• Journal of the Korean Data and Information Science Society
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• 제27권5호
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• pp.1203-1214
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• 2016

비만은 그 자체가 질병이면서 다른 질병의 위험인자로 사회경제학적 요인과 관련성이 높다. 급증한 국내 비만인구에 대한 사회적 차원에서의 예방을 위하여 비만과 연관성이 있는 사회경제적 요인을 파악하는 것이 중요하다. 특히, 비만과 사회경제학적 요인간의 연관성은 성별에 따라 상이할 수 있으며 지역적 변동성 역시 존재한다. 본 논문에서는 공간적 상관성을 고려하여 비만율에 영향을 미치는 사회경제적 요인의 효과를 성별에 따라 추정하고자 한다. 공간적 상관성을 설명하기 위하여 베이지안 접근법을 기반으로 한 조건부 자기회귀모형을 고려하였다. 실증예제로 2010년 서울시 25개 자치구별 비만율 자료에 대하여 제안한 공간 모형과 공간적 상관성을 고려하지 않은 모형을 적합시켜본 결과, 공간적 상관성을 고려한 모형이 모형의 적합도와 예측력 측면에서 더 우수함을 알 수 있었다.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.129-140
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• 2009

Objectives: This study aimed to examined the socioeconomic disparities in oral health related behaviors and to assess if those behaviors eliminate socioeconomic disparities in oral health in a nationally representative sample of adults aged 30-64. Methods: Data are from the Korea Third National Health and Nutrition Examination Survey (2005). Behaviors were indicated by smoking, over intake of daily calories from carbohydrate, perceived stress, frequency of daily tooth brushing, use of oral hygiene goods, insufficient oral treatment. Oral health outcomes were self-reported dental caries and periodontitis during the last 12 months and perceived oral health. Education, household income, and employed status indicated socioeconomic position. Sex, age, residential area, marital status were adjusted for in the logistic regression analysis. Logistic regression analysis was used to assess socioeconomic disparities in behaviors. Logistic regression model adjusting and not adjusting for behaviors were compared to assess the change in socioeconomic disparities in oral health. Results: Clear socioeconomic disparities in all behaviors were showed. After adjusting for behaviors, the association between oral health and socioeconomic indicators attenuated but did not disappear. For example, the odd ratios of reporting poorer oral health for persons in no education or elementary school education and middle school education groups, compared with college or higher education group, were 1.77 (95% CI: 1.36-2.29) and 1.56 (1.19-1.97), respectively. After adjusting for all indicators of behaviors, these odds ratios attenuated to 1.54 (1.17-2.03) and 1.48 (1.15-1.91) for those groups, respectively. Conclusion: These findings suggest that the presence of more complex determinants of socioeconomic disparities in oral health should be considered with developing preventive policies for those disparities.

• 한국식생활문화학회지
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• 제17권3호
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• pp.275-288
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• 2002

The purpose of this study was to investigate the cognitive differences among the aged who have different living conditions. 91 free-meal receivers and 86 people with stable lives were asked about their living conditions and cognitive function by using K-MMSE. All data were analyzed by SPSS 10.0 package. Free meal receivers had poorer socioeconomic status than the subjects who had stable lives. Cognitive function of free meal receivers was lower than the people with stable lives in the most cognitive factors. Especially age of 50 to 64, pre-aged group, who had been receiving free meals, showed lowest cognitive level than the other age groups. Among 7 cognitive factors, there was the greatest difference in attention and calculation between 2 groups. Percentage of 'conclusive dementia' among the free meal receivers was statistically higher than the people with stable lives and that of 'conclusively normal' was statistically lower in free meal receivers comparing with the people with stable lives. Moreover, socioeconomic factors like income, former job, marital status, housing and education, blood pressure and physical activity were significantly related to the subject's cognitive function.

