• Title/Summary/Keyword: Low-Income population

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소외계층 영재의 지능과 자아존중감, 수학적 태도 및 과학적 태도의 관계 (The Relation of Intelligence, Self-esteem, Mathematical Attitudes, and Scientific Attitudes of Gifted Students from Low-income Families)

  • 송경애
    • 영재교육연구
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    • 제24권6호
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    • pp.1039-1051
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    • 2014
  • 본 연구는 소외계층 영재의 인지적 특성인 지능과 정의적 특성인 자아존중감, 수학적 태도 그리고 과학적 태도 등이 어떠한가, 그리고 이들 변인간의 관계가 어떠한지를 알아보기 위한 것으로써 대학 영재교육원에 다니는 소외계층의 초등 저학년 147명을 대상으로 실시되었다. 연구 결과 소외계층 영재의 지능은 백분위 85점 수준, 자아존중감 75.6%, 수학적 태도 73.3%, 과학적 태도 71.3% 등의 수준으로 자아존중감이 가장 높게 나타났다. 한편 지능의 수준별 자아존중감, 수학적 태도 및 과학적 태도의 차이는 없었으며, 지능과 자아존중감과 수학적 과학적 태도간의 관계는 없는 것으로 나타났으나, 자아존중감과 수학적 태도(r=.448, p=.000), 과학적 태도(r=.522, p=.000) 그리고 수학적 태도와 과학적 태도(r=.458, p=.000) 간에는 상당히 높은 상관관계를 보였다. 이 같은 결과는 소외계층의 영재아들이 일반 영재아들보다는 낮으나 잠재적인 영재성은 상당히 높고, 정의적인 요인들 간 관계가 높아 이를 계발할 수 있는 교육적 환경의 제공이 일반아들 보다 더욱 필요함을 의미한다고 할 수 있다.

암환자의 소득수준과 의료이용의 관련성 (Relationship between Income and Healthcare Utilization in Cancer Patients)

  • 김진희;김경주;박종혁
    • 보건행정학회지
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    • 제21권3호
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    • pp.397-413
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    • 2011
  • Purpose: The purpose of this study is to examine the relationship between the income level and the healthcare utilization by health insurance type in all cancer patients in year 2005. Methods: The target population was cancer patients with health insurance who used healthcare as a diagnosis code (C00-C97) from January 1 to December 31 of 2005. The Korea Central Cancer Registry Center's Cancer Patient Registry Data, the list of cancer patients of the National Health Insurance Corporation, and the claim data of the Health Insurance Review & Assessment Service were used. The I was the wealthiest, followed by II, III, IV. The V was the poorest in this study. For the analysis, the $x^2$-test, ANOVA (and Kruskal-Wallis test), and regression were used. Results: Outpatient and hospitalization medical expenses, and outpatient visit days of cancer patients with self-employed health insurance were highest in I (p<.001, respectively), and the hospitalization days were the highest in II (p<.001, respectively). Outpatient and hospitalization medical expenses, and outpatient visit and hospitalization days of cancer patients with occupational health insurance were the highest in I (p<.001, respectively). Outpatient and hospitalization medical expenses, and outpatient visit and hospitalization days in cancer patients were higher in I compared to V, and higher in II and III, IV compared to V (p<.001, respectively). Conclusion: Supporting plan for cancer patients' outpatient healthcare utilization are necessary. Moreover, we should make specialized strategy for low income cancer patients with self-employed health insurance when we develop quality improvement policy for inpatient service.

한국 소득보장제도군의 효과성 평가 (Evaluating the Efficacy of Income Security System of Korea)

  • 강신욱
    • 한국사회정책
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    • 제24권1호
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    • pp.213-237
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    • 2017
  • 사회보장제도에 대한 정책평가의 핵심은 그것이 국민들을 사회적 위험으로부터 얼마나 효과적으로 보호하고 있는지를 살펴보는 데 있다. 본 논문은 <한국복지패널>자료를 이용하여 현재 시행중인 5개 주요 소득보장제도가 빈곤의 위험에 대처하는 데 얼마나 효과가 있는지를 포괄성과 충분성에 주목하여 분석하였다. 이때 각 제도별로는 물론 5개 제도 묶음이 나타내는 효과에 대해서 살펴보았고, 그 효과를 세분화된 집단별로 비교하였다. 그 결과 빈곤층 가운데 약 35%가 소득보장제도의 혜택을 전혀 받지 못하는 것으로 나타났다. 노인층에 대한 소득보장제도의 포괄성과 충분성은 상대적으로 높았으나 비노인층, 특히 실업자에 대한 포괄성과 충분성이 매우 낮게 나타났다. 이러한 점들은 한국의 소득보장제도가 여전히 많은 개선의 여지를 남겨두고 있다는 점, 특히 근로연령층 대상 소득보장제도의 개선과 확충이 필요하다는 사실을 시사한다.

