• Title/Summary/Keyword: Individual and Community factor

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Analysis of Community Health Status and Related Factors Using Community Health and Social Indicators (지역사회 보건사회지표를 이용한 지역사회 건강수준 관련 요인 분석)

  • Park, Eun-Ok
    • Research in Community and Public Health Nursing
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    • v.19 no.1
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    • pp.13-26
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    • 2008
  • Purpose: The purpose of this paper was to investigate community health status and related factors using community health and social indicators. Method: Data sources were reviewed and data for 10 categories, 75 indicators were collected. Community health status and health-related factors were categorized, and the means and standard deviation of individual indicators were obtained and standardized scores were calculated. In addition, through factor analysis of individual indicators by category using the scores and using the resultant factor coefficients as weights, indexes were calculated by area. Correlation and regression were analyzed. Result: Each indicator was highly correlated with each index, and the indexes were highly correlated with one another. Correlation coefficients were above 0.8 between community health index and population, education, housing, and economy, between population and education, housing and economy, between education and housing and economy, and between housing and economy, environment and industry. But multicollinearity was not found in the result. Significant factors on community health index were population, health personnel and facilities, education, housing and economy, and R-square were 92.4%. Conclusion: Health determinants such as population, health personnel and facilities, education, housing and economy could be influencing factors on community health in community level. These results showed the importance of intersectoral collaboration within a local government. Overall community health can be enhanced by intersectoral collaboration.

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Factors Affecting Emotional·Behavioral Problems in Early Adolescence: A Multilevel Model Study

  • Park, Hee Young;Choi, Yeon Hee
    • Research in Community and Public Health Nursing
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    • v.28 no.4
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    • pp.482-493
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    • 2017
  • Purpose: This study aims to investigate the individual and environmental factors related to emotional/behavioral problems to early adolescence in Korea by applying multilevel modeling. Methods: From the database of the 2014 Korean Child and Youth Panel Survey (KCYPS), the researchers selected 1,977 adolescents who are in the second year of middle school. Multilevel model analysis was performed to estimate the impact of relevant factors at the individual and environmental levels. Results: At the individual level, the significant factors associated with emotional/behavioral problems included BMI and study tendency in boys, and drinking, study tendency and economic levels in girls. At the environmental level, the significant factor associated with emotional/behavioral problems included relationship with the teacher. Conclusion: The emotional/behavioral problems of early adolescence are influenced not only by the individual factors but also by the environment factor. Therefore, the environment surrounding the adolescents should also be considered to prevent emotional/behavioral problems.

The Effect of Community- and Individual-Level Factors on Suicidal Ideation and Attempts: A Multilevel Analysis (2021년 지역사회건강조사를 활용한 지역사회 및 개인 수준의 요인이 자살 생각과 자살 시도에 미치는 영향: 다수준 분석)

  • So Young Ha;Jinhwan Kim;Haegyun Park;Youngsoo Kim
    • Korean Journal of Psychosomatic Medicine
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    • v.32 no.1
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    • pp.24-33
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    • 2024
  • Objectives : The purpose of this study was to investigate individual- and community-level factors on suicidal ideation and suicide attempt among Korean adults. Methods : This study was conducted on 225,965 adults collected through data from the 2021 Community Health Survey and the Korean Statistical Information Service (KOSIS). The general characteristics, suicidal behavior (e.g., suicidal ideation, and suicide attempts), and community-level characteristics of the study subjects were analyzed using frequency (%) and mean (standard deviation). The effects on individual- and community-level factors on suicidal ideation and suicide attempts was analyzed using multilevel logistic regression models. Results : The community-level factor associated with suicidal ideation was unmet health care (Odds Ratio [OR]=1.053, 95% CI=1.035-1.071), and the community-level factor associated with suicide attempt was the aging rate (OR=1.015, 95% CI=1.001-1.030). Regarding health-related variables, the individual-level factors associated with suicidal ideation were stress status (OR=9.388, 95% CI=8.629-10.213), depressive experience in the past year (OR=6.737, 95% CI=6.454-7.032), and the predominantly individual-level factors associated with suicide attempt were also stress status (OR=5.213, 95% CI=3.699-7.347), and depressive experience in the last one year (OR=13.433, 95% CI: 11.247-16.044). Conclusions : We confirmed individual-level and community-level factors influencing suicidal ideation and suicide attempt. Through these findings, we need to establish suicide prevention policies, considering managing individual-level factors such as stress and depression as well as community-level factors such as unmet health care.

