• 문화기술의 융합
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• 제5권2호
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• pp.189-194
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• 2019

본 연구는 중 장년을 대상으로 노후준비에 대한 실태조사를 한 연구이다. 중장년을 대상으로 설문조사를 의뢰한 후 회수하는 방법으로 실시하였다. 총 350부를 배포하여 응답이 부실하거나 누락된 문항이 많은 설문지를 제외한 39부를 제외하고 총 311부를 SPSS 21.0을 시용하여 빈도분석, t-test, oneway ANOVA를 실시하였다. 중장년층을 대상으로 지역적인 특색과 노인이 될 계층의 노후생활인지의 차이점을 파악하였으며, 본 연구의 목적은 다음과 같다. 첫째, 중 장년 사회인구학적 특성에 따른 노후생활인지의 차이점 도출, 둘째 중 장년 사회인구학적 경제적 노후생활인지, 신체적 노후생활인지, 사회적 노후생활인지의 차이점을 파악하여 노후준비를 위한 기초자료의 제공이다.

• 대한간호학회지
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• 제3권3호
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• pp.1-14
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• 1973

This study is designed to meet the following objectives: (1) To study attitude and behavior regarding marriage and age at marriage, (2) To learn correlates of age at marriage and to examine their relations, (3) To measure relative importance of the correlates of age at marriage, and (4) To study relations of age at marriage and family planning practice to fertility and their relative importance as correlates of fertility. The data are obtained by an independent cross-sectional survey in three study areas purposively selected to represent metropolitan. semihuman. rural population. The study population is confined to women age 17-50 as of survey. The overall response rate is 90%. Reliability of data is measured by . individual and aggregate inconsistency based upon a 15% subsample of the original interviews. The individual inconsistency (31%) is found to be high compared to the aggregate inconsistency (6%) for all 85 variables. However, the magnitude of differences between means is small, and the mean absolute shifts and proportional shifts are also small on the whole. In a word respondents did not change their answers too extremely or radically. The study populations of each study area are compared on some basic characteristics. It is found that the three study populations have more dissimilarities than similarities. The findings on seven different attitudinal positions of women toward marriage indicate that there have been tremendous changes in all study areas Iron "traditional" attitudes which have been prevalent for a long time in Korean society to "liberalized" or "modernized" attitudes. An apparent tendency is that women generally take a position of a "golden mean" attitude by not preferring either extreme of marriage attitudes. Nevertheless, the young, single, educated, and urbanite appears more "liberalized. " There has been some increase in ideal age at marriage from 1958 to 1970 for both sexes. No age group, marital status, or study area differentials in ideal age at marriage are found, the average ideal age at marriage in every sub-group being 24-25. Awareness of existing legal marriageable ages is low; only 4.4% are aware that "with parental permission: minimum age for males is 18 years and for females 16 years,"and only 3.7% are aware that "without parental permission: 27 years for males and 23 years for females." People in Korra tend to marry spouses who are in various social ways like themselves: the similarities include (a) education, occupational status of father, (c) economic status, (d) usual residence before marriage, and (e) religion. Both singulars and actual mean ages at marriage in this study confirm the trend of rising age at marriage previously established by other independent studies. The urban-rural differential in age at marriage is observed, but the differential narrows down gradually from 1935 to 1970. All socio-economic, demographic, and other variables pertaining to wife before and at first marriage, excluding (a) religion, (b) father′s of occupation, and (c) as: of menarche, are correlated with respondent's age at first marriage, whereas only three variables out of all socio-economic variables relating to husband before and at wife′s first marriage, viz., (a) education, (b) usual residence, and (c) economic level of his old home, are correlated with respondent′s age at marriage. Among socio-economic and modernity variables related to either husband or wife at the time of survey, only education and duration of residence are correlated with wife′s age at first marriage. Among the correlates of respondent′age at first marriage, education is in general the most important variable. However, it is found that wife′s education is more important than husband′s. The combined effects or the correlates studied explain no more than about 40% of variance for any of the selected groups of variables. Points which might counteract the effects of late marriage on fertility are not serious in Korea. For each of the correlates of the three fertility indices chosen for this study. namely, (a) number of living children, (b) number of live births, and (c) number of pregnancies, age at marriage is the major contributor to the variance in all age groups except the age group of 20-29 in which the index of family planning practice is the major contributor. The proportion of variability in fertility indices accounted for by the correlates is never more than 40% of the total variance in any age group. Based upon the findings from this study, it could be concluded that in the foreseeable future (a) celibate group will no! be increased to a point that would slow down population growth rate in Korea, (b) age at marriage will not increase continually, (c) although education stands out as the major contributing variable which independently explains the variation in age at marriage, it seems probable that education may not be the major variable in the near future, and (d) despite the fact found by this study that age at marriages has been the major contributor to the variance of each of the fertility indices used, family planning practice will play a more important role in the reduction of fertility in the Korean society. Therefore, factors interrupting practice of family planning must be eliminated and family planning program should be strengthened if further fertility reduction is needed.