Pre-pregnancy Diet to Maternal and Child Health Outcome: A Scoping Review of Current Evidence

  • Fadila Wirawan;Desak Gede Arie Yudhantari;Aghnaa Gayatri
    • Journal of Preventive Medicine and Public Health
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    • 제56권2호
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    • pp.111-127
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    • 2023
  • Objectives: Pre-pregnancy diet has an important role in preparing for healthy generation. However, evidence on this issue has been scarce. A scoping review synthesising current evidence will support the demand to map 'what has been researched' on pre-pregnancy diet and maternal and child health. Methods: Systematic search was performed using PICOS (Population, Intervention, Comparison, Outcomes, and Study design) framework in electronic databases. Articles were screened for eligibility, summarized, and the quality was assessed using the National Institute of Health assessment tool. The review structure complies with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guide. Results: Forty-two articles were included after full-text screening. Twenty-five studies were in high-income countries (HICs), six in each upper-middle income, five in lower-middle income countries (LMICs), and one in low-income countries (LIC). Based on the regions: North America (n=16), Europe (n=5), South America (n=4), Australia (n=4), Asia (n=5), Middle East (n=2), and sub-Saharan Africa (n=1). The two-most observed diet-related exposures were dietary pattern (n=17) and dietary quality (n=12). The most assessed outcome was gestational diabetes mellitus (n=28) and fetal and newborn anthropometry (n=7). The average quality score±standard deviation was 70±18%. Conclusions: Research related to pre-pregnancy diet is still concentrated in HICs. The context of diet may vary; therefore, future research is encouraged in LMICs and LICs context, and Mediterranean, South-East Asia, Pacific, and African regions. Some maternal and child nutrition-related morbidity, such as anemia and micronutrient deficiencies, have not been discussed. Research on these aspects will benefit to fill in the gaps related to pre-pregnancy diet and maternal and child health.

Chronic Pain and Its Determinants: A Population-based Study in Southern Iran

  • Zarei, Safar;Bigizadeh, Shiva;Pourahmadi, Mohammad;Ghobadifar, Mohamed Amin
    • The Korean Journal of Pain
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    • 제25권4호
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    • pp.245-253
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    • 2012
  • Background: Prevalence of chronic pain and its association with demographic characteristics have been reported by different studies from different geographical regions in the world. However, data from many Middle East countries including Iran (especially southern Iran) are scare. The aim of the present study was to demonstrate the prevalence of chronic pain and its association with demographic, psychological and socioeconomic factors in an Iranian population. Methods: In this population-based survey, the target population was comprised of subjects aged 20 to 85 years residing in Jahrom, southern Iran during 2009-2011. All eligible subjects were invited to participate in the study. Before a detailed questionnaire was given; face to face interviews were done for each individual. Results: There were 719 men and 874 women with an average age of 40.5 years at the onset of the study. Among the study population, 38.9% (620/1,593) complained of chronic pain, of whom 40.8% (253/620) were men and 59.2% (367/620) were women. Foot and joint pain were observed in 31.9%. Hip and spine pain, migraine and tension headaches, heart pain, and abdomen pain were observed in 21.5%, 15.5%, 9.5%, and 8.0% of chronic pain cases, respectively. There was a significant association among the covariables age, sex, overweight, educational level, income, and type of employment with chronic pain as the dependent variable (P < 0.0001). Conclusions: Our findings show the prevalence of chronic pain and its association with demographic, psychological and socioeconomic factors. Individuals with low incomes and less education became accustomed to pain due to a lack of knowledge.

