• Health Policy and Management
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• v.22 no.2
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• pp.163-182
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• 2012

This study was performed to identify the difference of the area-based deprivation and the educational level on the cerebrovascular mortality in Korea. Data used in this study was obtained from the Death Certificate Data 2000 and the 2000 Census produced by Korean National Statistics(NSO). We classified the whole country into 246 areas based on the administrative districts. Then, the Standardized Mortality Ratio (SMR) in cerebrovascular disease was calculated according to the sex, education level and 246 areas. Its Predicted SMR was calculated by the Empirical Bayes Methods to reduce the variation of the SMR values. The area-based deprivation of 246 areas were measured using the modified Carstairs index in which the 5 indicators consisted of overcrowding, the unemployment ratio of men, the percentage of households classified low social class, the percentage of non home owners, and finally those houses lacking basic amenities. The correlation between the area-based deprivation and the SMR of the whole country and the correlation between the area-based deprivation and the SMR of each metropolitan cities or provinces was analyzed by the Pearson correlation analysis method. After classifying the deprivation of 246 areas into 5 levels, we performed the random intercept Poisson regression analysis after adjusting education level and age using Empirical Bayes Method to investigate the relationship between the 5 deprivation levels and the cerebrovascular mortality. The SMR was increased in lower education level. Each 246 areas had different values in SMR, Predicted SMR and area-based deprivation. The area-based deprivation and the SMR of the whole country was not correlated in both sexes. The education level of an individual was associated the risk of cerebrovascular mortality in men. The risk of cerebrovascular mortality increased with age compared to the reference(<30). The area-based deprivation was not associated with the risk of cerebrovascular in both sexes. The findings of this study suggest that the SMR had positive and negative correlations with area-based deprivation depending on the metropolitan cities or province. It also suggests that the individual education level and age were related with mortality and finally that the area-based deprivation was not associated to the cerebrovascular mortality in Korea.

• Journal of Korean Society for Atmospheric Environment
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• v.22 no.5
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• pp.554-563
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• 2006

Numerous epidemiological studies have shown stronger associations between $PM_{2.5}$ and both mortality and morbidity than $PM_{10}$. The association of $PM_{2.5}$ with respiratory mortality was examined in Seoul, during the period of $1996{\sim}2002$. Because $PM_{2.5}$ data were available for only 10% of this time period, a prediction regression model was developed to estimate $PM_{2.5}$ concentration. Death count due to respiratory-related diseases(total respiratory mortality; ICD-10, J00-J98) and death counts(cause-specific mortality) due to pneumonia(ICD-10, J12-J18), COPD(ICD-10, J40-J44) and asthma(ICD-10, J45-J46) were considered in this study. Averaged daily mortality was 5.6 for total respiratory mortality and 1.1 to 1.6 for cause-specific mortality. Generalized additive Poisson models controlling for confounders were used to evaluate the acute effects of particle exposures on total respiratory mortality and cause-specific mortality. An IQR increase in 5-day moving average of $PM_{2.5}(22.6{\mu}g/m^3)$ was associated with an 8.2%(95% CI: 4.5 to 12.1%) increase in total respiratory mortality The association of $PM_{2.5}$ was stronger for the elderly ($\geq$65 years old, 10.1%, 95% CI: 5.8 to 14.5%) and for males(8.9%, 95% CI: 2.1 to 11.3%). A $10{\mu}g/m^3$ increase in 5-day moving average of $PM_{2.5}$ was strongly associated with total respiratory mortality in winter(9.5%, 95% CI: 6.6 to 12.4%), followed by spring(3.1%, 95% CI: -1.2 to 7.5%), which was a different pattern with the finding in North American cities. However, our results are generally consistent with those observed in recent epidemiological studies, and suggest that $PM_{2.5}$ has a stronger effect on respiratory mortality in Seoul.

• Journal of Korean Society of Transportation
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• v.30 no.6
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• pp.93-102
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• 2012

The frequency and severity of traffic accidents related to signalized intersections in urban areas have been more serious than those in both arterial segments and crosswalks. Especially, traffic accidents involved with injuries and fatalities have caused by traffic signal violations within intersections. Therefore, many countries including Korea have installed the red light enforcement camera (RLE) to reduce traffic accidents associated with the traffic signal violation. Meanwhile, many methodologies have been studied in terms of safety impacts estimation of red light enforcement, which, however, cannot be easy to conduct. In this study, safety impacts was estimated for intersections of Chicago downtown area using SPF models and EB approach. As a result, for all crash types and target traffic accident types such as "angle", "rear end", "sideswipe in the same and other directions", "turn", and "head on", fatal crashes were reduced by 26% and 38%. However, RLE may increase property-demage-only-crashes by 3.23% and 1.16%, respectively.

