• 제목/요약/키워드: Korean health panel

검색결과 829건 처리시간 0.026초

2018년 자살 관련 지표들과 추이 (Suicide Related Indicators and Trends in Korea in 2018)

  • 이두웅;권준현;양지은;주영준;박은철;장성인
    • 보건행정학회지
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    • 제30권1호
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    • pp.112-119
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    • 2020
  • Suicide has been a long-standing problem for global public health, along with almost 800,000 deaths from suicide worldwide in 2016, accounting for 1.4% of all deaths. South Korea was ranked first in suicide mortality in 2018 among countries in the Organization for Economic Cooperation and Development. This study aimed to suggest up-to-date information about suicide-related indicators such as the rate of suicidal ideation, suicide attempt, and suicide death, and its trends by applying sampling weight to make it nationally representative. In this study, we used the data sources: Korea National Health and Nutrition Examination (KNHANES, '07-13, '15-18), Korean Community Health Survey (KCHS, '08-09, '13, '17), Korean Wealth Panel Study (KOWEPS, '12-18), Korea Health Panel Survey (KHP, '10-13), and Statistics Korea (1983-2017). The rate of suicidal ideation as recent year was 4.73% (KNHANES, '17), 6.96% (KCHS, '17), 2.29% (KOWEPS, '18), and 5.39% (KHP, '13). That of suicide attempt as recent year was 0.51% (KNHANES, '18), 0.32% (KCHS, '17), and 0.15% (KOWEPS, '18). Annual percentage change (APC) of suicidal ideation was -15.4% (KNHANES, '07-13, '15, '17), -2.5% (KCHS, '08-09, '13, '17), -10.8% (KOWEPS, '12-18), and -10.9% (KHP, '10-13). APC of suicide attempt was -4.4% (KNHANES, '07-13, '15-18), -4.4% (KCHS, '08-09, '13, '17), and -13.6% (KOWEPS, '12-18). APC of death by intentional self-harm was -1.25% (Statistics Korea, '07-18). All suicide-related indicators were found to be decreasing in the overall from 2009. Individuals with lower income level were more likely to experience suicidal ideation and suicide attempts. Even though suicide rate had been continuously decreasing from its highest point in 2011 (suicide rate: 31.7 per 100,000 population) to 2017 (suicide rate: 24.3 per 100,000 population), it increased again in 2018 (suicide rate: 26.6 per 100,000 population). This information would be grounded on policy implementation for suicide prevention, thus continuous data observation is necessary.

산업재해 근로자의 사회적 지지가 주관적 건강에 미치는 영향 (The Impacts of Social Support on Industrial Injured Workers' Self-rated Health)

  • 김지은;함명일
    • 보건행정학회지
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    • 제32권2호
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    • pp.180-189
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    • 2022
  • Background: Social support contributes directly and indirectly to maintaining physical, mental, and social well-being. The aim of the study was to identify the impact of social support on self-rated health among Korean industrial accident workers. Methods: This study used data from the panel study of workers' compensation insurance (PSWCI). The final subjects were 2,759 workers who responded to a 2018 to 2020 PSWCI. Social support was defined as social contact with friends, neighbors, family, and social participation activities like religious activity, social activity, and club activity. Multivariate logistic regression analysis was performed to investigate causal relationships between social support and self-rated health using a generalized estimating equation model. Results: Proportion of workers' good self-rated health steadily increased (2018: n=1,447, 63.2%; 2019: n=1,542, 66.2%; 2020: n=1,653, 67.3%). Higher levels of social contacts with friend (worse: reference; same: β=0.442) and higher levels of social activity (yes: reference; no: β=-0.173) were especially associated with good self-rated health. Conclusion: This study confirmed social support positively influenced self-rated health among the self-rated health of industrial injured workers. The results of this study suggested that recovery policies that the government served should include programs enhancing social support for improving health among industrial injured workers.

계층화분석법(AHP)을 이용한 건강보험급여확대상병 우선순위 결정 (Priority setting for expanding health insurance benefit package using Analytic Hierarchy Process)

  • 최숙자;고수경;김정희;이상이
    • 보건행정학회지
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    • 제16권1호
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    • pp.73-94
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    • 2006
  • This study was carried out to show how the Analytic Hierarchy Process technique could be used in setting the priority among selected diseases to increase the range of health insurance benefit. Thirty experts, including doctors (group1), experts for preventive medicine or public health(group2), and representatives of the insured(group 3), participated in the study panel that is conducted for priority setting. They were asked to evaluate the priorities among 6 selected criteria and then 42 selected diseases. The results were as follows; First, representatives of the insured think that the magnitude of out-of-pocket payment should have high priority while doctors think that effectiveness of treatment should have high priority. Second, all experts think that catastrophic diseases such as malignant neoplasm, major heart disease, and cerebral vascular disease should have high priority in health insurance coverage even though there is little difference among groups. These results can be useful to establish a systematic strategy for expanding health insurance benefit package.

