• Journal of Preventive Medicine and Public Health
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• v.48 no.6
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• pp.287-300
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• 2015

Objectives: Self-rated health is a measure of perceived health widely used in epidemiological studies. Our study investigated the determinants of poor self-rated health in middle-aged Korean adults with diabetes. Methods: A cross-sectional study was conducted based on the Health Examinees Study. A total of 9759 adults aged 40 to 69 years who reported having physician-diagnosed diabetes were analyzed with regard to a range of health determinants, including sociodemographic, lifestyle, psychosocial, and physical variables, in association with self-rated health status using multivariate logistic regression models. A p-value <0.05 was considered to indicate statistical significance. Results: We found that negative psychosocial conditions, including frequent stress events and severe distress according to the psychosocial well-being index, were most strongly associated with poor self-rated health (odds ratio $[OR]_{\text{Frequent stress events}}$, 5.40; 95% confidence interval [CI], 4.63 to 6.29; $OR_{\text{Severe distress}}$, 11.08; 95% CI, 8.77 to 14.00). Moreover, younger age and being underweight or obese were shown to be associated with poor self-rated health. Physical factors relating to participants' medical history of diabetes, such as a younger age at diagnosis, a longer duration of diabetes, insulin therapy, hemoglobin A1c levels of 6.5% or more, and comorbidities, were other correlates of poor reported health. Conclusions: Our findings suggest that, in addition to medical variables, unfavorable socioeconomic factors, and adverse lifestyle behaviors, younger age, being underweight or obese, and psychosocial stress could be distinc factors in predicting negative perceived health status in Korean adults with diabetes.

• Journal of agricultural medicine and community health
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• v.18 no.1
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• pp.93-102
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• 1993

The symptoms of farmer's syndrome that occurred to Korean farmers are due to the specific characteristics of Korean agriculture, and the basic reasons are poverty and less-privileged rural cultural life originated from social and political conditions. Then the purposes of this study are to investigate farmer's syndrome of farmers and to get substantial data to make a strategy that could prevent diseases. The results are as follows: 1. The most common symptom was lumbago(83.0%) among the 7 kinds of symptoms of farmer's syndrome. And it was more common among women who deliver babies and also work house chores and 10 farms than men(p<0.05). 2. The numbers of symptoms of farmer's syndrome increased as age increases and, 71.4% of those aged 70-79 complained some of the symptoms. 3. The accident rate due to agricultural machine was significantly higher in men than women(p<0.05). By frequency contusion was the most common trauma, fall, fracture were the nexts, and the age group with highest accident rate(40%) was those aged 20-29. 4. To see the significantly correlated factors between faemer's syndrome and sociodemo graphic variables, the more the numbers of family members were, the more lumbago and the less heartburn occurred. And the less gross income was the more frequent nocturnal urinary frequency occurred, and the wider the farming land was the more frequent noctural urinary frequency occurred. 5. As result of correlation coefficient between the numbers of illnesses and sociodemographic variables, the larger the family was and the larger the farming land was the more illnesses the subjects had, and those without spouses had more illnesses.

• Journal of Korean Academy of Nursing
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• v.29 no.4
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• pp.977-990
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• 1999

This study was done to examine the relationship among psychosocial well-being, perceived health status and health promoting lifestyle practices, and to Identify those variables affecting a health promoting lifestyle. Three hundred and forty five ruddle-aged adults completed a multiple self-reported questionnaire on psychosocial well-being, perceived health status and health promoting lifestyle profile. Data analysis were conducted by using Pearson correlation coefficients, t-test, ANOVA, Scheffe test and stepwise multiple regression nth SAS program. The results are as follows : 1. The average item score for psychosocial well-being was low at 55.98, the level of perceived health status was moderate at 5.76, and health promoting lifestyle practices were low at 110.09. Among the subscales of the health promoting lifestyle profile, stress management and self-actualization were scored higher than exercise and health responsibility. 2. Performance of health promoting lifestyle was positively correlated with perceived health status and negatively correlated with psychosocial well-being. Also, negative correlations were observed between perceived health status and psychosocial well-being. 3. There were statistically significant differences for health promoting lifestyle, psychosocial well-being and perceived health status according to sociodemographic variables. The performance of health promoting lifestyle was significantly different according to education, economic status and marriage satisfaction. Psychosocial well-being was also significantly different according to education, marriage satisfaction, and exercise. Perceived health status was significantly different according to education, occupation, and economic status. 4. Perceived health status, psychosocial well-being, marriage satisfaction and level of education together explained 21.62% of varience in the performance of health promoting lifestyle. These findings help to clarify relationships among psychosocial well-being, perceived health status, and health promoting lifestyle practices in middle-aged adults. Therefore, the result of study provide clues for encouraging people to adopt healthier lifestyles and constructing alternative strategies for promoting health practices.

