• 제목/요약/키워드: self-assessed health

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주관적 건강상태에 따른 사망률 차이 (The Difference of Mortality According to Self-Assessed Health Status)

  • 우혜경;문옥륜
    • 보건행정학회지
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    • 제18권4호
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    • pp.49-65
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    • 2008
  • The single-item question of self-assessed health status has consistently been reported to be associated with mortality in some developed countries, even after controlling for a wide range of health measurements and known risk factors for. mortality. It was intended in this study to find out whether or not such a relationship would also be valid in Korea. This study examined the effect of point of reference year on. the, predictive validity of self-assessed health for mortality in 6-year follow-up period. we need to test the validity of the self-assessed health, as an indicator for assessing health status using Cox's proportional hazard model. For the analysis, we used the data from the 2nd (1999) to the 7th survey of "Korean Labor and Income Panel Study," and assessed relative risk of death based on subjective health state by tracing 11,366 people who replied to the question of self-assessed health state in the 2nd year. According to the result, those who reported poor self assessed health state in the 2nd year showed a relatively high death rate, and their relative risk of death was significantly higher. Such a relationship was accentuated if the predictive value of the 2nd survey result would be replaced by the average of the cumulative data on the past six years. Thus, it can be concluded that self-assessed health state is valid as an index for assessing Korean people's health status.

건강유지 프로그램이 시설노인의 신체 건강과 정신 건강에 미치는 효과 (The Effect of a Health Maintenance Program on Physical Function and Mental Health of the Elderly in Nursing Homes)

  • 성기월
    • 대한간호학회지
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    • 제37권4호
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    • pp.478-489
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    • 2007
  • Purpose: The purpose of this study was to determine the effects of a Health Maintenance Program on physical functions and mental health of the elderly in nursing homes. Method: Sixty elderly(over 65 years old) in a randomized control study participated in a 16-week group-based intervention including functional exercises and health education. The participants were divided into 3 groups(Health Maintenance Program Group, Supportive Music Exercise Group, and Control Group) of 20 elderly each. Data was collected from Dec. 1st, 2005 to Mar, 30th, 2006. Physical function of lower body strength was assessed using a 30-second chair test, flexibility was assessed using a sit-and-reach test, and static balance was assessed by the ability to balance on one leg with open and closed eyes. Depression was assessed using the Korean Form of the Geriatric Depression Scale and self esteem was assessed using Rosenberg's Self Esteem Questionnaire. Data was analyzed by Chi-square test, One-way ANOVA, and Repeated measure two factor analysis. Results: A Health Maintenance Program significantly increased muscle strength, flexibility and static balance, but depression and self-esteem scores were not significantly changed. Conclusion: Findings demonstrated that a Health Maintenance Program was more effective on physical function than mental health of the elderly in nursing homes.

우리 나라 치과 기공사의 신체 자각 증상과 직업 관련 건강 위험 요인 (Subhective Symptoms and Work-related Health Risk Factors in Korean Dental Laboratory Technicians)

  • 김웅철;이세훈
    • 대한치과기공학회지
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    • 제22권1호
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    • pp.89-112
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    • 2000
  • Although dental laboratory technicians are prone to be exposed to various work-related health hazardous materials such as dusts, chemicals, etc., the prevalence and nature of work-related health problems of them have not been a matter of great concern in the field of occupational health service in Korea. The purpose of the present investigation was to describe a collected profile of subjective health symptoms and their attributable factors in Korean dental laboratory technicians. A questionnaire listing five groups of health symptoms and five health symptom-related factors was mailed to randomly selected 1,900 dental laboratory technicians. Among them, 1,344 dental laboratory technicians filled out the questionnaires and returnde them. Five groups of health symptoms included musculoskeletal symptom, dermal symptoms, respiratory symptoms, eys symptoms, and ear symptoms. Five health symptom-related factors were occupational environment-related health risk factors, work history, health related habits and status, use of personal protective equipment and general characteristics. Detailed parameters of health risk factors were work posture, vibration, and chemical or physical hazards such as dust, fume, vapor, solvent, light, and noise for occupational environment-related factors; work place, area, number of employees, work hours, career, work part, and work load for work history; Broca's index, hours of sleep, eating, smoking, alcohol, exercise, health examination, and self assessed health status for health habits and status; face masks, goggles, and so on for use of personal protective equipment, and; age, sex, marital status, and education for general characteristics. Before the start of main survey, a pilot survey was carried out for validity and reliability tests of the questionnaire. All the data obtained were coded and analyzed with PC/SAS 6.12 program. The prevalence of health symptoms was the highest in musculoskelton (87.3%), and followde by eyes (78.9%), respiratory organs (64.3%), ears (57.8%), and skin (52.2%) in descending order. Statistically significant risk factors by multiple logistic regression analyses were sex, health examination, self assessed health status, and hand/finger posture in musculoskeletal symptoms; sex, self assessed health status, career, acid gas, and hand contact with resin mixture in deraml symptoms; Broka's smoking, exercise, self assessed health status, and face mask in respiratory symptoms; sex, hours of sleep, self assessed health status, work hours, work load, plaster dust, inadequate lighting, and goggle in eys symptoms, and eating, smoking, self assessed health status, and work load in ear symptoms. With the above considerations in mind, prevalence of subjective symptoms among Korean dental laboratory technicians was relatively high, and they were attributable to most of the occupational environment-related factors, work history, use of personal protective equipment, health habits and status, and general characteristics. Particularly, it is suggested that health promotion programs for promoting self- assessed health status and smoking cessation, preventive measures for protection of the female technicians’health, and reducing work load be necessary, since those factors were associated with more than one subjective symptom.

