• 제목/요약/키워드: Socioeconomic Status

Search Result 869, Processing Time 0.023 seconds

The Determinants and Comparison of Health Behavior and Health Service by Private Medical Insurance on National Health-Nutrition Survey (국민건강영양조사 대상자들의 민간의료보험 가입 요인 및 가입여부에 따른 건강행태·의료이용 비교)

  • Lee, Yong-Chul;Im, Bock-Hee;Park, Young-Hee
    • The Journal of the Korea Contents Association
    • /
    • v.10 no.12
    • /
    • pp.190-204
    • /
    • 2010
  • This study firstly examined the socioeconomic and health factors associated with infiltration of private health insurance. Secondly, we compared health behavior, outpatient and inpatient use of private health insured with uninsured. The method of this study is that secondary analysis of the 2008 Korea National Health and Nutrition Survey was conducted for 7178 respondents aged 19 over. We use the logistic regression and t-test for data analysis. The first dependent variable was dichotomy which is divided to private health insured or uninsured and the second dependent variable was the presence and frequency of outpatient and inpatient use. The descriptive variables was gender, age, marital status, income, education, occupation, type of national health insurance, residential area, self confidence of health, prevalence rate of common disease, activity limitation, drinking and smoking status. The result of the major findings are as follows. First, 59 under aged person, married person, people in the higher brackets of income, national employee insured were more likely to infiltrate private health insurance. The poor self confidence of health, activity limitation, person with hypertension or allergic rhinitis and smoker were negatively related in infiltrating private health insurance. Second, private health insured did more preventive behavior such as self-paid health examination, cancer screening, regular exercise than uninsured. Third, private health insured was positively related with the presence of outpatient use and frequency of inpatient use

Burden of COPD among Family Caregivers (만성폐쇄성폐질환자 가족의 보호부담에 관한 연구)

  • Kim, Jeong-Hwa;Kim, Eun-Kyung;Park, Sun-Hyung;Lee, Kyung-Ae;Hwang, Yong-Il;Kim, Eun-Ji;Jang, Seung-Hun;Park, Sung-Hoon;Lee, Chang-Youl;Lee, Myung-Goo;Lee, Ji-Yeon;Kim, Dong-Gyu;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
    • /
    • v.69 no.6
    • /
    • pp.434-441
    • /
    • 2010
  • Background: Chronic obstructive pulmonary disease (COPD) is a major health problem resulting in significant burden for patients and families. However, family caregivers' burden has not been well recognized. The objectives of this study were to evaluate the level of caregivers' burden and to explore the related factors based on family, patient, and social support factors. Methods: A face-to-face interview with 86 family caregivers who had been taking care of COPD patients was conducted. The participants answered a self-administered questionnaire. The questionnaire included the level of family caregivers' burden, health status and the relationship within the family, functional limitation of patients perceived by family caregivers and the social support. Results: The level of caregivers' burden among participants was considerably high. Risk factors for caregivers' burden included low educational level of family caregivers, low family income, hours of caregiving, and functional limitation of the patients. Protective factors for caregivers' burden were good relationship within the family and support from other family members or friends. Conclusion: It is proved that family caregivers are facing significant burden in taking care of COPD patients. To reduce family caregivers' burden, it is necessary to address socioeconomic status of the family and to provide various community resources including financial support and nursing services.

Enjoyment Methods of Traditional Theater Performances in the Early 20th Century (20세기초 극장무대 전통공연물의 향유방식)

