• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8503-8508
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• 2014

Background: After the WHO recommended HPV vaccination of the general population in 2009, government support of HPV vaccination programs was increased in many countries. However, this policy was not implemented in Korea due to perceived low cost-effectiveness. Thus, the aim of this study was to analyze the cost-utility of HPV vaccination programs targeted to high risk populations as compared to vaccination programs for the general population. Materials and Methods: Each study population was set to 100,000 people in a simulation study to determine the incremental cost-utility ratio (ICUR), then standard prevalence rates, cost, vaccination rates, vaccine efficacy, and the Quality-Adjusted Life-Years (QALYs) were applied to the analysis. In addition, sensitivity analysis was performed by assuming discounted vaccination cost. Results: In the socially vulnerable population, QALYs gained through HPV vaccination were higher than that of the general population (General population: 1,019, Socially vulnerable population: 5,582). The results of ICUR showed that the cost of HPV vaccination was higher for the general population than the socially vulnerable population. (General population: 52,279,255 KRW, Socially vulnerable population: 9,547,347 KRW). Compared with 24 million KRW/QALYs as the social threshold, vaccination of the general population was not cost-effective. In contrast, vaccination of the socially vulnerable population was strongly cost-effective. Conclusions: The results suggest the importance and necessity of government support of HPV vaccination programs targeted to socially vulnerable populations because a targeted approach is much more cost-effective. The implementation of government support for such vaccination programs is a critical strategy for decreasing the burden of HPV infection in Korea.

• 지역사회간호학회지
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• 제30권3호
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• pp.271-280
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• 2019

Purpose: This study evaluates the efficacy of a Self-Care Reinforcement Program (SCRP) based on the Selection Optimization Compensation (SOC) model, in socially vulnerable elderly women with metabolic syndrome. Methods: This study adopts a pretest-posttest nonequivalent control group design. The participants were 64 socially vulnerable elderly Korean women with metabolic syndrome (experimental group: 31, control group: 33). Participants' body composition analysis, nutrient intake, risk factors of metabolic syndrome, depressive symptoms, and social network were measured. Data were analyzed with an independent t-test; statistical significance levels were set at p<.05. The SCRP, including metabolic syndrome education, nutritional education, exercise, and social network, was performed three times a week for 8 weeks. Results: There were statistically significant differences between the experimental and control groups in terms of systolic blood pressure, diastolic pressure, fasting blood sugar, triglycerides, sodium intake, depressive symptoms, and social networks. Conclusion: The SCRP is effective and can be recommended as a community health nursing intervention for socially vulnerable elderly women with metabolic syndrome.

• 한국학교보건학회지
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• 제30권3호
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• pp.181-193
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• 2017

Purpose: This is a qualitative descriptive study with the purpose of identifyng the health problems and related factors of socially vulnerable school-age children in Seoul, South Korea. Methods: Two focus group interviews and two individual interviews were conducted with eleven participants. They were two class teachers, three school nurses and two daycare teachers working at elementary schools and three social workers and a welfare worker working at community childcare centers. Data were analyzed using qualitative content analysis. Results: The identified psychosocial problems were 'distracting and excessive behavior', 'depression and helplessness,' 'aggression and violent behaviors', and 'internet overdependence'. The revealed physical health problems were 'poor hygiene', 'obesity', and 'gastrointestinal problems'. In addition, the fact that physical and psychosocial problems are closely inter-linked was reaffirmed through practical examples. Meanwhile, socioeconomic, family environmental, social experiential and individual factors were found to affect children's health. Relationships within a family or a peer group and healthy lifestyle were considered critical issues to deal with in order to improve the childrens' health status. Conclusion: It was proved that socially vulnerable school-age children have various physical and mental health problems due to multiple factors. Therefore, it is required to design nursing approaches that help them achieve optimal health status.

