• 제목/요약/키워드: Social Determinants

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운동행위 결정요인에 관한 국외문헌 분석 (An analysis of research on the determinants of exercise behavior)

  • 이종경
    • 성인간호학회지
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    • 제12권3호
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    • pp.356-368
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    • 2000
  • The purposes of this study were 1) to identify determinants of exercise behavior 2) to determine theoretical frameworks that were used in other research 3) to investigate the limitations of exercise research. seventy six research papers, published between 1984-1999, were selected by searching Medline for this study. Research subjects, determinants of exercise behavior, exercise measurement, the design of studies, statistical method and theoretical background were examined. The results are as follows. 1. On the research subjects, most research papers studied healthy adults. 2. Thirteen variables were identified that were used more than 5 times in various researches were self efficacy, barrier, social support, benefit, physiological characteristics, habit, personality, intention, health status, motivation, subjective norm, attitude, and affect. The most frequently supported determinant was self efficacy, the second one was social support, the third was affect and so on. But few research papers found any significant relationship between subject norms or attitude and exercise. 3. On exercise measurement, only 22.4% of research papers considered intensity, duration, frequency as elements of exercise, and 64.5% of researches were assessed by self-reported questionnaires. 4. In research design, 80.3% of research papers were survey type research. The most frequently used statistcal method was Regression. 5. 44.8% of research papers were done without any theoretical basis. Based on the above findings the following suggestions are made : 1. Research which includes diverse populations with different levels of health status needs to be studied. 2. Determinants of exercise may be dynamic and varing in their influence, therefore, stages of exercise behavior and processes of change need to be studied. 3. In research design, more prospective, longitudinal studies are needed to identify determinants of exercise habits. 4. It is necessary to develop a reliable, valid exercise measurement tool. 5. Studies are needed to develop a theoretical framework for exercise behavior.

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Social Determinants of Health and 5-year Survival of Colorectal Cancer

  • Heidarnia, Mohammad Ali;Monfared, Esmat Davoudi;Akbari, Mohammad Esmail;Yavari, Parvin;Amanpour, Farzaneh;Mohseni, Maryam
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권9호
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    • pp.5111-5116
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    • 2013
  • Background: Early in the 21st century, cancers are the second cause of death worldwide. Colon cancer is third most common cancer and one of the few amenable to early diagnosis and treatment. Evaluation of factors affecting this cancer is important to increase survival time. Some of these factors affecting all diseases including cancer are social determinants of health. According to the importance of this disease and relation with these factors, this study was conducted to assess the relationship between social determinants of health and colon cancer survival. Materials and Methods: This was a cross-sectional, descriptive study for patients with colon cancer registered in the Cancer Research Center of Shahid Beheshti University of Medical Science, from April 2005 to November 2006, performed using questionnaires filled by telephone interview with patients (if patients had died, with family members). Data was analyzed with SPSS software (version 19) for descriptive analysis and STATA software for survival analysis including log rank test and three step Cox Proportional Hazard regression. Results: Five hundred fifty nine patients with ages ranging from 23 to 88 years with mean${\pm}$standard deviation of $63{\pm}11.8$ years were included in the study. The five year survival was 68.3%( 387 patients were alive and 172 patients were dead by the end of the study). The Cox proportional hazard regression showed 5-year survival was related to age (HR=0.53, p=0.042 for>50 years versus<50 years old) in first step, gender (HR=0.60, p=0.006 for female versus male) in second step, job (HR=1.7, p=0.001 for manual versus non manual jobs), region of residency (HR=3.49, p=0.018 for west versus south regions), parents in childhood (HR=2.87, p=0.012 for having both parents versus not having), anatomical cancer location (HR=2.16, p<0.033 for colon versus rectal cancer) and complete treatment (HR=5.96, p<0.001 for incomplete versus complete treatment). Conclusions: Social determinants of health such as job, city region residency and having parents during childhood have significant effects in 5-year survival of colon cancer and it may be better to consider these factors in addition to developing cancer treatment and to focus on these determinants of health in long-time planning.