Regional Contextual Factors and Self-Rated Health: a Multilevel Study of Korean Adults

  • Lee Sang Gyu
    • Korean Journal of Health Education and Promotion
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    • v.21 no.4
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    • pp.75-97
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    • 2004
  • Objectives: To examine whether the socioeconomic characteristics of communities (contextual effects) are related to the self-rated health of community residents after controlling individual characteristics (compositional effects). Methods: A linked data set including information on individuals from raw data of 1998 Korean National Health and Nutrition Survey(KNHNS) and information on the regions where the individuals lived from the socioeconomic statistical indices of Si-Gun-Gu (city-county-ward) in 1998 was established. The contextual factors of communities were generated from these socioeconomic indices through factor analysis. The contextual effects of community over and above the individual characteristics on the self-rated health were investigated using multilevel analysis. Results: The contextual factors of the community expressed as the factor scores have influence on the self-rated health of their residents above the compositional factors. When the communities were categorized into 5 groups (highest, high, middle, low, lowest) according to each of their factor scores, for factor 1 reflecting urbanization reversely, the residents of the communities that had the high, middle, and low factor scores showed significantly poor subjective health status than the residents of the lowest (most urbanized) group. For factor 2 reflecting community services and health resources, the subjective health status of the residents gradually became poorer when the group went from the highest to the lowest, and the low and lowest groups showed a significant difference. For factor 3 reflecting the manufacturing industry, as compared with the communities that have the highest factor scores, the other 4 groups showed significantly poorer subjective health status. And for factor 4 reflecting the scale of the regional government, as compared with the middle group, the rest of the 4 groups showed significantly better self-rated health. Conclusions: There existed regional contextual effects on their residents' health in Korean adults. To make policies tackling these contextual effects possible, more elaborate researches to find more specific factors and to explain the mechanisms of how health is influenced by the contextual factors are needed.

Study on factors affecting the intention of knowledge sharing in the electronic network of practice for job examination (온라인 채용시험정보 커뮤니티 내에서 지식공유의도에 영향을 미치는 요인에 관한 연구)

  • Jeon, Hyeon-Gyu;Kim, Min-Yong
    • Knowledge Management Research
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    • v.14 no.2
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    • pp.71-88
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    • 2013
  • The aim of this study was to investigate why people voluntarily contribute knowledge to others, primarily strangers, in the electronic network of practice for job examination expected potential competing. This paper is organized as follows. First, we introduce the electronic network of practice which is the knowledge sharing community for job examination, and discuss the key issues for understanding knowledge sharing in these networks on the basis of individual motivations, relational capital, sense of community, and sense of rivalry to develop a research model for this study. To test the proposed research model, we adopted the survey method for data collection, and examined our hypotheses by applying the multiple regression analysis method to the collected data. Our unit of analysis was the individual. The findings of this study show that the intention of knowledge sharing is influenced by the reputation and the enjoy helping as the factors of individual motivations, by the reciprocity as the factor of relational capital, and by a sense of rivalry as a psychological factor. Lastly, contributions of this study and future research opportunities are also discussed.

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Factors Influencing Happiness among Pregnant Women in the Ecological Systems Theory (임부의 행복에 영향을 미치는 요인: 생태체계 이론 적용)

  • Lee, Gyuree;Choi, Hyunkyung
    • Research in Community and Public Health Nursing
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    • v.30 no.1
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    • pp.11-24
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    • 2019
  • Purpose: This study tries to systematically understand factors that explain levels of happiness among pregnant women in the Ecological systems theory. Methods: A descriptive, cross-sectional study was conducted with 169 pregnant women in Korea. Collected data from self-report questionnaires were analyzed by hierarchical regression analysis using the SPSS statistics 23 program. Results: A total of 5 models were examined according to individual, microsystem, mesosystem, exosystem, and macrosystem in the Ecological systems theory. In the first model including individual factors, extraversion, neuroticism, and physical and psychological change constitute significant factors explaining happiness. In the second model with microsystem factors and in the third one with mesosystem factors, marital intimacy appears to be a significant factor. In the fourth model including exosystem factors, community service is a significant factor. In the final model with social atmosphere, personality (${\beta}=.15$ for extraversion; ${\beta}=-.30$ for neuroticism), physical and psychological change (${\beta}=-.15$), marital intimacy (${\beta}=.35$), and community service (${\beta}=.18$) turn out to be significant. These factors explain 59% of the variance of happiness in the pregnant women in Korea. Conclusion: Considering the fact that pregnant women's happiness is explained by microsystem and exosystem factors as well as individual factors, developing intervention programs that can promote influencing factors such as marital intimacy and community service is necessary to improve levels of happiness among pregnant women in Korea.

