Subjective Health Perception Research Articles

Comparative study on health behaviors among adolescents with chronic allergic disease before and during COVID-19 using data from the Korean Youth Health Panel Surveys

BackgroundThis study aimed to investigate the changes in the health behaviors and subjective health perception of adolescents with chronic allergic disease, including atopic dermatitis, asthma, and allergic rhinitis, amidst the coronavirus disease 2019 (COVID-19) pandemic in South Korea.MethodsThis study used the 15th (2019) and 17th (2021) raw data obtained from the Korea Youth Risk Behavior Web-based Survey (KYRBWS), conducted by the Ministry of Health and Welfare of South Korea. Data were analyzed using multiple logistic regression with complex sampling using weighted values. Odds ratios with 95% confidence intervals for six health behaviors and subjective health perception were used as the major variables.ResultsSix health behaviors (dietary habits, weight gain, smoking, alcohol consumption, sleep time, and physical activity) changed substantially during COVID-19. There was an increase in the duration of sedentary activities, a slight increase in BMI, and improvements in mental health. Concurrently, there was a decrease in alcohol consumption, sleep duration, and the consumption of sweetened beverages. Despite these improvements in big six health behaviors, adolescents with chronic illnesses continue to perceive themselves as unhealthy.ConclusionsThese findings suggest that the follow-up and monitoring of health behaviors and subjective health perception in adolescents with chronic allergic diseases during the COVID-19 pandemic are necessary. Understanding the mechanisms underlying sustained behavioral change can inform the development of interventions to promote healthy behavior after the pandemic has passed.

Successful Aging and Self-Neglect Among Community-Dwelling Older People.

It was aimed to explore the relationship between successful aging and self-neglect and factors affecting successful aging among community-dwelling older people. This cross-sectional study was conducted with 316 participants aged 60 years and older in a Family Health Center (FHC). The data were collected by using the questionnaire form, Successful Aging Scale and Self-Neglect Scale. The questionnaire form includes sociodemographic characteristics, independence (Katz Daily Life Activities Scale) and well-being status (WHO-5 Well-Being Index), psychosocial support (Multidimensional Perceived Social Support Scale), and depressive symptoms (two questions-complaints such as feeling depressed or hopeless and loss of interest and inability to enjoy life). Participants had a mean age of 67.5 (SD: 6.5) years, 55.4% were female. A strong positive correlation was determined between successful aging score and self-neglect score (r = 0.741, p < 0.001). Factors affecting successful aging were age, working status, education level, body mass index, physical activity, subjective health perception, health screening status, self-neglect level, depressive symptoms, independence in activities, well-being status, and psychosocial support. Gender, income status, chronic disease presence, cigarette and alcohol use, living alone, and family type did not affect it. According to multivariate linear regression, the factors affecting successful aging were age, psychosocial support presence, and self-neglect level (p < 0.05). Older people have low successful aging and self-neglect scores. Successful aging is better at a young age, in the presence of psychosocial support and a low level of self-neglect. It is recommended to increase the existence of psychosocial support for them and to plan interventions to reduce self-neglect.

성인기 지체장애인의 생활체육 참여 정도가 주관적 건강 인식 및 행복감에 미치는 영향

The purpose of this study is to analyze the relative influence of the degree of participation in daily sports on the subjective health perception and happiness of adults with physical disabilities who exercise regularly. For the study, data from 1,783 adults with physical disabilities who responded that they exercised regularly in the past year were extracted from the raw data of the nation-wide 2023 Physical Education Survey for the Disabled and conducted a secondary analysis. The main results of the study are as follows. same. First, 71.3% of adults with physical disabilities who exercise regularly exercised more than 3 times a week, 46.4% exercised ‘30 minutes to less than 1 hour’ per time, 49.6% exercised at low intensity, and 48.0% did moderate intensity exercise. It was found that it does. Second, the subjective health perception of adults with physical disabilities who exercise regularly was 3.25 points on average, equivalent to 65 points out of 100, and the average happiness index was 3.33 points, equivalent to 66.6 points out of 100. Gender, lifetime There were significant differences depending on the cycle, degree of disability, marital status, employment status, and average monthly income. Third, the number, exercise time, and intensity of exercise among adults with physical disabilities who exercise regularly were found to have a positive effect on subjective health perception, and the number of exercise and exercise time were found to have a positive effect on happiness. Exercise intensity appeared to have no effect on happiness.

