• 한국식생활문화학회지
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• 제36권1호
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• pp.92-102
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• 2021

There is little information on the nutrient intake according to the city size and small town in Korean elderly. This study analyzed the nutritional consumption of older people in metropolitan, middle and small cities, and rural areas according to four income levels. The recent data from the 2016~2018 Korean National Health and Nutrition Survey, Centers for Disease Control and Prevention were used. The final analysis included 4,325 individuals (Male: 1,856, Female: 2,469) over 65 years old. Multivariable regression with a complex sample design was conducted to compare the nutrient intake among the groups. In a comparison within regions, the nutrition status of the elderly in small towns was more vulnerable than metropolitan and middle & small cities. The energy intakes were similar between the groups. The carbohydrate intake of middle & small cities was significantly higher than the other regions. The intake of other nutrients in metropolitan and middle & small cities appeared to be higher than in rural areas. The number of nutrients with statistical significance between low and high-income levels were 19 in metropolitan, 11 in middle & small cities, and 5 in rural areas. Each contribution of carbohydrate, fat, and protein to the total energy intake was lower in the low-income level than the high-income level in metropolitan and middle & small cities. On the other hand, in rural areas, only the contribution of protein to energy intake was lower in the low-income level than the high-income level. Cities with higher levels of urbanization had more severe nutritional inequality in relation to the income level. There was also nutritional inequality present in rural areas but it was to a lesser extent. Moreover, the generally low level of nutrient intake was problematic in rural areas. These findings could be used as fundamental evidence for developing community nutritional policies for the elderly.

• 농촌계획
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• 제25권1호
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• pp.67-74
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• 2019

This study is to identify the heat vulnerability area as represented by heat risk factors which could be attributable to heat-related deaths. The heat risk factors were temperature, Older Adults(OA), Economic Disadvantage(ED), Accessibility of Medical Services(AMS), The population Single Person Households(SPH). The factors are follow as; the temperature means to the number of days for decades average daily maximum temperature above $31^{\circ}C$, the Older Adults means to population ages 65 and above, furthermore, the Economic Disadvantage means to the population of Basic Livelihood Security Recipients(BLSR), the Accessibility of Medical Services(AMS) means to 5 minutes away from emergency medical services. The results of the analysis are showed that the top-level of temperature vulnerability areas is Dong, the top-level of vulnerability OA areas is Eup, the top-level of AMS vulnerability is Eup. Moreover, the top-level of vulnerability ED area appears in the Eup and Dong. The result of analysing relative importance to each element, most of the Eup were vulnerable to heat. Since, there are many vulnerable groups such as Economic Disadvantage, Older Adults in the Eup. We can be figured out estimated the number of heat-related deaths was high in the Eup and Dong by the data of emergency activation in the Chungcheongnam-do Fire Department. Therefore, the result of this study could be reasonable.

• 한국농공학회논문집
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• 제57권4호
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• pp.39-49
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• 2015

Since most medical facilities and medical personnel are concentrated in urban areas in South Korea, an imbalance of access to medical facilities causes a gap in medical resource availability between urban and rural areas. Accessibility to medical facilities is a means of assessment that evaluates a measure of inequality in utilization of medical resources. The evaluation of accessibility uses Euclidean distance, in general; however, this method has its limits in that Euclidean distance cannot reflect actual distance. This study aims to estimate real road distance from village halls to medical facilities in rural areas using Open Application Programming Interface (Open API) of an internet portal site. Using real road distance, we evaluated medical accessibility and compared it with Euclidean distance. The accessibility to primary medical institutions was valued relatively well, but secondary and tertiary medical institutions were vulnerable in Pyeonchang-gun. Comparing Euclidean distance with real road distance from village halls to medical facilities, real road distance appeared to be approximately 1.4 times that of Euclidean distance. This calculation is similar to the circuity factor of Gangwon-do in Korea that estimated to fix the limits of Euclidean distance and assumed real road distance.

