• 한국학교보건학회지
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• 제30권3호
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• pp.181-193
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• 2017

Purpose: This is a qualitative descriptive study with the purpose of identifyng the health problems and related factors of socially vulnerable school-age children in Seoul, South Korea. Methods: Two focus group interviews and two individual interviews were conducted with eleven participants. They were two class teachers, three school nurses and two daycare teachers working at elementary schools and three social workers and a welfare worker working at community childcare centers. Data were analyzed using qualitative content analysis. Results: The identified psychosocial problems were 'distracting and excessive behavior', 'depression and helplessness,' 'aggression and violent behaviors', and 'internet overdependence'. The revealed physical health problems were 'poor hygiene', 'obesity', and 'gastrointestinal problems'. In addition, the fact that physical and psychosocial problems are closely inter-linked was reaffirmed through practical examples. Meanwhile, socioeconomic, family environmental, social experiential and individual factors were found to affect children's health. Relationships within a family or a peer group and healthy lifestyle were considered critical issues to deal with in order to improve the childrens' health status. Conclusion: It was proved that socially vulnerable school-age children have various physical and mental health problems due to multiple factors. Therefore, it is required to design nursing approaches that help them achieve optimal health status.

• 여성건강간호학회지
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• 제22권2호
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• pp.96-103
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• 2016

Purpose: This study was to investigate impacts of daily habits, health status and health promoting behavior on prevalence of irritable bowel syndrome (IBS) among female high school students. Methods: The survey was conducted from 526 female students in high school. Rome III criteria was used to diagnose IBS. Data of daily habits, health status, and health promoting behavior were collected through self-administered structured questionnaires. Results: The prevalence of IBS was 25.7%. Compared to the non-IBS, the IBS group scored significantly lower in exercise time, sleeping time, four dimensions of health status (physical, emotional, social, spiritual health) and management of relationship and stress in health promoting behavior. Risk factors influencing IBS were exercise time, physical health and emotional health status. Conclusion: The results of this study suggest that nursing interventions and education programs are important to be developed, while considering exercise, health status and health promoting behaviors for female adolescents in order to manage their IBS.

• 한국치위생학회지
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• 제14권6호
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• pp.859-869
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• 2014

Objectives: The purpose of this study was to examine the subjective oral health awareness, oral health knowledge, oral health behavior and OHIP-14 in industrial workers. Methods: A self-reported questionnaire was filled out by 243 workers in Jeonbuk May 7 to June 10, 2014. Except incomplete answers, 230 data were analyzed. The questionnaire consisted of general characteristics of the subjects(sex, age, career, marital status, abd family), oral health recognition characteristics(oral health attention, subjective oral health status, and oral health concern), oral health knowledge, oral health behavior, and oral health related quality of life. The instrument was 14 questions od OHIP-14 including functional restriction(2 questions), physical pain(2 questions), psychological discomfort(2 questions), physical ability decease(2 questions), psychological function decease(2 questions), social activity decrease (2 questions), and social discomfort(2 questions). Cronbach's alpha was 0.949 in this study and it was reliable. Results: Oral health interests showed that 57.8% of the workers had concern for oral health interests and 50.4% perceived that their subjective oral health was moderate status. 55.6% of the workers answered that their oral health status was very worried. Women had more knowledge about the oral health. Those who were in fifties tended to have more knowledge of oral health than the other age groups. Those who had more concern for oral health included female workers, married workers, and workers above 21 years. The concern for oral health made the workers keep good oral health. Higher score of OHIP-14 means good oral health. Conclusions: Good oral health-related quality of life is proportional to continuous management of oral health and subjective oral health status. It is necessary to develop the tailored oral health education program for the workers.

• 지역사회간호학회지
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• 제31권spc호
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• pp.563-576
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• 2020

Purpose: The purpose of this study is to identify personal factors, social factors, and environmental factors related to physical activity in older adults in urban and non-urban areas. Methods: We used source data from the 2017 Community Health Survey. The subjects of this study included some older adults aged 65 and over, and analyzed the data of 23,043 older adults living in the urban and 34,063 older adults living in the non-urban area. Results: The common factors influencing physical activity in older adults by region include current smoking and drinking, BMI, sleep duration, and subjective health status, help with neighbors, frequency of meeting with neighbors and friends, participation in social and leisure activities, and falls experience (p<.001). However, the living environment, public transport satisfaction, and medical service use significantly associated with physical activity for only older adults living in the urban area (p<.001). Conclusion: In order to improve physical activity in older adults in the community, it is necessary to consider not only the improvement of individual factors that practice health behaviors but also health promotion strategies that take into account social and environmental factors because there are environmental differences among regions.

