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The Impact of Spirituality and Religious Involvement on the Relationship of Health Status with Life Satisfaction and Depression of the Elderly in Korea (노인의 영성과 종교 활동이 생활만족도와 우울에 미치는 영향)

  • Yoon, Hyunsook;Won, Sungwon
    • 한국노년학
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    • v.30 no.4
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    • pp.1077-1093
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    • 2010
  • This study aims to examine the effects of health status on life satisfaction and depression and to examine the effect of spirituality and religious involvement on this relationship among Korean older persons. On the basis of the previous literature, we hypothesize that health status will have a direct effect on life satisfaction and depression, but that spirituality and religious involvement will moderate this effect in addition to having direct effects on life satisfaction and depression. In light of the different gender effects on all five variables (health status, spirituality, religious involvement, life satisfaction, and depression), we also examine the effects of gender on these variables. The data for this study came from the Hallym Aging Study conducted by the Hallym University Institute of Aging from February to March in 2005. Through stratified multi-stage random sampling, 1409 individuals aged 65 and over, who lived in Seoul and Chuncheon in Korea. Multiple regression analysis was used to investigate whether health status, gender, spirituality and religious involvement could predict life satisfaction and depression, and whether the direct relationships were moderated by interactions among these variables. We took three ordered regression steps to examine the hypothesis; the first step contained the covariates of age, education, living with spouse, monthly expense, living with adult children, and household income. We also entered gender into this step, so it would be adjusted for in relation to the other covariates. The second step then looked for any direct effects that gender, health status, spirituality, and religious involvement might have on life satisfaction and depression above and beyond the effects of the covariates. The third step contained interaction terms to look for further variance accounted for by indirect, moderating effects on life satisfaction and depression. The results showed that health status had a significant effect on both life satisfaction and depression, and religious involvement had a significant effect on depression. Spirituality and religious involvement were found overall to be a moderator, reducing the negative effect of health status on life satisfaction and depression. The direct effect of religious involvement and the moderating effects of spirituality and religious involvement on life satisfaction and depression are consistent with the view that spirituality and religion are resources and benefit the well-being of older adults.

Predictors of Life Satisfaction among Older Adults in S. Korea: Differences by Education Level (한국노인의 교육수준별 생활만족 결정요인: 사회적 관계 및 참여, 건강을 중심으로)

  • Lee, Jungui
    • 한국노년학
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    • v.30 no.3
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    • pp.709-726
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    • 2010
  • As S. Korea is aging faster than any other industrialized countries, there exists a need to understand how best to improve the quality of life of the elders. The main purpose of this study is to examine the predictors of life satisfaction in the nationally representative sample of adults aged 65 and older (n=4,155) drawn from the Wave I (2006) of the Korean Longitudinal Study on Aging. Hierarchical multiple regression analysis was run to assess the unique explanatory contribution of socio-demographics, social network, activity participation, and physical/psychological health on the life satisfaction. Three separate analyses were undertaken to note differences by education level: older adults with no formal education, those who had completed 9th grade, and those who had completed 12th grade and more. There are three main findings: 1) Physical/psychological health variables such as subjective health, regular exercise, and depression were significant predictors of life satisfaction regardless of education level; 2) While social network and activity participation factors influence life satisfaction of the two lower education groups, such factors don't affect the highest education group; 3) Marital status, household income, and location of residence were significant demographic predictors of life satisfaction regardless of education level. Implications for program development and policy are discussed in this paper.

Factors affecting the ability of older adults to identify symptoms of depression (노인의 우울증상 식별력에 영향을 미치는 요인)

  • Lee, Sun Hae;Ko, Jung Eun
    • 한국노년학
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    • v.29 no.2
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    • pp.529-546
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    • 2009
  • Depression in old age not only is prevalent but also causes a considerable amount of burden in physical, psychosocial, and economic terms. Intervention, however, is often delayed due to the understanding that considers depressive symptoms as a normal process of aging or signs of physical illnesses. Since the recognition of symptoms often initiate one's help seeking process, a correct identification of symptoms can contribute to early detection and intervention to depression in oneself as well as in others. This study interviewed 104 older adults living in an urban area, and explored their ability to correctly identify depressive symptoms and factors related to identification. The study results show that respondents who were able to correctly identify symptoms of depression were only 14%, and the rest defined the symptoms as social, economic, and other psychological issues. Of the factors in the logistic regression model, age being 75 and over and mass media as source of mental health information affected negatively their ability to correctly identify symptoms; mental health education programs affected positively their ability. Based on these results, it is suggested that such strategies as employing a face-to-face provision of concrete information and counseling can be more effective than delivering information via large-scale lectures. Additionally, a future research deems necessary to conduct an in-depth examination of mental health/illness-related contents on mass media.

