• Korean Journal of Health Education and Promotion
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• v.33 no.1
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• pp.61-70
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• 2016

Objectives: It has been well documented that people on the lower socioeconomic position are significantly more likely to smoke cigarettes. The purposes of this study were (a) to identify a potential difference of socioeconomic factors, and (b) to compare a smoking rate, one of the most representative health behavior between people with/without disabilities after the controlling socioeconomic factors. Methods: The Korea Panel Survey of Employment for People of Disabilities (2012) and the Korea National Health and Nutrition Survey (2012) were employed for calculating the smoking rates of persons with/without disabilities. Results: The results demonstrated that the socioeconomic position indicators (education, occupation and household equivalent income) of persons with disabilities were lower than persons without disabilities. The smoking rates of the persons with/without disabilities were 35.9% and 19.0% respectively before propensity score matching. After propensity score matching with the socioeconomic factors, however, ATT of people with disabilities was 0.201 which is lower than ATT of people without disabilities (0.227). Conclusions: Our findings indicated that the socioeconomic level of persons with disabilities is important to improve the smoking rates and health level regardless of their disabilities.

• Korea Journal of Hospital Management
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• v.27 no.1
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• pp.1-10
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• 2022

Background: This study aims to empirically compare and evaluate the current status of medical accessibility and health inequality between people with disabilities and without. We calculated the ACSC hospitalization rate, which is a medical accessibility index, for hypertension, a major risk factor for cardiovascular disease that accounts for more than 20% of deaths among people with disabilities using the 2016 National Health Insurance Big Data. Methods: The subjects of the study were a total of 601,520, including 64,018 people with disabilities and 537,501 people without. Logistic regression was performed to analyze the differences in hypertension hospitalization rates adjusted for demographic and sociological characteristics and disease characteristics using SAS 9.4 program. Results: Before adjusting for the characteristics, the hypertension hospitalization rate of people with disabilities was 1.55%, and the people without disabilities were 0.49%. After adjusting, it was found that people with disabilities were 2.11 times higher than people without disabilities, and it was statistically significant. Conclusion: The preventable hospitalization rate of people with disabilities is higher than that of people without, suggesting that the disabled have problems with access to medical care and health inequality. Therefore, the government's policy improvement is required to close the medical gap for the disabled.

• Korea Journal of Hospital Management
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• v.24 no.3
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• pp.27-37
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• 2019

Purpose: The Purpose of this study is to provide basic data for solving mental health problems of people with disabilities by analyzing the relationship between leisure activities and the mental health. Methods: We used the chi-square test and the logistic regression model to analyze the data of the National Survey of People with Disabilities in 2017. 6,437 responses of secondary processed data were used in the analysis, Socio-economic, health behaviors and risk variables that affect the mental health of people with Disabilities were used as control variables. Result: As a result of the analysis, People with disabilities who are satisfied with their leisure activities have less depression for two weeks and less suicidal impulses (Depression: [OR]=1.80 p-value<.0001, Suicide Impulse: [OR]=2.26 p-value<.0001). In the case of the experience of leisure activities, some significance was relevant to depression for two weeks (Depression: [OR]=1.65 p-value=0.0052). Conclusion: In order to improve mental health of people with disabilities, it is necessary to provide opportunities for participation in leisure activities by improving the socioeconomic status of them. In addition, a high quality leisure program should be provided that meets the individual's needs to increase the satisfaction of leisure activities for people with disabilities.

• Journal of Preventive Medicine and Public Health
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• v.45 no.4
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• pp.211-218
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• 2012

Objectives: The objective of this study was to identify the differences in obesity rates among people with and without disabilities, and evaluate the relationship between obesity rates and the existence of disabilities or characteristics of disabilities. Methods: Mass screening data from 2008 from the National Disability Registry and National Health Insurance (NHI) are used. For analysis, we classified physical disability into three subtypes: upper limb disability, lower limb disability, and spinal cord injury. For a control group, we extracted people without disabilities by each subtype. To adjust for the participation rate in the NHI mass screening, we calculated and adopted the weight stratified by sex, age, and grade of disability. Differences in obesity rates between people with and without disabilities were examined by a chi-squared test. In addition, the effect of the existence of disabilities and grade of disabilities on obesity was examined by multiple logistic regression analysis. Results: People with disabilities were found to have a higher obesity rate than those without disabilities. The obesity rates were 35.2% and 35.0% (people with disabilities vs. without disabilities) in the upper limb disability, 44.5% and 34.8% in the lower limb disability, 43.4% and 34.6% in the spinal cord injury. The odds for existence of physical disability and grade of disability are higher than the nondisabilities. Conclusions: These results show that people with physical disability have a higher vulnerability to obesity.

