• 제목/요약/키워드: Socioeconomic characteristic

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청소년 사회경제적 특성별 구강보건행태 (Oral Health Behaviors according to Socioeconomic Characteristic in Korean Adolescents)

  • 전미진
    • 치위생과학회지
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    • 제10권6호
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    • pp.417-424
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    • 2010
  • 본 연구는 2007년에 질병관리본부에서 수행한 제 3차(2007년) 청소년건강행태 온라인 조사 자료를 제공받아, 전국 중고등학교에 재학 중인 청소년 73,836명의 구강보건행태와 사회경제적 특성과의 연관성을 이용하여 분석하여 다음과 같은 결론을 얻었다. 수집된 자료는 SPSS프로그램 12.0을 사용하여 연구목적에 맞게 통계분석을 실시한 결과 다음과 같다. 1. 치과방문 경험률은 여학생이 1.45(1.401-1.492)배 높게 나타났으며, 중학생이 높았고, 도시규모는 대도시의 학생이 높았고, 경제수준은 상이라고 인식하는 학생에서 높았고, 어머니 학력은 대졸이하인 학생에서 높게 나타났고, 학업성적도 상, 중, 하인 순으로 높게 나타났다. 2. 하루 칫솔질 총횟수는 여학생이 1.64(1.557-1.717)배 높았고, 도시규모는 군 지역에 사는 학생이 가장 높았고, 경제 상태는 상, 중, 하 순이었다. 3. 점심 직후 칫솔질여부는 고등학생이 2.92(2.830-3.020)배로 높았고, 여학생에서 1.79(1.737-1.851)배 높았으며, 도시규모는 군 지역에 사는 학생이 높았고, 경제상태는 상위층에서 점심 직후 칫솔질 실천률이 가장 높았으며, 어머니 학력은 대졸이하에서 높게 나타났다. 4. 수업시간 구강보건 교육경험 여부는 중학생이 고등학생 보다 높았고, 남학생이 높았으며 도시규모는 군지역에 사는 학생이 가장 높았고, 경제 상태는 상, 하, 중 순으로 높게 나타났다. 위의 결과를 보면, 점심 직후 칫솔질 실천비율이 저조하였고, 지난 일 년 동안 치과방문경험이 낮았으며, 수업시간 구강보건 교육경험율이 24.5%에 그쳐 청소년기 학교에서 생활하는 시간이 많기 때문에 학교에서도 구강건강관리를 지속할 수 있는 현실성 있는 프로그램개발이 필요할 것으로 보이며, 인구사회경제학적 특성이 구강보건행태에 영향을 끼치지 않는 다양한 정책개발이 요구되어진다.

Using SEER Data to Quantify Effects of Low Income Neighborhoods on Cause Specific Survival of Skin Melanoma

  • Cheung, Min Rex
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.3219-3221
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    • 2013
  • Background: This study used receiver operating characteristic (ROC) curves to screen Surveillance, Epidemiology and End Results (SEER) skin melanoma data to identify and quantify the effects of socioeconomic factors on cause specific survival. Methods: 'SEER cause-specific death classification' used as the outcome variable. The area under the ROC curve was to select best pretreatment predictors for further multivariate analysis with socioeconomic factors. Race and other socioeconomic factors including rural-urban residence, county level % college graduate and county level family income were used as predictors. Univariate and multivariate analyses were performed to identify and quantify the independent socioeconomic predictors. Results: This study included 49,999 parients. The mean follow up time (SD) was 59.4 (17.1) months. SEER staging (ROC area of 0.08) was the most predictive foctor. Race, lower county family income, rural residence, and lower county education attainment were significant univariates, but rural residence was not significant under multivariate analysis. Living in poor neighborhoods was associated with a 2-4% disadvantage in actuarial cause specific survival. Conclusions: Racial and socioeconomic factors have a significant impact on the survival of melanoma patients. This generates the hypothesis that ensuring access to cancer care may eliminate these outcome disparities.