Employment Structure in Korea: Characteristics & Problems (우리나라 고용구조의 특징과 과제)

  • Jang, Keunho
    • Economic Analysis
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    • v.25 no.1
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    • pp.66-122
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    • 2019
  • As the Korean economy grew, employment expanded steadily, with the number of economically active people increasing and the employment-to-population rate also increasing. However, the working age population started to decline in 2017, and the employment of women and young people has been sluggish. The proportion of non-salaried workers in Korea is much higher than in other OECD countries, and is also excessive, considering Korea's income levels. In addition, the proportion of non-regular workers and the proportion of workers employed at small companies are particularly high among salaried workers. In light of these characteristics of Korean employment, the urgent problems facing the employment structure can be summarized by the deepening dual structure of the labor market, the increase in youth unemployment, sluggish female employment figures, and an excessive share of self-employment. Overall, it is seen that labor market duality is the main structural factor of the employment problems in Korea. Therefore, in order to fundamentally address this employment problem, it is necessary to concentrate policy efforts on alleviating labor market duality.

Willingness to pay for eco-friendly products: case of cosmetics

  • Joung, Soon Hee;Park, Sun Wook;Ko, Yoon Jin
    • Asia Marketing Journal
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    • v.15 no.4
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    • pp.33-49
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    • 2014
  • Environmental concern has been an important issue for a few decades, and the extent of consumer demand for eco-friendly consumption has been increased. This study seeks to investigate consumers' willingness to pay (WTP) a premium for eco-friendly cosmetics. This study evaluates how much more a consumer is willing to pay for eco-friendly cosmetics and examines significant factors influencing consumers' WTP for eco-friendly cosmetics. Consumers' WTP is measured using four different ecofriendly cosmetics: low-priced skin care cosmetics, low-priced makeup cosmetics, high-priced skin care cosmetics, and high-priced makeup cosmetics. This study uses the contingent valuation method (CVM) to estimate consumer's WTP for eco-friendly cosmetics. Survey questions were designed using both dichotomous choice and payment card method of CVM. Through face to face interviews and on-line surveys, the data were collected from women between 20 and 49 years old residing in Seoul and Kyeonggi area, Korea, in May 2010. A total of 226 questionnaires (132 from interviews and 94 from on-line) were included for the analytical sample in this study. The data were analyzed using descriptive analysis, T-test and Log-Logit analysis. The findings are as follows: First, the WTP measured by dichotomous choice method was estimated using the Log-Logit analysis. The results showed that the estimated WTP for low-priced skin care cosmetics was 19,152 won, which was 27.7% higher than the reference price, 15,000 won. For low-priced makeup cosmetics, the estimated WTP was 18,524 won, and its green premium was 21.0%. The estimated WTP for high-priced skin care cosmetics was 59,128 won, which was 18.3% higher than the reference price, 50,000 won. For high-priced makeup cosmetics was 57,666 won, and its green premium was 15.3%. Second, the WTP measure by payment card method was estimated using descriptive analysis. The results showed that the respondents were willing to pay 17,955 won for low-priced skin care cosmetics, which was 19.7% higher than the reference price, 15,000 won and 17,595 won for low-priced makeup cosmetics, which was 17.3% higher than the reference price. For high-priced skin care cosmetics, the average WTP was 56,950 won which was 13.9% higher than the reference price, 50,000 won. For high-priced makeup cosmetics, the average WTP was 55,650 won, which was 11.3% higher than the reference price. Overall, the WTP was higher in order of low-priced skin care, low-priced makeup, high-priced skin care, and high-priced makeup. It means that consumers decide degree of premium based on the price and the attributes of eco-friendly products. Third, the findings showed that age, monthly income, and having children or not were statistically significant factors that influenced consumers' willingness to pay for eco-friendly cosmetics. Other explanatory variables such as education, marital status, job, purchase experience of eco-friendly products, and environmental concerns did not show any statistical significance. The major contribution of this study is the investigation of the value of green attributes of the products by using CVM. Unlike most previous researches, this research used two methods of CVM, the dichotomous choice and the payment card, so it enhanced the reliability of research. According to this study, consumers showed price sensitivity when they pay green premium. These findings can be used as useful information to establish marketing strategies for green cosmetics.

