• Title, Summary, Keyword: self-reported health

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

  • Woo, Hye-Kyung;Moon, Ok-Ryun
    • Health Policy and Management
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    • v.18 no.4
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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.

A Study on Hardiness, Knowledge of Menopause, Menopausal Management among Middle Aged Women (중년여성의 강인성, 폐경지식과 폐경관리에 관한 연구)

  • Shin, Hye-Sook;Kown, Sook-Hee
    • Korean Journal of Women Health Nursing
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    • v.5 no.2
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    • pp.247-261
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    • 1999
  • The purpose of this study was to figure out related factors to the self-reported climacteric symptoms and the relationship among the health promoting behaviors, climacteric symptoms and degree of Sanhujori, the Korean traditional postpartal care. A cross-sectional survey design was employed in this study. The subjects were 108 middle-aged women who were non-hystrectomized and ranged in age from 40 to 60 years. They were selected in seoul and Kyoung-ki province, Korea, Data were collected from Oct.25 Nov. 10, 1997 by a structured questionnaire. The instruments used for this study were the revised health Promotion Lifestyle(HPLP) developed by Walker, Sechrist & Pender, and revised Climacteric Symptoms Scale developed by Chi, Sung Ai. the data were analyzed by the SPSS/$PC^+$ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; 1. The mean score of health promoting behaviors was low($2.42{\pm}0.35$). There were statistically significant differences in the score of health promoting behaviors according to the educational background, family income, marital satisfaction, whether or not taking a restorative food and degree of Sanhujori, especially the period (t=-2.07, F=2.60~7.57, p<0.05). 2. The mean score of score self-reported climacteric symptoms was 1.69%;99% of middle-aged women had symptoms. There were statically significant differences in the score of middle -aged women's self-reported climacteric symptoms according to the age, number of children, educational background, occupation, family income, marital satisfaction, whether or not receiving hormon replacement therapy (HRT) or consultation by a professional, perceived health status and self evaluation of Sanhujori(t=-2.04~3.69, F=2.87~11.63, p<0.05). 3. women's degree of Sanhujori was a positive correlation with health promoting behaviors(r=0.34, p=0.00) and negative correlation with the degree of self-reported climacteric symptoms(r=-0.19,p=0.03). 4. The influencing factors to the climacteric symptoms were self actualization, interpersonal support, and perceived health status among the health promoting behaviors with 57% of variance($R^2$=0.57). 5. The middle-aged women's type of coping pattern for the climacteric symptoms was classified as active behavioral coping, spiritual & psychological coping, and negative coping. In conclusion, to intervene the middle aged women's climacteric symptoms and develop nursing strategies for their health, health promoting behavior, especially ; self actualization, interpersonal support, and perceived health status should be considered. And, as the primary prevention strategy for women's health during the period of childbearing and also middle age, especially for the climacteric symptoms, Sanhujori should be reconsidered.

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Factors influencing oral health-related quality of life in health allied college students (일부 보건계열 대학생들의 구강건강관련 삶의 질에 영향을 미치는 요인)

  • Park, Hee-Jung;Lee, Jun Hyup
    • The Journal of Korean Society for School & Community Health Education
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    • v.14 no.3
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    • pp.1-14
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    • 2013
  • Objectives: The purpose of this study was to investigate the possible impact factors(oral health level, oral health promotion behaviors, health level, health behaviors, and mental health) on oral health related quality of life using OHIP-14 of health allied college students. Methods: A total of 363 self-administered questionnaires were collected from university student in Seoul. To investigate the casual relationship between each variable presented in the research model, descriptive statistics, t-test, one-way ANOVA(Scheffe's test), man-whitney, kruskal wallis, multiple regression analysis were carried out by using SPSS ver. 21.0 Results: The study shows that the students reported mean score of OHIP-14 ($8.32{\pm}7.51$), of which physical pain was the highest score($1.88{\pm}1.45$) and social disability was the lowest score($0.69{\pm}1.13$). Multiple regression revealed that the score of OHIP-14 was shown to be significantly higher for the following people: who were get more self-reported symptom of periodontitis, halitosis, negative self-perceived general health and oral health, no received dental scaling treatment, and participants who had no experience awareness of distress in two weeks. The explanatory power was 18.2%. The most powerful factor regarding to self-reported symptom of periodontitis was shown to be negatively relations oral health-related quality of life. Conclusions: In order to enhance the students' life quality, there need to be considered for a comprehensive oral health-related quality of life program for the students through health education policy.