한국 노인자살률과 사회·경제적 요인의 관련성 -1990년~2010년 변화 추이를 중심으로 (Relationship between Elderly Suicide Rates and Socio-economic Factors in Korea: centering around the Trend of Changes in 1990-2010)

  • 김형수;권이경
    • 한국콘텐츠학회논문지
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    • 제13권6호
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    • pp.236-245
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    • 2013
  • 본 연구는 노인자살증가의 원인을 파악하기 위해 거시적인 측면의 관점에서 노인자살률과 사회 경제적요인의 관련성을 분석하였다. 노인자살의 이론적 배경은 사회학적 관점과 경제학적 관점에 기초하여 설명하였다. 노인자살률의 경제적 요인에는 경제성장률과 실업률 그리고 노인의 경제활동참가율과 상대적 빈곤율(소득불평등율)을 포함하며, 사회적 요인의 범주에 속하는 변수로는 사회복지지출비, 이혼율, 그리고 고령화비 증가율과 노인부양비를 포함한다. 주요 연구결과로는 첫째, 노인의 경제활동참가율이 낮을수록 노인자살률이 높아지는 경향이 있었다. 둘째, 사회복지지출비가 낮을수록 노인자살률이 증가하는 것으로 나타났다. 셋째, 상대적 빈곤율, 고령화비 증가율, 그리고 노인부양비는 공히 이들이 증가할수록 노인자살률도 동시에 증가하는 것으로 나타났다. 끝으로 한국노인자살률의 지속적 증가를 예방하기 위해서 거시적 차원의 사회 경제적 정책방안을 제언하였다.

한국인의 전곡류 섭취와 인구사회적 요인 및 일부 식행동 특성 간의 연관성: 2007-2008 국민건강영양조사 자료를 이용하여 (Association of Whole Grain Consumption with Socio-Demographic and Eating Behavior Factors in a Korean Population: Based on 2007-2008 Korea National Health and Nutrition Examination Survey)

  • 이승민
    • 대한지역사회영양학회지
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    • 제16권3호
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    • pp.353-363
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    • 2011
  • The objective of the current study was to examine associations of whole grain consumption with socio-demographic (i.e.: sex, age, household income, education, marriage status) and certain eating behavior factors (i.e.: dish source, eating place, meal type) among a generally healthy Korean population. Using twenty-four hour recall data from the 2007-2008 National Health and Nutrition Examination Surveys, whole grain intake (g/day) was calculated for a total of 8,836 generally healthy Koreans aged 6 years and higher. The study subjects had very low whole grain intake. Specifically approximately 60% of the subjects reported no whole grain consumption on the survey day, and mean daily intake ranged from 8.0 g to 15.1 g in different gender and age groups. Living with a spouse was found to be a positive environment factor for whole grain consumption, especially among men. As household income levels increased, whole grain consumption status also improved. The proportion of non-consumer was lowest in a 6-19 year group, and mean intake amount was highest in middle-aged adults. Major dish sources for whole grain consumption included boiled rice with mixed grains, corn, boiled rice with brown rice, cereal products, and other types of boiled rice. It was found that whole grain consumption was highly affected by eating places rather than meal types. The best contributing eating place was home in each age and gender group. The study findings may be useful in planning nutrition education strategy and formulating dietary behavior guidelines for whole grain consumption improvement.

가구의 이동결정에 관한 개념적고찰 (A Conceptual Analysis of Household Migration Decisions)

  • 김헌민
    • 한국인구학
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    • 제14권1호
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    • pp.26-34
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    • 1991
  • Migration studies that assume that decision making is done on an individual basis is overlooking the importance of the family factor. Considering that must people belong to families, it is more appropriate to view migration decision from the perspective of the family. This study analyzes the household migration decision whereby the alternatives are to stay, 10 undertake family migration or to undertake single migration of a member. In developing a conceptual model of household migration decision, it is assumed that the household's objective is to maximize household income which is a function of individual members' earnings. The benefits and costs of household migration and individual migration are identified and the household chooses the migration strategy that maximizes expected household income. When household members have conflicting earning prospects in the potential destination, the household considers single migration of the member with the best earning potentials. However, lone migration by a household member involves cost of family separation which is both monetary and psychic, and this study shows that lone migration is undertaken only when its net gains to the family are greater than the separation cost of the family. The major benefit of choosing single migration is the retention of home base in the place of origin which can serve as an insurance against the uncertainty of obtaining a job in the destination, the benefit that is unavailable in family migration. The conceptual analysis shows how a household's migration decision would depend on its members' economic roles and prospects in the destination. Besides the economic variables, social and life cycle variables of the family translate into separation costs and benefits of migration. This study indicates that one - earner family in low economic status but with good earning prospects and high separation costs is more likely to choose family migration over single migration.

