본 논문은 저소득 독거노인의 건강상태 및 주거상태와 우울, 행복감 간의 관련성에 대해 연구했다. 2021년 한국복지패널조사(16차) 응답자인 65세 이상 저소득 독거노인을 연구대상으로 삼았다. 자료분석방법은 주요 변수에 대한 빈도분석 및 기술통계, 상관분석, 경로모형 분석을 수행했다. 연구 결과, 첫째, 노인의 행복감은 다른 연령집단과 비교하여 낮은 수준임이 확인되었다. 둘째, 객관적 건강상태는 주관적 건강상태 에 영향을 미치고, 주관적 건강상태는 우울에 직접적 영향을 미치면서 건강만족감을 통해 간접적 영향을 미치는 것으로 나타났다. 또한 건강만족감은 행복감에 직접적 영향을 미치면서 우울을 통해 간접적 영향을 미치고 있었다. 셋째, 주거상태는 우울에 직접적 영향을 미치면서 주거만족감을 통해 간접적 영향을 미치 고 있었고, 주거만족감은 우울과 행복감에 직접적 영향을 미치는 것으로 나타났다. 연구결과를 바탕으로 본 연구에서는 저소득 독거노인의 우울감 감소 및 행복감 증진을 위해 건강 및 주거문제를 해소할 수 있는 정책과 실천방안을 모색했다.

목적 : 본 연구의 목적은 Coronavirys Disease(COVID-19) 팬데믹을 거친 고령자의 사회적 건강의 수준의 변화궤적에 대한 잠재계층을 분류하고 잠재 계층별 특성을 분석함에 있다. 또한 이러한 사회적 건강에 영향을 미치는 예측요인을 파악하여 고령자의 사회적 건강을 증진을 위한 기초자료를 마련하고자 한다. 연구방법 : 국내 고령자의 사회적 친밀도에 따른 사회적 건강 유형을 파악하기 위해서 한국복지패널의 3 년차 종단자료를 토대로 분석하였으며, 연구대상자는 세 시점 모두를 응답한 2845명의 고령자를 대상으 로 하였다. 대상자중심접근인 성장혼합모형(Growth Mixture Model; GMM)을 적용하여 변화궤적에 따 른 잠재계층을 분석 하였고, 도출된 각 잠재유형별 특성을 파악하기 위해 χ2 분석, 분산분석을 실시하 였으며, 계층 간 차이를 유발하는 요인을 파악하기 위해 다항로지스틱 회귀분석을 실시하였다. 결과 : GMM 적용결과, 사회적 건강의 변화궤적에 대한 잠재계층은 최종 4개의 집단으로 저수준 감소-증 가 집단, 중수준 유지-증가 집단, 고수준-감소 집단, 고수준 유지’집단으로 분류되었다. 또한 사회적 건강 수준에 따라 여가만족도에서 차이가 나타나는 것으로 드러났으며, 그 외에도 연령 차이가 존재하였 다. 잠재계층분류에 영향을 미치는 영향변인을 검증한 결과, 특히 여성일수록, 종교를 가지고 있을수록, 여가만족도와 전반적 만족도가 모두 높을수록 고수준 유지 집단에 속할 확률이 높은 것으로 나타났다. 결론 : 국내 고령자의 사회적 건강은 시간이 지남에 따라 감소하는 궤적을 보이는 것으로 나타났다. 변화 궤적에 따라 4개의 집단으로 구분 지을 수 있으며, 각 잠재 유형별 연령과 여가 만족도 부분에서 집단별 차이가 드러났다.