• 한국노년학
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• 제39권4호
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• pp.699-721
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• 2019

주관적 기대여명(Subjective Life Expectancy)이란 자신의 수명에 대한 평가로, 주관적 인지평가에 그치지 않고, 건강한 삶을 위해 건강증진, 사회적 활동, 경제적 활동 등에서 실천적 행위를 하게 하는 기전으로 알려져 있다. 본 연구는 연령집단별 노인의 주관적 기대여명에 영향을 미치는 요인을 일반적 요인과 개입요인으로 나누어 파악하여 비교해보는 것에 목적이 있다. 연구대상자는 제 6차 고령화연구패널(KLoSA)을 이용하여 연령집단별로 연소노인(65세-74세) 2,106명, 중고령노인(75-84세) 1,803명, 초고령노인(85세 이상) 574명으로 총 4,483명이다. 일반적 요인은 통제변수로써 인구사회학적요인, 건강상태요인을, 개입요인은 독립변수로써 건강증진행위, 공적돌봄인지여부, 공식적 사회활동 참여, 일자리 및 소득보장 등에 해당하는 9가지의 변수를 설정하여 카이제곱검정, ANOVA, t-test, 위계적 다중 회귀분석을 실시하였다. 그 결과 주관적 건강상태와 기초연금은 모든 연령집단의 주관적 기대여명에 영향을 미쳤지만, 그 외의 변수들은 집단별로 차이가 있었다. 공식적 사회활동 참여, 일자리 및 소득보장요인은 연소노인과 중고령노인 집단에서 유의했고, 건강증진행위요인은 연소노인에서만 유의했다. 중고령노인은 다른 연령집단에 비해 개입요인보다 일반적 요인에서 유의미한 결과가 치중된 것으로 나타났다. 본 연구의 결과는 연령집단별 노인의 주관적 기대여명과 남은 노후를 잘 보내기 위한 실천적이고 개입 가능한 요인 탐색에 기초자료를 제공할 수 있을 것이다.

• 한국치위생학회지
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• 제13권6호
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• pp.995-1004
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• 2013

Objectives : The purpose of the study is to provide basic data for oral health promotion in national basic livelihood security. Methods : The data were extracted from the 4th National Health and Nutrition Survey (2007-2009) in Korea. The data were analyzed using SPSS 18.0. to $x^2$-test and CSGLM. Results : 1. The subjects were not able to receive dental treatment because of the financial difficulty. 2. The infuencing factors of DMFT include gender (p<0.05), type of health insurance (p<0.05), membership for private health insurance (p<0.05), frequency of toothbrushing (p<0.05), use of oral hygiene products (p<0.01), smoking (p<0.05), drinking (p<0.05). The influencing factors of CPI include gender (p<0.01) and smoking (p<0.05). The influencing factors of fixed bridge include age (p<0.05), income (p<0.05) and use of accessory oral hygiene products (p<0.05). The influencing factors of fixed bridge include age (p<0.001), income (p<0.01), education (p<0.001), type of health insurance (p<0.001), membership for private health insurance (p<0.001), frequency of toothbrushing (p<0.01), use of oral hygiene products (p<0.01), and drinking (p<0.05). Conclusions : It is necessary to provide oral health care and health promotion to the recipients of National basic livelihood security. The government must give them better quality of dental health care in the near future.