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Exploratory Study of Dimensions of Health-related Quality of Life in the General Population of South Korea

  • Kim, Seon-Ha;Jo, Min-Woo;Ock, Minsu;Lee, Sang-il
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.6
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    • pp.361-368
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    • 2017
  • Objectives: This study aimed to explore dimensions in addition to the 5 dimensions of the 5-level EQ-5D version (EQ-5D-5L) that could satisfactorily explain variation in health-related quality of life (HRQoL) in the general population of South Korea. Methods: Domains related to HRQoL were searched through a review of existing HRQoL instruments. Among the 28 potential dimensions, the 5 dimensions of the EQ-5D-5L and 7 additional dimensions (vision, hearing, communication, cognitive function, social relationships, vitality, and sleep) were included. A representative sample of 600 subjects was selected for the survey, which was administered through face-to-face interviews. Subjects were asked to report problems in 12 health dimensions at 5 levels, as well as their self-rated health status using the EuroQol visual analogue scale (EQ-VAS) and a 5-point Likert scale. Among subjects who reported no problems for any of the parameters in the EQ-5D-5L, we analyzed the frequencies of problems in the additional dimensions. A linear regression model with the EQ-VAS as the dependent variable was performed to identify additional significant dimensions. Results: Among respondents who reported full health on the EQ-5D-5L (n=365), 32% reported a problem for at least 1 additional dimension, and 14% reported worse than moderate self-rated health. Regression analysis revealed a $R^2$ of 0.228 for the original EQ-5D-5L dimensions, 0.200 for the new dimensions, and 0.263 for the 12 dimensions together. Among the added dimensions, vitality and sleep were significantly associated with EQ-VAS scores. Conclusions: This study identified significant dimensions for assessing self-rated health among members of the general public, in addition to the 5 dimensions of the EQ-5D-5L. These dimensions could be considered for inclusion in a new preference-based instrument or for developing a country-specific HRQoL instrument.

Factors influencing on health promotion behaviors in public health course of college students (공중보건학을 수강하는 대학생의 건강증진생활 실천도)

  • Lee, Hyang-Nim;Shim, Hyung-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.5
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    • pp.863-871
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    • 2013
  • Objectives : The purpose of this study is to investigate factors influencing on health promotion behaviors in public health course of college students. Methods : Subjects were 325 dental hygiene students and they completed self-reported questionnaires including health promotion behaviors, self efficacy, self esteem, and general characteristics from May 13 to 24, 2013. Students were recruited by sample convenience extraction. Data were analyzed using SPSS version 18.0 for descriptive statistics, t-test, one way ANOVA and multiple regression analysis. Results : Health promotion behaviors were closely related to concern for health care (p<0.001) and concern for health related goods (p<0.01). High self-efficacy and high self-esteem showed concern for health care (p<0.001). 2. Health promotion behaviors had significantly positive correlation with self efficacy, self esteem, and perceived health condition. 3. The most powerful predictor in health promotion behaviors was self efficacy. Self efficacy, self esteem, and major, concern for health-related goods, perceived health condition accounted for 40.8% of the total variance in health promotion behaviors. Conclusions : The result revealed that undergraduate students should take exercise and diet control for their health. Self-efficacy is the most important predictor of health promotion behaviors. Health promotion behavior programs should put emphasis on exercise and diet control and can be improved by behavioral change.

Relationship between the Self-Reported Oral Health Status and Hemoglobin A1c Level among Diabetic Patients (일부 당뇨병 환자에서 당화혈색소 수치와 주관적 구강건강상태와의 연관성)

  • Choi, Jun-Seon
    • Korean Journal of Health Education and Promotion
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    • v.25 no.1
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    • pp.55-69
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    • 2008
  • Objective: This study was to investigate the relationship between hemoglobin A1c level and self-reported oral health status. Methods: The subjects of this study were 150 diabetic patients (60 male patients and 90 female patients) who went to the internal and family medicine departments of clinic. This study used the questionnaire and NYCOCARD$\square$ READERII to quantify hemoglobin A1c. Results: The proportion of well controlled diabetes subjects was 31.3%. When hemoglobin A1c levels became higher, subjects perceived that there were more decay teeth, bleeding, swollen gums, mobility teeth, and oral disease symptoms. In comparison with the well glycemic control group, poor glycemic control group perceived that the overall oral health status was worse, and had more bleeding teeth, swollen gums and mobility teeth. Conclusion: These results show that hemoglobin A1c level is related to the self-reported oral health status. Therefore, dental professionals should emphasize more the necessity of maintaining the hemoglobin A1c of normal range and monitoring it periodically, and the practice of thorough oral hygiene care in order to promote diabetic patients' oral health.

