• 한국경제지리학회지
• /
• 제24권4호
• /
• pp.400-410
• /
• 2021

본 연구는 2000년부터 2019년까지 우리나라 16개 광역시·도의 패널자료를 활용하여 확장된 STIRPAT 모형을 통해 이산화탄소 배출량 결정요인을 분석하였다. 패널 데이터의 횡단면 의존성과 계수 이질성을 검정한 후, 이들 특성을 반영한 MG, CCEMG, AMG 추정법을 통해 분석하였다. AMG 추정법을 통해 분석한 결과를 살펴보면, 소득, 인구, 에너지 집약도의 계수가 양(+)의 부호로 통계적으로 유의하게 나타났으나, 도시화는 통계적으로 유의하지 않는 것으로 나타났다. 우리나라 이산화탄소 배출량의 감소는 에너지 효율의 증가와 지속가능한 경제성장을 통해 이루어질 수 있다. 따라서 이산화탄소 감축기술의 적극적인 개발로 저탄소 사회를 구축하고, 이와 함께 기술혁신을 통해 장기적으로 생산성 향상을 유발하여 지속가능한 경제성장에 기여할 수 있는 정책수립이 필요하다.

• Nutrition Research and Practice
• /
• 제16권5호
• /
• pp.616-627
• /
• 2022

BACKGROUND/OBJECTIVES: Vitamin E is essential for health, and although vitamin E deficiency seems rare in humans, studies on estimates of dietary intake are lacking. This study aimed to estimate dietary vitamin E intake, evaluate dietary adequacy of vitamin E, and detail major food sources of vitamin E in the Korean population. SUBJECTS/METHODS: This study used data from the Korea National Health and Nutrition Examination Survey (KNHANES) 2016-2019. Individuals aged ≥ 1 year that participated in a nutrition survey (n = 28,418) were included. Dietary intake was assessed by 24-h recall and individual dietary vitamin E intake was estimated using a newly established vitamin E database. Dietary adequacy was evaluated by comparing dietary intake with adequate intake (AI) as defined by Korean Dietary Reference Intakes 2020. RESULTS: For all study subjects, mean daily total vitamin E intake was 7.00 mg α-tocopherol equivalents, which was 61.6% of AI. The proportion of individuals that consumed vitamin E at above the AI was 12.9%. Inadequate intake was observed more in females, older individuals, rural residents, and those with a low income. Mean daily intakes of tocopherol (α-, β-, γ-, and δ-forms) and tocotrienol were 6.02, 0.30, 6.19, 1.63, and 1.61 mg, respectively. The major food groups that contributed to total dietary vitamin E intake were grains (22.3%), seasonings (17.0%), vegetables (15.3%), and fish, and shellfish (7.4%). The top 5 individual food items that contributed to total vitamin E intake were baechu kimchi, red pepper powder, eggs, soybean oil, and rice. CONCLUSIONS: This study shows that mean dietary vitamin E intake by Koreans did not meet the reference adequate intake value. To better understand the status of vitamin E intake, further research is needed that considers intake from dietary supplements.

• Nutrition Research and Practice
• /
• 제17권2호
• /
• pp.269-283
• /
• 2023

BACKGROUND/OBJECTIVES: This study aimed to examine the food security status of urban poor adolescents and its association with diet quality. SUBJECTS/METHODS: A cross-sectional survey was conducted among 188 adolescents aged 13-18 yrs living in Kuala Lumpur, Malaysia. Household food insecurity and dietary intake data were collected using the Radimer/Cornell hunger and food insecurity instrument and 2-day 24-h dietary recalls, respectively. Diet quality was determined using the Malaysian Healthy Eating Index (HEI). Weight and height were measured and body mass index-for-age, as well as height-for-age z scores were calculated. RESULTS: The present study revealed that 47.9% of the adolescents experienced household food insecurity, 24.5% experienced individual food insecurity, 18.6% household food security, and 9.0% child hunger. The mean score of diet quality was 56.83 ± 10.09, with a significantly lower HEI score among food insecure adolescents (household food insecure, individual food insecure, and child hunger) than household food secure adolescents (P = 0.001). The differences between food secure and food insecure households were found to be significant for energy (P = 0.001) and nutrients including proteins (P = 0.006), carbohydrates (P = 0.005), dietary fiber (P = 0.001), folate (P < 0.001), and vitamin C (P = 0.006). The multiple linear regression showed that adolescents who experienced food insecurity (β = -0.328; P = 0.003) were found to be significantly associated with poor diet quality (F = 2.726; P < 0.01), wherein 13.3% of the variation in the diet quality was explained by the food security status. CONCLUSIONS: Experiencing food insecurity contributed to poor diet quality among urban poor adolescents. Further longitudinal studies are needed to comprehensively understand this association to improve food insecurity and diet quality among urban poor communities.