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The Effects of National Health Insurance Denture Coverage Policies for the Elderly on the Unmet Dental Needs of the Edentulous Elderly

  • Ahn, Eunsuk;Hwang, Ji-Min;Han, Ji-Hyoung
    • 치위생과학회지
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    • 제18권3호
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    • pp.182-187
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    • 2018
  • As the elderly population increases, they are increasingly affected by oral health problems. Therefore, efforts are being made to improve the oral health of older people, alleviate mental discomfort, and reduce unmet dental needs. This study was conducted to confirm the relationship between the National Health Insurance Elderly Denture Coverage and the unmet dental need for the edentulous elderly, as part of the protection policy. We analyzed the 2011 and 2013 Community Health Survey data of the edentulous elderly, aged 75 years or older, before 2012. In order to more precisely confirm the effects of the denture donation policy on unmet dental care, basic life recipients who were subject to the free elderly prosthetic project were excluded from the analysis. The final analysis included 20,400 subjects. According to our investigation of the factors that affect the unmet dental needs of the elderly, the National Health Insurance Elderly Denture Coverage did not affect unmet dental needs. The statistically significant variables that affected the unmet dental needs of the elderly were education and income levels, which are representative socioeconomic status variables. The lower the level of education, the unhealthier the dental care experience, and income levels showed a similar tendency. The elderly who have a low socioeconomic status are more likely to experience unmet dental needs because they lack the knowledge and socioeconomic ability to pay for dental care. Therefore, the policy for health protection of the entire elderly population should be continuously expanded. In addition, the socioeconomically vulnerable groups may have health problems due to the restriction of medical use, which may lead to quality of life deterioration.

Sex Differences Associated With Hepatitis B Virus Surface Antigen Seropositivity Unwareness in Hepatitis B Virus Surface Antigen-positive Adults: 2007-2012 Korea National Health and Nutrition Examination Survey

  • Jang, Suk-Yong;Jang, Sung-In;Bae, Hong-Chul;Shin, Jaeyong;Park, Eun-Cheol
    • Journal of Preventive Medicine and Public Health
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    • 제48권2호
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    • pp.74-83
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    • 2015
  • Objectives: To examine the sex-specific factors associated with being unaware of one's hepatitis B virus surface antigen (HBsAg) seropositivity status in a large, HBsAg-positive population of Koreans. Methods: In total, 1197 subjects aged 19 years or older who were HBsAg-positive according to data from the 2007-2012 Korea National Health and Nutrition Examination Survey were included. Subjects were considered unaware of their HBsAg seropositivity status if they answered that they had no knowledge of being previously infected by the hepatitis B virus (HBV) or diagnosed with HBV hepatitis. Multivariate Poisson regression models with robust variance estimate were used to assess the significance of the variables using weighted frequencies. Results: The majority (77.8%) of HbsAg-positive Korean adults (females, 81.9%; males, 74.6%) were unaware of their HBsAg seropositivity status. We found that sex (female: prevalence ratio [PR] 1.19), household income (low: PR, 1.15), marital status (never married: PR, 1.18), self-rated health (moderate: PR, 1.14; good: PR, 1.12), and alcohol use (at least 2-3 times/wk: PR, 1.21) were associated with being unaware. In females, age (50 to 59 years: PR, 1.29; ${\geq}70$ years: PR, 1.30), household income (low: PR, 1.37; middle-low: PR, 1.24), and marital status (never married: PR, 1.33) were associated with being unaware. In males, self-rated health (moderate: PR, 1.14; good: PR, 1.21) and alcohol use (at least 2-3 times/wk: PR, 1.21) were associated with being unaware. Conclusions: Factors related to the socioeconomic status of females and the health-related behaviors of males were found to be associated with being unaware of one's HBsAg seropositivity status.