• Title/Summary/Keyword: Contributing Factors

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Analysis of Spatial Distribution of Hypertension Prevalence and Its Related Factors based on the Model of Social Determinants of Health

  • Kim, Min Jung;Park, Nam Hee
    • Research in Community and Public Health Nursing
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    • v.29 no.4
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    • pp.414-428
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    • 2018
  • Purpose: The purpose of this study is to identify the spatial distribution of hypertension prevalence and to investigate individual and regional-level factors contributing to the prevalence of hypertension in the region. Methods: This study is a cross-sectional research using the 2015 Community Health Survey. Total 64,473 people from 7 metropolitan cities were used for the final analysis. Geoda program was adopted to identify the regional distribution of hypertension prevalence and analyzed by descriptive statistics, one-way ANOVA and correlation analysis using SPSS statistics 23.0 program. Multi-level analysis was performed using SPSS (GLMM). Results: The prevalence of hypertension was related to individual level factors such as age, monthly household income, normal salt intake, walking practice days, and regional level factors including number of doctors per 10,000 population, number of parks, and fast food score. Besides, regional level factors were associated with hypertension prevalencies independently without the effects of individual level factors even though the influences of individual level factors ware larger than those of regional factors. Conclusion: Respectively, both individual and regional level factors should be considered in hypertension intervention programs. Also, a national level research is further required by exploring various environmental factors and those influences relating to the hypertension prevalence.

Low Coverage and Disparities of Breast and Cervical Cancer Screening in Thai Women: Analysis of National Representative Household Surveys

  • Mukem, Suwanna;Meng, Qingyue;Sriplung, Hutcha;Tangcharoensathien, Viroj
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8541-8551
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    • 2016
  • Background: The coverage of breast and cervical cancer screening has only slightly increased in the past decade in Thailand, and these cancers remain leading causes of death among women. This study identified socioeconomic and contextual factors contributing to the variation in screening uptake and coverage. Materials and Methods: Secondary data from two nationally representative household surveys, the Health and Welfare Survey (HWS) 2007 and the Reproductive Health Survey (RHS) 2009 conducted by the National Statistical Office were used. The study samples comprised 26,951 women aged 30-59 in the 2009 RHS, and 14,619 women aged 35 years and older in the 2007 HWS were analyzed. Households of women were grouped into wealth quintiles, by asset index derived from Principal components analysis. Descriptive and logistic regression analyses were performed. Results: Screening rates for cervical and breast cancers increased between 2007 and 2009. Education and health insurance coverage including wealth were factors contributing to screening uptake. Lower or non-educated and poor women had lower uptake of screenings, as were young, unmarried, and non-Buddhist women. Coverage of the Civil Servant Medical Benefit Scheme increased the propensity of having both screenings, while the universal coverage scheme increased the probability of cervical screening among the poor. Lack of awareness and knowledge contributed to non-use of both screenings. Women were put off from screening, especially Muslim women on cervical screening, because of embarrassment, fear of pain and other reasons. Conclusions: Although cervical screening is covered by the benefit package of three main public health insurance schemes, free of charge to all eligible women, the low coverage of cervical screening should be addressed by increasing awareness and strengthening the supply side. As mammography was not cost effective and not covered by any scheme, awareness and practice of breast self examination and effective clinical breast examination are recommended. Removal of cultural barriers is essential.

The Factors Contributing to Financial Resources Interchange Type and Amounts of the Middle Aged and the Elderly Household (중.고령자가구의 경제적 자원 교류유형 및 교류액에 영향을 미치는 요인)

