• Title/Summary/Keyword: Demographic aspects

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A Review on the Change of Health Policy Based on Ethical Issues (윤리적 쟁점을 중심으로 한 보건의료정책 변화의 고찰)

  • Lee, Dong Hyun;Kim, So Yoon;Sohn, Myongsei
    • Health Policy and Management
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    • v.28 no.3
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    • pp.222-225
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    • 2018
  • Health policy is a historical product in the process of development, including the political and economic factors of the state as well as the social and cultural elements of the country. Bioethics began to debate the ethical questions that arise in the overall process of life's birth and death, and gradually evolved by presenting ethical directions for various social phenomena. Especially, according to the moral awakening of 'scientific medicine' which caused in some human problems in the rapidized scientific society from the late 19th century to the early 20th century, as a result of distress including the concept of various social relations, it is possible to say that it has reached the bioethics. Although health policy and bioethics are different in terms of starting and concept, they can be found in common with social, cultural, and political diversity in the times. In 2004, 'Bioethics Law' was enacted through the issue of research ethics in the life sciences. Therefore, in order to examine ethical aspects of current health policy direction and major issues, it can be divided into before and after enactment of 'Bioethics Law' in 2004. The authors would like to examine how the evolution of the ethical viewpoint on the health policy has changed in line with the enactment of the 'Bioethics Law' and how it is trying to solve it from an ethical point of view. Through the various events that took place in the 1990s and the 2000s, various discussions on bioethics were conducted in Korea. Prior to the enactment of the 'Bioethics Law,' ethical judgments of professions, distribution of healthcare resources, if the discussion focused on the ethical judgment of abortion, and the various events that appeared in the early 2000s became the beginning to inform that the ethical debate about the life, death, and dignity of human beings began in earnest in Korea with the enactment of the 'Bioethics Law.' Since then, 'Hospice and Palliative care Law' which was enacted in 2017, is based on the fact that the health policy of our country focuses on the treatment of the past diseases, health promotion, and delivery of health care services. It was an opportunity to let them know that even the quality problems were included. Therefore, considering the various circumstances, the ethical issue facing Korea's health care system in the future is the change of the demographic structure due to aging and what is to be considered as the beginning and the process of life in the overall process of life. It is the worry about how to die and when it sees as death. This has far exceeded the paradigm of traditional health care policies such as disease prevention and management and health promotion, and calls for innovative policy response at the national level that reflects the new paradigm, which in many cases creates a predictable ethical environment. And health policy should be shifted in the direction of future ethical review considering sustainability in the development process of future health care rather than coercive management.

A Study of Attitudes on Advertisement and Brand Preference of Underware (속옷광고에 대한 태도와 상표선호도에 대한 연구)

  • Park, Hye-Sun;Shin, Bok;Lee, Kyung-Eun;Chang, Eun-Ah
    • The Journal of Natural Sciences
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    • v.8 no.2
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    • pp.181-189
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    • 1996
  • We investigated the relationship between the attitudes and brand preference on the expression techniques of advertisement of underwears and actual buying. A total of 233 females living in Seoul and Taejon were surveyed to compare these points of five major underwear brands (Vivien, Ravora, Wacoal, Calvin Klein, Let'xes).The survey showed that the responders reacted more positively to the revolutionary advertising techniques of the Calvin Klein, and Let'xes than to the more conservative techniques of the Vivien, Ravora, and Wocoal.The most positive response was obtained from the Calvin klein's revolutionary techniques while the most negative response from the Ravora. The most preferred brand was the vivien, followed by the Calvin Klein, Wacoal, Ravora, and Let'xes. The degree of preference varied according to the demographic variables like age, schooling, income, occupation, and residential area. As for the motive of preference, the Calvin Klein ranked best in respect to shape, quality, advertisement, and comfortability. The price factor was best for the Ravora. The Let'xes ranked worst in all aspects. However, there was discrepancy between the attitudes on advertisement and the actual buying, this implying that the attitudes on advertisement did not seem to directly affect actual purchasing behavior.

