• Health Policy and Management
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• v.19 no.4
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• pp.66-77
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• 2009

This study aims to examine the effect of socioeconomic status (hereafter, SES) on healthcare utilization of the patients with rare and incurable diseases. Information of 2,973 patients who were self-employed insured and utilized healthcare service in 2007 was drawn from the National Health Insurance (hereafter, NHI) claim data. SES was set as four groups based on the monthly contribution. Outcome variable was the expense for outpatient and in-hospital services, which was log-transformed and square-rooted in oder to obtain normal distribution. Covariates included age, gender, residence and diagnosis. To examine the effects after controlling for covariates, we employed generalized estimating equation model, since patients with the same diagnosis are likely to have similar characteristics of demographics and healthcare utilization. Univariate statistics showed that lower SES was associated with less utilization of healthcare services. After controlling for covariates, a significantly smaller amount of money was expended for the lowest SES group compared to the highest one. Rural residence was associated with less utilization, except that residents in Seoul significantly more utilized outpatient services in tertiary hospitals. Considering that there is a subsidy program for the low income patients, such differences in healthcare utilization according to SES seems to result from the burden of out-of-pocket payments for uncovered services of the NHI.

• Journal of Korean Academy of Nursing
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• v.13 no.3
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• pp.75-85
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• 1983

This study was done to research the relationship between general characteristics and stressor, stress situation, Nursing Intervention of pregnant woman. The subjects for this study were 70 pregnant woman from 3 clinics of Obstetrics and Gynecology located in J city. The data was collected through questionaires which was developed by Norman J. Chestnut. The content of the questionaire consist of following 3 categories; (1) stressor (2) stress situation (3) Mental and Physical support of husband. Analysis of data was done by use percentage, x²-test. (through EDPS) The findings of this study are as follows; 1, Stressors of pregnant woman are stresses associated with fetus, socioeconomic problem, herself, delivery, abortion and prematureity, husband, change of appearances, management of home, a woman's parents-in-law. Stress situations of pregnant woman are when she is doing on the heavy management of home, limit of life, socioeconomic discomfort, taking medicine, difficult relationship with a woman's parents-in-law, being sign of abortion and prematurity, her physical discomfort, family desire of delivery of son baby. 2. Husband's mental support that pregnant woman desired are careful husband's role, More love and interest about pregnant, cooperation of child reaing, maintenance of healthy life, understaning of diffical pregnancy, early return home, giving up drinking, positive feeling about changed appearance, unconcern about sex of fetus. And husband's mental supports that pregnant woman desired are cooperating of homework and childrearing, limit of intercouse, release behavior of pregnant woman's physical discern-fort, a walk, behavior with pregnancy together, socioeconomic stability. 3. Stressor of pregnant woman was significant with education, number of son, economic status, personality of husband, dowelling. (P<.05) And stress situation of pregnant woman was significant with personality of husband, dwelling, husband's desired sex .of baby. (P<.05) 4. Husband's mental and physical supports that pregnant woman desired was significant with number of daughter. (P<.05).

• Health Policy and Management
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• v.29 no.2
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• pp.146-159
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• 2019

Background: The purpose of this study is to measure the Korean health literacy level and to analyse its gaps according to the factors of socioeconomic and health status and health behaviors. Based on this, policy implications were reviewed to improve the understandability on health information and to reduce the gap among socioeconomic groups. Methods: HLS-EU-Q47, a tool developed by the European Health Literacy Project, was used to conduct a face-to-face interview survey on the health literacy for the samples from general population. Results: The public general health literacy (HL) index was 34.5 out of 50. HL is consisted of three sub-dimensions: healthcare (HC-HL), disease prevention (DP-HL), and health promotion (HP-HL). And a HL analysis found scores of 34.7 points for HC-HL, 35.4 points for DP-HL, and 33.3 points for HP-HL. The level of all HL was different according to socioeconomic characteristics and health behavior. Conclusion: Based on the results of this study, more research activities on health-related literacy need to be conducted, and monitoring system on the HL level needs to be developed and implemented. In addition, a program to improve HL levels needs to be developed in order to strengthen the basis for a more sustainable healthcare system as an agenda with national health policy priority.