• 지역연구
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• 제14권1호
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• pp.91-107
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• 1998

Waste disposal problem is one of the most important social welfare indicators in urban area, because the volume of waste generated from urban area is remarkable. So far most waste of Seoul has been disposed at landfills. However, this landifill disposal method is confronted with several difficulties in recent. As public concern on environmental problem increases and autonomy system is settled down, local community people of the landfills refuse to receive the waste produced other places any more. It brought reginal confliction problem between waste sending and receiving by refusing to accept waste from certain region. Furthermore, it is difficult to find another place to fill up the waste, while the existing landfiis is reached at the limit in the near future. In terms of environmental aspects landfill method is not the best way to dispose waste. It contaminates the soil and ground/underground water by leaking water containing many serious pollutants as well as offensive oder. In terms of equity, this waste disposal method is not fair. Environmental pollution causes damage to residence near to the landfills, while the waste produced other places. In order to satisfy the equity aspect, the waste generated a region should be disposed within the region. Incineration of Waste has been provided as the alternative. Government plans to construct waste incinerator in every anatomy, so the waste produced by local community is disposed within their local autonomous area. However, the location decision is not easy, since waste incinerator is one of the facilities to the community people. We can not apply the existing location models for this problem, because they show strong NIMBY phenomenon for the location. The location of waste incinerator should be determined very carefully with consideration of various location factors and criteria. This study proposes a methodology for determining the location of the waste incinerators by utilizing GIS, which is a power research tool for location decision where various geographical factors related. We drive the location factors which should be considered in the determination of waste incinerators. They involve environmental, socio-economic, and institutional factors. In first, we eliminate the area which is located within the environmental location criteria such as slope, fault line, distance to river, and then eliminate ares which is conflict with the social and institutional criteria.

• Journal of Preventive Medicine and Public Health
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• 제40권3호
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• pp.249-258
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• 2007

Objectives : The aims of this study were to estimate the antihypertensive medication adherence in people with a disability and a history of taking antihypertensive medication, and to identify the factors affecting medication adherence. Methods : The National Health Insurance claims data were linked with the National Disability Registry. People with a disability, who received a prescription of antihypertensives, were identified from a total of 85,098 cases. Cumulative medication adherence (CMA) was used as an indicator of medication adherence. A CMA > 80% was defined as appropriate medication adherence. Multiple logistic regression analysis was used to identify the factors affecting medication adherence. Results : The average CMA in a total of 85,098 patients was 79.5%. The appropriate adherence $(CMA{\geq}80%)$ rate was 54.5% and 20.5% of patients had a CMA < 50%. Multiple logistic regression analysis revealed that the probability of appropriate adherence decreased with decreasing number of prescription days per visit, increasing number of providers, the patients' residential area moving from urban to rural areas, and when patients have an internal organ disability, auditory impairment, mobility impairment. Conclusions : The adherence to antihypertensive medication in people with a disability is influenced by various socio-economic, clinical and regional factors. In particular, the disabled who have locomotive and communication disabilities and internal organ impairments have a higher probability of under-adherence to antihypertensive medication adherence in Korea.

• 한국병원경영학회지
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• 제14권1호
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• pp.36-61
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• 2009

This study focused on finding the variation of medical service utilization, paths of medical service utilization and medical payments of the patients died by cerebrovascular diseases. For this study, data of the one-year episodes of the health insurance subscribers died in 2004 were selected. The frequency of medical visits, the lengths of stays, the days of outpatient visits, the total period of medical services and the total medical payments were compared by the characteristics of the suppliers and utilizers. This study is useful in reviewing the equity of medical service utilization because it analyzed variance in utilization by episodes. In oder to collect accurate data of the patients died by cerebrovascular diseases in 2004 the 2004 reimbursement data of all medical institutions were matched to the data of funeral fee payment by the National Health Insurance Corporation from January 2004 to May 2005. The major results of the study are as follows. The variation of medical service utilization of cerebrovascular diseases was influenced by supplier factors suppliers, such as types and locations of medical institutions and user factors such as sex and age. It was suspected that the reimbursement by fee-for-service contributed to the variation quite a lot, but we could not compare the variation between the different reimbursement systems in Korea. On the basis of analyzing results this study suggests that the factors of suppliers and utilizers should be reviewed to reduce the under use and over use expressed by variations of medical service. The processes of care, effective communication and management system should be investigated for the equity of medical service utilization and also. alternative medical services would be recommended to reduce the high medical payment. Additionally to find other causes of variation further in depth study controling the severity of diseases, socio-economic status of the users and the system factors is required.

