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노년기 자기 통제감에 영향을 주는 요인 (Determinants of Sense of Control in Later Life)

  • 장유리;이정남;윤현숙;김수영
    • 한국노년학
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    • 제28권4호
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    • pp.1055-1068
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    • 2008
  • 자기 통제감은 노년기의 다양한 스트레스 상황에서 신체적 정신적 건강을 보호하고 증진시키는 역할을 한다고 밝혀져 왔다. 본 연구에서는 노년기 자기 통제감에 영향을 주는 요인을 분석하였다. 주요 영향 요인을 (1) 사회 인구학적 특성, (2) 신체 건강 상태, (3) 최근 일어난 부정적 생활사건, (4) 사회 관계적 자원으로 분류하였다. 국내 다섯 개 도시에 거주하는 60세 이상 노인 291명(평균 연령 = 69.9)을 연구 대상으로 하였고, 자기 통제감은 Pearlin과 Schooler(1978)의 Mastery Scale의 7항목으로 측정되었다. 위계적 회귀분석 결과, 경제 수준, 만성 질환, 일상생활 수행 장애, 시력, 부정적 생활사건 경험, 그리고 자녀와의 관계 만족도가 자기 통제감에 유의한 영향을 주는 요인으로 밝혀졌다. 이러한 결과를 통해, 노년기 자기 통제감 증진을 위한 개입이나 사회적 프로그램 개발의 중요성을 제시하였다.

청소년의 일반담배 및 전자담배 사용 유형에 따른 흡연행위 관련 요인 (Factors Associated with Smoking Behaviors according to the Types of Cigarettes, Conventional and Electronic, among Adolescents)

  • 김은미
    • 한국학교보건학회지
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    • 제35권3호
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    • pp.65-74
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    • 2022
  • Purpose: The purpose of the study was to verify the degree of smoking behaviors including conventional cigarettes, electronic cigarettes, and dual use of conventional and electronic cigarettes among adolescents, and to explore associated intrapersonal and interpersonal factors of the three smoking behavior groups. Methods: The secondary data analysis was performed using the 17th 2021 Korea Youth Risk Behavior Survey. The types of smoking behaviors were grouped into conventional cigarettes, electronic cigarettes, and dual use for data analysis. Descriptive statistics and a χ2 test were performed. Multinomial logistic regression analysis was conducted to identify factors associated with of the three smoking behavior groups. Results: Among the 54,848 adolescents, 3.6%, 1.2% and 6.2% were involved in conventional cigarettes, electronic cigarettes, and the dual use, respectively. The factors associated with the three types of smoking behaviors were depression, suicidal ideation, having a smoking mother, having smoking brothers or sisters, and having smoking friends. Recovery from fatigue by sleep was associated with the dual use of conventional and electronic cigarettes. Anxiety was associated with conventional cigarettes. Having a smoking father was associated with conventional cigarettes and dual use. Conclusion: A significant number of adolescents were involved in not only the use of conventional or electronic cigarettes, but also dual use of them. Adolescents who had depression, suicidal ideation, having a smoking friend, and having a smoking family member were more likely to be involved in the three types of smoking behaviors. Customized interventions to decrease smoking should be developed considering intrapersonal factors as well as interpersonal factors.

지역사회 거주 1인가구 노인의 신체활동 관련요인: 2019년 지역사회건강조사 자료 이용 (Factors Associated with Physical Activity in Older Adults Living Alone: Using Data from the 2019 Community Health Survey)

  • 이은숙;김혜영;고은
    • 근관절건강학회지
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    • 제30권3호
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    • pp.242-253
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    • 2023
  • Purpose: The purpose of this study was to identify factors associated with physical activity in older adults living alone. Methods: This is cross-sectional, correlational study used secondary data from the 2019 Community Health Survey. The participants were 19,134 older adults aged 65 years or older and living alone. Data were analyzed using descriptive statistics, the 𝜒2 test, and linear regression with the SPSS/WIN 27.0 program. Results: The participants' average amount of physical activity was 1,359.32 MET-min/week; 50.7% were inactive, 38.6% were minimally active, and 10.7% were health-promoting active. Demographic factors that predicted physical activity were gender, age, education level and monthly income, whereas health behavior factors included subjective health status and high risk drinking (R2=.055, p<.001). Psychological factors were sleeping time, stress, depression and fear of falling, and social factors included social contact with neighbors or friends, and participation in social or leisure activites(R2=.070, p<.001). Conclusion: It is important to determine the level of physical activity in older adults living alone. Demographic characteristics, health behaviors, psychological factors, and social factors should be considered in the development of specific and integrated nursing interventions to increase physical activity in older adults.

