• Title, Summary, Keyword: self-reported health

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The Effect of Social Participation on the Life Satisfaction of the Elderly - Focusing on the Mediating Effects of Depression and Self-reported Health - (노인의 사회참여가 삶의 만족도에 미치는 영향 - 우울, 주관적 건강상태의 매개효과를 중심으로 -)

  • Gweon, Hyun-Soo
    • Korean Journal of Human Ecology
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    • v.18 no.5
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    • pp.995-1008
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    • 2009
  • This study investigated the causal relationships among the elderly, looking at social participation, depression, self-reported health, and life satisfaction. It was especially focused on the mediating effects of depression and self-reported health on the relationship between social participation and life satisfaction. From the 2006 Korean Longitudinal Study of Aging, data for 4,155 elderly over age 65 was analyzed with structural equations modeling with Amos 7.0 and sobel test. Major findings were as follows. First, social participation of the elderly has a negative influence on depression and a positive influence on self-reported health and life satisfaction. Second, self-reported health has a partial mediating effect on the relationship between social participation and life satisfaction. Third, the direct effect of depression on life satisfaction was not statistically significant, while the direct effect of social participation was significant. Therefore, depression was not proved as a significant mediator. This study tested the effects of social participation on depression, self-reported health, and life satisfaction empirically and confirmed the partial mediating model, in which social participation improves the elderly's self-reported health, which in turn improves the elderly's life satisfaction. These results suggest the importance of an integrated approach for the healthy and successful aging and the diverse types of social participation in an elderly person's quality of life.

Association between Systemic Health Conditions and Self-Reported Oral Health in Korean Elderly (한국노인의 전신건강상태와 주관적 구강건강 관련성)

  • Choi, Eun Sil;Lyu, Jiyoung;Patton, Lauren L.;Kim, Hae-Young
    • Journal of dental hygiene science
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    • v.17 no.1
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    • pp.56-64
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    • 2017
  • Systemic health conditions increase with advancing age, and may be linked to poor self-reported oral health. The purpose of this study was to evaluate the association between systemic health conditions and poor self-reported oral health among Korean elderly. The study used a nationally representative sample of Koreans (2012 Korea National Health and Nutrition Examination Survey) aged 65~98 years (n=1,595). Systemic health conditions in this population were assessed by the presence of one or more of the following conditions: obesity, hypertension, diabetes, and hypercholesterolemia. The relative risk of poor self-reported oral health according to the occurrence of systemic health conditions was estimated by multivariate logistic regression after controlling for several potential confounders (i.e., socio-demographic factors, oral health behaviors, health behaviors, and psychological factors). After adjustment for these confounders, the relative risk of having poor self-reported oral health was greater among the elderly with one or more systemic health conditions than in those without a systemic health condition. The odds ratio of having poor self-reported oral health according to the occurrence of systemic health conditions was 1.51 (95% confidence interval, 1.08~2.12). Among the Korean elderly, perception of poor oral health was associated with the presence of one or more systemic health conditions. Future studies are needed to examine the detailed causal relation between systemic health conditions and poor oral health longitudinally.

Validity Assessment of Self-reported Smoking Status: Results from the Korean National Environmental Health Survey (KoNEHS) 2009-2011 (흡연상태에 관한 자가보고 설문의 타당도 평가: 제1기(2009-2011) 국민환경보건기초조사 자료 분석)

