• Title/Summary/Keyword: Rural health

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The effect of Health Inequality Factors on Health Level of the Rural Elderly (건강불평등 요인이 농촌노인의 건강수준에 미치는 영향)

  • Choi, Dong Hee;Chae, Young Ran
    • Journal of Korean Biological Nursing Science
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    • v.19 no.2
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    • pp.98-106
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    • 2017
  • Purpose: This study aimed to analyze the relationships between the factors affecting health levels of the elderly in rural areas. Methods: Subjects were 257 elderly people residing in rural areas of six cities and Gangwon Province. Data was collected through questionnaires (demographic and socioeconomic status, social resources, health behaviors, physical environment, psychological tendency and general health levels) and was analyzed by using multiple regression and Sobel test. Results: The demographic and socioeconomic characteristics of the subjects exerted statistically significant influence on their social resources, health behaviors, physical environment, and psychological tendencies. The demographic and socioeconomic characteristics, social resources, health behaviors, physical environment, and psychological tendencies, in turn, exerted a statistically significant influence on the health level. The social resources had mediating effects on the relationship between income, one of the demographic and socioeconomic characteristics, and health level. The residential environments had mediating effects on the relationship between income and health level. The psychological tendency had mediating effects on the relationship between income and health level. Conclusion: This study suggests that income is an important factor affecting health level among rural elderly people. In addition, social resources, health behaviors, physical environment, and psychological tendencies among them also affect health level, so it is necessary to make strategies to improve these factors.

Health services Information Need Difference between Urban and Rural Area in Sooncheon City (순천시 지역적 특성에 따른 보건의료정보 요구도 비교)

  • in, Hye-Young;Oh, Hyohn-Joo
    • Journal of agricultural medicine and community health
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    • v.25 no.2
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    • pp.413-425
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    • 2000
  • The purpose of this study was to compare the health services information need between urban area and rural area in Sooncheon City. For accomplishing this purpose, we selected 1,060 adults randomly, 744 urban residents and 314 rural residents were surveyed from 1st, December to 31st, December in 1999. Compared the difference between two areas by cross tabulation, and chi-square test were used. The results of this study are as follows: 1. There were statistically difference in sociodemographic characteristics between urban residents and rural residents, such as age, education, job, income, and insurance payment(p<0.001). 2. According to the health utilization behavior, types of health facility, satisfaction of medical cost, and satisfaction of medical results were statistically different between the two areas(p<0.001). Also utilization of the health service center, and accessibility were statistically different between urban and rural areas(p<0.001). 3. Experiencing the health service information, type of health service information, methods of information, effectiveness, and satisfaction were statistically different between the two areas(p<0.001). 4. And experience of using computer, and internet and preference of method of health service information were statistically different between urban and rural areas. Therefore, the construction of health information system should be carefully reviewed by community health service centers and they should consider the different residents information needs, and accessibility and convenience of community residents.

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Comparison of Perceptions of Local Residents and Public Health Center Staffs on the Performance of Medical Service Improvement Plan in Rural Areas (농어촌 의료서비스 개선사업 성과에 대한 지역주민과 사업담당자간의 인식 비교)

  • Lee, Ju Yul;Hwang, Rah Il
    • Journal of agricultural medicine and community health
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    • v.43 no.2
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    • pp.74-84
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    • 2018
  • Objectives: The purpose of this study is to compare the perceptions of the rural healthcare service improvement project' performance and reorganization of public health centers between project staffs and local residents. Methods: Data collection from this study was performed in 141 project areas using structured questionnaires. Data analysis was used in SPSS 22.0 version. Results: The public health center staffs were more positive about the items for improving health facilities than the local residents. Residents in the Si area generally perceived performance as more positive than residents in the Gun area, while public health center staffs in the Gun area perceived performance as more positive than public health center staffs in the Si area. Local residents expressed negative opinions about the reduction in the number of branches of public health clinics and health medical clinics. Conclusions: In conclusion, careful improvement projects for rural health care and the establishment of health care systems will be necessary, reflecting the opinions of local residents, along with a variety of regional characteristics.

Comparative Study of Youth Health Risk Behaviors by Region: Focused on Metropolitan Areas, Medium Sized and Small City Areas, and Rural Areas (지역별 청소년 건강위험행위 비교 - 대도시, 중소도시, 군 지역을 중심으로 -)

  • Park, Eun-Ok
    • Journal of Korean Academy of Nursing
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    • v.40 no.1
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    • pp.14-23
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    • 2010
  • Purpose: This study was done to compare health risk behavior prevalence for youth living in metropolitan, medium sized and small cities or rural area, in order to enhance understanding regional differences. Methods: For this study, data from the 2006 Youth Health Risk Behavior Online Survey collected by the Korean Center for Disease Control were analyzed using SPSS. Results: In the metropolitan areas, prevalence for disease and perceived obesity were higher than in other areas. Lack of intense or moderate physical activity, obesity, fast food intake, and insufficient sleep showed higher prevalence than in rural areas. Prevalence of lifetime smoking, lifetime alcohol consumption, present alcohol use, fruit intake less than once a day, and not wearing a seat belt were higher in rural areas than in urban areas. Gender, smoking, and alcohol use were correlated. Spearman correlation between living with parent and skipping breakfast were significant. Smoking, alcohol use, and sexual behavior were correlated. Conclusion: As significant differences in prevalence of youth health risk behaviors exist between regional areas, health education and health promotion programs considering these differences have to be developed and implemented for adolescents. Programs for prevention of smoking and alcohol use, programs for improvement of fruit intake and safety are suggested for adolescents in rural areas, whereas programs to enhance physical activity and obesity management are suggested for adolescents in metropolitan areas.