We performed a study to examine the association between diet quality and nonalcoholic fatty liver disease (NAFLD). Our study included 3,586 women aged 40-64 years who participated in the sixth Korea National Health and Nutrition Examination Survey. The study subjects were classified into the NAFLD group (n=816) and the normal group (n=2,770) using the hepatic steatosis index. The anthropometric indices, blood profiles, and dietary intake data of the subjects were obtained. The waist circumference, body mass index, and the serum levels of triglycerides, fasting blood sugar, HbA1c, and systolic and diastolic blood pressures were higher in the NAFLD compared to the normal groups (p<0.001, respectively). The intakes of protein (g/kg body weight, p<0.001), potassium (p<0.001), and vitamin A (p=0.006) were significantly lower in the NAFLD group. It was observed that the higher the total Korean Healthy Eating Index score, the lower the risk of NAFLD. A reverse relationship was shown between the NAFLD risk and the intakes of total fruits, total vegetables, vegetables excluding Kimchi and pickled vegetables, meat, fish, eggs and beans. Therefore, it is recommended that middleaged women in Korea increase their intakes of fruits, vegetables, and foods high in protein for the proper management of NAFLD.

The focus of this research is on midlife women. Middle age is a pivotal period in one’s life course in terms of finding a new or renewed purpose in life, addressing the excesses of youth, reducing work and life stress, and where establishing favorable conditions in early midlife are associated with good health and well-being later in life. Defined as the period between the ages of 45 and 65, midlife is characterised as a time of significant transition and represents 24.6% of the Australian population. Increasing life expectancy has demanded shifting roles and responsibilities for midlife adults especially so for women who tend to have longer life spans and face greater exposure to risk factors such as adverse life events. As midlife women navigate multiple roles and transition though cycles of physical and emotional stress, they have less time for themself, procrastinate through delaying or putting off health related behaviours and experience higher rates of burnout. Understanding how these factors impact on overall psychological wellbeing becomes ever more critical.

Commercial condom advertisements usually emphasize the sexual pleasure of branded products, which leads to controversial public views. Some people agree that commercial condom advertisements can also benefit public health, whereas others disapprove of such commercial condom advertisements because their contents are usually offensive, low-tasted, and pornographic. Despite controversy over commercial condom advertising, we know little about the spillover effect of commercial condom advertisement. On one hand, sexual-related content in the commercial condom advertisement may have an arousal effect. That is, it can evoke sexual arousal, leading to more sex intercourses. More frequent sex behaviors, especially casual sex behaviors, may then lead to a risk of contracting sexually transmitted diseases (STDs). On the other hand, commercial condom advertisements may have an educational effect. That is, it can persuade people to use condoms, helping people get in the habit of using condoms, thus reducing the STD trends. In the short term when condom commercials are aired, the arousal effect and educating effect coexists, which motivates the net short-term effect as an open empirical question. In the long-term when the condom commercial no longer aired, the educating effect remains, which decreases the STD trends.

The focus of this research is on midlife women. Middle age is a pivotal period in one’s life course in terms of finding a new or renewed purpose in life, addressing the excesses of youth, reducing work and life stress, and where establishing favorable conditions in early midlife are associated with good health and well-being later in life. Defined as the period between the ages of 45 and 65, midlife is characterised as a time of significant transition and represents 24.6% of the Australian population. Increasing life expectancy has demanded shifting roles and responsibilities for midlife adults especially so for women who tend to have longer life spans and face greater exposure to risk factors such as adverse life events. As midlife women navigate multiple roles and transition though cycles of physical and emotional stress, they have less time for themself, procrastinate through delaying or putting off health related behaviours and experience higher rates of burnout. Understanding how these factors impact on overall psychological wellbeing becomes ever more critical.

Involving issues of environmental, consumer safety and health, and/or social concerns, a morally controversial action refers to an activity that does not have a single standard of ethics for all people, making it challenging to draw a clear line between what is ethical versus unethical. Despite its ambiguity, any firm can be involved in it, especially when the firm operates in the global marketplace where a variety of social, health, and environmental consequences surrounding a given action are questioned by consumers. If consumers come to know of a familiar brand’s morally controversial behavior, it can create approach-avoidance conflicts in their minds; they may see the brand’s action as mismatched with their own moral standards (“avoidance” manifested through a measurable construct––moral incongruence), while being tempted to justify the action (“approach” manifested through moral rationalization).