  • Choi, Wookhee;Park, Kyung Hwa;Kim, Hyun Jeong;Ryu, Jungmin;Yu, Seung Do;Choi, Kyunghee;Kim, Suejin
    • Journal of Environmental Health Sciences
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    • v.40 no.6
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    • pp.492-501
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    • 2014
  • Objectives: The purpose of this study was to assess the validity of self-reported cigarette smoking status and investigate factors associated with the accuracy self-reported and measured urinary cotinine in Korean adults. Methods: We used data from the $1^{st}$ Korean National Environmental Health Survey (2009-2011) among adults aged ${\geq}19$ years (N=6,246). The survey examined self-reported smoking status, and urinary cotinine was regarded as the biomarker of exposure to tobacco smoke. Urinary cotinine was analyzed using a gas chromatography-mass spectrometry (GC/MS) and data analysis was conducted using IBM SPSS version 20.0, which uses the sample weight and calculates variance estimates to adjust for the unequal probability of selection into the survey. Results: We calculated a cut-off point (53.3 ug/L) by using a ROC (Receiver Operating Characteristic) curve. The smoking prevalence was 24.6% based on self-reported data and 28.2% based on urinary cotinine concentrations. When we assessed the agreement between self-reported and urinary cotinine, we found an average agreement of 97.7% among self-reported smokers and 94.5% among self-reported non-smokers. Among self-reported smokers, factors affected the discrepancy were age, household economic status and average number of cigarettes smoked per day. On the other hand, gender, former smoking experience, and exposure to SHS (second hand smoke) were associated with discrepancies among self-reported non-smokers. Conclusion: These results suggest that self-reported data on smoking status provide a valid estimate of actual smoking status. In future research, we will conduct a continuous monitoring study for reliability verification of the data to reduce potential interpretation errors.

Health-related lifestyle and self-reported symptoms in dental hygiene students (일부 치위생과 학생의 건강관련 생활습관과 자각증상)

  • Kwon, Soon-Suk;Han, Su-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.4
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    • pp.485-493
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    • 2014
  • Objectives : The study investigated and analyzed the relationship between health-related lifestyle and psychosomatic self-reported symptom in dental hygiene students. Methods : A self-reported questionnaire was filled out by 478 dental hygiene students in Gyeonggi-do and Gangwon-do from March 7 to June 21, 2012 by random sampling method after informed consent. Results : The health-related lifestyle showed the results as follows. Nonsmokers accounted for 89.1%. Those who never exercise accounted for 67.9% and 37.9% of the students sleep for 5-6 hours. Those who take alcohols twice per month accounted for 58.2%. The correlation between the symptoms and lifestyle included multiple subjective symptoms(I), respiratory(A), eyes and skin(B) and digestive organs(C) symptoms and smoking status(p<.01), mouth and anal(D), depression(K), nervousness(E). There existed the correlation in average sleeping time(p<.01) and impulsivess(H) and smoking status(p<.05) and lie scale(L) and regular exercise(p<.05) and aggressiveness(F) and drinking habits and irregular and life(G) and breakfast habits. The smoking habit, sleeping time, and snack intake had an influence on psychosomatic self-reported oral health-related symptoms. Conclusions : Cessation of smoking, adequate sleeping time, and reduction of snack intake can improve the oral health-related lifestyle and reduce the self-reported symptoms in the dental hygiene students.

Relationship between Inequalities in Health and Inequalities in Socioeconomic Status (사회 경제적인 불평등이 건강 불평등에 미치는 영향 연구)

  • Lee, Kwang-Ok;Yoon, Hee-Sang
    • Journal of Korean Academy of Community Health Nursing
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    • v.12 no.3
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    • pp.609-619
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    • 2001
  • This cross-sectional study is to measure the distribution of self-reported health by income, house type, level of education, income satisfaction and self reported social class in an effort to compare the level of health inequality in Korea. The data used in the research are the Social Statistics Survey undertaken in 1999. The correlation coefficient was used to measure the association between inequalities in health and inequalities in socioeconomic status. The correlation coefficient was the most significant between self-reported health and the level of education and income satisfaction. As for the health-related behavior, hypertension, smoking, overweight and drinking were shown to be highly correlated with self-reported health.