2019년 재난적 의료비 경험률 현황 및 추이 (Catastrophic Health Expenditure and Trend of South Korea in 2019)

  • 강수현;정원정;박은철
    • 보건행정학회지
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    • 제31권1호
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    • pp.140-144
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    • 2021
  • Catastrophic health expenditure refers to measure the level of the economic burden of households due to medical expenses. The purpose of this study was to examine the proportion of households that experienced catastrophic health expenditure between 2006 and 2019 using available data from the National Survey of Tax and Benefit (NaSTaB), Korea Health Panel (KHP), and Households Income and Expenditure Survey (HIES). Trend test was used to analyze the proportion of households with catastrophic healthcare expenditure. The households experienced a catastrophic health expenditure of 2.44% in 2019 using the NaSTaB data. Trend analysis was significant with the decreasing trend (annual percentage change [APC], -4.49; p<0.0001) in the proportion of households with catastrophic health expenditure. Also, the results of the 2017 KHP and the 2016 HIES showed 2.20% and 2.92%. The trend was significantly increased in the KHP (APC, 1.79; p<0.0001) and the HIES (APC, 1.43; p<0.0001). Therefore, this study suggests that further public healthcare interventions to alleviate the burden of catastrophic health expenditure, especially for low-income households, are needed.

2021년 재난적 의료비 경험률 현황 및 추이 (Catastrophic Health Expenditure Rate and Trend in 2021 and before)

  • 김수영;정성훈;박은철
    • 보건행정학회지
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    • 제33권3호
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    • pp.363-369
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    • 2023
  • The term "catastrophic health expenditure" means assessing the extent to which medical costs cause financial hardship for households. The aim of this research is to analyze the percentage of households that faced severe financial strain due to medical expenses from 2006 to 2021. This was achieved by utilizing data obtained from the National Survey of Tax and Benefit (NaSTaB), Korea Health Panel (KHP), and Households Income and Expenditure Survey (HIES). A trend analysis was conducted to examine the percentage of households that experienced catastrophic healthcare expenses. The households that experienced the catastrophic health expenditure was 2.49% in 2021 using the NaSTaB data. The trend analysis yielded a statistically significant result, indicating a decreasing trend (annual percent change [APC], -4.79; p<0.0001) in the proportion of households facing catastrophic health expenditures. Also, the results of the 2019 KHP and the 2021 HIES showed 1.09% and 2.44% for the households that experienced catastrophic health expenditure. The trend was increased according to the KHP (APC, 0.55; p=0.0004) and the HIES (APC, 7.04; p<0.0001). As a result, this study proposes that sustained attention and further interventions are necessary to ease the economic pressure caused by catastrophic health expenses, particularly for low-income households.

청소년의 사회적 자본과 주관적 건강수준의 관계: 탄력성의 매개효과 (The Relationship between Social Capital and Self-rated Health in Korean Adolescents: Mediating Effects of Resilience)

  • 김지혜;탁영란
    • 한국학교보건학회지
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    • 제32권1호
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    • pp.41-49
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    • 2019
  • Purpose: The purpose of the this study was to examine the mediating effect of resilience on the relationship between social capital - family, school, and community - and self-rated health in adolescents. Methods: The study is a secondary data analysis based on a cross-sectional design, using the data of 2016 Korean Children and Youth Panel Survey (KCYPS). The study analyzed the data of 2,001 adolescents by descriptive analysis, t-test, ANOVA, Pearson's correlation coefficients and structural equation modeling, using the SPSS and AMOS program. Results: The model's fit was adequate ($x^2/df=4.51$, CFI=.98, RMSEA=.04, SRMR=.02). The adolescents' social capital - family, school and community - had direct effects on their self-rated health. Resilience was found to play a partially mediating role in accounting for self-rated health. Conclusion: Resilience partially mediated the relationship between social capital and self-rated health in adolescents. Based on the results of this study, nursing strategies to build and strengthen social capital at the family, school and community level and to promote resilience are needed to improve the health of adolescents.

자가 응답식 자료에 근거한 유병률 및 건강기대수명 연구의 신뢰도 분석: 건강보험 표본코호트 DB와의 비교 (Reliability of self-reported data for prevalence and health life expectancy studies: comparison with sample cohort DB of National Health Insurance Services)

  • 권태연;박유성
    • 응용통계연구
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    • 제29권7호
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    • pp.1329-1346
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    • 2016
  • 한국 의료패널 데이터와 국민건강 영양조사는 추출된 표본의 자가 진단에 따른 건강상태(self-assessed health)와 그들의 의료기관 이용에 대한 자가응답식 자료(self-reported data)이다. 이러한 자료에 근거한 유병률 연구 및 그에 따른 건강기대수명 연구에 관하여 유병률의 신뢰도에 대한 검증이 선행되어야 한다는 주장은 이미 여러 연구에서 제기되었다. 반면 최근 공개된 건강보험공단의 표본코호트 DB는 전 국민을 대상으로 의료기관 이용에 관련된 모든 자료가 저장된 자료인 국민건강정보 DB로부터 추출된 객관적인 자료이다. 또한 추정된 질병별 유병률에 대하여 그 대표성 및 신뢰도가 확보되어 있음이 검증된 자료이다. 이에 본 논문에서는 우리나라 국민의 유병률에 대한 대표성 및 신뢰도가 확보되어 있는 표본코호트 DB와의 비교를 통하여 이들 응답식 데이터에서 도출된 유병률의 신뢰도에 대하여 논의하였다. 자가응답식 자료를 통한 유병률은 표본코호트 DB를 통한 유병률에 비교하여 보았을 때 과소추정되어 있고 이러한 과소추정은 건강기대수명의 과대추정 문제로 이어지고 있음을 확인할 수 있었다. 또한 표본코호트 DB를 제외한 우리나라 건강자료의 안정적이지 못한 표본의 문제는 추정된 건강기대수명의 트렌드를 왜곡하는 문제가 추가적으로 발생할 수 있음을 확인하였다.

