Earticle

Objectives: There are few studies which reflects of each generation’s own features, of the New Middle Age and the Elderly’s hearing status and their quality of life even though the population of old age has been weighted as baby boom generation’s entering into old age. This study is to identify the effects of the new middle age and the elderly’s hearing status on their quality of life and to prepare the customized health policies for their health promotion and quality of life improvement as well as the base line data for hearing enhancement programs. Methods: This study was analyzed using the data of the 7th term of the National Health and Nutrition Survey of the Disease Management headquarters. Out of 8,150 adults over the age of 50 who participated in the hearing test, 3,306 were selected and analyzed. Results: At the result of identifying the correlation of hearing status and the quality of life between the New Middle Age and the Elderly, it was confirmed that hearing loss affects low quality of life. The average of quality of life between the New Middle Age and the Elderly was 0.95 and 0.85 each, resulting in higher quality of life in New Middle Age than in the Elderly. The factors affecting the quality of life of the New Middle Age were the level of the education, household income, the type of health insurance, subjective health status. The factors affecting the quality of life of the Elderly were gender, the type of health insurance, subjective health status. Conclusion: Hearing loss of the New Middle Age and the Elderly affects their low quality of life. Therefore the development and the provision of policy program is needed, so as to maintain and manage hearing through age-specific health education. It is expected that the second half of the New Middle Age’s life will be much happier, if not taking the treatment-oriented approach of hearing loss only but strengthening the education needed for the maintenance and the management of healthy hearing at their work place, where 50 and 60 generations’ workforce has been increased.

Objective: Patients with COPD have a lower overall quality of life than normal people. If patients with COPD do not regularly perform physical activities, their exercise capacity is reduced. It could lead to muscle loss, and negatively affect their general physical, social, and psycho-social status. The purpose of this study was to examine association with physical activity, sedentary life time and health-related quality of life in patients with COPD. Method: Of the total of 22,948 participants surveyed in Korean National Health and Nutrition Examination Survey (KNHANES 2013-2015), 8,626 participants were used for this study. Of these, under 40 years, over 80 years, missing values and abnormal values were excluded. Study variables included physical activity level, sedentary time and health-related quality of life variables. The physical activity level assessment tool was measured using International Physical Activity Questionnaire (IPAQ). Sedentary time referred to the amount of sitting time without moving the body. EQ-5D (Euro Quality of Life-5 Dimensions) was used as an index of health-related quality of life. Control variables were age, gender, income level, education level, marital status, comorbidity, smoking, BMI, cough, sputum, COPD severity. For this study, descriptive analysis, T-test, ANOVA and multivariate regression analysis were performed. Results: Of the 1,092 patients with COPD, 76.1% (n=831) were male and 23.9% (n=261) were female, while 39.0% (n=2,939) were male and 61.0% (n=4,595) were female in the comparison group without COPD. The COPD group with high level of physical activity showed a high level of EQ-5D scores (0.9349 ± 0.11, p <0.001). Among patients with COPD, after adjusting for control variables, physical activity and sedentary time (physical activity level, Β=0.047, p <.001), (sedentary time, Β=-0.017, p <.05) were associated with health-related quality of life. Conclusion: Patients with COPD have a higher quality of life as their physical activity increases and the quality of life decreases as the time spent sitting increases. This study suggests that public health experts should consider improving COPD patient physical activity.

Objects: This study examined the relations among college students’ personality characteristics, drink motivation, and drinking behavior. This study also examined the mediating effect of drink motivation on the relationship between college students’ personality characteristics and drinking behavior. Methods: The subjects of this study were 210 college students(male: 50, female: 160) attending a university in Chungnam. College students completed the personality characteristics, drink motivation, and drinking behavior scales. The data was analyzed by means of Pearson's correlation coefficients and regressions. Results: Results indicated that college students’ neuroticism and extroversion were significantly related to drinking behavior. Also, college students’ social motivation and coping motivation were significantly related to drinking behavior. Especially, social motivation fully mediated the relationship between college students’ neuroticism and extroversion and drinking behavior. Coping motivation fully and partially mediated the relationship between college students’ neuroticism and extroversion and drinking behavior. Conclusions: In this study, the personality characteristics directly influence the drinking behavior, but they found the influence on the drinking behavior through the drink motivation. In particular, it is very necessary to intervene in the development of health education programs that can intervene in drink motivation for college students with neurotic characteristics.

Objectives: This study was to investigate the effects of sexual orientation related to sexual intercourse on smoking behavior. Methods: The study includes 33,309 Korean high school students. Of these, 31,213 had no experience of sexual intercourse, 1,739 had sexual intercourse with the heterosexual, 191 had sex with the homosexual, and 166 had sexual intercourse with the bisex. The study used 12th(2016) Korea Youth Risk Behavior Web-based Survey with complex sample logistic regression. Results: Adjusted confounding variables were analyzed, and it showed that smoking behavior was higher in the group had experienced sexual intercourse. The group had homosexual intercourse (OR=1.84, 95%CI=1.31-2.57) or bisexual intercourse (OR=2.78, 95%CI=2.06-3.76) showed higher risk of smoking behavior than the group had heterosexual intercourse (OR=1.67, 95%CI=1.48-1.90 Conclusions: The study results showed sexual orientation related to sexual intercourse was associated with smoking behavior. Further follow up studies and evaluations are needed.

