• Korean Journal of Clinical Pharmacy
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• v.26 no.2
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• pp.128-136
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• 2016

Objective: This study was to explore the association between having a usual source of care and adherence to medicines in patient with chronic diseases. Methods: The 2012 Korea Health Panel was used as a data source. We analyzed 4,418 respondents that were diagnosed with chronic diseases and utilized health care services. Non-adherence to medication, a dependent variable, was defined as "not taking the medicines that were prescribed for treating chronic disease" or "not following the direction for medication". Whether having a usual source of care or not was used as a key independent variable, which was defined as having a regular site or a regular doctor for medical test, treatment, and consultation. Sex, age, education level, marital status, income, the type of health insurance, the number of chronic disease and CCI (Charlson Comorbidity Index) were included as covariates in the analysis. We conducted a multivariate logistic regression. Results: Totally, 30 percent of respondents reported to experience non-adherence to medication. Having a usual source of care was significantly associated with lower non-adherence to medication regardless its type, which is a regular doctor (OR=0.61, 95% CI=0.53-0.70) or a regular site (OR=0.67, 95% CI=0.58-0.78). Furthermore, having a usual source of care was associated with both of medication persistence (OR=0.66, 95% CI=0.54-0.81) and compliance (OR=0.65, 95% CI=0.56-0.76). Conclusion: Our results showed the possibility that usual source of care is able to conduct a positive role in improving adherence to medication with better management of chronic disease.

• Journal of Korean Public Health Nursing
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• v.29 no.2
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• pp.298-311
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• 2015

Purpose: The purpose of this study was to describe levels of multiple stress factors and depression, and to examine the effects of the stress factors on depression among female marriage immigrants in Korea. Methods: Participants were 322 female marriage immigrants currently residing in Korea, who migrated from China, Vietnam, the Philippines, and other Asian countries. Stress of female marriage immigrants was measured on the SMFMI (Stress Measure of Female Marriage Immigrants in Korea), consisting of 21 items in four factors (cultural, household economic, emotional, and parenting and discrimination stress). CES-D was used to assess depression among marriage immigrants. Descriptive statistics, t-test, ANOVA with Scheffe's post hoc tests, and multiple regressions were performed for data analyses. Results: The average score for stress was 1.34 (SD=.98, theoretical range: 0-4) and the average score for depression was 17.07 (SD=10.09) in these female marriage immigrants. Adjusting for household income, employment status, duration since immigration, and Korean language proficiency, household economic stress (p<.001) was identified as the strongest predictor in explaining depression of female marriage immigrants (Adjusted $R^2=.331$). Conclusion: Health care professionals should prioritize intervention strategies to alleviate household economic stress for mental health promotion in female marriage immigrants in Korea.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.12 no.5
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• pp.87-97
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• 2013

This study tried to explore the quantitative travel heterogeneity between elderly and non elderly people, focusing on urban and rural areas in south Chungcheong province. For the analysis, a PLS(Partial least square) model is applied with economic and traffic environment characteristics of the urban and rural areas. The characteristics of elderly and non elderly people in the urban and rural areas are derived from the 2011 person trip survey. As a result, the study found out that the key factors affect on elderly people in the urban and rural areas are bus operation interval, number of bus operation routes, number of household member, and a monthly average income of household. In case of non elderly people, areas economic factors such as GRDP, the rate of economic activity, and employment status as well as those of elderly people. Meanwhile, female elderly people in rural area have more sensitivity compared to male elderly people and the gender heterogeneity is not revealed in non elderly people.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.16 no.3
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• pp.145-153
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• 2016

Cable TV with largest subscription base in pay TV market has difficulty in managing the task of digital switch over. This study analyzed the factors in delay of cable TV switch over and examined the impact of pay TV market structure and competition. The delaying factors turned out to be the lack of incentives and resources of cable TV operators, insufficient policy measures and acceptance tolerance issues of subscribers. Since cable TV operators with monopolistic status in pay TV market had continuous profit from analog service, they were not responsive to digital switch over which requires additional investment. Policy measures including support for the low income household and mandatory cut-off point for stopping analog broadcasting. Subscriber's willingness to accept digital broadcasting in terms of price sensitivity and preference for convenient operation also played a role. Introduction of IPTV in pay TV market influenced the speed of digital switch over of cable TV operators. MSOs with economies of scale showed higher digital switch over rate than independent SO.

