• Title/Summary/Keyword: city logistic

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Influencing factors from the Transtheoretical Model on the Execution of Self-Management Behaviors among Community-Residing Older Adults with Hypertension (범이론 모형에 근거한 재가 고혈압 노인환자의 자기관리 행위 실천 영향요인)

  • Ahn, Yang Heui;Lim, Young Mi;Kim, KiYon;Kim, Ki-Kyoung;Song, Hee-Young
    • Journal of Korean Public Health Nursing
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    • v.30 no.1
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    • pp.105-121
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    • 2016
  • Purpose: This study examined the influencing factors from the Transtheoretical Model on the stage of change in the self-management behaviors, i.e. regular physical activity and diet, among community-residing adults with hypertension in a rural area. Methods: With a cross-sectional descriptive design, 134 adults who had registered and received a prescription for hypertension medication from a public health center in W city were recruited using convenient sampling. The instrument was an interviewer-administered questionnaire on the stage of change, process of change, self-efficacy, and decisional balance of physical activity and diet. The data were analyzed using descriptive statistics, 2-sample t-test, ${\chi}^2$ test, and logistic regression. Results: The results revealed significant differences in the process of change, self-efficacy, and decisional balance of physical activity and diet between those who were in the pre-execution stage (precontemplation, contemplation, preparation) and those who were in the execution stage (action and maintenance). Logistic regression showed that consciousness raising and self-efficacy were significant predictors of the execution stage in physical activity, and self-reevaluation, social liberation and self-efficacy were significant predictors in the diet. Conclusion: The relevant processes of change, differentiated according to the stage of change, along with self-efficacy, should be addressed to enhance the execution of self-management behaviors among hypertensive adults residing in the community.

Completion and Related Factors of Advance Directives in old adults (지역사회 재가노인의 사전연명의료의향서 작성의도 영향 요인)

  • Kim, Myung Sook;Gang, Moonhee;Kim, Yeon-Ok
    • The Journal of the Korea Contents Association
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    • v.18 no.2
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    • pp.240-247
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    • 2018
  • The purpose of this study was to identify the completion and related factors on Advance Directives (AD) in olde adults. A cross-sectional descriptive study design was used. Participants were 196 old adults, 65 and over aged in D metropolitan city. Collected data were analyzed using descriptive statistics, ${\chi}^2-test$, t-test, and logistic regression with SPSS 22.0 program. The rate of completion intention toward AD was 58.2% in the participants. There were different age, Living alone, subjective health status, awareness toward AD, and negative attitude toward death by completion intention toward AD. In the regression analysis results, the predictors of completion intention toward AD was awareness toward AD in old adults. The findings of the study reveal that positive awareness toward AD can predict completion of AD of healthy old adults in community.

Related Factors of Depression according to Individual Attributes and Regional Environment: Using Multi-Level Analysis (다수준분석을 활용한 개인특성 및 지역환경에 따른 우울증 관련 영향요인 분석)

  • Moon, Seok-Jun;Lee, Ga Ram;Nam, Eun-Woo
    • Health Policy and Management
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    • v.30 no.3
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    • pp.355-365
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    • 2020
  • Background: This study is aimed to verify individual and regional-level factors affecting the depression of Koreans and to develop social programs for improving the depressive status. Methods: This study used individual-level variables from the Korean Community Health Survey (2018) and used the e-regional index of the Korean Statistical Information Service as the regional-level variable. A multi-level logistic regression was executed to identify individual and regional-level variables that were expected to affect the extent of depressive symptoms and to draw the receiver operating characteristic curve to compare the volume of impact between variables from both levels. Results: The results of the multi-level logistic regression analysis in regards to individual-level factors showed that older age, female gender, a lower income level, a lower education level, not having a spouse, the practice of walking, the consumption of breakfast higher levels of stress, and having high blood pressure or diabetes were associated with a greater increase in depressive symptoms. In terms of regional factors, areas with fewer cultural facilities and fewer car registration had higher levels of depressive symptoms. The comparison of area under the curve showed that individual factors had a greater influence than regional factors. Conclusion: This study showed that while both, individual and regional-level factors affect depression, the influence of the latter was relatively weaker as compared to the first. In this sense, it is necessary to develop programs focused on the individual, such as social prescribing at the local or community-level, rather than the city and nation-level approach that are currently prevalent.

