• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8503-8508
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• 2014

Background: After the WHO recommended HPV vaccination of the general population in 2009, government support of HPV vaccination programs was increased in many countries. However, this policy was not implemented in Korea due to perceived low cost-effectiveness. Thus, the aim of this study was to analyze the cost-utility of HPV vaccination programs targeted to high risk populations as compared to vaccination programs for the general population. Materials and Methods: Each study population was set to 100,000 people in a simulation study to determine the incremental cost-utility ratio (ICUR), then standard prevalence rates, cost, vaccination rates, vaccine efficacy, and the Quality-Adjusted Life-Years (QALYs) were applied to the analysis. In addition, sensitivity analysis was performed by assuming discounted vaccination cost. Results: In the socially vulnerable population, QALYs gained through HPV vaccination were higher than that of the general population (General population: 1,019, Socially vulnerable population: 5,582). The results of ICUR showed that the cost of HPV vaccination was higher for the general population than the socially vulnerable population. (General population: 52,279,255 KRW, Socially vulnerable population: 9,547,347 KRW). Compared with 24 million KRW/QALYs as the social threshold, vaccination of the general population was not cost-effective. In contrast, vaccination of the socially vulnerable population was strongly cost-effective. Conclusions: The results suggest the importance and necessity of government support of HPV vaccination programs targeted to socially vulnerable populations because a targeted approach is much more cost-effective. The implementation of government support for such vaccination programs is a critical strategy for decreasing the burden of HPV infection in Korea.

• 지역사회간호학회지
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• 제30권3호
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• pp.271-280
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• 2019

Purpose: This study evaluates the efficacy of a Self-Care Reinforcement Program (SCRP) based on the Selection Optimization Compensation (SOC) model, in socially vulnerable elderly women with metabolic syndrome. Methods: This study adopts a pretest-posttest nonequivalent control group design. The participants were 64 socially vulnerable elderly Korean women with metabolic syndrome (experimental group: 31, control group: 33). Participants' body composition analysis, nutrient intake, risk factors of metabolic syndrome, depressive symptoms, and social network were measured. Data were analyzed with an independent t-test; statistical significance levels were set at p<.05. The SCRP, including metabolic syndrome education, nutritional education, exercise, and social network, was performed three times a week for 8 weeks. Results: There were statistically significant differences between the experimental and control groups in terms of systolic blood pressure, diastolic pressure, fasting blood sugar, triglycerides, sodium intake, depressive symptoms, and social networks. Conclusion: The SCRP is effective and can be recommended as a community health nursing intervention for socially vulnerable elderly women with metabolic syndrome.

• 한국학교보건학회지
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• 제30권3호
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• pp.181-193
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• 2017

Purpose: This is a qualitative descriptive study with the purpose of identifyng the health problems and related factors of socially vulnerable school-age children in Seoul, South Korea. Methods: Two focus group interviews and two individual interviews were conducted with eleven participants. They were two class teachers, three school nurses and two daycare teachers working at elementary schools and three social workers and a welfare worker working at community childcare centers. Data were analyzed using qualitative content analysis. Results: The identified psychosocial problems were 'distracting and excessive behavior', 'depression and helplessness,' 'aggression and violent behaviors', and 'internet overdependence'. The revealed physical health problems were 'poor hygiene', 'obesity', and 'gastrointestinal problems'. In addition, the fact that physical and psychosocial problems are closely inter-linked was reaffirmed through practical examples. Meanwhile, socioeconomic, family environmental, social experiential and individual factors were found to affect children's health. Relationships within a family or a peer group and healthy lifestyle were considered critical issues to deal with in order to improve the childrens' health status. Conclusion: It was proved that socially vulnerable school-age children have various physical and mental health problems due to multiple factors. Therefore, it is required to design nursing approaches that help them achieve optimal health status.

