• Title/Summary/Keyword: Self-Rated Health

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Impact of Area Characteristics on the Health of Vulnerable Populations in Seoul (지역특성이 취약집단 건강에 미치는 영향 분석)

  • Kim, Youn-Hee;Cho, Young-Tae
    • Korea journal of population studies
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    • v.31 no.1
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    • pp.1-26
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    • 2008
  • This research examines the effect of area level characteristics on individual health, particularly focusing on the vulnerable populations in Seoul. We consider adult individuals whose family income is under 1.5 million won, who are aged 65 and over, or who have neither spouse nor job but aged 40 and over as vulnerable populations. Using the 2005 Seoul Citizens' Health Interview Survey, we conducted multilevel analyses to simultaneously investigate the effect of area and individual level characteristics on health. Between-area variance of self-rated health status was greater for the elderly population than for all populations. Area material deprivation index and happiness index were associated with the self-rated health of economically disadvantaged populations. Vulnerable populations showed greater between-area variances in emotional health than the same for all populations. Area happiness index, material deprivation index, the proportion of households below poverty line and street safety showed statistically significant association with emotional health. The effect of area characteristics were particularly salient for the emotional health of elderly population and its between area variance was also notable.

Factors Influencing on Self Rated Health of Young and Elderly Community E-cigarette Smokers: The Community Health Survey 2019 (청·장년층 전자담배흡연자의 주관적 건강상태에 영향을 미치는 요인: 2019년 지역사회건강조사 자료 활용)

  • Son, Gee-Yeon;Park, Ju Ah;Nam, Mi-Ra
    • Journal of the Korea Convergence Society
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    • v.12 no.9
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    • pp.331-341
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    • 2021
  • This descriptive study was conducted to examine self rated health and factors influencing self rated health among e-cigarette smoking young and elderly community residents. The data were from the community health survey 2019 and the subjectis were 2,607 participants aged 19-50 years. Data analysis was conducted by descriptive statistics, χ2 test, univariate multinominal logistic regression using SPSS 26.0 program and SPSS complex samples statistics. As a result of the study, 90.2% of the young and old e-cigarette smokers had a good subjective health condition and 9.8% had a poor subjective health condition. The factors affecting the subjective health status of e-cigarette smokers are gender(p=.006), age(p=.036), income level(p=.044) in Model I, and physical activity (p=.033) and stress (p<.001) in Model II. As a strategy to improve the subjective health status and quit smoking of e-cigarette smokers in the young and old, nursing intervention strategies are needed to increase physical activity and reduce stress.

Analysis of factors related to the dental caries and periodontal diseases of the elderly (노인의 치아우식증과 치주질환에 연관된 요인 분석)

  • Jang, Jae-Yeon;Nam, Young-Shin
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.6
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    • pp.1173-1182
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    • 2012
  • Objectives : The purpose of this study was to examine the factors related to the dental caries and periodontal diseases of Korean elderly people in terms of demographic characteristics, oral health promotion behavior and systemic diseases in an effort to provide information on national policy setting and policy evaluation about the prevention of tooth loss resulting from severe oral diseases and the promotion of elderly people's oral health. Methods : The first-, second- and third-year raw data of the 4th National Health and Nutrition Survey were utilized, and the data of 3,882 elderly people who got a dental checkup were analyzed. The statistical package SPSS WIN 19.0 was employed to make a logistic regression analysis. Results : The senior citizens who did toothbrushing less frequently were more likely to have dental caries. As for periodontal diseases, the men were 1.34-fold more likely to have periodontal diseases than the women, and the respondents whose self-rated health state was worse were 1.40-fold more likely to have periodontal diseases than the others whose self-rated health state was better. The senior citizens who ever received treatment from unqualified people were 1.30-fold more likely to have peridontal diseases, and those who took neither vitamin compound nor minerals were 1.30-fold more likely to have periodontal diseases. Those who suffered from low High-density Lipoprotein cholesterol(HDL) were 1.35-fold more likely to have periodontal diseases than the others who didn't. Conclusions : Those whose self-rated health status is worse should especially be concerned about periodontal diseases. Specifically, it's needed to pay attention to the low-income classes, and the government should take measures to provide quality welfare services for elderly people not to receive treatment from unqualified people. Besides, research efforts should be made to determine the relationship between periodontal diseases and low HDL-cholesterolemia.