• Journal of Korean society of Dental Hygiene
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• v.17 no.6
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• pp.957-967
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• 2017

Objectives: This study consisted of a literature review on oral health among people with disabilities, and to present the factors that should be considered in developing an oral health program for people with disabilities. Methods: The key words 'people with disabilities' and 'oral health' were searched in 4 Korean academic journals and 5 online search engines and a total of 635 papers were identified. Duplicate papers were removed, and the literature selection criteria were applied to the remaining papers. Finally, a total of 45 papers were used in the review. Results: First, people with disabilities were the most common research subjects, followed by dental students, dental hygiene students, dentists, dental hygienist and guardians and special education teachers. Second, the most frequently studied research topic was dental examination, followed by oral health behavior and behavior of using dental clinics. Third, research purposes included the status of oral health, the quality of oral health, dental treatment, the use of oral health service, and oral hygiene behavior and perception. Fourth, the most frequently discussed policy task was expansion of research subjects, followed by oral hygiene and policy development. Conclusions: To enhance the oral health of people with disabilities who have difficulty in keeping their teeth clean and healthy on their own, development of an oral hygiene training program is required not only for people with disabilities, but also for guardians and teachers. It is equally important to examine oral health behavior that could potentially affect the status of oral health and create a more accurate and systematic oral hygiene method. In addition, the government, together with various other research institutes, should conduct an oral health survey of a representative sample of people with disabilities to determine oral health status and facilitate improvements to oral hygiene programs.

• The Korean Journal of Health Service Management
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• v.11 no.4
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• pp.89-104
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• 2017

Objectives : The purpose of this study was to find the determinants for non-participation in health screenings among the disabled. Methods : We used 2014-15 Korea Health Panel data and analyzed 1,073 people with disabilities older than 19 years to investigate the two-year health screening participation rates. Multiple logistic regression analyses were conducted to analyze the factors affecting non-participation in health screenings. Results : Of the 1,073 people with disabilities who were analyzed, 29.8% and 27.1% participated in NHI mass screenings and cancer screenings, respectively. In both screenings, non-participation rates were higher in people aged 19-49 and lower in people aged 50 -69 than those aged 70 or older; higher in people with lower education, higher in people with private health insurance; higher in people with fewer chronic diseases; and higher in people with severe disability ratings. Conclusions : People with disabilities should be provided with more appropriate preventive care services according to their disability types and severity compared to people without disabilities.

• Health Policy and Management
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• v.30 no.3
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• pp.345-354
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• 2020

Background: This study purposed to examine the difference in the prevalence of obesity at each stage among people with and without disabilities considering the severity and type of disability. Methods: The study targeted a total of 1,315,967 people, including 68,418 disabled and 1,247,549 non-disabled, who completed the national health screenings. Logistic analysis and average marginal effect analysis were conducted in three stages (pre-obesity, obesity, severe obesity). Those analyses were conducted considering the severity and type of disabilities. Results: People with disabilities were more likely to be at all stages of obesity than non-disabled people. In severely disabled people, the probability of obesity was higher than non-disabled people at all stages of obesity, but mildly disabled people had a higher only in the severe obesity stage, no difference in obesity stage, and a low in the pre-obesity stage. In physical and mental disabilities, the probability of obesity was higher than non-disabled people at all stages of obesity, but external physical function and internal organs disabled had a lower in the obesity and pre-obesity stage, and no difference in severe obesity stage. Conclusion: This study found that people with disabilities had a higher relationship with obesity than people without disabilities. In addition, severity and types of disabilities have different effects on the stage of obesity. Therefore, it is necessary to care about the health inequality and health of disabled people considering their severity and types of disabilities.

