• Title/Summary/Keyword: Community SES

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Community SES, parenting styles, and children' school adaptation and aggression (지역사회SES, 부모양육태도, 아동의 학교적응과 공격성)

  • Jeong, So-Hee;Kwon, You-Kyung
    • Korean Journal of Social Welfare Studies
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    • v.41 no.3
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    • pp.379-402
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    • 2010
  • The aim of this study is to explore the school adaptation and aggression of the children selected from 3 different SES communities and to investigate how parenting styles and children' school adaptation and aggression are different according to community-level socio-economic status. Subjects were 441 elementary school graders(229 boys and 212 girls, from the 4th graders to the 6th graders. Community SES was measured by the proportion of adult population holding a bachelor's degree or higher among the whole adults aged more than 30 and divided into 3 regions(rated high, middle and low in the metropolitan city). Data analysis was by F-test and multiple regression. The children from the high and middle SES community were more adaptive to school and less aggressive than those from the lower SES community. And the parents(or caregivers) from the high and middle SES community were more authoritative than those from other regions. These findings tell us that the children from the lower SES community are at risk and that some special programs to support children and their parents are needed.

Relationship between the Exposure to Ozone in Seoul and the Childhood Asthma-related Hospital Admissions according to the Socioeconomic Status (사회경제수준에 따른 오존과 소아천식 관련 입원의 상관성 연구)

  • Son, Ji-Young;Kim, Ho;Kim, Sun-Young;Lee, Jong-Tae
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.1
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    • pp.81-86
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    • 2006
  • Background: A number of studies have reported associations between the ambient air pollution concentrations and various health outcomes. Especially, ozone is well known for primary risk factor of asthma attacks. The results of a recent study indicate that the size of the effect on health outcomes due to air pollution varied according to several conditions, including age, gender, race and the socioeconomic status. Therefore, this study was conducted to examine the associations of ozone with the childhood asthma hospitalizations as stratified by the socioeconomic status (SES) at the community level in Seoul, Korea, 2002. Methods: SES at aggregated levels was measured on the basis of average regional health-insurance rate per citizen in the area. We applied the generalized additive model to analyze the effect of ozone on asthma after controlling for the potential confounding variables that were capable of influencing the results. Results: Our analysis showed that the number of children who were hospitalized for asthma increased as the SES of the residence area decreased. The estimated relative risks of hospitalization for asthma, as stratified by the SES of the community level, were 1.12 (95% confidence interval 1.00-1.25) in districts with the highest SES levels, 1.24 (95% CI=1.08-1.43) within the moderate SES levels, and 1.32 (95% CI=1.11-1.58) in the districts with the lowest SES levels. Conclusions: Our analysis showed that exposure to air pollution did not equally affect the health status of individuals. This suggests that not only the biological-sensitivity markers, but also the SES of the subjects should be considered as potentially confounding factors.

Association between Subjective Social Status and Perceived Health among Immigrant Women in Korea (이주여성의 주관적 사회수준과 주관적 건강 간의 관련성)

  • Mok, Hyung-kyun;Jo, Kyu-hee;Lee, Jun Hyup
    • The Journal of Korean Society for School & Community Health Education
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    • v.18 no.3
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    • pp.1-15
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    • 2017
  • Objectives: About for twenty years, immigrant women in South Korea have steadily increased due to economic growth and industrialization. According to previous studies in terms of immigrants, subjective socio-economic status(SES) as well as objective SES such as income, occupation and level of education predict health outcomes. The purpose of this study was to examine association between subjective social status and perceived health among immigrant women. Methods: We analyzed 12,531 participants from the 2012 National Survey of Multicultural Families. Study variables included subjective SES in Korea, subjective SES in community and perceived health. Control variables were age, household income, employment, education, marital status, ethnicity, language proficiency. For this study, descriptive analysis, Chi-square test, and multivariate logistic regression analysis were performed. Results: Among immigrant women, after adjusting for control variables, level of education in community was not associated with perceived health. Otherwise, subjective social status in Korea(low subjective social status reference group vs high subjective status : OR 2.056) was associated with perceived health. Conclusions: Immigrant women in Korea would be culturally affected by inherent characteristic rather than social economic status. Through this study, in order to improve health inequality among immigrant women, we should consider developing social supports and networks.