A Validation Study of the Abbreviated Self-Rated Korean Version of MINI (MINI Patient Health Survey) (한국판 단축된 자기보고형 MINI (MINI 정신건강 평가)의 타당도 연구)

  • Lim, Se-Won;Song, Han-Soo;Oh, Yun-Hee;Shin, Ho-Chul;Cho, Kwang-Hyun;Chung, Sang-Keun;Oh, Kang-Seob
    • Anxiety and mood
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    • v.3 no.1
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    • pp.32-40
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    • 2007
  • Objectives : To investigate the validity of an abbreviated self-rated Korean version of MINI (Mini International Neuropsychiatric Interview) patient health survey which screening social anxiety disorder, panic disorder, generalized anxiety disorder, and major depressive disorder. Methods : 115 subjects completed MINI and MINI patient health survey. The validity of MINI patient health survey was assessed by whether the results from MINI patient health survey were compatible with the results from MINI or not. The Cohen's kappa value, specificity, sensitivity, positive predictive value, and negative predictive value was calculated for this purpose. Results : The Kappa values of social anxiety disorder (0.60), panic disorder (0.49), generalized anxiety disorder (0.60) and major depressive disorder without other co-morbid disorder (0.59) were at least moderate in strength of agreement. Conclusion : The abbreviated self-rated Korean version of MINI patient health survey has the moderate to good validity in social anxiety disorder, panic disorder, generalized anxiety disorder, and major depressive disorder without other co-morbid disorders. Our result suggests that this instrument might be useful for screening above 4 disorders if it is used under careful supervision of experienced clinicians.

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Nutrition States and Related Factors of Female Elderly according to Residence (여자 노인의 거주지별 영양상태 및 관련 요인)

  • Park, Mi-Yeon;Park, Jung-Young;Park, Pil-Sook
    • Journal of the East Asian Society of Dietary Life
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    • v.25 no.1
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    • pp.39-48
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    • 2015
  • This study aimed to compare and evaluate nutritive conditions of the female elderly (2,893 people) based on a national health nutrition survey and health-related factors influencing nutritional intake. The results are as follows.- Average age of all subjects was $72.12{\pm}5.2$ old. BMI ($24.48{\pm}3.3kg/m^2$) and waist size ($83.9{\pm}9.5cm$) of urban elderly was larger ($23.74{\pm}3.3kg/m^2$, $82.28{\pm}9.9cm$) than that of rural elderly. MAR[4] and MAR[10] were also higher in urban elderly than rural elderly. The results of multiple regression analysis showed that factors influencing poor nutrition of elderly subjects were increasing age, smoking, and self-rated health. Old-old and current smokers were associated with a higher likelihood of poor nutrition (OR 1.82, 95%CI 1.43~2.30) and (OR 3.40, 95%CI 2.17~5.33) elderly female subjects in urban areas. Smoking (OR 2.29, 95%CI 1.33~3.95), poor self-rated health (OR 1.55, 95%CI 1.11~2.16), over nine hours of sleep per nighting (OR 1.72, 95%CI 1.17~2.53) and stress (OR 1.46, 95%CI 1.10~1.92) of elderly female subjects in rural areas were associated with higher likelihood of a poor nutrition. In conclusion, rural elderly are more influenced by poor health practice behaviors (self-rated health, sleeping stress) and psychological factors. Nutrition status of the rural elderly is worse than that of the urban elderly. To reduce nutritional risk of Korean elderly, especially rural elderly, active nutrition arbitration should include psychological environmental factors.

Convergence Study on the Employment Stress and Self-rated Oral Health Status in University Students (대학생의 취업스트레스와 자가구강건강상태에 관한 융합적 연구)

  • Kim, Min-A;Kim, Hyo-Jin;Lee, Yeon-Kyoung
    • Journal of the Korea Convergence Society
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    • v.11 no.3
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    • pp.127-133
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    • 2020
  • This study was to survey the relationship between employment stress and self-rated oral health status in university students from Sep. 2 to 27, 2019. Data were analyzed using the SPSS 22.0 program. In case of high employment stress, the comparative risk of self-rated oral health status was 1.7 times in Gingiva swelling, 1.46 times in ulcer and 1.53 times in hypersensitivity. After correcting the general characteristics (gender, age, grade, major), the comparative risk was 1.56 times for Gingiva swelling, 1.42 times for ulcer and 1.44 times for hypersensitivity. Therefore employment stress was found to be related to oral health and it is considered necessary to find ways to prevent and manage oral health by seeking various methods such as counseling support or stress control to reduce employment stress.