• 대한물리치료과학회지
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• 제6권2호
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• pp.953-975
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• 1999

The purpose of this document is to provide the direction of the policy for welfare of the elderly, by identifying the problems and status of the welfare service for the elderly. The primary source of degrading the living standard of the elderly is the increase of the elderly population and life longevity. The Welfare service for the elderly to enhance the poor living level of the elderly population should be established, to compensate their former economic and social contribution in the society and also to promote the basic human right. The agenda to achieve this goal sums up like these : First, the basic living of the unhealthy elderly belonging to the low-income group, such as government-provided income and medical service should be provided. Second, for those with working ability, more opportunity for working and social activities should be given, focusing on expanding the employment rather than adding income. Third, for those with middle and high income, silver industry and pastime activities should be nurtured. Lastly, rather than institutional protection for the elderly, the welfare service for those staying home should be enforced, thus naturally leading to the family support for the elderly. There cannot be a sound policy for welfare and improvement of living standard ignoring the Well-being of the elderly population. The effort to better the welfare for the minority groups who compose the base of the social base will, eventually, result in the progress of the entire society.

• 한국학교ㆍ지역보건교육학회지
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• 제20권3호
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• pp.53-65
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• 2019

Objectives: The purpose of this study is to examine the current status of cancer screening among subjects in the lung cancer screening cycle and to analyze the factors affecting the cancer screening of subjects in the lung cancer screening cycle. Methods: This study used the 'National Health and Nutrition Survey 7th Year (2017)' surveyed nationwide as the main data. The subjects are lung cancer screening projects, the dependent variable is early cancer screening, the independent variables are gender, age, marital status, household income level, education level, national health insurance type, private health insurance, The number of chronic diseases, general health examination, smoking status, drinking status, moderate intensity physical activity, stress perception rate, and weight control efforts were determined. Results: The results of this study showed that factors affecting early cancer screening of lung cancer screening subjects were gender, age, marital status, education level, national health insurance, smoking status, drinking status, moderate physical activity, and weight. Irrespective of the control effort, it was found that the private medical insurance, the number of chronic diseases, the medical examination, and the stress perception rate were affected. Conclusion: If the lung cancer screening subjects recognize the importance of early cancer screening themselves and create a social environment to increase their participation rate, lung cancer screening patients and their families will help them to live a healthy life.

• 여성건강간호학회지
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• 제2권1호
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• pp.53-67
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• 1996

A total health state evaluation of Korean female elderlies was made by using the questionary scheme measuring the physical, mental and social functions of the elderlies, in order to investigate the critical factors for the health maintenance of female elderlies and to develop their preventive nursing program. A total of 280 subjects over 65 years old living in Seoul and the suburban area were selected and interviewed during the period of September and October in 1995. The materials collected were analyzed statistically by using SAS data processing program, and the results and recommendations are summarized as follows. 1. The physical health state of Korean elderly women was evaluated to be satisfactory by showing an average score of 3.722 in 5.0 full-score scale. But this score was lower than those evaluated for the elderlies combined both sexes(4.054). The mental health state of the subjects was also evaluated as high scoring 3.484, possibly due to the fact that 78% of the subjects lived together with their children's family. On the other hand, the social health state of the subjects was relatively low scoring 2.585, mainly due to that 80% of them was widows which was resulted by the 6-7 years longer life-expectancy of Korean women. 2. A significant differences in the physical health state scores between different age groups was observed, indicating the rapid ageing process occurring in this age group. The family structure was appeared to be an important factor influencing the physical health state of the female elderlies ; the physical health score of the women with her husband only was higher than that of those living with children's families, and the lowest score was obtained from those living alone. 3. The age was the most important factor determining the mental health state of the subjects, while the religion, educational status, marriage state and family structure did not significantly influenced the mental health state of the aged women. 4. The social health state of the subject was deeply influenced by the marriage state and family structure, showing significantly lower scores with widowers compared to the married couples. Those living with their married spouse only obtained the highest social health score, while those living along showed the lowest score. The parent and grandparentship of those living with their children and the religion, especially Catholic and Protestant, had positive influence on the social health state of the aged women. 5. The mental health state of aged women showed significant correlation with the factors determining the physical health, except for digestive system related ability and sexual ability and the highest extra home ability. 6. The mental health state of aged women showed significant correlation with the factors determining social health, especially with the parent and grandparentship and the family relative's role. From these results, the following recommendations are made. 1. Since the physical, mental and social health states of aged people are deeply influenced by the sex and the average values of the both sex can create misleading figures, the health evaluation of the elderlies should be made separately by sex. 2. Since the health state of aged women is highly influenced by their family structure, the spouse's role and living with married couple only should be emphasized in respect of preventive health care. 3. The social activity programs and grandparentship teaching programs should be prepared in the nursing care program for aged people.

