• Journal of Nutrition and Health
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• 제33권7호
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• pp.755-762
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• 2000

female smoking especially in the population of teenage girls is regarded as an important health problem as the young female smokers are increasing sharply. We surveyed 895 teenage girls(15-19 years of age) living in a rural community in Korea for their cigarette smoking habits and the relationship between smoking status of subjects demographic variables and view on other's smoking. Of the subjects 11.6% stated that they were currently smoking and 67.3% of current smokers began smoking regularly sometimes before high school. The average smoking period of current smokers waas 20.6$\pm$1.5 mounts and they smoked 7.5 cigarettes/day on an average. Their main reason for starting to smoke was curiosity. The parents attitude for their offspring was more undemocratic in smokers. Smokers had lower academic sachievement and they had the family system such as single parent more undemocratic in smokers. Smokers had lower academic achievement and they had the family sysstem such as single parent family or divorced parent family more often than did non-smokers. Smoking status of subjects was positively related to that of their parents siblings and friends respectively. Smokers accepted others' smoking more positively than did non-smokers. Above results show that cigarette smoking is prevalent among teenage girls living in a rural community and smoking of subjects are affected by demographic variables and their view on others' smoking. Therefore the prevention the prevention programs aimed at adolescent smoking should be started before middle school and they should be included all influencing environmental factors such as family school and mass media.

• Asian Pacific Journal of Cancer Prevention
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• 제17권2호
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• pp.723-731
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• 2016

Background: Cancer is a major public health problem in many parts of the world. Gastrointestinal (GI) cancers are responsible for 20% of all cancer-related deaths. In Turkey, stomach cancers account for 8.9%, colon cancer for 6.9%, and pancreatic cancer for 5.9%. This study examined the anxiety-depression levels and the quality of life of patients with GI cancer. Materials and Methods: This descriptive study was carried out on 335 adult patients who had gastrointestinal cancer and who were hospitalized in medical oncology clinics. Data were collected by using hospital anxiety and depression scale, EORTC QLQ C-30 and a patient information form. Results: Patients who were male and secondary school graduates/graduates/postgraduates experienced more functional difficulties. Patients with poor economic status experienced more symptoms. Patient general wellbeing decreased with increase disease duration. The level of functional difficulties decreased with an increasing number of hospital stays. Anxiety scores increased with decreasing age. Both anxiety and depression scores increased with increasing disease duration. Patients who were female, single/widowed/divorced, and literate/elementary school graduates had higher anxiety and depression scores. Life quality decreased with increasing anxiety and depression. Conclusions: Patients should be supported to prevent anxiety and depression, and should be followed up with this in mind.

• Journal of Preventive Medicine and Public Health
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• 제25권4호
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• pp.429-447
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• 1992

The effects and roles of social support and stressors (stressful life events and chronic strains) on psychosocial distress were examined in a model with data from a sample of the white-collar workers (N=416) in Korea. The findings of this study present that mean levels of psychosocial distress were higher in the female, youth, unmarried and divorced, and low economic status (monthly income). The analysis also shows that, as expected, stressful life and chronic strains as stressors are positively related to occurrence of psychosocial distress, and social support is negatively related to psychosocial distress. Further, the contribution of social support to predicting psychosocial distress is greater in magnitude than that of stressful events, chronic strains, and seciodemographic variables. There is no evidence that social support buffers the impacts of stressors on psychosocial distress, rather social support takes a role of mai or direct effects on psychosocial distress. Therefore, the strength of the social support is an important and meaningful strategy to prevent from stress and mental, physical illness.

• Journal of Preventive Medicine and Public Health
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• 제21권2호
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• pp.365-373
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• 1988

Information on work stress and mental health status of industrial workers was required for optimum staffing and health care management. This study dealt with the relationship between mental health status examined by PSI(psychiatric symptom index) and socio-demographic variables. Especially this study attempted to find relevant determinants of the stress and mental health through multiple stepwise regression analysis based on data obtained from 687 occupational workers. The findings of this study were as follows; Mean scores of symptom dimension were higher in youth, female, more educated, unmarried and divorced, and workers in the noisy condition and short duration in job. And it showed high scores in long duration in job for anxiety; college educated for anger; unmarried for cognitive disturbance. The factors affecting the mean scores of psychiatric symptom index were varied according to the types of symptom: age, sex and duration in job for anxiety; age, sex, living with parent, education and marital status for anger; sex and marital status for depression; noisy condition and sex for cognitive disorder.