• Environmental Analysis Health and Toxicology
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• 제26권
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• pp.11.1-11.6
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• 2011

Objects: The prevalence of asthma has increased in recent decades globally. The objective of the present study is to elucidate whether hospitalization for bronchiolitis in infancy and low socioeconomic status interact for bronchial hyperreactivity during teenage years. Method: We studied 522 children age 13-14 years attending schools in rural and urban areas to investigate the risk factors for bronchial hyperreactivity (BHR), defined as a provocation concentration of methacholine that causes a decrease of 20% ($PC_{20}$) in forced expiratory volume within 1 second. Clinical examination, skin prick test, spirometry, and methacholine challenge were performed on all study subjects, who provided written consent. We used multivariate logistic regression to investigate the risk factors for BHR, and analyze the interaction between hospitalization for bronchiolitis in infancy and low socioeconomic status. Results: Forty-six (10.3%) positive BHR cases were identified. In the multivariate logistic analysis, as independent predictors of BHR, adjusted odds ratio of bronchiolitis diagnosed before 2 years of age in low income families was 13.7 (95% confidence interval, 1.4 to 135.0), compared to reference group, controlling for age, gender, parental allergy history, skin prick test, and environmental tobacco smoke (ETS) exposure. Interaction was observed between bronchiolitis before 2 years old and low socioeconomic status on children's bronchial hyperreactivity (p-interaction=0.025). Conclusions: This study showed that bronchiolitis diagnosed before 2 years of age and low socioeconomic status interacted on children's bronchial hyperreactivity. Prevention of acute respiratory infection in early childhood in low socioeconomic status is important to prevent BHR as a precursor of asthma.

• Journal of Preventive Medicine and Public Health
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• 제51권6호
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• pp.289-297
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• 2018

Objectives: Obesity is a considerable and growing public health concern worldwide. The present study aimed to quantify socioeconomic inequalities in adult obesity in western Iran. Methods: A total of 10 086 participants, aged 35-65 years, from the Ravansar Non-communicable Disease Cohort Study (2014-2016) were included in the study to examine socioeconomic inequalities in obesity. We defined obesity as a body mass index ${\geq}30kg/m^2$. The concentration index and concentration curve were used to illustrate and measure wealth-related inequality in obesity. Additionally, we decomposed the concentration index to identify factors that explained wealth-related inequality in obesity. Results: Overall, the prevalence of obesity in the total sample was 26.7%. The concentration index of obesity was 0.04; indicating that obesity was more concentrated among the rich (p<0.001). Decomposition analysis indicated that wealth, place of residence, and marital status were the main contributors to the observed inequality in obesity. Conclusions: Socioeconomic-related inequalities in obesity among adults warrant more attention. Policies should be designed to reduce both the prevalence of obesity and inequalities in obesity by focusing on those with higher socioeconomic status, urban residents, and married individuals.

• Journal of Preventive Medicine and Public Health
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• 제55권3호
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• pp.297-306
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• 2022

Objectives: The incidence of cardiovascular disease (CVD) mortality is increasing in developing countries. This study aimed to decompose the socioeconomic inequality of CVD in Iran. Methods: This cross-sectional population-based study was conducted on 20 519 adults who enrolled in the Ardabil Non-Communicable Disease cohort study. Principal component analysis and multivariable logistic regression were used, respectively, to estimate socioeconomic status and to describe the relationships between CVD prevalence and the explanatory variables. The relative concentration index, concentration curve, and Blinder-Oaxaca decomposition model were used to measure and decompose the socioeconomic inequality. Results: The overall age-adjusted prevalence of CVD was 8.4% in northwest Iran. Multivariable logistic regression showed that older adults, overweight or obese adults, and people with hypertension and diabetes were more likely to have CVD. Moreover, people with low economic status were 38% more likely to have CVD than people with high economic status. The prevalence of CVD was mainly concentrated among the poor (concentration index, -0.077: 95% confidence interval, -0.103 to -0.060), and 78.66% of the gap between the poorest and richest groups was attributed to differences in the distribution of the explanatory variables included in the model. Conclusions: The most important factors affecting inequality in CVD were old age, chronic illness (hypertension and diabetes), marital status, and socioeconomic status. This study documented stark inequality in the prevalence of CVD, wherein the poor were more affected than the rich. Therefore, it is necessary to implement policies to monitor, screen, and control CVD in poor people living in northwest Iran.

• Asian Pacific Journal of Cancer Prevention
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• 제15권5호
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• pp.2231-2238
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• 2014

This study investigated how self-rated health and socioeconomic status are associated with behaviour of cancer survivors regarding desire for information. For this association, we compared survivors who did not seek information about cancer with those who did. We examined how sociodemographic, socioeconomic, cancerrelated, and health information factors are associated with self-rated health (SRH) by health information seeking/avoiding behavior in a survey of 502 post-treatment cancer patients. In the information seeking group, all four factors exhibited significant relationships with SRH. SRH values were significantly high for women (p<0.05), non-Hispanic White (p<0.05), and educated (p<0.01) participants, and for those who had high self-efficacy to use health information by themselves (p<0.01). Furthermore, in the information avoiding group, not only were there no significant relationships between socioeconomic status (SES) and SRH, but there were negative associations between their attitude/capacity and the SRH. In terms of communication equity, the promotion of information seeking behavior can be an effective way to reduce health disparities that are caused by social inequalities. Information avoiding behavior, however, does not exhibit a negative contribution toward the relationship between SRH and SES. Information seeking behavior was positively associated with SRH, but avoiding behavior was not negatively associated. We thus need to eliminate communication inequalities using health intervention to support information seeking behavior, while simultaneously providing support for avoiders.