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고용형태의 변화에 따른 건강불평등 (Health Inequity among Waged Workers by Employment Status)

  • 박진욱;한윤정;김승섭
    • Journal of Preventive Medicine and Public Health
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    • 제40권5호
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    • pp.388-396
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    • 2007
  • Objectives: The purpose of this study was to examine the relationship between the differences in employment status and self assessed health in Korea. Methods: We analyzed 4 year follow-up data generated by the Korean Labor and Income Panel Study(KLIPS), which was conducted on 1,207 men and 582 women who had undergone a change in employment status. The study subjects were placed into 1 of the following 4 groups based on their employment history; Non-precarious workers, Precarious to non-precarious workers, Non-precarious to precarious workers and Precarious workers. Logistic regression was then used to examine the relationship between the changes in employment status and self assessed health. Results: When males were considered, self assessed health was better among the precarious to non-precarious workers (OR 1.58, 95% CI=1.57-1.60) and the precarious workers (OR 1.29, 95% CI=1.28-1.30) than in the non-precarious workers, after adjusting for age, socioeconomic status (education level, occupational class, marital status, average equivalent household income and average number of hours worked per week), health behavior (smoking, drinking and exercise) and medical service access (regular medical examination, have chronic disease or hospitalized within 1 year). When female workers were considered, the precarious to non-precarious workers (OR 1.89, 95% CI=1.86-1.92), non-precarious to precarious workers(OR 1.24, 95% CI=1.23-1.26) and precarious workers (OR 1.27, 95% CI=1.25-1.28) all reported poorer health than the non-precarious workers after adjusting for the aforementioned factors. Conclusions: This study showed that changes in employment status were associated with differences in self assessed health among men and women. Specifically, the results of this study showed that a corresponding positive outcome based on self assessed health was greater for employees that changed from precarious to non-precarious jobs and for male employees with precarious jobs., whereas female employees with non-precarious jobs had higher self assessed health. However, additional longitudinal studies on the health effects of employment status should be conducted.

Factors Influencing Body Image in the Aging Process

  • Oh, Keun-Young;Damhorst, Mary Lynn
    • International Journal of Human Ecology
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    • 제9권2호
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    • pp.55-65
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    • 2008
  • This study examined the personal and relational factors influencing the formation of body image among older persons. Aging-rel£lted physical changes, health, marital relationship, cognitive age, and moods were personal and relationship factors explained for influence on the body image of older persons. Data were collected via a mail survey of older married couples residing in three US. metropolitan areas of Florida. A total of 94 married couples who were 60 years older participated in this study. Results indicated that aging-related physical changes, effect of physical changes on the self, self-assessed health, and evaluation of spouse's attractiveness, and perceived attractiveness (one's perception of the other spouse's appraisals of his or her attractiveness) were found to be significantly related to the body image of older men and women. For men, self-assessed health, evaluation of spouse's attractiveness, and perceived attractiveness were significantly related to body image while physical changes, effect of physical changes, and perceived attractiveness were found significant for women. The feelings of older persons about and satisfaction with their bodies and appearance were estimated by aging-related and relationship-related variables.

소비자의 주관적 평가와 그 문제점 :건강과 음식 (Consumer's Self-assessment and Its Problem : Htalth and Food)

  • 심영
    • 한국생활과학회지
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    • 제9권4호
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    • pp.447-457
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    • 2000
  • The purpose of this study was to examine the accuracy of consumer's self-assessment on actual diets and to analyze its accuracy by consumer's health status. The results were as follows: In general, many consumers misunderstood or assessed inaccurately their actual diets. In particular, the Extreme Optimists and the Optimists were the consumers whose diets were poor, but who assessed wrongly their actual diet quality. In relation with their health status, these two groups showed that the better the consumers consider their health, the more the Extreme Optimists and the Optimists are.