• Journal of agricultural medicine and community health
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• v.32 no.3
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• pp.117-124
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• 2007

Objectives: This study was conducted to investigate how willingness to have an additional childbirth was related to mother's general characteristics and various reasons for avoiding an additional childbirth. Methods: By using organized questionnaire, we had face-to-face interviews with 722 mothers who had 12 to 36 months child in a urban-rural area of Chungcheongnam-do from 14 February to 19 February in 2005. Questionnaires included general characteristics composed of age, monthly income, number of children, major carers and mother's job status, and 6 reasons for avoiding an additional childbirth. We performed chi-square test and multiple logistic regression analysis. Results: Of 722 mothers, 66.5% had no willingness to have an additional childbirth. In the multiple logistic regression analysis, old age of mother(95% CI of OR: 1.084-1.190), two or more children(95% CI of OR: 6.97-15.602) and weak norm about need for a child(95% CI of OR: 1.633-29.352) were independent related factors with willingness to have an additional childbirth. Conclusions: In our study, 2/3 women who already had children were appeared to have no willingness to have additional childbirth. Policies about family planning and controlling birth rate should be focused on eliminating barrier to additional childbirths.

• Journal of Technologic Dentistry
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• v.33 no.4
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• pp.453-466
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• 2011

Purpose: This study aims to investigate the general characteristics of dental technicians and their health behaviors and to analyze the related factors of their work stress and physical symptoms. Methods: The survey used structured self administered questionnaires for a survey targeting 741 members registered of the Dental Technician Association in Daegu Metropolitan City from September to October, 2009. Total of 518 replies and analyzed 490 questionnaire excluding 28 incomplete questionnaires. Results: The work stresses were higher in those who answered that they were under 30-years old, unmarried, lower in rank, or had longer work hours, lower monthly incomes or poor self-perceived health status. In addition, those who worked in a dental laboratory with poor work environment including insufficient ventilation, sand blaster with no powder collecting functions, etc., tended to experience higher work stress than others due to their work conditions. The total average of the respondents of the survey who answered that they suffered from some physical symptoms was 14.7 points. It was found that the factors affecting the score of physical symptoms include occupational features such as work hours, monthly income, etc., and physical work environment such as the presence or absence of ventilator, of dust-collectors within sand blaster, etc., and work stress, exerted significant influence. Conclusion: The outcomes of this study indicates that to lessen work stress and to ultimately alleviate physical symptoms, it is necessary to do the following: improve work environment of young unmarried women; adjust their daily working hours; ameliorate physical work environment. To improve overall physical symptoms, it is importance to establish a safe and healthy working environment.

• Korean Journal of Health Education and Promotion
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• v.27 no.1
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• pp.71-80
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• 2010

Objectives: This study furthers the currents understanding of mental health status and stress level among Seoul citizens and to identify differences according to socio-demographic variables for developing mental health programs. Methods: The study subjects using cluster-stratified sampling method were 1234 adults over 19 years old from 17 dong, S-Ku in Seoul City. A cross-sectional study with face-to-face interview was used to collect data. A questionnaire measuring socio-demographic variables, Symptom Checklist-90-Revised (SCL-90-R) and psychosocial wellbeing index-short form (PWI-SF) was utilized. Results: Three findings in this study were discussed: (1) The rate of clinical mental health was low in contrary to that of border group which was high and the rate of high risk group of stress was 68.1% (men 67.0%, women 69.0%); (2) The mental health and the stress level was significantly higher among female, elderly, lower education level, divorced, and lower family income; and (3) In Pearson correlation analysis, stress were correlated to all 9 symptoms of SCL-R. Conclusion: The findings suggest that the future intervention of Mental Health programs should be carefully designed and tailored by socio-demographic variables.