Association between financial anxiety and subjective health and physical fatigue perceptions among mothers of 18-month-old infants

Objective Poverty is a factor that affects children's health through its role in parental depression and stress. While the association between financial status and depression or quality of life scores of mothers has been previously reported in Japan, no study has focused on mothers' subjective health and physical fatigue perceptions. This study aimed to examine the relationship between mothers' financial anxiety and subjective health and physical fatigue perceptions.Methods We conducted a survey in parents attending routine health checkups for their 18-month-old infant in a single area of City A between November 2017 and October 2019. After excluding those for whom the required analysis data were missing, we analyzed data from 779 parents who responded to the survey and consented to the use of their children's health checkup data. The response variables were maternal subjective health and physical fatigue perceptions, and the explanatory variables were the presence of financial anxiety in mothers at their child's 3- or 18-month health checkups and financial anxiety situation in both periods. Financial anxiety was classified into four groups according to status at the 3- and 18-month time points. The independence of the qualitative variables among these four groups was verified using Fisher's exact test, and the relationship between financial anxiety and maternal subjective health and physical fatigue perceptions was evaluated using logistic regression analysis.Results Financial anxiety was present in 54 mothers (6.9%) and 46 mothers (5.9%) at the 3- and 18-month checkup, respectively. Analysis of financial anxiety in both periods showed that 695 mothers (89.2%) had no financial anxiety at either time point, 30 (3.9%) had financial anxiety only at the 18-month checkup, 38 (4.9%) had financial anxiety only at the 3-month checkup, and 16 (2.1%) had financial anxiety at both time points. At the 18-month checkup, the odds ratios of poor subjective health and severe physical fatigue perceptions were 3.85 (95% confidence interval [CI]; 1.34-11.05) and 6.58 (95% CI; 2.18-19.85), respectively, among the mothers who had financial anxiety at both time points compared to those who had no financial anxiety at either time point.Conclusion Financial anxiety may affect mothers' health. Therefore, mothers should be provided with solution-oriented support geared toward mitigating financial anxiety, in coordination with affiliated organizations, if financial anxiety is detected.

재가 노인의 돌봄 유형에 따른 우울 영향요인

Purpose : This study examines how different types of care－formal and informal－affect depressive symptoms in older adults at home. Methods : Using data from the 2020 National Survey on Older Adults in South Korea, which included responses from 498 elderly individuals receiving care, we conducted logistic regression analyses to identify factors influencing depressive symptoms based on the type of care received. Results : The analysis showed significant differences in depressive symptoms between those receiving formal and informal care. In the formal care group, a better subjective perception of health was associated with a lower likelihood of depressive symptoms (OR＝0.47, p＜.001), while an increase in chronic conditions (OR＝1.15, p＝.007) and higher dependency in instrumental daily activities (OR＝1.08, p＜.001) increased the risk of depressive symptoms. Conversely, improved cognitive function was linked to reduced depression risks (OR＝0.96, p＜.001). In the informal care group, similar trends were observed. Notably, family cohabitation significantly influenced depressive symptoms outcomes, highlighting the importance of family support in care dynamics. Access to necessary facilities and adequate care provision also emerged as critical factors in mitigating depressive symptoms risks across both care types. Conclusion : The study underscores the importance of tailored interventions that enhance care accessibility and adequacy, particularly in informal settings, to improve mental health outcomes among the elderly.

