중·고령자의 사회적 지지가 우울증에 미치는 영향

한삼성,강성욱,정성화,유왕근 보건의료산업학회 2014 보건의료산업학회지 Vol.8 No.2

This study examined the relationship between social support and depressive symptom among the middle and old-aged people, using dataset of the Korean Longitudinal Study of Ageing(KLoSA 3rd). The subjects were 7,874 persons aged 45 and over. Using this data, social support variables and its relation to depressions was observed based on social network model. A multiple regression model was used to study an association between social support and depressive symptom, controlling for socio-economic characteristics, health status and behavior. Also, this paper run two subgroup regression models based on gender of subjects (male, female), controlling for confounding variables. Authors found that there was lower the number of meetings with friends (1~3 times in a week: b=0.597, p<0.0001; 1~2 times in a month: b=0.609, p<0.0001; 1~6 times in a year or under: b=1.598, p<0.0001) and negative relationship between spouse satisfaction (b=-0.007, p=0.0237), children satisfaction (b=-0.019, p<0.0001) and depressive symptom. Also quantitative effect differences were compared according to gender and its effect on depression. Compared to the male group, female group showed significant difference in quantitative effect with number of meetings with friends and spouse satisfaction, but children satisfaction didn’t show clear differences according to gender. This study suggested the importance of social support for promoting mental health among the middle and old-aged people.

대형 조선소 관리감독자 교육 개선에 관한 연구

한삼성,강지웅,윤유성 한국안전학회 2017 한국안전학회지 Vol.32 No.6

Currently, the Ministry of Employment and Labor is strengthening monitor programs in regards to occupational industrial safety and health act compliance in business operations. However, industrial accidents occur persistently. Therefore, the study strives to diagnose and understand the issues in its educational stature, targeting managing supervisors in large scale shipbuilding industry whose completed the regular safety and health act sessions. This research considered a total of 3,252 employees whose completed theory-based cluster sessions for three months since February, 2016. The group is divided into two categories; 551 participants whose completed 8 hours of training and 2,701 participants whose completed 4 hours of training. Technical statistics were used to measure the knowledge of safety and health, educational environment, curriculum and educational effects on managing supervisors. A t-test was used to analyze the difference between the training hours. The result indicated that the target participants’ knowledge on safety and health before the session was 50.24 points average (100 point scale), showing low standards in general. In depth analysis indicated that both 8 hours and 4 hours groups scored lowest in educational methods and communications between the lecturer and participants factors within the educational curriculum category. Meanwhile, transition in knowledge acquirement, work attitude, and work behaviors scored the highest in the analysis, showing a high satisfaction factors in educational effects. Therefore, the improvement in educational time and period can increase the efficacy of the educational programs. Also, theory-based cluster programs based on lectures suggests positive influence in knowledge acquirement and behavioral transitions.

중·고령자의 배우자 만족도와 우울증과의 관련성

한삼성,정성화,강성욱 보건의료산업학회 2013 보건의료산업학회지 Vol.7 No.1

This study examined the relationship between spouse satisfaction and depressive symptom among the middle-aged and elderly couples, using dataset of the Korean Longitudinal Study of Ageing(KLoSA). The subjects were 6,652 persons aged 45 and over who were living with their spouse. A multiple regression model was used to study an association between spouse satisfaction and depressive symptom, controlling for socio-economic characteristics, health status and behavior, and social support. Also, this paper run three subgroup regression models based on age of subjects (45∼54, 55∼64, 65 and over), controlling for confounding variables. Authors found that there was negative relationship between spouse satisfaction and depressive symptom (b=-0.022, p<0.0001). This negative relationship was also shown in three subgroup regression models. This study suggested the importance of spouse support for promoting mental health among the middle-aged and elderly couples.