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Health status of menopausal women and correlates

  • Kannur, Deepa;Itagi, Sunanda
    • The Korean Journal of Food & Health Convergence
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    • v.4 no.1
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    • pp.1-13
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    • 2018
  • The health status of menopause and its correlates among middle aged 160 rural and urban women was studied during 2015. The women who attained menopause and belonging to 40-55 years age range were selected from 8 villages of 4 talukas of Dharwad and Bagalkot Districts. The health status of women was evaluated by using standardized questionnaire, Post Graduate Institute of Medical Education and Research (PGI). The structured interview schedule was used to collect personal information like name of the family members with their age, relationship with respondent. The Socio Economic Status (SES) of family was assessed by using Socio Economic Status scale developed by Agarwal (2005). The results revealed that 53.75 per cent respondents shown moderately affected followed by 26.25 per cent mildly affected and 20 per cent of women indicated severely affected health status. The mean value of health status in rural women is higher ($23.67{\pm}7.02$) than mean value of ($21.50{\pm}6.89$) urban women means the rural women had more health problems than urban women. Health status were high negatively significantly related with SES, education and occupation means women belonged to better SES category, literate and working women experienced less health problems compared to women who had poor SES, illiterate and non-working.

Association of Psychosocial Factors in Developing Childhood Depression and ADHD in a Community Low Income Family Children (지역 저소득층 아동의 우울증상과 주의력결핍-과잉행동증상에서 사회경제적 요소의 관련성)

  • Kim, Seol-Yeon;Ha, Jee-Hyun;Hwang, Won-Sook;Yu, Jae-Hak
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.20 no.2
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    • pp.76-81
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    • 2009
  • Ovjectives: As the attention devoted to children's mental health increases, medical costs and burdens mount as well. In the present study, we evaluated the association between socioeconomic status(SES) and major child psychiatric symptoms. Methods: The subjects of this study were children of recruited from a mental health screening program in the Seoul Sungbuk mental health center over the course of 3 months. To establish the SES of each child, we collected data about each child's medical insurance, years of parental education, household income, family structure and housing. 149 children & parents completed questionnaires including the Childhood Depression Inventory(CDI) and the Korean Attention Deficit Hyperactivity Disorder Rating Scale(K-ARS). Results: The mean K-ARS-P score was $12.1{\pm}11.1$ and the suspected prevalence of ADHD was 20.8%(n=31). The mean cm score was $12.9{\pm}7.9$, and the prevalence of suspected depression was 16.8%(25). Depressive symptoms and ADHD symptoms were both more severe than those observed in a previous epidemiologic study in Korea. Depressive symptoms were more closely associated with family SES status. Conclusion: SES status is one of the most important risk factors in the development of major child psychiatric symptoms. In our study we found that depressive symptoms in particular were most tightly associated with psychosocial factors. Evaluation of the risk factors, early screening and intervention for low SES children would be valuable mental health management tactics to implement in a community mental health system.

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The Relations of Socioeconomic Status to Health Status, Health Behaviors in the Elderly (노인들의 사회경제적 수준과 건강수준, 건강행태와의 관계)