국가에 의한 노후보장 기대수준 결정요인 (The Determinants of the Expected Demand for Elderly Care by Government in Aged Korea)

  • 서지원
    • 가족자원경영과 정책
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    • 제13권3호
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    • pp.59-84
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    • 2009
  • The purpose of this study was to investigate the determinants of policy demand for elderly care in aged Korea. The data from the first wave of KLoSA (Korean Longitudinal Study of Ageing) aged over 45 were used (n=10,165). The major findings were as follows: First, human capital, social capital, and socioeconomic variables influenced on the expected demand for elderly care by government, controlling the expectations of future life and society. Second, the effects of determninants on the expected demand for elderly care by government varied by the level of human capital, social capital, and socioeconomic variables, including ADL and IADL, familial support by children, public transfers, and age. Based on the empirical results, the implications for welfare mix of elderly care were provided.

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정신분열병 환자 가족보호자의 주관적 부담과 그 결정요소 (The Subjective Burden of Family Caregivers with Schizophrenics and Its Predictors)

  • 최해경
    • 한국사회복지학
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    • 제45권
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    • pp.374-399
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    • 2001
  • Experiences of the subjective burden and its determinants were analyzed in a sample of 110 primary family caregivers of adult schizophrenic patients. The subjects reported varying amount of subjective burden and its mean score was 17.84 that meant considerably high level of subjective burden. Reports of subjective burden were high in the items of 'pity', 'frustration and resentment', 'regret'. The result of factor analysis revealed that subjective burden consisted of four factors such as 'hopelessness', 'frustration and resentment', 'fear', and 'pity and anxiety'. The results about the determining variables of subjective burden indicated that the prognosis of patient, perceived stigma, the number of previous hospitalization, the availability of secondary caregiver, primary caregiver's age, and family income were predictive of primary caregivers' subjective burden. The result examining the multivariate relationship among subjective burden, stressors, social support, family demographic and socioeconomic characteristics revealed that the more important determinants of subjective burden were the prognosis of patient, perceived stigma, and the number of previous hospitalization, Implications for intervention to help with primary caregivers' subjective burden were discussed.

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신규 미디어 서비스/기기 레퍼토리 구조 결정 요인 (Determinants of Media Repertoires based on New Services and Technologies)

  • 전범수;박주연
    • 한국언론정보학보
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    • 제49권
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    • pp.20-38
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    • 2010
  • 본 연구는 신규 미디어 서비스 및 기기 레퍼토리 결정 요인 및 이에 따른 레퍼토리 이용 집단 간 판별 요인들을 살펴보기 위한 것이다. 본 연구의 주요 연구 결과는 다음과 같다. 첫째, 신규 미디어 서비스 및 기기 이용 다양성 결정 요인을 살펴보기 위해 혁신성, 개인연결망, 사회적 영향력, 인구사회 변인, 미디어 이용 정도 등을 선행 변인으로 투입한 회귀모델을 적용한 결과 개인 연결망이나 사회적 영향력 변인, 인구사회학적 요인 및 미디어 이용 정도 변인들 모두 부분적으로 통계적으로 유의미한 설명 변인으로 나타났다. 둘째, 신규 미디어 서비스 및 기기 채택 또는 비채택 이용자를 판별하는 요인들을 살펴본 결과 신규 미디어 서비스는 지상파TV 시청 정도와 연령, 가처분 소득 등이 유의미했으며 신규 미디어 기기는 소득 변인을 포함해 신문, 인터넷, 라디오 이용 정도가 유의미한 판별 요인으로 나타났다. 셋째, 신규 미디어 서비스 및 기기를 다수 채택/비채택하는 이용자 판별 요인들을 살펴본 결과 신규 미디어 서비스는 개인연결망이나 사회적 동질감, 그리고 개인별 가처분 소득 등이 유의미한 판별 요인으로 나타났다. 반면 미디어 기기 다수 채택/비채택 판별 요인은 개인 연결망 및 사회적 동질감, 성별이나 연령, 개인별 가처분 소득 등으로 나타났다.

