• Title/Summary/Keyword: Status attainment

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Associations of Demographic and Socioeconomic Factors with Stage at Diagnosis of Breast Cancer

  • Mohaghegh, Pegah;Yavari, Parvin;Akbari, Mohammad Esmail;Abadi, Alireza;Ahmadi, Farzane
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.4
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    • pp.1627-1631
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    • 2015
  • Background: Stage at diagnosis is one of the most important prognostic factors of breast cancer survival. Because in the breast cancer case this may vary with socioeconomic characteristics, this study was performed to recognize the relationship between demographic and socioeconomic factors with stage at diagnosis in Iran. Materials and Methods: This cross-sectional, descriptive study conducted on 526 patients suffering from breast cancer and registered in Cancer Research Center of Shahid Beheshti University of Medical Sciences from 2008 to 2013. A reliable and valid questionnaire about family levels of socioeconomic status filled in by interviewing the patients via phone. For analyzing the data, Multinomial logistic regression, Kendal tau-b correlation coefficient and Contingency Coefficient tests were executed by SPSS22. Economic status, educational attainment of patient and household head and/or a combination of these were considered as parameters for socioeconomic status. First, the relationship between stage at diagnosis and demographic and socioeconomic status was assessed in univariate analysis then these relationships assessed in two different models of multinomial logistic regression. Results: The mean age of the patients was 48.3 (SD=11.4). According to the results of this study, there were significant relationships between stage at diagnosis of breast cancer with patient education (p=0.011), living place (p=0.044) and combined socioeconomic status (p=0.024). These relationships persisted in multiple multinomial logistic regressions. Other variables, however, had no significant correlation. Conclusions: Patient education, combined socioeconomic status and living place are important variables in stage at diagnosis of breast cancer in Iranian women. Interventions have to be applied with the aim of raising women's accessibility to diagnostic and medical facilities and also awareness in order to reducing delay in referring. In addition, covering breast cancer screening services by insurance is recommended.

Nutritional Status and Food Insufficiency of Korean Population through the Life-Course by Education Level Based on 2005 National Health and Nutrition Survey (한국인의 생애 주기별 교육 수준에 따른 영양 상태와 식품 불충분성-2005년도 국민건강영양조사 자료를 이용하여)

  • Kim, Ki-Rang;Hong, Seo-Ah;Kim, Mi-Kyung
    • Journal of Nutrition and Health
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    • v.41 no.7
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    • pp.667-681
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    • 2008
  • This study aimed to identify a nutritionally vulnerable group and to examine their nutritional problems based on a relationship between socioeconomic position and nutritional status through life-course. A cross-sectional nationwide survey of 2005 Korean National Health and Nutrition Examination Survey (KNHANES) was used. A total of 8,930 participants aged $\geq$ 1 year were included. The socioeconomic position indicator was education level. Nutritional status was assessed by the percentage attainment of a dietary reference intake (DRI) and dietary quality based on nutrient intakes estimated by a 24 hour-recall data. Food insufficiency was examined by one-item food insufficiency questionnaire. The difference in nutritional status and food insufficiency according to educational level was tested by General Linear Model and Chi-square test, respectively. The nutritional status and food insufficiency was the worst during adolescence and older age than other period. Both quantity and quality of nutrient intakes was poorer in low education group than high education group. The prevalence of food insufficiency also was higher in low education group. The results were consistent across the life-course and sex. Based on these findings, we suggest that the development of various policy and strategies targeted to nutritionally vulnerable group is necessary to reduce nutritional inequality by socioeconomic position.

Recognition and Using Status of Carbon Disulfide (CS2) as Fumigant for Controlling Chestnut Weevil, Curculio sikkimensis among Chestnut Farmers (일부 밤 농사 및 가공 종사자의 밤바구미 훈증제 이황화탄소 사용실태 및 인식)

  • Lee, Moo-Sik;Kim, Eun-Young;Lee, Jae-Lim;Sohn, Gi-Yeon
    • Journal of agricultural medicine and community health
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    • v.41 no.2
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    • pp.63-74
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    • 2016
  • Objectives: We surveyed the awareness and current status of using fumigant carbon disulfide for exterminate Curculio sikkimensis among chestnut farmers in Chungnam Province to suggest directions for health education and public relations. Methods: We designed questionnaires to evaluate recognition of fumigant carbon disulfide. We conducted a questionnaire survey to assess recognition and recognition level of fumigant carbon disulfide by the study variables. Results: The recognition status for fumigant carbon disulfide was 74.5%, but the recognition level was low (know well 27.5%). The path of recognition was 45.1% and 15.7% for neighbor and rural technology center, respectively. The recognition status for warning label of fumigant carbon disulfide was 52.9%. Recognition for warning label of fumigant carbon disulfide was tended to increase with high educational attainment, bigger owning land area. Recognition on the content of warning label were 29.4%, 27.5%, 21.6%, and 21.6% for inflammability, toxicity, hazard, and explosiveness, respectively. Using personal protection equipment was tended to increase with the high status of awareness on fumigant carbon disulfide. Conclusions: Health education programs for using fumigant carbon disulfide are needed for chestnut farmers. In addition, publicity information activities about prevention and protection of carbon disulfide poisoning are needed for high risk farmers.

