• 지역연구
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• 제36권3호
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• pp.3-16
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• 2020

도시 내 공간적 불평등은 꾸준한 관심을 받고 있는 연구주제다. 그러나 공간적 불평등이 주민에게 미치는 세부적인 영향과 공간적 불평등이 지속되고 재생산되는 방식에 대한 실증연구는 제한적이다. 본 연구는 공간적 수준에서의 박탈을 나타내는 개념인 지역박탈이 주민의 계층상승 가능성에 대한 인식에 미치는 영향을 확인하고자 하였다. 2015년 서울서베이 자료를 순서형 로지스틱 다층모형을 활용하여 분석한 결과, 지역박탈 수준이 높은 지역에 거주하는 주민일수록 자신의 계층상승 가능성을 부정적으로 인식하는 것으로 나타났다. 본 연구결과는 지역박탈이 주민의 계층상승에 대한 믿음을 저해함으로써 삶의 만족도와 기회 실현을 저해하는 것은 물론 지역 격차가 지속되는 데에 영향을 미칠 수 있음을 시사한다. 이와 같은 분석결과는 공간적 불평등을 해소하기 위한 도시정책에 함의를 제공할 수 있을 것으로 기대된다.

• Journal of Preventive Medicine and Public Health
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• 제42권6호
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• pp.392-402
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• 2009

Objectives : The aims of this paper were to develop the composite deprivation index (CDI) for the sub-district (Eup-Myen-Dong) levels based on the theory of social exclusion and to explore the relationship between the CDI and the standardized mortality ratio (SMR). Methods : The paper calculated the age adjusted SMR and we included five dimensions of social exclusion for CDI; unemployment, poverty, housing, labor and social network. The proxy variables of the five dimensions were the proportion of unemployed males, the percent of recipients receiving National Basic Livelihood Security Act benefits, the proportion of households under the minimum housing standard, the proportion of people with a low social class and the proportion of single-parent household. All the variables were standardized using geometric transformation and then we summed up them for a single index. The paper utilized the 2004-2006 National Death Registry data, the 2003-2006 national residents' registration data, the 2005 Population Census data and the 2005-2006 means-tested benefit recipients' data. Results : The figures were 115.6, 105.8 and 105.1 for the CDI of metropolitan areas (big cities), middle size cities and rural areas, respectively. The distributional variation of the CDI was the highest in metropolitan areas (8.9 - 353.7) and the lowest was in the rural areas (26.8 - 209.7). The extent and relative differences of deprivation increased with urbanization. Compared to the Townsend and Carstairs index, the CDI better represented the characteristics of rural deprivation. The correlation with the SMR was statistically significant and the direction of the CDI effects on the SMR was in accordance with that of the previous studies. Conclusions : The study findings indicated mortality inequalities due to the difference in the CDI. Despite the attempt to improve deprivation measures, further research is warranted for the consensus development of a deprivation index.

• The Journal of Asian Finance, Economics and Business
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• 제8권3호
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• pp.821-832
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• 2021

Economic deprivation of households remains a significant economic issue in the world. Researchers have shown great concern in identifying crucial factors to enhance poor households' socio-economic performance. Therefore, this paper aims to develop a new conceptual framework to investigate the influence of different microfinance services on households' socioeconomic performance using moderated mediation analysis of various crucial factors. Focus-group interviews with managements of the microfinance institution, i.e. Amanah Ikhtiar Malaysia (AIM), and a systematic literature review were conducted for this purpose, and a new framework for the future study has been developed. The result from focus-group interviews and systematic literature review propose microfinance financial services, training programs, and business coaching as independent factors, whereas household socioeconomic performance as a dependent factor in the proposed model. Specifically, this study provides the direction to scholars to empirically test the direct relationship between financial services and household socioeconomic performance and the indirect relationship between training programs, business coaching, and household socioeconomic performance. Further, microfinance institutions' service efficiency is also included as a moderator that can strengthen microfinance services' effectiveness. The study also provides useful implications for policymakers, financial institutions, households, micro-enterprises, and researchers to better understand microfinance interventions and household economic mechanisms.

