• 보건행정학회지
• /
• 제28권4호
• /
• pp.369-377
• /
• 2018

Background: Catastrophic health expenditure (CHE) occurs when medical expenditure of a household passes over a certain ratio of household income. This research studied the effect of gender on CHE based on Korea Health Panel data. Methods: This study implemented binary logistic regression model to figure out whether gender affects CHE and how different gender groups show pattern of CHE process. With gender, age, marital status, income level, economic activity, membership of private insurance, existence of chronic disease, and self-rated health were included in the model. Results: Results showed that females faced CHE 1.5 times more than males (odds ratio, 1.241). Also, main determinants of CHE in female groups were marital status, while age and economic activity status were significant in male groups. Subgroup analysis displayed that married female under 35 years old are located in intersectionality of CHE including pregnancy and delivery, multiple health risk behaviors, mental stress, and relatively vulnerable social status due to lower income. Meanwhile, both gender above 50 years old faced remarkably high chance of CHE, which seems to be caused by complex health risk behaviors and chronic diseases. Conclusion: Such results implied not only that gender is an important determinant of CHE, but also other determinants of CHE differ according to gender, which suggests a necessity of gender-based CHE support and rescue policy.

• 한국콘텐츠학회논문지
• /
• 제22권1호
• /
• pp.611-619
• /
• 2022

본 연구는 2017년, 2019년 국민건강영양조사 자료를 활용하여 1인 독거가구 중 우울증 및 자살생각에 영향을 미치는 요인에 대하여 분석하였다. 분석에 포함된 변수는 인구사회, 경제학적 변수, 건강상태 및 건강행동 변수를 고려하였다. 분석결과 우울증 유병은 활동제한 여부(OR: 4.753, p-value: <.0001), 현재흡연 여부(OR: 2.013, p-value: 0.044)와 통계적으로 유의한 관련성이 있었고, 자살생각은 가구소득(OR: 3.526, p-value: 0.043), 주관적 건강상태(OR: 2.945, p-value: 0.007), 활동제한(OR: 2.263, p-value: 0.003), 현재흡연 여부(OR: 2.000, p-value: 0.023)와 통계적으로 유의한 관련성이 있었다. 이처럼 1인 독거가구는 그 자체로 심리적 불안감을 가질 수 밖에 없고, 사회경제적, 신체적으로 위기에 처하여 정신건강 문제를 일으킬 수 밖에 없으므로 지역사회에서 사회적 네트워크 시스템을 구축하여 이들을 조기에 발견하여 적절한 중재를 통해 비관적 결과로 이어지지 않도록 해야할 것이다.

• 성인간호학회지
• /
• 제13권1호
• /
• pp.40-52
• /
• 2001

The ratio of the elderly population is rapidly growing due to socio-economic development and better medical services. As the average life-span of the Korean elderly becomes longer, the proportion of the elderly is increasing. Therefore, the elderly need to sustain a high quality of life. However, all these factors, such as sensory loss, decreased endurance, mobility limitation, and a loss of independence, act to diminish the quality of life among the elderly. It is necessary for elders to adapt themselves to aging, to maintain their physical functions and especially, it is important to keep their independence in activity of daily living and self care. Therefore, this study was designed to identify the degree of activity in daily living and exercise of a self-care agency and to investigate the relationship between activity of daily living and self-care agency. Also, this research aimed to contribute to nursing interventions that maintain and promote quality of life of the elderly and to enable themselves to live independently. The subject of this study were 160 elders, over age 65, who were sampled in C city. Data were collected by observation and questionnaires from May,1999 to December, 1999. The measurement tools were Barthel Index(1979), Lawton & Brody(1969) for activity of daily living and Kearney & Fleischer(1979) for self-care agency. Data were analyzed by SAS PC+ package and included descriptive analysis, t-test, ANOVA, Pearson correlation coefficient, and Cronbach's alpha. The conclusions of this study are summarized as follows; 1. The mean of ADL and IADL was 96.09 and 16.38, respectively. The score described activity of daily living among the elders in C province as moderate. Particularly, in the items of IADL, the item of medication was the highest score. 2. The mean for exercise of self-care agency was 76.48, a moderate degree. 3. The degree of ADL and IADL according to demographic characteristics was significantly different statistically in pocket money, the presence of disease, perceived health status and in occupation, pocket money, family type, the presence of disease, and perceived health status, respectively. 4. The dagree of selt-care agency according to demographic characteristics was significantly different statistically in gender, education level, economic status, and pocket money. 5. There was a significant positive correlation between activity in daily living and self-care agency. Based on these results, further research is suggested to discover the variables influencing the activity of daily living and self-care agency to develop nursing strategies for improving self-care and activity of daily living among the elderly.