• 한국농공학회논문집
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• 제62권6호
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• pp.43-50
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• 2020

The Doam Lake watershed is one of the non-point source management areas announced by the Ministry of Environment, and is a constant problem for the stream ecosystem dut to Storm water. In this study, a total of 48(rainfall) and 47(non-rainfall) sites were investigated for the entire watershed (Samyangcheon, Chahangcheon, Hoenggyecheon, Yongpyeongcheon, Songcheon, Lake Doam) on August 15, 2019 and on October 18, 2019 to estimate the source of turbid water in the Doam Lake watershed. Subsequently, water quality analysis was performed on Suspended Soild (SS), Turbidity, Total Phosphorus (TP), Total Nitrogen (TN), and Biochemical Oxygen Demands (BOD) and correlation among water quality parameters was analyzed based on the analyzed samples. As a result, most of the turbid water generated during rainfall was in highland fields. During rainfall, Hoengyecheon had the highest average SS concentration among all streams, and during non-rainfall, the average SS concentration was highest in Yongpyeongcheon, so the two stream were selected as vulnerable areas. However, since Yongpyeongcheon may be a temporary phenomenon due to river construction, additional continuous monitoring is required. Therefore, in the Doam Lake watershed, intensive management is required for vulnerable areas.

• 농촌계획
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• 제26권4호
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• pp.81-91
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• 2020

This study was conducted to analyse climate change impact on agriculture infrastructure and propose improved measures on vulnerable areas. Recently, Climate change has resulted in damaging effects on agricultural fields through increases in drought intensity and flood risk. It is expected that this impact will increase over time. This study shows that Gyeong-gi and Chung-nam provinces are affected by drought and Gyeong-buk and Gyeong-nam provinces are affected by heavy rain. However, there are also regional variations within each province. Agricultural infrastructure affected by drought may also be affected by heavy rain. Increased damages on the infrastructure due to increased extreme weather events require preventive measures especially in vulnerable areas. In order to minimize the damage by climate change, we need to introduce a reform in the system which selects project region by analysing climate change impacts. Furthermore, impact assessment of climate change from projects such as 'water supply diversification', 'flooded farmland improvement', and 'irrigation facility reinforcement' also need to be adopted to improve the measures. The results of this study are expected to provide a foundation for establishing measures on coping with climate change in the agricultural sector.

• 한국산학기술학회논문지
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• 제15권4호
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• pp.2244-2255
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• 2014

본 연구의 목적은 도시와 농촌지역 거주 이주여성의 흡연, 음주, 영양 관리, 개인위생, 구강 건강을 비교하고 건강행위 예측 요인을 파악하는 것이다. 지역사회조사연구에 사용된 구조화된 설문지를 이용하여 이주여성 128명에게 2011년 11월부터 2012년 10월까지 자료를 수집하였다. 농촌거주 여성이 도시거주 여성보다 더 많은 건강행위를 수행하였고 거주지역, 교육기간, 직업, 문화 적응 관련 지각된 어려움이 이주여성의 건강행위를 유의하게 예측하였다. 도시 이주여성이 농촌 이주여성보다 건강행위 유지에 취약하며, 문화적 장애요인도 건강행위 유지를 어렵게 할 수 있다. 그러므로 이주여성의 건강행위를 사정하고 문화적으로 적절한 건강증진 프로그램을 계획할 때 개인, 지역사회, 환경적 수준에서의 충분한 고려가 요구된다.

• 농촌계획
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• 제19권3호
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• pp.51-59
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• 2013

The objective of this study was to make a map of farmland vulnerability to flood inundation based on morphologic characteristics from the flood-damaged areas. Vulnerability mapping based on the records of flood damages has been conducted in four successive steps; data preparation and preprocessing, identification of morphologic criteria, calculation of inundation vulnerability index using a fuzzy membership function, and evaluation of inundation vulnerability. At the first step, three primary digital data at 30-m resolution were produced as follows: digital elevation model, hill slopes map, and distance from water body map. Secondly zonal statistics were conducted from such three raster data to identify geomorphic features in common. Thirdly inundation vulnerability index was defined as the value of 0 to 1 by applying a fuzzy linear membership function to the accumulation of raster data reclassified as 1 for cells satisfying each geomorphic condition. Lastly inundation vulnerability was suggested to be divided into five stages by 0.25 interval i.e. extremely vulnerable, highly vulnerable, normally vulnerable, less vulnerable, and resilient. For a case study of the Jinju, farmlands of $138.6km^2$, about 18% of the whole area of Jinju, were classified as vulnerable to inundation, and about $6.6km^2$ of farmlands with elevation of below 19 m at sea water level, slope of below 3.5 degrees, and within 115 m distance from water body were exposed to extremely vulnerable to inundation. Comparatively Geumsan-myeon and Sabong-myeon were revealed as the most vulnerable to farmland inundation in the Jinju.