Factors Associated with Mammography Adherence among Married Chinese Women in Yanbian, China

  • Gang, Moonhee;Kim, Jong Im;Oh, Kyong Ok;Li, Chun Yu;Song, Youngshin
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7207-7213
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    • 2013
  • Background: Despite the efficacy of regular mammograms, the incidence and mortality rate of breast cancer have been increasing in China. Insufficient studies on the factors affecting mammography adherence in Chinese married women have been conducted. The purpose of the present study was to explore the factors associated with adherence to guidelines for regular mammography among Chinese married women. Materials and Methods: The participants were recruited conveniently and included Chinese and Korean Chinese women who were married, living at Yanbian City in China. Demographic information, status regarding eight risk factors of breast cancer, health responsibility, and perceived benefits/barriers of mammography were obtained. Descriptive analyses, t-test, and multivariate analysis were performed. Hierarchical logistic regression was conducted to explore the factors associated with regular mammography adherence in Chinese and Korean Chinese subgroups. Results: About 24% of the sample population was adherent in going for regular mammography. The adherent group was significantly more educated, had more children, and had a lower proportion experiencing early menarche and a greater menopausal proportion than the non-adherent group. The final model using logistic regression analysis showed that being Chinese [OR=2.199 (1.224-3.951)], having no or one child [OR=4.879 (1.835-12.976)], early menarche [OR=3.515 (1.057-11.694)], being menopausal [OR=3.120 (0.965-10.088)], aged 40-49 [OR=2.374 (1.099-5.124)], having low education [OR=0.400 (0.211-0.765)], and perceiving greater benefits in doing mammography [OR=1.080 (1.014-1.151)] were significantly associated with mammography adherence, after controlling for covariates. Conclusions: Sociocultural sensitive intervention for minorities should be emphasized when improving the adherence of regular mammography. Intervention tailored for women with lower education should be delivered and the benefits of mammography should be propagated to women in rural areas of China.

Facters Influencing Re-employment of the Semi-Aged workers in Daegu Metropolitan Area (준고령자의 재취업결정요인 분석-대구광역시를 중심으로-)

  • Yang, Hye-Jin;Kim, Han-Gon
    • The Journal of the Korea Contents Association
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    • v.17 no.1
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    • pp.242-261
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    • 2017
  • The purposes of this research are to explore factors that affect re-employment revitalization of the semi-aged workers and to seek practical and specific improvement plans to activate the semi-aged worker's re-employment. For the purposes of this research, face to face interviews were conducted between March 18th and April 10th, 2016 among 375 semi-aged who are currently searching for a job or re-employed among the semi-aged between 50 and 64 years old and reside in Daegu Metropolitan City. According to logistic regression analysis, sex, subjective health condition, working period, and information supply have statistically significant positive impacts on re-employment of the semi-aged workers. On the other hand, simple labor work and seeking job period have statistically significant negative impacts on re-employment of the semi-aged workers. Finally, policy implications for the improvement of re-employment of the semi-aged workers were introduced and discussed.

Contribution Value Estimation on Rural Community by Multi-cultural Family Effect Using WTP (WTP를 이용한 다문화가족이 농촌사회에 미치는 다양한 영향 및 기여가치 평가)

  • Yang, Soon Mi
    • Journal of Agricultural Extension & Community Development
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    • v.20 no.3
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    • pp.701-727
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    • 2013
  • To estimate the WTP(Willingness to Pay) for consistent maintenance of rural multi-cultural families' contribution worth such as vitality of rural population, regional economic vitalization, cultural diversity of rural, maintenance of rural family society, and diversity of rural resource, a questionnaire survey was conducted by double-bounded dichotomous choice method based on Weibull model in 41 city county of rural. A estimation models based on Tunball models were developed and applied to WTP estimation with logistic analysis. WTP estimates for consistent maintenance of multi-cultural contribution worth by rural resident was 458 hundred million won. It means that each rural household can pay 13,840 won per annual. WTP estimates assessed by multi-cultural families' husband as a criteria for comparison was 502 hundred million won. It means that each household can pay 15,170 won per annual.

The Influence of Exercise Intention, Exercise Habits, and Exercise Self-efficacy on Regular Exercise Behaviors in the Elderly (노인의 운동의도, 운동습관, 운동자기효능감이 규칙적 운동행위에 미치는 영향)

  • Nam, Song Mi;Eun, Young
    • Journal of muscle and joint health
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    • v.26 no.3
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    • pp.232-240
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    • 2019
  • Purpose: The purpose of this study was to investigate the effects of exercise intention, exercise habit, exercise self-efficacy on exercise behavior with elders at welfare center. Methods: The subjects were 152 elders at the welfare center at J city. Data were collected using the questionnaires which consisted of the Exercise intention scale and the Exercise habit scale developed by Lee and Gu (2018), and the Exercise self-efficacy scale developed by Lee and Chang (2001). The collected data were analyzed with the SPSS/WIN 22.0 program, which was used for frequency, percentage, mean, standard deviation, x2 test, and multiple logistic regression. Results: The regular exercise group consisted of 92 elders (62.5%) and the irregular exercise group of 60 elders (39.5%). The scores for exercise intention, exercise habits, exercise self-efficacy were 3.28±0.70, 3.92±0.61, 2.80±0.88 in regular exercise group, and 2.38±0.99, 3.00±1.07, 2.04±0.73 in irregular exercise group, respectively. Two groups were significantly different between the two groups. Multiple logistic regression analysis showed that exercise intention (OR: 2.26, 95% CI:1.19~4.28), exercise habits (OR: 1.79, 95% CI:1.01~3.15), exercise self-efficacy (OR: 1.99, 95% CI:1.11~3.57) were affecting factors for regular exercise in elders. Conclusion: To increase the regular exercise behaviors of the elderly at the welfare center, it is needed the strategies to increase exercise intention, exercise self-efficacy, and exercise habits.