독거노인과 부부노인의 우울감 및 자살생각 경험

한삼성,강성욱,정성화 보건의료산업학회 2012 보건의료산업학회지 Vol.6 No.3

자유연제발표 : 세션2 ; 노인의 자살생각에 미치는 요인에 대한 연구

한삼성,강성욱 한국보건행정학회 2008 한국보건행정학회 학술대회 논문집 Vol.2008 No.2

노인의 자살생각 결정요인에 관한 연구

한삼성 ( Samsung Han ),강성욱 ( Wangkeun Yoo ),유왕근 ( Sungwook Kang ),피영규 ( Young Gyu Phee ) 한국보건사회연구원 2009 保健社會硏究 Vol.29 No.1

인구의 고령화와 핵가족화로 가족 내 세대간부양이 감소하고 있으며, 이는 독거노인 증가와 노인자살 등 제반 사회문제를 야기하고 있다. 65세 이상 노인들을 대상으로 자살생각에 미치는 요인을 분석하기 위해 기술 통계적 분석과 다변량 로지스틱 회귀분석을 실시하였다. 종속변수는 자살생각(suicidal ideation) 유무이며, 독립변수는 인구학적요인(연령, 성, 교육, 거주지역, 배우자유무, 동거 가족 수), 경제적 요인(소득, 직업), 건강요인(신체적 건강, 정신적건강, 주관적 건강, 기능적 능력), 건강 행위적 요인(알코올, 흡연, 운동), 의료 이용요인(외래방문, 병원입원) 등을 포함하였다. 본 연구는 국민건강영양조사 제1기[1998년], 제2기[2001년], 제3기[2005년] 자료를 이용하여 연도별 회귀분석을 실시하였다. 노인인구 중 지난 1년 간 자살생각을 경험한 비율은 2005년 30.5%, 2001년 26.2%, 1998년 33.6%이었다. 다변량 로지스틱 회귀분석 결과 주관적 건강상태가 나쁠수록, 우울증상이 높을수록, 스트레스가 심할수록, 배우자가 없을수록 노인의 자살생각이 높음을 알 수 있었다. 본 연구는 노인의 자살예방을 위해서는 정책당국자는 무엇보다도 노인들의 육체적 건강증진과 우울증 예방 및 스트레스 감소에 정책의 우선순위를 둘 것을 제안한다. This study examined the determinants of suicidal ideation among the elderly in Korea. The subjects were national random samples who were 65 years or older from the Korea National Health and Nutrition Examination Survey in 1998, 2001, and 2005. Three Logit models were used to examine the determinants of suicidal ideation in terms of demographic characteristics, socioeconomic characteristics, health status, health-related behaviors, and healthcare utilization. The proportion of the elderly who had suicidal ideation within previous 1 year was 30.5% in 2005, and 26.2% in 2001, and 33.6% in 1998. The elderly who assessed themselves as healthier were less likely to have suicidal ideation than the elderly who did not. and the elderly with a spouse were less likely to have suicidal ideation than the elderly without a spouse. Those who suffered from hypochondria or stress were more likely to have suicidal ideation than their counterparts. This study suggests that government or policy makers should turn their attention to improving the physical health of the elderly and to preventing hypochondria or stress of the elderly in oder to decrease their suicide rate.

미용 직업능력개발계좌제 수강생의 미용자격증 취득과 취업 관련성

이연숙,한삼성,강성욱 대한미용학회 2020 대한미용학회지 Vol.16 No.1

In order to investigate the main factors which have influence on acquisition of cosmetologist licenses by trainees of Cosmetology Skills Development Account System and their employment, the current study conducted a survey on 176 trainees who were enrolled in national beautician certified course under the Skills Development Account System at a vocational training institute situated in a small city in Gyeongsangbuk-do from 2014 to 2016. Analyses were done on survey questionnaires and administrative data prepared by the research subjects. Results showed that 98 research subjects out of 176 obtained their licenses while 78 persons did not. It was also found that licenses were mostly obtained by trainees who had high attendance rates and high mock test scores, and the trainees who obtained licenses showed higher employment rates than the ones who did not. Employment rate was also analyzed according to socio-demographic characteristics, trainees' feature, and characteristics of lecturers and facilities. The difference in employment rate was also found to be highly dependent on marital status. As the most significant factor in regard to the acquisition license, a significant correlation was found between the acquisition and if a trainee had high mock test scores with high satisfaction. Similarly, with respect to employment, acquisition of license was observed to have the most significant influence on employment and marital status also had correlation with employment because married trainees were more employed than the unmarried ones. As observed from the above results, if satisfaction of the trainees of Cosmetology Skills Development Account System was high, the rate of license acquisition was also high, and such acquisition was the most important factor for employment. Thus, it can be concluded that acquisition of license is indispensable with respect to employment.