• Journal of Hospice and Palliative Care
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• 제24권4호
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• pp.226-234
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• 2021

Purpose: The accessibility of medical facilities for cancer patients affects both their comfort and survival. Patients in rural areas have a higher socioeconomic burden and are more vulnerable to emergency situations than urban dwellers. This study examined the feasibility and effectiveness of a cancer care model integrating a regional cancer center (RCC) and public health center (PHC). Methods: This study analyzed the construction of a safety care network for cancer patients that integrated an RCC and PHC. Two public health institutions (an RCC in Gyeongnam and a PHC in Geochang County) collaborated on the development of the community care model. The study lasted 13 months beginning in February 2019 to February 2020. Results: The RCC developed the protocol for evaluating and measuring 27 cancer-related symptoms, conducted education for PHC nurses, and administered case counseling. The staff at the PHC registered, evaluated, and routinely monitored patients through home visits. A smartphone application and regular video conferences were incorporated to facilitate mutual communication. In total, 177 patients (mean age: 70.9 years; men: 59%) were enrolled from February 2019 to February 2020. Patients' greatest unmet need was the presence of a nearby cancer treatment hospital (83%). In total, 28 (33%) and 44 (52%) participants answered that the care model was very helpful or helpful, respectively. Conclusion: We confirmed that a combined RCC-PHC program for cancer patients in rural areas is feasible and can bring satisfaction to patients as a safety care network. This program could mitigate health inequalities caused by accessibility issues.

• 한국농촌간호학회지
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• 제18권2호
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• pp.80-91
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• 2023

Purpose: The purpose of the study quantitatively investigates the experience of unmet healthcare service utilization by rural populations in vulnerable areas during the COVID-19 pandemic based on Andersen's behavior model. At the same time, this study attempts to describe the experiences of unmet healthcare service utilization among participants in vulnerable rural areas by analyzing qualitative contents through open-ended question. Methods: Data were collected from October to November 2022 using Qualtrix, a web-based survey platform. A total of 863 participants completed an online survey. Quantitative data were analyzed using 𝑥² test and logistic regression analysis. Qualitative data were analyzed using content analysis. Results: The factors affecting participants' unmet healthcare service utilization were type of residential area and underlying disease. The qualitative analysis identified; four categories and nine sub-categories. Conclusion: Based on these findings, it is necessary to develop a disaster nursing response model according to the type of residential areas and the number of people.

• 농촌계획
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• 제24권4호
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• pp.1-13
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• 2018

This study analyzes the effect of the level of satisfaction with the living environment of rural people on migration. The analysis data were used by the Rural Development Administration for the survey of welfare systems for farmers and fishermen in 2017, and samples of 3,776 were used for the analysis. The analysis variables were divided into a group of migrants, a group of permanent residents, and a group of decision-keeping, and the level of satisfaction with the living environment of each of the 10 rural areas was used as an independent variable. According to the analysis results, the basic living base and safety of rural residents were having a positive effect. The results show that the projects for developing rural areas, which increase the basic living base, are making substantial contributions to preventing the breakaway of the rural population. Safety has been neglected in the area of rural planning, but if the level of discontent is not enough, it has had the greatest impact on the livelihoods of rural residents. Welfare and cultural leisure set the main demand level for welfare and cultural leisure to the elderly and vulnerable classes, and interpret it as a result of weakened defense against stress from relocation of residence, difficulty of migration due to low income levels, and migration. Therefore, the paradoxical analysis results could be interpreted as showing that measures to increase the satisfaction of the people on welfare and cultural leisure should be taken.