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Validity of Self-reported Stroke and Myocardial Infarction in Korea: The Health Examinees (HEXA) Study

  • Choe, Sunho;Lee, Joonki;Lee, Jeeyoo;Kang, Daehee;Lee, Jong-Koo;Shin, Aesun
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.6
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    • pp.377-383
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    • 2019
  • Objectives: Self-reported disease history is often used in epidemiological studies. In this study, we acquired the hospital records of subjects who self-reported stroke or myocardial infarction (MI) and evaluated the validity of the participants' self-reported disease history. We also determined the level of agreement between specialists and non-specialists. Methods: Among the participants in the Health Examinees study, 1488 subjects self-reported stroke or MI during 2012-2017, and medical records were acquired for the 429 subjects (28.8%) who agreed to share their medical information. Each record was independently assigned to 2 medical doctors for review. The records were classified as 'definite,' 'possible,' or 'not' stroke or MI. If the doctors did not agree, a third doctor made the final decision. The positive predictive value (PPV) of self-reporting was calculated with the doctors' review as the gold standard. Kappa statistics were used to compare the results between general doctors and neurologists or cardiologists. Results: Medical records from 208 patients with self-reported stroke and 221 patients with self-reported MI were reviewed. The PPV of self-reported disease history was 51.4% for stroke and 32.6% for MI. If cases classified as 'possible' were counted as positive diagnoses, the PPV was 59.1% for stroke and 33.5% for MI. Kappa statistics showed moderate levels of agreement between specialists and nonspecialists for both stroke and MI. Conclusions: The validity of self-reported disease was lower than expected, especially in those who reported having been diagnosed with MI. Proper consideration is needed when using these self-reported data in further studies.

Influencing factors of self-reported dry mouth in the employees in social welfare facilities (일부 지역 사회복지시설 종사자의 주관적 구강건조증에 영향 요인)

  • Lim, Sun-A;Jung, Eun-Ju;Youn, Hye-Jeong
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.4
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    • pp.671-677
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    • 2015
  • Objectives: The purpose of the study was to examine the influencing factors of self-reported dry mouth in the employees in social welfare facilities. Methods: A self-reported questionnaire was completed by 260 employees in social welfare facilities from January 5 to 30, 2015 by convenience sampling method. Except 25 incomplete answers, 215 data were analyzed by t test, one way ANOVA, Pearson's correlation coefficient analysis, and multiple linear regression analysis using SPSS 180. program. The questionnaire consisted of general characteristics of the subjects, health-related characteristics, whole body dryness and self-reported dry mouth. The oral health-related quality of life was measured by five point Likert scale, and a higher score indicated a lower quality of life. Results: The self-reported dry mouth in the employees in the social welfare facilities varied by the general health status, stress, oral health status and oral malodor. The self-reported dry mouth was closely related to the quality of life and the four subfactors including dryness of skin, eye, lip and nasal mucosa. The quality of life had the influence on the self-reported dry mouth, nasal mucosa dryness, eye dryness, and oral malodor in order. Conclusions: The self-reported dry mouth was closely related to whole body dryness and the quality of life. It is necessary to develop the quality of life improvement programs that prevent and manage the dry mouth and whole body dryness in the employees in the social welfare facilities.

A Comparative Study on the Health Status of Urban and Rural Elderly - Pusan, Kyeungnam Area (일부 도시.농촌노인의 건강 상태 비교연구 -부산.경남지역을 중심으로-)

  • Shin, Yoo-Sun
    • Journal of Korean Academy of Community Health Nursing
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    • v.8 no.2
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    • pp.237-249
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    • 1997
  • This study was conducted to investigate and to compare the health status of urban and rural elderly in Korea using the following factors: 1) the number of self-reported health problems 2) a self-rating score for health status 3) the number of diagnosed diseases 4) ADL, social health status by IADL and the psychological health status by Life Satisfaction scale developed by Wood and others. The study subjects were the elderly who lived in Pusan(N=150) as an urban area and Kyeungnam(N=300) province as a rural area. The study subjects were sampled at random and the data were collected by trained interviewers from Feb. 1 to Feb. 14, 1995. the data was analyzed in SPSS. The results can be summarized as follows : 1. According to the sociodemographic characteristics of the subjects, the urban elderly group was significantly higher in extended family groups and in practicing regular execise than the rural elderly: and the rural elderly group was higher in having spouses and occupations than the urban group. 2. Concerning health status, the numbers of self-reported health problems(eye problems, back pains, headaches, dental problems, arthritis) and number of diagnosed diseases(hypertension, heart problems, diabetes mellitus, neuralgia, arthritis) were significantly were higher higher in rural areas: the self - rating scores for health status and life satisfaction were higher urban areas. ADL and IADL were similar in both the rural and urban elderly. 3. The correlations were the following: Self-reported health problems and self-rating for health status were significantly correlated negatively(r=-.039, p=.000), but self-reported health problems and the number of diagnosed diseases were significantly positively correlated(r=0. 30, p=.000). IADL and health problems were negatively correlated(r=-0.16, p=.000), but IADL and ADL were significantly positively correlated (r=0.49, p=.000). Life satisfaction and self-rating scores for health status were significantly positively correlated(r=0.26, p=.000).

