• 성인간호학회지
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• 제18권4호
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• pp.612-621
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• 2006

Purpose: The purposes of this study was to identify the health status, health-related life habits, activities of daily living and biophysical index of the elderly in Korea and Japan respectively, and to compare the Korean elderly with those of the Japanese elderly. Method: Two hundred ninety five elderly from Korea and 325 elderly from Japan, aged over 65 years were conveniently recruited from welfare centers in both countries. Health status, health-related life habits, and activities of daily living were assessed by self-report questionnaires. BMI, lean body mass, body fat, body fat rate, muscle area of limbs and grip strength were measured for biophysical indices. Descriptive statistics, non paired t-test and Chi-square test were used to describe and to compare the levels of these variables. Results: The mean scores on frequencies of Korean and Japanese elders' chronic diseases were 2.9 and 0.8. The mean scores on activities of daily living were 9.8 and 12.4 respectively. The Korean elderly had higher mean scores of BMI, and body fat rate than The Japanese elderly, and showed lower mean scores of muscle areas of the lower extremities and grip strength. Hypertension was the most prevalent disease in the both groups. Conclusion: Significant differences in several variables of health status, health-related life habits, activities of daily living and biophysical index were noted between the Korean and Japanese elderly.

• 보건교육건강증진학회지
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• 제27권4호
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• pp.141-152
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• 2010

Objectives: This study was conducted to estimate the health-related quality of life using EQ5-D by socio-demographic characteristics and mental health among Seoul citizens for developing health promotion programs. Methods: The study subjects using cluster-stratified sampling method were 1234 adults over 19 years old from 17 dong, S-Ku in Seoul City. A cross-sectional study with face-to-face interview was used to collect data. A questionnaire measuring socio-demographic variables, Symptom Checklist-90-Revised (SCL-90-R) and Euroqol EQ-5D instrument. The Difference on the EQ-5D index among groups were tested with Mann-Whitney U test and Kruskal Wallis test. Results: The mean EQ-5D index for all subjects was 0.946(${\pm}0.105$). The EQ-5D index were significantly different by sex, age, marital status, eduction level and income. The EQ5-D indexes among clinical mental health groups were the lowest scores and significantly different from other groups. Conclusion: The findings suggest that the future intervention of health promotion programs should be carefully designed and tailored by socio-demographic variables. Especially, the mental health programs need to be developed.

• 보건행정학회지
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• 제10권2호
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• pp.120-130
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• 2000

Studies on the relation between socio-economic factors and metermal and child health have found that poverty, lack of edcation, inappropriate health serives are affecting to maternal and child health. The Gender Related Development Index (GDI) focuses on equality between men and women as well as on the average achiement of all people taken together, using same cariables as the Human Development Index (HDI) which are life expectancy, literacy rate, and per capita GDP. This research is to inverstigate whether HDI and GDI are useful determinants for maternal infant mortality. Using 146 UN member countries date, we condented multiple regression analysis for maternal and infant mortality with three models which are Model(individual variables-literacy rate, per capita GDP), Model(HDI) and Model(GDI). The results showed that HDI and GDI are powerful determinants of both maternal and infant mortality, respectively HDI($\beta$=-1.18, t=3.3; $\beta$=1.04, t=5.1) GDI($\beta$=-1.44, t=3.9; $\beta$=1.28, t=6.5) The higher power in model with GDI for both maternal and infant mortalities represented that GDI was more powerful determinant of maternal and infant mortality, than HDI respectively HDI($R^2$=0.824, $R^2$=0.842), GDI($R^2$=0.834, $R^2$=0.865). In conclusion, the maternal and infant mortalities are explained by GDI than HDI and may be lower in the societies where there are less discimination between men and women.

• Journal of Gastric Cancer
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• 제15권2호
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• pp.87-104
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• 2015

Purpose: To assess real-world treatment patterns, health care utilization, costs, and survival among Medicare enrollees with locally advanced/unresectable or metastatic gastric cancer receiving standard first-line chemotherapy. Materials and Methods: This was a retrospective analysis of the Surveillance, Epidemiology, and End Results-Medicare linked database (2000~2009). The inclusion criteria were as follows: (1) first diagnosed with locally advanced/unresectable or metastatic gastric cancer between July 1, 2000 and December 31, 2007 (first diagnosis defined the index date); (2) ${\geq}65$ years of age at index; (3) continuously enrolled in Medicare Part A and B from 6 months before index through the end of follow-up, defined by death or the database end date (December 31, 2009), whichever occurred first; and (4) received first-line treatment with fluoropyrimidine and/or a platinum chemotherapy agent. Results: In total, 2,583 patients met the inclusion criteria. The mean age at index was $74.8{\pm}6.0years$. Over 90% of patients died during follow-up, with a median survival of 361 days for the overall post-index period and 167 days for the period after the completion of first-line chemotherapy. The mean total gastric cancer-related cost per patient over the entire post-index follow-up period was United States dollar (USD) $70,808{\pm}56,620$. Following the completion of first-line chemotherapy, patients receiving further cancer-directed treatment had USD 25,216 additional disease-related costs versus patients receiving supportive care only (P<0.001). Conclusions: The economic burden of advanced gastric cancer is substantial. Extrapolating based on published incidence estimates and staging distributions, the estimated total disease-related lifetime cost to Medicare for the roughly 22,200 patients expected to be diagnosed with this disease in 2014 approaches USD 300 millions.