• Korean Journal of Health Education and Promotion
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• v.27 no.4
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• pp.141-152
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• 2010

Objectives: This study was conducted to estimate the health-related quality of life using EQ5-D by socio-demographic characteristics and mental health among Seoul citizens for developing health promotion programs. Methods: The study subjects using cluster-stratified sampling method were 1234 adults over 19 years old from 17 dong, S-Ku in Seoul City. A cross-sectional study with face-to-face interview was used to collect data. A questionnaire measuring socio-demographic variables, Symptom Checklist-90-Revised (SCL-90-R) and Euroqol EQ-5D instrument. The Difference on the EQ-5D index among groups were tested with Mann-Whitney U test and Kruskal Wallis test. Results: The mean EQ-5D index for all subjects was 0.946(${\pm}0.105$). The EQ-5D index were significantly different by sex, age, marital status, eduction level and income. The EQ5-D indexes among clinical mental health groups were the lowest scores and significantly different from other groups. Conclusion: The findings suggest that the future intervention of health promotion programs should be carefully designed and tailored by socio-demographic variables. Especially, the mental health programs need to be developed.

• Korean Journal of Occupational Health Nursing
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• v.10 no.2
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• pp.153-163
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• 2001

Purpose of the study was to identify the relationship between job stress and health promoting behavior(HPB) among nurses. Samples were 426 nurses working in some university hospitals which were chosen by convenient sampling. Data was collected by using constructed questionnaires from March 28th to April 7th 2001. The instruments used for in the study were 'The Health Promotion Behavior' which was developed by Park(1995) and 'The Job Stress' modified by Kim(1998). The data was analyzed by mean, standard deviation, t-test, ANOVA, Duncan test and Pearson's correlation coefficient in the SPSS program. The results were as follows : 1. The mean score of job stress was 3.51 which is meant to be 'more than moderate' level of stress. 2. The total mean score of health promoting behavior was 2.44; 'Management of Sanitary life' 3.12, 'Harmonious relation-ships' 2.95, 'Emotional support' 2.71, 'Diet control' 2.59, 'Self-achievement' 2.57, 'Self-control' 2.31, 'Healthy diet' 2.29, 'Rest and sleep' 2.26, 'Exercise and activity' 2.12, 'Regular diet' 1.91 and 'Professional health maintenance' 1.61 were shown in each HPB category. 3. There were not any statistical differences between job stress and general characteristics of nurses. 4. The health promoting behavior was significantly influenced by factors of age, marital status, education level, religion, position, career and family income of nurses. 5. There was not any correlations between job stress and health promoting behavior.

• The Journal of Korean Academic Society of Nursing Education
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• v.16 no.1
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• pp.92-100
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• 2010

Purpose: This study was conducted to investigate the cognition level and the performance level of universal precautions on blood-borne infections and to analyze related-factors on the performance level for universal precautions among the nurses. Method: A total of 166 nurses participated in the survey. We performed multiple linear regression to assess the related-factors on the performance level for universal precautions. Result: The mean scores of cognition and performance level for universal precautions were 65.61(${\pm}8.74$) and 53.98(${\pm}8.42$) respectively. The mean score of the cognition level was significantly lower than the performance level in all items. The cognition level was associated with the working field. The performance level was highest for nurses working over 36 years, nurses in university hospitals, and nurses in the operating room. The cognitive level for universal precautions, education level, exposure to blood-borne infection, family's income, and marital status significantly predicted the performance level for universal precautions in the multiple linear regression model (Adjusted $R^2=0.42$). Conclusion: The cognition level for universal precautions is the strongest predictor on the performance level for universal precautions. An integrated approach should incorporate training experiences to improve cognition and perception of risk on universal precautions for preventing blood-borne infections.