How did adolescent students assess their sleep patterns, sleep hygiene, physical activity, and health during the COVID-19 pandemic? A look at the effects of gender and socioeconomic status

ABSTRACT The global COVID-19 pandemic brought about a significant lifestyle shift. This affected adolescent students, especially with online schooling. This study aims to explore adolescents’ sleep patterns, sleep hygiene, physical activity, and their subjective perception of sleep quality and health during the COVID-19 pandemic. In February 2021, a cross-sectional study was conducted involving 332 students aged 15–18. The mean sleep duration of the adolescents was 8.7 (±.47) hours and they reported their subjective quality of sleep and perceived health as good. The mean scores of sleep hygiene were low for all participants. During the lockdown, the students had a sedentary lifestyle with about 50% of them not engaging in any form of physical activity. The results highlight the moderating role of gender (categorized as girl and boy corresponding to the gender-segregated school system) and socioeconomic status in the relationship between subjective sleep quality, sleep delay, physical activity, and perceived health in student adolescents.

Unveiling the dynamics of social engagement and subjective health in older adults: A gendered perspective

ObjectivesAs populations age globally, understanding the dynamics that influence the well-being of older individuals become increasingly crucial. The research employs a comprehensive approach to unravel the multifaceted interplay between social engagements and subjective health perceptions of older Indians, with a special focus on gender differences. Subjects and methodsThis study used data from the Longitudinal Aging Study in India (LASI) wave 1, 2017–18 with a total sample of 30,533 older adults aged 60 years and above. Bivariate analysis, chi-square tests and unadjusted and adjusted average marginal effects from logistic regression models were used to assess the relationship between social engagements and subjective health among older adults, stratified by gender. ResultsThe prevalence of poor health status decreased with higher frequency of social networks among both men (pp. (percentage point) = 6.1; CI (Confidence Interval): 10.6, 1.6) and women (pp. = 9.2; CI: 14.9, 3.4). The adjusted average marginal effects demonstrate that with an increase in the overall score of social engagement, the likelihood of poor health is almost reduced by half. For men, the prevalence of poor health was 9.8 pp. (95 % CI: 13.7, 5.8), while for women, it was 9.3 pp. (95 % CI: 15.2, 3.1). ConclusionGendered perspectives unveil unique patterns, highlighting how societal expectations and roles assigned to each gender may influence the subjective health perceptions of older individuals. This study adds to the expanding knowledge base to enhance the well-being and fulfillment of aging populations, considering the complex interplay of social dynamics and gendered perspectives.

Improvement of health-related quality of life after closure of spinal CSF leaks in patients with spontaneous intracranial hypotension.

Spontaneous intracranial hypotension (SIH) is an important cause of orthostatic headaches caused by spinal CSF leaks. It has a strong negative impact on patients' socioeconomic status and health-related quality of life (HRQOL). This study aimed to analyze the impact of surgical and endovascular treatments on patients' HRQOL. The authors conducted a prospective, observational cohort study that included all patients treated for SIH with microsurgery or embolization, depending on the type of CSF leak, at their institution between April 2022 and May 2023. Patients were asked to complete a specifically designed questionnaire, as well as the 15D HRQOL questionnaire, before and 3 months after treatment. A total of 21 patients (14 female; mean age 51.7 years) were treated in the study period. There were 12 (57%) type 1 leaks, 3 (14%) type 2, and 6 (29%) type 3. While 20 (95.2%) leaks were localized in the thoracic spine, only 1 (4.8%) was found in the lumbar spine. All patients completed the questionnaires. Fifteen (71.4%) patients underwent microsurgery and 6 (28.6%) endovascular embolization. The mean 15D score improved from 0.802 before to 0.889 after treatment (p = 0.013). Compared with an age- and sex-matched general population, HRQOL was significantly impaired in patients with SIH before treatment. After treatment, the authors found no significant difference in the overall HRQOL between patients and the healthy population. Mean headache intensity on a numeric rating scale improved from 8.1 before treatment to 2.3 after treatment (p = 0.003). Patients reported that SIH had a notable impact on their social and working life. SIH has a considerable negative impact on HRQOL. Microsurgery or embolization can dramatically improve HRQOL, subjective perception of health, and headache intensity. Therefore, surgical or endovascular treatment should be considered given the improvement observed in HRQOL for patients with SIH.

