• Title/Summary/Keyword: Korea Health Panel data

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Chronic Illnesses and Multidimensional Disability among Older Adults with Disabilities: Applying the ICF Framework (고령장애인의 만성질환과 다차원적 장애 : 국제기능장애건강분류틀(ICF)을 적용하여)

  • Cho, Sangeun
    • Korean Journal of Social Welfare Studies
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    • v.48 no.4
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    • pp.91-120
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    • 2017
  • This study aimed (a) to examine the association between chronic illness and multidimensional disability(i.e., psychological/emotional functions, activity capacity, and participation frequency) among older adults with disabilities, (b) to investigate the effect of formal and informal supports on multidimensional disability, and (c) to analyze the moderating effects of formal and informal supports on the association between chronic illness and multidimensional disability. This study used 2014 Korea Welfare Panel Study(the 9th wave) data and 450 older adults with disabilities aged 50 and over were selected as the study target. The research model was analyzed by structural equation modeling using IBM AMOS 22.0. Based on the ICF framework developed by WHO, health condition was measured by the level of chronic illness; psychological/emotional functions were measured by health satisfaction, self-esteem, and depression; activity capacity was measured by ADLs and IADLs; participation frequency was measured by the total number of social activities joined; formal support was measured by the total number of formal welfare services for people with disabilities utilized; informal support was measured by perceived social support. The findings showed that the level of chronic illness was negatively associated with psychological/emotional functions among the older adults with disabilities. The informal support positively affected psychological/emotional functions and activity capacity, whereas the formal support showed the opposite result. That is, the formal support negatively influenced activity capacity and showed a moderating effect on the association between the level of chronic illness and the psychological/emotional functions in a reverse way. Based on the results, practice and policy implications for alleviating disability level among the older adults with disabilities were discussed.

Metabolic Diseases Classification Models according to Food Consumption using Machine Learning (머신러닝을 활용한 식품소비에 따른 대사성 질환 분류 모델)

  • Hong, Jun Ho;Lee, Kyung Hee;Lee, Hye Rim;Cheong, Hwan Suk;Cho, Wan-Sup
    • The Journal of the Korea Contents Association
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    • v.22 no.3
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    • pp.354-360
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    • 2022
  • Metabolic disease is a disease with a prevalence of 26% in Korean, and has three of the five states of abdominal obesity, hypertension, hunger glycemic disorder, high neutral fat, and low HDL cholesterol at the same time. This paper links the consumer panel data of the Rural Development Agency(RDA) and the medical care data of the National Health Insurance Service(NHIS) to generate a classification model that can be divided into a metabolic disease group and a control group through food consumption characteristics, and attempts to compare the differences. Many existing domestic and foreign studies related to metabolic diseases and food consumption characteristics are disease correlation studies of specific food groups and specific ingredients, and this paper is logistic considering all food groups included in the general diet. We created a classification model using regression, a decision tree-based classification model, and a classification model using XGBoost. Of the three models, the high-precision model is the XGBoost classification model, but the accuracy was not high at less than 0.7. As a future study, it is necessary to extend the observation period for food consumption in the patient group to more than 5 years and to study the metabolic disease classification model after converting the food consumed into nutritional characteristics.

Effects of Usual Source of Care by Patients with Diabetes on Use of Medical Service and Medical Expenses (당뇨병 환자의 상용치료원 보유가 의료이용 및 의료비에 미치는 영향)

  • Lee, So Dam;Shin, Euichul;Lim, Jae-Young;Lee, Sang Gyu;Kim, Ji Man
    • Korea Journal of Hospital Management
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    • v.22 no.3
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    • pp.1-17
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    • 2017
  • Purposes: Diabetes is a metabolic disorder that requires continuous care in order to prevent complications, as it can impose a critical burden on families and society due to various complications, including terminal renal failure, non-traumatic lower extremity amputation, and adult blindness. The usual sources of care are "specified private clinics, public health centers, or other facilities to visit when ill or when health-related advice is needed". These usual sources of care offer preventative services, have a high overall satisfaction rate in terms of public health care, and decrease the inpatient rates and medical costs of medical aid recipients. This study analyzed the current status of diabetic patients over 20 years of age based on their possession of a usual source of care, and the effects of this possession on the frequency of their medical service usage and its costs. Methodology: Based on data from the 7th Korea Health Panel, a Tobit analysis was used to analyze the different factors that can affect the frequency of medical service usage and its costs for diabetic patients with and without a usual source of care. Findings: The medical costs of diabetic patients with a usual source of care decreased in terms of inpatient, and the outpatient visits and inpatient costs of the group with a usual source of care in the form of a mainly-visiting doctor decreased more than those of the group with a mainly-visiting medical institution only. Practical Implications: Having a usual source of care can increase the treatment continuity, leading to reduced inpatient, and having a mainly-visiting doctor as the usual source of care further increases the treatment continuity. Based on these results, a new policy is needed to increase and strengthen diabetic patients? possession of a usual source of care.