  • Kim, Soon-Mi;Park, Mee-Ryeo
    • Journal of Families and Better Life
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    • v.26 no.5
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    • pp.1-14
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    • 2008
  • The purpose of this study was to examine factors contributing to financial resources interchange type and amount of the middle aged and the elderly household. For this study, the 6th KLIPS data was used, and sample size was 1,679 households including those with head of household being over the age of 50. Statistical analysis was conducted to examine frequency, percentile, mean and standard deviation, Pearson's correlation, Anova, Duncan's multiple range test and Heckman analysis First, Interchange amount of Benefits type household was significantly different according to the householder's gender, existence or nonexistence of a spouse, age, educational background, home ownership, family type and place of residence. However, interchange amount of provide- type households were significantly different according tohouseholder's gender, existence or nonexistence of a spouse, educational background, whether retired or not, and home ownership. Second, The receptive type of households and net receptive expense of households in terms of the financial resources interchanges and the findings of Heckman analyses suggest that the variables to have a significant effect on the receptive types of financial interchanges were as gender, age, education level, retired or not, and current economics. Factors having an effects on net receptive expense were age, and family type and for the number of receptive of financial resources, whether there is the receptive of financial resources, total income, total asset. Third, The supplying type of households and net supplying expense of households in terms of the financial resources interchanges, whether or not the type of financially supplying households is significant were residential area, total income, house ownership. Factor having an effect net supplying expense were age, family type, whether there is the supplying of financial resources, family satisfaction, and house ownership.

Lifetime changes of the oocyte pool: Contributing factors with a focus on ovulatory inflammation

  • Park, Chan Jin;Oh, Ji-Eun;Feng, Jianan;Cho, Yoon Min;Qiao, Huanyu;Ko, CheMyong
    • Clinical and Experimental Reproductive Medicine
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    • v.49 no.1
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    • pp.16-25
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    • 2022
  • In mammalian species, females are born with a number of oocytes exceeding what they release via ovulation. In humans, an average girl is born with over a thousand times more oocytes than she will ovulate in her lifetime. The reason for having such an excessive number of oocytes in a neonatal female ovary is currently unknown. However, it is well established that the oocyte number decreases throughout the entire lifetime until the ovary loses them all. In this review, data published in the past 80 years were used to assess the current knowledge regarding the changing number of oocytes in humans and mice, as well as the reported factors that contribute to the decline of oocyte numbers. Briefly, a collective estimation indicates that an average girl is born with approximately 600,000 oocytes, which is 2,000 times more than the number of oocytes that she will ovulate in her lifetime. The oocyte number begins to decrease immediately after birth and is reduced to half of the initial number by puberty and almost zero by age 50 years. Multiple factors that are either intrinsic or extrinsic to the ovary contribute to the decline of the oocyte number. The inflammation caused by the ovulatory luteinizing hormone surge is discussed as a potential contributing factor to the decline of the oocyte pool during the reproductive lifespan.

The Growth of the Qizhou Medicinal Herb Market during the Ming and Qing Dynasties and Medicine King Temple (명(明).청대(淸代) 기주약시(祁州藥市)의 성장(成長)과 '약왕묘(藥王廟)')

  • Lee, Min-Ho;Ahn, Sang-Woo
    • The Korea Journal of Herbology
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    • v.24 no.4
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    • pp.31-37
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    • 2009
  • Objectives : The rapid progress seen in the Chinese medical and pharmaceutical industries since the mid.Ming Dynasty, and the resulting surge in demand for medicinal herbs led to the emergence of dedicated medicinal herb markets. A representative example was the medicinal herb market of Qizhou (today's Anguo) in Hebei Province. This paper examines various factors that contributed to the transformation and growth of Qizhou into and as a major medicinal herb market of China. Methods : Along with the examination of geographical factors, this study attempts to link the development of Qizhou as a center for medicinal herbs trade with legends related to the Medicine Lord Temple (Yao Wang Miao), a local shrine dedicated to the mythical Medicine Kings. Results : The main argument of this study is that although the emergence of Qizhou as China's largest marketplace for medicinal herbs was significantly helped by its proximity to Beijing, a huge source of demand, as well as its convenient location easily accessible from all parts of the country, and the large herbal production from surrounding areas, the single.most important contributing factor was the body of legends attributing to this city a magical healing energy. Conclusions : The example of Qizhou may also suggest that in pre.modern eras, legends related to supernatural healing power, associated to a city or town, were as important contributing factors to its emergence and growth as a dedicated medicinal herb market as its location or ease of access.