• Journal of The Korean Society of Integrative Medicine
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• v.8 no.2
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• pp.29-39
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• 2020

Purpose : This study investigated the relationship among adjustment of cancer, mental health, and family problem solving communication of women with cancer. The purpose of this study was to determine how to improve the adjustment of cancer of women and improve women's mental health to form family problem solving communication. Methods : This correlational study was conducted among 101 women with cancer living in the Seoul region. Data collection occurred from August 1, 2018, to August 23. The data are reported as means and standard deviations and were analyzed with t tests, ANOVA, and Pearson's correlation regression using SPSS version 21.0. Results : The results of this study showed that adjustment to cancer significantly correlated with the education level of the participants (F=3.27, p<.05) and self-help group participation (F=3.156, p<.05). In this study, the mental health of female cancer patients significantly affected their adjustment to cancer (F=13.13, p<.001). These results explained 19.7% of the variance (F=13.13, p<.001) in mental health and adjustment to cancer in female cancer patients. Conclusion : In this study, mental health was significantly affected adjustment to cancer. The results suggest that adjustment to cancer can be promoted through the development and application of a nursing intervention program considering the mental health of female cancer patients. In addition, further research is required to identify the factors in consideration of various variables in addition to the sociodemographic and disease-related variables that may affect the adjustment to cancer of female cancer patients in nursing hospitals.

• Journal of Korean society of Dental Hygiene
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• v.15 no.1
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• pp.73-79
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• 2015

Objectives: The purpose of this study was to investigate the factors influencing on the denture satisfaction in the low income elderly people. Methods: The subjects were 143 elderly people from 60 to 75 years old wearing dentures and receiving consistent follow-up in the public health center in Busan. A self-reported questionnaire was filled out by the elderly people from February 1 to March 1, 2013. The questionnaire consisted of denture satisfaction, social variables, and psychological variables. Data were analyzed by ANOVA and multiple regression analysis using SPSS 18.0. The sociodemographic characteristics included gender, age, and chronic diseases. The recognition of oral health included pronunciation, denture maintenance, mastication ability, and education for denture care. The questionnaire was measured by Likert 5 scale. Results: Gender, chronic disease, denture care instructions, and the self-preception of the oral health after denture treatment were closely correlated with denture satisfaction(p<0.001). Age and the number of repairs were very important factor to denture satisfaction(p<0.05). Elderly women were more satisfied with denture than men and those who had no chronic diseases tended to be more satisfied with denture. Those who received oral care instructions were more satisfied with the denture than those who did not. The younger age group and no repairing prosthetic group tended to be more satisfied with the denture. Conclusions: It is important to provide the denture management services to the low income elderly when they demand the services. The national dental health policy must be focused on connection of the elderly people denture services with the public health center.

• Journal of Korean Academy of Nursing
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• v.31 no.4
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• pp.631-640
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• 2001

Purpose: The purpose was to investigate the physiological parameters and health perception of adults in Kyungi province area, and the correlation between these variables. The subjects were 95 adults who participated voluntarily in the health examination program. Methods: The instruments for this study were physiological parameters, which were composed of blood pressure, blood sugar, and body fat. The health perception scale developed by Ware (1976), and the health practice performance scale developed by Chang et al. (1999). Results: The average blood pressure was 137/85mmHg, the average blood sugar was 108.56mg/dl, and the average body fat arm sunt was 27.08% in males, and 30.07% in females. There were significant negative correlation between health perception and blood sugar (r=-2.36, p=.01), and body fat (r= -2.77, p=.001). There were significant positive correlations between blood pressure and health behavior (r=2.76, p=.001). However a significant correlation between health perception and health behavior was not found. Of the sociodemographic characteristics, sex (F=5.42, p=.01), and marital status (F=3.29, p=.04) were related to blood pressure. Also sex (F=4.17, p=.04) was related to body fat, and sex (t=4.04, p=.03) was related to health perception and disease status (t=4.33, p=.040). Thus having a relationship with health behavior. Conclusion: It is suggested that health perception provide important information about health status. However, this study has not shown a correlation between health perception and health behavior. Therefore further research is needed to find the other variables related to health behavior.