• 한국콘텐츠학회논문지
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• 제15권5호
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• pp.353-364
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• 2015

본 연구의 목적은 우리나라 청소년에서 사회경제적 요인 및 건강행태가 과체중에 미치는 영향을 알고보고, 건강형평성 확보를 위한 정책결정과정에 있어서 기초자료를 제공하고자 하는 것이다. 본 연구는 제9차(2013년)청소년건강행태 온라인조사의 원시자료를 이용하였으며, 만 12-18세 청소년 총 66,249명을 최종 연구대상자로 선정하였다. 과체중 여부를 종속변수로 한 로지스틱 회귀분석 결과 모든 변수가 보정된 상태에서 성별, 부모의 교육수준, 주당 아침식사 일수, 주당 과일섭취빈도, 주당 채소섭취빈도, 주당 과자섭취빈도 및 주당 신체활동 횟수가 과체중 여부와 유의한 관련성이 있는 것으로 나타났다(p<0.05). 따라서 건강형평성 확보를 위해서 공중보건프로그램은 앞으로의 생애주기별 불이익 방지를 위해 건강과 사회적 불평등 측면에서 낮은 사회경제적 집단에 속한 청소년의 불리한 건강행태에 초점을 맞춰야 한다.

• 한국콘텐츠학회논문지
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• 제20권2호
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• pp.360-370
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• 2020

필요 치과진료 미수진과 관련된 요인을 파악하고자 지역사회건강조사 원자료를 분석하였다. 21만 4861명의 만 25세이상 인구집단을 대상으로 인구학적 요인, 사회경제적 요인, 사회적지지 및 사회적 환경요인, 사회물리적 환경요인과 필요 치과진료 미수진과의 연관성을 확인하였다. 연구결과, 연령이 낮을수록, 소득분위가 높을수록, 교육수준이 낮을수록, 친척, 친구와 자주 접촉하지 않을수록, 친목, 여가 활동에 참여하지 못할수록, 사회물리적 환경(안전수준, 자연환경, 생활환경, 대중교통, 의료서비스)에 불만족할수록 필요 치과진료 미수진율이 높게 나타났다. 필요 치과진료 미수진에 인구학적 요인, 사회경제적 요인 뿐 아니라 사회적지지 및 사회적 환경요인, 사회물리적 환경요인이 통계적으로 유의한 영향이 있음이 확인되었다. 필요 치과진료 수진율을 높일 수 있는 방안으로 건강의 사회적 결정요인에 정책적 요인을 포함하는 추후 연구가 필요하겠다.

• 디지털융복합연구
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• 제10권10호
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• pp.415-421
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• 2012

최근 사회적으로 이슈인 폭력에 의한 손상의 양상을 파악하고 사회경제적 요인과의 관련성을 분석하여 정책개발 및 예방 사업의 기초자료로 제공하고자 하였다. 의료기관 기반 손상감시체계인 응급실 손상환자 표본심층조사자료를 활용하여, 폭력에 의한 손상과 그 외 손상의 양상을 비교하였고, 성, 연령, 교육수준, 직업을 상호 통제한 후 로지스틱 회귀분석 하였다. 여성이 남성보다 폭력에 의한 손상에 노출될 위험이 컸고, 나이는 적을수록 폭력에 의한 손상의 위험이 컸다. 고학력일수록 폭력에 노출될 확률이 적었고, 직업별로는 서비스 및 판매 종사자, 무직, 단순노무 종사자 순으로 위험이 컸다. 손상의 결과가 전원, 입원, 사망일 확률은 남성, 60대, 대학 이상의 교육수준, 농림어업 숙련 종사자에서 높았지만, 상관성은 없었다. 결론적으로 일부 사회경제적 요인(성, 연령, 교육수준, 직업)의 차이가 폭력으로 인한 손상 위험에 영향을 미치는 것으로 나타났다.