목적 : 초기 노안에서 노화인식과 눈 건강관리의 인식 정도를 알아보고자 하였다. 방법 : 초기 노안을 겪는 40대 이상의 중년 성인 171명을 대상으로 온라인 설문 조사를 이용하여 노화 인식에 대한 설문 6문항과 눈 건강관리 인식에 대한 설문 11문항에 대해 ‘전혀 그렇지 않다’에서 ‘매우 그렇다’까지 5점 척도로 응답하게 하였다. 독립표본 t-검정과 ANOVA 분석으로 노화 인식 정도와 눈 건강관리 인식의 연령대(40 대 초반, 중반, 후반)와 성별에 따른 차이를 알아보고, pearson의 상관분석을 시행하여 노화인식과 눈 건강관리 인식의 상관성을 평가하였다. 결과: 대상자들의 평균나이는 43.92±2.42세로 남자는 95명(55.6%), 여자는 96명(44.4%)이었다. 연령대에 따라 노화 인식 정도와 눈 건강관리 인식은 차이를 보이지 않았다. 노화인식의 경우 한 가지 문항(문항 4번)에서 남자 (3.40±0.97)가 여자(3.87±0.93)에 비해 유의하게 높은 노화인식을 보이는 것으로 나타났으며, 눈 건강관리 인식은 세 가지 문항(문항 1, 6, 7번)에서 여자가 남자에 비해 높은 건강관리 인식을 가지고 있는 것으로 나타났다(각각 여: 4.05±0.67, 남: 3.52±0.81, 여: 3.83±0.77, 남: 3.51±0.99, 여: 4.01±0.70, 남: 3.77±0.83). 노화인식도 가 높을수록 눈 건강관리 인식정도가 유의하게 높았다(r=0.161, p=0.035). 결론 : 성별에 따라 노화인식과 눈 건강관리 인식은 차이를 보였고, 노화 인식도가 높을수록 눈 건강관리 인식 정도가 높았다.

Occupational safety and health management expenses in the construction industry are statutory and separately included in the cost statement to prevent occupational accidents and health problems. The expenses are determined by multiplying the standard amount by the rate decided according to construction types and scales. However, the current expense appropriation method does not properly reflect the recent changes in the construction industry such as industry size, industry diversification, and social atmosphere about safety reinforcement. This study surveyed 1579 questionnaires in total and analyzed expense execution rate and proportion of each expense category. The expense execution rate was relative higher in complex construction (e.g., heavy construction = 126%, civil engineering = 125%) and long-period project (equal to or over 48 months construction = 133%) compared to general construction (98~116%) and short-period project (less than 48 months construction = 115%). The proportion of spending expenses was higher in the category of safety manager labor costs (25~52%), safety facility costs (22~40%), and personal protective equipment costs (10~25%). The analysis results of the study can be utilized in revising the standard expense appropriation method by reflecting the current usages of the occupational safety and health management expenses in the construction industry.

The Severe Disaster Punishment Act had recently been established in order to promote safety and health (OSH) management system for severe accident prevention. OSH management system is primarily designed based on risk assessments; however, companies in industries have been experiencing difficulties in hazard identification and selecting proper measures for risk assessments and accident prevention. This study intended to introduce an accident analysis method based on epidemiological model in finding hazard and preventive measures. The accident analysis method employed in this study was proposed by the U.S. Department of Energy. To demonstrate the effectiveness of the accident analysis method, this study applied it to two accident cases occurred in construction and manufacturing industries. The application process and results of this study can be utilized in improving OSH management system and preventing severe accidents.

