• Title/Summary/Keyword: Subjective level of health

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Association between Risk of Obstructive Sleep Apnea and Subjective Health and Health-Related Quality of Life of the Korean Middle-Aged and Elderly Population (한국 중고령층의 폐쇄성 수면무호흡증 위험과 주관적 건강 및 건강 관련 삶의 질 간의 연관성)

  • Nu-Ri Jun;Min-Soo Kim;Jeong-Min Yang;Jae-Hyun Kim
    • Health Policy and Management
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    • v.34 no.2
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    • pp.141-155
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    • 2024
  • Background: This study aimed to identified the relationship between the risk of obstructive sleep apnea, subjective health, and health-related quality of life among the middle-aged and elderly population in Korea. Methods: Adults aged 40 or older were extracted from the total 22,559 respondents to the 2019-2020 Korea National Health and Nutrition Examination Survey VIII, and secondary analysis was conducted on a total of 6,659 middle-aged and elderly people with no missing values. Logistic regression analysis and multiple regression analysis were conducted to examine the relationship between obstructive sleep apnea risk factors and subjective health as well as quality of life. Results: The subjective health status decline in the high-risk group compared to the non-risk group for obstructive sleep apnea was statistically significantly higher, with an odds ratio of 1.84 (p<0.001). The health-related quality of life was also statistically significantly lower by 0.02 points (β, -0.02; p<0.001). As a result of subgroup analysis on specific variables, the association between the risk of obstructive sleep apnea and subjective health and health-related quality of life was statistically significant depending on gender, sleep time, presence of depression, household income, and number of household members. Based on the obstructive sleep apnea risk group, women had a higher correlation with low subjective health and lower health-related quality of life scores than men. Sleeping time of more than 8 hours or less than 6 hours was more associated with low subjective health and lower health-related quality of life score than sleeping time of 6-8 hours. Patients with depression were more likely to have low subjective health than those without depression. The lower the household income level and the smaller the number of household members, the higher the association with low subjective health and the lower the health-related quality of life score. Conclusion: It is essential to recognize that the risk of obstructive sleep apnea not only directly affects sleep disorders but also impacts individuals' subjective health and quality of life. Consequently, social support and education should be provided to raise awareness of this issue. Particularly, programs for preventing and managing obstructive sleep apnea should target vulnerable groups such as women, individuals in single-person households, low household income, and those with depression, aiming to improve their subjective health and quality of life.

Subjective Health Status, Religiosity and Fear of Death of the Elderly in Rural Communities (노인의 주관적 건강상태, 종교성과 죽음에 대한 공포)

  • Han, Young-Ran
    • Research in Community and Public Health Nursing
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    • v.18 no.3
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    • pp.400-409
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    • 2007
  • Purpose: This study was performed to investigate the level of subjective health status, religiosity and the fear of death of the elderly and to identify the relationships among them. Methods: This study was a cross-sectional descriptive study using a questionnaire. Fear of Death Scale that was made by Loo & Shea (1996) and translated and revised by Kim(2003) was used to measure the fear of death. The data was analyzed using SPSS. Results: The subject was 128 community dwelling elders who had a religion. Of the respondents, 50% felt 'not healthy', and 69.5% was moderately religious. The mean score of FODS was 3.18 (out of 5). The mean score of each subcategory of FODS was as follows: Death anxiety about the death of self was 3.00. Death anxiety about the dying of self was 3.18. Death anxiety about the death of others was 3.31 and death anxiety about the dying of others was 3.23. There was a statistically significance correlation between the level of religiosity and FODS (F=3.29, p= .040). Conclusion: Health professionals may make efforts to learn about healthy attitudes toward death and aid for the elderly and to comfort them. Death education programs are needed for the elderly.

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Association between bone mineral density and remaining teeth in postmenopausal women (폐경여성의 골밀도와 잔존치아의 관련성)

  • Lee, Kyeong-Soo;Kim, Chang-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.3
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    • pp.319-326
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    • 2014
  • Objectives : The purpose of the study is to investigate the factors affecting the bone density and the relationship between bone density and remaining teeth by using data from 2007 to 2009 of the 4th Korean National Health and Nutrition Examination Survey(KNHANES). Methods : The subjects were 1,829 postmenopausal women over 50 years old from the data of the 4th KNHANES. Results : The bone density had the significant difference in 'age' and 'level of education' and remaining teeth had the significant difference in age, monthly income and level of education. The bone mineral density and remaining teeth had the significantly different from subjective general health, smoking, drinking, physical activity. The oral health behaviors and remaining teeth had the significantly associated in subjective oral health status, frequency of tooth brushing, use of auxiliary oral hygiene product, and recent oral examination. Conclusions : The number of remaining teeth is below 9.27 compared with the normal group.