Racial and Socioeconomic Disparities in Malignant Carcinoid Cancer Cause Specific Survival: Analysis of the Surveillance, Epidemiology and End Results National Cancer Registry

  • Cheung, Rex
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7117-7120
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    • 2013
  • Background: This study hypothesized living in a poor neighborhood decreased the cause specific survival in individuals suffering from carcinoid carcinomas. Surveillance, Epidemiology and End Results (SEER) carcinoid carcinoma data were used to identify potential socioeconomic disparities in outcome. Materials and Methods: This study analyzed socioeconomic, staging and treatment factors available in the SEER database for carcinoid carcinomas. The Kaplan-Meier method was used to analyze time to events and the Kolmogorov-Smirnov test to compare survival curves. The Cox proportional hazard method was employed for multivariate analysis. Areas under the receiver operating characteristic curves (ROCs) were computed to screen the predictors for further analysis. Results: There were 38,546 patients diagnosed from 1973 to 2009 included in this study. The mean follow up time (S.D.) was 68.1 (70.7) months. SEER stage was the most predictive factor of outcome (ROC area of 0.79). 16.4% of patients were un-staged. Race/ethnicity, rural urban residence and county level family income were significant predictors of cause specific survival on multivariate analysis, these accounting for about 5% of the difference in actuarial cause specific survival at 20 years of follow up. Conclusions: This study found poorer cause specific survival of carcinoid carcinomas of individuals living in poor and rural neighborhoods.

성별에 따른 가구형태가 건강상태에 미치는 영향 (The Influence of Family Structure and Sex on Health Status)

  • 전경숙;이효영
    • 한국보건간호학회지
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    • 제23권2호
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    • pp.162-173
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    • 2009
  • Purpose: This study investigated the health and socioeconomic status of single-parent and partnered families, and examined the intersection between sex and single-parent status focusing on inequalities of health and socioeconomic status. Methods: This was a cross-sectional study using the data from the nationally representative 2005 Korean National Health and Nutrition Examination Survey. A total of 14,827 respondents had custody of their own children and other family members (13,943 were coupled families and 891 were single-parent). Results: Our result indicate that single-parent had poorer health status and were more likely to have lower educational attainment, lower household income, no home ownership and be unemployed. However, the association between single-parent status and socioeconomic and health inequality were in divergent ways according to sex. The most socioeconomically disadvantaged were single-parent women. Inequalities in health differ markedly by sex but vary little according to single-parent status. Conclusions: An uneven distribution of socioeconomic resources might help us to understand why single-parent, both women and men, have worse health than parents who live together. Previously recognized sex gap with regard to health status also might help us to understand the difference in health between single-parent men and single-parent women found here.

Analysis of SEER Adenosquamous Carcinoma Data to Identify Cause Specific Survival Predictors and Socioeconomic Disparities

  • Cheung, Rex
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권1호
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    • pp.347-352
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    • 2016
  • Background: This study used receiver operating characteristic curve to analyze Surveillance, Epidemiology and End Results (SEER) adenosquamous carcinoma data to identify predictive models and potential disparities in outcome. Materials and Methods: This study analyzed socio-economic, staging and treatment factors available in the SEER database for adenosquamous carcinoma. For the risk modeling, each factor was fitted by a generalized linear model to predict the cause specific survival. An area under the receiver operating characteristic curve (ROC) was computed. Similar strata were combined to construct the most parsimonious models. Results: A total of 20,712 patients diagnosed from 1973 to 2009 were included in this study. The mean follow up time (S.D.) was 54.2 (78.4) months. Some 2/3 of the patients were female. The mean (S.D.) age was 63 (13.8) years. SEER stage was the most predictive factor of outcome (ROC area of 0.71). 13.9% of the patients were un-staged and had risk of cause specific death of 61.3% that was higher than the 45.3% risk for the regional disease and lower than the 70.3% for metastatic disease. Sex, site, radiotherapy, and surgery had ROC areas of about 0.55-0.65. Rural residence and race contributed to socioeconomic disparity for treatment outcome. Radiotherapy was underused even with localized and regional stages when the intent was curative. This under use was most pronounced in older patients. Conclusions: Anatomic stage was predictive and useful in treatment selection. Under-staging may have contributed to poor outcome.

