• 한국학교보건학회지
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• 제32권1호
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• pp.41-49
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• 2019

Purpose: The purpose of the this study was to examine the mediating effect of resilience on the relationship between social capital - family, school, and community - and self-rated health in adolescents. Methods: The study is a secondary data analysis based on a cross-sectional design, using the data of 2016 Korean Children and Youth Panel Survey (KCYPS). The study analyzed the data of 2,001 adolescents by descriptive analysis, t-test, ANOVA, Pearson's correlation coefficients and structural equation modeling, using the SPSS and AMOS program. Results: The model's fit was adequate ($x^2/df=4.51$, CFI=.98, RMSEA=.04, SRMR=.02). The adolescents' social capital - family, school and community - had direct effects on their self-rated health. Resilience was found to play a partially mediating role in accounting for self-rated health. Conclusion: Resilience partially mediated the relationship between social capital and self-rated health in adolescents. Based on the results of this study, nursing strategies to build and strengthen social capital at the family, school and community level and to promote resilience are needed to improve the health of adolescents.

• 성인간호학회지
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• 제17권5호
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• pp.732-742
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• 2005

Purpose: This study was conducted to compare self-rated health, health status, and health promotion behaviors between non-low income and low income elderly women in the urban setting. Method: The subjects of this study consisted of 668 Korean elderly women over 65years. The data was analyzed by the SAS(ver.8.02) computer program, and it included descriptive statistics, ${\chi}^2-test$, analysis of covariance, pearson correlation coefficient and multivariate logistic regression. Results: 1) The non-low income elderly women had significantly higher scores(self-rated health, health status, and health promotion behavior) than the low income elderly women. 2) In low income elderly women, age, number of children were the main effect factors of health status, and level of education, burden of medical expense were the main effect factors of health promotion behaviors. In non-low income elderly women, number of children was the main effect factors of health status, and level of education, level of pocket money were the main effect factors of health promotion behaviors. Conclusion: This study showed that the establishment of a health care system for elderly according to their social-economic level is very important for providing productive care apposite to the situation of elderly.

• 보건의료산업학회지
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• 제11권2호
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• pp.105-115
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• 2017

Objectives : The aim of this study was to suggest the optimal cut off for best, very good, good, slightly bad, and bad grades. Methods : The subjects were recruited from 4 areas of South Korea and 487 questionnaires were analyzed. The nominal and continuous self-rated health questions were used to reveal the optimal cut off and the Short Form-12 Health Survey questionnaire (SF-12) was additionally used. Frequency, Pearson's correlation coefficient, and ROC-curve analysis were used; the significance level was <.05. Results : Subjects assigned 15(3.1%), 90(18.5%), 237(48.7%), 130(26.7%), and 15(3.1%) to best, very good, good, slightly bad and bad groups respectively. The self-rated health score was associated with total Component (r=.563, p<.001), Physical Component (r=.520, p<.001) and Mental Component of SF-12 (r=.303, p<.001). The optimal cut off was 80.5, 70.5, 53.5, and 40.5 for best, very good or more, good or more, and under slightly bad respectively and area under curve was 0.898, 0.908, 0.945, and 0.908 accordingly. Conclusions : This study suggests that the self-rated health score and grade could be integrated with the optimal cut off.

• Journal of Preventive Medicine and Public Health
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• 제48권1호
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• pp.18-27
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• 2015

Objectives: Civic participation, that which directly influences important decisions in our personal lives, is considered necessary for developing a society. We hypothesized that civic participation might be related to self-rated health status. Methods: We constructed a multi-level analysis using data from the World Value Survey (44 countries, n=50 859). Results: People who participated in voting and voluntary social activities tended to report better subjective health than those who did not vote or participate in social activities, after controlling for socio-demographic factors at the individual level. A negative association with unconventional political activity and subjective health was found, but this effect disappeared in a subset analysis of only the 18 Organization for Economic Cooperation and Development (OECD) countries. Moreover, social participation and unconventional political participation had a statistically significant contextual association with subjective health status, but this relationship was not consistent throughout the analysis. In the analysis of the 44 countries, social participation was of borderline significance, while in the subset analysis of the OECD countries unconventional political participation was a stronger contextual determinant of subjective health. The democratic index was a significant factor in determining self-rated health in both analyses, while public health expenditure was a significant factor in analysis of 18 countries. Conclusions: Our investigation suggests that civic participation, including unconventional political activity at the contextual level, might be a significant determinant of health status of a country.

• 보건교육건강증진학회지
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• 제32권5호
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• pp.53-62
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• 2015

Objectives: The purpose of this study was to examine the associations among self-rated health and socioeconomic status. Methods: Analyses were conducted based on cross-sectional data obtained from the Korea Youth Risk Behavior Web-based Survey. A total of 79,202 students aged 12 to 18 years participated in the study and there was a response rate of 95.5%. Separate logistic regression analyses were performed on each gender group based on a set of independent variables. Those being: the level of parental education level; family affluence scale; subjective household economic status; and subjective school achievement with SRH as the dependent variable. Results: Multivariate analyses revealed significant associations between each SES and adolescent SRH after controlling for other covariates. However, in the models that included all SES indicators, subjective household economic status and subjective school achievement remained significant in boys and girls. Conclusions: The findings demonstrated that subjective SES indicators are more closely related to adolescent SRH when compared with objective indicators.