• Journal of Korean Society of Transportation
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• v.28 no.2
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• pp.123-133
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• 2010

The national standards for the installation of pedestrian crosswalks prohibits installation of crosswalks within 200 meters of nearby overpasses, underpasses, or crosswalks. In case the exceptional installation is required, the feasibility study is to be thoroughly conducted by the local police agency. However, it is an undeniable fact that the specific installation standards for optimal types and locations of crosswalks are not yet to be established. This paper examines the development of traffic accident prediction model applicable to different types and locations of bus stops(type A and type B) at mid-block intersections. Furthermore, it develops the poisson regression model which sets the "number of traffic accidents" and "traffic accident severity" as dependent variables, while using "traffic volumes", "pedestrian traffic volumes" and "the distance between crosswalks and bus stops" as independent variables. According to the traffic accident prediction model applicable to the type A bus stop location, the traffic accident severity increases relative to the number of traffic volumes, the number of pedestrian traffic volumes, and the distance between crosswalks and bus stops. In case of the type B bus stop model, the further the bus stop is from crosswalks, the number of traffic accidents decreases while it increases when traffic volumes and pedestrian traffic volumes increase. Therefore, it is reasonable to state that the bus stop design which minimizes the traffic accidents is the type C design, which is the one in combination of type A and type B, and the optimal distance is found to be 65 meters. In case of the type A design and the type B design, the optimal distances are found to be within range 60~70meters.

• The Journal of the Korea Contents Association
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• v.17 no.5
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• pp.479-490
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• 2017

The objective of this study is to examine the association of social networks and medical care utilization of elderly living alone depending on self-rated health status, and also to measure the moderating effects of welfare services for elderly. To this purpose, the data which was collected from the 2014 National Survey on Elderly in Korea was analyzed by Chi-square test and Poisson regression. According to the results, social networks and elderly welfare services affected to medical care utilization of elderly living alone, only who aware of their self-rated health status as bad. With this group, the frequency of contact with family and participation in lifelong education had a significant effect on increasing medical care utilization. In contrast, the frequency of contact with neighbors and the participation in elderly employment program were significant to reduce the utilization of medical care. Furthermore, the moderating effects of elderly welfare services were also measured that formal social gathering has an effect of increasing the medical care utilization of elderly living alone by expansion of their social networks. Based on these results, this study consequently has an implication for suggesting expansion of elderly welfare services, which might be an alternative to social networks of elderly living alone, and also for seeking the direction of political intervention that helps health promotion and disease prevention through the research of medical care utilization.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.10
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• pp.310-318
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• 2016

This study examined the correlation between microscopic factors and pedestrian volume in an urban environment, focusing on the microscopic factors that stimulate the pedestrian volume, such as density, diversity, network structure, accessibility, and the form of lots and buildings. In particular, factors already known to boost the pedestrian volume include density, diversity and accessibility, which are three variables strongly related to the concept of the 3Ds (Density, Diversity, Design) proposed by Cervero and Kockelman (1997) and the additional 2Ds (Distance to Transit, Destination Accessibility) suggested by Ewing et al. (2008). The analysis in this study was based on the 2010 survey of the floating population in Seoul, particularly on the data from Jongro-gu and Jung-gu in Gangbuk area. Data were established by analyzing the microscopic factors within a 500m radius around each of the 1,028 spots from which the pedestrian volume in Jongro-gu and Jung-gu was measured. The analysis showed that density, diversity and accessibility, three factors that were already known to be effective in increasing pedestrian volume, also have the same effect in Jongro-gu and Jung-gu.