• 한국노년학
• /
• 제31권3호
• /
• pp.539-551
• /
• 2011

본 연구는 허약노인의 성별에 따른 낙상두려움, 건강상태, 규칙적 운동 횟수 등을 비교하고 낙상두려움에 영향 미치는 요인을 규명하고자 하였다. 본 연구는 253개 보건소의 2009년 맞춤형 방문건강관리사업 중에서 허약 노인 사례관리를 위해 수집된 65세 이상 노인들의 기초자료를 이용하였다. 연구대상자는 총 3903명(남 259명, 여 3644명)으로, 평균 연령은 남성이 75.17세, 여성이 평균 77.54세였으며, 남성의 75.3%, 여성의 85.4%가 낙상 두려움이 있다고 응답하였다. 저소득층 허약노인의 낙상두려움에 영향을 미치는 요인은 남성의 경우 정적 균형감, 과거 낙상경험이었으며, 여성 노인의 경우 정적 균형감, 복합적 이동능력, 우울과 과거 낙상경험, 교육 수준으로 나타났다. 본 연구결과를 토대로 허약노인의 낙상두려움 여부 및 영향요인을 주기적으로 평가하여 고위험군을 발견하고, 낙상 및 낙상두려움 발생을 예방하기 위해 이들을 대상으로 정서적 접근을 포함한 다요인적 통합 프로그램을 성별에 따른 맞춤형으로 개발, 제공할 것을 제안한다.

• 산업융합연구
• /
• 제21권9호
• /
• pp.133-142
• /
• 2023

농촌인구 감소, 고령화 심화, 기후변화 등으로 지속적으로 악화되고 있는 한국농업의 생산여건 변화에 효과적으로 대응하기 위해 디지털 정보기술 활용이 중요해졌다. 이에 본 연구는 성향점수매칭법을 이용하여 농가의 정보화 기기 활용 선택에 미치는 요인과 정보화 기기 활용이 농산물 판매에 미치는 효과를 분석하였다. 분석 결과, 연령이 낮은 농가, 교육수준이 높은 농가, 선도농가들이 정보화 기기 활용 채택 가능성이 높은 것으로 나타났다. 연령, 경영규모, 영농형태 등 유사한 특성을 가진 농가라면 농업경영에 정보화 기기를 활용하는 농가가 더 높은 농산물 판매 수입을 올리는 것이 확인되었다. 따라서 농가의 정보화 기기의 활용능력을 높이는 것은 농가소득을 향상시킬 수 있다는 시사점을 제공한다. 정보화 기기 보급 및 농업정보를 활용할 수 있는 능력을 농가들이 가질 수 있도록 정부의 농업·농촌 분야 정보화 지원 사업이 중요하다 할 수 있으며, 정보 기술에 근거한 과학적 영농 및 마케팅 활동이 이루어질 수 있는 정보 인프라 구축에도 적극적인 투자가 이루어져야 할 것이다.

