• 지역사회간호학회지
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• 제28권1호
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• pp.13-22
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• 2017

Purpose: The aim of this study is to examine the reciprocal causal relationship between social activities and health with reference to the cognitive function level among community-dwelling older adults. Methods: We conducted a longitudinal data analysis using the $4^{th}$ (Time 1) and $5^{th}$ (Time 2) waves from the Korean Longitudinal Study of Ageing adopting cross-lagged panel analysis (CLPA). Results: A total of 3,473 community-dwelling older adults were included in the analysis: 2,053 in the normal cognitive function group, 912 in the mild cognitive impairment group, and 508 in the moderate to severe cognitive impairment group. The CLPA revealed that higher levels of social activities at Time 1 significantly influenced better subjective health perception at Time 2 in all three groups. In addition, better subjective health perception at Time 1 significantly influenced higher levels of social activities at time 2 only in the normal cognitive function group. Conclusion: This study demonstrates that participating in social activities has positive effects on health regardless of the cognitive function level in community-dwelling older adults. This finding suggests that there is a need to develop strategies that can be used to encourage older adults with cognitive decline to maintain participation in social activities.

• 한국산학기술학회논문지
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• 제14권8호
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• pp.4019-4027
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• 2013

본 연구는 창원시를 대상으로 지역주민들의 주관적 건강수준에 영향을 미치는 근린환경요인을 분석하는데 목적이 있다. 이를 위해 본 연구에서는 개인의 사회경제적 속성과 함께 근린환경을 사회경제적 특성, 토지이용 특성, 자전거 이용환경으로 구분하고 다수준분석을 이용하여 지역주민들의 주관적 건강수준에 영향을 미치는 요인을 분석하였다. 분석결과 사업체밀도가 높을수록 지역주민들의 건강수준이 낮게 나타났으며 자전거 이용환경 중에서는 자전거 편의시설의 질, 자전거 이용시 안전성, 주요시설의 접근성이 지역주민들의 건강수준에 영향을 미치는 것으로 나타났다. 따라서 향후 건강한 근린환경 조성을 위한 계획을 수립하는데 있어 자전거이용을 고려한 근린환경조성이 필요하다고 생각되며 특히 자전거 편의시설, 자전거 이용시 안전성, 주요시설의 접근성 등을 고려하여 관련 계획을 수립할 필요가 있다.

• 한국안광학회지
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• 제15권1호
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• pp.67-71
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• 2010

Purpose: The effect of two different levels of illumination and the effect of three letter chart types on subjective refraction findings were investigated. Methods: This study involved thirty Malay university students aged between 19 to 23 years old (7 males, 23 females), with their spherical refractive error ranged between plano to -7.75D astigmatism ranged from plano to -1.75D, anisometropia less than 1D and with no history of ocular injury and pathology. Monocular subjective refraction was measured under two levels of illumination (with and without room light) and with three different letter charts (Snellen letter chart, wall mounted letter chart and projected letter chart). Subjective refraction finding was calculated in spherical equivalent in unit diopter (D). Results: There was no significant effect in the subjective refraction findings with Snellen letter chart (t-test=0.15, p-value=0.88), projected letter chart (t-test=-0.19, p-value=0.85) as well as wall mounted letter chart (t-test=0.12, p-value=0.94). One Way ANOVA also revealed when the subjective refractive measures were compared under two different level of room illumination (with and without room light), no significant effect of letter chart types on subjective refraction readings with room light ($F_{2.185}$=0.11, p-value=0.89) and without room light ($F_{2.185}$=0.02, p-value=0.98). Conclusions: Subjective refraction findings were not affected whether the room light was on or off. They were also not affected by the types of letter chart used.

