• Title/Summary/Keyword: Persons with Disability

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Estimation of Productivity Losses due to Smoking (흡연으로 인한 생산성 손질 추정)

  • 김태현;문옥륜;김병익
    • Health Policy and Management
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    • v.10 no.3
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    • pp.169-187
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    • 2000
  • Cigarette smoking has been identified as the most important source of preventable morbidity and premature mortality (WHO, 1995), The prevalence of smoking among men is very high in Korea. This study estimated productivity losses due to smoking in Korea, 1997. The derivation of cost estimates for mortality, disability, hospitalization and use of physician services related to cigarette smoking is bas 어 on the calculation of attributable fractions suggested by MacMahon and Cole and Smoking-Attributable Mortality, Morbidity, and Economic Cost(SAMMEC) software. To estimate the number of deaths from neoplastic, cardiovascular, respiratory diseases associated with cigarette smoking, estimates for adults(aged 20 years and over) were based on 1997 mortality data, 1995 data on smoking prevalence from Korea Institute for Health and Social Affairs. Smoking-attributable indirect morbidity cost data were obtained from the National Federation of Medical Insurance. As the result of cost estimation, these productivity losses were 336-430 billion won. During 1997, 8,620-10,804 deaths were attributed to smoking. Cigarette smoking resulted in 133,991-169,422 Years of Potential Life Lost (YPLL) to life expectancy. For smoking -attributable indirect mortality costs, the present value of future earnings(PVFE) for the age at death are 299-384 billion won. Smoking-attributable indirect morbidity costs, the costs of lost productivity for persons who are disabled by smoking-related chronic diseases are 37-46 billion won. In this study the productivity losses due to smoking were restricted to the health effects of smoking. It is possible that these costs were underestimated with the limitation of the data. Smoking is the leading preventable cause of illness and death. The results of this study can be used as elementary data for antismoking policy.

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Evaluation of oral health service program for disabled persons in Ulsan, Korea (울산광역시 장애인 구강진료사업의 성과 분석 : 초중고 학생을 중심으로)

  • Kim, Min-Ji;Jun, Eun-Joo;Han, Dong-Hun;Jeong, Seung-Hwa;Kim, Jin-Bom
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.2
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    • pp.297-303
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    • 2013
  • Objectives : The purpose of this study was to evaluate the oral health status of the disabled people in Ulsan. Methods : Two dentists taken a calibration training for national oral health survey examined the Oral health status on 110 disabled people in Ulsan, in 2009. The surveyed disabled people, 6 to 19 years old, have been supplied with the oral health care services by dentists, oral hygienists and volunteers at dental clinics of schools and a dental clinic supported from Ulsan Metropolitan City Nam-Gu Health Center since 1997. The obtained data from these surveys were analyzed with the SPSS statistical package. Results : Among subjects aged 12-14 years, DMF rate was 38.2%; Active D rate, 17.6%; DMFT index, 1.15; DT rate, 33.33%; MT rate, 0.00%; FT rate, 66.67%. Oral heath status of disabled people in Ulsan were evaluated to be a similar level to the Ulsan non-disabled citizens from 2010 Korean National Survey. Conclusions : The oral health care programs for disabled people using voluntary dentists, oral hygienists and other workers in Ulsan are evaluated to be effective for the disabled people.

Effects of Water Exercise on the Foot Pressure Distribution of a Female Adult with Hemiplegia: A Biomechanical Case Study

  • Lee, In-Woo;Kim, Jin-Ki;Yang, Jeong-Ok;Lee, Joong-Sook;Lee, Bom-Jin
    • Korean Journal of Applied Biomechanics
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    • v.23 no.2
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    • pp.179-187
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    • 2013
  • This case study was conducted to determine the effects of water exercise on the foot pressure distribution (FPD) of persons who have a hemiplegia. A 43-year old female with hemiplegia acquired at the age of 3 years was selected from a local disability program. A 12-week water exercise program (60 min. per session and twice a week) focusing on gait training was developed and implemented as the intervention of this study. A recent product of the Pedar-X (Novel, Germany) was used to measure the FPD of hemiplegic gait before and after the intervention. Variables considered in this study included the average pressure (AP), contact area (CA), maximum pressure (MP), ground reaction force (GRF), and center of pressure (COP). The data collected were analyzed via the descriptive statistics and qualitative analyses on the graphical presentations of the FPD. Results revealed that the AP and CA of the hemiplegic foot was considerably increased before and after the intervention. Similar results were also found in the MP and GRF. Additionally, the graphical route of the COP related to hemiplegic foot was changed in a positive way after the intervention. It can be concluded that water exercise may be beneficial to restore hemiplegic gait. Limitations related to measurement and generalizability are further discussed.