• 여성건강간호학회지
• /
• 제8권1호
• /
• pp.69-84
• /
• 2002

The purpose of this study was to develope and test the structural model for depression in middle-aged women. A hypothetical model was constructed on the basis of previous studies and a review of literatures. The conceptual framework was built around eight constructs. Exogenous variables included in this model were volunteer activity, health status & economic status. Endogenous variables were meaning of life, self-esteem, perceived life stress & depression. Empirical data for testing the hypothetical model was collected using a self-report questionnaire from 216 middle-aged women in Pusan City. The Data was collected from May to June, 1999. Reliability of the seven instruments tested with Cronbach's alpha was ranged from .86-.94. For the data analysis, SPSS 7.5 WIN Program and LISREL 8.12 WIN Program were used for descriptive statistics and covariance structural analysis. The results of covariance structure analysis were as follows: 1. The hypothetical model showed a good fit with the empirical data. [$x^2$/df=2.87(p=.72), GFI=1.00, AGFI=.98, RMSR=.025, NFI=.99, standardized residuals ($-1.44{\sim}1.44$)]. 2. To heighten for the parsimony and fitness of the model, a modified model was constructed by deleting according to the criteria of statistical significance and meaning. 3. The modified model also showed a good fit with the data. [$x^2$=5.26(01=7,p=.63), GFI=.99, AGFl=.97, RMSR=.025, NFI=.99, standardized reslduals ($-1.50{\sim}1.45$)] Results of the testing of the hypothesis were as follows : 1. Self-esteem(${\beta}_{42}$=-.48, t=-5.64) had a negative and perceived life stress(${\beta}_{43}$=.20, t=3.21)had a positive direct effect on depression. Meaning of life had a negative direct(${\beta}_{41}$=-.17, t=-2.19) and a negative indirect effect through self-esteem on depression. Volunteer activity had a negative indirect effect through meaning of life, meaning of life and self-esteem on depression. Health status had a negative direct and a negative indirect effect through meaning of life, meaning of life and self-esteem on depression. Economic status had a negative indirect effect through perceived life stress on depression. Self-esteem was the most significant variable. 2. Volunteer activity(${\gamma}_{11}$=.43, t=6.78) and health status(${\gamma}_{12}$=.35, t=4.88) had positive direct effect on meaning of life. 3. Meaning of life(${\beta}_{21}$=.50, t=6.53) had a positive direct effect on self-esteem. Volunteer activity had a positive indirect effect through meaning of life on self-esteem. Health status had a positive direct(${\gamma}_{22}$=.18, t=2.23) and a indirect effect through meaning of life on self-esteem. Meaning of life was the most significant variable. 4. Economic status (${\gamma}_{33}$=-.44, t값=-6.01) had a positive direct effect on perceived life stress. The results of this study showed that self-esteem had the most significant direct effect on depression. Meaning of life and health status had significant direct effect on this self-esteem. Volunteer activity and health status had direct effect on meaning of life. The results of this study suggested that there is a need to develope intervention to promote degree of self-esteem and alleviate degree of depression in middle-aged women.

• 한국항만경제학회지
• /
• 제18권1호
• /
• pp.135-157
• /
• 2002

The fact that Pyeongtaek Port is located ideally at the central point of the Yellow Sea's Economic Zone and it is very close to the metropolitan area of South Korea which occupies more than 50 percent of the total trade volume in terms of tonnage is providing a good prospect of development for the Port of Pyeongtaek. This study examines the perception of shippers in Kyonggi-do on the development of Pyeongtaek Port, giving some suggestions to the Pyeongtaek Port Authority. It begins with a description of the port such as current economic status, statistics on the economy, trade and investment regarding the Port of Pyeongtaek. According to a particular questionnaire survey conducted in December 2001, the major obstacles to the utilization of the port are as follows: a shortage of liner shipping routes, lack of container handling facilities including container terminal, crane etc., and port sales promotion activity. Therefore the port should make aggressive efforts to attract container cargoes to and from China by expanding port facilities, implementing effective marketing strategies, introducing a customs-free zone/free trade zone, and strengthening port sales etc.

• 한국생활과학회지
• /
• 제14권1호
• /
• pp.223-232
• /
• 2005

The purpose of this study is to investigate voluntary activities of the elderly. Two hundred and eight older Cheongju residents were selected, and a questionnaire was used to collect data. The results are as follows: The number of participants in voluntary activities was relatively small. The main reasons for negative attitudes toward voluntary activities were significantly different according to sex, educational level, marital status, health status, economic level, religion, and life satisfaction. By using a cluster analysis, the elderly could be divided into four groups. Among them, a group with positive attitudes participating in volunteer activities was more likely to include males or those educated, healthy, and affluent. Based on the results of this study, it is revealed that participating in volunteer activities provides problem solutions and self development for elderly people.

