• 제목/요약/키워드: Urban health

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도시 가계의료비 지출의 추이와 예측 (Trend and Prediction of Urban Family Expenditure for Health Care)

  • 박재용;남시현
    • Journal of Preventive Medicine and Public Health
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    • 제28권2호
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    • pp.347-363
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    • 1995
  • The increase of health care expenditures is an important problem in the almost countries. Also, suppression of the health care expenditures is an important problem in the health field of Korea since the national health insurance for total people in 1989. Thus, it is very important to grasp the change of the health care expenditures of family and proportions of the health care expenditures to total expenditures of family, because they are the basis of national health care expenditures in Korea. While the health care expenditures of urban family were increased during 1980-1993 by 12.8% annually, the total expenditures of urban family were increased by 14.8% annually. Consequently, the proportions of health care expenditures to total expenditures were decreased from 5.98% to 4.76%. The proportions of health care expenditure for 3 years to come were predicted to 4.75% in 1994, 4.67% in 1995, and 4.63% in 1996 by the time-series analysis. That is, it was predicted that they would be decreasing slowly. The product elasticity of health care expenditure was less than 1 in the multiple regression analysis. so the health care is normal good rather than superior good. Therefore, it seems that the household economy is able to bear the expense pursuing the improvement of quality of health care by actualizing the medical insurance fee.

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도시 재택노인의 저작능력과 건강상태와의 관련성 (The Relationship between Chewing Ability and Health Status in the Urban Elderly who Resides in the House)

  • 배윤호;이희경
    • Journal of Yeungnam Medical Science
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    • 제21권1호
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    • pp.51-59
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    • 2004
  • Background: The objective of this study is to evaluate the relationship between chewing ability and health status in order to provide basic information for the development of program which may lead to an improvement of a the elderly health status in urban areas. Materials and methods: The subjects of this study were 128 elderly urban female over the age of 65 who reside at house. The data were collected from May 21 to August 20, 2001, through questionnaires about nutrient intake status, direct measurement of anthropometrics, and oral examinations. Results: In terms of remaining teeth, there was significant negative relationship between age and number of remained teeth. The average number of remained teeth our subjects was $13.1{\pm}10.6$. About sixty five percent of the subjects were denture users (partial or full dentures) and there was positive relationship between age and the percentage of denture user. There was a significant negative correlation between age and chewing ability. The group that was able to chew had more remained teeth than the other group. Conclusion: This study suggests that there is strong positive relationship between chewing ability (remaining teeth) and elderly health status in urban areas, and the importance of preserving original teeth to improve the elderly health status in the public health program.

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The Potential of Centella asiatica (Linn.) Urban as an Anti-Microbial and Immunomodulator Agent: A Review

  • Harun, Nurul Hikmah;Septama, Abdi Wira;Ahmad, Wan Amir Nizam Wan;Suppian, Rapeah
    • Natural Product Sciences
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    • 제25권2호
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    • pp.92-102
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    • 2019
  • Centella asiatica (Linn.) Urban (Umbelliferae) which is also known as 'pegaga' is highly consumed and eaten raw as 'ulam' in Malaysia. C. asiatica is used in traditional medicines to treat various health conditions such as rheumatism, inflammation, syphilis, skin diseases and diarrhoea. Various reports exhibited that the crude extracts and isolated bioactive compounds of C. asiatica possessed a broad range of pharmacological activities such as anti-oxidant, anti-diabetic, anti-tumor, wound healing, anti-microbial, anti-inflammatory, immunomodulatory, hepatoprotective and memory enhancing properties. The pharmacological validation on anti-microbial and immunomodulatory of C. asiatica is very limited and several existence review papers related for this plant had not been focused for both activities. This review therefore attempts to combine the existing literature to offer immense scope for researchers engaged in validation of the traditional claims and bioactivities of this plant related with anti-microbial and immunomodulatory potential.

Differences in Factors Associated with Depressive Symptoms between Urban and Rural Female Adolescents in Korea

  • Lee, Gyuyoung;Ham, Ok Kyung;Lee, Bo Gyeong;Kim, Abuan Micah
    • 대한간호학회지
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    • 제48권4호
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    • pp.475-484
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    • 2018
  • Purpose: To examine the prevalence of depressive symptoms and differentiate factors associated with them in urban and rural areas by applying the Ecological Models of Health Behavior. Methods: We employed a cross-sectional design and convenience sample of 460 female adolescents. The instruments included the Adolescent Mental-Health Problem-Behavior Questionnaire (AMPQ-II) and the Beck Depression Inventory (BDI). Results: Depressive symptoms were confirmed in 15.7% of urban adolescents and 22.9% of rural adolescents (p<.05). In the urban group, perception of health and stress associated with school performance were significantly associated with depressive symptoms. In the rural group, academic/internet related problems and rule violations were significantly associated with depressive symptoms (p<.05). General life happiness, worry/anxiety, and mood/suicidal ideation were common factors in both urban and rural areas (p<.05). Conclusion: Multiple factors were associated with depressive symptoms, and those significant factors differed between urban and rural female youths. Accordingly, tailored approaches are required considering urban and rural differences. The approaches should include intrapersonal, interpersonal, and organizational levels of interventions.