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한국과 일본의 미군정기 사회복지정책 비교연구 - 빈곤정책을 중심으로 - (A Comparative Study on the Social Welfare Policy in Korea and Japan during the American Military Occupation- Centered on the Anti-poverty Policy)

  • 이혜원;이영환;정원오
    • 한국사회복지학
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    • 제36권
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    • pp.309-338
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    • 1998
  • 제2차 세계대전 이후 한국과 일렬에서 전개된 미군정(한국: 1945-1948년, 일본: 1945-1952년)은 양국 모두의 역사에 중요한 영향을 끼쳤지만 그 내용과 결과는 상당히 달랐다. 본 연구는 양국 미군 정의 사회복지 정책을 공공부조정책에 대한 비교사례연구의 방법을 통하여 고찰함으로써 양국간의 공통점과 차이점 및 정책결정 요인들을 규명하고, 나아가 장기적인 영향을 평가하였다. 본 연구의 결과는 다음과 같이 요약할 수 있다. 첫째, 양국의 미군정은 유사한 시기에 유사한 사회문제에 당면하고 있었지만, 복지정책적 대응은 매우 다른 양상으로 나타났다. 한국의 미군정은 복지정책의 법적 제도화를 위한 노력을 거의 하지 않았고 임기응변적인 응급구호에 치중하였으며, 사회적 통제에만 골몰하였다. 반면 일본의 미군정은 비군사화 민주화라는 점령정책의 기본 원칙을 복지정책에도 적용하여, 기존 제도의 근본적 체계적 개혁을 위한 노력을 경주하였다. 둘째, 이러한 차이를 결과한 정책결정요인에 있어서는 사회경제적 요인보다는 정치적 요인-미국 점령정책의 기본 방향의 차이, 행정 구조의 차이, 관료 및 지배세력의 역할 차이 등-이 보다 중요하게 작용하였다. 셋째, 복지정책의 장기적 영향에 있어서도 상이하였다. 한국의 미군정은 복지정책의 제도적 근대화에 거의 아무런 공헌도 하지 못하였으며, 그 결과 전근대적인 구빈제도가 오랫동안 존속하였다. 반면 일본의 미군정은 복지정책의 이념적 제도적 근대화에 기여하였음은 물론 이후의 발전을 위한 토대를 형성하였다.

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사회자본과 신체활동 행위변화단계 (Social Capital and Stage of Change for Physical Activity in a Community Sample of Adults)

  • 김길용;김은미;배상수
    • 보건교육건강증진학회지
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    • 제26권1호
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    • pp.63-80
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    • 2009
  • Objectives: This study identified how personal characteristics, healthy behavior and social capital might influence on physical activity of adults. Methods: This study used data from the health survey of a city of Korea. We surveyed 1,000 adults sampled by stratified sampling methods from 67,889 households. Outcome variable was the stage of physical activity which was broken into 5 categories. Sociodemographic factors, healthy behavior, self-rated health status and social capital were used as control variables. Sociodemographic factors included age, sex, educational status, economic status measured by deprivation score, residential period within survey city. Social capital was measured by Integrated Questionnaire for the Measurement of Social Capital (SC-IQ). This study used chi-square test and ordered logistic regression models to examine the associations between independent variables and physical activity. Variables were added to the regression model in three groups using a hierarchical approach. Results: Physical activity was significantly more likely to become active if they have higher educational status, healthier behavior. Among the six dimensions of SC-IQ, only "groups and networks" that is structural dimensions of social capital and "trust and solidarity" that is cognitive dimensions of social capital were significantly related to physical activity of adults. We found that a person having higher density of membership and having larger size of networks showed the high possibility of active physical activity. A person having high solidarity was significantly associated with physical activity, but general trust was inversely related to physical activity. Output dimensions of social capital did not show significant relationship to physical activity. Conclusion: We found that social capital is useful concept to explain health behaviors like physical activity. However we must consider social, cultural and political context of the study to evaluate the effect of social capital to health status and health determinants and to capture the exact meaning of relationship between them. We suggest further researches to refine the concept of social capital and to explain the relationship of social capital to diverse health determinants.

