 짭짤한 맛(25.7%), 달콤한 맛(12.0%), 새콤한 맛(6.6%)의 순으로 조사되었으며, 죽이나 국 종류 개발 시 원하는 국물 맛으로는 남성은 멸치 국물과 된장 국물, 여성은 멸치 국물, 된장 국물, 소고기 국물의 순으로 응답하였다. 반찬류로 남성은 생선류, 고기류, 나물류의 순으로, 여성은 나물류, 생선류, 김치류의 순으로 요구하였다. 남녀 고령자 모두가 개발을 원하는 간식 품목은 빵 떡류와 음료류였으며 대체로 자신의 저작능력을 고려하여 식품을 선택하는 것으로 조사되었다. 노인들은 본인들의 질병상태와 관련하여 증상 완화 및 회복을 위한 질병맞춤형 식이의 개발을 원하는 것으로 조사되었으며, 식품 구입 시 가장 중요하게 고려하는 요인은 영양균형이었고 고령자용 식품의 적정구입가는 3,000원 미만으로 생각하고 있었다. 본 연구 결과를 바탕으로 고령자용 식품을 개발할 때 고령자들의 저작능력을 고려하여 물성을 다양화한 생선류와 나물류의 개발이 필요하며, 또한 고혈압과 당뇨를 앓고 있는 고령자의 비율이 높은 것을 고려하여 물성이 조절된 저염 및 항당뇨식의 개발도 함께 이루어져야 할 것이다.

• 여성건강간호학회지
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• 제28권3호
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• pp.187-196
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• 2022

Purpose: The purpose of this study was to investigate factors related to the levels of health-related quality of life (HRQoL) in elderly women based on Wilson and Cleary's HRQoL model. Methods: This study analyzed data from the eighth Korea National Health and Nutrition Examination Survey 2019 on 868 women over the age of 65 years. Based on the HRQoL model, parameters were categorized as personal, environmental, and physiological characteristics; symptom status; functional status; and perception of health status. The data were analyzed by quantile regression. Results: The overall level of HRQoL was 0.87. Factors related to HRQoL in the 10% quantile were higher education level, higher economic status, economic activity, more walking days, fewer diseases, lower stress, less activity limitation, and higher perceived health status. Factors related to the 25% quantile of HRQoL were more walking days, fewer diseases, less activity limitation, and higher perceived health status. Factors related to the 50% quantile were age, economic activity, more walking days, fewer disease, lower stress, less activity limitation, and higher perceived health status. Factors related to the 75% quantile of HRQoL were smoking, more walking days, fewer diseases, lower stress, less activity limitation, and higher perceived health status. Conclusion: While differing parameters were identified according to the level of HRQoL of elderly women in Korea, there were five common factors. Interventions that focus on increasing walking, mitigating diseases, stress, and activity limitations, and improving perceived health status can improve HRQoL.

• 지역사회간호학회지
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• 제19권1호
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• pp.13-26
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• 2008

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.

• 여성건강간호학회지
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• 제28권2호
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• pp.123-133
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• 2022

Purpose: This study investigated the trajectory of subjective health status in married postmenopausal women and aimed to identify predictive factors affecting subjective health status. Methods: Data were obtained from women who participated in wave 4 (2012) of the Korean Longitudinal Survey of Women & Families Longitudinal Study and continued to the latest phase (wave 7, 2018). A latent growth model (LGM) was used to analyze data from 1,719 married postmenopausal women in the framework of the ecological system theory. Results: The mean age of the participants at wave 4 was 56.39±4.71 years, and the average subjective health status was around the midpoint (3.19±0.84). LGM analysis confirmed that subjective health status decreased over time (initial B=3.21, slope B=-0.03). The factors affecting initial subjective health were age, body mass index, frequency of vigorous physical activity (microsystem level), marital satisfaction (mesosystem level), and medical service utilization (macrosystem level). Medical service utilization and the frequency of vigorous physical activity were identified as predictive factors affecting the slope in subjective health status. The model fit was satisfactory (TLI=.92, CFI=.95, and RMSEA=.04). Conclusion: This analysis of the trajectory of subjective health status of married postmenopausal women over time confirmed that subjective health is influenced by overall ecological system factors, including the microsystem, mesosystem, exosystem, macrosystem, and chronosystem. Therefore, it is necessary to assess physical activity and support policies promoting access to medical services in order to improve the subjective health status of married postmenopausal women.

