• Title/Summary/Keyword: Rural health

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The relationship between the new-building of rural public health centers and outpatient medical utilization - review of confounding effect by IMF economic recession (농어촌 보건소 신축과 보건소 진료량의 관련성 - IMF 경제위기의 혼란효과 검토 -)

  • Park, Sun-Hee;Lee, Su-Jin;Soh, Un-Ki;Na, Baeg-Ju;Lee, Jin-Yong
    • Health Policy and Management
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    • v.21 no.3
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    • pp.349-364
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    • 2011
  • Objectives : The purpose of this study was to evaluate the relationship between new-building of rural public health centers and the outpatient medical utilization. Methods : The study subjects were 141 public health centers in rural area. The data were collected from 1995 to 2001, medical utilization and local population, healthcare resources, and economic characteristics were included. In order to evaluate new-building effects, we performed paired t-tests and multivariate regression analyses. Results : The following variables are significant affecting the medical utilization of rural public health centers: urban side location of public health centers(p<0.05), pre- and post-IMF economic crisis(p<0.001), number of medical aid recipients(p<0.01), number of private clinics(p<0.05), workers of public health centers(p<0.001), financial independent level of local governments(p<0.001). In contrast, the existence of new-building and number of the aged 65 and over were not significant variables. Conclusions : We could not find out the positive relationship between the existence of new-building and the volume of medical utilization in rural public health centers. In particular the medical utilization of rural public health centers is significantly affected by IMF economic recession and number of the poor strata, the economically depressed area.

The Effects of a Health Promotion Program in Rural Elderly on Health Promotion Lifestyle and Health Status (농촌형 노인 건강증진프로그램이 건강증진행위와 건강상태에 미치는 효과)

  • Park, Jeong-Sook;Oh, Yun-Jung
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.943-954
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    • 2005
  • Purpose: The purpose of this study was to identity the effects of a health promotion program for rural elderly on health promotion lifestyle and health status. Method: The study was a nonequivalent control group pre-post experimental design. Data collection was performed from April 12th, 2003 to August 2nd, 2003. The subjects were selected at Mari Myun Geochang Gun in Korea. 44 elders were in the experimental group and 45 elders were in the control group. The 16-week health promotion program was given to the experimental group. Data was analyzed by descriptive statistics, $x^2$-test, t-test, and ANCOV A test with SPSS/Win 10.0 program. Result: The experimental group showed higher scores of a health promotion lifestyle and perceived health status than the control group. In addition, systolic BP, heart rate, body fat and glucose of the experimental group were lower than the control group. Waist flexibility, left hand grip power, back strength and leg strength of the experimental group were higher than the control group. However, there were no significant differences in diastolic BP, total cholesterol and right hand grip power between the two groups. Conclusion: This health promotion program for rural elderly can be recommended as an effective nursing intervention in rural communities.

Effects of Music Therapy and Horticultural Therapy Programs on Depression in Rural Seniors in Yeongam-gun, Jeollanam-do

  • Se-Hui KIM;Eun-Ju OH;Ik-Sung KIM
    • The Journal of Economics, Marketing and Management
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    • v.12 no.1
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    • pp.89-96
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    • 2024
  • Purpose: This study explored the impact of using a music and horticultural therapy program on depression among rural seniors living in Yeongam-gun and conducted a comparative analysis before and after the program to present basic data helpful for an integrated mental health promotion program tailored to rural areas. Research methodology: The analysis subjects of this study were users of the rural residential program of 'Our Village Day Care Center' in Yeongam-gun in 2023, with a total of 20 people, 10 seniors for each program. The research analysis used SPSS to determine the effect on participation and depression before and after the program was implemented. Results: As a result of the analysis, depression levels decreased after completion of the horticultural therapy program and music therapy program, and this was statistically significant. Conclusion: Three implications are presented based on the following research results. First, the need for programs that can improve not only the physical health but also the mental health of elderly people living in rural areas is suggested. Second, the need for programs that link cultural programs such as music and gardening activities with welfare programs is suggested. Third, the need for follow-up management and verification of periodic mental health checkups for rural elderly is suggested.