• 문화기술의 융합
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• 제6권4호
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• pp.371-377
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• 2020

본 연구는 녹지에 대한 만족도가 도시 노인의 삶의 만족도에 미치는 영향을 분석하고 녹지환경 만족도와 삶의 만족도의 관계에서 주관적 건강상태가 매개효과를 가지는지 분석하는 것을 목적으로 하고 있다. 연구의 목적을 위해 통계청에서 실시한 2018년 사회조사에 참여한 65세 이상 노인을 분석하였다. 총 4,567명의 노인을 분석대상으로 다중회귀분석을 실시하였으며, 부트스트래핑(bootstrapping) 방법을 통해 매개효과의 유의미성을 확인하였다. 분석결과 녹지에 대한 만족도는 노인의 삶의 만족도에 유의미한 영향을 미치는 것으로 나타났다. 녹지에 대한 만족도가 높을수록 삶의 만족도가 높아지는 것으로 나타나 삶의 만족도에 대한 녹지환경 만족도의 직접 효과가 확인되었다. 또한 녹지환경 만족도는 주관적 건강상태에 유의한 영향을 미쳐 녹지환경 만족도가 높을수록 주관적 건강상태를 긍정적으로 인식하는 것을 알 수 있었다. 매개효과에 있어서는 주관적 건강상태가 도시노인의 녹지환경 만족도와 삶의 만족도의 관계에서 부분매개 역할을 하는 것으로 나타났다. 본 연구의 결과는 녹지환경이 도시노인의 건강과 삶의 만족도를 높일 수 있는 개입수단으로 활용될 수 있음을 보여준다.

• 보건의료산업학회지
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• 제8권3호
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• pp.49-61
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• 2014

Due to the rapid population's aging, the life span's expansion and social & cultural characteristics, the standards of age classes in senescence are changed. Thus, this study aimed to identify the influential factors on health care utilization in the elderly by age class, and targeted 2,937 adults in their ages over 55 years old from the Korea Health Panel's 2009 Yearly Integrated Data. This study investigated the target health care utilization in the elderly in relation with the gender, the education level, the health-care insurance type, the income, the current job state, the chronic disease. In order to analyze the influential factors on health care utilization in the elderly, the multiple linear regression analysis was conducted to the data. As the results from this study, Concerning the influential factors on the health care utilization, the income, the subjective health state, the chronic disease and the regularly meals for the young-old influenced. Concerning the influential factors on the health care utilization, the subjective health state for the old. Concerning the influential factors on the health care utilization, the subjective health state, the income for the older-old influenced. Concerning the influential factors on the health care utilization, the education level, the spouse, the economic activity and the drinking oldest-old influenced. Therefore, it will need to provide systemic health-care & medical services, to develop health-care & medical programs and the health-care & medical policies and to execute them according to the age classes in senescence.

• 보건교육건강증진학회지
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• 제26권2호
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• pp.35-47
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• 2009

Purpose: The purpose of this study was to investigate the chronic disease, health status and lifestyle, and to test the chronic disease and health status and lifestyle of rural elderly by gender. Method: The interview survey was performed in September 2004 with structured questionnaires(Scale of Long-Term Health and Welfare Need Survey) to 770 of the elderly who lived in Muan-Gun of Chunnam Province. The percentage, Chi-squire test and regression method were used for some of the cross-sectional data. Results: The 770 elderly respondents were composed of 51.3% male and 48.7% female. 59.1% of the elderly had chronic disease. About the subjective health status that 54.3% of the respondents have been answered not good health status, 87.9% of the respondents have been health examination. The related variables of chronic disease and general characteristics were education and religious level in male, age, marital status, type of social security, education and religious level in female, and health status variables were subjective health status, cognitive function, ADL, IADL, and lifestyle factors was exercise in male, examination in female. Conclusion: These results suggested that special health promotion and education programs of the health habits such as physical exercise and health examination were necessities for the elderly of rural area.

• 대한간호학회지
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• 제43권6호
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• pp.770-780
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• 2013

Purpose: The purpose of this study was to identify the factors affecting the unmet healthcare needs of married immigrant women. Methods: This study was a secondary data analysis using data from the 2009 National Survey of Multicultural Families. Data collected from 58,735 married immigrant women who had spouses were analyzed using descriptive statistics, Chi-square test, and logistic regression. Results: Overall, 9.9% of married immigrant women have unmet healthcare needs. The significant predictors related to unmet healthcare needs were young age, high level of education, employed, country of origin, long period of residence, low income, uninsured, urban area, low level of subjective health status, and illness experience over past two weeks. In particular, four variables (long period of residence, low income, subjective health status, and illness experience over past two weeks) significantly predicted unmet healthcare needs for women from all countries of origin. Conclusion: The results of the study indicate that common predictors related to unmet healthcare needs of married immigrant women are a long period of residence, low income, subjective health status, and illness experience over past two weeks. Therefore intervention strategies to decrease unmet healthcare needs should focus on these significant predictors.

