• 한국보건간호학회지
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• 제26권1호
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• pp.38-50
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• 2012

Purpose: This study was conducted in order to investigate the physical activities of vulnerable low-income middle-aged people and their associated factors. Methods: From a health behavior survey of 1,000 vulnerable low-income subjects from a public health center in a metropolitan city, a secondary analysis was conducted for 332 respondents who ranged in age from 40 to 64. Results: The prevalence of walking activity was 45.2% and that of moderately intense physical activity was 9.9%. Prevalence of walking activity showed a significant association with marital status (divorce/widowed/separated, OR=2.263), drinking (drinker, OR=0.430), and CES-D score (over 21, OR=0.434). Prevalence of moderately intense physical activity was greater in subjects who had two chronic diseases, compared with those who had no chronic diseases (OR=3.713). Conclusion: Findings of this study suggest a need for implementation of strategies to improve moderately intense physical activity of low-income, middle-aged people. Also, in addition to studies on socio-demographic and health status and their associations with physical activity, further studies of related factors affecting physical activity, such as self-efficacy, social support, and social networks as internal and external resources, are needed.

• 한국치위생학회지
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• 제21권2호
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• pp.129-140
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• 2021

Objectives: We sought to evaluate the mitigating effect of using floss and interdental brushes on periodontal health inequality. Methods: This study was based on data acquired from the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII; 2016-2018). We included 11,359 participants aged ≥19 years in the final analysis. Multivariable logistic regression analysis was performed using socioeconomic characteristics, health behavior, health status, and periodontitis status. We analyzed differences in the prevalence of periodontitis according to household income stratified by the use of floss and interdental brush. Results: In the multivariable logistic regression model, the lowest income group had 1.304 (95% confidence interval [CI] 1.08-1.58) odds ratios for periodontitis than the highest income group. In the interdental brush nonusers or floss nonusers, the lowest income group had significantly higher odds of developing periodontitis. However, we found no significant differences in the periodontitis prevalence between the income groups among the interdental brush users. In the 65-year-old or older group, the same result was observed in the interdental brush and floss users. Conclusions: The results suggest that the use of floss and interdental brushes could alleviate periodontal health inequality.

• International Journal of Internet, Broadcasting and Communication
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• 제15권4호
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• pp.304-310
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• 2023

With the development of information and communication technology, modern people are receiving various benefits, and knowledge and use of information and communication technology are becoming essential qualities in modern people's lives. There are people who do not enjoy the rich benefits of this information and communication society, and the so-called 'digital divide' acts as an obstacle that prevents the information and communication from enjoying a rich life. Currently, there are four major information underprivileged classes in Korea, the disabled, the elderly, low-income class and farmers and fishermen, respectively. The purpose of this study is to identify the current status of the digital divide for the low-income class and to analyze the causes of the digital divide. To this end, in this study, we analyze statistics on digital divide at the national level and analyzed the digital divide of low-income class from three perspectives: information access, information capability, and information use. As a result of the analysis, it was found that the lack of information capability was the biggest cause of the digital divide, and in particular, information management ability was the most insufficient among information capabilities.

• 보건교육건강증진학회지
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• 제16권1호
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• pp.61-82
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• 1999

This study was conducted in order to determine health effects of socio-psychological stresses in Taegu Area from march 1 thorough march 31, 1998. Three hundred and thirty three subjects(168 males and 165 females) were randomly selected and interviewed by trained interviewers according to questionnaires. The results are summarized as fellows; 1. Health statuses by age, education religion, marital status, occupation and family income were significantly different. 2. The factors which had significant influences on Health status ware vitality, depression and general feeling of subjects' health. 3. Health status were directly influenced by the age(direct effect=-0.014), vitality(direct effect=0.473), and general feeling of subjects' health (direct effect=0.222), but, was indirectly influenced by education degree (indirect effect=0.010), income(indirect effect=0.039), and mental depression(indirect effect=-0.069). The variabilities which were both directly and indirectly influenced, were the age (direct effect=-0.014, indirect effect=-0.002), vitality(direct effect=0.473, indirect effect=-0.071).