• 대한약침학회지
• /
• 제27권2호
• /
• pp.110-122
• /
• 2024

Objectives: This study analyzed the Korea Health Panel Annual Data 2019 to investigate factors related to the use of non-insured Korean medicine (KM) treatment in individuals with chronic diseases. The non-insured KM treatments of interest were herbal decoction (HD) and pharmacopuncture (PA). Methods: Among adults aged 19 or older, 6,159 individuals with chronic diseases who received outpatient KM treatment at least once in 2019 were included. They were divided into three groups according to the KM treatment used: (1) basic insured KM non-pharmacological treatment (BT) group (n = 629); (2) HD group (n = 256); (3) PA group (n = 184). Logistic regression analysis was used to explore factors associated with favoring HD or PA use over BT. Potentially relevant candidate factors were classified using the Andersen Behavior Model. Results: Compared to BT, the 1st to 3rd quartiles of income compared to the 4th quartile (odds ratio: 1.50 to 2.06 for HD; 2.03 to 2.83 for PA), health insurance subscribers compared to medical aid (odds ratio: 2.51; 13.43), and presence of musculoskeletal diseases (odds ratio: 1.66; 1.91) were significantly positively associated with HD and PA use. Moreover, the presence of cardiovascular disease (odds ratio: 1.46) and neuropsychiatric disease (odds ratio: 1.97) were also significantly positively associated with HD use. Conclusion: The presence of some chronic diseases, especially musculoskeletal diseases, was significantly positively associated with HD and PA use, while low economic status was significantly negatively associated with HD and PA use, indicating the potential existence of unmet medical needs in this population. Since chronic diseases impose a considerable health burden, the results of this study can be used for reference for future health insurance coverage policies in South Korea.

• 대한예방한의학회지
• /
• 제17권2호
• /
• pp.29-46
• /
• 2013

A survey conducted on 1,103 patients or caretakers visited Korean medical clinics and hospitals between August 25, 2011 to September 30, 2011 by the Ministry of Health and Welfares and Korea Institute for Health and Social Affairs was analyzed and obtained following results: 1. For sociodemographic distribution, female(813) outnumbered male(290) patients with majority of patients ranging from 30s to 60s. Married patients(793) outnumbered unwed(150) patients and 65.0% with higher than high school education. Statistical significance was seen in gender, age, marital status, and education level but no significant difference for status of employment, income level, and types of insurance between the clinics and hospitals. (P<0.05). 45.1% had less than \2,000,000 in monthly salary and most of coverage was provided by either regional or work insurance. 2. 67.9% of the patients rated health conditions to be better than average and 32.1% listed as poor. People in good health showed tendency to visit Korean medical facilities. Musculo-skeletal conditions such as arthritis, ankle sprain, lumbago, muscular injury, and frozen shoulder were common conditions, followed by gastric disorders, common cold and herbal tonics. No significant difference was observed between the clinics and hospitals for above conditions, but significance was seen in atopic dermatitis, stroke, and sequela from traffic accidents (P<0.05). 3. Ten most common conditions addressed at Korean medical facilities were lumbago, arthritis, muscular injury, back sprain, gastric disorders, ankle sprain, common cold, herbal tonics, frozen shoulder and stroke. Major treatment modalities rendered were herbal medicine, herbal supplements, acupuncture and moxibustion, cupping, tuina, and Korean midical physical therapy. No significant difference existed between the clinics and hospitals. 4. All modalities showed at least 85% effectiveness. No statistical significant difference between the clinics and hospitals except for herbal decoction. (P=0.0452) 5. 88.3% of responses showed treatment satisfaction with significant difference between the clinics and hospitals (P=0.002). The occurrence of side effects was at 2%, mostly corning from treating digestive, skin, kidney disorders and neurological issues. No significant difference was observed between the clinics and hospitals. From the above results, the typical population visiting Korean medical facilities can be summarized as being middle aged female with relatively higher education and moderately low income. The health condition is generally good and the purpose of visit is to receive traditional treatments of acupuncture, herbal medicine, and physical therapy. Treatment efficacy and satisfaction were high with no significant differences between the clinics and hospitals.

• Journal of Preventive Medicine and Public Health
• /
• 제41권4호
• /
• pp.265-271
• /
• 2008

Objectives: This study was conducted to estimate the cumulative incidence rate (CIR) of unintentional injuries in Korean daily life and to describe the pattern of unintentional injuries. Methods: The study population was the people who used the National Health Insurance because of injuries (ICD code: S00$\sim$T98) during 2006. The stratified sample according to gender, age and the severity of injury (NISS, New Injury Severity Score) was randomly selected. The questions on the questionnaire were developed as a reference for an international classification tool (ICECI, International Classification of External Causes of Injury). The questions included the locations of injury, the mechanisms of injury and the results of injury. Moreover, we used age, gender, region and income variables for analysis. Results: The CIR of unintentional injuries that occurred in daily life for 1 year per 100,000 persons was 17,606, and the CIR of severe injuries was 286. Many injuries were occurred at home (29.6%), public places (19.0%), school (13.7%) and near home (12.0%). The major mechanisms of injuries were slipping (48.8%), contact (14.0%), physical over-exertion (13.8%), and fall (6.6%). Infants and old aged people were vulnerable to injuries, and those who lived rural area and who were in a low income level were vulnerable too. Conclusions: We signified the risk groups and risk settings of unintentional injuries in Korean daily life. These results could contribute to establishing strategies for injury prevention and implementing these strategies.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권15호
• /
• pp.6365-6373
• /
• 2015

