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Influencing Factors to Enrollment in Private Health Insurance and Medical Use by Life Cycle : Analysis of 2016-2019 Korea Welfare Panel (생애주기별 민간의료보험 가입 영향 요인 및 의료이용 행태 : 2016~2019년 한국복지패널자료를 사용하여)

  • Kim, Ji-On
    • Journal of Convergence for Information Technology
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    • v.11 no.10
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    • pp.194-204
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    • 2021
  • This study was conducted to find out the status and factors of private health insurance subscriptions by life cycle and to identify differences in medical usage behavior by life cycle. Using the SPSS 26 program as the 12th-15th (2016-2019) data of the Korea Welfare Panel, the difference subscriptions was identified as Chi-square by demo social and health characteristics of 58,223 people, and the factors affecting subscription were analyzed by polynomial logistic analysis and average analysis was performed for medical use behavior. As a result of the analysis, the biggest factor in purchasing private health insurance was household income, private health insurance coverage is the highest in growth period, and multiple subscriptions were made depending on household income. In youth, household income, spouse, and no disability, and middle age, household income, economic activities, spouses, and health levels were largely influential factors. The rate of private health insurance coverage in old age was the lowest, and low-income households, poor health levels, and people with disabilities were lower. The increase in medical use by private health insurance subscribers also occurred during growth and youth. It is necessary to strengthen the national health insurance coverage, and the role of private health insurance to supplement it should be established in time for the life cycle to complement each other, eliminating blind spots of medical security and maximizing people's health and well-being.

Comparative Analysis of Orofacial Myofunctional in Adults and Eldery People (성인과 노인의 구강근기능 영향요인 분석)

  • Kim, Seol-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.303-310
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    • 2019
  • The purpose of this study was to compare the oralmyofunctions (occlusal force, tongue pressure, lip force) of adults and elderly people. And analyzed the factors affecting oral health related quality of life and dysphagia. The study was conducted on 73(over 20 years of age) Residing in Daejeon and Nonsan From December 2017 to May 2018. The data was analyzed using one-way ANOVA, pearson's correlation and multiple regression. The masticatory strength of each age group evaluated the right and left posterior occlusal forces. the elderys group (8.93, 10.80) were lower than adults group(12.51, 14.61) and middle age group(11.63, 14.75)(p>0.05). The tongue pressure was statistically significant lower in eldery group(37.43) than the adult group(60.55), middle-aged group(50.61) (p=0.000). In addition lip force was significantly lower in eldery group(8.57) than adult(12.01), middle-aged(11.37)(p= 0.000). The tongue pressure was positively correlated with the number of natural teeth(r=.566, p<.05), and the lip force (r=.497, p<.05). The quality of life quality related to oral health and dysphagia was tongue strength(p<0.05). It is necessary to recognize the risk of declining oral muscle function caused by aging. especially tongue strength is associated with quality of life and dysphagia. In order to improve the quality of life related to oral health in the aged society, the necessity of regular oral administration and oral muscle training was proposed.

The Impact of Medical Utilization on Subjective Health and Happiness Index and Quality of Life according to the Economic Level of the Elderly (노인의 경제적 수준에 따른 의료이용이 주관적 건강수준과 행복감 지수 및 삶의 질에 미치는 영향)

  • So, Kwon-Seob;Hwang, Hye-Jeong;Kim, Eun-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.544-552
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    • 2019
  • The purpose of this study was to find concrete measures to improve the subjective health level, happiness and quality of life of the elderly according to economic level and to propose social and policy alternatives accordingly. As a research method, 63,929 elderly people aged 65 or older were surveyed using the Community Health Survey (Indicator Bank) _v09, and the frequency of health use by economic level, subjective health level, euphoria and quality of life Analysis and Chi square analysis and independent t-test. Multi variate logistic regression analysis was performed with subjective health level as a dependent variable and multiple linear regression analysis was performed to determine the factors affecting euphoria and quality of life. The results of the study are as follows. In the case of recipients, medical use was lower than that of non-recipients, lower education level, female age of 75 years or older, and less stress, In case of present or past recipients, the result of non - receipt increased as the subjective health level was worse, and the non - recipient had higher euphoria and quality of life. As a result, there is a need for alternatives to increase opportunities for medical use among the recipients, with particular attention being paid to women and elderly people over 75 years old. It is expected to be used as a basic data to effectively improve the health promotion, happiness and quality of life of the elderly people of low income group.