  • Lee, Sok-Goo;Jeon, So-Youn
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.2
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    • pp.154-162
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    • 2005
  • Objectives: To analyze the relationships of socioeconomic status(SES) to health status and health behaviors in the elderly. Methods: Data were obtained from self-administered questionnaire of 4,587 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, socioeconomic status, health status (subjective health status, acute disease, admission experience, dental state, chronic disease etc.), activities of daily living (ADL), instrumental activities of daily living (IADL), and mini-mental state examination-Korean (MMSEK). Binary and multinominal logistic regression analyses were employed to analyze factors affecting on the socioeconomic status of the elderly. Results: With regard to the SES and health status, those with a low SES had poorer subjective health states and lower satisfaction about their physical health. Also, acute disease experiences, admission rates and tooth deciduation rates were higher in those of low SES. In the view of physical and cognitive functions, the ADL, IADL and MMSE-K scores were also lower in those of low SES. However, with regard to health behaviors, lower smoking and alcohol drinking rates were found in the low SES group, and a similar trend was shown with regular physical exercise, eating breakfast, and regular physical health check-up. From these findings, we surmise that those with low SES have a poorer health condition and less money to spend on health, therefore, they can not smoke or drink alcohol, exercise and or have a physical health check-up. Conclusion: This study suggests that socioeconomic status plays an important role in health behaviors and status of the elderly. Low socioeconomic status bring about unhealthy behavior and poor health status in the elderly. Therefore, more specific target oriented(esp. low SES persons) health promotion activities for the elderly are very important to improve not only their health status, but their health inequity also.

Addressing Factors Associated with Arab Women's Socioeconomic Status May Reduce Breast Cancer Mortality: Report from a Well Resourced Middle Eastern Country

  • Donnelly, Tam Truong;Al Khater, Al-Hareth;Al Kuwari, Mohamed Ghaith;Al-Bader, Salha Bujassoum;Abdulmalik, Mariam;Al-Meer, Nabila;Singh, Rajvir;Fung, Tak
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6303-6309
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    • 2015
  • Differences in socioeconomic status (SES) such as income levels may partly explain why breast cancer screening (BCS) disparities exist in countries where health care services are free or heavily subsidized. However, factors that contribute to such differences in SES among women living in well resourced Middle East countries are not fully understood. This quantitative study investigated factors that influence SES and BCS of Arab women. Understanding of such factors can be useful for the development of effective intervention strategies that aim to increase BCS uptake among Arab women. Using data from a cross-sectional survey among 1,063 Arabic-speaking women in Qatar, age 35+, additional data analysis was performed to determine the relationship between socioeconomic indicators such as income and other factors in relation to BCS activities. This study found that income is determined and influenced by education level, occupation, nationality, years of residence in the country, level of social activity, self-perceived health status, and living area. Financial stress, unemployment, and unfavorable social conditions may impede women's participation in BCS activities in well resourced Middle East countries.

Utilization Behavior of Medical Services According to Socioeconomic Characteristics and Prevalence (사회경제적 특성 및 유병에 따른 의료서비스 이용 행태)

  • Lee, Ko-Eun;Im, Bok-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.7
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    • pp.443-452
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    • 2018
  • The purpose of this study was to investigate the utilization behavior of medical services according to the characteristics of socioeconomic status (SES) and prevalence by using the 6th National Health and Nutrition Survey data for adults over 25 years old. Frequency and technical statistical analysis, ANOVA, ${\chi}^2$-test, and regression analysis were performed using SPSS 23.0. The results were as follows: more female than male, 65 years old and over, high school graduate, and unemployed and income quintiles were similar. The SES score considering education level, function, and income quintiles was the highest at 7-8, and most of the respondents felt moderate about their subjective health condition. The mean number of prevalence was $1.07{\pm}1.497$, the mean utilization of outpatient services was $0.50{\pm}0.045$, and the mean number of inpatient services use was $0.12{\pm}0.454$. Depending on general characteristics, there was a significant difference between subjects with prevalence and subjective health conditions. Higher age was associated with lower education, skill level, income, and SES score, and average prevalence was associated with poor subjective health conditions. More serious prevalence was associated with greater utilization of inpatient services. More chronic prevalence was associated with utilization of outpatient services. In other words, higher SES score was associated with lower overall use of medical services. Lower SES score was associated with higher use of medical services. In conclusion, we must develop appropriate health education programs that can prevent diseases in groups with low socioeconomic characteristics. There is the need to construct and implement a community-based appropriate health service system so that proper medical services can be used.