미시체계적관점에서의 청소년 성인매체 몰입에 미치는 영향요인: 휴대폰 의존의 매개효과 검정 (Factors Influencing Adult Media Engagement of Adolescents from Micro-systemic Perspective: Mediation Analysis of Cell-Phone Dependency)

  • 심현진;이희명;이현실
    • 한국학교보건학회지
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    • 제29권2호
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    • pp.63-70
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    • 2016
  • Purpose: The purpose of this study was to find the factors influencing adolescents' adult media engagement. The study is based on Agnew's General Strain Theory (GST) and a micro-systemic perspective. Methods: The study examined 479 middle school freshmen who participated in the fourth wave of the Korean Children & Youth Panel Survey (KCYPS) conducted by National Youth Policy Institute. Data were analyzed through descriptive statistics, factor analysis, and reliability analysis using SPSS 22.0 Ver. Also, hypothesis testing was performed via covariance-based structure equation modeling (CB-SEM) using Amos 21.0 Ver. Results: Strain factors had positive effects on adolescent depression, and depression had a positive effect on adult media engagement. Also, cell-phone dependency had a positive mediation effect between depression and adult media engagement. Conclusion: The study's result identified the factors affecting adult media engagement. Therefore, we suggest intervention programs considering adolescents' strains, depression and cell-phone dependency to improve their health.

노인 암환자의 건강관련 삶의 질 영향요인: 2015년 한국의료패널 자료 분석 (Comparison of Factors Influencing Health-Related Quality of Life between Young-Aged and Old-Aged Patients with Cancer: Analysis of the 2015 Korea Health)

  • 김신미;이인숙
    • 가정∙방문간호학회지
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    • 제27권2호
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    • pp.156-168
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    • 2020
  • Purpose: This study aimed to examine factors influencing health-related quality of life (HRQOL) and compare them between young-aged and old-aged patients with cancer. Methods: Data of 291 patients (young-aged: 168, old-aged: 123) were obtained from the 10th wave of the 2015 Korea Health Panel Survey. The HRQOL was measured using the Korean version of Euro-QoL-5D. Independent t-test, analysis of variance, and multiple regression analysis were performed to identify factors influencing HRQOL. Results: The average HRQOL score was 0.87±0.10 and 0.82±0.15 among young-aged and old-aged, respectively. The factors differed partially between the two groups. For young-aged, the influencing factors were activity restriction, subjectively perceived health status, and smoking. For old-aged, the influencing factors were activity restriction, subjective health status, and unmet healthcare needs. Conclusion: Strategies to improve the HRQOL of elderly adults need to be developed considering the age group. Additionally, studies that include clinical factors such as symptoms are required to prepare need-based practical approaches for better quality of life of such patients.

청년층 직장인의 SNS 이용동기에 따른 사용시간의 결정요인에 대한 연구 (Determinants of SNS Use Time Depending on SNS Motive in Youth Workers)

  • 옥지호;박용완
    • 디지털융복합연구
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    • 제15권12호
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    • pp.147-158
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    • 2017
  • SNS에 대한 기존 연구들에서는 SNS의 이용동기가 복수임을 밝혀내었음에도 불구하고, SNS 이용동기를 결정하는 선행 변수를 규명한 연구는 없었다. 이에 본 연구에서는 한국교육고용패널(한국직업능력개발원) 자료의 10차년도 조사(2013년)부터 12차년도 조사(2015)를 통합하여 분석을 진행하였다. SNS 이용동기를 정보 교류, 친목/인맥 관리, 재미 추구의 세 가지로 구분하고, 결정요인으로 이용자의 직장관련 요인, 인구통계적 요인, 건강 및 심리상태, 성격 요인 등을 구분하여 탐색적인 분석을 진행하였다. 그 결과, 이용동기가 정보 교류일 때, 성별, 건강 상태, 성격 중 외향성과 성실성이 영향을 주었다. 이용동기가 인맥 관리일 때, 직장 규모, 교육, 건강생태, 주관적 행복, 직무만족도, 신경성, 친화성이 영향을 주었다. 이용동기가 재미 추구일 때, 외국계 기업 여부, 자녀 유무, 직무만족도가 영향을 주었다. 이러한 결과는 청년 직장인들의 SNS 이용패턴에 대한 기존의 이해를 확장하여 관련 연구 및 유관 분야에 기여할 수 있을 것으로 판단된다.