Effects of Social Support and Chronic Medical Conditions on Depressive Symptoms in Elderly People Living Alone in a Rural Community (농촌지역 독거노인의 사회적 지지 및 만성 의학적 질환이 우울증상에 미치는 영향)

  • Chae, Cholho;Lee, Sangsoo;Park, Chul-Soo;Kim, Bong-Jo;Lee, Cheol-Soon;Lee, So-Jin;Lee, Dongyun;Seo, Ji-Yeong;Ahn, In-Young;Choi, Jae-Won;Cha, Boseok
    • Journal of the Korean society of biological therapies in psychiatry
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    • v.24 no.3
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    • pp.184-193
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    • 2018
  • Objectives : This study investigated the effects of social support and chronic medical conditions on depressive symptoms in elderly people living alone in a rural community. Methods : Sociodemographic information on 173 subjects aged 65 years or older who lived alone in a rural community and were recipients of National Basic Livelihood Security was collected and analyzed. All participants completed the Korean Form of the Geriatric Depression Scale and the Lubben Social Network Scale. Additionally, the current prevalence of chronic medical conditions that interfere with the activities of daily living was examined. Multiple logistic regression analysis was conducted to analyze the associations of social support and chronic medical conditions with depressive symptoms. Results : Social support(odds ratio: OR, 0.96; 95% confidence interval: 95% CI, 0.92-0.99) and chronic medical conditions(OR, 1.59; 95% CI, 1.23-2.05) were significantly associated with depressive symptoms in all subjects. When analyzed by gender, social support served as a protective factor against depressive symptoms in elderly men only(OR, 0.91; 95% CI, 0.83-0.99), and chronic medical conditions increased the risk of depressive symptoms in elderly women only(OR, 1.74; 95% CI, 1.26-2.40). Furthermore, osteoarthritis and lumbar pain were risk factors for depressive symptoms in all subjects(OR, 2.24; 95% CI, 1.10-4.56 and OR, 2.10; 95% CI, 1.08-4.12) and in elderly women(OR, 4.07; 95% CI, 1.68-9.84 and OR, 3.34; 95% CI, 1.47-7.57), respectively. Conclusion : This study indicates that improving the social support and managing the chronic medical conditions of elderly people living alone are important for the prevention of depression in this population. Additionally, the present results suggest that it is necessary to establish different depression-prevention strategies for elderly men and women living alone.

Exploring Predictors of Preventive Behavior against COVID-19:Centered on Korean Collegians' Social Distancing (코로나19 예방행동 영향요인의 탐색: 우리나라 대학생의 사회적 거리두기를 중심으로)

  • Joo, Jihyuk
    • The Journal of the Korea Contents Association
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    • v.22 no.10
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    • pp.488-496
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    • 2022
  • For over two years, after COVID-19 was first reported in the last quarter of 2019, the world has suffered from the pandemic. The Korean government has taken an initiative and has implemented a variety of policies to protect people from COVID-19. These policies have resulted in some suffering and inconvenience for people. In this context, we aim to find out what factors influence Korean college students' intention to social distance. We surveyed with Google's online survey tool(Google Form) for 116 Korean college students using a convenient sampling from December 30, 2020, to January 8, 2021. We put perceived susceptibility, perceived severity, perceived health status, level of involvement, and trust in the policy as independent variables into a multiple regression equation using the stepwise method. We found that intention to social distance was predicted by perceived susceptibility, level of involvement, and trust in the policy in the final model. The findings mean that the more people perceive themselves susceptible to COVID-19, and the more they get involved with COVID-19, and the more they trust their governmental policies on COVID-19, the more they agree on social distancing.

The Effect of Disability Acceptance and Anxiety on Participation of People with Stroke Living in the Community (지역사회 거주하는 뇌졸중 장애인의 장애수용과 불안이 참여에 미치는 영향)

  • Lim, Young-Myoung;Ham, Min-Joo;Hwang, Ho-Sung;Kim, Hee
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.591-600
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    • 2022
  • This study examined the participation of the people with stroke living in the community in terms of productivity, leisure, and social domain, and identified the effect on disability acceptance and anxiety. For data collection, from October 2018 to January 2019, data on disability acceptance, anxiety, and participation were collected from 192 people with stroke who used welfare centers and community services. For general characteristics, t-test and one-way ANOVA were used to compare participation according to descriptive statistics and general characteristics. Pearson correlation analysis was used for correlation between variables, and multiple regression analysis was used to identify causality. As the result, factors affecting the productivity of participation were labor(β=.28, p<.001), de-emphasis on disability salience(β=.14, p<.05), compensatory(β=.22, p<.01), and subjective anxiety(β=-.35, p<.05), and the explanatory power was 33%(F=9.44, p<.001). Leisure was expressed as self-satisfaction with disability(β=.18, p<.05) and the compensatory(β=.18, p<.05), and had an explanatory power of 23%(F=6.32, p<.001). Social activity was labor(β=.19, p<.01), and subjective anxiety(β=-.51, p<.05), which showed 23%(F=6.05, p<.001) of explanatory power. This suggests the importance of psychosocial factors for a changed life after the onset of a stroke, and a practical approach is needed to construct and apply programs to improve participation.

