• Title/Summary/Keyword: Health disparity

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The association between the Geriatric Oral Health Assessment Index (GOHAI) and Quality of Life (QoL) between urban and rural areas for subjects in Korea (한국 중장년층에서 거주 지역별 구강건강평가지수(GOHAI)와 삶의 질의 관련성)

  • Lee, Min-Sun;Kim, Mi-Sun
    • Journal of Korean Dental Hygiene Science
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    • v.5 no.2
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    • pp.145-153
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    • 2022
  • Background: The purpose of this study was to analyze the association between the Geriatric Oral Health Assessment Index (GOHAI) and Quality of Life (QoL) between urban and rural residents in Koreausing data from the Korea Longitudinal Study of Aging (KLoSA). Methods: This study was analyzed using the SPSS 20.0 program (IBM SPSS Statistics), and a t-test was performed for difference between GOHAI and QoL, and a multiple regression analysis was used for association between the independent and dependent variables with confounding variables corrected. The statistical significance was p<0.05. Results: Urban residents' average QoL was statistically significantly higher rural residents'(Table 1, p>0.05). For subjects under the age of 65, the QoL increased by 0.30 points for urban residents and 0.39 points for rural residents according to GOHAI increased by one unit (Table 2, p>0.05). Also, for subjects aged 65 years or older, the QoL increased by 0.42 points for urban residents and 0.61 points for rural residents according to the GOHAI, increasing by one unit (Table 3, p>0.05). Conclusion: Through the results of this study, the quality of life of rural residents was lower than that of urban residents. The GOHAI had a stronger impact on QoL among rural residents than in urban areas. In order to address the disparity in QoL between urban and rural residents, it was believed that policies aimed at improving oral health for rural residents should b etaken in to account.

The Study on Academic Definition and Developmental Direction of the Dental Hygiene Science in Korea (치위생학의 학문적 정의와 위상에 따른 발전 방향에 관한 연구)

  • Han, Yang-Keum;Han, Man-Deuk
    • Journal of dental hygiene science
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    • v.7 no.4
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    • pp.243-249
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    • 2007
  • It has passed 40 years since dental hygiene was introduced to Korea. At this time, We hereby demonstrate the findings from the survey on the academic definition and developmental direction of dental hygiene. This survey has been conducted on dental hygiene majoring students, dental clinic hygienists of health & medical care and related professors in the dental field. The findings show that there exists a big disparity in defining the academic scope of dental hygiene among students, clinical dental hygienists of health & medical care and university professors. Accordingly, we suggest that the academic scope of dental hygiene should be explained in a uniform definition. In addition, the results of this survey suggest that they feel that the status of dental hygiene is really behind other study fields, in view of such high response thereto. For development of dental hygiene study and enhancement of its social status, the joint professional study by private, government and scholars should be immediately promoted and a wide variety of programs for dental hygiene should be continuously implemented under the auspices of government and academic world.

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A Study of Job Stress and Job Satisfaction of Medical Aid Client Managers (의료급여관리사의 직무스트레스와 직무만족도)

  • Choi, Jeong Myung;Oh, Jin Joo;Lee, Hyun Joo
    • Korean Journal of Occupational Health Nursing
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    • v.17 no.2
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    • pp.146-154
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    • 2008
  • Purpose: The purpose of this study is to investigate the degree of job stress and job satisfaction and the relationship between job stress and job satisfaction of Medical Aid Client Managers. Method: Data were collected from 185 Medical Aid Client Managers in 234 areas between April 2-15, 2007. Collected data was analyzed for the frequency, t-test, ANOVA, Pearson's Correlation Coefficient etc. Results: The average score of job stress was 2.6. Job instability was highest as 2.9 and job autonomy was lowest as 2.2. in eight items. When the job stress of Medical Aid Client Managers was converted to 100 point, the average was 51.7 and ranked in upper 50% of Korean woman workers' job stress. Among the eight items, because the relationship satisfaction and the instability of duty regime ranked in upper 25% of Korean woman workers' job stress, those items were identified to have high stress. The average score of job satisfaction was 2.3 out 4.0 which could be interpreted as unsatisfactory. The correlation between the job stress and the job satisfaction demonstrated significant difference. Decrease of the job satisfaction was associated with increase of the job stress. In regard to the eight items, the inverse correlation was demonstrated to be significant in organization, inappropriate compensation, and workplace culture. Conclusion: Medical Aid Client Managers have high stress in carrying out their duties. They have experienced very severe instability in their duty regime. Also, they have felt alienated from their organization and experienced unfair rewards. They had low duty satisfaction but got a heavy workload and experienced overtime work. To relieve job overburden of Medical Aid Client Managers. it was necessary to improve business system and also was necessary to relieve a regional disparity of business charge.