• 한국재난정보학회 논문집
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• 제19권2호
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• pp.383-394
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• 2023

연구목적: 본 연구는 사회적 취약계층을 고려한 재난문자방송 서비스의 개선에 초점을 맞추고, 특히 고령자에게 필요한 서비스 요인을 일반인과 비교분석을 통하여도출하고자 하였다. 연구방법: 다중회귀분석을 활용하였으며, 종속변수로 재난문자방송 서비스의 전반적인 만족도를 사용하였고, 독립변수로 각각의 서비스 요인들을 선정하여 2개 그룹을 비교분석하였다. 연구결과: 분석결과, 고령자와 일반인 두 그룹 모두 재난문자방송의 만족도에 가장 큰 영향을 미치는 서비스 요인은 신속한 전달인 것으로 나타났다. 두 번째 요인으로는 고령자의 경우 충분한 내용 전달로 나타났으며, 일반인의 경우 시스템 품질로 나타났다. 두 그룹 간의 분석결과를 종합하면, 고령자는 내용적인 측면을 좀 더 중요하게 생각하는 반면, 일반인은 시스템 품질, 송출기준 등과 같은 기능적인 측면을 중요시하는 것으로 나타났다. 결론: 고령자들은 신속한 전달과 함께 충분한 내용 전달을 중요시하고 있는데, 이는 고령자가 일반인에 비해 이해력과 사고력이 떨어지게 된다는 점에서 고령자 특성을 고려한 재난문자 송출이 필요하다.

• 연구윤리
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• 제4권1호
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• pp.9-14
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• 2023

Purpose: Adequate public input and participation in environmental health research must be provided to ensure accurate results from studies involving human exposure to potentially hazardous substances. By addressing these ethical issues associated with environmental health research, this study can help reduce risks for individuals participating in studies and whole communities affected by their impactful findings. Research design, data and methodology: The current research should have followed the rule of qualitative textual research, searching and exploring the adequate prior resources such as books and peer-reviewed journal articles so that the current author could screen proper previous works which are acceptable for the content analysis. Results: The current research has figured out four ethical issues to improve environmental health study as follows: (1) Lack of Guidance for Collecting and Utilizing Data Ethically, (2) Insufficient Consideration Is Given to Vulnerable Populations When Conducting Studies, (3) Unclear Standards Exist for Protecting the Privacy Of Participant's Personal Information, and (4) Conducting Socially and Religiously Acceptable Research in Various Communities. Conclusions: This research concludes that future researchers should consider implementing anonymization techniques where possible so that findings are still accessible, but the risk posed by disclosing identifying information remains minimized during the analysis/publication stages.

• 재활복지
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• 제20권1호
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• pp.131-150
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• 2016

본 연구에서는 서방 선진국을 포함한 주요 아시아 국가의 사회적 취약계층을 위한 정보통신 접근성 향상 관련 정책들을 비교 분석하여 우리나라에서 시행되고 있는 정책 개선을 위한 시사점을 도출하고자 하였다. 연구 결과 대한민국은 아시아 국가에 비해 법과 표준이 잘 정비되어 실효성이 높은 반면 서방국가들과의 비교에서는 상대적으로 관련 정책들의 개선이 필요한 것으로 나타났다. 급변하는 정보통신기술에 대한 새로운 정의들을 관련법이 명확히 반영하는데 한계를 보였으며 웹 및 모바일 애플리케이션 접근성 이외의 정책 및 표준 제정이 미흡하였다. 이에 대한 개선을 위해 법 제 개정 주기를 단축하고 정보통신 접근성 관련 시나리오를 사전에 연구 개발, 필요시 즉시 적용할 수 있도록 정부 산하의 전문연구기관을 설립하는 방법들을 고려해볼 수 있을 것이다. 사회취약계층은 정보통신에 대한 접근성을 보장받지 못하고 정보를 잘 활용하는 사람들과 구별되어 사회, 경제, 문화 등 삶의 많은 측면에서 차별을 받고 있는 실정이다. 이러한 차별 해소를 위해서는 정부의 지원과 관련 업계의 자발적인 참여 및 국민의 관심이 지속이 뒷받침 되어야 할 것이다.