• 한국콘텐츠학회논문지
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• 제12권7호
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• pp.295-305
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• 2012

본 연구는 현재 급속히 증가하는 민간의료보험의 실태를 한국의료패널 데이터를 활용하여 실증적으로 분석하였다. 먼저 인구사회학적 요인이 민간의료보험 가입에 어떤 영향을 미치는 지를 살펴보았고, 다음으로 민간의료보험 가입과 의료이용 빈도 간에 어떠한 상관관계가 존재하는지를 찾아보았다. 패널데이터 분석결과를 살펴보면 경제적 능력이 낮은 사회적 취약계층은 상대적으로 민간의료보험의 가입이 낮은 경향이 있었다. 그리고 민간의료보험 가입자의 의료이용은 경향적으로 높게 나타났다. 이러한 결과는 지불능력이 있는 계층은 민간보험 가입을 통해 더 많은 의료서비스를 받게 되겠지만, 그렇지 못한 취약계층은 욕구가 있음에도 불구하고 의료서비스를 받을 기회가 점점 줄어들 수 있다는 가능성을 내포하고 있다. 따라서 민간보험을 보다 효과적으로 관리하기 위해서는 의료의 공공성을 사회적으로 보장하는 정책 방안이 시급히 필요하다고 사료된다.

• 한국콘텐츠학회논문지
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• 제19권4호
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• pp.682-689
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• 2019

본 연구는 취약계층을 대상으로 건강정도를 객관적 지표인 체질량지수를 통해 비만 정도의 지역별 격차를 공간적으로 규명해보고자 한다. 따라서 체질량지수가 공간적으로 높은 값과 낮은 값을 가지는 군집패턴을 보이는 지역을 추출하고 이 지역의 특성을 분석하였다. 분석 결과, 비만인구비율의 I 통계량은 0.07, z-score은 4.39으로 나타나, 공간자기상관성을 확인하였다. z-score의 경우 최대 임계값인 2.57보다 훨씬 크게 나타났다. 이는 사회취약계층 비만율이 지역별 격차를 보이며, 이러한 격차가 공간통계적으로 유의함을 의미한다. 이러한 비만 취약지역과 양호지역에 대한 지역별 환경을 비교 분석한 결과는 취약지역의 경우 대중교통성이 좋지 않고 쉽게 이용할 수 있는 공원이 적으며 단독 다세대 주택이 밀집한 지역으로 확인되었다. 본 연구의 분석 결과는 기존 연구들이 소홀했던 사회취약계층의 건강에 대하여 공간적인 시사점을 제공한다는 점에서 의미를 지닌다.

• 한국재난정보학회 논문집
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• 제19권2호
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• pp.383-394
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• 2023

연구목적: 본 연구는 사회적 취약계층을 고려한 재난문자방송 서비스의 개선에 초점을 맞추고, 특히 고령자에게 필요한 서비스 요인을 일반인과 비교분석을 통하여도출하고자 하였다. 연구방법: 다중회귀분석을 활용하였으며, 종속변수로 재난문자방송 서비스의 전반적인 만족도를 사용하였고, 독립변수로 각각의 서비스 요인들을 선정하여 2개 그룹을 비교분석하였다. 연구결과: 분석결과, 고령자와 일반인 두 그룹 모두 재난문자방송의 만족도에 가장 큰 영향을 미치는 서비스 요인은 신속한 전달인 것으로 나타났다. 두 번째 요인으로는 고령자의 경우 충분한 내용 전달로 나타났으며, 일반인의 경우 시스템 품질로 나타났다. 두 그룹 간의 분석결과를 종합하면, 고령자는 내용적인 측면을 좀 더 중요하게 생각하는 반면, 일반인은 시스템 품질, 송출기준 등과 같은 기능적인 측면을 중요시하는 것으로 나타났다. 결론: 고령자들은 신속한 전달과 함께 충분한 내용 전달을 중요시하고 있는데, 이는 고령자가 일반인에 비해 이해력과 사고력이 떨어지게 된다는 점에서 고령자 특성을 고려한 재난문자 송출이 필요하다.

• 지역사회간호학회지
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• 제27권1호
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• pp.51-59
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• 2016

Purpose: The purpose of this study is to provide a disease management, nutrition education, and group exercise program for three months to the moderately frail elderly whose physical functions have deteriorated, and to investigate its effects in order to develop an intervention program. Methods: As a quasi-experiment, this study was conducted based on non-equivalence studies designed as a similar experiment. The milk intake group and calcium intake group participated in the disease education, individual nutrition education, and group exercise program for three months, and the control group was visited once in the three months by a nurse who provided disease education, nutrition education, and oral instruction of exercise, and asked them to exercise on their own every day. For the data analysis, ${\chi}^2$-test, ANOVA and $Scheff{\acute{e}}$ test were used. Results: After three months of intervention, there was a significant difference in the frailty level (p=.029) and bone density (p=.001) between the groups. Conclusion: The comprehensive intervention program had an effect on the bone density and the frailty level of the socially-vulnerable and moderately frail elderly, suggesting that the program can be used as a nursing intervention to prevent functional deterioration and damage of the moderately frail elderly.