Factors Influencing the Subjective Health and Physical Fitness Perceptions of Korean Adolescents.

Adolescence is an important period of growth and development. We aimed to analyz the factors affecting the subjective health and physical fitness perceptions of Korean adolescents. This cross-sectional study used data from 2,599 Korean adolescents who participated in the Korea National Life and Sports Surveys during 2020-2022, along with secondary data analysis. The study included frequency analysis of the demographic variables and chi-square tests to examine the relationship between the variables and subjective health and fitness perceptions. Multivariate logistic regression was also used to explore the factors affecting adolescent subjective perceptions. The study revealed significant factors influencing health perceptions in Korean adolescents, including male gender, lack of regular physical activity, adequate rest, adherence to a consistent diet, and use of nutritional supplements (P<0.05). Key factors, such as rest, diet, and nutritional supplements should be considered while developing policies that support adolescent health. Unfortunately, there has been a decline in the physical activity of adolescents in Korea. Therefore, a variety of physical activity programs that consider the characteristics of each student need to be developed to address adolescent health issues.

Sex differences of the association between handgrip strength and health-related quality of life among patients with cancer

The purpose of this study is to investigate the association between handgrip strength (HGS) and health-related quality of life (HRQoL), demonstrating HGS as an effective indicator for evaluating HRQoL of patients with cancer. Analyzing 1657 Korean adult cancer patients (644 males, 1013 females) aged ≥ 20 years from the Korea National Health and Nutrition Examination Survey (2014–2019), HGS was standardized based on body mass index and categorized by sex. HRQoL was assessed using the Euro Quality of Life-5-Dimension 3-Level version (EQ-5D-3L) Index. Lower relative HGS was associated with decreased HRQoL in female patients, while no significant association was found in male patients. The lowest quartile of relative HGS exhibited a 2.5-fold decrease in HRQoL compared to the highest quartile (OR 2.50, 95% CI 1.59–3.95, p < 0.001). Both male and female patients with cancer were affected by age, subjective health perception, and stress recognition regarding HRQoL. This study suggests that HGS may be associated with the HRQoL of female patients with cancer, emphasizing that the HGS measurement can be effectively utilized as a pivotal tool for evaluating HRQoL in female patients with cancer.

청소년의 신체활동횟수와 주요 사회적 문제와의 관계

Objectives This study aims to determine whether the number of physical activities of adolescents affects subjective health status and variables related to social problems. The 2021 data was used from the National Health and Nutrition Survey, a nationwide health and nutrition survey that has been conducted every three years since 1998. By confirming the relationship between physical activity and the general characteristics of adolescents and health practices, major social problems of adolescents, and health practices, we aim to provide basic data needed to find ways to improve physical activity and health in adolescents.&#x0D; Methods 442 adolescents aged 12 to 18 were selected as subjects for the study, and frequency analysis was performed on the general characteristics of the subjects and the characteristics of major social problems of adolescents, and differences between general characteristics and major social problem characteristics of adolescents according to physical activity practice were analyzed using Independent Two Sample-test and One-way ANOVA, and Scheffé 's post-test was conducted. In addition, the relationship between physical activity practice and general characteristics and major social problems among adolescents was analyzed by Pearson correlation coefficient.&#x0D; Results The health of our country's youth shows a high correlation to their main health problems, including lack of physical activity and exercise, easy access to smoking and drinking, and an environment in which they are easily exposed to depression, anxiety, and stress. This study also found that drinking alcohol has a negative impact on the youth's body. It appeared to be a variable closely related to activity.&#x0D; Conclusions In conclusion, this study is significant in that it empirically investigated the relationship between the number of physical activities, subjective health perception, and social problems of adolescents, and in particular, it is academic in that it provided implications for promoting adolescent health by using reliable.&#x0D;