• Journal of Preventive Medicine and Public Health
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• 제22권1호
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• pp.90-101
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• 1989

Recently concerns on work stress and mental health status of industrial workers were increased. The purpose of this study was to investigate the work stress measured by PSI (psychiatric symptom index) according to socio-demographic variables. The study population was consisted with two types of group; manual and clerical workers. The major findings of this study were as follows; Mean scores of psychiatric symptom in manual workers were higher in female, youth, educated, unmarried and divorced, noisy condition, that in clerical workers was higher in aged. Mean scores of psychiatric symptom were highly affected by degree of work autonomy, self-esteem, and self-efficacy in both groups. The higher the work autonomy, self-esteem, and self-efficacy, the lower the mean scores of work stress it showed. Psychiatric symptom index was explained with the work autonomy, self-esteem, self-efficacy through multiple stepwise regression. The annual admission rates were high in highly ranked groups on each psychiatric symptom dimension.

• 한국임상약학회지
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• 제23권3호
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• pp.213-222
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• 2013

Purpose: The aim of this study was to investigate the current state of antidepressant prescriptions in breast cancer patients and factors affecting the prescription of antidepressants. Methods: This study targeted female breast cancer patients who were prescribed antidepressants by a psychiatrist at least once between August 2010 and July 2011 at the Asan Medical Center in Seoul. The prescription history of each study subject was investigated to analyze the current state of antidepressant prescriptions in breast cancer patients. Results: The analysis of the prescription histories of 136 subjects in the antidepressant group determined that escitalopram, mirtazapine, and trazodone were the three most commonly prescribed medications with an average of 1.54 antidepressants prescribed per patient. A logistic regression analysis showed a statistically significant increase in antidepressant prescriptions in patients who were divorced or widowed, had sleep disturbances, or had undergone oncologic surgery for the breast cancer (p<0.050). In contrast, the prescription rate was lower for patients with tumour sizes greater than 50 mm (p<0.050). Conclusion: The sociodemographic factor of marital status, clinical factors of sleep disorders and tumour size, and a treatment-specific factor of the use of surgical therapy were identified as affecting the prescription of antidepressants in female breast cancer patients.

• 한국인구학
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• 제35권2호
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• pp.103-131
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• 2012

최근 이혼과 미혼이 증가하고 사별이 감소하여서 40대와 50대 혼인상태 분포가 과거보다 훨씬 다양해졌다. 이러한 혼인상태가 건강에 매우 중요한 변수이다. 그러나 한국에서는 중년들의 혼인상태에 따른 건강 차이에 대한 연구가 별로 없는 실정이었다. 본 논문은 2010년 사회조사 자료를 분석하여 중년들의 혼인상태에 따른 건강행위와 건강상태 차이를 살펴보았다. 그런데 많은 연구들이 혼인상태가 미치는 영향은 남녀에 따라 다르다고 주장하고 있다. 그래서 본 연구는 혼인상태가 미치는 영향이 성별에 따라 다른지 확인 한다. 분석결과 대체로 비기혼자들이 기혼자들에 비해 건강에 긍정적인 행위를 덜 했으며 건강에 해가 되는 행위는 더 하는 편이었다. 그리고 비기혼자들이 기혼자에 비해 육체적 건강과 정신적 건강도 더 나빴다. 그런데 성별에 따른 차이를 본 결과 비혼인 상태의 부정적 영향은 남성에게 더욱 심하였다. 이혼한 남성과 사별한 남성은 이혼여성에 비해 건강검진을 덜 받고 있으며 흡연을 더욱 많이 하고 있다. 반면 비혼인 여성들은 몇몇 지표에 있어서는 기혼자들과 별다른 차이가 없기도 했다. 특히나 미혼인 여성들은 삶에 대한 만족도가 다른 비기혼자들은 물론 기혼자들보다 월등히 높은 편이다.