• 한국병원경영학회지
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• 제12권3호
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• pp.1-19
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• 2007

This study focused on finding the variation of medical service utilization and medical payments of the patients died by three, cancers, stomach, breast, and colon cancer. For this study, data of the one-year episodes of the health insurance subscribers died in 2004 were selected. The frequency of medical visits, the lengths of slays, the days of outpatient visits, the total period of medical services and the total medical payments were compared by the characteristics of the suppliers and utilizers. The data of the patients died by cerebrovascular diseases and cancer in 2004 were selected. To select the dead by cerebrovascular diseases and cancer in 2004, were matched the 2004 reimbursement data of all medical institutions to the data of funeral fee payment by the National Health Insurance Corporation from January 2004 to May 2005 for the death in 2004. The results of the analysis were as follow. The variation of medical service utilization of the dead by cancers were not small in Korea. The current study found that the variation of medical care utilization was influenced by the factors of suppliers, such as types and locations of medical institutions and the factors of users, such as sex and age. It was suspected that the reimbursement by fee-for-service contributed to the variation quite a lot, but we could not compare the variation between the different reimbursement systems in Korea. The results of the study suggested that tile factors of suppliers and utilizers should he reviewed to reduce the under use and over use expressed by variations of medical service utilization. The processes of care, effective communication and management system should be investigated for the equity of medical service utilization. Additionally, prospective payment could he recommended to reduce the high variation of medical service Use. To find the variation caused by under use and over use, further study need to control the severity of diseases, socio-economic status of the users and the system factors.

• 한국학교보건학회지
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• 제34권1호
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• pp.62-75
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• 2021

Purpose: Smoking among adolescents is a critical healthcare concern that needs to be tackled with respect to not only intrapersonal and interpersonal factors but also socio-cultural factors. This study was to identify the smoking behaviors and amount of tobacco consumption among adolescents, and to investigate the factors associated with the behaviors and amount. Methods: A cross-sectional study was conducted based on the theory of triadic influence using a nationally representative secondary data set, the 2018 Korea Youth Risk Behavior Survey (N=60,040). The analysis was performed by dividing smoking behaviors into lifetime, current, and daily smoking, and smoking amount into light, moderate, and heavy smoking. Descriptive statistics and multinomial logistic regression analyses were conducted. Results: Overall, 8.2%, 3.2% and 3.4% of the adolescents were involved in lifetime, current, and daily smoking, respectively. In addition, 5.3%, 0.8%, and 0.6% of the adolescents were involved in light, moderate, and heavy smoking, respectively. The factor associated with smoking behaviors and the amount of tobacco consumed were gender, academic achievement, depression, living with family, close friend's smoking, violent victimization, household economic status, and school level (all ps<.05). Conclusion: A considerable number of adolescents are engaged in risky smoking behaviors and consume large amounts of tobacco. Adolescents who said yes to peer smoking, violent victimization, not living with their family, and depressive emotions were more likely to engage in risky smoking behaviors and consume large amounts of tobacco. Tailored interventions to decrease smoking should be planed and provided, while considering the school and home environment and individual needs of adolescents.

• 보건행정학회지
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• 제30권4호
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• pp.451-459
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• 2020

Background: Although Korean government have been adopting several policies to expand coverage of National Health Insurance (NHI) program, the coverage rate is still below average across Organization for Economic Cooperation and Development countries. This study was to identify public perception on appropriateness of coinsurance rate and factors associated with coinsurance rate in National Health Insurance. Methods: For this cross-sectional study, 507 participants over aged 20 years were recruited from telephone surveys. Respondents experienced at least one and more visiting medical facilities due to medical problems in last 12 months. Demographic factors, socioeconomic positions, and experiences on medical utilization were measured in order to identify factors associated with perception appropriateness of coinsurance rate. Results: The 49.9% (n=209) of the public responded that the coinsurance rate of NHI program was appropriate. There were no differences in positive perception according to socio-demographic factors and experiences on medical utilization except for gender, residential area, and felt expensive when using medical services. People who felt burden of medical expenditure were more likely to perceive coinsurance rate inappropriate (odds ratio, 2.33; 95% confidence interval, 1.52-3.58) Conclusion: In spite of the relatively low coverage rate of NHI, this study identified that 49.9% of the public perceived the current coinsurance rate was adequate. However, people who felt the burden of medical expenditure were still had a negative perception of the coinsurance rate needed to decrease the coinsurance rate.