Design and Implementation of Data Acquisition and Storage Systems for Multi-view Points Sign Language (다시점 수어 데이터 획득 및 저장 시스템 설계 및 구현)

  • Kim, Geunmo;Kim, Bongjae
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.22 no.3
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    • pp.63-68
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    • 2022
  • There are 395,789 people with hearing impairment in Korea, according to the 2021 Disability Statistics Annual Report by the Korea Institute for the Development of Disabled Persons. These people are experiencing a lot of inconvenience through hearing impairment, and many studies related to recognition and translation of Korean sign language are being conducted to solve this problem. In sign language recognition and translation research, collecting sign language data has many difficulties because few people use sign language professionally. In addition, most of the existed data is sign language data taken from the front of the speaker. To solve this problem, in this paper, we designed and developed a storage system that can collect sign language data based on multi-view points in real-time, rather than a single point, and store and manage it with high usability.

Comparison of Responses in Psychological and Supportive Factors Between Proxy and Self-respondents in Severely Disabled (중증장애인의 대리응답 여부에 따른 심리적·지지적 요인의 응답 비교)

  • Hyunsuk, Choi;Youngshin, Song
    • Journal of Industrial Convergence
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    • v.20 no.11
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    • pp.49-55
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    • 2022
  • This study is a secondary data analysis study to confirm the difference in responses to psychological and supportive factors of severely disabled according to proxy responses using the National Survey of the Disabled 2020. 738,169 people with severe disabilities who were 19 years of age or older, whose main disability was not an intellectual disability, were analyzed. χ2-test and t-test were performed using IBM SPSS Statistics 26.0. As a result of the study, the proxy response was more negative in sadness or hopelessness (χ2=952.20, p<.001), suicidal ideation (χ2=369.45, p<.001), and subjective health status (t=30.61, p<.001). And the proxy respondent answered that they need more support from others for daily life (t=209.43, p<.001) and have many difficulties in communication when using medical services (t=41.74, p<.001). When using a proxy response, the researcher should clearly state the point of view that the proxy respondent should take, and interpret the results considering that proxy response may be affected by various factors.

Factor Influencing Unmet Healthcare Needs among People with Disabilities (장애인의 미충족의료 경험에 영향을 미치는 요인)

  • Bo Hui Park;Kyoung Eun Yeob;Eun Hye Choi;So Young Kim;Jong Hyock Park
    • Health Policy and Management
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    • v.34 no.3
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    • pp.271-281
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    • 2024
  • Background: The unmet healthcare needs (UHNs) of people with disabilities (PWD) are not only detrimental to their quality of life but also can lead to serious health outcomes including death. A variety of factors including socioeconomic, personal, and environmental factors affect UHNs for PWD. Previous studies focused on individual socioeconomic and disability characteristics as influencing factors. Our studies included environmental factors that have a significant impact on the use of healthcare service by PWD. Methods: We analyzed the UHNs status and influencing factors among 4,326 adults with disabilities using the Korea Disability Life Data. Chisquare analysis identified differences in UHNs by general, disability, and environmental characteristics. Logistic regression determined factors affecting UHNs. Results: Those with low educational level (adjusted odds ratio [aOR], 1.229; 95% confidence interval [CI], 1.024-1.475), those with low income level (aOR, 1.416; 95% CI, 1.015-1.976), those who enrolled in private insurance (aOR, 1.234; 95% CI, 1.018-1.496), those who need help with daily living (aOR, 1.298; 95% CI, 1.059-1.592), those who did not go out (OR, 1.566; 95% CI, 1.274-1.924), those who use taxis (aOR, 1.407; 95% CI, 1.047-1.891) or call taxi for people with disabilities when going to the hospital (aOR, 1.370; 95% CI, 1.001-1.875), the communication disabled (aOR, 1.304; 95% CI, 1.029-1.651), those with poor subjective health status (aOR, 1.248; 95% CI, 1.043-1.494), those who felt the explanation of treatment results was insufficient (aOR, 4.035; 95% CI, 1.365-11.927), hose dissatisfied with healthcare services (aOR, 3.515; 95% CI, 2.741-4.508) were more likely to experience UHNs. Conclusion: Effective healthcare service provision for PWD requires not only financial assistance but also social support, along with education for healthcare staff, policies that consider the characteristics of disabilities.

The effect of oral health behavior of the visually impaired on DMFT index (시각장애인의 구강보건행태가 DMFT지수에 미치는 영향)

