• 지역사회간호학회지
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• 제30권4호
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• pp.449-459
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• 2019

Purpose: The aim of this study is to explore different types of self-rated health trajectories among one-person households in Korea. Methods: We used five time-point data derived from Korea Health Panel (2011~2015). A latent growth curve modeling was used to assess the overall feature of self-rated health trajectory in one-person households, and a latent class growth modeling was used to determine the number and shape of trajectories. We then applied multinomial logistic regression on each class to explore the predicting variables. Results: We found that the overall slope of self-rated health in one-person households decreases. In addition, latent class analysis demonstrated three classes: 1) High-Decreasing class (i.e., high intercept, significantly decreasing slope), 2) Moderate-Decreasing class (i.e., average intercept, significantly decreasing slope), and 3) Low-Stable class (i.e., low intercept, flat and nonsignificant slope). The multinomial logistic regression analysis showed that the predictors of each class were different. Especially, one-person households with poor health condition early were at greater risk of being Low-Stable class compared with High-Decreasing class group. Conclusion: The findings of this study demonstrate that more attentions to one-person households are needed to promote their health status. Policymakers may develop different health and welfare programs depending on different characteristics of one-person household trajectory groups in Korea.

• 한국콘텐츠학회논문지
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• 제16권2호
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• pp.200-210
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• 2016

본 연구는 지역사회에 거주하는 중년과 노년을 대상으로 자가 평가 건강수준 정도를 파악하고 이에 영향을 미치는 요인을 규명하고자 시행한 서술적 상관관계 연구이다. 40-64세의 중년 142명과 65세 이상의 노년 201명을 대상으로 구조화된 설문지를 이용하여 2014년 3월부터 7월까지 자료를 수집하였다. 중년에서는 건강증진 생활양식, 기분상태, 사회적 지지, 자기효능감이 자가 평가 건강수준과 유의한 상관관계를 보였으며, 보유질환 여부, 건강증진 생활양식의 하위개념인 스트레스 관리와 건강책임, 기분상태의 하위개념인 피로, 화, 긴장과 사회적 지지가 자가 평가 건강수준의 영향요인으로 확인되었고 설명력은 43.6%였다. 노년에서는 건강증진 생활양식, 사회적 지지, 자기효능감이 자가 평가 건강수준과 유의한 상관관계를 보였으며, 건강증진 생활양식의 하위개념인 신체활동, 보유질환 여부, 기분상태의 하위개념인 혼동, 운동여부가 자가 평가 건강수준을 40.4% 설명하는 영향요인으로 확인되었다. 이러한 결과를 토대로 중년과 노년의 차별화된 특성을 반영하여 교육, 상담, 건강검진, 레크리에이션 활동 등의 방법을 통한 신체 정서 사회적 영역을 포함하는 포괄적 건강증진 프로그램의 개발과 적용이 요구된다.

• 한국생활과학회지
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• 제18권5호
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• pp.1123-1133
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• 2009

This study attempted to analyze the general and physical characteristics, the status of physical function, the type and number of current diagnosis and self-reported symptoms, healthy life mode and food preference according to self-rated health (SRH) of older adults (135 men and 270 women). It also attempted to assess the factors affecting the SRH standards in agricultural and fishery areas located in southwestern Korea. The subjects considered themselves as being 'good'(57.6%), 'normal'(29.6%) or 'poor'(12.85) SRH, meaning positive self-rating of health and it was found that the correlation between factors such as the gender, current marriage status, monthly wage, the reception of the government's livelihood subsidy and subjective economical status and the SRH were significant. Regardless of the categories of obesity, a large number of the participants rated themselves as 'healthy', but not statistically significant. The subjects who reported poor ADL and IADL capacities, indicators of the status of physical function, were significantly more classified to the 'poor' health category and vice versa (P<0.001). The reported chronic diseases in this study that have lasted more than three months, were lumbago, sciatica, arthritis, high blood pressure and peptic ulcer. The current ratios of smoking, drinking and exercise were 85.3, 39.0 and 18.6%, respectively. The less drinking and exercising there was, the higher the 'good' SRH categories obtained (P<0.05). The respondents who had less chance of eating sour and hot foods estimated their health status as being better.