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Gender and Social Disparities in Esophagus Cancer Incidence in Iran, 2003-2009: A Time Trend Province-level Study

  • Kiadaliri, Aliasghar Ahmad
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.2
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    • pp.623-627
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    • 2014
  • Background: Esophagus cancer (EC) is among the five most common cancers in both sexes in Iran, with an incidence rate well above world average. Social rank (SR) of individuals and regions are well-known independent predictors of EC incidence. The aim of current study was to assess gender and social disparities in EC incidence across Iran's provinces through 2003-2009. Materials and Methods: Data on distribution of population at province level were obtained from the Statistical Centre of Iran. Age-standardized incidence rates of EC were gathered from the National Cancer Registry. The Human Development Index (HDI) was used to assess the province social rank. Rate ratios and Kunst and Mackenbach relative indices of inequality ($RII_{KM}$) were used to assess gender and social inequalities, respectively. Annual percentage change (APC) was calculated using joinpoint regression. Results: EC incidence rate increased 4.6% and 6.5% per year among females and males, respectively. There were no gender disparities in EC incidence over the study period. There were substantial social disparities in favor of better-off provinces in Iran. These social disparities were generally the same between males and females and were stable over the study period. Conclusions: The results showed an inverse association between the provinces' social rank and EC incidence rate in Iran. In addition, I found that, in contrast with international trends, women are at the same risk of EC as men in Iran. Further investigations are needed to explain these disparities in EC incidence across the provinces.

Regional differences in protein intake and protein sources of Korean older adults and their association with metabolic syndrome using the 2016-2019 Korea National Health and Nutrition Examination Surveys: a cross-sectional study

  • You-Sin Lee;Yoonna Lee
    • Korean Journal of Community Nutrition
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    • v.29 no.3
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    • pp.173-188
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    • 2024
  • Objectives: The study aim was to analyze the regional differences in dietary protein intake and protein sources of Korean older adults and their association with metabolic syndrome. Methods: Study participants were 1,721 older adults aged 65 and over who participated in 2016-2019 Korea National Health and Nutrition Examination Survey. Using 24-hour recall dietary intake data, protein intake and their food sources were examined. The association between protein intake and metabolic syndrome, obesity, and abdominal obesity were analyzed by multiple logistic regression. Results: Total protein and animal protein intakes were higher in urban area (60.0 g, 24.4 g, respectively) than in rural area (54.6 g, 19.6 g, respectively). With increase of protein intake level, animal to total protein proportion was increased in both areas. Total protein and plant protein intake was negatively associated with the risk of obesity, abdominal obesity in both areas. Animal protein intake was negatively associated with the risk of obesity in both areas, and with abdominal obesity only in urban area. In urban area, plant protein intake was also negatively associated with the risks of metabolic syndrome, elevated triglyceride, and reduced high density lipoprotein-cholesterol. In urban area, the risk of metabolic syndrome was decreased when their protein intake was more than 0.91 g/kg and was lowest when their protein intake was more than 1.5 g/kg (P for trend < 0.001). Conclusions: Korean older adults showed inadequate protein intake and those in rural area showed lower animal protein intake than in urban area. The risk of obesity and metabolic syndrome was decreased with the increase of protein intake level. These findings may help develop effective nutrition support strategy for older adults to reduce regional health disparity.

Comparison of Health Care Utilization and Morbidity of Children With and Without Disabilities in Korea (장애아동과 비장애아동의 의료이용 및 질병특성 비교)

  • Kim, Eu-Gene;Kim, Kyung-Mee;Yoo, Dong-Chul
    • The Journal of the Korea Contents Association
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    • v.17 no.7
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    • pp.696-706
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    • 2017
  • This study is to examine health care utilization and morbidity of disabled and non-disabled children in Korea to evaluate the health disparities. We used medical claim data of 2010 from the National Health Insurance Service-National Sample Cohort data. As a result of the analysis, the disabled children are not in good health condition because they have more frequency of medical service use, hospitalization rate, and more number of diseases and spent more on medical expenses than non-disabled children. Patterns of the most frequent disease differ from significantly between disable and non-disabled. Disabled children had a higher prevalence of selected birth defects and selected health conditions associated with physical disability and a lower prevalence of selected infection disease than children without disability. In conclusion, Health policy changes that would extend the access to health service for children with disabilities characterized by frequent medical care, hospitalization, excessive medical expenditure and complex diseases.