도시지역 성인의 식습관 및 식생활 의식에 관한 연구 (A Study on the Eating Habits and Dietary Consciousness of Adults in Urban Area)

  • 최정숙;지선미;백희영;홍순명
    • 한국식품영양과학회지
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    • 제32권7호
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    • pp.1132-1146
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    • 2003
  • The purpose of this study was to identify the eating habits and dietary consciousness of urban residents according to socioeconomic characteristics. The survey was administered by the nationwide 690 adults in February 2001. The survey was conducted by a questionnaire that was composed of 20 items. The results of this study show that 56.8% of the subjects had breakfast everyday and majority of them ate cooked rice (57.4%) or rice with mixed grain and bean (33.0%) as stable food for breakfast. 73.6% of the subjects ate out less than 5 times a month and, most of them preferred Korean dishes to Western dishes. The majority of the subjects had a meal regularly and they ate dinner abundantly with gusto compared to breakfast and lunch. Mean values of preference (5 point scales) for snack, salty and hot taste, and processed food were 3.07±0.89, 2.75±0.83, 3.28±0.90, 2.69±0.84 respectively. Interest (4 point scales) in eating safe and fresh food, balanced diet, and overeating calorieㆍsugarㆍsaltㆍfat were 3.26±0.66, 2.83±0.70, 2.89±0.75, respectively. As the purpose of eating, 44.8% of the subjects placed emphasis to supply nutrition but 16.6% put emphasis on physiologic desire. About half of the subjects needed to change their own eating habits. As improvement of their eating habits, the majority of them answered ‘balanced diet’. There were significant differences in eating habits and dietary consciousness of the subjects by socioeconomic characteristics. As the age goes down and education level goes up, they had wrong eating habits generally. For occupation, housewives had right eating habits but students were not. For interest in food and nutrition, male, 20' age-group, students and over college graduation group were worse than the other groups within each socioeconomic characteristic. Consequently, nutrition education for them is needed preferentially, also their socioeconomic characteristics must be considered in nutrition education.

사회경제적 특성에 따른 청소년의 건강상태 및 건강행태 비교 (Health Status and Health Behavior of Adolescents by Socioeconomic Characteristics)

  • 이용철;임복희
    • 한국학교ㆍ지역보건교육학회지
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    • 제11권2호
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    • pp.13-28
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    • 2010
  • Objectives: The purpose of this study was to examine health status and health behavior of adolescents by socioeconomic characteristics. Methods: Secondary analysis of the 2008 Korea National Health and Nutrition Examination Survey was conducted for 836 adolescence respondents. Results: First, the score of health status was 3.75 and high in 12-15 ages, living together with parents and private medical insured person. The score of oral health status was 2.85 and high in 12-15 ages, employed health insured, living together with parents. Second, dental treatment need was high in female, low income and dental checkup high in 12-15 ages and high income. Influenza vaccination was high in 12-15 ages. Diet contents was good in high income, living together parents and private medical insured and having breakfast was high in male, 12-15 ages, high income, living together with parents and private medical insured person. Third, smoking experience was high in male, low income, living together with single father or mother and drinking age was high in high income family. Forth, sinusitis was high in high income and small pox was high in low income. Conclusion: There might be many differences in the health status and health behavior of adolescents by sex, age, house income, type of family, private medical insurance. Our findings suggest that the need to develop appropriate health education program for high health problem behavior and intervention strategies for socioeconomic specified groups at greater risk.

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냉담-무정서 특질이 소년범죄에 미치는 영향: 부모양육행동, 사회경제적 지위의 효과 (The Impacts of Callous-Unemotional Traits on Juvenile Crime: The effect of Parenting and Socioeconomic Status)

  • 전세진;이주영
    • 한국심리학회지:법
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    • 제11권2호
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    • pp.117-134
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    • 2020
  • 본 연구는 냉담-무정서 특질의 하위요인인 냉담성, 부주의/무신경, 감정표현결여와 부모양육행동, 사회경제적 지위가 소년범죄에 미치는 영향을 살펴보고자 했다. 이를 위해 2016년 7월부터 2017년 3월까지 서울 소재 보호관찰소에서 만 15~17세의 소년법 위반 청소년 103명, 2018년 7월에 수도권 소재 고등학교 1, 2학년 123명의 자기보고식 자료를 수집하였다. 먼저 범죄 유무에 따라 주요 변인의 차이를 살펴본 결과, 범죄 집단이 일반 집단에 비해 냉담-무정서 특질의 부주의/무신경이 더 높았고, 사회경제적 지위가 더 낮았다. 또한, 두 집단 모두에서 냉담-무정서 특질 중 유일하게 부주의/무신경이 부모의 수용, 일상생활 모니터링과 유의미한 부적 상관을 나타냈다. 마지막으로, 부주의/무신경과 가정의 경제 수준이 소년범죄를 유의미하게 예측하였다. 이러한 결과는 냉담-무정서 특질이 높은 청소년은 범죄 유무와 상관없이 부모의 긍정적인 양육행동을 적게 지각함을 보여주며, 부주의/무신경과 가정의 경제 수준이 소년범죄의 발생에 기여하는 잠재적 요인임을 시사한다.