Development of Measure of Effectiveness (MOE) and Algorithm for Hazard Level at Curve Sections (곡선부 위험도 판정척도 및 알고리즘 개발)

  • Ha, Tae-Jun;Jeong, Jun-Hwa;Lee, Jeong-Hwan;Lee, Suk-Ki
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.28 no.5D
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    • pp.627-638
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    • 2008
  • At present, there is a no rational MOE for evaluating hazard level at curve sections. Therefore, this study focus on developing the MOE and algorithm for hazard level at curve sections. The scopes of this study limited to rural two-way roads. Actual data used is accident, geometric features, safety facilities of the selected sites at curve sections. In order to develop MOE for hazard level at curve sections, accident contributing factors were classified by road geometry, visual guidance facility, speed and driver factor. A relationship between the four factors mentioned and accidents was conducted. And, the MOE for hazard level at curve sections was derived from the previous relationship analysis, and the algorithm for hazard level was developed. Finally, worksheets were suggested based on the MOE and algorithm for road designers. These developed MOE and algorithm can be used to reduce serious accident contributing factors when designing roads and also, these will be used to determine an order of priority when reconstructing roads.

A study on the contributing factors of wage inequality in employment companies for persons with disabilities (장애인 고용기업체의 임금 격차 기여요인에 관한 연구)

  • Choi, Yun-Jung
    • Journal of the Korea Convergence Society
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    • v.11 no.7
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    • pp.207-216
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    • 2020
  • The purpose of this study is to analyze the factors contributing to the wage inequality between employment of persons with disabilities. Among the raw data provided by the Korea Employment Development institute for persons with disabilities, 3,546 cases were studied, excluding cases in which major variables were missing, in the 『2018 survey on the employment status of the disabled in business』. Data analysis was conducted using SPSS 25 and STATA 14 to analyze wage inequality among employment companies for persons with disabilities. Data analysis was conducted using SPSS 25 and STATA 14 to analyze wage inequality in employment companies for persons with disabilities. The study found that factors contributing to the wage inequality in employment companies for the disabled include 'minimum level of education'12.63%, 'asset level'6.37%, 'level of work required'4.87%, 'ratio of female employment'3.30%, 'sales profit'2.33%, 'education training for employees'1.19%, 'labor union membership rate'0.67%, 'work type'0.42%, 'average working hours'0.41%, 'recognition of work level of disabled people'0.34%, 'recognition that employment of disabled people is helpful to companies'0.23%, 'positive recognition of work cost of disabled people'0.17%. Based on these results, this study proposed access at the level of employment business for the disabled, social level, and worker level for the disabled.

Comparison of Quality of Life Related with the Level of Activity and the Grade of Activity in the Elderly Residing among City, Farmimg and Fishing Area (도시 및 농어촌 노인의 활동 수준 및 활동 정도에 따른 삶의 질 비교)

  • Lee, Taek-Young;Kim, Jin-Kyung
    • The Journal of the Korea Contents Association
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    • v.10 no.2
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    • pp.402-411
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    • 2010
  • The aims of this study were to investigate the level of activity in the elderly residing in city and rural area and to determine the contributing factors to quality of life (QOL). Subjects were 537 who were older than 60 years of age. QOL was assessed by the SF-36, and the level of activity was assessed by the Korean Activity Checklist. QOL in the elderly residing in city was higher than that in the elderly residing in rural area, and the level of activity was also higher in the elderly residing in city in instrumental activities of daily living, low and high level of physical activity, and social activity compared with the elderly residing in rural area. There was a significant correlation between the level of activity and QOL. The contributing factors to QOL were QOL lower level scores, the Korean Activity Checklist scores, health status, and occupation in the elderly residing in city, whereas the contributing factors to QOL were QOL lower level scores, the Korean Activity Checklist scores, health status, age, and level of education in the elderly residing in rural area. From the findings of this study, the environment in that the elderly can enjoy meaningful activity should be constructed and various programs should be developed.