• 보건행정학회지
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• 제29권4호
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• pp.431-444
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• 2019

Background: This study aimed to properly manage diseases such as blood sugar control so that patients with diabetes can benefit from both medication and health activities. Also, these health practices are greatly influenced by self-rated health, a subjective assessment of health status. Because self-rated health does not necessarily match the objective health status, it is important to identify which factors affect self-rated health. Methods: For the study, the data was gathered from the 4th-6th National Health Nutrition Survey (2007-2015). Out of the total 73,353 participants in the survey, 2,303 patients with uncontrolled blood sugar with an HbA1c level of more than 7% were selected for the final study. Dependent variables fell into two categories depending on how the participant reported whether he or she was in good health or not. Independent variables included socio-demographics, health behavioral, and health status factors. This study performed logistic regression analysis. Results: Out of 2,303 participants, 18.1% reported that their heath was 'good,' despite the fact that their blood sugar level was not controlled. After running a logistic regression model, the odds ratio of groups that perceive subjective health awareness as good was higher in the groups of people as below: in the people over 60 years old; in the people who graduated from a junior college or higher than those who had a level of education of primary school completion or less; in the people living in Chungnam than those living in Seoul; and in the group with hypertriglyceridemia. Conclusion: The study identified factors associated with those failed to perceive the blood sugar level as a severe health problem despite of the fact that blood sugar was not controlled. To improve public health, diabetes management policies need to be addressed to population groups with these problems above.

• 지역사회간호학회지
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• 제26권2호
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• pp.140-149
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• 2015

Purpose: This study was conducted to identify activities of daily living, depression and self-rated health and related factors for Korean Elderly. Methods: Data from the survey for the Korean Longitudinal Study of Aging in 2010 were used. The data were analyzed using frequencies, weighted proportions, and hierarchical multiple logistic regression. Results: Significant difference was observed in health status induced by socioeconomic status between men and women, but not among age groups. Socioeconomic status was strongly associated with self-rated health among male and female elders. Being unschooled and low net family asset were significantly related with dependency in activities of daily living and depressive symptoms among men. Only low net family asset was significantly related with depressive symptoms among women. Family support provides a slight decrease to the negative relationship between socioeconomic status and health status, especially depressive symptoms. Conclusion: This study suggests that interventions to reduce health inequalities should target elderly with lower socioeconomic status and with poor family support, using a gender-specific approach.

• 농촌의학ㆍ지역보건
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• 제37권4호
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• pp.246-257
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• 2012

본 연구는 부산지역 65세 이상 노인을 대상으로 질병상태를 정상, 만성질환, 우울증, 우울증을 동반한 만성질환의 4군으로 구분하여 질병상태에 따른 자가 평가 건강수준을 비교하고, 자가 평가 건강 수준에 관련된 요인을 관찰하고자 하였다. 연구 자료로 부산광역시 2009년 지역사회건강조사 자료를 활용하였고, 그 중 65세 이상 노인 2,549명을 추출하여 연구 대상으로 하였다. 자료는 SAS program(ver. 9.2)을 이용하여 ${\chi}^2$-test, multiple logistic regression을 복합표본분석 방법으로 분석하였다. 분석 결과 자가 평가 건강수준이 만성질환과 우울증의 단일질환만을 가진 경우보다 만성질환에 우울증을 동반한 경우 매우 낮게 관찰되었고, 만성질환자의 우울증 동반율이 높았다. 질병 상태이외에 여자에서, 교육수준이 낮은 경우, 경제수준이 낮은 경우, 중등도 운동을 하지 않는 경우, 걷기 운동을 하지 않는 경우 자가 평가 건강수준이 낮았다. 본 연구결과를 토대로 노인 만성질환관리 사업에 우울증 관리를 연계한 사업 모형을 개발하여 지역사회에 적용할 것과 노인 만성질환 관리 사업에서는 우선대상으로 취약계층과 여성을 고려하고, 운동 사업을 연계하는 것을 제안한다.

• 한국식품영양학회지
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• 제30권1호
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• pp.83-95
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• 2017

This study examined the socioeconomic factors that affect self-rated health (SRH) in healthy adults, and the relationship of SRH to health-related habits, serum biochemical indices, and nutritional intakes. Subjects consisted of 1,154 healthy adults without any known disease, aged 19 to 65 years (average age of 36.7), whose information was obtained from the 2013 Korean National Health and Nutritional Examination Survey data. Of these subjects, 73 rated themselves as 'very healthy,' 460 indicated that they were 'healthy,' 568 self-identified as 'ordinary', and 53 put themselves in the 'unhealthy' category. The proportion of subjects who chose 'unhealthy' was significantly increased with higher frequencies of disruptions in their daily lives (p<0.05), regret after drinking (p<0.05), smoking (p<0.001), and higher levels of stress (p<0.001). On the other hand, the proportion of subjects reported as 'very healthy' was significantly higher with regular intense (p<0.001) or moderate physical activities (p<0.05), regular walking (p<0.05), a perception of being 'normal' in their body image (p<0.01), a decrease of body weight more than 3 kg in the past year (p<0.05), and without risk factors for metabolic syndrome (p<0.05). Serum triglyceride level was lower, and 25-(OH) vitamin D content was significantly higher, in the 'very healthy' group as compared to the 'unhealthy' group (p<0.05). Dietary fiber and vitamin C intakes were significantly higher in the 'very healthy' group than 'unhealthy' group (p<0.05). The overall results suggest that a healthy lifestyle, including regular exercise, non-smoking, good stress management, and higher intakes of fiber and vitamin C, may be potential factors that affect one's positive perception of health.