  • Jeong, Choong-Kwon
    • Journal of Korean Classical Literature and Education
    • /
    • no.38
    • /
    • pp.103-138
    • /
    • 2018
  • This study examines the modern succession, transformation and significance of enjoyment methods of classical literature (art) with a focus on the characteristics of those methods that appeared when the performances of the traditional era began to be displayed on the stage of the theaters in modern Seoul. The clues to the reasons for this type of enjoyment can be found in newspapers, magazine articles, and advertisements from the early 20th century. The emergence of stage theaters at the beginning of the modern era caused a sweeping change in the performance environment, including the fact that it was possible for all kinds of people to enjoy art beyond the existing socioeconomic hierarchies or barriers of status, that the performers were given employment through the theater, and that the audience had the tendency of the general public of an unspecified number because the audience was able to see the performances only by paying the viewing fee. The way of enjoying traditional performances also changed based on these new adaptations: the performances were sequential, show-oriented, and re-contextualized as public performances. It is significant that in the traditional era, performers and audiences had been segregated according to their status and a strict hierarchy; now, such cultural norms were breaking down in favor of a kind of equality. In addition, it was possible for the audience to experience sensory enjoyment, and theater brought about a new kind of popular consumer enjoyment of an artistic product. Of course, though, it is possible to look back and find problems related to the contemporary context, but the traditional performances, which were the main performances for the lower class, took the first place on the modern theater stage, and as a result, no one can deny that it became possible to move forward in the first phase of an era of public performance.

Analysis of Environmental Equity of Green Space Services in Seoul - The Case of Jung-gu, Seongdong-gu and Dongdaemun-gu - (서울지역 녹지서비스의 환경형평성 분석 - 중구, 성동구, 동대문구를 사례로 -)

  • Ko, Young Joo;Cho, Ki-Hwan;Kim, Woo-Chan
    • Journal of the Korean Institute of Landscape Architecture
    • /
    • v.47 no.2
    • /
    • pp.100-116
    • /
    • 2019
  • Urban green spaces, as a means to mitigate social problems and environmental risks, are getting more attention in evaluating urban environment. The inequity of green space distribution is becoming a major issue in urban planning and management. This study investigated the characteristics of green space in 3 districts (Jung-gu, Dongdaemun-gu, Seongdong-gu), that are composed of 46 administrative divisions in central Seoul, to analyze the environmental equity of urban green spaces. The correlations between the amount of green space, including the coverage of street trees, and the socioeconomic status of each administrative division were analyzed. To deduce the effects of plant coverage on the urban temperature regime, the relationship between the normalized difference of vegetation index (NDVI) and land surface temperature (LST) was analyzed. The research revealed that the mean NDVI of an administrative division was negatively correlated with the percentage of basic living recipients and disabled people. The LST of a division with low NDVI was higher due to the lack of green coverage. Such environmental inequities were closely related to residential building type, which was strongly affected by the economic status of residents. The LST of an apartment area was $2.0^{\circ}C$ lower than that of single-family houses and multi-housing areas. This is expected as the average NDVI of the apartment area was more than twice as high as the other environments considered in this study. The inequity can be exacerbated without urban planning which is deliberately designed to reduce it.

Death Anxiety and Quality of Life for the Elderly Living Alone (독거노인의 죽음불안과 삶의 질)

  • Lee, Eunsuk
    • The Journal of the Korea Contents Association
    • /
    • v.19 no.2
    • /
    • pp.393-408
    • /
    • 2019
  • Purpose: This descriptive study was to examine death anxiety and quality of life for the elderly living alone. Methods: The participants were 289 elderly who were living alone in D metropolitan city. Data were analyzed with number, percentage, mean(SD), Pearson's correlation, t-test, ANOVA, multiple regression analysis using SPSS/Win 25.0. Results: The participants' death anxiety was 66.85 and quality of life was 58.21. Death anxiety was significantly different by age(F=153.240, p<.001), gender(t=-4.615, p<.001), education(F=263.559, p<.001), current occupation(F=46.324, p<.001), religion(F=693.729, p<.001), relationship with children(F=178.506, p<.001), reasons living alone(F=21.143, p<.001), perceived health status(F=113.300, p<.001), perceived socioeconomic status(F=45.829, p<.001), barriers to managing health problems(F=49.706, p<.001). There was a significant negative correlation between participants' death anxiety and quality of life(r=-.87, p<.001). Conclusion: The results of the study will be used to develop nursing intervention protocol and social support programs for the elderly living alone in the community.