Background: In general, measurement qualities of cross-culturally adapted quality of life (QOL) measures are altered in many aspects, although versions of them are well-validated measures. The latent trait and measurement qualities of the QOL measures for cancer-related samples should be considered when developing cross-culturally adapted measures. Objects: To investigate the latent trait of the translated into Korean World Health Organization Quality of Life-BREF (WHOQOL-BREF) administered to different cancer survivors who had palliative rehabilitation care service (PRCS). Methods: A cross-sectional study with 139 cancer survivors who had an experience of cancer survivorship with PRCS were conducted with a two-step analytic procedure including exploratory factor analysis (EFA) to confirm the latent trait and Rasch rating scale modeling to investigate the measurement qualities of the cross-culturally adapted WHOQOL-BREF measure. Results: While the original WHOQOL-BREF measure constitutes a 4-latent trait, the EFA reveals that 24 items constitute six substantial factors. The item loadings are predominantly spread over factors 1 through 4 in a mixed manner of the latent traits, while the loadings of ‘physical health’ and ‘environmental health’ latent traits show similarity to what the original measure intended to assess. The latent trait of the cross-culturally adapted WHOQOL-BREF measure administered to different cancer survivors is likely to reveal more dimensions than the original WHOQOL-BREF measure. Person reliability (i.e., analogous to Cronbach’s alpha) and separation are measured with 0.92 and 3.48, respectively. All items except the one item (medical treatment item) fit the Rasch rating model. Conclusion: Findings suggest that the latent trait and the measurement qualities of the cross-culturally adapted WHOQOL-BREF measure should be taken into consideration when applying versions of it to various populations.

The labor environment in Korea has changed and problems related to employment types are treated as important issues. Especially, the ratio of irregular workers has not only increased relatively, but the labor conditions in Korea also have worsened in the current years. Studies have reported an association between temporary workers and the prevalence of diseases. However, there is insufficient research on chronic disease and employment types. Methods: The current study examines the prevalence rate of diseases and health behavior by categorizing employment types among Korean adults. Data were obtained from the 2016-2018 Korea National Health and Nutrition Examination Survey. Totally, the data of 2,366 workers (1,239 regular and 1,127 irregular) were analyzed in the study. The types of employment were classified by a questionnaire querying about working conditions. The results showed that irregular workers earned less than regular workers and had a significantly higher prevalence of diabetes mellitus and hypertension. We propose that if discrimination related to working conditions were relieved, irregular workers would be able to invest more time to exercise and doing check-ups regularly. In addition, individual nutrition consultations considering the knowledge and personal environmental factors of each individual are necessary for the improved health of all workers.

목적 : 본 연구는 작업치료사가 참여한 지역사회 통합돌봄 서비스 중 가정환경수정 대상자의 일상생활활동에 영향을 주는 요인을 분석하여 향후 가정환경수정 중재에 있어 필요한 요인을 제시하고자 한다. 연구방법 : 본 연구는 광주광역시 서구 지역사회 통합돌봄 서비스의 필요도 조사 데이터를 활용한 이차자료 분석연구이다. 대상자는 2020년 상반기부터 2022년 상반기까지 중복으로 신청했던 16,388명이며, 이 중 가정환경수정 이용한 1,075명 의 데이터를 추출하여 분석하였다. 가정환경수정 대상자의 일상생활활동과 주거환경, 주관적 건강상태, 인지기능에 대한 상관관계를 분석하기 위해 피어슨 상관분석을 실시하였다. 가정환경수정 대상자의 주거환경, 주관적 건강상태, 인지기능이 일상생활활동에 영향을 주고 있는지 분석하기 위해 다중회귀분석을 실시하였다. 또한, 가정환경수정 대상자의 개선이 필요 한 주거환경 현황을 알아보기 위해 기술통계 및 그래프를 활용하였다. 결과 : 가정환경수정 대상자의 일상생활활동은 조명, 계단, 문턱, 온수, 주관적 건강상태, 인지기능이 좋을수록 일상생활 활동의 독립성이 높아진다고 볼 수 있다. 또한 대상자의 고령, 여자보다는 남자일 때, 높은 사회보장수급권, 열악한 바닥 과 벽지, 이동이 불편한 계단과 문턱, 낮은 주관적 건강상태와 인지기능이 일상생활에 부정적인 영향을 주는 것으로 분석 되었다. 가정환경수정 대상자의 가정환경 개선 욕구에서는 안전 손잡이, 욕조, 바닥과 벽지 순으로 조사되었다. 결론 : 노인의 맞춤형 가정환경수정을 위해서는 신체적 기능과 인지적 기능을 고려하여 바닥과 벽지, 계단, 문턱 등 환경 적 측면에 대한 분석이 필요하며, 이를 수행할 수 있는 작업치료사가 적절하게 배치될 수 있는 정책적 지원이 필요하다.