• 한국보건간호학회지
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• 제18권2호
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• pp.286-298
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• 2004

The purpose of this study was to survey the general characteristics, lifestyle include health habits, subjective health problems include physical, psychological and overall health complaints that occurring among Korean and Japanese nursing students. Data collected with the self-administered Okayama Medical Index Health Questionnaire(devised Cornell Medical Index) from 466 Korean and 688 Japanese Nursing Students were analyzed. The subjects were 18 to 24 years old in their 1st, 2nd, 3rd and 4th year-class of nursing department. The total O.M.I. score(section A-R) ranged from 1 to 110 with an average of 22.3(SD=11.5) in Korean nursing students and 18.3(SD=10.1) in Japanese nursing students. A statistically significant inverse correlation was observed between Korean nursing student and Japanese nursing students for the overall health complaints. Korean nursing students have more health problems than Japanese nursing students in terms of physical and overall health complaints excluding psychological problems. About $4\%$ of Korean nursing students were current smokers and $64.2\%$ of Korean nursing students were drinker. Korean nursing students in the drinker's group were more likely to eat fatty foods(p<.001), and take worst lifestyle and have more subjective health problems than non drinker's group of Korean nursing students. Korean nursing students were more likely to perform bad health behaviors than Japanese nursing students. The drink habit is one of the biggest problems among the nursing student, and then we have to have the mobilizing for 'Change on Alcohol' in our universities. This conclusion should provide grounds for future studies of strategies for health promotion and of prevention measures for psychological ill-health of nursing students.

• 근관절건강학회지
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• 제29권3호
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• pp.218-227
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• 2022

Purpose: This study aimed to describe the current level of physical activity (PA) and to explore the relationships between self-efficacy for PA, perceived health status (PHS), attitudes toward aging, ego-integrity and PA in community-dwelling older Koreans. Methods: A total of 164 participants were recruited from community centers, churches, and senior welfare centers in Korea. With questionnaires, a survey was conducted from June 3rd to 22th, 2016. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA and Pearson's correlation coefficient using SPSS/WIN 22.0 program. Results: The mean amount of total PA was 5,295.33±6,272.38 MET/min/week. The number of subjects engaged in vigorous, moderate, and low-intensity activities were 87 (53.0%), 45 (27.4%), and 32 (19.5%), respectively. Overall, physical activities were different according to the presence of spouse (t=-2.79, p=.006) and the presence of housemate (t=2.03, p=.044). The mean scores of self-efficacy for PA, PHS, attitudes towards aging, and ego-integrity were 17.16±4.45, 9.00±2.41, 68.12±9.28 and 51.62±7.59, respectively. There were significant positive correlations between overall PA and self-efficacy for PA (r=.34, p<.001), PHS (r=.23, p=.003), attitudes towards aging (r=.26, p=.001). Conclusion: Specific programs to promote physical activities in addition to continuous education for improving self-efficacy for PA, PHS, and attitudes towards aging in community-dwelling older adults are needed.

• 한국치위생학회지
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• 제19권6호
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• pp.941-950
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• 2019

Objectives: The aim of this study was to evaluate the relationship between depressive symptoms and oral health status in Korean middle-aged women. Methods: We analyzed data from the sixth Korea National Health and Nutrition Examination Survey (KNHANES VI). The final sample consisted of 2,691 adults aged 40-64 years. The Chi-squared test was used to assess the rate of depressive symptoms, oral health status, and relationship between oral health status and depressive symptoms. Moreover, logistic regression analysis was used to examine the association between depressive symptoms and oral health status. Data were analyzed using SPSS 20.0 program. Results: Overall, 15.1% of subjects experienced depressive symptoms. The rate of depressive symptoms in self-aware oral health, toothache, and mastication problem groups were 19.6%, 19.9%, and 25.3%, respectively. Compared to other groups, the likelihood (odds ratio) of having depressive symptoms was 1.47 (95% confidence interval [CI] : 1.16-1.88), 1.58 (95% CI: 1.22-2.04), and 1.73 (95% CI: 1.32-2.28) higher in self-aware bad oral health, toothache, and mastication problem groups, respectively. Conclusions: We found an association between depressive symptoms and oral health status. Thus, oral health status should be evaluated as a potential risk factor for depressive symptoms.