Current smoking rate and related factors of people with disability (장애유무에 따른 현재흡연율과 관련요인)

  • Yeob, Kyoung Eun;Kim, So Young;Park, Jong Eun;Lee, Byeong Hyeon;Park, Jong-Hyock
    • Korean Public Health Research
    • /
    • v.44 no.4
    • /
    • pp.51-65
    • /
    • 2018
  • Objective : Smoking can increase the risk of secondary conditions for people with disabilities, which can in turn counteract primary disorders and exacerbate existing disorders. More active interventions for smoking cessation are necessary for people with disabilities because the physical condition of people with disabilities is more vulnerable, and risk factors such as smoking, drinking, obesity, and stress can have a decisive influence on people with disabilities compared to non-disabled people. Methods : In this study, the subjects who participated in National Health and Nutrition Survey of 2013 were those aged over 19 and smoker. The final 299 people with disability and 4,260 people without disability were analyzed. Results : Current smoking rate was 21.5% of non-disabled people and 21.4% of disabled people respectively. Factors influencing the current smoking rate of the disabled people were analyzed by type of household, economic status, home ownership, drinking, binge drinking, activity limit. Conclusions : In order to reduce socioeconomic inequalities of smoking and to actively intervene with the disabled, there need a new approach strategy focusing on people with disabilities.

Factors related to the difference in the incidence of caries between children in fluoridated and non-fluoridated areas (수돗물불소농도조정사업 지역과 비사업지역 아동 간의 치아우식 발생 격차 관련요인)

  • Han, Sang-Jun;Kwon, Yong-Bong;Kim, Se-Yeon;Kim, Ji-Soo;Lee, Jung-Ha;Kim, Jin-Bom
    • Journal of Korean Academy of Oral Health
    • /
    • v.42 no.4
    • /
    • pp.136-144
    • /
    • 2018
  • Objectives: The aim of this study is to analyze the differences in factors related to the incidence of dental caries between children in fluoridated and non-fluoridated areas and compared the DMFT and DMFS scores to confirm the effect of water fluoridation program (WFP) in Geoje and Changwon. Methods: The oral health examination and questionnaire survey were conducted in fluoridated and non-fluoridated areas. The number of surveyed children aged 8, 10, and 12 years in the fluoridated and non-fluoridated area of two cities was 1,524 and 1,383, respectively. Self-recorded questionnaires included self-perception of their own dental health, daily toothbrushing frequency, intake frequency of cariogenic sweet snacks and beverages, experience of gingival bleeding, experience of unmet dental treatment, and use of oral hygiene device except for toothbrush and toothpaste. The prevalence of caries and fissure-sealant status were surveyed. The logistic regression analysis was used to analyze the difference in children's self-rated oral health status between the fluoridated and non-fluoridated area. The mean number of sealed teeth and surfaces, marginal means of the DMFT and DMFS scores adjusted for the difference in the samples' sex distribution, and region were compared between the fluoridated and non-fluoridated areas. Results: In the fluoridated area, the experience rate of unmet dental treatments was higher among children aged 10 years, intake frequency of cariogenic sweet snacks and beverages were higher among the whole sample, and experience rate of professional fluoride application were lower than in the non-fluoridated area. The DMFT score for permanent dentition adjusted for differences in sex, region, and mean number of fissure-sealed teeth in the fluoridated area was significantly lower among whole samples and 8-, 10-, and 12-year-olds alone than in the non-fluoridated area. Conclusions: WFP can alleviate oral health inequality because it is effective in reducing the incidence of caries among children is disadvantaged demographic, socioeconomic, and cultural contexts.

A Study on the Types and Determinants of Longitudinal Changes in the Economic Preparations for the aging Among People with Physical Disabilities: Using Latent Class Growth Model (지체장애인의 경제적 노후준비에 대한 종단적 변화유형과 결정요인에 관한 연구 : 잠재계층성장분석을 활용하여)

  • Lee, Gye Seung;Kim, Dong Ha
    • Korean Journal of Social Welfare Studies
    • /
    • v.48 no.4
    • /
    • pp.157-185
    • /
    • 2017
  • This study aimed to explore the trajectories of economic preparations for the aging among people with physical disabilities and to identify the determinants according to the Andersen model. For this study, data were drawn from Panel Survey of Employment for the Disabled (PSED). A total of 1,847 samples were used from the second to the eighth wave. Latent class growth model was conducted to explore the longitudinal change classes for the disabled, and the multinominal logistic regression analysis was conducted to examine the influence of the determinants. As a result, four classes were identified: preparation decrease group, continuous non-preparation group, preparation increase group, and continuous preparation group. Each group was found to be associated deferentially with education level, family income, socioeconomic status, employment, home ownership, national basic livelihood security recipient status, and ADL. These findings proposed the practical and political implications for the strategies concerned with facilitating the economic preparations for the aging among the disabled.