A Study on Utilization and the Spatial Organization of Complexity for Community Center in Rural - Focused on Imsil-Gun in Jeollabukdo - (커뮤니티센터로서 농촌 마을회관의 복합화에 따른 이용실태 및 공간구성에 관한 연구 -전라북도 임실군을 중심으로-)

  • Park, Chang-Sun
    • Journal of the Korean Institute of Rural Architecture
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    • v.10 no.3
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    • pp.35-42
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    • 2008
  • The purpose of this study is to suggest the possibility of complexity use these facilities for elderly welfare facility or public health facility and community center in rural. For this purpose this article researched into elderly welfare facilities, public health facilities and social welfare centers. And we studied of village community center, life pattern in old people in rural. With a rapidly increase in population of older people in rural, there is a great demand for the construction of complexes facilities. Particularly, there was highly demand for the public health facilities and the welfare programme of physiotherapy facilities on village community center in rural. However, there is not a intersection of space composition and specification function between elderly welfare facilities and public healthcare facilities and community welfare centers in this time. Accordingly, in the future plan for community center in rural, it is necessary to consider integration with public health facility. And it is necessary to compose the community center in consideration of the spatial organization of complexity as a possibility of community welfare activities.

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Effects of Social Supports and Health on the Depression of the Rural Elderly: Focus on Household Patterns (가구유형별 농촌 노인의 사회적지지 및 건강이 우울감에 미치는 영향)

  • Cho, Hee Keum
    • Journal of Family Resource Management and Policy Review
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    • v.19 no.4
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    • pp.35-53
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    • 2015
  • The purpose of this study was to investigate the effects of social supports and health on the depression of the rural elderly according to their household patterns. Data were collected from 1,000 of the elderly over 65 living in rural Korea. A questionnaire was used with direct interviews and was analyzed through descriptive statistics, ANOVA, and a multiple regression analysis. The major findings of this study are as follows. First, the general characteristics, social supports, and health of the rural elderly are significantly different according to their household patterns. Second, depression in the rural elderly is also significantly different according to household patterns; elderly people in a single household report greater depression than elders in a coupled household or those in a household with a child. Third, satisfaction with health conditions and nutrition management variables has a significant influence on the depression of the rural elderly in all household patterns. Fourth, there are differences among variables that affect depression of the rural elderly according to their household patterns.

Differences in Oral Health Status between Rural and Urban Populations of Korean Elders: A Population-Based Study from the Korean National Health and Nutrition Examination Survey VI (2013~2015)

  • Choi, Yong-Keum;Kim, Eun-Jeong
    • Journal of dental hygiene science
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    • v.19 no.3
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    • pp.181-189
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    • 2019
  • Background: Edentulism is associated with socioeconomic status, rural residence, and chronic disease, but no studies have investigated edentulism and residence factors together. All information that drives a better understanding of the factors related to edentulism plays an important role in the planning and delivery of appropriate dental services for the elderly by national and oral health professionals. This study was designed to investigate the prevalence of edentulism in adults aged over 60 years in Korea and to examine whether there are differences in dentate status between people living in urban and rural areas after controlling for sociodemographic and other related factors. Methods: The data for this study were collected from 2013 to 2015 as part of the Korea National Health and Nutrition Examination Survey VI, those individuals aged over 60 years and who had complete datasets were included (5,071). The number of teeth and residence status were categorized into two groups: edentate and dentate (1 or more); urban and rural. Multiple multivariate logistic regression analyses were sequentially applied to assess the association between dentate status and residence status after adjusting for potential confounders. Results: Rural areas, lower household income, and lower education levels were associated with a higher edentate rate. The number of teeth was lower in rural areas than in urban areas. After adjusting for various factors, statistically significant associations were present for women, low household income, low education level, poor perceived health status, and alcohol consumption in participants. Conclusion: Elders living in rural areas had poorer oral health than elders living in urban areas. The government will need to provide effective systems for promoting oral health for elders living in rural areas.

The Retention Factors among Nurses in Rural and Remote Areas: Lessons from the Community Health Practitioners in South Korea

  • Park, Hyejin;June, Kyung Ja
    • Research in Community and Public Health Nursing
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    • v.33 no.3
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    • pp.269-278
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    • 2022
  • Purpose: This study analyzed the retention factors of Korean community health practitioners who sustained over 20 years based on a multi-dimensional framework. This study suggests global implications for nurses working in rural or remote areas, even during a worldwide pandemic. Methods: The participants were 16 Korean community health practitioners who worked in rural or remote locations for over 20 years. This study identified nurses' key retention factors contributing to long service in rural and remote areas. This is a qualitative study based on the narrative method and analysis was conducted using grounded theory. A semi-structured questionnaire was conducted based on the following: the life flow of the participants' first experience, episodes during the work experience, and reflections on the past 20 years. Results: First, personal 'financial needs' and 'callings' were motivation-related causal conditions. The adaptation of environment-work-community was the contextual condition leading to intervening conditions, building coping strategies by encountering a lifetime crisis. The consequences of 'transition' and 'maturation' naturally occurred with chronological changes. The unique factors were related to the 'external changes' in the Korean primary health system, which improved the participants' social status and welfare. Conclusion: Considering multi-dimensional retention factors was critical, including chronological (i.e., historical changes) and external factors (i.e., healthcare systems), to be supportive synchronously for rural nurses. Without this, the individuals working in the rural areas could be victimized by insecurity and self-commitment. Furthermore, considering the global pandemic, the retention of nurses is crucial to prevent the severity of isolation in rural and remote areas.