  • Lee, Jong-Hwa;Lee, Seung-Hee;Yun, Hyun-Kyung
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.3
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    • pp.331-342
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    • 2017
  • Objectives: This study aimed at helping oral health prevention of the blind and related management plan, which is defined as the influence factors between missing and filled permanent teeth index and general feature and oral health behavior of the blind in Korea (estimates 229,678 persons) using data of the 6th Korea National Health and Nutrition Examination Survey from 2014 Korea Centers For Disease Control and Prevention. Methods: The blind over the age of 30 were selected as study subjects who have conducted health survey and dental inspections in KNHANES VI-2. Estimates of the subjects were 229,67 persons. For analyzing data, general linear models: GLM and covariance analysis were conducted to identify the relation between general feature and oral health behavior and missing and filled permanent teeth index. SPSS 21 statistical program was used, which is possible to conduct complex sampling design, and the significance level was 0.05. Results: The missing and filled permanent teeth index was 8.58 points. Regarding the results of the analysis, R-squared of the missing and filled permanent teeth index depending on general features of the blind was 0.839 points, which shows gender, age, residence, education level, individual income, disability rating, kinds of health insurance, marital status and recipient of basic living had an effect on the missing and filled permanent teeth index. R2 of the missing and filled permanent teeth index depending on oral health form of the blind was 0.728 points, which shows oral examination, dental treatment, smoking and toothbrushing after lunch had an effect on the missing and filled permanent teeth index. Conclusions: With the result of this study, we found the oral health actual condition of the blind in Korea. Therefore, it is considered that the government needs to introduce the personalized oral health education program to maintain oral health of the blind and to develop a program that uses braille and voice device which enables to access and utilize to improve oral health behavior that the government could use it as a reference to establish the policy plan.

A Study on the Effective Services Model for Disabled Users in University Libraries (대학도서관의 장애인서비스 제공방안에 관한 연구)

  • Chung, Jae-Young
    • Journal of Korean Library and Information Science Society
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    • v.40 no.1
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    • pp.73-91
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    • 2009
  • There has been almost studies focused on public library in the provision of the use and needs of library services for persons with disability. However, the number of disabled students are rising steadily in university library. So university libraries must make reasonable efforts to give disabled people the same access to information, programs and resources enjoyed by those who are not disabled. The study result showed that despite most university library already is recognized the necessity offering service for disabled, however, due to lack of understanding of services for disabled, legal standards rather than to have made only partial support to them. Therefore, librarians for the disabled in every sector(library-related organizations, groups, and association) have to play an important role in policies and financial support them. Also, active guidance and public relations about library services, improvement of accessibility for the disabled by using homepage, and the arrangement of librarians for the disabled and education for them should be supported for improving library services for the disabled student.

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A Recommended Guideline of Mobile Internet User Interface for Visually Handicapped (시각장애인을 위한 무선 인테넷 사용자 인터페이스 설계 지침)

  • 최재하;윤양택
    • Journal of the Korea Society of Computer and Information
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    • v.9 no.2
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    • pp.131-138
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    • 2004
  • Considering international trends and foreign cases, it can be easily expected that web accessibility issue is becoming more and more important. While information technology has changed Korean society rapidly and widely, there are many People who have difficulties in using information services such as the elderly and persons with disabilities. One of the big barriers they face is the lack of accessibility of web services. These social problems have been rarely studied in Korea but surface as very import subjects to be addressed concerning IT and welfare policy. The objective of this study is to ensure web accessibility right for visually handicapped and reduce digital divide through development of a recommendation guideline of mobile internet user interface. In this study the trends of politics and laws related to web accessibility in developed countries are surveyed and some advisable recommendation guidelines of mobile internet user interface for visually handicapped to improve web accessibility are proposed.

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Estimating the Burden of Diseases due to High Alcohol Consumption in Korea: (고도음주로 인한 우리나라 국민의 질병부담 측정)

  • Kim, Yong-Ik;Yoon, Seok-Jun;Lee, Jin-Yong;Lee, Hee-Young;Park, Jong-Hyock;Shin, Young-Soo;Lee, Jung-Kyu
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.2
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    • pp.175-181
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    • 2005
  • Objectives: This study estimated the burden of disease due to high alcohol consumption using DALY, a composite indicator recently developed by the Global Burden of Disease study group. The results were analyzed by age and sex. Methods: Firstly, high alcohol consumption-related diseases, and their relative risk (RR), were selected. Secondly, population attributable fractions (PAFs) were computed using formulae, including the relative risk (RR) and prevalence of exposure (Pe). Thirdly, the DALYs of high alcohol consumption-related diseases were estimated. Lastly, the attributable burdens of diseases due to high alcohol consumption wereconcluded as being the sum of the products that multiplied the DALYs of high alcohol consumption-related diseases by their population attributable fraction (PAF). Results : The burden of high alcohol consumption in Korea was 2992.3 person years (PYs) per 100,000 persons in men, and 1426.6 in women. For men, the high alcohol consumption-induced diseases with the five biggest burdens were liver cirrhosis, hypertensive disease, liver cancer, cerebral infarction and intracerebral hemorrhage. For women, these were cerebral infarction, intracerebral hemorrhage, hypertensive disease, liver cirrhosis and liver cancer. Conclusion: This study highlighted the attributable fraction of diseases due to exposure to high alcohol consumption, by quantifying the results of exposure to risk factors. Therefore, it is now possible to assess interventions for risk factors in quantifiable terms in each population. Finally, measuring the risk factor burdens was expected to contribute to priority setting and effective resource allocation in public health policy.