Impact of attitude towards digital usage on life satisfaction of middle age and older adults: Sequential Mediation analysis in online networking activity and digital information production·sharing activities (중고령자의 디지털 이용태도가 생활 만족도에 미치는 영향: 온라인 네트워크 활동과 디지털 정보생산·공유활동의 직렬다중매개효과 분석)

  • Kim, Su Kyoung;Yoon, Hee Jeong;Lee, Dae Gyeom;Shin, Hye Ri;Kim, Young Sun
    • 한국노년학
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    • v.40 no.1
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    • pp.131-146
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    • 2020
  • The objective of this study is to examine the relationship between attitude in digital usage and life satisfaction level of the middle-aged people and older adults, and to analyze Sequential Mediation Effects of online networking activity and information producing and sharing in the online context. To achieve the main objectives, we conducted Hayeys'(2013) Process for SPSS Macro. The followings are the results of the study: First, there is a strong relationship between the attitude towards digital usage and the life satisfaction. Second, the results showed that impact of attitude in digital usage on life satisfaction among the older people is 0.291 unit higher, when they are engaged both in online networking activity and digital information production/sharing activities compared to involved in online networking activity alone. The results of the study is meaningful in that they can be used as a baseline data for reconsideration of digital usage and life satisfaction of the older adults, by providing comprehensive examination of relationship among attitude in digital usage, life satisfaction, online network activities, and digital information production·sharing activities of the older adults.

The Effects of Personal Emotion and Social Change Perception caused by COVID-19 on Disaster Response Perception after the Post-Endemic (코로나19로 인한 개인정서와 사회변화 인식이 엔데믹 이후 재난대처 인식에 미치는 영향에 대한 연구)

  • Lee, Wan-Taek;Lim, Seong-Hyeon;Jo, Changik;Lee, Jongseok;Jung, Deuk
    • Journal of Industrial Convergence
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    • v.20 no.8
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    • pp.127-136
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    • 2022
  • This study was conducted using a multiple regression model to empirically analyze the impact of personal emotions and social change perceptions of pandemic experienced by Korean people in the COVID-19 situation on the perception of disaster response after the endemic. For this end, we used the survey data with 996 respondents on 「Daily Changes of the People After COVID-19」conducted by the Korea Press Promotion Foundation. The results showed that COVID-19 positive emotions and social change perception factors had a positive (+) effect on disaster response perception, while the sense of community had a moderating effect that alleviated COVID-19 negative emotions which had a negative (-) effect. The most influential factors on disaster response perception after the endemic were COVID-19 positive emotions and community sense that had pride and stability in Korean society during disaster situations. Therefore, this study suggests that systematic disaster response manuals and control towers that give the public pride and stability are more strongly requested for the government's prior and follow-up measures performed in the post-endemic disaster situation, and that the people are asked to have the community sense to overcome disasters together rather than to respond with personal actions and judgments.

Predictors of Fighting Spirit or Helplessness/Hopelessness in People with Cancer (암환자의 투병의지와 무력감 예측요인)

  • Oh, Pok-Ja;Lee, Yeon-Joo
    • Journal of Korean Academy of Nursing
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    • v.38 no.2
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    • pp.270-277
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    • 2008
  • Purpose: This study was done to identify predictors of the fighting spirit or helplessness/hopelessness in the patients' mental adjustment to cancer. Cancer patients' characteristics like performance status, metastasis and duration of diagnosis with demographic factors, spiritual support and social support were used as predictors of a fighting spirit or helplessness/hopelessness. Methods: A total of 124 ambulatory cancer patients completed the Mental Adjustment to Cancer (MAC) scale and responded in a structured instrument about their characteristics, spiritual and social support. Results: The results of multiple regression analysis revealed that confidence in the supporter ($R^2=.114$, p=.000), duration of cancer diagnosis ($R^2=.041$, p=.000) and faith ($R^2=.030$, p=.000) were predictive of a fighting spirit ($R^2=.185$, p=.000); whereas, education ($R^2= .074$, p=.001), performance status ($R^2=.055$, p=.000), satisfaction with social support ($R^2=.046$, p=.000), and metastasis ($R^2=.037$, p=.000) were predictive of helplessness/hopelessness ($R^2=.202$, p=.000). Conclusion: Social support, spiritual support and disease related factors like metastasis, performance status, and duration of cancer diagnosis need to be considered in a psychosocial nursing intervention for a fighting spirit or helplessness/hopelessness.

Social Support and Acculturative Stress in Migrant Workers (외국인 노동자의 사회적 지지와 문화적응 스트레스)

  • Lee, Soon-Hee;Lee, Young-Joo;Kim, Sook-Young;Kim, Shin-Jeong
    • Journal of Korean Academy of Nursing
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    • v.39 no.6
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    • pp.899-910
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    • 2009
  • Purpose: The purpose of this study was to collect basic data on social support and acculturative stress in migrant workers. Methods: Between August, 2007 and January, 2008 171 immigrant workers completed data collection using a questionnaire. Workers were recruited from 2 churches, one in Seoul and the other in Gyeonggi Province. Mean and standard deviation, t-test, ANOVA, Pearson correlation coefficients and Stepwise multiple regression were used to analyze the data. Results: The average score for social support was 3.73 (${\pm}0.65$) and for acculturative stress, 2.52 (${\pm}0.65$). There were significant differences acculturative stress according to gender (t=2.152, p=.033), kind of job (t=2.597, p=.040), and have community or not (t=2.899, p=.005). There was a significant negative correlation between social support and acculturative stress (r=-.270, p=.001). Factors influencing acculturative stress were existence of participants having a community of people from their home country or not ($R^2=.151$, p=.002). Conclusion: More studies are needed to identify the variables that influence acculturative stress in immigrant workers.