Relationships between NT-proBNP and Obesity, Glucose and Lipid Profiles in Dogs with Chronic Mitral Valve Insufficiency (이첨판 패쇄부전증에 이환된 개에서 NT-proBNP농도, 비만, 당 관련 인자 및 지방 관련인자간에 상관관계에 대한 연구)

  • Lee, Seung-Gon;Nam, Hyo-Seung;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.29 no.4
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    • pp.271-276
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    • 2012
  • In humans, N-terminal pro-B-type natriuretic peptide (NT-proBNP) was shown to be inversely related to obesity; in addition, its association with contributing factors for obesity such as insulin, lipids, and glucose profiles has been demonstrated in the literature. However, this association between NT-proBNP and the severity of obesity has not been investigated in veterinary medicine. Our study hypothesis is that plasma levels of NT-proBNP may be related to body condition score (BCS) and contributing factors to obesity in dogs with heart diseases. To achieve our study goal, we collected blood samples from 73 client-owned dogs of small breeds at different stages of heart failure due to chronic mitral valvular insufficiency (CMVI). Fasting glucose concentrations, lipid profiles (i.e., total triglycerides [TG], total cholesterol [TC], high-density lipoprotein cholesterol [HDL-C], low-density lipoprotein cholesterol [LDL-C]), fructosamine, insulin and NT-proBNP concentrations were measured. The insulin/glucose ratio was also determined. NT-proBNP showed not only a significant correlation with the severity of CMVI related heart failure but also an inverse relationship to body condition scores (BCS), insulin plasma levels and fructosamine concentrations. We found the presence of an inverse relationship between plasma levels of NT-proBNP and the severity of obesity. In addition, NT-proBNP was associated with lower levels of contributing factors to obesity such as fructosamine and insulin, creating a possible link between the obesity and NT-proBNP in dogs with heart disease. This is also the first report demonstrating an inverse association between obesity and NT-proBNP in dogs with heart failure.

Nutrition Diagnostic Analysis for Nutrition Care Process Model in Adults of a Health Screening & Promotion Center (영양관리과정(NCP)을 적용한 건강증진센터 고객의 영양진단분석)

  • Lee, Hye Seung;Chang, Ji Ho;Lee, Hyeon Jeong;Park, So Jeong;Kang, Eun Hee
    • Korean Journal of Community Nutrition
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    • v.20 no.1
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    • pp.61-72
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    • 2015
  • Objectives: This study was performed to examine nutrition problems and causes/contributing risk factors. Methods: This study was conducted using data 1,863 adults visited Asan health screening & promotion center located in Seoul, Korea during May to June of 2013. We used Nutrition Care Process Model developed by the International Dietetics & Nutrition Terminology (IDNT). Results: The most frequent nutrition problem in male subjects was excessive alcohol intake. Men in fifties showed the highest rate of excessive alcohol intake among the age groups examined (22.4%). By comparison, the most frequent nutrition problem in women was inadequate protein intake. Women in fifties exhibited the highest rate of inadequate protein intake (22.5%). The most common contributing factors for these observations were a low preference for dairy products followed by high preference for alcohol and a deficit in food-and nutrition-related knowledge, regardless of the sex and age. The most common nutrition problem observed among the group diagnosed with hyperglycemia or hypertriglyceridemia or hyperuricemia or fatty liver was excessive alcohol intake (p < 0.001), whereas the group diagnosed with hyperglycemia or hypercholesterolemia showed significantly higher rate of inappropriate intake of carbohydrate (fructose) compared to the group not diagnosed with such disease conditions (p < 0.05). The group diagnosed with hypercholesterolemia, hyperuricemia and fatty liver showed significantly higher occurrence of inappropriate intake of fat (saturated fat) than the group free of such diseases (p < 0.001). The osteopenia group showed higher rate of inadequate protein intake (p < 0.001) and the fatty liver group with excessive energy intake (p < 0.001). Overall, the results suggest that there is a significant relationship between nutrition problems and health conditions found in groups diagnosed with a diverse array of medical conditions. Conclusions: Therefore, we strongly suggest that dieticians should implement nutrition interventions with people visiting health screening & promotion center based on nutrition problems and the contributing factors diagnosed by dietitions in order to prevent chronic diseases in this population.