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Stomach Cancer Screening and Repeat Screening Behaviors among Adults in an Urban Area (부산시 일개구 지역주민의 위암선별검사 수검 및 반복수검 실태 및 관련요인조사)

  • Jeong, Ihn-Sook;Bae, Eun-Sook;Chen, Dong-Hwan;Chun, Jin-Ho;Lee, Hwa-Ja;Park, Nam-Hee
    • Korean Journal of Health Education and Promotion
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    • v.20 no.1
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    • pp.91-109
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    • 2003
  • The importance of repeat screening for stomach cancer is well known to decrease deaths from stomach cancer. This study was aimed at assessing practice behaviors and to identify related factors in the aspects of demographic factors, health status and cancer risk recognition, attitude to cancer screening, health behaviors, and inhibiting or facilitating factors to stomach cancer screening in an urban area. Data was collected through self-administered questionnaires from 403 people aged 40 to 69 years from April 23th to May 15th, 2002. Practice behaviors were classified as : "ever" or "never", and "repeat" or "not repeat" grouped based on a recent 5 year screening history. The results were as follows: 1. Among the 403 subjects: "the ever group" was 23.8% and "the repeat group" was 4.0%, The rates of screening were 20.5% for men, 27.8% for those women, and 27.3% for aged 40-49, 24.5% for those aged 50-59, 19.0% for those aged 60-69. The rates of repeat screening were 4.0% for men, 4.1% for women, and 2.9% for those aged 40-49, 6.3% for aged 50-59, 2.5% for those aged 60-69. 2. The main factors associated with adherence to gastric cancer screening were education(post high school vs below : OR=2.44), previous cancer screening(yes vs no : OR=2.61), belief in personal health(no vs yes : OR=2.72), health status(unhealthy vs healthy : OR=3.40), possibility of cancer compared to others(low vs not low : OR=2.56), and regular exercise(yes vs no : OR=2.94). The main factor associated with adherence to gastric cancer repeat screening was other cancer screening(yes vs no : OR=6.33). Consequently, there is a need to change the recognition of the importance and necessity of stomach cancer screening in healthy conditions through health education, and to perform multiple screening tests each visit.

A Case Study of Home Health Care for Postpartum Women and their Newborns (산욕부와 신생아의 가정간호 사례연구)

  • Jun, Eun-Mi
    • 모자간호학회지
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    • v.4 no.1
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    • pp.3-11
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    • 1994
  • Presently there is an increasing demand for home health care services due to changes in the demographic structure as a result of an increasing elderly population, socio-economic improvements, and changes in the family structure, as well as the growing number of people with degenerative diseases. In addition to these reasons, rising medical costs and there a shortage of patient beds space in the hospital, particularly since introduction of national medical insurance. There has been an increasing demand for health care health care services. This study was done to identify the basic data for home health care management. It focused on developing client selection criteria, assessment tools, and recording methods. This was accomplished by the researchers visiting the patients in their homes. The research process included preparation investigation, tool development, training of the project researcher, and visiting the clients in their homes. The research tools are as follows : 1. Record development : a) The selection criteria tool for home health care of postpartum women was a structured tool and consisted of four parts. b) The structured assessment tool consisted of a general items, obstetric history, past medical history, methods of feeding, medications taken before admission, laboratory test results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of postpartum women and their newborns. c) The visit note I consisted of the frequency of visits. Visit note II consisted of the date ; nursing problems ; nursing process including the initial assessment ; nursing goal ; visit plan ; postpartum women and their neonate health status, diagnosis, goal, implementation, evaluation, summary, next plan, for visit revision. d) Problem note consisted of the date, problem numbers, nursing diagnosis, problem appearance date problem resolution date. The research results are as follows : 1. Nursing problems : The nursing problems of the postpartum women and their neonates were evaluated by the number of nursing diagnoses and the change in the pattern of nursing diagnosis related to the number of visits. a) Nursing diagnosis The nursing diagnosis was classified according to physical function, psychosocial function, family system maintained function. b) The changes of nursing diagnosis related to the number of visits. As the type of nursing diagnosis changed related to the number of visits the number of nursing diagnoses decreased. 2. Contents of home health care : The content was categorized according to assessment, direct care, counseling, education, family care, reporting to with the attending doctor. The recommendations based on the research results are as follows : 1. Tool development Replication of this study is needed to test the validity of the assessment tools used. 2. Home visit a) Home health care nurses should be licensed and qualified. A referral form from the attending doctor is needed for legal protection of nurses. b) The first home visit need to be within 24 hours of discharge from the hospital to decrease the anxiety of frightened postpartum women. c) When the changes occur in the newborn's status, home health care nurses should consult a pediatrician. Communication within the home healthcare team is essential and needs to consistent and done smoothly. 3. Home health care A Study is required to develop protocols for education of staff and for operation of all aspects of this program.