• Journal of Preventive Medicine and Public Health
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• 제44권6호
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• pp.242-248
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• 2011

Objectives: Busan is reported to have the highest mortality rate among 16 provinces in Korea, as well as considerable health inequality across its districts. This study sought to examine overall and cause-specific mortality and deprivation at the town level in Busan, thereby identifying towns and causes of deaths to be targeted for improving overall health and alleviating health inequality. Methods: Standardized mortality ratios (SMRs) for all-cause and four specific leading causes of death were calculated at the town level in Busan for the years 2005 through 2008. To construct a deprivation index, principal components and factor analysis were adopted, using 10% sample data from the 2005 census. Geographic information system (GIS) mapping techniques were applied to compare spatial distributions between the deprivation index and SMRs. We fitted the Gaussian conditional autoregressive model (CAR) to estimate the relative risks of mortality by deprivation level, controlling for both the heterogeneity effect and spatial autocorrelation. Results: The SMRs of towns in Busan averaged 100.3, ranging from 70.7 to 139.8. In old inner cities and towns reclaimed for replaced households, the deprivation index and SMRs were relatively high. CAR modeling showed that gaps in SMRs for heart disease, cerebrovascular disease, and physical injury were particularly high. Conclusions: Our findings indicate that more deprived towns are likely to have higher mortality, in particular from cardiovascular disease and physical injury. To improve overall health status and address health inequality, such deprived towns should be targeted.

• Journal of Preventive Medicine and Public Health
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• 제50권2호
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• pp.100-126
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• 2017

Objectives: The aim of this study was to measure income differences in smoking prevalence at the district level and to investigate correlations among area deprivation, smoking prevalence, and income differences in smoking prevalence, stratified by urbanity. Methods: Data were pooled from the Community Health Survey data of South Korea between 2008 and 2014. The age-standardized prevalence of smoking and its interquintile income differences were calculated. We conducted correlation analyses to investigate the association of the deprivation index with smoking prevalence and interquintile differences in smoking prevalence. Results: Across 245 districts, the median prevalence of smoking in men was 45.9% (95% confidence interval [CI], 43.4 to 48.5%), with an interquartile range (IQR) of 4.6% points. In women, the median prevalence was 3.0% (95% CI, 2.4 to 3.6%) and IQR was 1.6% points. The median interquintile difference in smoking prevalence was 7.4% points (95% CI, 1.6 to 13.2% points) in men and 2.7% points (95% CI, 0.5 to 4.9% points) in women. The correlation coefficients for the association between the deprivation index and smoking prevalence was 0.58, 0.15, -0.22 in metropolitan, urban, and rural areas, respectively, among men, and 0.54, -0.33, -0.43 among women. No meaningful correlation was found between area deprivation and interquintile difference in smoking prevalence. The correlation between smoking prevalence and interquintile difference in smoking prevalence was more evident in women than in men. Conclusions: This study provides evidence of geographical variations in smoking prevalence and interquintile difference in smoking prevalence. Neither smoking prevalence nor the deprivation index was closely correlated with interquintile income difference in smoking prevalence. Measuring inequalities in smoking prevalence is crucial to developing policies aimed at reducing inequalities in smoking.

• Journal of the Korean Data and Information Science Society
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• 제28권6호
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• pp.1257-1260
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• 2017

최근 1인 가구가 급격히 증가하고 있으며, 그 증가의 원인 중 하나는 독거노인 수의 증가이다. 이러한 거주형태 변화는 필연적으로 정책적인 변화를 요구하므로 1인 가구의 공간적인 분포를 파악하는 것은 중요한 문제로 볼 수 있다. 또한 공간적인 군집이 나타나게 된 요인들에 대해 이해하는 것은 효율적인 정책 수립에 유리 할 것이다. 본 연구에서는 사회경제적인 불평등을 반영하는 박탈지수 (deprivation index)를 설명변수로 고려하면서 1인 가구와 저소득 독거노인에 대한 공간 군집 탐색을 하였다. 이를 위해서 fused lasso를 이용한 공간 군집 탐색방법이 사용되었다. 이 방법을 통하여 낮은 사회경제적 수준이 l인가구와 저소득 독거노인의 수에 얼마나 영향을 미치는지 확인하고, 박탈정도의 효과가 보정된 공간군집을 살펴보았다. 또한 정수형 자료에서 벌칙가능도함수를 이용한 공간 군집 탐색을 할 수 있도록 구현된 R패키지의 사용법을 자세히 소개하였다.