Factors Affecting Mother's Dental Utilization in Metropolitan Area (대도시 지역 일부 어머니들의 치과의료 이용행태에 영향을 미치는 관련요인 분석)

  • Kim, Ji-Young;Nam, Yong-Ok
    • Journal of Korean society of Dental Hygiene
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    • v.3 no.2
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    • pp.143-155
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    • 2003
  • The present study attempted to analyze the influence of the mother's demographic characteristics and knowledge on oral health as well as dental care behaviors on her practice of using dental care institutions. A self-report survey was conducted among 172 mothers of children aged 5-6 attending on three preschools located in Daegu metropolitan city. Statistical analysis was conducted using the SAS 8.01 with $X^2$-test, t-test and logistic regression. The obtained results were as follows: 1. No significant association was found among the demographic characteristics of the mother, her past experience as well as the purpose of using dental care institutions. 2. There was significant relationship between the mother's knowledge and behavior concerning oral health and her past experience of using dental care institutions; the mothers having a higher level of knowledge and who thought they themselves didn't have healthy teeth and gum tended to have more visits to dental care institutions(pE0.05). There was also significant relationship between their purpose and their actual practice of using dental care institutions: the mothers having a higher level of knowledge and who thought their own oral health was good tended to visit dental institutions more for the preventive purpose than for treatments(pE0.05). 3. As a result of logistic regression, the variables formed as models were their knowledge on oral health and their values for oral health. The standardized coefficients for the two variables were -0.19 and 0.19, respectively. For the mother's purpose of visiting dental care institutions, the variables formed as models were their knowledge on oral health and their values for oral health. The standardized coefficients for the two variables were -0.40 and -0.37, respectively. The relative contributions of the two variables to the mother's practice of using dental care institutions were on the similar level.

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Factors Predicting Fecal Occult Blood Testing among Residents of Bushehr, Iran, Based on the Health Belief Model

  • Dashdebi, Kamel Ghobadi;Noroozi, Azita;Tahmasebi, Rahim
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.17-22
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    • 2016
  • Colorectal cancer is a major cause of mortality worldwide. Fecal occult blood testing has proven a very effective screening tool for early detection and mortality reduction. The aim of this study was to determine predictors factors related to fecal occult blood testing using the Health Belief Model method among residents of Bushehr, Iran. A cross sectional study was performed on a sample of 600 men and women more than 50 years of age. The sample was selected by a convenience method from patients referred to public and private laboratories throughout the city. Each subject filled out a questionnaire which was designed and developed based on Health Belief Model constructs. Statistical analysis was conducted using ANOVA, T-test, chi-square test, and logistic regression. Fecal occult blood tests were performed on 179 (29.8%) out of 600 subjects, of which 95 patients (58.1%) did a periodic examination test and 84 patients (46.9%) had a doctor's advice for testing. According to the logistic regression model, the perceived barriers (P=0.0, Exp(B)= 0.3), perceived benefits (P<0.01, Exp(B)= 1.9) and self-efficacy (P<0.01, Exp(B)= 1.6) were predictive factors related to occult blood testing among subjects. The results showed that reducing people's perception of barriers to testing, increasing perceived benefits of screening, and reinforcing self efficacy can have major effect in increasing the rate of fecal occult blood screening for colorectal cancer prevention.

Family Factors and Obesity in High School Students (가족특성이 고등학생의 비만에 미치는 영향)

  • Lee, Sang-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.84-93
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    • 2016
  • This study was conducted to determine family factors related to obesity of high school students. A descriptive correlational study was conducted with 384 high school students in I metropolitan city. Data were collected from February to April of 2015 using self-report structured questionnaires. Questionnaires included weight, height, individual characteristics of subjects and their familial characteristics. Collected data were analyzed by multiple logistic regression. Logistic regression analysis revealed that male gender (aOR = 4.37; 95% CI [1.26, 15.16]), having a non-regular paternal job (aOR = 3.10; 95% CI [1.15, 8.40]), and not being in a two parent family (aOR = 3.52; 95% CI [1.29, 9.61]) were statistically significant contributors to obesity. These results indicate that it is necessary to improve social awareness regarding the obesity risk of male adolescents. Health care providers should recognize the importance of family factors such as parental socioeconomic status and family structures.