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Factors of Suicidal Ideation and Behavior : Social Relationships and Family (사회적 관계 내 자살경험과 가족이 자살생각 및 자살행동에 미치는 영향)

  • Lee, Min-Ah;Kim, Seok-Ho;Park, Jae-Hyun;Sim, Eun-Jung
    • Korea journal of population studies
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    • v.33 no.2
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    • pp.61-84
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    • 2010
  • The goals of the study were to examine if and how exposure to suicidal factors in social relationships affects suicidal ideation and behaviors and also analyze how family factors are associated with suicidal ideation and behavior. Data drawn from Korean General Social Survey(KGSS) collected in 2009 were analyzed. The findings show that exposure to the suicidal factors have statistically significant effects on suicidal ideation and behaviors. In the findings, respondents who have experiences of which socially close persons have suicidal ideation or completed suicide are more likely to have suicidal ideation and suicidal plan even in the models for which demographic factors and depressive symptoms are controlled. Also, family factors have significant effects on suicidal ideation and suicidal behaviors. Family stress increases suicidal ideation and behaviors whereas expectation on family support reduces the likelihood of having suicidal ideation and behaviors. This study shows that there might be possibility of behavioral contagion in terms of suicide through social connections and family has both positive and negative aspects on suicidal ideation and behaviors. Our study suggests policy implications for people who were exposure to suicide.

A Comparative Pedagogical Approach to Lifelong Education: Possibilities and Limitations (평생교육의 비교교육학적 접근: 가능성과 한계)

  • Choi, DonMin
    • Korean Journal of Comparative Education
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    • v.28 no.3
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    • pp.291-307
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    • 2018
  • As the value of lifelong learning becomes important, states are making efforts to build a system of lifelong learning. According to this tendency, this paper intends to compare the participation rate of lifelong learning, learning outcomes, learning support infrastructure, support of learning expenses, and recognition of lifelong learning. For the comparative pedagogical approach, Bray and Thomas' cubes such as geographical / regional level, non - geographical demographic statistics, social and educational aspects were utilized. The participation rate of lifelong learning in Korea is 34.4% in 2017, which is lower than the OECD average of 46%. The competency scores of Korean adults were lower than the OECD national averages of the PIAAC survey which measured adult competence, language ability, numeracy, and computer-based problem solving ability. In order to recognize prior learning, EU countries have developed EQFs to evaluate all non-formal and informal learning outcomes, while Korea recognizes qualification as a credit banking credit under the academic credit banking system. International comparisons of lifelong learning can be used as an important tool for diagnosing the actual conditions of lifelong learning in a country and establishing future lifelong learning policies. Therefore, it is necessary to maintain that the comparative pedagogical approach of lifelong learning differs according to the historical context, socioeconomic characteristics, and population dynamics, including the formation process and characteristics of modern countries.

The Effects of Smartphone Use on Life Satisfaction, Depression, Social Activity and Social Support of Older Adults (노인의 스마트폰 이용이 생활만족도, 우울, 사회활동 및 사회적 지지에 미치는 영향)

  • Kim, Myoung-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.264-277
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    • 2018
  • Focusing on the potential impact of information and communication technology (ICT) on older adults' quality of life, this study empirically examined the influence of smartphone use in old age on life satisfaction, depression, social activity and social support of Korean older adults. In order to examine the effects of smartphone use, this study analyzed data from 630 questionnaire surveys from older adults aged 65 and over living in Seoul. The effects of smartphone use were tested using hierarchical multiple regression analysis, controlling for socio-demographic variables such as age, sex, spouse, education and income. Results showed that the effects of smartphone use on life satisfaction, depression and social activity of older adults were statistically significant. However, the effects of smartphone use on social support of older adults was not statistically significant. This study suggests that ICT such as smartphones in old age plays generally positive roles in enhancing psychological, mental and social aspects of quality of life. This implies that further practical efforts to expand the distribution and use of ICT in old age are required to improve quality of life and successful aging of older adults.