Perceived Physical Health and Cognitive Behavioral Therapy vs Supportive Psychotherapy Outcomes in Adults With Late-Life Depression

Physical diseases co-occur with late-life depression (LLD). The influence of physical diseases and the subjective perception of physical health (PPH) on treatment outcome in LLD, however, is not well understood. To assess the association of physical diseases and PPH with the outcomes of 2 different types of psychotherapy in LLD. This post hoc secondary analysis of a multicenter, observer-blinded, controlled, parallel-group randomized clinical trial assessed participants 60 years or older with moderate to severe depression recruited at 7 psychiatric-psychotherapeutic outpatient trial sites in Germany from October 1, 2018, to November 11, 2020. Data analysis was performed from April 1 to October 31, 2023. Patients received LLD-specific cognitive behavioral therapy (LLD-CBT) or supportive unspecific intervention (SUI). Depression severity, response, and remission were measured during treatment and at 6-month follow-up by the change in the 30-item Geriatric Depression Scale (GDS) score. Physical health and PPH were assessed by the number of physical diseases, Charlson Comorbidity Index (CCI), and the World Health Organization Quality of Life Brief Version physical health subscale. A total of 251 patients were randomized to LLD-CBT (n = 126) or SUI (n = 125), of whom 229 (mean [SD] age, 70.2 [7.1] years; 151 [66%] female) were included in the intention-to-treat analysis. Patients with low and moderate PPH at baseline had significantly less reduction in the GDS score across both treatment groups than patients with high PPH (estimated marginal mean difference [EMMD], 2.67; 95% CI, 0.37-4.97; P = .02 for low PPH and EMMD, 1.82; 95% CI, 0.22-3.42; P = .03 for moderate vs high PPH). Higher PPH at baseline was associated with higher likelihood of response (odds ratio [OR], 1.04; 95% CI, 1.00-1.06; P = .009) and remission at the end of treatment (OR, 1.04; 95% CI, 1.02-1.08; P = .002) and response (OR, 1.05; 95% CI, 1.02-1.08; P < .001) and remission at follow-up (OR, 1.06; 95% CI, 1.03-1.10; P < .001) across both treatment groups. However, a significant interaction of PPH with treatment group was observed with low PPH at baseline being associated with significantly larger reduction in GDS scores in SUI compared with LLD-CBT at the end of treatment (EMMD, -6.48; 95% CI, -11.31 to -1.64; P = .009) and follow-up (EMMD, -6.49; 95% CI, -11.51 to -1.47; P = .01). In contrast, patients with high PPH at baseline had a significantly greater reduction in GDS scores in LLD-CBT compared with SUI at all time points (week 5: EMMD, -4.08; 95% CI, -6.49 to -1.67; P = .001; end-of-treatment: EMMD, -3.67; 95% CI, -6.72 to -0.61; P = .02; and follow-up: EMMD, -3.57; 95% CI, -6.63 to -0.51; P = .02). The number of physical diseases or CCI at baseline did not have an effect on the change in GDS score, response, or remission, neither across both groups nor within either group. In this secondary analysis of a randomized clinical trial, subjective PPH was associated with treatment outcome, response, and remission in psychotherapy of LLD. Patients with LLD responded differently to LLD-CBT and SUI, depending on their baseline PPH score. Treatment approaches for patients with LLD should address PPH in personalized interventions. ClinicalTrials.gov Identifier: NCT03735576; Deutsches Register Klinischer Studien Identifier: DRKS00013769.