• KIEAE Journal
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• 제16권2호
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• pp.43-52
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• 2016

In the 21st century, Korea had radical economic development with accelerating urban sprawl, and following declination with social polarization. City declination makes socially vulnerable people unstable and increase homelessness. The projects revitalizing decayed area utilize local idle spaces to build new facility with creative supportive programs. The purpose of this study is to analyze inclusive characteristics of a supportive housing 'The Brook'. A field visit walk through observation and in-depth interview were utilized as research methods. The information of a representative supportive housing field will promote understanding the concept, and create base for further research. As results, state and knowhow of information concerning housing first policy, active government investment, space planning, management, social integration, service providing, architecture and so on offered to facilitate inclusive insights. In conclusion, the characteristics of supportive housing were realistically analyzed through a field research. This research is significant to introduce initially the effective supportive housing which has been practiced for 30 years in USA to that needs alternatives for the socially vulnerable in Korea.

• 한국주거학회논문집
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• 제26권4호
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• pp.33-44
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• 2015

The fast and competitive urbanization has accelerated unbalanced land utilization and housing, thereby producing large number of decaying areas and socially disadvantaged population, while generally promoted citizen's quality of life. Since rental housing policy, therefore, has emerged as a major important issue to solve these ever increasing problems, new concepts in leading examples need to be explored to stimulate creative ideas for future housing improvement. The purpose of this research is to extract successful factors of a leading rental housing 'Manhattan Plaza' in New York city, expecting useful implications for housing improvement in Korea. Field visit and in-depth interview for data collection and qualitative approach for analysis were carried out. As results, its successful sustainability and fame were found to be attributable to following concepts, such as, socially integrative mix of diverse residents, residents' participation in management, privacy respect administration, considerate planning and design features of physical environment. The latter, especially, were prominent in peripheral spaces, indoor and outdoor community spaces, and private spaces. Based on the results, suggestions were made for future Korean rental housing development.

• 지역연구
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• 제35권4호
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• pp.61-73
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• 2019

도시의 개발과 고밀화는 도시공간의 기온이 주변지역보다 높아지는 도시열섬(Urban Heat Island)현상의 원인이 되고 있으며, 도시열섬현상은 기후변화와 함께 그 강도가 증가하고 있다. 이와 더불어 여름철 도시의 대기온도가 상승할 때 소득이 낮은 계층, 고령인구, 건강에 문제가 있는 사회적 취약계층은 높아진 열환경에 대처할 수 있는 능력이 부족하다. 따라서 본 연구의 목적은 서울시의 열섬지역을 공간통계 기법인 Hotspot 분석을 통해 도출하고, 로지스틱 회귀분석을 활용하여 열섬지역의 물리적 환경과 인구 및 사회경제적 특성을 분석하는 것이다. 서울시 423개 행정동을 대상으로 동별 평균 대기온도를 이용하여 도시열섬 Hotspot 분석을 실행한 결과, 서울시 중구, 종로구, 용산구, 영등포구에서 도시열섬 지역이 집중적으로 분포하는 것을 확인하였다. 로지스틱 회귀분석을 통해 열섬지역의 물리적 환경 특성을 분석한 결과, 주거시설 연면적 비율, 상업시설 연면적 비율, 용적률, 불투수면 비율, 정규화식생지수(NDVI)가 열섬지역에 영향을 미치는 유의한 변수로 나타났다. 또한, 열섬지역의 인구 및 사회·경제적 특성을 고려한 열환경 취약지역을 분석한 결과, 기초생활수급자 비율, 독거노인 비율, 기초생활수급을 받는 독거노인 비율 등이 유의한 변수로 나타났다. 본 연구의 결과는 도시열섬현상에 영향을 미치는 물리적 환경변수를 도출하고 사회적 취약계층의 공간적 분포와 도시열섬지역이 중첩되어 있는 지역을 판별함으로써 향후 취약계층을 고려한 도시 열환경 설계와 정책 개발에 있어 시사점을 제공할 것으로 기대한다.