Kim, Bomgyeol;Noh, Young-Min;Lee, Yejin;Kim, Tae Hyun;Noh, Jin-Won
Korea Journal of Hospital Management
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v.25
no.1
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pp.21-31
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2020
Purposes: Family living with dementia patients have the burden for caring and suffer from health problems. Therefore, proper supports for their health disorders are required. The purpose of this study with regard to this is to subdivide unmet healthcare needs of family living with dementia patients into affordability, accommodation, and accessibility and figure out the relevant factors. Methodology: The 2017 Community Health Survey was used, and 2,331 families living with dementia patients was included. To figure out the factors with regard to the types of unmet healthcare needs, multinominal logistic regression analysis was conducted. Findings: According to the analysis result, sex, age, monthly household income, economic activity, self-rated health, self-rated stress and perception of depressive symptoms turned out to be the factors related to unmet healthcare needs. Regarding affordability, unmet healthcare needs were low when the object was female, over 65, highly educated, and monthly household income were high. On the other hand, unmet healthcare needs was high when self-rated health was bad, self-rated stress was high, and had depression. With regard to accommodation, unmet healthcare needs were low when the object was over 65. Unmet healthcare needs were high when the object was female, economically active and had depression, and self-rated health was high. Regarding accessibility, unmet healthcare needs were low when the object was high school graduate, but it was high when self-rated health was bad. Practical Implication: This study confirmed that the family with dementia patients had a high proportion of unmet healthcare needs due to affordability and accommodation. The existing main discussion was that the experience of unmet healthcare needs normally occurred due to economic reasons, but a consideration on various cases and factors is required to ultimately achieve the policy goal to reduce the unmet healthcare needs of the family living with dementia.
The present study is a preliminary research improving the dwelling quality of one-room type multi-family housings around the university campus. The purpose of the study is to investigate the present condition of Indoor noise level using · residents' responses and field measurements. The respondents are 104 residents living in one-room type multi-family housings. The field measurements on equivalent noise level of indoor and outdoor were carried out in 6 subject house units during the $26th\~28th$ of November 2002. The results are as follows. 1) The residents show relatively non-positive responses at evening and night on the present condition of indoor noise. 2) They answer 'living equipment foise' and 'water hammer' as major types of indoor noise of house unit. 3) Outdoor noise levels, basic factor of noise environment in 6 subject buildings were distributed $52.8\~65.3dB(A)Leq_{5min}$ and were inappropriate to the standard for environmental noise, $55 dB(A)Leq_{5min}$. 4) Indoor noise levels of subject house units were measured as $27.5\~63.5dB(A)Leq_{5min}$, the average of each house unit except one house unit was higher than the level feeling as noise, 40dB(A). 5) It was found that the differences of indoor noise levels between subject house units were caused by 'residents' living noise', 'living equipment noise', 'water hammer', and 'walking and talking noise in stairs and corridors'. 6) Therefore, it is required to plan for improving the quality of noise environment in one-room type multi-family housing around the campus. For example, soundproof construction (including double window with pair glass and balcony), outdoor garden with trees and water for increasing natural sound, interior materials with sound absorbing power to absorb living noise, soundproof pipe or double surface pipe for decreasing 'water hammer', and noiseproof floors, etc. are required.
Financial barrier is well known as a determinant of the perceived need for and utilization of medical care in urban areas. This study aims to; a) estimate the levels of the perceived need for and utilization of medical care, b) analyze the reasons for not receiving medical care, and c) determine factors affecting the levels of need and utilization, and major reasons for not receiving medical care. The data of household interview survey in urban areas collected for a National Survey on Reorganization of Nationwide Health Care Delivery Network is used. An interview was conducted with a total of 2, 538 households in urban areas during a 28 day period of October through November, 1981, giving an overall response rate of 99 percent. The results show a factor of third-party payer is most influential to utilization (physician visits by patient), and living standard is a determinant to explain the variance of major reasons for not receiving medical care. Therefore, financial burden is still a major determent in utilization of medical care in urban areas. Improved level of living standard and expanded coverage of the third-party payer such as health insurance and public medical assistance will increase both an overall levels of utilization of and the need for medical care in urban areas in the future. The major statistics are as follows; a) rate of the need for medical care during a 15 day period per 100 persons was 33 percent: the differential rates appeared in sex, age, living standard, and third- party payer variables, b) percent of treatment employed per 100 persons who are wanting medical care was 82: the percents were high in young ages, high levels of living standard and education, and persons covered by third-party payer, and c) economic reasons for not receiving medical care per 100 persons who are wanting medical care were occupied with 60 percent: the rates are high in old ages, low levels of living standard and persons not covered by third-party payer.
