• Journal of Korean Public Health Nursing
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• v.27 no.3
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• pp.592-607
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• 2013

Purpose: The purpose of this study was to examine the personal, family, and community factors that affect addictive behavior of adolescents. Methods: This study was conducted using a descriptive survey design. Subjects included 398 adolescents in three middle schools and four high schools located in three cities. Data were obtained from these subjects between July 11 and July 19, 2013 using self-report questionnaires. Analysis of the data was performed using the SPSS 19.0 program. Results: Of the participants, 62.0% were included in the non-addictive group, and 38.0% in the risk for addictive behavior group. Significant factors related to addictive behavior includes eight personal factors: alcohol consumption, sexual experience, suicidal ideation, experience of being a runaway, time spent using the smartphone, and time management skills; five family factors: physical abuse by parents, parental alcohol abuse, parental rearing attitudes [the type of rearing attitude among emotional warmth, rejection, and overprotection]; and two community factors: number of peers who practice risk behavior and relationship with peers. Conclusion: Based on the outcomes of this study, it is suggested that a school health program to decrease adolescent addictive behavior should consider personal, family, and community factors.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.4
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• pp.43-52
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• 2019

Purpose: This study aimed to analyze the affecting factors related to cancer screening for persons with disabilities. Methods: We examined the factors affecting cancer screening in individual aged older than 20 years who participated in the 2017 National Survey of the Disabled. The subjects were 6031 individuals with disabilities who were aged older than 20 years. Data were analyzed using descriptive statistics, the chi-square test, and multiple logistic regression with the SPSS Win 21.0 software. Results: Cancer screening among persons with disabilities is differentiated based on age, education level, marital status, type of disability, grade of disability, subjective house economic status, health insurance, chronic disease, unmet healthcare needs, suicidal thinking, and health screening. The significant predictors of health screening were age, marital status, chronic disease, and health screening. Conclusion: Based on the results of this study, it is necessary to develop a program for young, medical care recipients to improve the participations of disabled in cancer screening.

• Journal of the Architectural Institute of Korea Planning & Design
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• v.35 no.8
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• pp.57-64
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• 2019

This study attempts to analyse the effects of high-rise living on suicide rates. All the apartments in the City A and every suicide were examined in detail. Research methods are as follows. First, a database including tenure type and number of residents in all apartment complexes was created. Second, apartments were categorized into two income groups of private apartments and social housing, and spatial configuration characteristics of a typical apartment were analysed. Third, differences in suicide rates were analysed for lower and upper levels in both apartment categories. Finally, the relationship between high and lower levels of apartments with their spatial configuration characteristics and suicide rates was compared. The analysis shows significant differences between lower and upper floors living residents' suicide rates. It can be stated that the low-income residents are more sensitive to living in high-rise environment. Also, it suggests the need to improve the high-rise living environment of vulnerable social groups. In addition, spatial integration decrease in upper floors of high-rise buildings, and it can be interpreted that spatial configuration may affect residents' pathological disorders or even suicidal behaviors.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.11
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• pp.584-594
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• 2016

This research empirically analyzes, from an ecological perspective, whether socio-economic factors of the regions in which the elderly live have any actual influence on thoughts of suicide on the part of the elderly. Microscopic data either included outliers in part of the variables, including income and other variables of that type, from among source data from investigations into actual conditions of the elderly in 2014. Regarding macroscopic data, the indices that represent social and economic situations in each region, which were provided by KOSIS, were selected. Regarding the method of analysis, hierarchical or multi-level analysis models were applied by considering special hierarchical characteristics and heterogeneity at the personal and regional levels. The analyses showed that the following had statistically significant influences: 1. the cost-of-living index and the national basic supply and demand rate of the region; 2. the extent of natural disaster damage; and 3. the number of leisure and welfare facilities for the elderly, compared to the elderly population. Based on the results, proposals are made for systematic and practical endeavors in the community.