• Journal of Korean Biological Nursing Science
• /
• 제19권3호
• /
• pp.178-190
• /
• 2017

Purpose: The present study was designed to examine the impact of socioeconomic, health-related, and health behavioral factors on Korean people's intention to quit smoking. Methods: The subjects were 851 men and 145 women, aged 19 or more who had participated in the 2014 Korea National Health and Nutrition Examination Survey. The intention to quit smoking was categorized as "within 6 months," "after 6 months," or "no intention". The associations of the intention to quit smoking with sociodemographic, health related, and health behavioral factors were examined in a logistic regression. Results: In male smokers, the number of diseases, perceived somatotype, vigorous intensity leisure activity, aerobic physical activity, and smoking intensity had a significant influence on the intention to quit smoking. In female somkers, the economic status, number of diseases, walking activity, and moderate intensity leisure activity were significantly influential on the intention to quit smoking. Conclusion: To increase male smokers' intention to quit smoking, it should be emphasized that smoking is harmful to. Moreover, special attention should be paid to low-educated female smokers to increase their intention to quit smoking.

• 성인간호학회지
• /
• 제14권1호
• /
• pp.125-134
• /
• 2002

Purpose: The objectives for this study were to identify the factors that correlate with appraisal of illness and to explore what variables are predictive of cancer patients primary caregivers' cognitive appraisal for stress. Method: The subjects were selected by convenient sampling and 130 caregivers who completed a questionnaire. Measures used in this study included the Family Inventory of Resources for Management, Social Support Index, Family Crisis Oriented Personal Evaluation Scales and Family Coping Coherence Index. Pearson correlation was used to identify the relationship among factors and multiple regression was used to determine the individual and cumulative effect of potential predictors on the caregivers' appraisal. Results: Patient's level of activity, severity of the disease, quality of relation between patient and caregiver, caregiver's subjective health status, economic status, family resources and coping were significantly correlated. Among the variables, coping, family resources, economic status and quality of relation between caregiver and patient predicted 49.2 percent of the variance in appraisal of caregivers' stress condition. Conclusion: These findings suggest that coping mechanisms and family resources are important for positive appraisal. Nurses should provide adequate nursing care for the primary caregiver about professional care information and supportive counseling.

• 대한통합의학회지
• /
• 제7권1호
• /
• pp.57-64
• /
• 2019

Purpose : This study was implemented to identify the risk conditions influencing suicidal ideation in a nationally representative sample of elderly South Koreans. Methods : Data from 1,152 men and 1,581 women aged 65 years or older were gathered from the 2013 and 2014 Korea National Health and Nutrition Examination Survey VI. All analyses were performed using SPSS. To determine significant correlations between risk condition and suicidal ideation, a t-test was used. Results : There were differences in suicidal ideation according to the following individual factors: age, educational background, marital status, economic activity, recognition of stress, experience of depression, and economic status. There were differences in suicidal ideation according to the following health-related factors: subjective health status, EQ-5D (EuroQoL-5 Dimensions), hours of sleep, and BMI. There were also differences in suicidal ideation according to the following disease-related factors: HTN, COPD, asthma, stroke, depression and osteoarthritis. Conclusion : The findings indicate that broad intervention programs should be distributed to prevent suicidal ideation. It is also recommended that programs be developed in a way that can help manage the variables identified in this study. Furthermore, follow-up studies should be conducted to verify the program.

• 한국콘텐츠학회논문지
• /
• 제19권10호
• /
• pp.667-676
• /
• 2019

이 연구의 목적은 한국의료패널 자료를 이용하여 출산 여부에 따른 여성의 사회경제적 상태 변화의 차이를 파악하고자 하는 것이다. 이를 위해 성향점수 매칭방법을 이용해 출산 여성과 유사한 특성을 갖는 비교집단을 구성하고, 이중차이분석과 이중차이를 활용한 회귀분석을 통해 출산이 여성의 사회경제적 상태 변화에 미치는 영향을 분석하였다. 분석 결과, 출산은 저축액의 감소, 여성의 경제활동 중단, 종사상 지위 변화에 유의한 영향을 미치는 것으로 나타나 출산이 가정경제와 여성의 사회경제적 지위에 부정적인 영향을 미치는 것으로 나타났다. 이 같은 결과는 여성의 경제활동이 출산에 의해 중단되지 않고 직종과 지위에 관계없이 출산 이후에도 안정적으로 가정 경제를 꾸려나갈 수 있다는 믿음과 이를 실현하기 위한 장기적이고 지속적인 지원 방안이 마련되어야 함을 시사한다.