Kim, Seok-Yeong;Lee, Jung-Chan;An, Byeung-Ki;Kim, Yang-Kyun
The Korean Journal of Health Service Management
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v.11
no.4
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pp.89-104
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2017
Objectives : The purpose of this study was to find the determinants for non-participation in health screenings among the disabled. Methods : We used 2014-15 Korea Health Panel data and analyzed 1,073 people with disabilities older than 19 years to investigate the two-year health screening participation rates. Multiple logistic regression analyses were conducted to analyze the factors affecting non-participation in health screenings. Results : Of the 1,073 people with disabilities who were analyzed, 29.8% and 27.1% participated in NHI mass screenings and cancer screenings, respectively. In both screenings, non-participation rates were higher in people aged 19-49 and lower in people aged 50 -69 than those aged 70 or older; higher in people with lower education, higher in people with private health insurance; higher in people with fewer chronic diseases; and higher in people with severe disability ratings. Conclusions : People with disabilities should be provided with more appropriate preventive care services according to their disability types and severity compared to people without disabilities.
The purpose of this study was to empirically verify the influence of variables on leisure participation and leisure satisfaction of single working people and the relative contribution of individual leisure participation and family leisure participation. The subject of this study were 176 single working people in Pusan and interviewed with a questionnaire. The data were analyzed by SPSS/PC+ program for the frequency, mean, standard deviation, Cronbach'$\alpha$, factor analysis and regression. The major results of this study were as follows : 1. The score of family leisure participation were higher than individual leisure participation. The Level of leisure satisfaction was relatively high. 2. Variables that affect the leisure participation were job, degree of information using and perception level of the adequacy of household income. 3. Variables that affect leisure satisfaction were perception level of the adequacy of household income and individual leisure participation.
The purpose of this study is to identify differences in processes of change, decision making, and self-efficacy by exercise behavioral stages and determine variables significantly affecting the older people's participation in exercises. The subjects of this study included 299 people aged 65 or over who were residents of G and S districts in Busan Metropolitan City. They were selected through purposive quota sampling at colleges and centers for old people and homes in order that they could be evenly distributed over stages of pre-contemplation, contemplation, preparation, action and maintenance. Data were analyzed using descriptive, ANOVA, Logistic Regression. Variables that discriminate between participants and non-participants in exercise include self-reevaluation, reinforcing management, cons and self-efficacy. Thus if variables that discriminate between participant and non-participation in exercise such as self-reevaluation, reinforcing management, cons and self-efficacy are fully considered in designing nursing interventions for inducing old people to become exercise participants, it would provide guidelines for nursing intervention programs as appropriate for the people's exercise stages. The purpose of this study is to identify differences in processes of change, decision making, and self-efficacy by exercise behavioral stages and determine variables significantly affecting the older people's participation in exercises. The subjects of this study included 299 people aged 65 or over who were residents of G and S districts in Busan Metropolitan City. They were selected through purposive quota sampling at colleges and centers for old people and homes in order that they could be evenly distributed over stages of pre-contemplation, contemplation, preparation, action and maintenance. Data were analyzed using descriptive, ANOVA, Logistic Regression. Variables that discriminate between participants and non-participants in exercise include self-reevaluation, reinforcing management, cons and self-efficacy. Thus if variables that discriminate between participation and non-participation in exercise such as self-reevaluation, reinforcing management, cons and self-efficacy are fully considered in designing nursing interventions for inducing old people to become exercise participants, it would provide guidelines for nursing intervention programs as appropriate for the people's exercise stages.
Background: People with disabilities have higher prevalence rates and earlier onset of chronic disease than the non-disabled; therefore, their participation in health screening is important. This study evaluates the participation rate and trends in health screening of people with disabilities, and examines the association between their participation rate and disability characteristics, and socioeconomic status. Methods: Data on disability-related characteristics were collected from the National Disability Registry, and participants' corresponding health examination data were taken from the Korean National Health Insurance Corporation between 2002 and 2011. A total of 873,819 participants aged ${\geq}20$ years were analyzed in this study. Results: The rate of participation of people with disabilities in health screening has increased each year, but their participation rate is lower than that of the total population. The participation rate was lower in females than in males; the elderly group than in the younger group; those who live in city areas than rural areas; self-employed for health insurance than employees; those with an internal organ disability than those with an external physical disability; those with a severe disability than those with a mild disability; and those with a short-term disability than for those with a long-term disability. Conclusion: The factors associated with participation rate are age, sex, socioeconomic status, and disability characteristics. These findings indicate that health check-ups of people with disabilities should be promoted using an approach that takes into account the large individual differences in socioeconomic status and disability characteristics in this population.