How Is Life After Severe COVID-19?: Functional Cardiopulmonary Outcome and Quality of Life

BACKGROUND AND AIMData on long-term outcomes of COVID19-related acute respiratory distress syndrome (ARDS) are scarce and repose mostly on patients reported outcomes. This study aimed to study cardiopulmonary functions combined with psychosocial sequels in a cohort of severe COVID-19 patients requiring intensive care unit (ICU) management and intubation, with a follow-up of 12 months. DESIGN AND METHODSWe studied a longitudinal cohort of 39 mechanically ventilated COVID-19 patients from the early pandemic phase. Pulmonary function tests (PFT), cardiopulmonary exercise testing (CPET), and subjective health perception data 6 and 12 months after ICU admission were collected. RESULTSTwelve months after COVID-19, 19.3% of the participants showed at least moderate alteration in PFT, and 35.7% a pathologically reduced effort capacity by CPET. A considerable impact on daily activities was reported, with only 41.7% being able to entirely resume work and 71% reporting a relevant health impairment due to residual respiratory symptoms. The health perception scores did not correlate significantly with the measured cardiopulmonary performance or lung function. CONCLUSIONSA persistent objective limitation in physical activity was observed in this population of unvaccinated patients from the early pandemic phase, studied for 12 months after COVID19-related ARDS. Patients also reported a profound impact on functional autonomy, daily activities, professional life, and health perception. Despite being primarily attributed to residual respiratory symptoms, the observed health impairment is probably multifactorial, with physical and psychological factors playing a role.The prolonged course of the symptoms and the underlying complexity should be considered in future programs for the care of post-COVID patients.

Exploring College Students’ Subjective Health Perceptions According to Physical Activity Level

PURPOSE: This study provides fundamental data required to promote the physical and mental health of college students by exploring their subjective health perception relative to physical activity level.METHODS: Individual, in-depth interviews were conducted in 2023 to assess the subjective health perception of eight collegiate students relative to their physical activity levels.RESULTS: The findings indicated that university students do not adhere to physical activity guidelines, with variations in preferences and motivations for engaging in different types of physical activities. Muscle-strengthening exercises were performed most often, reflecting a specific focus on building strength and muscle mass. Although most participants considered themselves healthy, contrasting perceptions existed regarding factors such as alcohol consumption and smoking. The participants actively engaged in diverse physical activities, thereby expressing a positive perception of the value of exercise. Furthermore, the participants demonstrated a proactive approach to health management by avoiding unhealthy foods and incorporating health supplements, exhibiting a deep understanding and commitment to maintaining their well-being. Almost all participants reported overall improvement in stamina from intense physical activities. However, perspectives on the health-enhancing effects of moderate physical activity varied, with some participants expressing uncertainty and others considering it to be the most suitable exercise for their health conditions. Approximately 50% of the participants emphasized the health benefits of strength training, citing its positive effects on muscle strength and increased self-confidence through an improved external image.CONCLUSIONS: This study explored the subjective health perceptions related to physical activity among eight university students, revealing a preference for strength training, generally positive health perceptions, and proactive health management strategies. These findings emphasize the need for personalized exercise programs based on individual health conditions.

Leisure engagement in older age is related to objective and subjective experiences of aging

Leisure engagement has potential to slow health and functional decline in older age. However, the benefits of different leisure domains for different aspects of aging remains unclear. In 8771 older adults from the Health and Retirement Study (a longitudinal panel study), we measured engagement in physical, creative, cognitive, and community activities. Outcome-wide analyses used 23 aging experiences across seven domains eight years later (daily functioning, physical fitness, long-term physical health problems, heart health, weight, sleep, subjective perceptions of health). Physical activity was related to more positive experiences in all domains but heart health eight years later. Creative engagement was positively related to aging experiences in four domains longitudinally. Cognitive and community engagement were less consistently related to aging experiences. Physical and creative activities may influence important aging metrics, reducing age-related decline and keeping older adults functionally independent for longer, potentially limiting increasing healthcare costs.

Association between household income levels and nutritional intake of allergic children under 6 years of age in Korea: 2019 Korea National Health and Nutrition Examination Survey and application of machine learning.