A Study on the Application of Facility Standard of Rural Public Health Center to city Public Health Center with a Focus on Area Ratio (면적구성을 중심으로 한 농어촌 보건소 표준시설 기준의 도시 보건소 적용에 관한 연구 - 대구광역시 보건소를 중심으로 -)

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    • Korean Institute of Interior Design Journal
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    • no.40
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    • pp.102-108
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    • 2003
  • Currently, there is no facility standard for a city public health center. The facility standard of rural public health center is referred to architectural plan of city public health center. This study is about architectural plan of the city public health center and have been in 7 public health centers in Daegu investigated. Conclusions can be summarized as follows: 1) The Mother and child hygienic section, area ratio which is presented by the facility standard of rural public health center must be increased in case of city public health center since function-reinforcement of the mother and child hygienic section is required. 2) Business section, the area ratio which is presented by the facility standard of rural public health center must be diminished for city public health center because it has been excessively allocated.

Rural Elderly Women′s Health and Health Care Practices (농촌여성노인의 건강 및 의료서비스 이용실태 - 경기도 노인시범마을을 중심으로 -)

  • 노자경;한경혜;최은숙
    • Korean Journal of Rural Living Science
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    • v.5 no.2
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    • pp.171-184
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    • 1994
  • This study intends to provide basic informations on the rural elderly women's health status and health care practices which can be utilized for the welfare policies. Participants in this study are 133 elderly women over 60 who are lived in rural area. For the data analysis, Frequency, Correlation, Crosstabs, Oneway-Anova and LSD test are used. Physical health status is slightly lower than psychological health status and they are related to respondent's age, coresidence type, subjective economic status, subjective health status, participation in farming and health care type. Eighty-two percent of (he respondents perceived their health condition as poor and Neuralgia is the most frequent health problem. Women's health care practices are passive and somewhat restricted by age, educational status, coresidence type, necessary time to medical institution, and health status.

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A Qualitative Inquiry Into the Challenges of Medical Education for Retention of General Practitioners in Rural and Underserved Areas of Iran

  • Delavari, Sajad;Arab, Mohammad;Rashidian, Arash;Nedjat, Saharnaz;Souteh, Rahmatollah Gholipour
    • Journal of Preventive Medicine and Public Health
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    • v.49 no.6
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    • pp.386-393
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    • 2016
  • Objectives: General practitioners (GPs) retention in rural and underserved areas highly effects on accessibility of healthcare facilities across the country. Education seems to be a critical factor that affects GPs retention. Thus, the present study aimed at inquiry into medical education challenges that limit their retention in rural and underserved areas. Methods: A qualitative approach was applied for the aim of this study. Data were gathered via 28 semi-structured interviews with experts at different levels of Iran's health system as well as GPs who retained and refused to retain working in rural settings. Interviews mainly were performed face-to-face and in some cases via telephone during 2015 and then coded and analyzed using content analysis approach. Results: Iran's medical education is faced with several challenges that were categorized in four main themes including student selection, medical students' perception about their field of study, education setting and approach, curriculum of medical education. According to experts this challenges could results in making GP graduates disinterested for practicing in rural and underserved areas. Conclusions: Challenges that were found could have negative effects on retention. Modification in student's perception about rural practice could be done via changing education setting and approach and curriculum. These modifications could improve GPs retention in rural and underserved areas.

The Impact of Leisure Activity on Health Promotion Behaviors and Quality of Life in Elderly People - A Comparative Study of the Urban and Rural Elders - (노인의 여가활동이 건강증진행위 및 삶의 질에 미치는 영향 -도시노인과 농촌노인 비교-)

  • Beon, Hea-Sook;Lee, Jeong-Soon;Na, Song-Suk
    • Journal of Korean Academy of Rural Health Nursing
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    • v.8 no.2
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    • pp.53-63
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    • 2013
  • Purpose: The purpose of this study was to identify leisure activities, health promotion behaviors, and quality of life and regional differences in urban and rural elderly people. Method: This study was a descriptive research and data were collected from 198 elderly people using a questionnaire. Data were analyzed using the PASW WIN 18.0 Program. Result: Urban elders showed significantly higher rate for leisure activities compared to rural elders. While urban elders did not show a significant relationship among leisure activities, health promotion behaviors, and quality of life, rural elders showed a significant relationship among leisure activities, health promotion behavior, and quality of life. While the leisure activities and health promotion behaviors were influenced by recreational and social life in the urban elders, these activities and behaviors had no influence for rural elders. Leisure activities and quality of life were influenced by watching and enjoying activities, services and religious activities, and recreational and social life for urban elders but health sports was an influence for rural elders. Conclusion: Findings indicate regional differences and provide basic information to develop programs and leisure guidelines to enhance leisure activities, health promotion behaviors, and quality of life according to regional characteristics of elderly people.