• 한국식품조리과학회지
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• 제27권4호
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• pp.75-87
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• 2011

This study was conducted to examine the effect of children's dietary quality, dietary habits, food behavior and health-related lifestyles according to the mother's lifestyles of health and sustainability (LOHAS). The subjects were 580 children. Mother's LOHAS attitude index was 66.85 points and 100 points was a perfect score. The mother's high LOHAS attitude items that children perceived were "My mother often communicates with the family"(3.99 points) and "My mother thinks that the family's health is more important than her health"(3.93 points). In contrast, the LOHAS attitude items for "My mother does community service activity on weekends"(2.78 points), and "My mother participates in environmental protection service activity for the local community"(2.78 points) were very low. The high LOHAS behavior index of mothers was "resource saving", whereas "social welfare" scored low. When self-perceived health status and monthly income of children was high, the mother's LOHAS score was high. The LOHAS attitude index of mothers had a meaningful impact on the children's dietary quality, dietary habits, food behavior and health-related lifestyles. The most frequent food behavior variables were "high skipping rate", "frequency of snacks is 2~4 times per week", "speed of eating is rapid", and 'meals' amount is sufficient. The highest daily life habits item was "I try to maintain a pleasant and enjoyable life style"(3.42 points). The highest nutrient intake attitude score was "I tend to eat rice everyday."(3.41 points). They were highly recognized with "moderate physical activity", "high exercise preference", "positive posture exercise", "exercise <2 days per week", and "over 30 minutes exercise time per day" for the exercise performance status items. It was verified that the higher mother's LOHAS lifestyle score is, the higher children's food behavior, daily life habits, nutrient intake, exercise performance state score are.

• 보건교육건강증진학회지
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• 제19권2호
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• pp.45-55
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• 2002

This study was conducted to evaluate the degree of stress state and stress related factors in 280 male white collar workers by using Psychosocial Well-being Index. The results were as follows; 1. According to Psychosocial Well-being Index, mild stress state was 78.6 %, healthy state was 12.9 %, and high risk stress state was 8.6 %. Single marital status, low education level, low income and low frequency of exercise group had high score of stress. 2. The total stress score was highly associated with the factors of social performance and self confidence, depression, general well-being and vitality, and sleeping disturbance and anxiety in order. 3. In reliability test of stress factors, Cronbach's a coefficients of social performance and self confidence, sleeping disturbance and anxiety, depression, general well-being and vitality were 0.91, 0.91, 0.90, and 0.89 respectively. In conclusion, it suggested that marital status, income, education, and exercise were associated with stress score. All of the above factors should be considered to white collar workers health.

• 대한지역사회영양학회지
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• 제6권5호
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• pp.773-788
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• 2001

The purpose of this study was to investigate the difference in nutrient intake according to the level of self-perception of health status, aging status and life satisfaction of the rural elderly. The factors for the study were surveyed by interview method. The subjects were 270 people(71 male, 129 female) aged over 65 years(73.5 $\pm$ 5.6ys) in the Ham-an area. The obtained results as follows : By evaluation of self-perception of health status, 57.5% of subjects answered they are in a bad health condition. The 91.5% of subjects had diseases(rheumatitis & arthritis 31.4%, cardiovascular disease 20.2%, gastric disease 10.2%). The women had more diseases than the men(p < 0.01). The subjects took medical treatment in private hospital(40.5%) and public health centers(35.0%). The men showed better level of aging status(p < 0.001) and life satisfaction index(p < 0.01) than the worsen. Living with spouse influenced the aging status(p < 0.05) and the more pocket money influenced life satisfaction(p < 0.05) and aging status(p < 0.05). The elderly who eat regularly 3 times a day(p < 0.05) and have a good appetite(p < 0.001) appeared to have positive effect on the self perception of health status and aging status. An increasing level of the self-perception of health status and regular exercise worked to improve aging status(p < 0.001). The habits of smoking and alcohol drinking, however had no effect on any index. The self-perception of health status affected the nutrient intake, but only in female elderly. The aging status and the life satisfaction index related overall positively to the intake of nutrients. In conclusion, the study shows that gender did influence nutrient intake in the elderly. The women who live alone rated lowest in social resources and health condition therefore their nutrient intake was also extremely in deficit. For successful aging, a program for rural elderly is needed, i.e. actions to provide minimum economic life, food delivery and psychological/physical health care through regional public health centers.