South Korea, one of the representative countries known for consuming dog meat, is experiencing a gradual decline in its consumption, and it is expected to be eradicated soon as there is no influx of new consumers. However, the cultural aspect of dog meat consumption is strong as it is deeply rooted in social traditions, and there is inadequate agreement on banning it legally. This article examines the laws related to dog meat and how it is currently managed. It also scrutinizes the animal welfare and food safety aspects of the process of dog meat breeding and distribution. The current legal management system for dog meat is inadequate, which poses risks in terms of food safety. In addition, the dogs used for food consumption are exposed to coarse environments from an animal welfare perspective. Until dog meat consumption is naturally eradicated, establishing a temporary hygiene management system to ensure food safety and improve animal welfare could be one solution.

Vulnerable populations in healthcare facilities are more sensitive to exposure to indoor air pollutants, and therefore are more affected by such pollutants than the general population. This was the underlying reason why studies of indoor air pollutant concentration distribution and health risk assessment have been conducted targeting facilities, such as daycare centers, medical facilities, elderly care facilities, and postnatal care centers. However, previous studies have mainly focused on daycare and medical facilities for their research, and relatively speaking, studies conducted on the other venues are lacking. Therefore, this study aims to present the current status of indoor air quality and perform a health risk assessment in regard to Formaldehyde exposure at postnatal care centers and elderly care facilities. Here, the study focused on facilities that had undergone pollution level inspections from January 2017 to December 2021. A total of 81 postnatal care centers and 48 elderly care facilities were selected as the subject of the study. Then, the study utilized concentrations of five elements (CO2, HCHO, PM10, PM2.5, TBC) to determine the status of indoor air quality of both postnatal care centers and elderly care facilities. For health risk assessment, HCHO concentration was used. The investigation demonstrated that the yearly average concentration of the five elements stood within the indoor air quality maintenance standards, and the ratio of PM2.5 to PM10 in the two types of facilities was distributed as high as about 70%. In addition, the study showed that HCHO and TBC demonstrated a positive correlation when the relationship between indoor temperature and humidity with the five elements was examined. The health risk assessment showed that the cancer risk level of postnatal care center users stood below 10-6, below the level that is perceived as an acceptable risk. The cancer risk of workers from both postnatal care centers and elderly care facilities and elderly care facility users exceeded the acceptable risk level of 10-6, but was shown to be below 10-4, the maximum acceptable risk.

In stream ecosystem assessment, RIVPACS, which makes a simple but clear evaluation based on macroinvertebrate community, is widely used. In this study, a preliminary study was conducted to develop a RIVPACS-type model suitable for Korean streams nationwide. Reference streams were classified into two types (upstream and downstream), and a prediction model for macroinvertebrates was developed based on each family. A model for upstream was divided into 7 (train): 3 (test), and that for downstream was made using a leave-one-out method. Variables for the models were selected by non-metric multidimensional scaling, and seven variables were chosen, including elevation, slope, annual average temperature, stream width, forest ratio in land use, riffle ratio in hydrological characteristics, and boulder ratio in substrate composition. Stream order classified 3,224 sites as upstream and downstream, and community compositions of sites were predicted. The prediction was conducted for 30 macroinvertebrate families. Expected (E) and observed fauna (O) were compared using an ASPT biotic index, which is computed by dividing the BMWPK score into the number of families in a community. EQR values (i.e. O/E) for ASPT were used to assess stream condition. Lastly, we compared EQR to BMI, an index that is commonly used in the assessment. In the results, the average observed ASPT was 4.82 (±2.04 SD) and the expected one was 6.30 (±0.79 SD), and the expected ASPT was higher than the observed one. In the comparison between EQR and BMI index, EQR generally showed a higher value than the BMI index.