A Study on Vegetation Characteristics and Management of Amblyotropis verna Habitats in Kyungpook National University (경북대학교 내에 생육하는 애기자운(Amblyotropis verna) 자생지의 식생특성과 관리방안에 관한 연구)

  • Park, In-Hwan;Cho, Kwang-Jin;Lee, Hea-Young;Jang, Gab-Sue
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.13 no.5
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    • pp.51-58
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    • 2010
  • This study was done to recommend a method for conserving the habitat of Amblyotropis verna grown naturally in campus of the Kyungpook National University at Daegu city. Vegetation characteristics and morphological characteristics of each individual were analyzed for the condition of the population at the growing season from May to June in 2010. Totally 11 vegetation data were collected and analyzed, and one vegetation community including Amblyotropis verna (Amblyotropis verna-Zoysia japonica community) was found. We found that the growing condition was not good with severe stamping and disturbance. The location-determining method by PCoA analysis showed the physical texture in soil was a critical factor determining the spatial distribution of the Amblyotropis verna-Zoysia japonica community. And the analysis of morphological characteristics found that light condition and soil hardness were the main ecological factor determining the size and form of each individual. Finally, this study recommend that minimizing impacts by human stamping and artificial disturbance and reducing the water stress were the best ways for the conservation of Amblyotropis verna habitats.

Multilevel Analysis on the Risk Factors for Depression in Jeollabuk-do (우울증 위험요인에 관한 다수준 분석: 전라북도 주민을 대상으로)

  • Jungwoo, Sohn
    • Journal of agricultural medicine and community health
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    • v.47 no.4
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    • pp.268-274
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    • 2022
  • Objectives: The purpose of this study was to identify the individual and regional risk factors on depression using community-based data in Jeollabuk-do. Methods: This cross-sectional study obtained data from the Community Health Survey 2018 in Jeollabuk-do. The dependent variable was depression measured by Patient Health Questionnaire-9 (PHQ-9). The prevalence of depression was defined if total score of PHQ-9 was 10 or higher. A multilevel analysis was conducted to consider individual and regional level independent variables that could be risk factors for depression. Results: In the individual level, female gender and smokers had significantly higher odds ratios (ORs) for depression of 1.58 and 1.72, respectively. Subjects with economic activity, higher income and higher education had significantly lower ORs of 0.53, 0.41 and 0.66. In the regional level, higher greening rates and lower levels of PM2.5 had statistically lower ORs at the significance level of 10%. Conclusion: By conducting this study, risk factors associated with depression were identified in individual- and regional-level. This study suggests that health projects are needed to control regional level risk factors including community networks for mental health management in addition to the traditional individual level risk factors.

An Empirical Study on Factor Associated with Mood Disorders in Elderly: Focusing on the Influence of Community Characteristics (노인 기분장애 영향요인에 관한 실증적 연구: 지역사회 특성의 영향을 중심으로)

  • Chang, Miseung;Shim, Ik Sup
    • Health Policy and Management
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    • v.27 no.2
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    • pp.177-185
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    • 2017
  • Background: The mental problems of the elderly are at issue as a serious social phenomenon. The purpose of this study is to identify risk factors affecting the mood disorders of the elderly. Methods: The subjects were 1,779,236 aged ${\geq}65$ and participated in health screening. Dependent variable was mood disorders. Independent variables were consisted of community level (regional deprivation index and healthcare resources) and individual level (sex, age, insurance type, disability, smoking, alcohol, physical activity, body mass index, and healthcare utilization). Multilevel logistic regression was performed. Results: At the individual level, women, employed insured, severely disabled people, heavy alcohol drinkers, high-intensity physical activity, body mass index, and patients who had chronic disease and severe disease were significantly associated with mood disorders. As the age has increased, it has let increase of mood disorders. At the community level, as the regional deprivation index has increased by 1, mood disorders has been increased by 1.005 times. The intra-class coefficient was 7.04%. Conclusion: We found individual and community level factors are associated with mood disorders. Systematic approach is essential to reduce mood disorders.

An Impact Analysis of Rural Residents' competence in Expansion of Participation of Rural Development Projects (농촌주민의 역량이 농촌개발의 참여확대에 미치는 영향분석)

  • Koh, Jin Young;Kim, Jee Yong;Yang, Min ho;Kim, Myung Il;Kim, Ki Sung
    • Journal of The Korean Society of Agricultural Engineers
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    • v.60 no.1
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    • pp.37-45
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    • 2018
  • This study is aims to voluntary participation in rural development projects, voluntary participation by analyzing the individual competence factors, how the what and how much influence affect the continued involvement and participation as a concept of strengthening community capacity the plan for it to present. The results of survey, through factor analysis and reliability analysis for extracting the components of individual competence areas and life satisfaction, self acting capacity, was extracted with recognized competence, was the factor analysis and reliability analysis for ongoing involvement and participation. Personal competence was a multiple regression analysis, the participation of three elements as independent variables as dependent variables to evaluate the impact of continuing involvement, and the resulting Regional and life satisfaction (${\beta}=0.301$) have the greatest impact It showed. In addition, regional analysis and life satisfaction (${\beta}=0.247$) on the impact of enlargement on the individual capabilities showed the highest participation. The elements of local life satisfaction and personal competencies exerts the greatest influence on the continued involvement and participation in the study was obtained. It based on the results in rural development for the voluntary participation and participation of the population should be considered with a plan to enhance the regional and life satisfaction, "the software business, which is carried out in rural areas developed for them by local residents the measures to increase life satisfaction will be provided.