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Exploration of an Area with High Concentrations of Particulate Matter and Biomonitoring Survey of Volatile Organic Compounds among the Residents (부산 내 미세먼지 고농도 지역 탐색 및 체내 휘발성유기화합물 바이오모니터링 조사)

  • Hyunji Ju;Seungho Lee;Jae-Hee Min;Yong-Sik Hwang;Young-Seoub Hong
    • Journal of Environmental Health Sciences
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    • v.49 no.6
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    • pp.344-352
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    • 2023
  • Background: With its developed port and related industries, the concentration of fine dust is high in Busan compared to other cities in South Korea. Many studies have reported the health effects of fine dust, but there has been a lack of information regarding concentrations of volatile organic compounds among those who exposed to high levels of fine dust. Objectives: This study aimed to define an area with high concentrations of particulate matter and perform biomonitoring surveys among the residents of the area. Methods: Air quality data was collected and the mean level of each district in Busan was derived. We then defined the area with the highest concentrations of PM10 as a target site. Urine samples were collected from the 400 participants and analyzed for VOCs metabolites - trans,trans-Muconic Acid (t,t-MA) and N-AcetylS-(benzyl)-L-cysteine (BMA). Interviews were conducted by trained investigators to examine demographic information. The levels of t,t-MA and BMA were compared with representative South Korean population data (Korean National Environmental Health Survey). The association of the VOC metabolites and fine dust were analyzed by general linear regression analysis. Results: The mean of PM10 in the target site was 42.50 ㎍/m3 from 2018 to 2020. Among the 400 participants in the target site, 74.8% were female and the average age of the participants was 66 years. The geometric mean of t,t-MA was 71.15 ㎍/g creatinine and the BMA was 7.00 ㎍/g creatinine among the residents. The levels were higher than the geometric mean from the 4th KoNEHS. The levels of t,t-MA showed significance in BMI, smoking status, and household income. BMA showed significance in gender and age. Conclusions: Compared to the general population of South Korea, the target site's residents had higher biomonitoring levels. Based on this study, continuous screening for high risk areas, including the target site, and biomonitoring of the residents are required.

Relationship between Depression and Health Care Utilization (우울과 의료이용의 관계)

  • Hyo Eun Cho;Jun Hyup Lee
    • Health Policy and Management
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    • v.34 no.1
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    • pp.68-77
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    • 2024
  • Background: Depressive disorders can be categorized into daily depression and clinical depression. The experience of depressive disorder can increase health care utilization due to decreased treatment compliance and somatization. On the other hand, the clinical depression group may also experience social prejudice associated with the illness, which can limit their access to health care utilization. In terms of the significance of health care utilization as a factor in individual and social issues, this study aims to compare the health care utilization of the clinical depression group with that of the non-depressed group and the daily depression group. Methods: The analysis utilized the inverse probability of treatment weighting based on the generalized propensity score. Results: As a result of the analysis, clinical depression and daily depression were higher among women, low-income groups, individuals with low education levels, and so forth. The clinical depression group was also higher among individuals who were not economically active, did not have private health insurance, or had multiple chronic diseases. The number of outpatient department visits in the depression group was significantly higher than in the non-depressed group. In addition, the number of outpatient department visits for the clinical depression group was significantly higher than that for the daily depression group. Outpatient medical expenses were higher in the depression group than in the non-depressed group, and there was no significant difference between the clinical depression group and the daily depression group. Conclusion: Health care utilization was higher in the depression group than the non-depressed group, it was also higher in the clinical depression group than the daily depression group.

A Study on the Types and Determinants of Young Farmers: Focusing on Young Farmers in Muan-gun, Jeollanam-do (청년농업인 유형화 및 결정요인 분석: 전남 무안군 청년농업인 중심으로)

  • Hyangmi Yi;Jongha Kim
    • Land and Housing Review
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    • v.15 no.2
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    • pp.107-124
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    • 2024
  • Based on Muan-gun, Jeollanam-do, this study explores how to mitigate the disappearance of rual areas. The study surveyed 95 young farmers in Muan-gun to assess their farming practices and the challenges they face. We further employ factor analysis and cluster analysis classify young farmers in Muan-gun, facilitating the identification of tailored policies or initiatives aimed at fostering and supporting young farmers. The results are summarized as follows. First, Muan County does not have any ordinances or original projects specifically designed to support young farmers. Second, the succession rate of farmland among young farmers in Muan County is 41.1%, which is comparable to the national rate of 43.7%. This indicates that approximately 40% of young farmers in Korea have inherited farmland, a critical foundation for agricultural activities. Third, despite accumulating farming experience, young farmers have not seen any improvement in local living conditions, and rather their difficulties have intensified. Fourth, this study conducted a factor analysis using 21 variables, resulting in the selection of seven common factors for cluster analysis. Consequently, young farmers in Muan County were categorized into three groups. The multinomial logit analysis revealed that the typology of young farmers is influenced by indicators such as cultivated area, farming experience, demand for smart farms, farm income, and farming type (rice cultivation or other). Therefore, to attract young farmers and prevent the decline of rural areas, policy efforts should focus on minimizing entry barriers to farming infrastructure, such as access to farmland, and improving local settlement conditions.