In this study, we aimed to explore whether eating alone is associated with mental health conditions in Korean adolescents. The data of 2,012 Korean adolescents aged 12-18 years were obtained from the Korea National Health and Nutrition Examination Survey 2015–2019. Participants were classified into three groups based on the frequency of eating alone: none (all meals with others); 1 meal/day alone; and 2 meals/day alone. Mental health conditions were assessed based on stress recognition, depressive symptoms, and suicidal ideation. Multivariable logistic regressions were employed to calculate the adjusted odds ratios (AORs) and 95% confidence intervals (CIs) of poor mental health conditions according to the frequency of eating alone. Adolescents who ate 2 meals/day alone had higher odds of stress recognition (AOR: 2.65, 95% CI: 1.94- 3.63), depressive symptoms (AOR: 2.55, 95% CI: 1.47-4.42), and suicidal ideation (AOR: 2.53, 95% CI: 1.05-6.08) than those who ate all their meals with others. In addition, having breakfast or dinner alone increased the odds of stress recognition. Considering the continuous increase in the social phenomenon of eating alone, nutritional educations are needed to develop adolescents' ability to choose more nutritionally balanced and healthy meals when eating alone.

청소년기의 주관적 건강상태는 개인의 전반적인 사회·정서적 기능을 반영하는 것으로 이 시기 건강관련 삶의 질을 결정하는 중요한 요인이다. 본 연구는 청소년의 주관적 건강상태와 건강형평성의 관계 를 파악하고자 하였다. 제16차 청소년건강행태온라인조사(2020) 자료를 이용하여 39,987명의 청소년을 분 석하였다. 건강형평성은 거주 지역, 학생들이 인식하는 경제적 여건, 가구의 풍요도, 가족형태, 부모 교육수 준 등을 지표로 사용하였다. 주관적 건강상태는 “평소 자신의 건강이 어떠하다고 생각하는가?” 라는 질문 에 건강군("매우 건강하다", "건강하다")과 불 건강군("보통이다", "건강하지 않다", "매우 건강하지 않다")으 로 분류하였다. 수집된 자료는 SPSS/Win 22.0을 이용하여 복합표본분석을 실시하였다. 대상자의 주관적 건강상태와 관련된 유의한 요인은 거주 지역(OR=0.865, p=.031), 경제 수준(OR=1.338-2.095, p<.001), 가족 형태(OR=1.245, p=.033)로 나타났다. 청소년이 지각한 경제수준은 청소년의 주관적 건강상태와 관 련된 가장 중요한 요인이었으며, 다문화가정 청소년은 일반가정 청소년에 비해 자신의 건강상태를 건강하 지 못하다고 인식하는 경우가 많았다. 따라서 경제수준이 낮은 청소년과 다문화가정 청소년에 대한 지속적 인 관심과 건강상태를 향상시킬 수 있는 구체적인 전략이 요구된다.

The impact of heat stress (HS) on reproductive performance and its problems in cows remains to be investigated in Bangladesh. The study was, therefore, aimed to evaluate the effect of HS on fertility and reproductive health problems of dairy cows in a selected area of Bangladesh. A total of 1,095 cows from 500 farms were included in this study. The climate-related data were recorded daily basis for every month in a year and temperature-humidity index (THI) values were calculated to determine the level of HS. Concurrently, data on fertility parameters [number of services per conception (NSC), conception rate (CR) and calving to the first service interval (CFSI)], and reproductive problems were collected through a pre-defined questionnaire. The results show that crossbred [Native x Holstein-Friesian, (HF)] cows were more vulnerable (p < 0.05) to a magnitude of HS effects considering physiological parameters of cows [age, body condition score (BCS), parity and milk yield]. Regarding fertility, HS had no effect on NSC, CR and CFSI in both native and crossbred cows (p > 0.05). The findings on the reproductive problems indicate that HS had significant influence on the prevalence of anestrus (χ2 = 21.814, p < 0.05) and retained placenta (χ2 = 24.632, p < 0.05) in cows. Of note, the prevalence of repeat breeding syndrome was 2.5 folds higher in stress condition than in no stress condition. Abortion and dystocia were not influenced by HS. In conclusion, HS does not influence the fertility parameters of cows studied; however, anestrus and retained placenta are likely to occur under HS conditions in cows.