Determinants of Working International Students' Life Satisfaction: The Mediating Role of Sense of Belonging

  • Do-Hyun, Im;Richard, Basilisco;Kwan-Soo, Shin;Seong-Chan, Bae
    • International Journal of Advanced Culture Technology
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    • 제10권4호
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    • pp.322-336
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    • 2022
  • South Korea is in the limelight in the past decades as Korean universities races for internationalization. As the number of students studying abroad tremendously increasing, there has been a growing need for higher education institutions to understand international working students' life satisfaction and sense of belonging. The aim of this research is to outline which determinants affects life satisfaction as mediated by sense of belonging. With the samples size of 102 respondents, the proposed research model was examined using structural equation modeling (SEM) and SPSS. Results show that all determinants (Recognition, Quality of Education, Experienced Difficulties in Public Service and Understanding Korean Language) were positively significant toward Sense of Belonging. Likewise sense of belonging holds the positive indirect significant effects of the four determinants to life satisfaction.

우리나라 부부의 영구피임 결정요인 (Determinants of Sterilization among Married Couples in Korea)

  • 김주희;이선미;서문희;강대룡;정우진
    • Journal of Preventive Medicine and Public Health
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    • 제40권6호
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    • pp.461-466
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    • 2007
  • Objectives : The purpose of this study was to examine the determinants of sterilization in South Korea. Methods : This study was based on the data from the Korea National Fertility Survey carried out in the year 2000 by the Korea Institute of Health and Social Affairs. The subjects of the analysis were 4,604 women and their husbands who were in their first marriage, in the age group of 15-49 years. The data were analyzed by multiple logistic regression analysis. Results : Consistent with the findings of previous studies, the woman#s age and the number of total children increased the likelihood of sterilization. In addition, the year of marriage had a strong positive association with sterilization. Interestingly, the number of surviving sons tended to increase the likelihood of sterilization, whereas the woman#s education level and age at the time of marriage showed a negative association with sterilization. Religion, place of residence, son preference, and the husband#s education level, age and type of occupation were not significant determinants of sterilization. Conclusions : The sex of previous children and lower level of education are distinct determinants of sterilization among women in South Korea. More studies are needed in order to determine the associations between sterilization rate and decreased fertility.

운전행동 결정요인을 이용한 위험운전자의 판별 (Discriminating Risky Drivers Using Driving Behavior Determinants)

  • 오주석 ;이순철
    • 한국심리학회지 : 문화 및 사회문제
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    • 제18권3호
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    • pp.415-433
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    • 2012
  • 본 연구는 위험한 운전행동을 일으킬 수 있는 운전자의 성격과 태도요인, 즉 운전행동 결정요인의 영향력을 밝히고, 이들 요인을 통해 위험운전자를 판별해낼 수 있는 타당한 방법을 개발하기 위해 시행되었다. 성인 운전자 534명을 대상으로 조사한 결과, 다섯 가지의 운전행동 결정요인들(문제회피성향, 이익/자극 추구, 대인불안, 대인분노, 공격성)은 운전자의 다양한 위험운전행동들에 통계적으로 유의한 수준의 영향력을 미치는 것으로 확인되었으며, 이들 요인을 이용하여 운전자들을 위험도에 따라 별개의 집단(일반운전자, 비의도적 위험운전자, 의도적 위험운전자)으로 구분할 수 있었다. 이 같은 결과는 운전자의 성격과 태도와 같은 심리적 요인들을 통해 운전자의 위험행동 수준을 예측하는 것이 가능하다는 것을 의미한다. 따라서 추후 연구들을 통해 본 연구에서 다룬 운전행동 결정요인 모델과 그 기준 점수체계를 보완한다면, 운전자의 위험성향을 사전에 예측하고 문제점을 확인하여 그에 따른 차별적 안전운전 교육서비스를 제공하는데 도움이 될 것으로 기대한다.