Prevalence and Related Factors of Metabolic Syndrome in Korean Adolescent (청소년의 대사증후군 유병률 및 관련요인)

  • Bang, So Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.309-316
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    • 2018
  • Purpose: This study was conducted to identify the prevalence and related factors of metabolic syndrome in Korean adolescents. Method: Based on data from the Korea National Health and Nutrition Examination Survey of 2015, 404 adolescents aged 12-18 years were enrolled. We used the adolescent Ford method as the diagnostic criteria for adolescent metabolic syndrome. The data were analyzed using descriptive statistics, t-test, $x^2$-test, and logistic regression with SPSS WINDOW 23.0 program. Results: The prevalence of metabolic syndrome in Korean adolescents was 6.5% (6.5% for boys and 6.4% for girls). Among metabolic syndrome components, the prevalence of elevated blood pressure (28.8%) was the highest, followed by elevated triglycerides (21.3%), increased waist circumference (14.1%), decreased high density lipoprotein-cholesterol (11.5%), and elevated fasting blood sugar (7.8%). The only factor associated with metabolic syndrome in both boys and girls was the Body Mass Index (BMI), and the likelihood of a metabolic syndrome increased by 1.6 to 2.3 times (Adjusted OR=1.552 to 2.313, p=0.001) as the BMI increased. Conclusion: Based on the results of this study, an intervention program should be developed and provided to maintain the BMI in the normal range for the prevention and management of metabolic syndrome in Korean adolescents.

The Effect of Solidarity with Non-Cohabiting Children of the Elderly on Successful Aging (노인의 비동거 자녀와의 결속력이 성공적 노화에 미치는 영향)

  • Lee, Su-Jin;Hong, So-Hyoung
    • Journal of Convergence for Information Technology
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    • v.11 no.7
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    • pp.47-56
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    • 2021
  • This study a secondary data analysis study attempted to identify the factors influencing the successful aging of the elderly in Korea. Using the data of the 7th Aging Research Panel in 2018, 4,106 people over 65 years of age who had at least one non-living child and no missing values in the study variables were enrolled. Data were analyzed by frequency analysis, crossover analysis, independent sample t-test, and binary logistic regression analysis. The results of this study revealed that the factors affecting successful aging among elderly included age, the presence or absence of a spouse, education level, housing type, subjective health, exercise, alcohol drinking, and non-face-to-face contact frequency with non-cohabiting children, and the explanatory power of the variables was 24.1%. In order for the elderly to achieve successful aging, centering on child ties, the frequency of non-face-to-face contact, which can comfort the elderly's life and increase the satisfaction of life in a continuous relationship, is more important than having children live close and meet frequently. Based on this study, various strategies are needed for the successful aging of elderly people who are socially isolated due to concerns about COVID-19 infection.

Relationship between Compulsory Employment System for persons with Disabilities and Health Status (장애인 의무고용제도와 건강상태 간의 연관성)

  • You, Jin Ha;Kim, Ye Won;Yang, Jeong Min;Kim, Jae Hyun
    • Korea Journal of Hospital Management
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    • v.27 no.2
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    • pp.53-66
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    • 2022
  • Aim : The purpose of this study is to investigate the influence of the awareness level of the mandatory employment system for the disabled and the help of the employment increase on the health status of the disabled. Based on this, the purpose of this study is to raise awareness of the compulsory employment system for the disabled and to suggest a way to improve the health of the disabled. Methods : In this study, the first data of the second wave of the 2016-2018 Employment Panel Survey for the Disabled was used to analyze the participation of the disabled in economic activities. a total of 1,648 subjects were analyzed using the chi-square test and generalized estimating equation (GEE). Results : Compared to the group knowing about the compulsory employment system for the disabled, in the group who did not know about the compulsory employment system, the cognitive level was significantly higher for subjective health status (Odds Ratio [OR]: 1.573, 95% Confidence Interval [CI]: 1.252-1.977) and chronic diseases (OR: 1.407, 95% CI: 1.091-1.816), Compared to the group that the compulsory employment system for the disabled is helpful in increasing employment, the group that said it was not helpful at all had depression feel (OR: 2.330, 95% CI: 1.219-4.452) and subjective health status (OR: 2.052, 95% CI: 1.232. -3.416) significantly affected. Conclusion : It was found that the lower the level of awareness and help of the compulsory employment system for the disabled, the negative impact on their health status. Therefore, it is necessary to promote employment growth by raising awareness of the employment system for the disabled. Furthermore, in order to improve the health of the disabled, public relations plans to increase the understanding of the disabled on the system and policies to protect the disabled people who lose their will to work due to difficulties in accessing employment were enacted, and Changes to a disability-friendly working environment should be activated so that participants can participate.