Correlation between the components of dying with dignity and quality of life (웰다잉의 구성요소와 삶의 질 간의 상관관계)

  • Lim, HyoNam;Lee, Seo-Hui;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.137-144
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    • 2019
  • The purpose of this study is to investigate the relationship between the perception of dying with dignity and the quality of life based on the opinions of the Korean populations. The participants were selected using a stratified proportional allocation method and 1,000 adults aged between 19 and 74 years from 17 municipalities and provinces in Korea. The questionnaire consisted of 2 demographic items; 26 items on the quality of life scale; and 57 items on the perception of dying with dignity. The statistical methods used included frequency analyses, independent sample t-tests, and correlation analyses. The results showed that the quality of life was highest for the social life quality item, and that the participants who had experienced a death in the family were more likely to have statistically lower quality of life in physical, psychological, environmental, and social areas. In terms of the participants' perception on dying with dignity, the score for death preparation was the highest; specifically, the score for psychological/economic burden reduction was the highest. The quality of life of the participants showed a positive correlation in all aspects of the perception of dying with dignity: physical symptoms and control, death preparation, death environment, family and social relations, hospital treatment, psychological dignity, and spirituality. Other studies conducted with middle-aged populations showed that their quality of life was higher when they perceived the acceptance of death is important and were willing to participate in death preparation education. Therefore, in order to improve the quality of life and have a positive influence on the participants, educational programs on death preparation and dying with dignity considering all the areas of the perception of dying with dignity should be provided.

A Comparative Study on Consumers' Perception of National Food Plan (국가 푸드플랜에 대한 소비자의 인식 수준 비교 연구)

  • Han, Jeong-yeon;Yoon, Hei-ryeo
    • The Journal of the Korea Contents Association
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    • v.22 no.10
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    • pp.252-260
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    • 2022
  • The government is emphasizing for a National Food Plan with the aim of establishing a system that can supply healthy and high-quality food to the people. Since consumers' interest and participation are important in vitalizing local food plans, comparative studies on consumer perceptions of food plans are needed. Accordingly, the purpose of the study is to enhance consumers' awareness and understanding of food plans, and to investigate and analyze their perceptions of agriculture and rural areas, and agricultural food consumption behavior according to the level of consumer awareness. As a result of the analysis, consumers were classified into three groups based on the food plan-related awareness score. In terms of marital status unmarried people had a high proportion in the lower group, and married people had a high proportion in the upper group. The higher the perception of food plans, the higher the perception of the importance of eco-friendly or animal welfare foods and the importance of brands when purchasing agricultural and livestock products. The higher the awareness of food plans, the higher the interest of all aspects of food plans. In this study, it can be seen that there were differences in demographic characteristics according to the food plan recognition level groups, in awareness of food plan-related agriculture, and agricultural food product consumption behavior.

The Study on the Effect of Basic Pension on Subjective Well-being of the Elderly (기초연금 수급이 고령자의 주관적 삶의 질에 미치는 영향)

  • Kim, Hyeyoun
    • 한국노년학
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    • v.40 no.1
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    • pp.1-21
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    • 2020
  • The purpose of this study is to examine that basic pension entitlement affects the subjective well-being(SWB) of the elderly. For controlling unobserved heterogeneity, we used fixed effects model for longitudinal data. The data used for this study is KLoSA from 2006 to 2016. The research results are as follows. SWB of non-basic pensioners was higher than for basic pension beneficiaries. Second, when the demographic variables were controlled, SWB of the basic pension recipients was higher then that of non-beneficiaries. Third, the factors affecting SWB were economic satisfaction, marital status, family financial support, employment status, subjective health status, daily life restrictions, gender, and age. Fourth, the effect of basic pension on SWB was positive at the lowest income quartile. The results of this study shows that the basic pension system has a positive effect on the SWB of elderly despite the low benefit level. Therefore, it is necessary to expand the basic pension system to solve poverty problems and improve the quality of life for the aged. Also, various aspects of social support for the low-income vulnerable elderly are needed. Lastly, It was suggested that the benefit level of the basic pension should be raised to have a substantial effect on the low-income class, which is a key policy subject.