• The Korean Journal of Pain
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• v.33 no.3
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• pp.245-257
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• 2020

Background: Musculoskeletal pain is associated with obesity; however, information on factors associated with pain in adults with obesity and severe obesity is limited. The purpose of this study was to assess the prevalence of musculoskeletal pain by site and intensity of pain and associated factors in individuals with severe obesity (body mass index ≥ 35.0 kg/㎡). Methods: Baseline data from the DieTBra Trial study evaluating pain symptoms in nine body regions over the last seven days using the Nordic Questionnaire on Musculoskeletal Symptoms and Numerical Pain Scale. The variables analyzed using multiple Poisson regression with hierarchical analysis were: sociodemographic, lifestyle, food consumption, clinical, and anthropometric, and the outcome was moderate and intense pain. Results: In 150 participants, there was a high prevalence of ankle and foot pain (68.7%), lower back pain (62.7%), pain in the knees (53.3%) and upper back pain (52.0%), with a predominance of intense pain. Factors associated with pain according to specific sites were: type 2 diabetes with hand/wrist pain; sedentary time with hip pain; insomnia with pain in the hip and knee; edema in the lower limbs with pain in the lower back and ankles/feet; degree of obesity with ankle/foot pain; and percentage of total fat with ankle/foot pain. Conclusions: There was a high prevalence of pain and intense pain in individuals with severe obesity and an association with clinical variables, the degree of obesity, and sedentary lifestyle.

• Journal of Convergence for Information Technology
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• v.8 no.3
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• pp.1-8
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• 2018

The purpose of this study is to investigate the interaction effects of organizational context, customer reaction, and job burnout in Senior Welfare organizations. In addition, we will analyze the moderating effects of demographic characteristics (personal characteristics, organizational characteristics). A total of 796 social workers engaged in Senior Welfare projects were analyzed. As a result, the following results were obtained. First. It was found that there was a significant difference between the variables in the sociodemographic characteristics, organizational context, customer reactions, and interaction effects on job burnout. Second, age, employment type, and Social Worker qualifications were the most important variables of control effect. The specific organizational behavioral factors between the employees and the users should be studied.

• Korean Journal of Family Medicine
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• v.39 no.6
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• pp.325-332
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• 2018

Background: Hypertension is a major contributor to the global disease burden of cardiovascular and cerebrovascular disease. The aim of this study was to determine demographic and clinical factors associated with adherence to antihypertensive medication. Methods: From August 2012 to February 2015, we recruited 1,523 Korean patients with hypertension who visited family physicians. The study was conducted in 24 facilities located in urban and metropolitan areas. Of these facilities, two were primary care clinics and 22 were level 2 or 3 hospitals. Adherence was assessed using the pill count method; a cut-off value of 80% was used as the criterion for good adherence. Sociodemographic and lifestyle factors were compared between the adherent and nonadherent groups using the chi-square test for categorical variables and t-test for continuous variables. Binary logistic regression analysis was performed with medication adherence as the outcome variable. Results: Of the 1,523 patients, 1,245 (81.7%) showed good adherence to antihypertensive medication. In the multivariate logistic analysis, age ${\geq}65$ years, exercise, treatment in a metropolitan-located hospital, being on ${\geq}2$ classes of antihypertensive medication and concomitant medication for diabetes, and a family history of hypertension or cardiovascular diseases were associated with good adherence. Patients who had a habit of high salt intake were less adherent to medication. Conclusion: Multiple classes of antihypertensive medications, concomitant medication, and exercise were associated with good adherence to antihypertensive medication, and high salt intake was associated with poor adherence to antihypertensive medication. These factors should be considered to improve hypertension control.

• Clinical and Experimental Pediatrics
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• v.62 no.8
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• pp.317-323
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• 2019

Purpose: Investigating the prevalence of hyperuricemia and its association with metabolic syndrome (MetS) and cardiometabolic risk factors (CMRFs) in Korean children and adolescents. Methods: This cross-sectional survey used data from the 7th Korea National Health and Nutrition Examination Survey (2016-2017); 1,256 males and females aged 10-18 years were included. Hyperuricemia was defined as serum uric acid levels were >6.6 mg/dL at 10-11 years of age (both sexes), >7.7 mg/dL for males at 12-18 years of age and >5.7 mg/dL for females at 12-18 years of age. MetS was defined by the International Diabetes Federation criteria. Logistic regression analysis was used to analyze hyperuricemia-associated risk factors. Results: The prevalence of hyperuricemia was 9.4% (male, 8.4%; female, 10.5%) (P<0.281). After adjusting for sociodemographic factors and health behaviors in multivariate analysis (model 1), the odds ratio (OR) for hyperuricemia of MetS was 3.05 (95% confidence interval [CI], 1.17-7.92; P=0.022). After adjusting for the same variables in model 1 plus obesity and all MetS components (model 2), only abdominal obesity was significant, and the OR for hyperuricemia was 3.38 (95% CI, 1.72-6.63; P<0.001) After adjusting for the same variables in model 1 plus body mass index (BMI) z scores and all MetS components except abdominal obesity (model 3), only BMI z scores was significant, and the OR for hyperuricemia was 1.59 (95% CI, 1.34-1.89; P<0.001). Conclusion: MetS, abdominal obesity, and BMI z scores were CMRFs significantly associated with hyperuricemia in Korean children and adolescents. Therefore, attention should be paid to hyperuricemia in patients with obesity or MetS.