• 디지털융복합연구
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• 제12권4호
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• pp.399-407
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• 2014

본 연구는 노인의 의치 관련 특성, 의치 만족도, 구강건강관련 삶의 질 간의 관계를 분석함으로써, 향후 노인의 구강건강 증진과 삶의 질 향상을 위한 기초자료를 마련하고자 한다. 경북지역 안동시, 영주시, 의성군에 거주하는 65세 이상 노인을 대상으로 2013년 3월 25일부터 5월 9일까지 설문조사를 실시하였다. 연구결과 의치만족도는 의치고정만족, 발음심미만족, 저작기능만족 서로 높은 상관관계가 나타났고, 노인의 의치관련 특성, 의치만족도, 구강건강관련 삶의 질 간에 인과관계가 있는 것으로 나타났다. 따라서 효과적인 의치사용과 관리를 위한 노인구강보건교육과 노인 구강건강상태 인식수준을 향상 시킬 수 있는 제도적 및 방안이 마련되어야 할 것이다.

• 보건행정학회지
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• 제5권2호
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• pp.155-172
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• 1995

This study is an empirical analysis on the equity in the delivery of heatlh care under the Korean Medical Insurance Corporation System. The purposes of this study are to find out effects of income on the health care utiliztion and measure the income-related inequity in the distribution of health care. This study was carried out based on the fact that the health insurance program has been organized to achieve the equity objective, "equal treatment for equal needs". Of 41, 828 insured persons who had been diagnosed in the 1993 Health Screening Test and utilifzation data from 1, January 1993 through 31, December 1993 were derived from the Benefit Managment File. Inequity was measured by means of I) share approach, ii) standardization concentration curve approach, iii) inequity index, iv) test for inequity. The major findings were as follows : 1. The expenditure shares of the top two quintile groups exceeded their morbidity shares, whereas the opposite was true of the bottom three quintile groups, Which showed a positive HI$_{LG}$ inequity index, suggesting the presence of some inequity favoring the rich group. 2. Compared with other residential areas, the rural area showed the highest positive HI$_{LG}$ irrespective of need indicatior applied. 3. Standardized expenditure concentration indices adjusted by age, gender and need structure were also found to be positive, and therefore still indicated that there has been inequity favoring the rich after the standardization. 4. The Loglikelihood Ratio (LR) test for the statistical significance of income-related inequity of medical care utilization was carried out using the logistic regression model. The resulting loglikelihood ratio test statistic value was 176, which did exceed the 0.5 percent critical value of the chi-square distribution with 28 degrees of freedom, which is 50.993. Therefore, the null hypothesis of no income-related inequity of medical care utilization was rejected at the 99.5 percent confidence level. 5. The Regression based F-test has been carried out for analyzing the income-related inequity of medical expenditure in terms of age, gender, morbidity indicators as explanary variables. The hypothesis of the absence of income-relate inequity was rejected for all need indicators at the 95% confidence level.nce level.

• 대한간호학회지
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• 제12권2호
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• pp.45-56
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• 1982

This study was carried out during the month of september 1982 to analyse and evaluate of the mental and physical health status of University woman students using the Cornell Medical index. The purpose of the study was to provide basic data required by the University health program for planning related health need of woman students. The study sample is consisted of 486 students living in the dormitory enrolled for the fall semester 1982 in a Women's University in Seoul. The instrument used for the collection of data was an abridged version of a modified Cornell Medical Index. The questionarre includes 35 items related to physical health complaints and 22 items related to mental health complaints. The data was treated by a computer(SPSS) using one way analysis, and The Fishers' ratio and Chi-square test at the 5％ level were also adjusted for the test for statistical significance. The interpretation of this study is limited due to the sample which was restricted to one University and not randomly selected. The followings are the results of the foundings so far achieved. 1. More than 60% of the Woman students have physical health problems in digestive system, cardiovascular system, nervous system, respiratory system, and musculo skeletal system in the order named. 2. More than 50% of the woman students have mental problems because of anger inadequacy sensitivity tension, depression and anxiety in the order named. 3. There were no statistically significant differences among woman students in mental and physical health problems caused by year groups, major groups, growing regional groups. 4. There were significant differences caused by the number of brothers and sisters in the aspect of appealing mental and physical problems. 5. There were significant differences caused by the rate of satisfaction in the living cost, and the lower the rate of the satisfaction in the living cost goes, the higher tile frequency rate of the appealing mental and physical health problems is. 6. There were significant differences caused by the rate of satisfaction of the living in the aspect of appealing mental and physical health problems. There fore, the lower the rate of the satisfaction of the living goes, the higher the frequency rate of the appealing mental and physical health problems is, and the more the complaints are, the more frequent the appealing of the problems of digestive system, circulating system and fatigue is.