서울시내 거주 노인의 영양섭취실태 및 식생활태도 조사연구 -은퇴한 노인을 중심으로- (A Nutrition Survey of Urban Elderly in Seoul with the Analysis of Deitary Attitude after Retirement)

  • 강남이
    • Journal of Nutrition and Health
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    • 제19권1호
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    • pp.52-65
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    • 1986
  • This study deals with the conditions of nutritional intake of the urban elderly (age sixty years and older). This study analysis is based on factors that are influenced on the prevalent conditions of dietary-intake of the urban elderly either it be for better ment of health or desire. The method of this research was based on the interview-survey with questinaire in the Seoul area. In comparison to the surveys taken of the rural society and the urban slum elderly the urban elderly standard nutritional requirements was higher. Of the standard nutritional requrieemtns the twomen's nutrition intake was higher than of the men. But still the problem of malnutrition existed in the urban elderly both men and women at the probability nutritional deficienty rate higher than 30%. The food intake frequency factors which might influence the condition of nutritional intake was significant more than condition of eating. Another important factors of the conditions of nutritioal intake of the urban elderly are one's self-consciousness of health and degree of one's will change . In healthy case of the aged, their will was almost maintained and hand -grip strength was high when they had regular meal with their family . For elderl with the lower academic career and the one with more satisfactory to his meal, their wills didn't change before or after retirement. The objectiveness of this survey is to convince the elderly that the problems of nutritional deficiency can only be solved by reeducation and to improve their nutritional diet to have the enjoyments of a healtheir elderly life.

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Differences in Oral Health Status between Rural and Urban Populations of Korean Elders: A Population-Based Study from the Korean National Health and Nutrition Examination Survey VI (2013~2015)

  • Choi, Yong-Keum;Kim, Eun-Jeong
    • 치위생과학회지
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    • 제19권3호
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    • pp.181-189
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    • 2019
  • Background: Edentulism is associated with socioeconomic status, rural residence, and chronic disease, but no studies have investigated edentulism and residence factors together. All information that drives a better understanding of the factors related to edentulism plays an important role in the planning and delivery of appropriate dental services for the elderly by national and oral health professionals. This study was designed to investigate the prevalence of edentulism in adults aged over 60 years in Korea and to examine whether there are differences in dentate status between people living in urban and rural areas after controlling for sociodemographic and other related factors. Methods: The data for this study were collected from 2013 to 2015 as part of the Korea National Health and Nutrition Examination Survey VI, those individuals aged over 60 years and who had complete datasets were included (5,071). The number of teeth and residence status were categorized into two groups: edentate and dentate (1 or more); urban and rural. Multiple multivariate logistic regression analyses were sequentially applied to assess the association between dentate status and residence status after adjusting for potential confounders. Results: Rural areas, lower household income, and lower education levels were associated with a higher edentate rate. The number of teeth was lower in rural areas than in urban areas. After adjusting for various factors, statistically significant associations were present for women, low household income, low education level, poor perceived health status, and alcohol consumption in participants. Conclusion: Elders living in rural areas had poorer oral health than elders living in urban areas. The government will need to provide effective systems for promoting oral health for elders living in rural areas.

일 도시 독거노인의 연령 군별 건강양상 (Health Pattern of Elderly According to Age Group Who Living Alone in an Urban Area)

  • 강혜영;서남숙;김영희
    • 대한간호학회지
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    • 제34권6호
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    • pp.1057-1068
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    • 2004
  • Purpose: This study was conducted to identify the differences of health patterns; health-related characteristics, health behaviors, health problems, and self-care levels of elderly, living alone in an urban area according to age roup. Method: The study design was a descriptive survey and the subjects were 1,800 elderly consisting of 937 young old, 704 middle old, and 159 old old. Data was collected from May to July 2003 using the structured questionnaire and analyzed by descriptive statistics, $\chi$$^2$-test, Fisher's exact probability test, ANOVA and Scheffe test using SPSS/PC. Result: The health related characteristics which involved body mass index, mental status, use of assistant devices, perceived health, concern of health, and social support were different among the groups and more aggravated by aging. Health behaviors and health problems were also significantly aggravated in the old old group. The self-care levels measured by ADL, physical activity, and self-care ability scores were also significantly decreased in the old old group. Conclusion: For the level of health status, health behaviors and self-care ability were significantly decreased by aging, health care services for the elderly should be planned considering the difference in the health pattern by age group.