• 한국간호교육학회지
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• 제17권2호
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• pp.306-316
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• 2011

Purpose: The purpose of this study was to compare health promotion lifestyles of college nursing students between students who live with their parents and students who are self-boarders. Methods: The sample consisted of 375 college nursing students in C and S city. Self report questionnaires were used to measure the variables. In data analysis, the SPSSWIN 18.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and multiple regression analysis. Results: The mean score for Health Promotion Lifestyle in living with the parents group was significantly higher than that of the self-boarders group (t=-2.16, p=.031). In multiple regression, perceived health state, exercise frequency, self-rated knowledge about health, and grade were significant predictors of Health Promotion Lifestyle in college nursing students, explaining 26.3%. Conclusion: This study suggests that perceived health state, exercise frequency, and self-rated knowledge about health, and grade are significant influencing factors in Health Promotion Lifestyle in college nursing students. Therefore, strategies which improve these variables must be developed for college nursing students.

• 한국융합학회논문지
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• 제11권7호
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• pp.319-328
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• 2020

본 연구는 성인 음주자의 음주 패턴과 정신건강 및 주관적 불건강 상태와의 관련성을 확인하기 위하여 국민건강 영양조사(2010~2013)의 19세 이상 성인 음주자 19,856명의 자료를 사용하여 복합표본 로지스틱 회귀분석하였다. 저위험 음주를 기준으로 했을 때 남성은 알코올 사용장애에서 스트레스 인지, 우울감 및 자살 생각을 경험할 위험이 높았고, 여성은 알코올 사용장애 뿐만 아니라 위험 음주에서도 스트레스 인지, 우울감 및 자살 생각의 위험이 유의하게 높아 남성보다 음주 문제로 인한 정신건강의 취약성이 높은 것으로 확인되었다. 또한 남녀 모두 과거 음주는 저위험 음주와 비교했을 때 정신건강 손상의 위험에서는 차이가 없었지만, 주관적으로 불건강하다고 평가할 위험은 높은 것으로 확인되었다. 따라서 유해 음주자를 조기 선별하여 신체와 정신 건강 상태에 대한 포괄적 평가와 함께 여성 음주자를 위한 차별화된 정신건강 관리대책이 필요하고, 과거 음주를 비음주나 저위험 음주로부터 분리하여 신체 및 정신 건강 상태를 평가하는 것이 필요하다.

• 동의생리병리학회지
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• 제35권6호
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• pp.267-273
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• 2021

Mibyeong (sub-health) is a concept that represents the sub-health in traditional East Asian medicine. Assuming that the nose sizes and shapes are related to respiratory function, in this study, we hypothesized that the nose size and shape features are related to the self-rated health (SRH) level and self-rated Mibyeong severity, and aimed to assess this relationship using a fully automated image analysis system. The nose size features were evaluated from the frontal and profile face images of 810 participants. The nose size features consisted of five length features, one area feature, and one volume feature. The level of SRH and the Mibyeong severity were determined using a questionnaire. The normalized nasal height was negatively associated with the self-rated health score (SRHS) (partial ρ = -0.125, p = 3.53E-04) and the Mibyeong score (MBS) (partial ρ = -.172, p = 9.38E-07), even after adjustment for sex, age, and body mass index. The normalized nasal volume (ρ = -.105, p = 0.003), the normalized nasal tip protrusion length (ρ = -.087, p = 0.014), and the normalized nares width (ρ = -.086, p = .015) showed significant correlation with the SRHS. The normalized nasal area (ρ = -.118, p = 0.001), the normalized nasal volume (ρ = -.107, p = .002) showed significant correlation with the MBS. The wider, longer, and larger the nose, the lower the SRHS and MBS, indicating that health status can be estimated based on the size and shape features of the nose.