• Title/Summary/Keyword: Hierarchical Policy

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Association between High Sensitivity C-Reactive Protein and Metabolic Syndrome in South Korea: A Gender-Specific Analysis (우리나라 성인의 고감도 C-반응성 단백과 대사증후군의 관련성: 성별 분석)

  • Shin, Eunyoung;Lee, Yongjae;Kim, Taehyun;Jung, Keum Ji;Chung, Woojin
    • Health Policy and Management
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    • v.31 no.2
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    • pp.158-172
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    • 2021
  • Background: Metabolic syndrome has been known as a risk of cardiovascular disease. Meanwhile, high sensitivity C-reactive protein (hs-CRP) is used as a predictor of cardiovascular disease. In this paper, we aimed to investigate the association between hs-CRP and metabolic syndrome. Method: A total of 7,633 were chosen as the study population from the 7th Korea National Health and Nutrition Examination Survey dataset (2016-2017). Our dependent variable was whether an individual had metabolic syndrome or not, and the independent variable of interest was hs-CRP which was categorized into three groups. The chi-square tests and hierarchical logistic regression analyses reflecting survey characteristics were conducted. All analyses were stratified by gender. Results: According to the adjusted model with all covariates, compared to individuals having the low risk of hs-CRP, those having its average risk were more likely to have metabolic syndrome in men (odds ratio [OR], 1.41; 95% confidence interval [CI], 1.12-1.76) and women (OR, 1.69; 95% CI, 1.33-2.16). Individuals having the high risk was not significantly different in men; however, they were more likely to have metabolic syndrome in women (OR, 2.03; 95% CI, 1.28-3.23). Conclusion: In an upcoming aging society, it is important to reduce the risk of metabolic syndrome to improve population health. This study suggests that hs-CRP may be used as a marker of the risk of metabolic syndrome in a gender-specific way, thereby contributing to enhancing awareness of the risk of metabolic syndrome among the general public.

Policy Compliance and Smoking related Behavior Change in a Smoke-free Apartment (금연 공동주택 주민들의 정책 순응도와 흡연 관련 행태 변화)

  • Cho, Hoosun;Kim, Eunsu;Nam, Hae-Sung
    • Journal of agricultural medicine and community health
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    • v.45 no.4
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    • pp.221-234
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    • 2020
  • Objectives: The purpose of this study is to identify the policy compliance according to the socio-demographic characteristics, stress, satisfaction of relationship, Health Belief Model and characteristics of smoking behaviors and knowledge related smoking of the residents living in the Smoke-free apartment and to investigate the change of the smoking related behavior before and after the implementation of the policy. Methods: The subjects of the survey were 293 residents aged 19 or older who reside in apartments six months after the designation of Smoke-free apartment located in Daejeon. All collected data were analyzed using T-test, ANOVA and Hierarchical multiple regression of SPSS for windows(ver 24.0) program. Results: The policy compliance was higher in women and those who lived for less than two years, and non-smokers were significantly higher. The policy compliance of the whole subjects was related to satisfaction with the surrounding relationship, perceived disability about smoking cessation, frequency of smoking and the amount of smoking. The policy compliance of the whole subjects was related to the satisfaction of the surrounding relationship, the perceived disability about smoking cessation, and the amount of smoking. In addition, after the implementation of the gold research station designation policy, it had a positive impact on smoker's smoking behavior and resulted in reducing the frequency of secondhand smoke among residents. Conclusions: In order to increase the compliance of the non-smoking policy It is necessary to continuously expand the indoor smoking cessation zone policy, develop policies and supplement the health belief model components.

The Effects of Cell-Phone Dependency of Adolescents: Moderated Analysis of Self-Esteem (청소년의 휴대폰 의존에 미치는 영향: 자존감의 조절효과 검정)

  • Shim, Hyun-Jin;Rhee, Hyun-Sill
    • The Korean Journal of Health Service Management
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    • v.11 no.2
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    • pp.117-127
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    • 2017
  • Objectives : This study aimed to identify factors of adolescents' cell-phone dependency using Agnew's General Strain Theory (GST) and the perspective of adolescents' micro-systems. A second aim was to verify the moderating effect of self-esteem. Methods : In total, 2,046 students who participated in a study on KCTPS mid. 1 panel 3 Wave by the National Youth Policy Institute were examined in this research. Data were analyzed through descriptive statistics, factor analysis, reliability tests, and hierarchical linear regression using SPSS Ver. 22.0. Results : The strain factors had a positive effect on adolescents' depression, and depression had a positive effect on cell-phone dependency. In addition, self-esteem had a negative moderating effect between depression and cell-phone dependency. Conclusions : Factors of cell-phone dependency were identified. The findings of the study indicate that an intervention is required to lower strain and depression and to enhance self-esteem among adolescents.