아동기 성학대 발생과 배경요인 (A National Survey on the Prevalence and Risk Factors of Child Sexual Abuse)

  • 한인영;이용우;유서구;박명숙;김진숙
    • 한국사회복지학
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    • 제60권2호
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    • pp.131-153
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    • 2008
  • 전국적 규모의 아동기 성학대의 발생현황과 관련요인을 파악하고자, 본 연구는 전국의 19세 이상 성인 남녀 2,037명을 대상으로 18세 이전의 성학대 경험유무 및 관련변인들을 설문조사하였다. 연구결과에 의하면, 표본의 20.8%가 적어도 한 가지 이상의 아동기 성학대를 경험한 것으로 조사되어, 한국 사회에서도 아동기 성학대가 적지 않게 발생하고 있는 것으로 나타났다. 반면, 성학대 피해에 대한 대응방법으로는 '아무에게도 알리지 않고 도움도 받지 않음'이 모든 유형의 성학대에 있어 가장 주된 대응방법으로 나타났으며, 아동기 성학대 발생과 관련된 요인으로는 아동의 성별, 비행가담 여부, 가구의 경제적 지위, 형제 자매의 수 및 범죄발생이 잦은 지역에의 거주 등이 유의미한 관계를 갖는 것으로 조사되었다. 본 연구는 최초의 전국조사를 통하여 한국의 성인 다섯 명중 한명은 아동기 성학대 경험을 갖고 있음을 밝혀냈으며, 이와 관련된 다양한 위험요인을 분석하였다. 따라서 본 연구는 한국사회에서 아동성학대 문제의 심각성에 대한 인식을 고취시킬 뿐만 아니라, 아동 성학대 문제에 대한 효율적인 국가정책이나 서비스 개발 등 사회적 개입을 계획 실행하는데 유용한 지침을 제공할 수 있을 것으로 기대된다.

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일 농촌노인의 건강상태 및 건강증진행위에 관한 연구 (A Study on the Health Status and Health Promoting Behavior of Older Adults in a Rural Area)

  • 김정순
    • 지역사회간호학회지
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    • 제12권1호
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    • pp.187-201
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    • 2001
  • This study was conducted to investigate the health status and health promoting behavior of older adults in rural area. The design of research was descriptive study. 883 older adults over sixty years living in the rural area of Pusan city were surveyed from July 9. 1999 to July 20. 1999 through direct interview using a questionnaire and physical examination. The collected data were analyzed for percentage. mean. Chi square-test. ANOVA using the SPSS computerized program. The main results were as follows: 1. 43.4% of subjects lived alone or with only partner. 2. 37.13% of subjects had perceived own health condition as bad. 3. Major 'chronic diseases that the subjects were suffered were diabetes(25.94%) and hypertension(9.11%). 4. The mean score of perceived depression was 17.71 of 44. 5. 87.98% of subjects replied that they had good relationship with their family and friends. 6. 8.57% of subjects were identified as over weight. while 10.85% were low weight. 7. 29.93% of subjects replied that they were smoking. By the group. the rate of smoking of man was significantly higher than women. and lower age group than higher age group, and higher education group than lower education group. 8. 70.38% of subjects didn't practice exercise. By the group, the rate of exercise of woman was significantly lower than man, and higher age group than lower age group, and lower education group than higher education group. 9. 12.33% of subjects replied for the frequency of drinking as more three -times a week. By the groups. man showed significantly more frequency than woman. the lower age group than higher age group, the lower education group than the higher education group. 11. The mean score of nutrition state was 3.73 which means moderate risk state. 12. The 57.53% of subjects replied, their sleeping time as below 7 hours. 13. The 15.75% of subjects had experience a periodical inspection. In conclusion, older adults in rural area were identified having various health risk factor, Looking at the results. It is necessary to develope health promotion program which enhances older adults to practice health promoting behavior and to manage their chronic disease.

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유아 모친의 우유병우식증 및 치아우식증 예방에 대한 지식 및 태도 조사 (KNOWLEDGE AND ATTITUDE OF MOTHERS WHO HAVE INFANTS ABOUT BABY BOTTLE TOOTH DECAY AND DENTAL CARIES PREVENTION)