In recent years, the number and proportion of Korean elderly have grown rapidly, and elderly individuals show a disproportionate risk for poor nutritional status. The purpose of this study was to examine the relationship of sociodemographic background to nutrient intake of persons 65 years of age or older, living in 15 cities in Korea. Data on 1973 subjects (603 males, 1370 females), who participated in the Korean Elderly Nutrition Survey (2000), were analyzed. Their mean age was 72.3 years and their mean body mass index (BMI) was 24.2 kg/$m^2$. Basic sociodemographic data were obtained through personal interviews. The 98-item semi-food frequency questionnaire, developed and previously validated for Korean middle-aged and elderly subjects, was administered. “Percentage of subjects who consumed under 75% Korean RDA,” “number of nutrients consumed below 75% Korean RDA,” “mean nutrient adequacy ratio,” and “nutrient density” were used to determine nutritional status. Male elderly had better nutritional quality than female elderly. Nutritional quality decreased with age, especially in older elderly (over 75). Elderly who were underweight (BMI 〈 20 kg/$m^2$) showed poorer nutritional quality than those who were normal weight (BMI 20∼25 kg/$m^2$) and overweight (BMI $\geq$ 25 kg/$m^2$). Elderly who lived alone had significantly poorer nutritional quality than those who lived with a spouse, and/or with children. Lower education level and economic dependence also showed lower nutritional quality. A stepwise multiple regression analysis was performed to examine the effects of specific sociodemographic factors on nutritional quality. For number of nutrients under 75% RDA as a dependent variable, education level explained 4.8% of the variance, followed by living status, age, body mass index, gender, and living expense support (Model $R^2$ = 0.091). For mean nutrient adequacy ratio as a dependent variable, model $R^2$ was 0.098. Therefore, sociodemographic variables such as gender, age, body mass index, living status, educational level, and economic status influenced elderly nutrition status. These results indicate that an elderly nutrition intervention should focus on subjects who are poorly educated, living alone, age 75 or older, and/or underweight.
Purpose: This study aimed to investigate the factors affecting the subjective health status (SHS) of low-income older adults living alone. Methods: This is a cross-sectional correlational study using secondary data analysis. Sociodemographic and health-related characteristics were included in this analysis. The health-related characteristics were categorized into three domains: physical, characterized by the number of chronic diseases and fall-related factors, timed up and go, and grip strength; psychological, in terms of depression and loneliness; and social, in terms of social support. Data were analyzed using descriptive analysis, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis. Results: The mean SHS score was 2.46 out of five. Several factors influenced the SHS of low-income older adults living alone, including sex, age, level of education, monthly income, and the three domains. Four significant predictive factors of SHS in low-income older adults living alone were identified (42.5%): the number of chronic diseases, fear of falling, depression, and social support. Conclusion: SHS is a critical factor for older adults living alone on a low-income. Hence, evaluating SHS and developing interventions to improve it periodically is necessay. Such interventions should consider chronic disease management, screening and mediation for depression and fear of falling, and strengthening their social support systems.
The purpose of this study was, first, to extract the risk factor by investigating several cases of accident of senile dementia patient at home, and second, based on these results to provide basic information for the determination of monitoring factor for the care of senile dementia patient. Basic and behavioral characteristics, Short form of Samsung Dementia Questionnaire (S-SDQ), Activities of Daily Living (ADL), and cases of accident were investigated with 55 senile dementia patient at home (16 male, 39 female). Based on these questionnaires, risk factors were extracted and frequency, cooccurrence frequency, and occurring place of risk factors, presence or not, region, and degree of injury were investigated. Frequency between risk factors and behavioral characteristics, ADL, and S-SDQ was analyzed by crosstabulation frequency analysis. Results showed that 12 risk factors were extracted, and the frequency of 'going out' was the highest, and risk factors for injury were 'tumble', 'bump', 'slip', and 'fall'. Cooccurrence frequency analysis showed that the occurrence of 'fall', 'going out', 'fire of gas', and 'violence' with other factors was relatively higher than others. The occurring place of risk factor was the highest in home neighborhood, and the region of injury in knee, and the degree of injury with bruise. Crosstabulation frequency analysis showed that factors which had difference in frequency of risk factor were behavioral disorder, disorder of daily living and ADL. Factor which had difference in frequency due to the degree of behavioral disorder and disorder of daily living was 'going out', and factors which had difference in frequency due to the degree of ADL were 'slip' and 'fire of gas'.