Factors Associated with Health Promotion of Caregivers Based on a Socio-ecological Model (사회생태모형에 기초한 요양보호사 건강증진행위의 관련요인)

  • Kim, Young-Ae;Yoon, Hee-Sang
    • Journal of Korean Public Health Nursing
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    • v.25 no.1
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    • pp.61-72
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    • 2011
  • Purpose: To investigate the behavioural factors of the health promotion for caregivers based on a socio-ecological model. Methods: This study was a cross-sectional descriptive study using a self administered questionnaire. The survey was conducted in 219 people chosen through convenient sampling between September and December 2008. The collected information included general characteristics, individual, interpersonal, community, policy level. Results: For the statistical analysis, the t-test was used for the health promotion according to the general characteristics and to each level of the socio-ecological model, by assessing the high and low values and dividing them into mean points. The influence elicited by different health promotion factors was determined using the hierarchical multiple regression. At the individual level, the factors influencing health promotion in caregivers included perceived seriousness, perceived benefits, and self efficacy. Social support was important at interpersonal level, and the use of community resource was relevant for the community level. We found no statistically significant factors relating to the policy level. Conclusions: In conclusion, the socio-ecological models seems appropriate for explaining health promotion and its associated factors in caregivers. We suggest that, for caregivers, strategies should be developed for their social support and to offer information about how to use community resources in relation with factors relating to the individual level.

Exploratory Study on the Activity about Utilization and Contribution to the Union Catalog (대학도서관의 종합목록 기여 활동 및 이용 정도에 대한 탐사적 연구)

  • Cho, Jane
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.26 no.1
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    • pp.35-50
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    • 2015
  • In order to re-activation of shared cataloging, spirit of community and cooperation are most needed. But proper compensation about contribution would motivate. Through representing basic data for making compensation policy about university library's share cataloging system, this study analyzes activities about contribution and utilization of participated libraries. To put it concretely, this study considers overall status of contribution and utilization through descriptive statistics and analyzes relationship between both sides. Furthermore through clustering participating library, this study brightened the libraries that ought to be compensated and who would be need to be specially rewarded. And draw the libraries that need to be paid and need to be led for active participation of shared cataloging.

Determinants of Family Mealtime Frequency for Fathers with their Children (아버지와 자녀의 가족식사 빈도에 영향을 미치는 요인)

  • Lee, Hyun Ah
    • Human Ecology Research
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    • v.56 no.4
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    • pp.361-375
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    • 2018
  • This study recognizes the changes of the father's role and the importance of family mealtimes as well as examines the individual, family and social contexts surrounding the father's family mealtime. This study analyzed the trend of the father's family mealtime frequency and factors affecting them in order to explore the current conditions of their father's work and family balance through family mealtimes. Data from 492 fathers who have school aged children were collected through an online survey. The overall trend of the frequency of father's family meals showed an average of 2.4 breakfasts and an average of 3.2 dinners per week. The frequency of the father's family meals showed statistically significant differences according to the father's age, children's school age, dual income, weekly working hours, working flexibility, leaving on-time and the priority of work and family. The analysis of hierarchical linear regressions was conducted to determine factors affecting the frequency of father's family mealtime to show that the frequency of father's family mealtime was best explained by father's working conditions and perception variables. Working conditions such as working hours, leaving work on time, working flexibility were significant variables in regards to the father's family mealtime frequency. The father's perception towards parental efficacy, wife's support, and work-family priority were significant factors in regards to the father's family mealtime frequency. This study is meaningful in that it provides basic data on policy making for the compatibility of the father's work and family.

Moderating Effect of Structural Complexity on the Relationship between Surgery Volume and in Hospital Mortality of Cancer Patients (일부 암 종의 수술량과 병원 내 사망률의 관계에서 구조적 복잡성의 조절효과)