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Masticatory Performance Measured with a Chewing Gum Containing Spherical Resinous Microparticles

  • Kanazawa, Toshiya;Zaitsu, Takashi;Ueno, Masayuki;Kawaguchi, Yoko
    • International Journal of Clinical Preventive Dentistry
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    • v.14 no.4
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    • pp.256-263
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    • 2018
  • Objective: This study aimed to investigate the factors associated with masticatory performance, as measured with a chewing gum containing spherical resinous microparticles, and to evaluate the method by examining the relationship with self-reported masticatory status. Methods: The participants in this study comprised 903 industrial workers (mean age, $42.2{\pm}11.6years$). A questionnaire was administered to assess self-reported masticatory status. The masticatory performance score was calculated by counting the number of particles in the chewing gum. Clinical oral examinations were administered. Multiple linear regression analysis was conducted on the masticatory performance scores to examine the related factors. Analysis of covariance was conducted to investigate the association between the masticatory performance score and the self-reported masticatory status. Results: Significant predictors of the masticatory performance score were sex (p<0.001), age (p<0.001), decayed teeth (p=0.009), total-functional tooth units (p<0.001), periodontitis (p=0.003), and malocclusion (p=0.011). The relationship between the masticatory performance score and the self-reported masticatory status was attenuated after controlling for confounding factors. Conclusion: The masticatory performance increased with age and decreased as the oral health status worsened. Using this chewing gum method partly, but not comprehensively, reflects masticatory performance. Therefore, various masticatory performance-related indexes should be employed to measure masticatory performance accurately.

The Relationship Between the Role Conflict and Self-reported Climacteric Symptoms of the Middle-aged Industrial Female Workers (일부 생산직 중년 여성근로자의 역할갈등과 갱년기증상과의 관계)

  • Choi, Ran;Park, Chai Soon
    • Korean Journal of Occupational Health Nursing
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    • v.6 no.2
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    • pp.136-143
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    • 1997
  • The purpose of this study was to analyze relationship between the role conflict and self-reported climacteric symptoms in the middle-aged industrial female workers. The data were collected by self-reported questionnaire from Nov. 1 to Nov. 30, 1996. The subjects were 201 women whose age, between 40 and 59 years. The analysis of data was t-test, ANOVA, $Scheff{\grave{e}}$ test, Pearson correlation coefficient analysis, Stepwise multiple regression analysis. The results were as follows : 1. 54.8% of the respondents had their climacteric symptom in middle life. 2. Age and religion affected significantly self-reported climacteric symptoms(F=4.2, P=.007 ; t=-2.1, P=0.42). 3. A comparison between two groups, with high and low rate of self-reported climacteric symptoms, indicated that for middle-aged industrial female workers when role conflict is high, climacteric symptoms is high(t=7.8, P=.000). 4. The relationship between self-reported climacteric symptoms and role conflict was positively significant(r=.5, P=.000). 5. The role conflict as a spouse affected significantly self-reported climacteric symptoms(F=52.6, P=.000). Role conflict the role as a spouse was explained 21% of self-reported climacteric symptoms. In conclusion, role conflict is the dominant factor in influencing self-reported climacteric symptoms.

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