• The Journal of Korean Society for School & Community Health Education
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• v.20 no.1
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• pp.69-84
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• 2019

Objectives: The purpose of this study is to examine change in adolescent depression across time and to determine the relation between individual and neighborhood socioeconomic status (SES) and depression. Methods: This study employed multilevel latent growth analysis using longitudinal data from Korea Children and Youth Panel Survey. A sample of this study consists of 2,351 adolescents who were in first grade of middle school in 2010. Results: Results showed that both initial level and downward trajectory of depression varied significantly across individuals as well as across neighborhoods. On the individual level, self-rated economic condition(b=-0.203, p<.001) was related to the initial level of depression. Adolescents whose father had a high educational level(b=0.028, p<.001) or whose mother had a low educational level(b=-0.022, p=.011) had lower rates of decline in adolescent depression. On the neighborhood level, neighborhood deprivation index (b=0.003, p=.019) and gini coefficient(b=0.124, p=.040) were associated with lower rates of decline in depression. Conclusions: Low SES in adolescence is correlated with worse mental health, especially depression. Social disparities in depression likely originate before adulthood. The findings argue for the importance of understanding depression in adolescence from a multilevel or ecological framework.

• Journal of the Korean Society of School Health
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• v.29 no.2
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• pp.81-89
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• 2016

Purpose: This study is to analyze influencing factors of smoking intention among nonsmoking middle school students with regard to smoking attitude, knowledge and social influence. Methods: Data were collected from non smoking students of 5 middle schools in D metropolitan city. The 1,892 enrolled subjects provided informed voluntary consent prior to completing a structural questionnaire covering smoking attitudes, knowledge, social influences and general characteristics. The data were analysed using SPSS/Win 21.0 program by -test and logistic regression analysis. Results: Among the nonsmoking students, 85.5% never had an intention to smoke. In relation to general characteristics, smoking intention was significantly associated with sex, school records, socioeconomic status, relationship with parents, smoking experience, and smokers around them. In relation to attitude, knowledge, and social influence, smoking intention was significantly associated with a lower attitude score, a lower knowledge score, and a lower social norm. In the logistic regression analysis, smoking intention was associated with a lower attitude score (2.99 times), a lower social norm (2.65 times), being male (2.35 times), low socioeconomic status (2.22 times). and having smoking experience (2.70 times). Conclusion: It is needed to develop promotional strategies that could provide adjusted systematic smoking prevention education for the preferred smoking group and afford smoking prevention programs considering subject characteristics to help young adolescents avoid access to smoking in their early age.

• Journal of Korean Public Health Nursing
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• v.12 no.2
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• pp.107-121
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• 1998

The purpose of this study was to test the revised Health Promotion Model of Pender and to determine the factors to promote health behavior for adolescents' smoking behavior. The subjects of the study was 783 boys of 4 high school students. among 39. schools locating in Daejeon metropolitan city. The data was collected from July 1st to 15th. 1997 by school health nurse The research tool were HPLP of Walker. Pender. General self-efficacy scale of Sherer. control scale was measured by subconcept of hardiness scale of Pollock. and perceived barrier. perceived benefit. activity-related-affect tool were made by researcher via literature review The data were analyzed by SAS program using frequency. t-test. ANOVA. Schefee test. regression. The results were as follows 1. The mean of total health promoting behavior was $2.27\pm.35$. Among sub domain of health promoting behavior, the highest score was interpersonal support$(2.72\pm.60)$. and the lowest was health responsibility $(1.58\pm.44)$. 2. There were statistically significant difference in total health promoting behavior according to religion. parenting style. school performance. girl friend. father's smoking of individual characteristics. 3. The socioeconomic status. smoking, parent pattern. family structure of individual characteristics and experience domain associated with perceived benefit. perceived barrier. activity-related affect. interpersonal influence of behavior-specific cognition and affect domain. The perceived barrier. self-efficacy. girl friend and father's smoking of interpersonal influence. and control explained $25.8\%$ of variance of health promoting behavior. From above results school health nurse has to emphasize on health responsibility for health promotion of adolescent. But they couldn't intervene for parent pattern. socioeconomic status. family structure of individual characteristics and experience domain. it could be possible for school health nurse to promote health of adolescents through improving perceived barrier. also develop program to increase self-efficacy and through parent health class for fathers. Above results point to the importance of including parents in smoking prevention effort targeting adolescents. Because increasing control also promotes health of adolescents. it should be studied further about the specific measure. To verify the variables for increasing the fitness of health promoting model. it needs further replication of the research.

• Journal of Preventive Medicine and Public Health
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• v.41 no.3
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• pp.173-180
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• 2008

Objectives : The purposes of this study were to examine the health-related quality of life(HRQoL) and to identify its related factors for a group of rural adults. Methods : The study subjects were 1,901 adults who were aged 40-70 years and who were living in Naju City, Jeollanamdo. The sociodemographic characteristics, health-related behavior, health status and global self-rated health were collected for statistical analysis. The health-related quality of life was measured by the Euroqol EQ-5D instrument. The differences on the EQ-5D index between the groups were assessed with t-test, ANOVA and hierarchical multiple regression analysis. Results : Overall, the mean value of the EQ-5D index was $0.884{\pm}0.140$ and this score was significantly different according to the socioeconomic characteristics, the health-related behavior, the health status and the global self-rated health. According to the results from the hierarchical multiple regression analysis, the HRQoL was significantly reduced for females, older subjects, and other subjects with no spouse and the subjects with osteoporosis, obesity, mental distress or poorer global self-rated health. Conclusions : The HRQoL for rural adults was related to the socioeconomic characteristics, the health status and the global self-rated health, A better understanding of the factors related to the HRQoL would help to improve the rural adults' quality of life.