• Journal of The Korean Society of Clinical Toxicology
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• v.10 no.1
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• pp.22-32
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• 2012

Purpose: The purpose of this study was to examine the occurrence of toxic exposure cases in Korean emergency centers using a toxic exposure surveillance system-based report form and to provide guidelines for the prevention and treatment of toxic exposures. Methods: We retrospectively reviewed the medical records of toxic exposure patients who had visited emergency centers from January 2009 to December 2009. Epidemiology data points for the toxic exposure cases included age, gender, type of exposure, number and kind of substances involved, reason and route of poison exposure, management of the patients in the emergency departments, and the clinical outcome. Results: A total of 3,501 patients from 12 emergency departments were enrolled in the study. 50.0% of the total exposure patients were male and 63.0% of the total cases were fatal. Acute intoxication occurred in 91.3% of the total patients and suicidal intent was the most common (43.3%) reason for exposure. The most common route of exposure was ingestion (75.9%). Of the total cases, pesticides were involved in 26.3%, sedatives/hypnotics/antipsychotics were involved in 22.0%, and bites and envenomations were involved in 15.7%. Conclusion: We provided a database of patients who were admitted to emergency departments after poisoning incidents. We recommend that toxicology professionals develop a classification scheme for toxicants which is adequate for Korean domestic circumstances and initiate a toxic surveillance system for all types of exposures. With support of a psychiatric surveillance system for suicidal patients and establishment of social mediation for pesticide poisoning, major reductions in poison exposures can be achieved.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.7
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• pp.4734-4744
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• 2015

The purpose of this research is to investigate factors that influence weight control behavior(WCB) of young women in Korea. Data were obtained from the 2013 Community Health Survey which was conducted nationally. The study subject comprised 13,351 women ranging in age from 19 to 29. Data were analyzed using ${\chi}2$-test and multivariate logistic regression analysis. WCB showed differences in age, marital status, education, family type, BMI, perceived health status, subjective obesity, high risk drinking, weekday sedentary leisure-time activity, breakfast skipping, sleeping time, perceived stress, depression and suicidal ideation. And the significant predictors of WCB were age, marital status, education, family type, BMI, perceived health status, subjective obesity, high risk drinking, weekday sedentary leisure-time activity, perceived stress and depression. In conclusion, it is suggested that approach to WCB should be considered in correlation between WCB and other health behaviors.

• Anxiety and mood
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• v.15 no.2
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• pp.77-83
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• 2019

Objective : This study aims to investigate the relationship between negative sexual experience and psychiatric symptoms by gender and compare the effects of sexual assault and unwanted sexual experiences on psychiatric symptoms in patients with depression or anxiety disorders. Methods : A total of 204 respondents who have had negative sexual experiences of outpatients diagnosed with depression or anxiety disorders were evaluated with AUDIT, PSS, STAI, BDI, and SSI. Independent samples t-test was performed to compare the psychiatric symptom scale scores between male and female and identify the difference of the psychiatric symptom scale scores between those who have had sexual assault and those who have had only unwanted sexual experience. Results : There was no difference in psychiatric symptom scale scores except for AUDIT between male and female in 204 patients with negative sexual experience. There was also no significant difference in AUDIT, PSS, and STAI scores between those who experienced sexual assault and those who experienced only unwanted sexual experiences. BDI and SSI scores are significant higher in those who experienced sexual assault than those who experienced only unwanted sexual experiences. Conclusion : This suggests that male and female may have similar levels of psychiatric symptoms after experiencing negative sexual experiences. Psychiatric symptoms caused by sexual assault may have differences from the psychiatric symptoms caused by unwanted sexual experience. Understanding the differences in psychiatric symptoms according to the type of negative sexual experience may helpful to direct the therapeutic plans.