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제2형 당뇨병 환자의 자가관리, 당화혈색소 및 주관적 건강상태 (A Study on Self Management, Hemoglobin A1c (HbA1c), and Perceived Health Status for the Type II Diabetes Patients)

  • 박주영
    • Journal of Korean Biological Nursing Science
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    • 제12권2호
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    • pp.106-113
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    • 2010
  • Purpose: This study is conducted to examine the relationship among self management, HbA1c, and perceived health status of type II diabetes patients in community health department. Methods: Data were collected from 93 type II diabetes patients who are registered at five community health center using comprehensive survey, modified self care behavior, blood glucose and HbA1c were assessed by nurses. The data was analyzed by the SPSS (14.0) computer program, and it included descriptive statistics, t-test, ANOVA, and pearson's correlation coefficient. Results: There was significant relationship between perceived health status and HbA1c (r=-.252, p=.015). There was significant relationship between self management and HbA1c (r=-.279, p=.007). Conclusion: In order to control blood glucose in the type II diabetes patients, it is necessary to develop supportive self management programs by considering perceived health status.

교정공무원의 자기효능감, 사회적 지지, 건강증진행위의 관계 (Relationships among Self Efficacy, Social Support, and Health Promoting Behaviors in Correctional Officers)

  • 하영미;최현경
    • 한국직업건강간호학회지
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    • 제23권3호
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    • pp.163-170
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    • 2014
  • Purpose: The purpose of this descriptive, cross-sectional study was to examine relationships among self efficacy, social support, and health promoting behaviors in correctional officers. Factors that influence health promoting behaviors of correctional officers were also assessed. Methods: Two hundred correctional officers completed a pack of self-report questionnaires. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, and multiple regression. Results: There were statistically significant differences in health promoting behaviors depending on marital status and subjective health status. Significant positive correlations among self-efficacy, social support, and health promoting behaviors were found. Factors influencing health promoting behaviors of correctional officers were social support, subjective health status, marital status, and self-efficacy. Conclusion: Considering the findings from this study, health care providers need to develop effective nursing interventions which increase the level of self-efficacy and social support for correctional officers and to help correctional officers practice health promoting behaviors.

보건소 보건의료직 종사자들의 감정노동, 자기효능감 및 소진의 관계 (Relationships among Emotional Labor, Self Efficacy, and Burnout of Employees in Public Health Centers)

  • 최현경;하영미;양승경
    • 한국직업건강간호학회지
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    • 제25권1호
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    • pp.75-83
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    • 2016
  • Purpose: The purpose of this descriptive, cross-sectional study was to examine relationships among emotional labor, self-efficacy, and burnout of employees in public health centers. Factors that influence burnout of workers were also assessed. Methods: One hundred sixty six workers in public health centers completed a pack of self-report questionnaires. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA along with $Scheff{\acute{e}}$ test, and stepwise multiple regression. Results: Employees in public health centers seemed to experience emotional labor to some extent. There were statistically significant differences in burnout depending on the age of workers. Employees' burnout had a positive relationship with emotional labor and a negative relationship with self-efficacy. Factors influencing burnout of employees in public health centers were emotional dissonance, surveillance & monitoring of organization, age, and self-efficacy. Conclusion: Considering the findings from this study, health care providers need to develop effective interventions which increase the level of self-efficacy and decrease certain types of emotional labor for employees in public health centers and to help them effectively manage burnout.

초기 청소년들의 건강위험행위와 자아효능감 (Health-risk Behaviors and Self-efficacy in Elderly Adolescents)

  • 안지연;탁영란
    • 지역사회간호학회지
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    • 제17권3호
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    • pp.387-396
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    • 2006
  • Purpose: This cross-sectional study was conducted to investigate the prevalence of health risk behaviors by gender and grade and to examine the correlation between health risk behaviors and self-efficacy in early adolescents. Method: The sample of this study consisted of 1.693 early adolescents recruited from 7 middle schools in S-Gu, Seoul, Korea. Health risk behaviors were measured by the Youth Risk Behavior Surveillance Survey (YRBS). Self-Efficacy was assessed by General Self-Efficacy (GSE). Results: About a third of the subjects had experience in drinking behavior about 19.4% in cigarette smoking (including cases of just one or two puffs), 25.9% in physical fight, 29.1% in thought about killing themselves (suicide-related behavior), 1.5% in drug. More than a half (60.5%) experienced at least one health risk behavior. Female students were more likely to report drinking experience and suicide-related experience. Health risk behaviors were not significantly correlated with self-efficacy in early adolescents. Conclusions: Many early adolescents had experience in health risk behaviors in the past. The findings of this research suggest the necessity of intensive prevention programs in middle school to motivate and prepare students to avoid these behaviors. In addition, these results may help health professionals plan appropriate screening and counselling for health problems in early adolescents.

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