Objectives: We would like to manage university student's health factors by researching the connection between BMI and oral health and behavior of university students. And provide basic data by integrating for weight management programs that target overweight people can improve oral health. Methods: Self-evaluation questionnaires were surveyed for 315 students who agreed to participate in the survey, using questionnaires used in the preceding study were modified and complemented. We analyzed the data with frequency analysis, descriptive statistics, t-test, chi-square test와 ANOVA, Spearman correlation coefficient by using IBM SPSS Statistics 21.0 (IBM Co., Armonk, NY, USA). The significance level for significance was set at 0.05. Results: People who smoke and alcohol drink have a lower score in their oral health behavior and oral health knowledge than those who do not. There was a significant difference between the BMI group, in the oral health behavior and oral health knowledge scores. BMI and smoking (r=0.230, p<0.001), alcohol drinking (r=0.121, p<0.05) were significant positive correlation. BMI and sleep time (r=-0.127, p<0.05), oral health behaviors (r=-0.133, p<0.001) were significant negative correlation. oral health behaviors and oral health knowledge (r=0.344, p<0.001) were significant positive correlation. Conclusion: Schools and communities will need to be educated about smoking and drinking, while at the same time developing programs that can improve oral health by integrating weight management programs.

Objectives: The purpose of this study is to examine change in adolescent depression across time and to determine the relation between individual and neighborhood socioeconomic status (SES) and depression. Methods: This study employed multilevel latent growth analysis using longitudinal data from Korea Children and Youth Panel Survey. A sample of this study consists of 2,351 adolescents who were in first grade of middle school in 2010. Results: Results showed that both initial level and downward trajectory of depression varied significantly across individuals as well as across neighborhoods. On the individual level, self-rated economic condition(b=-0.203, p<.001) was related to the initial level of depression. Adolescents whose father had a high educational level(b=0.028, p<.001) or whose mother had a low educational level(b=-0.022, p=.011) had lower rates of decline in adolescent depression. On the neighborhood level, neighborhood deprivation index (b=0.003, p=.019) and gini coefficient(b=0.124, p=.040) were associated with lower rates of decline in depression. Conclusions: Low SES in adolescence is correlated with worse mental health, especially depression. Social disparities in depression likely originate before adulthood. The findings argue for the importance of understanding depression in adolescence from a multilevel or ecological framework.

Objectives: This study is to examine the influences of three sub-factors of resilience on academic burn out among a group of university students, with low resilience, majored in public health. Methods: The survey was made during January 1 to 13, 2017 and after checking the resilience scores of 166 respondents and the questionnaires of 115 respondents, whose scores were less than 195, an average score of Korea, were selected and analyzed using AMOS. Results: The average resilience and academic burn-out scores were 173 and 2.96, respectively. The goodness-of-fit of proposed model showed RMSEA=0.068, GFI=0.916, NFI=0.901, IFI=0.963, CFI=0.962 so, final measurement model was selected. The analysis of the suggested model showed that among three sub-factors of resilience, only self-control ability had a negative(-) effect on academic burnout and two others were shown to have no effects. Conclusion: By researching and introducing a education method that could enhance self-control ability, it would effectively reduce academic burnout in university students with low resilience and majored in public health.

목적: 최근 이명의 발생률이 증가하고 있으나 이명에 대한 정확한 원인 발견이 어려운 실정이다. 한국 의 경우도 예외는 아니며, 사회경제적 상태에 따른 이명여부를 분석하고자 한다. 방법: 국민건강영양조사 제 5기(2010-2012)의 원시자료를 이용하였으며, 연구 대상자인 40세 이상 12,041명을 다중 로지스틱 회귀분석을 실시하였다(95% CI). 결과: 40세 이상 중년인구의 사회경제적 상태에 따른 이명여부는 통계학적으로 유의한 차이가 있는 것 으로 나타났다. 이명의 발생여부는 연령이 높을수록(p<.0001), 직업군에 따라서(p<.0001), 대사증후군이 있 는 자(p<.0001), 교육수준이 낮을수록(p<.0001), 기초생활수급자(p<.0001), 배우자가 없는 자(p<.0001), 스트레스가 많을수록(p<.0001), 우울증이 높을수록(p=.0034) 이명이 발생하였다. 회귀분석 결과 여성의 경우 대상자의 학력이 초등학교 이하인 그룹에서 교차비가 높았으며(OR:1.784, 1.322-2.408) 소득이 하 위계층인 그룹에서 교차비가 높았다(OR:1.591, 1.293-19.58). 하지만 남성의 경우에는 유의한 결과가 나오지 않았다. 결론: 본 연구는 40세 이상 중년인구의 사회 경제적 상태에 따른 이명여부를 파악함으로써 남성보다 여성에서 사회경제적 수준에 따라 이명여부에 영향을 많이 받는 것을 밝혀낸 것에 연구의 의의가 있다.

Objectives: The purpose of this study is to understand the relevance of chronic disease conditions and fall experience among people aged 65 and older. and use them as basic data to reduce the risk of falling. Methods: The study selected 26,122 men and 37,777 women aged 65 and over as final subjects of the study, using raw data from the Community Health Survey in 2015. The statistical analysis used SAS 9.4 USA. Results: About 20% of those aged 65 and older experienced a fall, with one in five elderly people experiencing a fall, and the ratio of men to women was 3:7, women higher than men. As the age grew, the lower the level of education, the more senior citizens who lived alone occurred falls. In addition, the incidence of falls was higher when the number of chronic diseases was more than three. The incidence of falls was 1.1-1.5 times higher depending on chronic diseases. Conclusion: The development of education and exercise programs for preventing fall of senior citizens aged 65 and older is required and further study is needed.