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베트남 참전군인에서 우편으로 검진대상자를 모집하기 위한 예비조사 (Pilot Study on Recruiting Medical Checkup Participant by Mail Survey among Korean Vietnam Veterans)

  • 이상욱;홍재석;오희철
    • Journal of Preventive Medicine and Public Health
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    • 제36권2호
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    • pp.171-178
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    • 2003
  • Objective : The aim of this study was to identify the validity of recruiting medical checkup participants of Vietnam veterans using a mail survey, and to identify the 'Vietnam service related characteristics' and 'general characteristics' of Vietnam veterans groups, Method : In this study, a total 900 veterans were randomly selected from the list of Vietnam veterans from f964 to 1973. The veterans were classified into 5 groups, taking into consideration their registered status in the Ministry of Patriots and Veterans Affairs: the VRD (veterans who have agent orange-related diseases), VSD (veterans who have agent orange-suspected disease), VM (veterans who peformed meritorious deeds during the war), VR (veterans who were registered with the Ministry of Patriots and Veterans Affair) and OV (other veterans) groups. By means of postal surveys, the veterans' intention to participate in the medical checkup for our research, and their socioeconomic and general characteristics were investigated. 52 surveys were returned due to the subjects not residing at the listed address, and were excluded from the analysis. Result : 699 of the 848 veterans (82.4%) responded to the survey, of which 619 (88.6%) intended to participate in the medical checkup for our research. The S veterans groups all had similar ages, Vietnam service period, Agent Orange exposure, troop characteristic and wartime class, with the exception of VM, who were older, and with a greater number of officers than the other 4 groups, There was a big difference in the health statius among the Vietnam veterans group. The VM and OV were much healthier than VRD, VSD and VR groups, The socioeconomic stati of the VRD, VSD and VR groups were lower than those of the VM and OV groups. Conclusion : Although there were some limitations, the recruitment, by mail, of medical checkup participants from Vietnam veterans is a valid and feasible method. The VM and OV groups were much healthier, and with higher socioeconomic stati, than the VRD, VSD, and VR groups.

방사선치료를 받는 암환자의 환자역할 행위 예측인자에 관한 연구 (Predictors of Sick Role Behavior in Patients Receiving Radiotherapy for Cancer)

  • 김강미자
    • 대한간호학회지
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    • 제20권3호
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    • pp.341-356
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    • 1990
  • Cancer is still a threat to human beings. The incidence and mortality rate of cancer have been gradually increasing as the life span has been lengthened. Radiotherapy is one of the most commonly used treatments for cancer. This study explored the influence of social support and stress on sick role behavior of patients receiving radiotherapy for cancer. The subjects for this study were 60 patients undergoing radiotherapy for cancer, selected from the radiotherapy treatment unit of the out patient departments of two major medical centers in Jeonju. Data were collected from February 1 to 28, 1990 by a Likert Scale Questionnaire and an interview schedule designed by the inverstigator. Data analysis included percentages, mean and standard deviation, t or F-test, Pearson Correlation Coefficient and stepwise multiple regression. Results included the following : 1. Support came primarily from sons and daughters (90.1%) ; the type of support was primarily emotional support from friends(60.0%) ; informational support came from health personnel(81.7%) ; and material support was sons and daughters(40.0%) ; satisfaction with support was highest for the spouse(4.02$\pm$.52). 2. Among the patient's demographic status was occupation the was the only socioeconomic characteristic influencing sick role behavior (F=2.91 , p=.029). 3. Directly perveived support was positively correlated with sick role behavior (r=.2374, p=.034). 4. Stepwise multiple regression was used to determine the predictors of sick role behavior. Directly perceived support was the most significant predictor accounting for the hightest contribution to sick role behavior(5.6%). Directly perceived support. socioeconomic status, perceived stress and indirectly perceived support variables together, accounted for only 6.8% of sick role behavior.

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