• 한국아동복지학
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• 제57호
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• pp.43-82
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• 2017

절대적 소득을 강조하는 물질적 관점으로 사회경제적 지위에 따른 건강 격차를 설명하는 것에 대한 한계가 지적되면서, 비교적 최근 개인의 주관적인 사회경제적 지위와 건강의 관계에 주목한 연구들이 등장하기 시작하였다. 이들 연구는 주로 성인을 대상으로 수행되었으나, 자기평가를 위한 사회적 비교를 활발히 수행하는 학령후기 아동 역시 자신의 사회경제적 지위를 주관적으로 인식할 가능성이 있다. 따라서 본 연구는 아동이 인지한 주관적 사회경제적 지위와 그들의 신체건강과의 관계는 물론, 구체적으로 어떠한 경로를 통해 영향을 미치는지를 심리사회적 관점에 기초하여 살펴보았다. 이를 위해 서울교육건강복지패널 1차 년도(2014) 자료의 초4 아동 394명 및 그들 부모의 응답에 대해 구조방정식분석을 실시하였다. 그 결과, 학령후기 아동의 주관적 사회경제적 지위가 신체건강에 직접적으로 미치는 영향은 유의미하지 않았지만, 심리사회적 관점에 근거한 매개변인인 스트레스, 자기효능감, 및 건강행동을 통해 신체건강에 간접적으로 유의미한 영향을 미침을 확인하였다. 본 연구는 이상의 연구 결과를 바탕으로, 낮은 주관적 사회경제적 지위가 심리사회적 요인에 부정적인 영향이 미침으로써 열악한 신체건강을 초래하는 것을 예방하기 위한 노력을 비롯하여, 아동기 건강증진을 위한 몇 가지 고려사항들을 제안하였다.

• 한국생활과학회지
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• 제24권3호
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• pp.341-358
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• 2015

This study aims to identify predictors of driving cessation among Korean elderly. Data from 2011 Elderly Survey conducted by Ministry of Health and Welfare and Korea Institute for Health and Social Affairs were used for the analysis. Based on Webber, Porter, Menec(2010)'s comprehensive theoretical framework for mobility, the model of this study tests five major determinants of driving cessation including financial, psychosocial, environmental, physical and cognitive factors. Results of logistic regression analysis showed that economic status, marital status, contacts with relatives and friends, residential location, taking medication, muscle strength, age, gender, and job were significant predictors of driving cessation of older drivers. Specifically, lower economic status, unmarried status, less contacts with relatives and friends, living in the city, taking medication, weaker muscle strength, older age, female, non-working status were significant risk factors for driving cessation. Practical implications in light of study findings were discussed.

• 한국사회복지학
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• 제69권1호
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• pp.59-77
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• 2017

본 연구는 종단적 시각에서 손자녀 돌봄 유형과 중 고령층 여성의 건강과의 관계를 살펴봄으로써, 한국 여성노인의 노후생활에 대한 이해를 제고하는데 그 의미가 있다. 이를 위해 국민노후보장패널 2차년도 자료부터 5차년도 자료를 사용하여 손자녀 돌봄 유형을 돌봄지속, 돌봄전이, 돌봄중단, 미돌봄으로 구분하고 이 유형들이 50대 이상 중 고령층 여성의 신체건강 및 정신건강에 미치는 영향을 알아보고자 하였다. 연구결과, 인구사회학적 요인을 통제한 상태에서 손자녀를 돌보지 않는 여성에 비해 손자녀를 돌보다가 중단한 여성일수록 좋은 신체건강 수준을 보였다. 하지만 손자녀 돌봄 경험은 여성의 정신건강에 유의미한 영향을 보이지 않았다. 이를 통해, 손자녀 돌봄 유형이 중 고령층에 있는 여성의 신체건강과 정신건강에 미치는 영향은 다를 수 있음을 확인하였다. 본 연구의 결과를 바탕으로, 손자녀 돌봄을 제공하는 여성노인의 건강한 노후생활을 위한 후속 연구의 필요성 및 제고방안을 논의하였다.