Purpose This study aimed to identify factors influencing subjective health status among individuals with spinal cord injury (SCI) using the International Classification of Functioning, Disability and Health (ICF) model.
Methods This study analyzed secondary data from the 2021 Survey on the Status and Needs of Individuals with SCI conducted by the Korea Spinal Cord Injury Association. A hierarchical multiple regression analysis was conducted in four steps. Independent variables included sociodemographic factors, satisfaction with medical services (environmental factor), the need for weight control, the need for nutritional education, the need for dietary management, and disability acceptance (personal factors) along with exercise and activity of daily living (activity and participation factors). These factors were added sequentially at each step based on the ICF model.
Results A total of 513 participants were analyzed in this study, with an average subjective health status of 5.51±2.39. Higher satisfaction with medical services (β=.27, p<.001), frequent exercise (β=.19, p=.008), and a greater level of activities of daily living (β=.02, p<.001) were significantly associated with improved subjective health status. Conversely, a lower need for nutritional education (β=-.25, p=.042) was negatively associated.
Conclusion This study highlighted satisfaction with medical services, nutrition education needs, exercise frequency, and activities of daily living as important factors. These findings provide insight into how the health status of individuals with SCI can be enhanced through targeted interventions and support from healthcare providers.
PURPOSE This study aims at identifying individual- and school-level factors associated with unintentional injuries to Korean adolescents at school by applying multilevel modeling. METHODS From the database of the eleventh Korea Youth Risk Behavior Web-based Survey (KYRBS), the researchers selected 68,043 adolescents from the 7(th) to the 12(th) grades. Data were analyzed using χ² test for prevalence and multilevel modeling for related factors of unintentional injuries at school. RESULTS About 22.9 percent of the adolescents had treatment experiences for unintentional injuries at school in the past 12 months. At the individual level, the significant factors associated with unintentional injuries at school included gender, grade, academic achievement, current smoking, alcohol consumption, frequency of high caffeine intake, depression, and relief of fatigue after sleep. At the group level, the significant factors included number of physical education per week and safety education. CONCLUSION School based injury prevention programs should be sensitive to both individual- and school-level factors associated with unintentional injury at school among Korean adolescents.
Citations
Citations to this article as recorded by
Unintentional Injury and its Determinants among Adolescents Reddy B Venkatashiva, Ashish Pundhir, Arti Gupta Journal of Public Health Research.2021;[Epub] CrossRef
Multilevel factors associated with adolescents’ obesity: Analysis of 2017-2019 Korea Youth Risk Behavior Survey data Soo Kyoung Kim, Saegyeol Choi, Hyekyeong Kim Korean Journal of Health Education and Promotion.2021; 38(1): 13. CrossRef
Prevalence and Correlates of Unintentional Injuries among In-School Adolescents in Ghana Richard Gyan Aboagye, Abdul-Aziz Seidu, Samuel Adolf Bosoka, John Elvis Hagan, Bright Opoku Ahinkorah International Journal of Environmental Research and Public Health.2021; 18(13): 6800. CrossRef
The influence of behavioural and socioeconomic factors on the community injury rates of adolescents assessed by the south Korean emergency medical services: an ecological approach Ki Ok Ahn, Jungeun Kim, Sang Do Shin, Hyesook Park, Federico E. Vaca, Ju Ok Park BMC Public Health.2019;[Epub] CrossRef
Factors Affecting the Practice of Accident Prevention Behavior in Middle-school Students Seon Su Kim, Mi Yu Child Health Nursing Research.2019; 25(4): 388. CrossRef
PURPOSE To explore the association between sleep and the risk of accidental injury at school among Korean adolescents. METHODS From the database of the Ninth Korea Youth Risk Behavior Web-based Survey (KYRBS), the researcher selected 63,307 adolescents who responded to a survey on sleep hours. We conducted logistic regression with sleep duration and fatigue after sleep as independent variables, the risk of injury at school as a dependent variable, and gender, grade, school type, economic status, parents' education level, number of participations in physical education, and current smoking and drinking as control variables. RESULTS Using 9 hours of sleep as the reference, the adjusted injury risk (odds ratio) was 1.74 for those sleeping less than 5 hours a day, 1.61 for 5 hours, 1.45 for 6 hours, 1.31 for 7 hours, 1.13 for 8 hours, and 1.40 for 10 hours or longer. The difference between each pair of groups was statistically significant. In this study, injury risk increased as sleep duration decreased and fatigue after sleep increased. CONCLUSION The findings suggest that a short nightly duration of sleep and fatigue after sleep can be considered potential risk factorsfor unintentional injuries at school among Korean adolescents.
Citations
Citations to this article as recorded by
Mediating effect of sleep satisfaction on the relationship between stress and self-rated health among Korean adolescents: A nationwide cross-sectional study Jaeyoung Lee Children and Youth Services Review.2020; 109: 104717. CrossRef
Structural Equation Model for the Subjective Happiness of Adolescents : Focused on Perceived Stress, Activities and Practices Ok-Youn Wi, Ji-Hyun Lee Journal of the Korea Academia-Industrial cooperation Society.2016; 17(7): 585. CrossRef
Factors associated with Unintentional Injuries to Korean Adolescents at School: A Multilevel Study Jung-Ok Yu, Myo-Sung Kim Journal of Korean Academy of Community Health Nursing.2016; 27(4): 337. CrossRef