  • Youn, Kyungil
    • Health Policy and Management
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    • v.24 no.4
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    • pp.380-388
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    • 2014
  • Background: The volume of surgery has been examined as a major source of variation in outcome after surgery. This study investigated the direct effect of surgery volume to in hospitals mortality and the moderating effect of structural complexity-the level of diversity and sophistication of technology a hospital applied in patient care-to the volume outcome relationship. Methods: Discharge summary data of 11,827 cancer patients who underwent surgery and were discharged during a month period in 2010 and 2011 were analyzed. The analytic model included the independent variables such as surgery volume of a hospital, structural complexity measured by the number of diagnosis a hospital examined, and their interaction term. This study used a hierarchical logistic regression model to test for an association between hospital complexity and mortality rates and to test for the moderating effect in the volume outcome relationship. Results: As structural complexity increased the probability of in-hospital mortality after cancer surgery reduced. The interaction term between surgery volume and structural complexity was also statistically significant. The interaction effect was the strongest among the patients group who had surgery in low volume hospitals. Conclusion: The structural complexity and volume of surgery should be considered simultaneously in studying volume outcome relationship and in developing policies that aim to reduce mortality after cancer surgery.

Segmenting Inpatients by Mixture Model and Analytical Hierarchical Process(AHP) Approach In Medical Service (의료서비스에서 혼합모형(Mixture model) 및 분석적 계층과정(AHP)를 이용한 입원환자의 시장세분화에 관한 연구)

  • 백수경;곽영식
    • Health Policy and Management
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    • v.12 no.2
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    • pp.1-22
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    • 2002
  • Since the early 1980s scholars have applied latent structure and other type of finite mixture models from various academic fields. Although the merits of finite mixture model are well documented, the attempt to apply the mixture model to medical service has been relatively rare. The researchers aim to try to fill this gap by introducing finite mixture model and segmenting inpatients DB from one general hospital. In section 2 finite mixture models are compared with clustering, chi-square analysis, and discriminant analysis based on Wedel and Kamakura(2000)'s segmentation methodology schemata. The mixture model shows the optimal segments number and fuzzy classification for each observation by EM(expectation-maximization algorism). The finite mixture model is to unfix the sample, to Identify the groups, and to estimate the parameters of the density function underlying the observed data within each group. In section 3 and 4 we illustrate results of segmenting 4510 patients data including menial and ratio scales. And then, we show AHP can be identify the attractiveness of each segment, in which the decision maker can select the best target segment.

Influence of Family Mealtime and Family Functioning on Early Adolescents' School Adaptation (가족식사 및 가족기능이 초기 청소년의 학교적응에 미치는 영향)

  • Lee, Hyun-Ah;Choi, In-Suk
    • Journal of Families and Better Life
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    • v.31 no.3
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    • pp.1-13
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    • 2013
  • The purpose of this study was to examine the influence of family mealtime and family functioning (family cohesion, family adaptability, and communication with father and mother) on early adolescent school adaptation. Data of 3,145 middle school students from the Survey on the Family Values and Lives among Adolescents(2010) conducted by National Youth Policy Institute(NYPI) were used. The findings are as follows. First, there were significant differences in the frequency of having breakfast and dinner with father and having breakfast with mother, family cohesion, and communication with father according to gender. Second, hierarchical linear regression analyses revealed that household economic status, mother's employment status and adolescents' gender among demographic characteristics, having breakfast with father and having dinner with mother in family mealtime frequency, and all the variables of family functioning predicted adolescents' school adaptation. Finally, economic status, having dinner with mother, family cohesion, and communication with father and mother were associated with adolescents' school adaptation for both boys and girls. Mother's education and having breakfast with father were found to be significant for only boys, while mother's employment status and family adaptability were found to be significant for only girls. These findings could provide grounds for making family and education policy.

Impact of Workers' Perceptions of the Safety Climate on Job Satisfaction and Intention to Turnover in the Manufacturing Industry (제조업 근로자의 지각된 안전 분위기가 직무만족과 이직의도에 미치는 영향)

  • Lee, Kyoung A;Lee, Jae Hee;Oh, Shezeen
    • Journal of the Korean Society of Safety
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    • v.28 no.1
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    • pp.102-108
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    • 2013
  • This study aimed to examine the impact of workers' perceptions of the safety climate on job satisfaction and intention to turnover in the manufacturing industry. Data was collected from employees(n=143) working in the manufacturing industry. The perceived safety climate included perceptions of the safety commitment of the management, safety leadership of the immediate supervisor, and safety policy. Hierarchical regressions were conducted to identify the significance of the relation between the sub-variable of the perceived safety climate and job satisfaction, and intention to turnover. The results show that safety commitment and safety policy are significant predictors of job satisfaction. The immediate supervisor's safety leadership was significantly correlated with intention to turnover. These results indicated that the perceived safety climate of workers in the manufacturing industry might influence job satisfaction and intention to turnover. Therefore, organizations in the manufacturing industry should focus on improving safety climates to enhance job satisfaction and prevent employee turnover.