Association between Dietary Habits and Self-rated Health According to Sasang Constitution (사상체질에 따른 식습관과 주관적 건강상태와의 연관성)

  • Jeong, Kyoungsik;Kim, Hoseok;Lee, Siwoo;Baek, Younghwa
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.34 no.1
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    • pp.53-59
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    • 2020
  • Dietary habits are known to be closely related not only to chronic diseases such as cardiovascular disease and diabetes, but also to self-rated health (SRH). Consequently, there is a highly important lifestyle component in maintaining a healthy life. The aim of the present study was to determine the correlation between diverse dietary habits based on the Sasang constitutions (SC) and SRH. The data were collected from 2,984 participants who met the constitution pharmacology criteria and whose SC were clinically confirmed by SC professionals. Dietary habits were observed by assessing the regularity of diet, meal volume, and meal speed; single-answer questions were used for SRH. Fisher's exact/chi-square test and logistic regression were used to analyze the correlation between dietary habits depending on constitutional type and SRH. In association with constitutional SRH, the Taeum type is related to the amount of meal, the Soeum and Soyang types are related to the regularity of meal and meal volume. In the Taeum type, there was a significantly higher risk of lower SRH when meal volumes were irregular less than previous amounts. Irregular diet, as well as increased or decreased meal volume, negatively correlated with SRH in the Soeum type; in the Soyang type, irregular diet and decreased or irregular meal volume negatively affected SRH. This showed the presence of the different effects of dietary habits on health depending on constitution and also confirmed the association of the regularity of diet and meal volume based on constitution and the frequency of bad dietary habits with SRH. We suggest that personalized healthcare with adequate dietary improvement considering constitution is needed for health management or improvement.

The Measurement of Individual-level and Community-level Community Capacity and their Association with Self-Rated Health Status: A Comparison of D-gu and Y-gu in Seoul (개인 및 조직 수준에서의 지역사회 역량 측정과 주관적 건강 수준과의 관계 분석: 서울시 D구와 Y구의 비교)

  • Jung, Min-Soo;Cho, Byong-Hee
    • Korean Journal of Health Education and Promotion
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    • v.29 no.1
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    • pp.39-57
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    • 2012
  • Objectives: This study was to measure community capacity using individual-level and organizational-level capacity indicators and illuminated the relationship of community capacity and self-rated health status in two regions in Seoul, Korea. Methods: The data from individual surveys were obtained by quota sampling the residents of two autonomous gu in Seoul (N=1,000). The data from organizational surveys were obtained by snowball sampling lists of organizations in the possession of gu offices with a sampling frame (N=153). The survey tools were 6 indicators regarding residents' social capital and a sense of community and 5 indicators regarding community-based organizations and their networks. The analysis methods consisted of the effect of the components of capacity on health status and social network analysis. Results: As for capacity on individual levels, while D-gu was mainly developed inn individual capacity in terms of social interaction, Y-gu was stronger in a sense of community and cohesion among residents. As for capacity on organizational levels, Y-gu was more developed than was D-gu in associational networks. Conclusion: It is necessary to develop health promotion program per community and to strengthen partnerships with and among grassroots organizations based in local communities through the measurement of community capacity.

Psychometric Properties of the Korean Version of the HIV Self-Management Scale in Patients with HIV

  • Kim, Gwang Suk;Chu, Sang Hui;Park, Yunhee;Choi, Jun Yong;Lee, Jeong In;Park, Chang Gi;McCreary, Linda L.
    • Journal of Korean Academy of Nursing
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    • v.45 no.3
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    • pp.439-448
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    • 2015
  • Purpose: The purpose of this study was to examine validity and reliability of Webel and colleagues'HIV Self-Management Scale when used with a Korean sample. Methods: The original 20-item HIV Self-Management Scale was translated into Korean using translation and back-translation. Nine HIV nurse experts tested content validity. Principal component analysis (PCA) and confirmatory factor analysis (CFA) of data from 203 patients was used to test construct validity. Concurrent validity was evaluated using correlation with patients'self-rating as a "mart patient"measured using a visual analogue scale. Internal consistency was tested by Cronbach' alpha coefficients. Results: All items were rated as having satisfactory content validity. Based on PCA and consideration of conceptual meaning, a three-factor solution was selected, explaining 48.76% of the variance. CFA demonstrated the adequacy of the three-domain structure of the construct HIV self-management: daily self-management health practices, social support and HIV self-management, and chronic nature of HIV self-management. Goodness-of-fit indices showed an acceptable fit overall with the full model (${\chi}^2/df_{(164)}=1.66$, RMSEA=0.06, SRMR=0.05, TLI=0.91, and CFI=0.92). The Korean version of the HIV Self-Management Scale (KHSMS) was significantly correlated with patients'self-rated smart patient (r=.41). The subscale Cronbach' alpha coefficients ranged from .78 to .81; alpha for the total scale was .89. Conclusion: The KHSMS provides a valid and reliable measure of self-management in Korean patients with HIV. Continued psychometric testing is recommended to provide further evidence of validity with this population.