  • 이지영;이광희;김대업;조중한
    • 대한소아치과학회지
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    • 제24권1호
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    • pp.220-234
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    • 1997
  • The purpose of this study was to investigate the knowledge and attitude of a group of mothers who had infants about baby bottle tooth decay(BBTD) and dental caries prevention. The sample consisted of 261 mothers who had infants from 6 to 36 months from certain areas of Dae-jeon city. The mothers were asked to answer a questionnaire which included a series of questions regarding general information cencerning the infant and his mother, knowledge about BBTD and methods of prevention using fluoride, knowledge about behavioral risk factors contributing to caries of the infant, attitude toward oral health care of the infant, opinions regarding the effectiveness of methods to prevent dental caries and sources of oral health information. he results of this study were as follow. 1. 85.4% of the respondents thought that prolonged bottle feeding would harm the teeth of the infant, but 77% of the respondents had never heard of baby bottle tooth decay. 2. Levels of knowledge about methods of prevention using fluoride were relatively low and there were significant relationships between the levels of this knowledge and the educational level of the respondents(P<0.05). 3. Only 7.3% of the respondents thought that prolonged breast feeding would harm the teeth of the infant. 4. Overall oral health care of the infants was relatively insufficient. 5. Only 28.7% of the respondents selected either when the first tooth erupt or deciduous dentition complete as the time a infant should first be seen by a dentist. 6. 64.6% of the respondents thought that toothbrushing should be instituted once the first tooth appears. 7. Among the six methods of preventing caries in infants, respondents ranked the effective of fluoride lower than making regular dental visits and reducing intake of sugared foods. 8. Most frequently cited sources of information about dental health were newspapers, magazines and books(65%), followed by friends, neighborhoods and families (55%).

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서울시내 정상 또는 저체중 여중생의 다이어트 행위 실태와 관련요인 분석 (A Study on Dieting Behaviors and Related Factors among Normal or Low-weight Middle School Girls in Seoul)

  • 박선희
    • 한국학교보건학회지
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    • 제14권1호
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    • pp.115-130
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    • 2001
  • Dieting behaviors prevail among most women and are highly increasing among female adolescents who don't have to lose weight. The dieting behaviors of normal or low weight groups are highly related to the negative impact of health risk behaviors. We need a strategy for intervening in the dieting behaviors of relevant groups. With this background, a study was conducted to examine the current situation of dieting behaviors and related factors in middle school girls, and to provide guidelines for the relevant dieting group. This survey was carried out by self-questionnaires passed out to 901 middle school girls from 3 middle schools in Seoul. Data were collected from April 10th, 2000 to April 17th, 2000 and 794 respondents' data were finally selected for analysis. The instruments of this study were Shin's scale for effects of mass-media, Birleson's depression self-rating scale translated by shim, Rosenberg's self-esteem scale, Smilkstein's Family APGAR score translated by Yoon, Kim's school-related adjustment scale. The credibility of instruments was 0.41~0.83 in the pilot study and 0.70~0.86 in the main study. The summary of results was as follows: 1. The general characteristics of respondents were analyzed. In comparison of grade and dieting behaviors, the subjects of the group perceived that their body image was obeser than their real body image and their ideal body image was slenderer than their current body image. A dieter's body image was seriously distorted. 2. The dieting behaviors were analyzed. The Subjects' BMI was within the normal to low range -- they didn't have to lose weight. But actually 47.3% of the respondents were dieters. Their main dieting methods were exercise(71.8%), computer games(64.9%) such as DDR and pump, and intake reduction(64.1%). Most dieters were using desirable methods such as exercise and intake control. But unhealthy methods such as saunax, smoking and harmful drug-use were also used by a few dieters. The main reason for dieting was attractiveness. The chief resources of dieting methods were mass-media(67.8%), friends(64.3%), and parents & relatives(35.1%). Only a few subjects obtained the information from health professionals. While they were trying to lose weight, 42.1% of the subjects experienced side effects such as dizziness(45.0%), apathy(20.5%), appetite loss(18.5%), amenorrhea and the irregularity of the menstrual cycle(16.6%). 3. The relationship between dieting behaviors and factors was analyzed. Dieting behaviors were significantly related to the experience of menarche, the experience of dating with heterosexuals, perceived body image, self-esteem, depression, family's relationship, school instruction-related adjustment, school life-related adjustment, and the effect of mass-media. After that, the multiple logistic regression was used. The analysis revealed that dating, perceived body image, the experience of menarche and the effect of mass media were significant factors. In conclusion, strategies for preventing irrelevant dieting behaviors are urgently required to enhance female adolescents' ability to choose the right information from countless others and to recognize their optimum body image.

