• 제목/요약/키워드: self-assessed health status

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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.

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.

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.

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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성인의 본인 인지 구강건강상태와 객관적 구강건강상태의 연관성 (Correlation of Self-Perceived Oral Health Status and Objective Oral Health Status of Adults)

  • 김미정;임차영
    • 한국산학기술학회논문지
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    • 제18권5호
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    • pp.375-381
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    • 2017
  • 본 연구는 성인을 대상으로 전문가가 평가한 구강건강지표와 본인 인지 구강건강상태가 상호 관련이 있는지 분석하고 구강보건사업에서 본인 인지 구강건강상태를 반영하는 것이 유효한 지 알아보기 위하여 국민건강영양조사 제 6기 2차년도(2014) 원시자료를 분석하여 수행하였다. 전체 대상자 중에서 만 19세 이상의 성인을 연구대상으로 하여 다음과 같은 결과를 얻었다. 객관적 구강건강지표인 DMFT Index에 따른 각 연령군의 본인 인지 구강건강상태는 모든 연령군에서 통계적으로 유의한 차이가 나타났다(p<0.001). 모든 연령군에서 DMFT Index가 높을수록 본인 인지 구강건강상태가 나쁘다고 평가하였다. 각 연령군별 본인 인지 구강건강 상태에 영향을 미치는 요인에서 청년층의 경우 우식경험영구치지수, 1년간 구강검진 여부, 씹기 문제, 교육 수준이 통계적으로 유의하였고(p<0.005), 장년층에서는 우식경험영구치지수, 씹기 문제에서 통계적으로 유의하였다(p<0.005). 노년층에서는 우식경험영구치지수, 1년간 구강검진 여부, 씹기 문제, 말하기 문제에서 통계적으로 유의하게 나타났다(p<0.005). 이상의 연구결과를 토대로 전문가가 평가한 구강건강지표와 본인 인지 구강건강상태가 상호관련이 있음을 확인하였다. 이는 본인 인지 구강건강상태가 '건강하다' 라고 인지하면 객관적 구강건강지표도 높게 될 가능성이 있으므로, 삶의 질 향상을 위한 구강보건사업에서 주관적 구강건강을 반영해야 할 것으로 사료된다.

레스토랑 이용자들의 건강자각도에 따른 외식 태도 (Healthy Dining Out Attitude of Restaurant Diners by Self-Rated Health Status)

  • 윤혜려;조미숙
    • 한국식생활문화학회지
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    • 제22권3호
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    • pp.323-329
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    • 2007
  • The objective of this study was to compare the healthy dining out attitude of restaurant diners by self-rated health status. Using healthy dining attitude and behavior questionnaire and a single question describing self-rated health status, the needs and importance of healthy dining out was detected. Mean age of the 182 respondents was 38.9${\pm}$11.37 years old and 37.4% of the respondents answered their mean monthly income was over 6,000,000won showing the subjects belonged in high income diners. The needs of healthy dining measured by five scales and offering healthy menus(3.80), labeling foods about original country(3.79), using environmentally friendly foodstuffs(3.71) and labeling nutrients on menu board(3.62) show higher score than others. A total of 76.4% of the respondents assessed their health status as 'good-rated Health' and 23.6% was 'poor-rated health'. There was no difference in frequency of eating out by self-perception of health status but, the 'poor-rated health' group need more nutrition information in restaurant specially for calorie(p<0.05), cholesterol(p<0.05), fiber(p<0.05), functional nutrients(p<0.001) showing significant differences comparing to 'good-rated health' group. In good-rated health group, selection of Korean cuisine for eating out was more frequent than the poor. The results shows the needs of healthy dining can be varied by diner's health status and therefore restaurateur should focus on understanding of the needs of diners with various health status.

근로능력평가지표의 취업에 대한 영향 비교: 장애등급, ICF 활동참여수준, 일상생활 도움필요정도 및 자기평가건강상태를 중심으로 (Effects of work ability on the employment status of people with disabilities: Comparing degrees of disability, ICF activity limitations & participation restriction, levels of assistance needed for daily activities, and self-assessed health status)

  • 이선우
    • 사회복지연구
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    • 제42권2호
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    • pp.323-350
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    • 2011
  • 근로능력은 장애인소득보장정책과 장애인고용정책에서 정책대상자를 선정하는 핵심요인이다. 우리나라에서 사용하고 있는 근로능력평가지표인 장애등급은 의학적 손상에 기초하여 결정되는 것으로, 제대로 근로능력을 평가하지 못한다는 비판을 받고 있다. 이 연구에서는 장애등급, ICF 활동참여수준, 일상생활도움필요정도 및 자기평가건강상태의 4 근로능력평가지표들이 장애인의 취업여부에 대한 설명력을 비교함으로써 가장 적절한 평가지표를 찾아 내고자 하였다. 그 결과, ICF 활동참여수준이 장애인의 취업여부에 대한 설명력이 가장 높았으며, 이어서 일상생활도움필요정도, 장애등급, 그리고 자기평가건강상태의 순으로 나타났다. 결론적으로 장애인연금제 및 장애인고용정책 등에서 적절하게 활용할 수 있는 근로능력평가지표는 ICF 활동제한 및 참여제약 영역에 해당하는 지표들이라고 할 수 있다. 따라서 ICF 활동제한 및 참여제약 영역을 바탕으로 한 근로능력 평가지표가 장애등급보다 더 적절한 근로능력평가지표라고 할 수 있을 것이다.

한국 성인의 치주건강 불평등에 미치는 사회경제적 요인과 구강건강의식 및 행태의 효과 (The Effect of Socioeconomic Status, Oral Health Consciousness and Behaviors on the Periodontal-health Disparities among Korean Adults)

  • 박희정;이준협
    • 보건교육건강증진학회지
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    • 제27권1호
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    • pp.61-69
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    • 2010
  • Objectives: The aim of this study was to examine socioeconomic inequalities in oral health and to investigate the extent to which socioeconomic disparities in oral health are attenuated by oral health related consciousness and behaviors. Methods: We used data from the third 2006 Korea National Oral Health Survey(KNOHS) and a total of 3,457 subjects aged over 18 years were analyzed. The dependent variable was periodontal conditions which is devided into dichotomy, that is, health and ill-health, using the Community Periodontal Index(CPI) in KNOHS. Socioeconomic status(SES) were measured by educational attainment, income and residential area. Age, gender, oral health consciousness(self-assessed oral health status, concern about oral health and self-perceived dental treatment needs and behaviors(brushing, use of dental floss and dental visits) were adjusted in binary logistic regression analysis. Results and Conclusion: The results show that oral health consciousness and behaviors do not mediate the relationship between SES and periodontal health and there might be limitations to attenuate socioeconomic disparities in oral health only by changing of either oral health consciousness or(and) behaviors. Our findings suggest that more definite oral health policies and dental health education among adults with lower education will need in order to improve oral health.