도시 농촌 간 여중생의 우울, 피로, 체질량지수, 건강통제위 비교 (A Comparative Study on the Relationships of Depression, Fatigue, BMI, and Health Locus of Control between Urban and Rural Female Middle School Students)

  • 최혜정
    • 한국보건간호학회지
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    • 제22권2호
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    • pp.224-236
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    • 2008
  • Purpose: The principal objective of this study was to assess the relationships of depression, fatigue, BMI, and health locus of control between urban and rural female middle school students. Methods: The study subjects included 377 girls in randomly-sampled middle schools in urban and rural provinces. The data were collected via self-recorded questionnaires from April 21.- to May 2. 2008, and analyzed using the SPSS Win 12.0 program. Results; 1) The mean score of depression was $10.22{\pm}5.72$ (urban), $10.81{\pm}4.92$ (rural). 2) The mean fatigue score was $50.43{\pm}1.57$ (urban), $51.90{\pm}9.70$ (rural). 3) BMI was classified into 3 groups: leptosomic, normal weight, and obesity groups. The mean BMI score was $18.73{\pm}2.05$ (Seoul), and $20.31{\pm}3.26$ (provincial). 4) The internal locus of control was higher than the external locus of control (urban). 5) Fatigue was correlated with depression (r=.512, p=.000) in both areas. The health locus of control was correlated with Fatigue (r=.153, p=.042) in province. Conclusion: An effective program to reduce the levels of fatigue and depression for middle school girls and to maintain normal weight is required. In particular, the high-risk depression group can be managed through community mental health care center deep interviews, and close observation.

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Patterns and Trends with Cancer Incidence and Mortality Rates Reported by the China National Cancer Registry

  • Chen, Peng-Lai;Zhao, Ting;Feng, Rui;Chai, Jing;Tong, Gui-Xian;Wang, De-Bin
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권15호
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    • pp.6327-6332
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    • 2014
  • National cancer registration reports provide a huge potential for identifying patterns and trends of important policy, research, prevention and treatment significance. As summary reports written on an annual basis, the China Cancer Registry Annual Reports (CCRARs) fall short from fully addressing their potential. This paper attempts to explore part of the patterns and trends hidden behind published CCRARs. It extracted data for cancer incidence rates (IRs) and mortality rates (MRs) for 2004, 2006 and 2009 from relevant CCRARs and portrayed 4 kinds of indicators in line graphs. The study showed that: a) all of the line graphs of age-specific IRs and MRs characterized typical "growth curves or histogram"; b) graphs of IRs and MRs for males and urban areas had higher peaks than that for females and rural regions; c) most of the line graphs of IR/MR ratios comprised a starting peak, a secondary peak and a decreasing tail and the secondary peaks for females and urban areas were higher than those for males and rural areas; d) most of the urban versus rural IR ratios valued above one, but most the urban versus rural MR ratios, below one; e) the accumulative IRs and MRs showed a stable increasing trend from 2004 to 2009 for urban areas, but mixed for rural regions.

초등학생의 식습관과 영양지식 및 건강상태 조사 (A Study of Food Habit, Nutrition Knowledge and Health Status of Elementary School Students in Kyung-buk)

  • 박미정;박금순;박운제
    • 동아시아식생활학회지
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    • 제13권6호
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    • pp.568-576
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    • 2003
  • This study was conducted to investigate the food habit, nutrition knowledge and health status of elementary school students in Kyung-buk area. As for dietary Pattern, 65.8% of students ate breakfast and 82.9% ate dinner on a daily basis. Their main dish for the meal was boiled rice with soup and this combination accounted for 60.3% of the breakfast items and 67.8% of the dinner items. Students in both rural and urban areas had dinner more regularly than breakfast. Overall knowledge on nutrition was 7.31 points out of 10. Urban students earned 7.33 while rural students did 7.29. Out of the maximum of 20 points, the overall grades on physical health were 15.57. (15.44 in rural areas and 15.70 in urban areas). As a result of their spiritual health condition, rural children recorded 6.63 point and urban children recorded 6.81 point on a 10 point scale. Furthermore, 32.8% of the children of the respondents had spiritual awareness phenomenon. The better the understanding of nutrition, the sounder mind and physical health stemed from the good dietary habits. Also the data showed that relatively young Parents had better dietary habits than the older ones.

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