• Journal of the Korean Regional Science Association
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• v.35 no.4
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• pp.61-73
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• 2019

Urban development and densification have led to the Urban Heat Island Effect, in which the temperature of urban space is higher than the surrounding areas, and the intensity is increasing with climate change. In addition, when the city's air temperature rises in summer, low-income, elderly population, and socially vulnerable people who have health problems lack the ability to cope with the elevated heat environment. Therefore, this study aimed to identify the urban heat island area of Seoul through Hotspot analysis, which is a spatial statistics technique, and explored physical environments, demographic and socioeconomic characteristics of urban heat island effect areas using logistic regression models. This study performed urban heat island hotspot analysis using the average air temperatures of the 423 administrative dongs in Seoul. Analysis results identified that the urban heat islands were concentrated in Jung-gu, Jongno-gu, Yongsan-gu, and Yeongdeungpo-gu. Logistic regression analysis results indicated that urban heat island areas of Seoul were affected by residential floor area ratio, commercial facility floor area ratio, overall floor area ratio, impervious surface ratio, and normalized difference vegetation index(NDVI). In addition, as a result of analyzing the vulnerable area of thermal environment considering the demographic and socioeconomic characteristics of the heat island area, urban heat island areas of Seoul were significantly associated with the proportion of low-income elderly living alone. The result of this study provided useful insights for urban thermal environmental design and policy development that could improve the thermal environment for the socially disadvantaged urban population.

• Journal of the Korean Association of Geographic Information Studies
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• v.15 no.1
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• pp.76-86
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• 2012

The purpose of this study is to investigate the environmental equity of the accessibility to public transportation services in the city of Daegu. The 2005 census data as well as bus stop and subway station datasets were integrated for building the GIS database. Public transportation service areas were then identified by a coverage method. Mann Whitney U test was used for statistically comparing the socioeconomic characteristics over different levels of access to the public transportation services. Both Dong-gu, Suseong-gu, Dalseo-gu, and Buk-gu located outside of the city had worse accessibility than others while Jung-gu, Seo-gu, and Nam-gu had better accessibility than others. There appeared no environmental inequity pattern in terms of the percentages of men, women, and teenagers over the city of Daegu whereas there existed some environmental inequity pattern in terms of the percentages of people above the age of 65 and people below poverty line. This environmental inequity pattern would be caused by some factors. Firstly, the lower income class has tended to reside in the declined or blighted areas far away from public transportation facilities since this class can not afford to pay expensive rents and land prices around the main roads with higher accessibility. Many old people belonging to the lower income class also reside in the declined or blighted areas. Secondly, there has been no law to locate bus stops and subway stations considering residents' socioeconomic characteristics and the spatial distribution of public transportation facilities has been not managed systematically by the city government. This research would shed insight on building the public transportation policy to locate bus stops and subway stations and to select the routes of buses and subways considering the spatial distribution of residents' socioeconomic characteristics.

• Korean small business review
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• v.42 no.4
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• pp.285-308
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• 2020

This paper analyzes the factors which affect University professors and students on their startup activities, such as (a) University factors: their industrial cooperation organization and systems, their resources for startup support, their knowledge assets, and (b) socioeconomic characteristics in which Universities are located. We used the data and information from the University Information System and the National Statistical Office Publication to analyze 157 4-year Universities in Korea who uploaded their startup-related information on the system. Our analysis shows that Universities' systems, such as the term for Professors' leave of absence for startup activities, and their amount of knowledge assets affect the number of Professor startups significantly positively, while there is no significant effect on their performance, in terms of sales, from those factors, except for the amount of patents that the University has. In the meantime, the number of practical startup courses, the number of startup clubs, and the number of professor startups in the University affect the number of student startups, while the size of industrial cooperation body, the amount of knowledge asset, the area's socioeconomic characteristics didn't affect their performance. The result implies that we need to take different approaches to boost University professor startups and their student startups: better system and more knowledge for the former, more practical courses and programs for the latter. Further study is needed to get a more robust result because this analysis used only one year data, and personal trait data was not included in the analysis. A panel data analysis for several years is recommended for further research.