Estimating the Determinants of Loan Amount of Housing Mortgage : A Panel Data Model Approach (주택 담보 가계 대출액 결정요인 추정에 관한 패널 데이터 모형 연구)

  • Kim, Hee-Cheul;Shin, Hyun-Cheul
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.7
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    • pp.183-190
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    • 2011
  • Loan amount of housing mortgage is composed of various factors. This study paper studies focuses on estimating the determinants of a loan amount of housing mortgage. The region for analysis consist of seven groups, that is, metropolitan city (such as Busan, Daegu, Incheon, Gwangiu, Daejeon, Ulsan.) and Seoul. Analyzing period be formed over a 45 time points(2007. 01.~ 2010. 09). In this paper the dependent variable setting up loan amount of housing mortgage, explanatory(independent) variables are composed of the consumer price index, unemployment rate, average monthly household income per household, expenditure rate of health care, composite stock price index and overdue rate of household loans for commercial bank. In looking at the factors which determine loan amount of housing mortgage, evidence was produced supporting the hypothesis that there is a significant positive relationship between the consumer price index and unemployment rate. The study also produced evidence supporting the view that there is a significant negative relationship between expenditure rate of health care. The study found that average monthly household income per household, expenditure, composite stock price index and overdue rate of household loans for commercial bank were not significant variables. The implications of these findings are discussed for further research.

A Study on the Characteristics of Poverty of North Korean Settlers: A Comparison with the South Korean Poor (장기 정착 새터민의 빈곤특성 연구: 남한 빈곤층과의 비교 고찰)

  • Kim, Yeun-Hee;Cho, Young-A;Yoo, Si-Eun
    • Korean Journal of Social Welfare
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    • v.61 no.1
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    • pp.195-218
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    • 2009
  • The purpose of this study was to analyze the phenomenon of poverty among North Korean settlers in Korea in terms of its magnitude, the severity, and its determinants by comparing it with the South Korean poor. The data used for this analysis were the second Korean Social Welfare panel data for the South Koreans and the third longitudinal study on North Korean settlers in the South. The average household income of the North Korean settlers reached about 70% of the South Korean counterparts. The percentage of the North Korean households that earn 200% of the poverty line was about the same as the South Koreans, which indicates the improvement of the economic status of the long-term settlers in the South. However, the North Korean settlers below 100% of the poverty line were twice as much , and those under 50% of the poverty line were 8 times more than their South Korean counterparts. Despite the improved economic status of the long-term North Korean settlers in the South, those who still live below the poverty line tend to remain in poverty, which is chronic and severe. The determinants of the North Korean settlers' poverty were identified as age, number of household members in employment, alcohol problem and health satisfaction level. Policy implications were discussed in conclusion.

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A New Generational Spirit?: A Study on Welfare Attitude of Korean Young Generations (새로운 세대정신?: 한국청년세대의 복지태도 지형연구)

  • Sin-Young Kim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.17-23
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    • 2023
  • This study purports to explore the landscape of welfare attitudes of young generation of Korea in their 20s and 30s focusing upon potential differences from those of older generations. Korea has recently been in the significant debate on pension reform and the disadvantages of relatively young generations has been on of the most crucial issues during the reform. Survey data from 17th Korean Welfare Panel are analyzed and such variable as attitudes toward government expenditure on public pension, health care, old age support, poverty, family and child care and so on. In addition, welfare-related variables such as universalism vs selectivism, tax increase for welfare expenditure, and political orientation are to be analyzed. The results show several findings. First of all, correspondence analysis shows that young generation in Korea are strongly associated with higher education and full time employment compared to older generations. Secondly, the most interested welfare issues of young generations are housing and child support. Moreover, young generations' attitudes toward government expenditure increase differ from those of older generations on the issues of public pension, housing, and family and child support. Lastly, political orientation of those young generation tend to be progressive and they support universalism in welfare policy, but they do not support tax increase for welfare purpose, which, I would say, is inconsistent.

Convergence Effective Factors for Work Performance among Returning to Workers with Industrial Accident (산업재해 직업복귀자의 업무수행능력 융합적 영향 요인)

  • Kim, Chae-Bong;Yang, Jeong-Hee;Choi, Bo-Ram;Han, Seong-Min
    • Journal of the Korea Convergence Society
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    • v.7 no.3
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    • pp.149-157
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    • 2016
  • For workers, industrial accidents exert a bad effect on the productivity, quality of life, and depress the morale. This study aimed to examine the overall influence on job performance of employees who returned to work after industrial accidents. This was a cross-sectional study using the data of 2013 and 2014 Panel Study of Worker's Compensation Insurance (PSWCI), and we performed logistic-regression analysis to analyze an affinity between general characteristics and job performance as independent variable and outcome variable, respectively. As a result, the major factor depressed the job performance were the 1 - 7 degree of disabilities and injuries with convalescence period for 6 to 9month or more than 12 months. In other words, this study shown that job performance was decreased as higher degree of disability and longer convalescence period. Job performance is the factor to identify indirectly worker's successful return to work, and it is important in follow-up of workers who returned to work after industrial accidents. Stable job performance of an industrial disaster victim is the key factor to maintain worker's comfortable and qualitative life as well as increase of productive capacity.