1인 가구 미혼 남성과 여성의 건강행태 및 건강관련 삶의 질에 관한 연구

정유림,한삼성 보건의료산업학회 2021 보건의료산업학회지 Vol.15 No.3

Objectives: This study examined the health behavior and health-related quality of life of unmarried males and females in one-person households, using the dataset of the Korean National Health and Nutritional Examination Survey(KNHANES, 2016∼2019). There were 456 subjects. Methods: A multiple regression model was used to analyze the data. Results: A negative relationship was found between age, (b=-0.018, p=0.003) and health-related quality of life, a negative relationship between low weight and obesity prevalence (b=-0.024, p=0.029), negative depression (b=-0.028, p<0.001), positive occupation status (b=0.023, p<0.001), and a positive relationship between neutral and perceived health state(b=0.014, p=0.029), and health-related quality of life. Conclusions: This study suggests that perceived health status an important factor for health behavior and health-related quality of life of one-person households of unmarried males and females. The findings of this study will be helpful to policymakers in designing plans to increase health behavior and health-related quality of life among such households.

기혼남성과 여성의 건강행태 및 건강 관련 삶의 질에 관한 연구

정유림,한삼성 대한근관절건강학회 2023 근관절건강학회지 Vol.30 No.3

Purpose: This study examines the health behavior and health-related quality of life (HRQOL) among married men andwomen, utilizing data from the Korean National Health and Nutritional Examination Survey, encompassing 4,217 subjects. Methods: A multiple regression model was employed to analyze the data. Results: Married men demonstrated asignificantly good relationship between HRQOL and perceived health state (β=.32, p<.001), while married womenshowed a similar relationship with perceived health state (β=.38, p<.001). Additionally, married men demonstratedsignificantly neutral relationship between HRQOL and perceived health state (β=.30, p<.001), as did the married women(β=.38, p<.001). Both married men (β=-.11, p<.001) and married women (β=-.08, p<.001) were found to experiencedepression. oreover, the HRQOL in married men was positively associated with private health insurance (β=.08, p=.001),and the same trend was observed in married women (β=.10, p<.001). Married men with unmet medical needs showeda negative association with HRQOL (β=-.08, p<.001), and married women with unmet medical needs showed a similarnegative association (β=-.12, p<.001). Furthermore, outpatient medical use(2 weeks) was negatively associated withHRQOL in both married men (β=-.07, p=.001) and married women (β=-.07, p<.001). Moreover, married women displayeda significant negative association between HRQOL and the prevalence of obesity(β=-.04, p=.048) and stress (β=-.05,p=.009) and a positive association with aerobic exercise (β=.04, p=.027). Conclusions: This study suggests that healthbehavior significantly influences the HRQOL among married men and women. The findings of this study can guidepolicymakers in developing strategies to improve health behavior and HRQOL within households.

경북지역 일개 응급의료센터 노인환자의 내원관련 특성과 의료이용 분석

남창석,한삼성,유왕근 보건의료산업학회 2016 보건의료산업학회지 Vol.10 No.4

Objectives : The purpose of this study was to examine the health service utilization of elderly patients who visited an emergency medical center in the Gyeongbuk region and to provide basic information for the effective management of emergency medical centers. Methods : This study analyzed the characteristics of the hospital visits and the actual situation for the use of emergency medical care of 10,264 elderly patients that visited an emergency medical center in the Gyeongbuk region from January, 2014 to December, 2014. Frequency analysis and chi-square test were done in this study. Results : This study showed that there is a difference in the characteristics of health service utilization which included hospital visits, duration of hospital visits and mode of arrival to the emergency medical center according to age, gender and other characteristics. Conclusions : Providing efficient emergency services is necessary as well as establishing an emergency medical center management plan that takes into consideration the difference in health service utilization of elderly patients.