• 가족자원경영과 정책
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• 제24권2호
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• pp.89-108
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• 2020

The purpose of this study was to analyze the factors influencing life satisfaction in widowhood among older females. Using the sixth Korean Retirement and Income Study (KReIS) supplementary survey data, a total sample of 1,471 women aged 65 or older whose spouse had died were selected, divided into 508 young-old (65-74), 745 middle-old (75-84), and 218 oldest-old (85+). Then, factors influencing the life satisfaction of these three groups were analyzed, based on a combination of perceived health and interpersonal satisfaction levels. It was found that among the young-old group, a higher level of subjective health perception indicated by monthly income and material support and interpersonal satisfaction linked to more frequent participation in community gathering combined for an overall higher level of life satisfaction. For the middle-old group, higher life satisfaction was provided by monthly income, informational support, and material support for subjective health perception and no diseases for interpersonal satisfaction. The oldest-old group with higher life satisfaction referred to monthly income for subjective health perception and no experience in donation activities for interpersonal satisfaction. Based on these findings, this study provides implications for policy and practice to improve the life satisfaction of elderly women who have experienced their spouse's death.

• 한국산학기술학회논문지
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• 제20권6호
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• pp.297-305
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• 2019

본 연구는 성인여성의 주관적 체형인식에 따른 삶의 질 영향요인을 비교하기 위해 시도되었다. 본 연구는 제 7기 1차 년도인 2016년 국민건강영양조사 대상자 총 8,150명 중 주관적 체형인식에 '마름', '보통', '비만'이라고 답한 20세 이상 여성 3,392명을 대상으로 하였으며, 일반적 특성, 신체적 요인과 심리적 요인을 분석하였다. 자료는 IBM SPSS 25.0 프로그램을 이용하여 가중치를 부여한 복합표본계획파일을 생성한 후 분석하였으며, 유의수준은 .05로 하였다. 본 연구결과 주관적 체형을 마르게 인식한 대상자의 삶의 질에 영향을 준 요인은 교육 수준, 출산 경험, 우울, 주관적 건강이었고 이들의 설명력은 43.1%이었다. 보통이라고 인식한 대상자의 삶의 질 영향요인은 교육수준, 우울, 주관적 건강이었고 이들의 설명력은 26.5%이었으며, 비만으로 인식한 대상자의 삶의 질 영향요인은 나이, 1년간 체중변화, 1년간 체중조절, 고혈압 유무, BMI, 주관적 건강이었고 이들의 설명력은 40.9%이었다. 그러므로 주관적 체형인식 각각의 영향요인을 고려한 개별적 삶의 질 향상 중재가 요구된다.

• 대한간호학회지
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• 제36권2호
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• pp.330-340
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• 2006

Purpose: This study was performed to investigate the factors influencing health behavior. Method: Data used in this study was drawn from a 2001 National Health survey done by Korea Institute for Health and Social Affairs. Number of samples were 5,085 people between age 20 years and 69 years in whole country. In this study, we modified Green and Kreuter's Precede-Proceed model to analyse influence of factors in health behavior, Hierarchical regression were used in the analysis. Result: 1) Factors that had statistically significant positive relation with overall health behavior were age, educational level, income level, disease in the family, medical examination, subjective weight, and concern about health, 2) Factors that had statistically significant negative relation with overall health behavior were sex, subjective health, stress, and degree of physical activity. Conclusion: 1) It would be necessary to set the target group for the health promotion in advance. 2) It was very important to adopt easy and efficient methods to change the health behavior of target group, for example, ability to control stress.