Gender-Specific Associations of Sensory Impairments with Depression and Cognitive Impairment in Later Life

  • Lyu, Jiyoung;Kim, Hae-Young
    • Psychiatry investigation
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    • v.15 no.10
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    • pp.926-934
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    • 2018
  • Objective Sensory impairments, such as vision and hearing impairments, increase with age, and studies have shown that self-reported vision and hearing impairments are associated with adverse mental health outcomes in later life. Although gender differences may exist in the associations between sensory impairments and geriatric mental health outcomes, little research has been done examining gender differences in the above associations. Therefore, the purpose of this study was to investigate the relationship between self-reported sensory impairments and geriatric mental health outcomes with the aim of determining whether any association differs by gender. Methods The study sample was drawn from a nationally representative data set, the 2012 Korean Longitudinal Study of Ageing, and the final sample consisted of 2,167 females and 1,664 males aged 65 and over. Self-reported sensory impairments were categorized into four groups: no sensory impairment (reference), vision impairment only, hearing impairment only, and dual sensory impairment. Depression and cognitive impairment were used as dependent variables in separate analyses. Results Adjusted for confounding variables, results from a multivariate analysis showed that vision impairment was significantly associated with depression only among women. Moreover, hearing impairment was significantly associated with cognitive impairment for women, but not for men. Having dual sensory impairment was associated with depression only among men, while having dual sensory impairment was associated with cognitive impairment only among women. Conclusion These findings suggest that the associations between sensory impairments and geriatric mental health outcomes vary according to gender. Therefore, gender-specific strategies in healthcare policies are needed.

Association of self-perceived oral health and depression in the elderly: the sixth Korea national health and nutrition examination survey(the 6th KNHANES) (노인의 본인인지 구강건강상태와 우울감)

  • Cho, Han-A;Heo, Yun-Min;Kim, Hyoung-Joo;Choi, Eun sil
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.2
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    • pp.285-293
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    • 2016
  • Objectives: The aim of the study was to investigate the association of self-perceived oral health and depression in the Korean elderly. Methods: The subjects were 1,329 elderly in Korea from the sixth Korea National Health and Nutrition Examination Survey (the 6th KNHANES). The dependent variable was depression that continued more than two weeks. Model I for the impacts of depression on self-reported oral health, Model II for the impacts of depression on chewing problem, Model III for the impacts of depression on speaking problem was evaluated. PASW Statistics 18.0 version was used for frequency analysis, chi-square test and logistic regression analysis. Results: Female elderly were much more prone to depression than male. Female had lower monthly compensation, less medicaid, chewing problem, speaking problem, and less education. For these reasons, they tended to have more depression than male (p<0.001). Self-perceived oral health impacts on depression included poor self-reported oral health(p<0.01), poor chewing problem(p<0.01) and poor speaking problem(p<0.05). On the other hand, male did not show a statistically significant association. Conclusions: The study showed the self-perceived oral health related quality of life had a significant influence on depression in the elderly. The continuing lifelong oral health care can prevent depression in the later life because oral health care improvement can enhance the self-perceived oral health status.

Gender Differences in Risk Factors of Self-reported Voice Problems (성별에 따른 주관적 음성문제 인지와 관련 위험 요인)

  • Byeon, Hae-Won;Hwang, Young-Jin
    • Phonetics and Speech Sciences
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    • v.4 no.1
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    • pp.99-108
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    • 2012
  • Recent research has identified that self-reported voice problems are a risk indicator for voice disorders. However, previous studies concerning the general population did not take into account the influence of gender on self-reported voice problems. The purpose of the present cross-sectional study was to determine the gender differences in risk factors of self-reported voice problems in the Korean adult population using national survey data. This study utilized data from the Korea National Health and Nutritional Examination Survey 2008. Subjects inclued 3,622 people (1,508 male and 2,114 female) aged 19 years and older living in the community. Data were analyzed using t-test, one-way ANOVA, and multiple logistic regression. The prevalence of self-reported voice problems was 5.9% in males, and 8.1% in females Females had higher incidents of self-reported voice problems than males. Adjusting for covariates, in males, age (OR=2.47, 95% CI: 1.07-5.70), pain and discomfort during the last two weeks (OR=3.64, 95% CI: 2.20-6.01) were independently associated with self-reported voice problems (p<0.05). In women, age (OR=1.96, 95% CI: 1.18-3.26), education (OR=2.09, 95% CI: 1.06-4.12), smoking (OR=2.70, 95% CI: 1.48-4.93), thyroid disorders (OR=2.58, 95% CI: 1.47-4.53), pain and discomfort during the last two weeks (OR=1.75, 95% CI: 1.21-2.54) were independently associated with self-reported voice problem (p<0.05). Self-reported voice problems related risk factors differed according to gender. These findings suggest that there needs to be different program strategies that reflect gender differences in self-reported voice problems.

Determinants of Poor Self-rated Health in Korean Adults With Diabetes

  • Lee, Hwi-Won;Song, Minkyo;Yang, Jae Jeong;Kang, Daehee
    • 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.