• Journal of Preventive Medicine and Public Health
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• 제31권3호
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• pp.460-470
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• 1998

By expanding health insurance, customers will carry a smaller burden of medical costs. As a result, the number of visits to a physician increase and this result in the improvement of medical accessibility. But medical care utilization may be changed not only by insurance status but also by socio-demographic factor, economic status and other factors. The question thus remains, at which level of accessibility and what price of medical care service in health insurance will the customer and the medical care service be satisfied. The price of medical care service ls comprised of the customer's out-of-pocket money and the costs not covered by health insurance. If the price of medical care services in health insurance are appropriate, medical care utilization should not differ because of the difference in income status or the acuteness of illness. But If the price is not adequate, low income groups will receive relatively low medical care utilization, particularly in the case of chronic disease. The purpose of this study is to evaluate the differences in medical care utilization among the various income groups and those with varying acuteness of illness. The major hypotheses to test in this study are : (i) whether there are differences in medical care utilization among different income groups exist, (ii) whether differences in medical care utilization among different income groups exist with the hospital type. (iii) whether differences in medical care utilization among different income groups exist with the acuteness of illness and with age. The data was collected from the JongRo District Health Insurance Society in Seoul. A total of 118,336 persons were selected as the final sample for this study. The major findings of this study were as follows; 1. The volume of ambulatory utilization among users was statistically significant by income level. 2. Among different income groups, the volume of ambulatory utilization was statistically significant by the acuteness of illness. 3. Higher income groups with chronic diseases had a greater volume of ambulatory utilization than other groups.

• Journal of Korean Academy of Oral Health
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• 제42권4호
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• pp.167-174
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• 2018

Objectives: The aim of this study was to analyze the accessibility of dental care services among individuals with precarious employment in South Korea. Methods: We used the $9^{th}$ wave of the Korean Health Panel data (2015) and included 7,736 wage and non-wage earners in our study. We determined precariousness in the labor market as a combination of employment relationship and job income, and categorized individuals based on this into the following four groups: Group A comprising those who report job and income security, Group B comprising those who experience job insecurity alone, Group C comprising those who report a stable job but low income, and Group D comprising those who experience both job and income insecurity. Accessibility to dental care services was determined by experience of unmet dental care needs and unmet dental care needs caused primarily by financial burden. Logistic regression analyses were used to assess the effect of precarious work on access to dental care services. Results: Individuals with job insecurity (Group B; OR=1.445; 95% CI=1.22-1.70) and both job and income insecurity (Group D; OR=1.899; 95% CI=1.61-2.24) were more likely to have unmet needs than the comparison group. Both groups B and D were also 2.048 (95% CI=1.57-2.66) times and 4.435 (95% CI =3.46-5.68) times more likely, respectively, to have unmet dental care needs caused by financial burden. Education status, health insurance, and health status were all also effective factors influencing unmet dental care needs. Conclusions: Unstable employment and low income resulted in diminished access to dental care services. Therefore, governments should consider health policy solutions to reduce barriers preventing individuals with employment and income instability from accessing adequate dental care.

• 가정과삶의질연구
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• 제23권2호
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• pp.137-148
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• 2005

This study compared one-child households' economic structures between those who determined not to have more children and those who have a birth plan. This study examined the demographic characteristics and economic variables such as income, consumption expenditures, assets. debt, and a subjective evaluation of future economic status. Especially, it compared the effects of socioeconomic variables on expenditures on a child between low-fertility and birth-planned households. From a questionnaire completed by a husband or wife of one-child households, 154 low-fertility households and 201 birth-planned households were obtained. A t-test, chi-square test, multiple regression analysis and a dummy variable interaction technique were used. The findings of this study are as follows: First, low-fertility households were older, had higher income, and had more educated, employed wives. Their marital duration was longer, and their child was older than those of birth-planned households. Second, low-fertility households had higher consumption expenditures than did birth-planned households. Especially, expenditures of apparel and shoes, health care, education, and entertainment were significantly higher for low-fertility households. Also, low-fertility households spent more than did birth-planned households on a child. However, low-fertility households had significantly more debt than did their counterparts, and their expectation level of future economic status were lower than that of birth-planned households. Third, the effects of socioeconomic variables on expenditures on a child were different between low-fertility and birth-planned households. Age, education level, husband's occupation, wife's employment status, income, net asset, and subjective evaluation of future economic status showed significant differences. Income elasticity of expenditure on a child was significantly higher for low-fertility households than their counterparts.