• 한국인구학
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• 제11권1호
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• pp.197-203
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• 1988

한국 사망력의 수준 및 특징을 일본과 비교하고자 양국의 1995년 공식통계를 사용하여 사망원인별로 성$\cdot$연령$\cdot$혼인상태별 사망률, 연령표준화사망률, 생존기간손실년수(PYLL) 및 동 측정치의 남녀간 비와 한일간 비를 계산하였다. 사망원인 항목은 모든 사인(총사망), 결핵, 악성신생물, 당뇨병, 고혈압성 질환, 심장 질환, 뇌혈관 질환, 간 진환, 교통사고, 자살을 포함한다. 일본과 비교하여 한국 사망력의 두드러진 특징은 다음과 같다 : (1)자살을 제외한 대부분의 사인에서 한국의 사망률이 일본보다 높은데 , 특히 결핵, 고혈압성 질환, 간 질환 및 교통사고의 경우 한국 생산활동연령층의 사망률이 두드러지게 높다 : (2)결핵, 간질환, 교통사고, 암사망이 한국의 소아에게서도 발생한다 : (3)한국의 생산활동연령층에서 간 질환, 결핵, 교통사고에 의한 성별 사망력 격차가 큰데, 남성의 사망률이 여성의 사망률보다 높기 때문이다 : (4)자살률이 한국생산활동연령층 남성의 경우 일본보다 낮고, 10대와 20대 여성의 자살률은 일본보다 높다 : (5)한국의 45세 미만에서는 사인에 따라 사별이나 이혼상태에서, 45세 이상에서는 모든 사인에 대해 남녀 모두 미혼상태에서 사망력이 가장 높다. : (6)한국은 사별상태에서, 일본은 이혼상태에서 성별 사망력 격차가 가장 크다.

• 대한통합의학회지
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• 제11권3호
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• pp.99-114
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• 2023

Purpose : The purpose of this study was to determine factors that affect the quality of life (QoL) of people with diabetes. We hope to provide a basis for intervention strategies for health promotion and related research among patients with diabetes in the field of physical therapy. Methods : We selected individuals diagnosed with diabetes who were aged 19 years or higher by using data from the 2019 Korean Health Panel survey and analyzed the results of 1,527 people. The influencing factors were sex, age, household income, marital status, age, education level, subjective health status, body mass index (BMI), smoking, drinking, regular exercise, experience of depression and anxiety, suicidal thoughts, stress, and frequency of walking (days/week). Frequency analysis, descriptive statistics, independent sample t-test, one-way analysis of variance, and multiple regression analysis were performed. Results : The EQ-5D score for QoL was .87 ± .12, with pain and discomfort being the most detrimental to the QoL of people with diabetes. In terms of patients characteristics, the QoL was lower among participants who were female, older, and separated/widowed/divorced; had an education level below middle school; had a poor subjective health status; were non-smokers and drinkers; and did not walk and exercise regularly, experienced a lot of stress, and experienced depression and anxiety; and had suicidal thoughts (p<.001). Being separated/bereaved/divorced; experiencing a lot of stress, depression, and anxiety; and having suicidal thoughts were negatively associated with QoL in people with diabetes (p<.01). On the other hand, age of 65 years or younger; graduation from high school, fair or better subjective health, regular exercise and alcohol consumption, and walking (days/week) were positively associated with QoL (p<.05). Conclusion : Regarding the QoL of patients with diabetes, intervention strategies should be formulated by considering general characteristics and disease-related characteristics. Among the various factors affecting QoL, the number of walking and regular exercise were found to be the factors that improved the QoL of patients with diabetes. These results can be used as a basis for the education and management of patients with diabetes in the field of physical therapy.

• Asian Pacific Journal of Cancer Prevention
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• 제13권3호
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• pp.1003-1010
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• 2012

Background: This study examined the influence of body mass index (BMI), subjective body perception (SBP), and the differences between BMI and SBP influence on smoking among women. Methods: This study used the Korea National Health and Nutrition Examination Survey IV-2, 3 2008-2009. A urinary cotinine test was administered to 5485 women at least 19 years of age. Individuals whose cotinine level was at least 50 ng/mL were categorized as smokers. A multiple logistic regression analysis was performed to estimate the extent to which body-related variables affect female smoking. Results: Women with a lower BMI who perceived themselves to be normal or very fat were 2.09 times (1.14-3.83) more likely to smoke than women with a normal BMI and SBP. Women who were never married with a low BMI and thin SBP were 3.11 times (1.47-6.55) more likely to smoke than women with a normal BMI and SBP. Married women with a high BMI who considered themselves very fat were 0.63 times (0.43-0.94) less likely to smoke than women with a normal BMI and SBP. In contrast, divorced and widowed women with a low or normal BMI who considered themselves very fat were 26.1 times (1.35-507.3) more likely to smoke. Conclusions: Discrepancies between the objective physical condition (BMI) and the subjective body image (SBP) influence the female smoking rate. To reduce the number of female smokers, public education on the association between smoking behavior and weight issues is needed, especially among women with low BMI and distorted weight perception.