The Problems and its Improvement of Sea Area Utilization Consultation and Impact Assessment for Projects Related to Marine Environment Restoration (해양환경복원관련 사업에 따른 해역이용협의·영향평가의 문제점 및 개선방안)

  • Yi, Yong Min;Jun, Eun Ju;Lee, Dae In;Kim, Gui Young
    • Journal of the Korean Society of Marine Environment & Safety
    • /
    • v.25 no.1
    • /
    • pp.34-44
    • /
    • 2019
  • Marine activities are becoming more diverse and extensive due to recent social developments, exceeding the environmental capacity of the marine ecosystem. The resilience, resistance, and constancy of marine ecosystems are being damaged or degraded. This prevents the ecosystem from functioning properly, leading to a decline in ecosystem services and value. As a means of returning the damaged ecosystem to health, more and more people are interested in restoration. At a time when restoration projects are gradually expanding, various problems that may arise when implementing the Sea Area Utilization Consultation and Impact Assessment for restoration projects need to be checked, in addition to confirming the direction to be pursued. Therefore, in this study terms related to restoration from research papers and reports were summarized, and the status of the Sea Area Utilization Consultation related to restoration projects and the status of the restoration project were reviewed. In addition, problems with Sea Area Utilization Consultations were considered through a case study to ensure the successful execution of restoration projects. Based on this, we intend to present improvement measures for Sea Area Utilization Consultations and Impact Assessments for restoration projects. This will provide effective information for future policies and plans.

A Study on the Influence on Medical Care for the Elderly by Exposure to Fine Particulate Matter and Ozone (미세먼지와 오존노출에 의한 노인의 의료 이용 영향에 대한 연구)

  • Jung, En-Joo;Na, Wonwoong;Lee, Kyung-Eun;Jang, Jae-Yeon
    • Journal of Environmental Health Sciences
    • /
    • v.45 no.1
    • /
    • pp.30-41
    • /
    • 2019
  • Objectives: The effects of particulate matter and ozone on health are being reported in a number of studies. These effects are likely to be stronger on the elderly population, but studies in this regard are scarce. The purpose of this study was to examine the effects of particulate matter ${\leq}2.5{\mu}m$ and ozone on the acute health status of the elderly population. Methods: In order to analyze the health status of the elderly population, the NHIS-Senior Cohort data was used. In this study of people 60 years or older in Seoul, the number of outpatient visits and ER visits between 2002 and 2013 were calculated. Each disorder and the lag effect were analyzed separately. Particulate matter and ozone were analyzed using both the single exposure model and the adjusted multi-exposure model. Results: In the single exposure analysis with PM2.5 as the exposure variable, with each increase of $10{\mu}g/m^3$, the number of outpatient visits increased by 1.0081 times, vascular disease 1.0065 times, chronic pulmonary disease 1.0086 times, and diabetes 1.0055 times. In the multi-exposure model adjusting for ozone, the number of outpatient visits increased by 1.0066 times. There was a one-day lag effect and 1.0066 times increase between PM2.5 and ER visits in the multi-exposure model and 1.0057 times when adjusted for ozone (p value <0.10). There was a one-day lag effect in all multi-exposure models with ozone as the main variable, and when the particulate matter was adjusted, there was a one-day delay and 1.0143 times increase in ER visits. Conclusions: In our study, an increase in the number of outpatient and ER visits in the elderly population in accordance with the increase in PM2.5 and ozone was found. The association found in our study could also produce a socioeconomic burden. Future studies need to be performed in regards to younger populations and other air pollutants.