A Study of Labor Force Participation and Living Arrangement on Health Status and Subjective Life Satisfaction in Later Life (노인들의 노동시장 참여형태와 동거유형이 건강수준 및 주관적 삶의 만족도에 미치는 영향 연구)

  • Kang, Lee-Ju;Lee, Young-Ae
    • Korean Journal of Human Ecology
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    • v.19 no.6
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    • pp.1031-1044
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    • 2010
  • Corresponding to the rapid growth of the aging population without an adequate social safety net for the elderly, older people face great disadvantages due to sudden illness or poor health and a lack of support from the younger generation. Furthermore, older women are suffering from a drastic deterioration of their economic status because of insufficient retirement savings. Examining the impact of labor force participation and living arrangement on health status and life satisfaction in later life, it is important to consider gender differences in context of social policies for the elderly. Using data based on a stratified national sample of the elderly by the Korean Longitudinal Study of Aging (KLoSA), multiple regression model were used to estimate the relationships between labor force participation and health status and subjective life satisfaction concerning the quality of their later life. The result indicates that good health status and high level of life satisfaction are associated with the type of paid work status for the elderly men, but those are associated with the type of non paid work, such as family businesses employees for the elderly women. Significant differences in chronic health condition and subjective life satisfaction by employment characteristics are found among the elderly. In addition, older women's high level of life satisfaction was associated with the participation of the social activity. The major conclusion from these results should help us understand gender differences in the elderly and acknowledge further exploration of gender variations in these people's later life.

Precariousness and Happiness of South Korean Young Adults: The Mediating Effects of Uncertainty and Disempowerment (한국 청년의 삶의 불안정성(precariousness)과 행복: 불확실성과 통제권한 부재의 매개효과)

  • Han, Seungheon;Yim, Dahye;Kang, Minah
    • 한국사회정책
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    • v.24 no.2
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    • pp.87-126
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    • 2017
  • This study aims to examine the level of precariousness among young adults in South Korea and analyze the factors affecting their subjective well-being by adopting the three forms of precariousness suggested by Rodgers(1989) such as lack of resource, uncertainty and disempowerment as its analytical framework. Structural Equation Model was used for analyzing the path model of self-rated health, income level and social support(three forms of resource) affecting subjective wellbeing through uncertainty and disempowerment. Study population include young adults aged between 19 to 34 with a sample size of 415 using data of the 8th wave of the Korean General Social Survey(KGSS), 2010. Study population is divided into lower-age group (aged between 19-26) and upper-age group (aged between 27-34) in order to examine the differences between age groups by using Multiple Group Analysis. Study results show that three forms of resources, uncertainty and disempowerment had direct effect on the subjective well-being of South Korean young adults and disempowerment had the most significant effect among the factors. In addition, self-rated health and income level had indirect effect on subjective well-being through both uncertainty and disempowerment while social support had indirect effect on subjective well-being only through disempowerment. Results from the Multiple Group Analysis indicate that among the two age groups, income level only has a significant effect on subjective well-being in the upper-age group. In addition, disempowerment had greater effect on subjective wellbeing among upper-age group than the lower-age group. Based on the study results, this paper suggested policy implications and discussion for further research.

Industrial Fatigue and Low Back Pain of the Workers (산업장 근로자들의 피로자각증상과 요통)

  • Kim, Soon-Lae;Moon, Jung-Soon
    • Research in Community and Public Health Nursing
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    • v.7 no.2
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    • pp.400-409
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    • 1996
  • To investigate industrial fatigue and low back pain, the questionaire survey for subjective symptoms of fatigue and low back pain was carried out among 591 male workers aged 20-55 employed in an automobile industry in Korea. Workers participated to this study were divided into low back pain group(LBP) and control group, according to the self-reports by written questionaires. The subjective sysptoms of fatigue comprised three groups of 10 items each, representing dullness and sleepiness(level of cerebral activation), difficulty in concentration(level of motivation) and bodily projection of fatigue. The resultant data were processed for $\chi^2-test$, t-test and a pearson's correlation coefficient to confirm the relationships. The results were as follows: 1. 30 items of fatigue subjective symptoms exeptone item, 'lack in perseverance', were directly associated with low back pain. 2. The percentage of fatigue complaint were sig nificantly higher in LBP group. 3. Of the 30 items of fatigue subjective symptoms, the highest percentage was accounted for 'eye strain'(27.9%), followed by 'whole body feels tired' and 'legs feel heavy'(22.9%), 'feel like lying'(21.4%), 'feel a pain in the low back'(18.7%), 'feel drowsy'(16.4%) and 'feel stiffness in the neck or the shoulders'(16.2%) in the order of sequence. 4. The average weighted score for the first group of fatigue items(dullness and sleepiness) was the largest among three groups and was followed by the second group(difficulty in concentration) and the third group(bodily projection of fatigue) in the order of sequence, suggesting the heavier shift work stress of the workers. 5. In the groups of the aged 30-40, work duration of 5-7yrs, heavy work amount and irregular work speed, significant high fatigue complaints were revealed in terms of eye strain, whole body feels tired, legs feel heavy, feel like lying, feel a pain in the low back and feel stiffness in the neck or the shoulders. 6. A significant negative correlations were shown between age, work duration and eleven subjective symptoms while positive reciprocal correlations were shown between eleven items with one another.