The Effect of Sampling Intervals on VO2 Plateau and Reinvestigation of Other Criteria During VO2max Test. (최대산소섭취량 측정 시 측정간격에 따른 정체현상의 변화와 종료기준의 적용)

  • Yoon, Byung-Kon;Kwak, Yi-Sub
    • Journal of Life Science
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    • v.17 no.9 s.89
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    • pp.1255-1259
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    • 2007
  • The purpose of this study was to elucidate incidence of $VO_2$ plateau by comparing data derived from different time averaging intervals during incremental cycling exercise to $VO_2max$. Seventeen subjects (age: $23.5{\pm}3.3$ years and $VO_2max$: $3.65{\pm}0.73$ L/min, respectively) completed $VO_2max$ tests on cycle ergometer which breath by breath gas ex-change data were obtained. These data were time-averaged into 11-breath, 15, 30 and 60 s sampling intervals. The incidence of plateau were 100, 35, 24 and 6% for the 11 breath, 15 s, 30 s and 60 s averaging, respectively. No correlation was between ${\Delta}$ $VO-2$ at $VO_2max$ and $VO_2max$ (r=0.008). 53% (maximal HR within 10 b/min) and 100% $(RER{\geq}1.15)$ of subjects met the criteria for attainment of $VO_2max$. This data indicate that shorter sampling intervals (11 breath) is the most suitable for de-tection of the $VO_2$ plateau and RER can be used for the criteria for attainment of $VO_2max$ but not maximal HR. Also, the incidence of a plateau is not related to training status or physical fitness of subjects.

Private Pension Dependency of Korean and U.S. Households (한국과 미국 가계의 사적연금자산 의존도)

  • Yuh, Yoonkyung
    • 한국노년학
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    • v.36 no.3
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    • pp.809-826
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    • 2016
  • This study analyzed private pension dependency of Korea and U.S. households using the most recent dataset of two countries. For this purpose, 2013 Korean Retirement and Income Study(KReIS) of national pension research institute in Korea and 2013 SCF(Survey of Consumer Finances) of FRB in U.S. were used. The private pension dependency was defined as the proportion of private pension wealth among total financial wealth in each household and tobit model was used to investigate determinants of private pension dependency of the two countries. After controlling for other factors, household income and net worth, age, educational attainment, and health status of householder were crucial determinants of private pension dependency for both countries. Householder's age, educational attainment, and health tend to increase the private pension dependency in Korea and U.S. However, household income and net worth affected the private pension dependency opposite direction. The private pension dependency increased with high level of income and net worth in Korea, while it decreased with high level of income and net worth in U.S. Results of this study provide useful implications for future pension system and policy in Korea.

Trends in Gender-based Health Inequality in a Transitional Society: A Historical Analysis of South Korea

  • Chun, Hee-Ran;Cho, Sung-Il;Khang, Young-Ho;Kang, Min-Ah;Kim, Il-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.2
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    • pp.113-121
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    • 2012
  • Objectives: This study examined the trends in gender disparity in the self-rated health of people aged 25 to 64 in South Korea, a rapidly changing society, with specific attention to socio-structural inequality. Methods: Representative sample data were obtained from six successive, nationwide Social Statistics Surveys of the Korean National Statistical Office performed during 1992 to 2010. Results: The results showed a convergent trend in poor self-rated health between genders since 1992, with a sharper decline in gender disparity observed in younger adults (aged 25 to 44) than in older adults (aged 45 to 64). The diminishing gender gap seemed to be attributable to an increase in women;s educational attainment levels and to their higher status in the labor market. Conclusions: The study indicated the importance of equitable social opportunities for both genders for understanding the historical trends in the gender gap in the self-reported health data from South Korea.