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한국 다문화가정 청소년의 스트레스와 자살생각과의 관련성 (The relationship between stress and suicidal ideation among the Korean Multi-Cultural family Adolescents)

  • 박형수;유진호;박부연
    • 한국전자통신학회논문지
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    • 제8권5호
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    • pp.771-777
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    • 2013
  • 우리나라 다문화가정 청소년들을 대상으로 스트레스와 자살생각과의 관련성을 파악하고자 2011년 7차와 2012년 8차 청소년건강행태 온라인조사의 자료를 통합하여 남학생 607명, 여학생 543명을 대상으로 자살생각과의 관련요인을 스트레스의 원인을 중심으로 파악하고자 하였다. 통계 프로그램은 SPSS version 17.0을 이용하였다. 통계분석시 부모 두 분 중 한분이 태어난 곳이 한국이 아닌 학생을 다문화가정 청소년으로 하였고, 통계적 유의성은 p<0.05로 하였다. 자살생각 유무를 종속변수로 하여 자살생각과 스트레스 원인과의 관련성을 알아보고자 단순 로지스틱 회귀분석을 통해 비차비(Odds Ratio, OR)를 산출 하였으며, 복합표본을 설정하여 분석을 하였다. 남학생의 경우 교우들과의 문제로 인한 스트레스를 받은 학생의 자살생각이 2.70배 높았고, 여학생의 경우 부모님과의 갈등으로 인한 스트레스를 받는 학생의 자살생각이 2.50배 높았다. 결론적으로 다문화가정의 청소년들의 자살생각에 영양을 미칠 수 있는 개인, 가정, 학교생활과 관련된 여러 스트레스의 원인 중 부모와 친구들과의 관계개선을 통해 다문화가정의 청소년의 자살 생각의 예방과 관리를 위해 사회적인 관심이 필요하다고 생각된다.

국민기초생활보장 노인과 일반노인의 노인학대 관련요인 비교연구 (A Comparative Study of Influencing Factors on Elder Abuse of Public Assistance Recipient Elderlies and Community Elderlies)

  • 박미은
    • 한국사회복지학
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    • 제56권2호
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    • pp.93-119
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    • 2004
  • 본 연구에서는 국민기초생활보장 노인과 일반노인을 대상으로 노인학대의 실태 및 학대관련 요인에 대해 비교 연구하였다. 조사결과, 첫째로 학대경험에서는 전반적으로 국민기초생활보장 노인이 일반노인보다 높았으며, 두 집단 모두 심리적 학대와 방임의 비율이 높았다. 또한 학대발생은 두 집단 모두 "한 달에 한두 번"이라고 응답한 비율이 높았으며, 신체피해보다는 정신적 피해가 많았다. 둘째로 노인학대자들은 주로 40세 초반이었으며, 남성이 여성보다 약간 많았다. 학대의 주요 이유는 경제문제와 성격문제로 나타났다. 셋째로 노인학대에 영향을 미치는 요인을 보면, 국민기초생활보장 노인의 경우에는 자신이 우울하고, 평소에 음주를 하며, 주변의 지지를 받지 못하는 경우로 나타났다. 또한 학대자가 음주상태에서 공격했거나 아동기 폭력을 경험했고, 가정 내에서 정서적인 유대감이 낮으며, 가족 원수가 적은 경우에 학대가 발생하였다. 일반노인의 경우에는 노인이 아동기 학대를 경험했고, 주변의 지지를 받지 못하며, 학대자와 평소관계가 좋지 않고 정서적인 유대가 낮은 경우에 학대가 발생하는 것으로 나타났다. 이러한 결과를 기반으로, 결론에서는 두 집단의 특성을 고려한 다양한 개입방안을 제시하였다.

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만성폐쇄성폐질환자 가족의 보호부담에 관한 연구 (Burden of COPD among Family Caregivers)

  • 김정화;김은경;박선형;이경애;황용일;김은지;장승훈;박성훈;이창률;이명구;이지연;김동규;정기석
    • Tuberculosis and Respiratory Diseases
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    • 제69권6호
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    • pp.434-441
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    • 2010
  • Background: Chronic obstructive pulmonary disease (COPD) is a major health problem resulting in significant burden for patients and families. However, family caregivers' burden has not been well recognized. The objectives of this study were to evaluate the level of caregivers' burden and to explore the related factors based on family, patient, and social support factors. Methods: A face-to-face interview with 86 family caregivers who had been taking care of COPD patients was conducted. The participants answered a self-administered questionnaire. The questionnaire included the level of family caregivers' burden, health status and the relationship within the family, functional limitation of patients perceived by family caregivers and the social support. Results: The level of caregivers' burden among participants was considerably high. Risk factors for caregivers' burden included low educational level of family caregivers, low family income, hours of caregiving, and functional limitation of the patients. Protective factors for caregivers' burden were good relationship within the family and support from other family members or friends. Conclusion: It is proved that family caregivers are facing significant burden in taking care of COPD patients. To reduce family caregivers' burden, it is necessary to address socioeconomic status of the family and to provide various community resources including financial support and nursing services.