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A Comparative Analysis on Objective Evaluation and Subjective Perception of Household Economic Structure for Commuting and Non-Commuting Couples (주말부부 가계와 비주말부부 가계의 객관적, 주관적 경제구조분석 및 비교연구)

  • 허경옥
    • Journal of Families and Better Life
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    • v.21 no.2
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    • pp.201-212
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    • 2003
  • This study analyzed the objective indicators of household economic structures, such as income, expenditure, and debts, as well as a subjective evaluation of economic standards, and compared the households of commuting couples (so called Weekend couples) with those of non-commuting couples. Findings of this study are as follows. First, both husbands and wives in commuter marriages had a higher level of education, were younger, had poorer health, and had shorter working hours than the couples in non-commuter marriages. Second, commuting couples had a significantly higher income than non-commuting couples. In addition, commuting couples had a greater amount of savings, had a higher cost of living, and lower debts than non-commuting couples. Third, commuting couples evaluated their status of household economy more negatively than non-commuting couples. Despite the fact that the commuting couples were more affluent in terms of the objective indicators, including income, savings, and assets, their level of health and psychological well-being were compromised. Lastly, factors determining commuter marriages were the number of years the husband has spent in his job, and the husband's level of education. The shorter the tenure of the husband's job, and the higher the level of husband's education, the more likely the couple was in a commuter marriage.

Analysis of the knowledge and insurance screening review rates of health insurance claims in the dental hygienist (일부 지역 치과위생사의 치과 건강보험에 관한 지식 및 심사조정률에 미치는 요인)

  • Park, Sin Young;Moon, Hye Ri
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.3
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    • pp.353-361
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    • 2015
  • Objectives: The purpose of the study is to investigate the level of knowledge and screening review rates of dental health insurance claims in dental hygienists. This analysis will provide the educational information to the dental hygienists. Methods: A self-reported questionnaire was completed by dental hygienists in Jeonbuk from December 17, 2012 to January 24, 2013. The questionnaire was distributed by ordinary mail or direct visit. Except incomplete answers, 350 data were collected and analyzed. The study instrument was adapted from the structured questionnaire by Hong and Yoo. The questionnaire consisted of education experience of health insurance management, subjective and objective knowledge, insurance screening review, and need for health insurance education. Data were analyzed by SPSS 12.0 program. Cronbach alpha in the objective knowledge on health insurance rate criteria was 0.836 and this was a reliable figure. Results: The subjective knowledge level of dental insurance was higher in the senior dental hygienists. Subgingival curettage was the lowest percentage of correct answers in the objective knowledge. In recent six months, higher review control rate was shown in the higher claim for health insurance and insurance screening review. Conclusions: The majority of the respondents had lower level of knowledge of health insurance claims. The continuous education of dental health insurance will be necessary in the dental hygienists.

Converged Factors Influencing Ego Integrity of Community Dwelling Elderly (지역사회 노인의 자아통합감에 영향을 미치는 요인)

  • Kim, Eun-Ju;Kang, Seung-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.160-166
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    • 2018
  • This study was conducted to analyze the Ego Integrity, Subjective Pain, Subjective Health, Subjective Happiness and Social Support level of Community Dwelling elderly, and to analyze the variables that impact their Ego Integrity. Methods: A total of 250 elderly aged 60 years or above visiting a Senior Welfare Center in j city and j group of Jeonbuk were selected as subjects of this study for collection and analysis of data. Data were collected from January 8 to February 26, 2008 from 250 community-dwelling elders in Korea and subjected to descriptive analysis, t-test, ANOVA, Pearson's Correlation Coefficient, and multiple regression analysis. Results: only economic strength was influenced by general characteristics. Additionally, Subjective Pain, Subjective Health, and Subjective Happiness and Social Support l were found to have a statistically positive correlation with Ego Integrity. Finally, the most influential variables on the elderly Ego Integrity were Social Support (${\beta}=.194$, p=.002), followed by Subjective Health (${\beta}=.149$, p=.040) and four variables explaining 10.8% of the elderly Ego Integrity. Conclusion: it is necessary to develop specific intervention programs to improve Social Support and Subjective Health among Community Dwelling elderly to make it possible to enable Ego Integrity.

Study on Influence of Aged Social Well-being on Satisfaction with Life (고령자의 사회적 건강이 삶의 만족도에 미치는 영향)

  • Park, Young-Seok
    • The Journal of the Korea Contents Association
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    • v.15 no.8
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    • pp.326-335
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    • 2015
  • The main purpose of this study is to maintain the necessity of Aged social well-being and to intend to grasp the influence of the elderly's social well-being on their satisfaction with life. This study selected the Aged participating in the programs offered by a college for the elderly among those aged over 65 who are living A city and G city in Gyeonggi-do Province as research subjects, and used a total of 167 survey questionnaires for final analysis. The main study findings are as follows. with respect to the correlation between socio-demographic factors and social well-being, economic level, subjective level of health and social well-being showed a positive correlation. Social health affects on life satisfaction is in the average income, subjective level of health, social well-being can explain a satisfaction rating of 25.6 % from a Life in aged can do. Subjective health status and social well-being and average income can say crazy positive effect on life satisfaction. Based on such study results, this study recommends a number of proposals.