Influence of Achievement Motivation and Parent-Child Relationship on Ego Identity in Korean Nursing Students

  • Koo, Hyun Young
    • Child Health Nursing Research
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    • v.24 no.1
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    • pp.48-57
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    • 2018
  • Purpose: This study was conducted to characterize the influence of achievement motivation and the parent-child relationship on ego identity in Korean nursing students. Methods: The participants were 217 Korean nursing students in the first and fourth year of university. Data were collected through self-report questionnaires composed of items assessing ego identity, achievement motivation, the parent-child relationship, and demographic characteristics. The data were analyzed using descriptive statistics, one-way analysis of variance, the $x^2$ test, and multinomial logistic regression analysis. Results: Ego identity was related to achievement motivation; moreover, the achievement motivation of students with moratorium and achieved identity status was significantly higher than that of students with low-profile moratorium and diffused identity statuses. Ego identity was not related to the mother-child relationship, but the father-child relationship of students in foreclosure was significantly higher than that of students with diffused identity status. The factors influencing achieved identity compared to diffused identity were achievement motivation, year in school, satisfaction with school, and having religious beliefs. Conclusion: These findings indicate that nursing students' ego identity attainment was more influenced by achievement motivation than by the parent-child relationship. It emphasizes that highly motivated students can develop their own identities regardless of the parent-child relationship.

Pre-retirement Planning Programs for Male Salary Workers - Focus on Perception and Solving of Life Problems (남성 봉급생활자의 은퇴 전 생활설계프로그램 - 생활문제 인식 및 대처방안을 중심으로)

  • Hang Sung-Hee;Kim Soon-Mi;Kim Hye-Yeon
    • Journal of Families and Better Life
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    • v.24 no.3 s.81
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    • pp.95-115
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    • 2006
  • The purpose of this study was to analyze the affecting factors on male salary workers' pre-retirement plans and pre-retirement planning programs. The focus was on male workers' pre-retirement plans and programs for economy, housing, family relationship, leisure and health care in their elderly life. The major findings were as follows: First, the salary workers estimated their level of economic and health problems among their elderly life as relatively high. Second, the major factors affecting the level of planning for post-retirement were salary workers' age, job satisfaction, and reserved savings for their elderly life. Third, the major affecting factors on participation in pre-retirement planning programs were age, educational attainment, and spouse's job status. From these findings, it can be concluded that salary workers' level of pre-retirement planning and the needs of pre-retirement planning programs differed from their personal characteristics and preferences. Also, salary workers' characteristics related to job and retirement had more important effects on their pre-retirement planning than economic status.

A Study on the Determinants of Housewives' Caregiving Behavior to Their Elderly Parents-in-Law : Estimation of Covariance Structure Models for Fathers-in-Law and Mothers-in-Law (노인부양행위의 결정요인에 관한 연구 : 시부 및 시모에 대한 공변량구조모형 분석)

  • Kim, Sang-Wook;Yang, Chul-Ho
    • Korean Journal of Social Welfare
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    • v.35
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    • pp.51-83
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    • 1998
  • This study is designed to find out the determinants of housewives' caregiving behavior to their elderly parents-in-law. For this purpose, a tentative path model, constructed with major socio-demographic variables in the caregiver's family as exogenous variables, is proposed to account for caregiver's behavior to elderly parents-in-law. The model is estimated with data collected from a probability sample of housewives in Kwangju, Korea. Estimation of the model, separately for caregiver's fathers-in-law and mothers-in-law, in terms of maximum likelihood(ML) procedures in LISREL8 reveals that housewives' educational attainment, father-in-law's age, father-in-law's health status, and family size have statistically significant causal. effects on care giving behavior to fathers-in-law, and that housewives' educational attainment, mother-in-law's age, family size, and caregiving attitude have significant causal effects on caregiving behavior to mothers-in-law. Comparison of the two estimated models indicates caregiver's educational attainment, caretaker's age, and family size are prominent determinants of caregiving behavior that can be commonly generalized to the two models. Except for these common determinants, however, a nonnegligible amount of differences is identified between the two models. The findings are discussed and interpreted with suggesting some salient theoretical and policy implications.

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Racial and Social Economic Factors Impact on the Cause Specific Survival of Pancreatic Cancer: A SEER Survey

  • Cheung, Rex
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.159-163
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    • 2013
  • Background: This study used Surveillance, Epidemiology and End Results (SEER) pancreatic cancer data to identify predictive models and potential socio-economic disparities in pancreatic cancer outcome. Materials and Methods: For risk modeling, Kaplan Meier method was used for cause specific survival analysis. The Kolmogorov-Smirnov's test was used to compare survival curves. The Cox proportional hazard method was applied for multivariate analysis. The area under the ROC curve was computed for predictors of absolute risk of death, optimized to improve efficiency. Results: This study included 58,747 patients. The mean follow up time (S.D.) was 7.6 (10.6) months. SEER stage and grade were strongly predictive univariates. Sex, race, and three socio-economic factors (county level family income, rural-urban residence status, and county level education attainment) were independent multivariate predictors. Racial and socio-economic factors were associated with about 2% difference in absolute cause specific survival. Conclusions: This study s found significant effects of socio-economic factors on pancreas cancer outcome. These data may generate hypotheses for trials to eliminate these outcome disparities.