Journal of the Korean Society of Clothing and Textiles
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v.26
no.1
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pp.112-123
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2002
The purpose of this study was to establish the strategy for Internet fashion homepage advertising that attracts consumers attention and discloses clothing brand to consumers continually. In this paper, the following subjects were set up: (a) to classify the structure and evaluation factors of the fashion homepage advertising, (b) to analyze the effect of demographic variables and clothing involvement of consumer on fashion homepage advertising structures and evaluation factors. A random sample of 553 people in the age group 16-34s living in Seoul and Kyungki region during March 2000 was selected from Internet users. SPSS package was used for data analysis. Frequency, Percentage, Factor analysis, ANOVA, Duncan test and regression analysis were applied. The results of this research were as follows: First, in the process of classifying the dimension of the fashion homepage advertising, homepage advertising structure was composed of 5 factors: interactive, amusing factor, professional information, fashion information and useful information. And homepage advertising evaluating factors were interesting, information and irritation. Second, it was found that clothing involvement influenced fashion homepage advertising. High involvement group preferred the fashion information factor of the homepage advertising structure and low involvement group was useful information factor of the homepage advertising structure. Both high and low involvement groups preferred interesting factor of the homepage advertising evaluation. Third, demographic variables also influenced fashion homepage advertising Females manifested greater interests in informative factor of homepage advertising than males. Findings from this study provide an insight into fashion homepage advertising strategy related to consumers clothing behavior.
The purpose of this study is to analyze the body type of children's, especially torso, and to provide the fundamental data for children's clothing construction which can reflect the characteristics of their bodies. The subjects for photographic measurements are 308 elementary school children aged from 6 to 8 living in Seoul and urban area. Anthropometric measurements were performed indirectly from the pictures of subjects. The data were analyzed statistically using SPSSWIN. The results obtained from this study are as follows: 1. Through one-way ANOVA, items for heights, breaths, weight reveals the significant differences according to ages and genders. 2. Through Pearson correlation, it turns out that there are high correlation between any items of heights, but there is no correlation for item of shoulder inclination with any other items. 3. Through factor analysis of principal component model, six factors were extracted which covers 83.6% of the whole information. The first factor represents the items of heights which relates with linearity. The second factor describes the items of breaths, depths, and weight in relation with laterality. The third factor were gathered with depths of front and back in relation with posture of side, which proves as important one to characterize the children's torso. The other factors represents the items of posture of neck, depths in neck, shoulder inclination, respectively. 4. Through one-way ANOVA in factor by group, and Scheffe multi comparison test for each group, the factor 1 that is related with linearity reveals the significant differences according to ages and genders.
This study was designed to examine the effects of family structure (nuclear, extended family) on children's behavioral and emotional problems. The subjects of this study were 650 primary school children aged 8 to 13 living in Seoul and Incheon (324 from nuclear and 326 from extended families). The Children's Behaviour Questionnaire (CBQ: Rutter, 1970) and a questionnaire containing demographic questions and some additional questions were used for instruments. For the analyses, frequencies, descriptives, chi-square, factor analysis, and t-test were used. The results were analysed and explained in their cut-off points, prevalences, differences and factor structures. The cut-off score obtained in this study was 18, and the prevalences with this cut-off score were 6.3% in total subjects, 8.0% in nuclear families, and 4.6% in extended families. The children from extended families showed less behavioral and emotional problems, especially antisocial behaviours, compared with those from nuclear families, and this difference was significant (p<.05). The factor structures of the CBQ were 'antisocial', 'neurotic', 'mannerism' and 'speech' in total subjects, and, in the case of nuclear families, the factor structures were same as in total subjects, but, in the case of extended families, the 'emotional anxiety' factor was included instead of the 'speech' factor.
Journal of Korean Home Economics Education Association
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v.12
no.2
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pp.1-14
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2000
The purposes of this study were to identify the adolescent’s perception to grandparent’s clothing behavior, the effect of grandparent’s clothing behavior on the attitudes toward their grand parents, and the variables related to the adolescent’s attitudes toward their grandparent affecting grandparent’s clothing behavior. The results of this study may provide the foundations for the continuing family educational material to promote the grandparent-grandchildren relationship. Questionnaires were distributed to middle and high school students in Chonbuk Province through school teachers from June 9th 18th. 1999. and 485 questionnaires were analysed. Frequencies percentages, factor analysis. Cronbach’s a. t-test, F-test. and Duncan’s Multiple Range test were used for data analysis. The results were as follows: 1. The adolescent’s perception level of grandparent’s clothing behavior was higher when grandparents were younger. healthier and wealthier. in separate living status. and in case of younger and more female adolescents. In case of separate living status. the adolescent’s perception level was higher when grandparent and adolescent contacted frequently. 2. The adolescent’s perception level of grandparent’s clothing behavior was favorable when their total attitude toward grandparent was positive, especially in economic, intellectual. personality, and family relation aspects. 3. The effects of the perception of grandparent’s clothing behavior on the adolescent attitude toward their grandparent were higher in case of grandmother. female adolescent. and separate living status, less educated. and in worse health status grandparent.
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