• Journal of Community Nutrition
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• 제8권1호
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• pp.38-43
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• 2006

There were numerous evidences that subjective health evaluation was a powerful indicator for morbidity and mortality in many countries. Since self-rated health (SRH) was a reasonable health measure, identifying predictors for SRH would be beneficial for assessment of overall health, monitoring health status, and development of health promotion programs. Health risks, health behavior, socioeconomic characteristics and social capital were potential indicators for SRH. We examined association. between SRH and indicators such as health risk factors, subjective living condition, income, education level and dietary variety score. Total 4,262 subjects, aged between 20 and 69 years old, were selected from KNHANES 2001; those who completed health examination, nutrition survey, and provided their socioeconomic information. Results of logistic regression showed that it was likely to have better SRH for those who were younger, male and have higher education, higher income, better living condition, no metabolic syndrome and higher dietary variety.

• 대한지역사회영양학회지
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• 제17권3호
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• pp.290-301
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• 2012

This survey of 836 midlife women ($51.0{\pm}4.0$ yrs) was undertaken by exclusively a face to face interview by well-trained interviewers guarantying data collection of higher quality. This survey data was analyzed using the SPSS program. The main purpose of this study was to describe the factors affecting self-rated health status, including dietary habits and physical mental social factors. In the self-rated health status of a 'good' group, age was lower (p < 0.05), monthly income was higher (p < 0.01), dietary habits score (p < 0.001) and appetite (p < 0.001) and the degree of movement (p < 0.001) and life satisfaction (p < 0.001), marital intimacy (p < 0.001) and relationship satisfaction with their children (p < 0.001) were significantly higher than the 'bad' group. The level of depression (p < 0.001) and severe feeling of menopausal symptoms (p < 0.001) were significantly higher in the 'poor' group. The results of correlation analysis demonstrated that educational level (r = 0.069, p < 0.05), income (r = 0.157, p < 0.001), eating habits (r = 0.235, p < 0.001), appetite (r = 0.263, p < 0.001), life satisfaction (r = 0.197, p < 0.001), marital intimacy (r = 0.167, p < 0.001), child relationship satisfaction (r = 0.149, p < 0.001), positive attitude toward menopause (r = 0.070, p < 0.05) showed a positive correlation, but depression (r = -0.122, p < 0.001) and menopausal symptoms (r = -0.292, p < 0.001) showed a negative association with self-rated health status. The predictable factors affecting the self-rated health status of middle-aged women were examined by multiple regression analysis. The 'menopausal symptoms - physical discomfort' was the most important variables followed by the 'appetite', 'eating habits', 'menopause symptoms - sensory problems', 'BMI', 'positive attitude toward menopause' and 'high marital intimacy'. These results showed that the 'appetite' and 'eating habits' are important factors affecting the self-rated health status. Therefore, a program of dietary education must be considered for the effective health education and counseling of middle-aged women.

• 한국직업건강간호학회지
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• 제12권2호
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• pp.171-176
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• 2003

Purpose: To investigate difference in health status by social classes in Korea through second analysis the 1999 Social Statistic Survey raw data performed by National Statistic Office. Method: 52,100 subjects were 20-64 years old and students were excluded. Health status was measured self-rated health and disease prevalence past 2 weeks. Social classes were classified 5 categories by occupations and working status and 1 category by unemployment. Result: Unemployed people reported the worst self-rated health on average, the lower social classes, the worse self-rated health and higher disease prevalence. Health inequality still existed between social classes after adjusting sex, age, and education level. Conclusion: A certain strategy for improving unemployed people's health and people who are working in craft, simple manual labor, agriculture, fishery, and forestry.

• 한국노년학
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• 제40권3호
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• pp.459-475
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• 2020

본 연구는 손자녀가 있는 조부모를 대상으로 손자녀 양육이 우울감에 미치는 영향이 주관적 건강에 따라 달라지는지 살펴보고자 하였다. 이를 위해 고령화연구패널조사(KLoSA)의 4차년도(2012년) 자료를 분석에 사용하었다(N=650). 또한 손자녀 양육에 참여한 조부모와 참여하지 않은 조부모의 선택에서 무작위성을 보장하기 위해 Coarsened Exact Matching(CEM) 방법을 적용하여 타당성을 높이고자 하였다. 종속 변수는 우울감이며, 독립 변수는 손자녀 양육, 조절 변수는 주관적 건강상태이다. 통제 변수로는 교육 수준, 연령, 가구 소득, 성별, 결혼 상태, 삶의 만족도를 투입하였다. STATA 13.0를 이용하여 CEM을 적용하여 데이터를 매칭 한 후에 가중 다중 회귀 분석을 실시하였다. 또한 상호작용항 해석을 위해 Simple slope analysis와 Region of significance를 실시하였다. 분석 결과 주관적 건강상태의 조절 효과가 확인되었다. 구체적으로, 주관적 건강이 보통 이상으로 높다고 응답한 조부모의 경우에는 손자녀 양육에 참여하는 조부모들이 참여하지 않는 조부모들보다 우울감이 낮았다. 반대로 주관적 건강이 낮다고 응답한 조부모의 경우에는 손자녀 양육 참여 여부에 따른 차이가 나타나지 않았다. 이러한 결과를 바탕으로 손자녀 양육을 하는 조부모에게 주관적 건강상태에 관한 고려가 필요함을 논의하였다.

• 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.