• Journal of Preventive Medicine and Public Health
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• v.56 no.1
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• pp.67-76
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• 2023

Objectives: Previous studies have reported that people with disabilities are more likely to be impoverished and affected by excessive medical costs than people without disabilities. Public transfer income (PTI) reduces financial strain in low-income households. This study examined the impact of PTI on catastrophic health expenditures (CHE), focusing on low-income households and households with Medical Aid beneficiaries that contained people with disabilities. Methods: We constructed a panel dataset by extracting data on registered households with disabilities from the Korea Welfare Panel Study 2012-2019. We then used a generalized estimating equation model to estimate the impacts of PTI on CHE. A subgroup analysis was carried out to assess the moderating effects of family income levels and health insurance types. Results: As PTI increased, the odds ratio (OR) of CHE in households that contained people with disabilities decreased significantly (OR, 0.92; 95% confidence interval [CI], 0.89 to 0.94; p<0.001). In particular, PTI effectively reduced the likelihood of CHE for low-income households (OR, 0.85; 95% CI, 0.81 to 0.89; p<0.001) and those who received medical benefits (OR, 0.78; 95% CI, 0.68 to 0.89; p<0.001). Conclusions: This study highlights the positive effect of PTI on decreasing CHE. Household income and the health insurance type were significant effect modifiers, but economic barriers seemed to persist among low-income households with non-Medical Aid beneficiaries. Federal policies or programs should consider increasing the total amount of PTI targeting low-income households with disabilities that are not covered by the Medical Aid program.

• 한국사회복지학회:학술대회논문집
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• 2004.04a
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• pp.365-382
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• 2004

The purpose of this study was to explore the concepts of health among people with mobility disabilities in order to develop a new holistic model of health and to identify implications for social work practice. A qualitative study based on face-to-face interviews with people with mobility disabilities was conducted. Nine consumers and nine social workers with mobility disabilities participated in the study. Social constructionism, heuristic paradigm, empowerment paradigm, and strength perspectives were used to form conceptual foundations to guide the study. Study participants' holistic descriptions of the concept of health encompassed five domains: biological/physical, mental/emotional, financial, relationships with others, and spiritual. Participants described health as harmony among these five domains. Harmony indicates that all five domains contribute to the concept of health, and that each domain is related to the others. Participants also viewed disability and health as an interconnected whole, not separate concept. The conceptual model developed in this study expands on the existing concepts of health by considering multiple factors at the personal and environmental levels, as well as interactions among the factors and between the levels. The personal level has five domains: biological/physical, mental/emotional, spiritual, financial, and relationships with others. The environmental level has also five domains: relationship with others, financial, social programs, social attitudes toward peoplewith disabilities, and physical environment. All factors under the personal and environmental levels also affect each other. The holistic concept of health for people with disabilities is not solely a part of the person, but rather is a function of the interaction between the person and their environment. The study demonstrated that people with disabilities have strength and resiliency, and health is an attainable goal for them, particularly when environmental and cultural barriers are addressed. The focus of social work practice should be the removal of those barriers encountered by their consumers with disabilities, as well as, the enhancement of internal factors that facilitate well-being.

• Journal of Korean Academy of Rural Health Nursing
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• v.10 no.2
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• pp.59-73
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• 2015

Purpose: This study was done to investigate the effect of self-esteem on perceived stigma in high school students toward people with disabilities. Methods: The participants in this study were 140 high school students from Gyeonggi Province. Data were collected during May 2013. Structured questionnaires were used for data collection. Data were analyzed using descriptive by statistics, t-test, ANOVA, Pearson correlation coefficients, and simple regression analysis with the SPSS 19.0 program. Results: The major findings of this study are as follows: There was a significant relationship between stigma toward people with disabilities and self-esteem among the high school students (r=-.205, p=.015). There was also a significant relationship between relationships with friends (r=.291, p<.001), health statement (r=.400, p<.001) and self-esteem among the high school students. Self-esteem explained 3.5% of the variance in high school students' stigma toward people with disabilities (F=6.041, p=.015). Conclusion: Findings of this study suggest a need to develop education to increase self-esteem as a strategy to decrease high school students' stigma toward people with disabilities. Also, findings of this study suggest the need for repeated study on the relationship between self-esteem and stigma toward people with disabilities among adults.