• Korean Journal of Social Welfare Studies
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• v.47 no.1
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• pp.5-27
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• 2016

The purpose of this study is to 1) investigate the prevalence rate of the abuse of parents by their teenage children and the effect of child abuse on parent abuse, 2) examine moderating effect of positive friend relationships on violence toward parents, and 3) provide the implication to the adolescent-to-parent abuse. In order to accomplish these purposes, a total of 1,601 who are middle and high school students in Seoul and Gyeonggi province were utilized. Data were analyzed by frequency analysis, and Poisson regression model analysis with SPSS 21.0. The main results of this study are as follows. Frist, prevalence of parent abuse were 12.8%. Second, 40.6% of adolescents have childhood experience of abuse, and this experience has significant relationships with perpetrating behavior toward parents. Lastly, adolescents' positive relationships with friends play an important role in moderating parent abuse. These findings suggest that there is a strong need to formulate the multilateral approaching system to the parent who are victims of abuse and perpetrating adolescents in order to understand the characteristics adolescent-to-parent violence problems and intervene effectively in diverse systems. Political and practical implications on parent abuse preventive programs and coping strategies are discussed.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.22 no.6
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• pp.124-140
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• 2023

The rapid growth in shared E-scooters worldwide has led to many studies on the topic. The results of these studies are still in the early stages, and the main factors affecting trips are being identified. In particular, the development of trip-generation models is very important for transportation planning, and a new transportation mode for developing the models for shared E-scooters is lacking both domestically and internationally. This study aims to develop a trip generation model for shared E-scooters using significant variables by thoroughly reviewing previous studies. The trip characteristics of major service areas and other areas may differ owing to the trip characteristics of the mode. The trip generation models were developed based on the service trip density by dividing the areas by service level. The factors affecting shared E-scooter trips in major service areas included the presence of universities, closeness centrality, and cultural areas, while factors affecting the trips in minor service areas included the presence of universities, betweenness centrality, and trip distance. The developed models provide basic information that can be used to establish transport policies for introducing shared E-scooters in cities in the future.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.161-167
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• 2020

Objectives : Although the seasonality of suicide is a well-known phenomenon, little is reported about the seasonality of non-suicidal self-injury. The purpose of this study was to identify the seasonality of wristcutting behavior and to examine its relationship with meteorological factors. Methods : To identify the presence of seasonality, we investigated whether there was a difference in the average number of visits per month to an emergency room (ER) of an urban hospital for 226 patients with wrist-cutting behavior enrolled between December 2014 and May 2019. To ascertain significant meteorological factors, we used the multiple Poisson regression using generalized additive model with time, monthly temperature, monthly sunshine hour, and atmospheric pressure in the prior month as explanatory variables. Results : In males, the average number of monthly visits to the ER for wrist cutting behavior differed by month and was the highest in September (male : p=0.048, female : p=0.21, total : p=0.28). As a result of multiple regression analysis, the average number of patients admitted to the ER for wrist cutting behavior was related to the interaction between atmospheric pressure in the prior month and temperature in males (p=0.010), and showed a positive correlation with sunlight in females [p=0.044, β=4.70×10-3, 95% CI=(1.19×10-4, 9.27×10-3)]. Conclusions : Wrist cutting behavior shows seasonality in male, which is associated with changes in meteorological variables.

• Health Policy and Management
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• v.34 no.2
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• pp.196-210
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• 2024

Background: In January 2018, revised elderly fixed outpatient copayment for the elderly were implemented. When people ages 65 years and older receive outpatient treatment at clinic-level medical institutions (clinic, dental clinic, Korean medicine clinic), with medical expenses exceeding 15,000 won but not exceeding 25,000 won, their copayment rates have decreased differentially from 30%. This study aimed to examine the changes of health utilization of elderly after revised elderly fixed outpatient copayment. Methods: We used Korea health panel data from 2016 to 2018. The time period is divided into before and after the revised elderly fixed outpatient copayment. We conducted Poisson segmented regression to estimate the changes in outpatient utilization and inpatient utilization and conducted segmented regression to estimate the changes in medical expenses. Results: Immediately after the revised policy, the number of clinic and Korean medicine outpatient visits of medical expenses under 15,000 won decreased. But the number of clinic outpatient visits in the range of 15,000 to 20,000 won and Korean medicine clinic in the range of 20,000 to 25,000 won increased. Copayment in outpatient temporarily decreased. The inpatient admission rates and total medical expenses temporarily decreased but increased again. Conclusion: We confirmed the temporary increase in outpatient utilization in the medical expense segment with reduced copayment rates. And a temporary decrease in medical expenses followed by an increase again. To reduce the burden of medical expense among elderly in the long run, efforts to establish chronic disease management policies aimed at preventing disease occurrence and deterioration in advance need to continue.