• 대한간호학회지
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• 제35권2호
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• pp.252-261
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• 2005

Purpose: The purpose of the study was to investigate the health status(present illness, ADL and IADL), health perception, and health promotion behaviors of low-income elderly who are receiving the visiting nurse service in the community. Method: The sample of the study was 735 elderly over 65years old with basic livelihood security, who were conveniently selected from 245 public health centers nation-wide. Data collection was done using a structured questionnaire through interviews by visiting nurses. Result: The average number of present illnesses in the study subjects was 4.18. The average scores of ADL and IADL were 15.903.39and 9.772.97 respectively, which indicates a relatively independent everyday life. However, $64.2\%$ of the subjects perceived their health status as 'not healthy'. In terms of health promotion behaviors, $77.8\%$ of the subjects had ceased smoking, $83.9\%$ stopped drinking, $56.4\%$ had a regular diet, $45.8\%$ received regular physical check-ups during the past two years, and $66\%$ received flu shots. Approximately $50\%$ of the subjects were practicing 3-4 health promotion behaviors. Significant factors associated with health promotion behaviors were ADL, IADL and self-efficacy. Conclusion: Health promotion programs which focus on regular diet, exercise, and regular physical check-ups should be developed to improve independence of everyday life and quality of life among low-income elderly.

• 한국의류학회지
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• 제13권1호
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• pp.1-12
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• 1989

The purpose of this study was to examine the effect of basic needs and demographic variables of adult women upon clothing values. This study was designed with causal model regrading the demographic variables as independent variable: the basic need as interventing variable: the eight clothing values as dependent variables. The major findings of this research can be summarized as following; 1. Age of women has a definite effect on marriage status, school career and income. Age has effect on marriage status in seven values except exploratory value. It has effect on school career in aethetic and political values, and it has also effect on school career and income in social and religious values. 2. Age has no significant direct effect on the basic needs. Marriage status and school career have significant direct effect on the basic needs. Marriage status has positive effect on the need for self-esteem in seven values except exploratory value. The need for self-esteem of unmarried women are stronger than that of married women. School career has negative impact on the need for safety. The women having higher school career do not have strong need for safety in aethetic and social values. 3. School career, income, needs for safety, belongingness, self-esteem and self-actualizing have significant direct effect on clothing values. School career has positive effect on aethetic and political values, and it has negative effect on religious values. Income has negative effect upon social and religious values. Need for safety has negative effect on aethetic values. Need for safety is positively related with need for belongingneses, and they have an effect on the social values. Need for self-esteem has positive effect on the aethetic and political values, and it has negative impact on theoretical, economic, social and religious values. Need for self-actualizing has positive effect on the theoretical values.

• Nutrition Research and Practice
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• 제12권2호
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• pp.135-142
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• 2018

BACKGROUND/OBJECTIVES: This cross-sectional study assessed household food security status and determined its association with diet quality and weight status among indigenous women from the Mah Meri tribe in Peninsular Malaysia. SUBJECTS/METHODS: The Radimer/Cornell Hunger and Food Insecurity Instrument and the Malaysian Healthy Eating Index (HEI) were used to assess household food security status and diet quality, respectively. Information on socio-demographic characteristics and 24-hour dietary recall data were collected through face-to-face interview, and anthropometric measurements including weight, height, and body mass index (BMI) were obtained from 222 women. RESULTS: Majority of households (82.9%) experienced different levels of food insecurity: 29.3% household food insecurity, 23.4% individual food insecurity, and 30.2% fell into the child hunger group. The food-secure group had significantly fewer children and smaller household sizes than the food-insecure groups (P < 0.05). The mean household income, income per capita, and food expenditure significantly decreased as food insecurity worsened (P < 0.001). The food-secure group had significantly higher Malaysian HEI scores for grains and cereals (P < 0.01), as well as for meat, poultry, and eggs (P < 0.001), than the food-insecure groups. The child-hunger group had significantly higher fat (P < 0.05) and sodium (P < 0.001) scores than the food-secure and household food-insecure groups. Compared to the individual food-insecure and child-hunger groups, multivariate analysis of covariance showed that the food-secure group was significantly associated with a higher Malaysian HEI score while the household food-insecure group was significantly associated with a higher BMI after controlling for age (P < 0.025). CONCLUSIONS: The majority of indigenous households faced food insecurity. Food insecurity at the individual and child levels was associated with lower quality of diet, while food insecurity at the household level was associated with higher body weight. Therefore, a substantial effort by all stakeholders is warranted to improve food insecurity among poorer households. The results suggest a pressing need for nutritional interventions to improve dietary intake among low income households.