Background : Cancer is the leading cause of death and one of the largest burdens of disease in Korea. In 1996, the Ten year Plan for Cancer Control was formulated and the government then adopted the plan as a national policy. As part of this plan, the National Cancer Screening Program (NCSP) for Medicaid recipients was formulated, and the government adapted this in 1999. For low-income beneficiaries of the National Health Insurance Corporation (NHIC), the screening program has been in place since 2002. In 2002, the target cancers of NCSP were stomach, breast and cervical cancer. This study was conducted to examine the relationships between the participation rate, the abnormal screening rate and the socio-demographic factors associated with participation in the screening program. Methods : To analyze the participation rate and abnormal rate for the NCSP, we used the 2002 NCSP records. The information on the socio-demographic factors was available from the database of the beneficiaries in the NHIC and Medicaid. Results : The participation rate of the Medicaid beneficiaries for the stomach, breast and cervical cancer screening were 9.2%, 15.5% and 15.0%, respectively, and 11.3% and 12.5%, except cervical cancer which wasn't be included in the NCSP, for the beneficiaries of the NHIC. The abnormal rate of stomach, breast and cervical cancer screening were 25.7%, 11.2% and 21.0%, respectively, for the beneficiaries of Medicaid and 42.6% and 19.4% for the beneficiaries of the NHIC. On the multiple logistic regression analysis, gender, age and place of residence were significantly associated with participation rates of the NCSP. For stomach cancer, women participated in the NCSP more than men. The participation rate was higher among people in their fifties and sixties than for those people in their forties and those people over seventy years in age. For the breast and cervical cancer, people in their fifties were more likely to participate in the NCSP than people in their forties and people over sixty. For the place of residence, people in the rural areas participated more than those people in any other places. Conclusions : The above results show that the participation rate and abnormal rate were significantly associated with the socio-demographic factors. To improve the participation rate for the NCSP, more attention should be given to the underserved groups.
The principle objective of this study is to determine factors affecting social participation for physically disabled people with musculoskeletal conditions (spinal cord injury, muscular dystrophy, osteogenesis imperfecta, rheumatoid arthritis) in South Korea using ICF relevant categories of the international classification index by WHO. The subjects of this study 352 people with physical disabilities, the data were collected using ICF component(body functions, body structures, activities and participation and environmental factors) and the relevant categories deprived from ICF core sets. The collected data were evaluated with descriptive analysis, ANOVA, correlation analysis, and multiple regression analysis. The results of this study can be summarized as follow. The mental function, Neuromusculoskeletal and movement-related functions, Genitourinary and reproductive functions, Skin and related structures, Learning and applying knowledge, General tasks and demands, and Mobility positively influenced social participation in people with musculoskeletal conditions. However individual factors and environmental factors didn't statistically significant affect on social participation. The implications of the study is to examine by ICF components of universal approach on disability study and utilized the relevant ICF categories as measurement tools.
The purpose of the this study was to investigate the association of the participation of leisure activities, leisure satisfaction and quality of life, and analyze the mediating effect of leisure satisfaction in the relationship between the participation of leisure activities and quality of life among people with disabilities. For the purpose, the data were collected by using non-random purposive and convenient sampling methods and 192 disabled people who reside in Daegu city and Kyungpook provinces filled out self-administered questionnaires for this study. Findings of the study indicated that there were statistically significant relationships among the participation of leisure activities, leisure satisfaction, and quality of life and active types of leisure activities such as physical activities, travel activities, and social participating activities were significantly related with leisure satisfaction and quality of life. In addition, the mediating effect of leisure satisfaction in the relationship between the participation of leisure activities and quality of life was statistically significant. Based on the findings of the study, possible practice implications for improving quality of life among disabled people and recommendation for further study were provided.
Although previous studies have found that social participation activities are related to older people's life satisfaction and health status, the rate of social participation activities among older people is still low. The current study examined the relationship between age identity and social participation activities among older people and the extent to which this relationship differs by gender. Secondary data from the Survey of Living Conditions of Korean Older Persons were used to test the research hypothesis. Hierarchical multiple regression models were tested using a nationally representative sample of 10,451 community-dwelling older persons aged 65 and above. Older people who have older age identity were less likely to involve in social participation activities than those who have younger age identity. However, this relationship was only significant for older women. The findings suggest the need for attention to age identity and gender differences when promoting social participation activities.
Proceeding of Spring/Autumn Annual Conference of KHA
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2008.04a
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pp.117-122
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2008
As the industrialization and urbanization are advanced rapidly, the apartment housing has been in excessive supply. Also, the apartment housing that offers modern people a comfortable life has been the typical housing type in Korea. Meanwhile, people today have lost their morality and communities have been dissolved because of a sudden social change. But the lost morality can be recovered when the communities are established. As more increasing in the residents' demands, it is enlarging of residents' interests and participations in pursuit of quality of life. In this process, residents' participation has occurred of their free will not only in offline communities but also online communities. For developing of IT technology, people using internet have exceeded 75% and development of online communities in apartment housing have boundless potentialities despite in a delicate situation that is at the same time and same space. The purpose of this study is that examine the possibilities and directions of participation, as it attempts to grasp the present conditions and problems of online community. In the study, we searched the word, apartment housing, on portal site to apprehensive the status of residents' voluntary participation on online community. According to research, residents' voluntary participation on online community was divided into three frames, such as remodeling, planed resident and designing friendship. Finally we found out resident's contents of communication and structure of their participation by these frames. As a result, participation on online community helps residents who have been not take part in offline community because of limited time in spite of difficulty of lasting participation. From now on, it will have possibility to increase and revitalize new communities on the purpose.
This study examines the factors that influence the mobile social participation of elderly disabled people compared to that of young adults with disabilities. The analysis was conducted using Heckman's two-stage model. The first stage of the research focused on the populations who have mobile devices, while the second stage focused on factors that influence mobile social participation. The results of the study are as follows: for elderly people with disabilities, mobile social participation is associated with living alone, PC usage ability, mobile usage ability, internet usage ability, and attitude towards digital use. Based on the results of this research, this study presents a plan to support the mobile social participation of elderly people with disabilities.
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