• 치위생과학회지
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• 제17권4호
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• pp.375-381
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• 2017

2002~2013년도 국민건강보험공단 표본 코호트자료를 활용하여 만 40세 이상 치주질환 환자를 대상으로 CVD 누적 치료 경험률 및 개인의 소득과 지역의 CDI의 차이에 따른 치료 경험률을 파악한 본 연구의 결론은 다음과 같다. 첫째, 치주질환이 있는 대상자에서 고혈압은 34.3%, 뇌졸중은 12.6%의 누적 치료 경험률이 확인되었다. 둘째, 치주질환이 있는 대상자에서 지역적 차이(CDI)에 따른 고혈압의 치료 경험률의 차이는, CDI가 높은 집단이 낮은 집단에 비해 치료 경험률이 높은 것으로 나타났다(p<0.001). 셋째, 치주질환이 있는 대상자에서 소득분위에 따른 고혈압 치료 경험률의 차이는, 소득분위가 낮은 집단에서 치료 경험률이 높은 것으로 확인되었다(p<0.001). 넷째, 치주질환이 있는 대상자에서 지역적 차이(CDI)에 따른 뇌졸중 치료 경험률의 차이는, CDI가 높을수록 뇌졸중 치료 경험률이 높은 것으로 나타났다(p<0.001). 다섯째, 치주질환이 있는 대상자에서 소득분위에 따른 뇌졸중 치료 경험률의 차이는, 소득분위가 높아질수록 뇌졸중의 치료 경험률이 낮은 것으로 조사되었다(p<0.001). CVD와 치주질환의 관계에 지역의 CDI와 개인의 소득은 역의 관계를 보이는 것으로 나타났다. 향후 국민의 구강 및 보건의료 소비에 있어 사회경제적, 지역간 격차 해소에 대한 정책적 대안으로, 사회경제적 취약계층에 대한 보건의료서비스 제공으로 보건의료에 대한 접근성 개선과, 공공의료기관의 확충으로 보건의료서비스의 지리적 접근성 취약지를 해결하고 동시에 보건의료서비스의 이용 가능성을 높이는 등 다각적 노력을 기울여야 할 것으로 생각된다.

• 한국학교ㆍ지역보건교육학회지
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• 제20권1호
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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 Nutrition and Health
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• 제26권5호
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• pp.593-602
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• 1993

As part of the Nutrition CRSP Mexico project conducted in rural villages in highland Mexico, this study examined whether nutritional factors, family characteristics, and the duration of schooling were associated with cognitive performances in 107 schoolers(53 boys and 54 girls) aged 8~10. Food intake was measured by recall, direct observation and weighment twice monthly over the course of a year. Families were characterized in terms of socioeconomic status and parental cognitive performance, education and aspiration. Dietary quality, but not energy intake, and anthropometry (wt-for-age, ht-for-age, head circumference) were significantly associated with cognitive test results for both verbal and performance measures. When the effect of SES is controlled using partial correlation, the relationships were substantially weakened. Sex differences were also found in response to nutritional deprivation. Among boys, dietary quality was the most important indicator of cognitive performance, while household economic conditions were more importantly associated with cognitive performance among girls. Participation in schooling was important for cognitive skille as it related to nutritional status.

• 한국인구학
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• 제29권3호
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• pp.73-87
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• 2006

본 연구는 유자녀가구를 가구주의 성별에 따라 남성한부모가구, 여성한부모가구, 양부모가구로 분류한 다음 가구유형별 경제적 빈곤실태를 비교하여 분석하였다. 그 결과, 한부모가구라 할지라도 가구주 성에 따라 이질적인 사회인구학적 특성이 발견되었다. 또한 여성한부모가구주들은 대졸 이상의 학력을 가진 경우에도 상대적 빈곤층에 속할 확률이 높았다. 이는 단순히 인적자본의 확충만으로는 이들 가구를 상대적 빈곤에서 벗어나게 하는 데 많은 제약이 있음을 의미한다. 다음으론 경제적으로 취약한 한부모가구들에서 이전소득보다는 가구주 근로소득의 절대적 비중이 크게 나타났다. 한부모가구의 빈곤탈출을 위한 제언은 다음과 같다. 첫째, 최저생계비 기준의 단순한 상향조정보다는 어린 자녀를 가진 한부모가족을 위한 직접적인 양육 및 주거비절감 대책이 요구된다. 둘째, 남성한부모가구의 경우에도 공적이전소득의 빈곤감소효과가 매우 적기 때문에 이에 대한 제도적 보완이 시급하다. 최저생계비 결정 및 집행과정에 있어서도 현재는 가구원 총수만이 고려되고 있으나, 사적이전소득의 격차와 기타 사회인구학적 특성의 차이를 고려하여 가구주의 성별, 자녀수, 자녀의 연령 등에 따라 차등화된 세부 기준에 따라 시행되는 편이 보다 합리적이다. 셋째, 저소득층 한부모가구주들을 대상으로 보다 나은 근로조건과 경제적 인센티브를 주는 근로연계형 복지제도와 대상자의 특성별 맞춤형 직업훈련 프로그램이 시행되어야 한다.