This study investigated the prevalence of allergic diseases in Korean children aged 6 and below, focusing on the interplay between nutritional status, household income levels, and allergic disease occurrence. This study used data from the 2019 Korea National Health and Nutrition Examination Survey, a nationwide comprehensive survey, and included a representative sample of 30,382 children under the age of 6 to investigate in detail the relationship between allergic diseases, nutritional intake, and socioeconomic factors. Logistic regression analysis was performed to identify factors associated with allergic diseases, including gender, BMI, eating habits, dietary supplement intake, and nutrient consumption. To predict childhood asthma, 14 machine learning models were compared using the 'pycaret' package in Python. We discerned that 24.7% were diagnosed with allergic conditions like atopic dermatitis, asthma, and allergic rhinitis. Notably, household income exhibited a significant influence, with the lowest income quartile exhibiting higher prevalence rates of asthma, allergic rhinitis, and multiple allergic diseases. In contrast, the highest income quartile displayed lower rates of allergic rhinitis. Children diagnosed with allergic diseases demonstrated compromised intake of essential nutrients such as energy, dietary fiber, vitamin B1, sodium, potassium, and iron. Particularly noteworthy were the deficits in dietary fiber, vitamin A, niacin, and potassium intake among children aged 3-5 with allergies. Logistic regression analysis further elucidated that within low-income families, female children with higher BMIs, frequent dining out, dietary supplement usage, and altered consumption of vitamin B1 and iron faced an elevated risk of allergic disease diagnosis. Additionally, machine learning analysis pinpointed influential predictors for childhood asthma, encompassing BMI, household income, subjective health perception, height, and dietary habits. Our findings underscore the pronounced impact of income levels on the intricate nexus between allergic diseases and nutritional status. Furthermore, our machine learning insights illuminate the multifaceted determinants of childhood asthma, where physiological traits, socioeconomic circumstances, environmental factors, and dietary choices intertwine to shape disease prevalence. This study emphasizes the urgency of tailored nutritional interventions, particularly in socioeconomically disadvantaged populations, while also underscoring the necessity for comprehensive longitudinal investigations to unravel the intricate relationship between allergic diseases, nutritional factors, and socioeconomic strata.

Changes in the Perceptions of Oral Symptoms Due to COVID-19 in Korean Adolescents.

This study investigated the oral symptoms and subjective health perceptions of Korean adolescents due to COVID-19. Data from the 17th Korea Youth Risk Behavior Survey (KYRBS; 2021) were analyzed, and 54,848 Korean middle and high school students were included in the study. Frequency, cross-tabulation, and logistic regression analyses were performed using IBM SPSS (v. 22.0; IBM Corp., Armonk, NY, USA). Statistical significance was set at p < 0.05. The survey results on subjective health perception showed that 64.8% considered themselves "healthy", 26.1% rated themselves "moderate" in health, and 9.26% rated themselves "unhealthy." When asked about brushing their teeth after lunch at school, students answered "no" more frequently than "yes". Participants provided significantly different responses to questions related to receiving "sealant treatment", "having broken teeth", "experiencing tooth pain when eating", "having throbbing tooth pain", and "having pain and bleeding in gums". Regarding the relationship between oral symptoms and subjective health perceptions due to COVID-19, students perceived themselves as healthy when they had no throbbing tooth pain, risk of pain, bleeding in the gums, or symptoms of toothache when eating. Results reveal a relationship between oral symptoms and subjective health perceptions due to COVID-19. Thus, appropriate oral health management for adolescents is needed in response to the COVID-related changes.

Association between social jetlag and self-rated health: Evidence from Korean representative working population

BackgroundSocial jetlag is a circadian misalignment that arises from a discrepancy between activity/sleep schedules on school/work days and free days. This study explored the correlation between social jetlag and self-rated health (SRH) in a representative sample of Korea. MethodsThis study included 8259 working population in the Korea National Health and Nutrition Examination Survey, 2016–2018. Social jetlag was calculated as the difference between the midpoint of sleep time on work day and work-free day. Five-point Likert scale of SRH was used to assess subjective health perception on general health conditions. Multiple logistic regression analysis was performed to calculate the odds ratios (ORs) and 95 % confidence interval (CI) for poor SRH in the 1–2 h or longer than 2 h social jetlag groups compared to that in the reference group (less than 1 h), after adjusting for age, sex, marital status, occupation, household income, and weekly working hours. ResultsThe proportions of those with <1 h, 1–2 h, >2 h of social jetlag were 63.80 %, 25.67 %, and 10.53 %, respectively. The risk of poor SRH increased as social jetlag increased. Greater social jetlag was significantly associated with an increased likelihood of reporting poor SRH. The adjusted ORs for the groups with social jetlag between 1 and <2 h, and >2 h were 1.100 (95 % CI = 0.935–1.295), and 1.503 (95 % CI = 1.097–1.727), respectively. Moreover, the OR trend was statistically significant (p for trend = 0.008). ConclusionThis study found that social jetlag and poor SRH were significantly related in the Korean working population.