Synergistic antibacterial effect of disinfectants and microbubble water to Salmonella Typhimurium

  • Seung-Won, Yi;Young-Hun, Jung;Sang-Ik, Oh;Han Gyu, Lee;Yoon Jung, Do;Eun-Yeong, Bok;Tai-Young, Hur;Eunju, Kim
    • Korean Journal of Veterinary Service
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    • v.45 no.4
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    • pp.277-284
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    • 2022
  • Salmonella is a pathogenic bacterium that has long been important industrially because it has a wide host range and can be transmitted to humans through direct contact as well as indirect contact such as food contaminated with animal waste. Understanding how to reduce Salmonella contamination in pig farms is important for public health and the livestock industry from an economic perspective. In the swine industry, high concentrations of disinfectants have been applied because it is difficult to effectively control Salmonella in environments contaminated with organic substances. In order to evaluate the synergetic effect of disinfectants, the efficacy of two commercial disinfectants diluted in hard water and microbubble water (MBW) were compared under the laboratory condition. Different concentrations of both disinfectants combined with 1% detergent diluted in the two diluents were evaluated for their antibacterial effect. In the case of monopersulfate-based disinfectant groups, the growth of Salmonella was not observed at 1:200 dilution with both the hard water and MBW combined with 1% detergent. In the case of citric acid-based disinfectant, the bacterial growth was not observed at 1:800 dilution with MBW combined with 1% detergent. Our results show that the use of MBW as a diluent might improve the biological activities of acid-based disinfectant.

Comparative Health Status of Rural Urban and Aged Perosons by Some Screening Tests (농촌 및 대도시의 노인건강진단에 있어서의 검사치 비교 고찰)

  • Han, In-Soo;Hong, Kwang-Sun;Park, Sun-Ju;Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.14 no.1
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    • pp.5-15
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    • 1989
  • To compare the health status of rural and urban aged persons(over 65 years old) by an abnormality of a hematologic and some biochemical values as well as urinalysis and chest X-ray, following examinations were done on 8,756(male : 4,339: female 4,417) by hemoglobin, total cholesteol, GOT, and glucose, on 9,207(male: 4,467; female : 4.740) by urinalysis and on 9,148(male : 4,426: female : 4,722) by chest X-ray. The results are as follows: 1) The proportion of outlier of normal range of the GOT(over 40 unit) showed higher in rural aged persons(5.3%) than in urban aged(2.8%). There was no significant difference in both of urban and rual female, but the rural male(7.4 showed significantly higher than the urban male(3.9% ). 2) The proportion of abnormality of the total cholesterol value(over 260 mg/dl) was 7,0% in urban and 1.7% in rural aged persons. In the male, there was no significant difference in both urban(2.2%) and rural(1.4%), however the urban female(10.5%) showed significantly higher than the rural female(2.2%). 3) In the blood glucose level, the proportion of abnormality(over 120 mg/dl) showed 17.1% in urban and 19.3% in rural aged persons. The rural aged persons in both sexes(male : 18.1% : female : 20.7%) were relatively higher abnormality rates than those of the urban aged(male : 15. 3%: female : 18.4% ) respectively. 4) The proportion of abnormality of hemoglobin level(less than 12.0 g/dl in male: less than 11.0 g/dl in female) showed 7.1% in urban and 2.6%J in rural aged persons. The urban aged persons in both sexes(male : 8.3%: female 6.3%) were relatively higher abnormality rates than those of the rural aged(male : 3.0%: female : 2.2%) 5) In the urinalysis by urine stix(Korea Green Cross Co.), the positive rates of urine protein were 1.0% in urban and 0.5% in rural aged per-sons, and there was no any significant differences in both areas by sex. 6) The positive rates of urine glucose in urban aged persons(5.8'% : male : 7.3% : female : 4.7%). showed relatively higher than those of rural aged (3.4% : male : 3.9%: female : 2.8%). 7) The positive findings of pulmonary tuberculosis by indirect X-ray examination were observed in 7.7% of aged persons in both rural and urban areas respectively. However, the positive rates of male in both areas(urban : 12.8% ; rural : 10.0%) showed higher than those of female (urban 4.2% ; rural 5.0%).

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