• The Journal of Korean Society for School & Community Health Education
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• v.23 no.3
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• pp.1-13
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• 2022

Objectives: The purpose of this study is to identify the life satisfaction of women with disabilities and the factors affecting their life satisfaction to improve their quality of life. Methods: This study used secondary data, the 2020 Survey of the Disabled. The subjects were 2,725 women with disabilities aged 20 or older who responded to the survey. The SPSS Windows 26.0 program was used for data analysis. Technology analysis, chi-test, and multi-logistic analysis were performed to identify the factors affecting the life satisfaction of women with disabilities. Results: Age, education level, marital status, type of medical insurance type, subjective economic status, disability severity, subjective health status, health screening, chronic disease, stress, depression, suicidal ideation, and variables that can go out alone. As a result of multi-logistic regression analysis on factors affecting life satisfaction of women with disabilities, it was analyzed that education level, marital status, subjective economic status, subjective health status, health screening, chronic disease, stress cognitive status, depression, suicide ideation, and variables that can go out alone had a statistically significant effect. Conclusion: Based on the analysis results of this study, it is required to develop and operate health education and health promotion programs for physical and mental health management of women with disabilities.

• Sleep Medicine and Psychophysiology
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• v.29 no.1
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• pp.15-20
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• 2022

Objectives: Suicide is the major public mental health concerns all over the world. The comparison of suicide attempters and suicide completers could be the fundamental evidence for the suicide prevention. The aim of this study is to explore the differences between suicide attempters and suicide completers in terms of the stressors, suicide methods, and psychiatric diagnosis. Methods: Two types of secondary data were collected for the analyses. Data of the suicide attempters (n = 680) were gathered by intensive reviewing the medical records of Samsung Medical Center, Seoul, Republic of Korea. Data of suicide completers (n = 11,722) were collected by the psychological autopsy data which were gathered by Korean Foundation for Suicide Prevention. Suicidal methods, psychiatric disorders and stressors before suicidal attempt were compared between suicide attempter and completers. Results: Suicide completers were older and male predominant compared to suicidal attempt. Hanging or gas intoxication were more commonly used in the suicide completion, while wrist cutting or drug intoxication were more common in suicide attempters. All types of stressors were found to be high in suicide completers than suicide attempters. However, the proportion of economic and physical stress were greater in suicide completers, while the proportion of family stress were greater in suicide attempters. According to the recorded diagnoses, the rates of depressive disorders, sleep-wake disorders, substance-related disorders were higher in suicide completers, while the rates of anxiety disorders and trauma- and stressor-related disorders, bipolar and related disorders and somatic symptom disorders were higher in suicide attempters. However, after controlling the gender and age, there were no significant differences in diagnosis between suicide attempters and suicide completers. Conclusion: These findings implicate that suicide attempters and completers differed in suicide methods and type of stress. The results suggests that economic stressors, physical illness might raise the risk of suicide completion.

• Journal of Korean Academy of Nursing
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• v.39 no.5
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• pp.741-750
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• 2009

Purpose: The purpose of this study was to identify the prevalence of cognitive impairment, behavioral problems, and the state of mental health for elderly Korean people who have been institutionalized. Methods: A cross-sectional, nationwide survey was performed using an anonymous questionnaire. The participants in this study were 2,521 institutionalized elderly Korean people. A proportional stratified random sampling method was employed. Results: 1) Elders admitted to subacute hospitals and long term care (LTC) facilities showed a higher level of cognitive impairment compared to elders admitted to acute care hospitals. 2) Elders confined in LTC facilities showed a higher level of behavioral problems compared to elders in acute or subacute hospitals. 3) Elders admitted to subacute hospitals and LTC facilities showed more serious mental health problems, such as depression or suicidal ideation, compared to elders in acute care hospitals. Conclusion: The results of this study indicate that the severity of cognitive-behavioral or mental health problems do not match well with type of care setting. Therefore, health personnel working with elderly people should be provided guidance on detection and management of cognitive-behavioral and mental health problems. The necessity of a decision support system for eligibility and placement in long-term care is also discussed.