Breast Cancer Awareness at the Community Level among Women in Delhi, India

  • Dey, Subhojit;Mishra, Arti;Govil, Jyotsna;Dhillon, Preet K
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.13
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    • pp.5243-5251
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    • 2015
  • Background: To assess women's awareness from diverse sections of society in Delhi regarding various aspects of breast cancer (BC) - perceptions, signs and symptoms, risk factors, prevention, screening and treatment. Materials and Methods: Community-level survey was undertaken in association with the Indian Cancer Society (ICS), Delhi during May 2013-March 2014. Women attending BC awareness workshops by ICS were given self-administered questionnaires before the workshop in the local language to assess BC literacy. Information provided by 2017 women was converted into awareness scores (aware=1) for analysis using SPSS. Awareness scores were dichotomized with median score=19 as cut off, create more aware and less aware categories. Bivariate and multivariate analysis provided P-values, odds ratios (ORs) and 95% confidence intervals (CIs). Results: Broadly, 53.4% women were aware about various aspects of BC. Notably, 49.1% women believed that BC was incurable and 73.9% women believed pain to be an initial BC symptom. Only 34.9% women performed breast self-examination (BSE) and 6.9% women had undergone clinical breast-examination/mammography. 40.5% women had higher awareness (awareness score > median score of 19), which was associated with education [graduates (OR=2.31; 95%CI=1.78, 3.16), post-graduates (OR=7.06; 95%CI=4.14, 12.05) compared to ${\leq}$ high school] and socio-economic status (SES) [low-middle (OR=4.20; 95%CI=2.72, 6.49), middle (OR=6.00; 95%CI=3.82, 9.42) and upper (OR=6.97; 95%CI=4.10, 11.84) compared to low SES]. Conclusions: BC awareness of women in Delhi was suboptimal and was associated with low SES and education. Awareness must be drastically increased via community outreach and use of media as a first step in the fight against BC.

Socioeconomic Inequalities in the Oral Health of People Aged 15-40 Years in Kurdistan, Iran in 2015: A Cross-sectional Study

  • Moradi, Ghobad;Moinafshar, Ardavan;Adabi, Hemen;Sharafi, Mona;Mostafavi, Farideh;Bolbanabad, Amjad Mohamadi
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.5
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    • pp.303-310
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    • 2017
  • Objectives: The aim of this study was to evaluate socioeconomic inequalities in the prevalence of dental caries among an urban population. Methods: This study was conducted among 2000 people 15-40 years of age living in Kurdistan, Iran in 2015. Using a questionnaire, data were collected by 4 trained dental students. The dependent variable was the decayed, missing, and filled teeth (DMF) index. Using principal component analysis, the socioeconomic status (SES) of families was determined based on their household assets. Inequality was measured using the concentration index; in addition, the Oaxaca analytical method was used to determine the contribution of various determinants to the observed inequality. Results: The concentration index for poor scores on the DMF index was -0.32 (95% confidence interval [CI], -0.40 to -0.36); thus, poor DMF indices had a greater concentration in groups with a low SES (p<0.001). Decomposition analysis showed that the mean prevalence of a poor DMF index was 43.7% (95% CI, 40.4 to 46.9%) in the least privileged group and 14.4% (95% CI, 9.5 to 9.2%) in the most privileged group. It was found that 85.8% of the gap observed between these groups was due to differences in sex, parents' education, and the district of residence. A poor DMF index was less prevalent among people with higher SES than among those with lower SES (odds ratio, 0.31; 95% CI, 0.19 to 0.52). Conclusions: An alarming degree of SES inequality in oral health status was found in the studied community. Hence, it is suggested that inequalities in oral health status be reduced via adopting appropriate policies such as the delivery of oral health services to poorer groups and covering such services in insurance programs.