Medical Students Understanding of The Scope of Plastic Surgery

  • Mohammad K.H.B. Abdulaziz;Mohammad Al-Jamali;Sundus Al-Mazidi;Sarah Albuloushi;Ahmad B. Al-Ali
    • Archives of Plastic Surgery
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    • v.51 no.2
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    • pp.251-257
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    • 2024
  • Background Plastic surgery has developed to benefit in a variety of challenging areas formerly handled by other disciplines. Medical students do not have a clear picture of plastic surgery as a career due to lacking scope, clinical practice, and understanding of plastic surgery as a clinical area of expertise, including general practitioners, nursing staff, medical trainees, and the general public, and misconceptions about the extent of reconstructive and plastic surgery. Methods A cross-sectional observational study was conducted on Kuwait University Medical students (2nd-7th Years) over a period of 1 month. A questionnaire and a consent form were provided to eligible students. The inclusion criteria were Kuwait University Medical students from 2nd to 7th Years with signed consent form. The response was collected via email sent in coordination with the Vice Dean of Student Affairs in the Faculty of Medicine. Using statistical package for the social sciences, responses were statistically analyzed. Pearson's chi-square test was used to calculate p-values, where p < 0.05 was considered statistically significant. Results A total of 244 eligible medical students, 121 males and 123 females, were included in the study, with a mean age of 21 (±2) years. Similarly, 126 (51.6%) were preclinical students (2nd-4th-year students), while 118 (48.4%) were clinical students (5th-7th-year students). About 79.8% of medical students believed that plastic surgery plays an essential role in trauma management, whereas 9.2% did not consider plastic surgery significant for trauma management. This study found that only 15.5% of medical students were interested in enrolling in plastic surgery residency after graduation, while 47.1% of students did not consider plastic surgery residency after graduation. However, 37.4% were uncertain. The two most driving factors in deciding on plastic surgery residency were expected income (61.8%) and lifestyle (14.3%). Conclusion Improving medical students' education quality can enhance their perception and awareness of plastic surgery. Students should be taught the broader scope of plastic surgery. The inclusion of formal training during undergraduation is the essence of time and should be added to or improved during plastic surgery rotations with more emphasis on reconstructive and hand/peripheral nerve surgery. Student-led interest groups can be a useful tool for educating students about their specialty.

Effects of a supportive workplace environment on the success rate for smoking cessation camp

  • Woojin Kim;A Ram Kim;Minsu Ock;Young-Jee Jeon;Heun Lee;Daehwan Kim;Minjun Kim;Cheolin Yoo
    • Annals of Occupational and Environmental Medicine
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    • v.35
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    • pp.48.1-48.13
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    • 2023
  • Background: This study was conducted to identify the success rate for smoking cessation over time after participation in a therapeutic smoking cessation camp, and to identify how participant characteristics, including a supportive workplace environment for smoking cessation (SWESC), affect the success rate for smoking cessation. Methods: In all, 296 participants at smoking cessation camps in Ulsan between 2015 and 2020 were investigated. The success rates of smoking cessation after weeks 4, 6, 12, and 24 at camp were investigated. The participants were grouped as workers with an SWESC, and workers without an SWESC, and variables (age, education, household income, marital status, drinking, exercise, body mass index, morbidity, job, number of counseling sessions, cigarettes smoked per day and smoking initiation age) were investigated. Multiple logistic regression analysis was conducted at each time point. In addition, Cox regression analysis was performed to evaluate the variables affecting the success rate for smoking cessation over time. Results: The smoking cessation success rate of workers with an SWESC at week 24 (90.7%) was higher than that for workers without an SWESC (60.5%). Multiple logistic regression was performed to determine the relationship between each variable and the success rates for smoking cessation at week 6, 12, and 24. SWESC was confirmed as significant (p < 0.05) variables for increased success rate for smoking cessation at all 3 time points. After adjusting for all variables, the Cox proportional hazards survival analysis showed a hazard ratio of 6.17 for SWESC (p < 0.001,; 95% confidence interval: 3.08-12.38). Conclusions: At a professional treatment smoking cessation camp, participants with an SWESC showed a significantly higher success rate for smoking cessation. Supportive workplace environment for workers' health is expected to be an important factor for smoking cessation projects as well as other health promotion projects at workplace.