(A)Study on the relationship between back pain experiences of Japanese employees with spinal disorder and body Musculoskeletal disorder (척추 질환으로 내원한 일본 직장인의 허리 통증 경험이 신체 부위 근골격계질환과의 관련성에 관한 연구)

  • Jung, Han-Suk;Tanabe, Hajime;Kuwaoka, Toshifumi;Amano, Minae;Onodera, Yasushi;Inouchi, Takashi;Imoto, Yuichi;Tanabe, Keiichi
    • Journal of the Korea Safety Management & Science
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    • v.17 no.2
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    • pp.107-115
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    • 2015
  • The study targeted Japanese employees who have visited hospital for spinal disorder. The study analyzed work environment and pain relief methods of work-related back pain patients, and the relationship between back pain and other body parts. The purpose of this study was to provide draw up measures for patients with back pain and to provide basic data for the sustainable prevention program. The study result of back pain, in other words, employees suffering from lumbago, had disparity between occupations; the highest number of patients were made up of 16-years or above long-serving employees, and below 5-years of short-serving employees. There were more patients complaining of chronic lumbago than acute lumbago, and patients recognized poor posture as the primary cause of lumbago. Furthermore, 99.5% of spinal disorder patients complain back pain, 23.2% use only alternative therapy, and 15.2% visit clinic and hospital with alternative therapy. Patients showed pain reduction and high satisfaction after using alternative therapy. The study targeted Japanese employees where complement therapy is more generalized than that of Korea, and thus there should be multilateral management programs provided in Korea as well.

Longitudinal and Epidemiological Study for Nationally Insured Patients of Private Dental Clinic in Korea

  • Song, Kyung-Won
    • Journal of Oral Medicine and Pain
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    • v.39 no.3
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    • pp.107-114
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    • 2014
  • Purpose: This study want to draw conclusion based on data taken from national health insurance and determined the distribution and direction of patients treated at private clinics. Methods: The author's research spanned and compared the nationally insured patients by sexes, diagnoses, age groups and cases per year (2005, 2009, and 2013). Subjects were 3,536 patients of a private clinic in Seoul that were covered under national insurance. Results: There was no disparity across sexes nor cases, but both were on the decline. The most common dental conditions were pulpitis and dental caries at 38.4% and 16.4%, respectively. Both have decreased. Despite a drop in overall patients, the percentage of patients under 10 years old jumped substantially. Of overall age groups, teens were most prevalent at 33.5%, second and third being those in their forties and fifties (14.2% and 12.0%, respectively). Conclusions: The major illnesses that plague patients are pulpitis, dental caries, eruption disorder, gingivitis and periodontitis: the wane of pulpitis cases (a considerable percentage) and the actual numbers of patients has contributed to the general decrease in cases.

A Study of The Refraction at Video Display Terminal (VDT를 이용한 굴절검사에 대한 연구)

  • Lee, Hak Jun
    • Journal of Korean Ophthalmic Optics Society
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    • v.5 no.2
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    • pp.49-53
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    • 2000
  • Comparing to an Image test chart which printed from computer. Hahn's standard test chart and Chart project test chart propose to make the program of an image test chart in computer. Test type of the test chart should be programed by difference size which was examined Hangul program of Hangul & Computer Co. An image test of visual acuity most decreased among 3 kinds of testing. Testing of Fixation disparity was same between Diplopia test and chart project test chart, so that. Design of test chart could be programed diverse by Hangul program of Hangul & Computer Co.

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A Study on Rehabilitation Space for the Development of Community-Based Rehabilitation - Focused on the Estimation of Optimum Space - (안산시 CBR사업 추진을 위한 재활공간에 관한 연구 - 적정면적 산정을 중심으로 -)

  • Park, Jae-Seung;Na, Sang-Bae;Kim, Gab-Dong
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.3 no.4
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    • pp.35-49
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    • 1997
  • The percentage of postnatal disabled people and elderly population is rapidly increased by the industrialization, and the improvement of medical technology. The disparity between the city and rural area is in the way to disabled people who need rehabilitation. To solve these problems, Community Based Rehabilitation(CBR) is suggested by WHO. In this study, at first, the CBR model considering the specific characteristics of AnSan City are presented. Secondly, the first, the second, and the third rehabilitation facilities in AnSan City are classified by the CBR model. Thirdly, the estimation of optimum space for physical therapy and occupational therapy at rehabilitation center and public health center are sugested, which are the second level rehabilitation facilities. There are some differences in the distribution of population between new and old area in AnSan City. In other words, the subject population of CBR program in old area is relatively higher than that of new area. So, the CBR program for AnSan City must reflect their regional characteristics. In this study, the therapeutic boundaries of second level rehabilitation facilities is decided through the survey of physical therapists and occupational therapists in general hospitals and nursing homes.

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