Background: Tobacco consumption has become pandemic, and is estimated to have killed 100 million people in the 20th century worldwide. Some 700,000 out of 5.4 million deaths due to tobacco use were from India. The era of global modernization has led to an increase in the involvement of women in tobacco consumption in the low income and middle-income countries. Tobacco consumption by females is known to have grave consequences. Objectives: To assess: (1) the tobacco use among urban and rural women; (2) the discrepancy in the knowledge, belief and behavior towards tobacco consumption among urban and rural women in Durg-Bhilai Metropolitan, Chhattisgarh, Central India. Materials and Methods: The study population consisted of 2,000 18-25 year old young women from Durg-Bhilai Metropolitan, Chhattisgarh, Central India, from both urban and rural areas. Data were collected using a pretested, anonymous, extensive face to face interview by a female investigator to assess the tobacco use among women and the discrepancy in the knowledge, belief and behavior towards tobacco consumption among urban and rural individuals. Results: The prevalence of tobacco use was found to be 47.2%. Tobacco consumption among rural women was 54.4% and in urban women was 40%. The majority of the women from urban areas (62.8%) were smokers whilst rural women (77.4%) showed preponderance toward smokeless tobacco use. Urban women had a better knowledge and attitude towards harms from tobacco and its use than the rural women. Women in rural areas had higher odds (1.335) of developing tobacco habit than the urban women. Conclusions: Increased tobacco use by women poses very severe hazards to their health, maternal and child health, and their family health and economic well-being. Due to the remarkably complex Indian picture of female tobacco use, an immediate and compulsory implementation of tobacco control policies laid down by t he WHO FCTC is the need of the hour.

• 한국사회정책
• /
• 제25권4호
• /
• pp.3-38
• /
• 2018

본 연구는 2000년대 이후 한국 복지국가의 성장이 재분배적 측면에서 어떤 영향을 미치고 있는지, 복지국가의 성장으로부터 소외된 계층이 없는지에 관해 분석하였다. 분석 결과 한국 복지국가의 성장은 발전주의/생산주의의 제도적 유산인 사회보험 중심 제도 환경 속에서, 사회보험 확대를 통해 복지수혜를 보편화하는 방향으로 이루어졌음을 확인하였다. 복지수혜의 보편화가 재분배적 측면에서 미친 영향을 분석한 결과 노인인구의 경우 국민연금은 상대적으로 역진적 효과를 갖지만, 기초연금 도입의 영향으로 전체 노인 뿐 아니라 저소득 노인들의 상황도 개선되었음을 확인하였다. 그러나 근로연령대 인구의 경우 저소득층에 대한 복지혜택은 상대적으로 뿐 아니라 절대적으로도 개선되지 않았으며, 복지국가가 불평등을 거의 개선하지 못했다. 한국 복지국가의 성장에서 가장 소외된 계층은 이들 근로연령대 저소득 가구로, 가구주 연령이 높고, 취업하지 못했거나 불안정한 일자리에 머무르고 있으며, 상대적으로 가구원 수가 적고 여성 가구주 비중이 높은 집단이다. 지난 10여년 간의 복지국가 성장에도 불구하고 이들에 대한 복지국가의 혜택이 개선되지 못했다는 점은 한국 복지국가의 성장이 불균등한 성격을 가지고 있었음을 보여준다. 앞으로 한국 복지국가가 그간의 성장에서 소외된 집단을 포괄하기 위해서는 사회보험 중심 소득보장 프로그램의 다원화, 사회보험의 포괄성 개선, 소득-고용-훈련의 연계 강화, 보편적 복지와 선별적 표적화의 결합이 필요하다.