Mediating factors explain anxiety experienced by women with obesity during the Covid-19 pandemic.

The Covid-19 pandemic could be a source of great anxiety, especially for those at higher risk, such as women experiencing obesity. The aim of this study was to measure how some personal characteristics such as BMI (from underweight to class 3 obesity), bariatric surgery (yes or no), comorbidities, or age (as antecedent variables), and mediating factors impacted state anxiety during the Covid-19 Pandemic. Mediating factors were related to subjective knowledge or attitudes (e.g. interest or beliefs and practices around Covid-19, subjective health perception, and confidence in the government). French women (N = 532) were invited to take part in a voluntary online health survey during lockdown in Paris and its suburbs. Results showed that women with higher BMI had higher anxiety scores, primarily because they feel less healthy than other people. Secondly, the larger the body size of the participants was (BMI), the less they reported that information about Covid-19 held their attention. This lack of interest resulted in feelings of anxiety not being generated. Thirdly, the larger their body size was, the less confidence they had in the effectiveness of the proposed measures by the government and therefore, the more anxious they were. Finally, older age predicted higher interest in the pandemic, higher subjective health, and higher confidence in the government. Identifying obesity as a potential risk factor for anxiety disorders is crucial, but measuring the relationship between state anxiety and personal characteristics (e.g. BMI) requires considering mediating variables (e.g. subjective health perception). To reduce anxiety in women with obesity, it appears necessary to focus on psychological programs that can help them improve their perception of their health, as well as the confidence they may have in institutions, especially for younger women.

Impact of income inequalities on subjective perception of older adult health: An analysis of healthy life expectancy in China from 1997 to 2006.

Driven by rapid socioeconomic development over recent decades, there are widening income inequalities and subjective health disparities among older adults in China. This study explored the relationship between income inequalities and self-rated healthy life expectancy (HLE) considering potential sex-specific differences. From a cohort of 1760 individuals aged ≥60 years from the China Health and Nutrition Survey (1997-2006), we calculated age-specific life expectancy (LE), HLE and the proportion of HLE to LE (HLE/LE) by sex using the IMaCh software, incorporated time-varying income levels of older adults. Although longevity has significantly improved, the well-being of Chinese older adults could be further enhanced by assessing HLE, as the results showed that at age 60 years, ~20% of their LE was characterized by unhealthiness. Discriminated by economic status, lower-income individuals experienced worse self-rated health compared with the general population and affluent counterparts. For instance, at age 60 years, the LE, HLE and HLE/LE of low-income men were 19.8 (95% CI 18.4-21.1), 16.2 years (95% CI 15.0-17.5) and 81.8%, respectively, lower than their general (21.7, 95% CI: 20.4-23.0; 18.0, 95% CI 16.8-19.2; and 82.9%) and high-income counterparts (25.1, 95% CI 23.1-27.2; 21.4, 95% CI 19.5-23.3; and 85.3%). Sex disparities were noticeable among low-income individuals in HLE/LE, with low-income women showing the most significant disadvantage. Income inequalities exacerbated subjective health disparities among older adults, particularly among lower-income individuals and women. Our findings carry significant implications for formulating public health and social welfare strategies, especially in nations grappling with an aging population and undergoing parallel socioeconomic development. Geriatr Gerontol Int 2024; 24: 109-115.