• Maritime Security
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• v.1 no.1
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• pp.175-214
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• 2020

Previous studies cannot effectively explain the rise of piracy in Somalia and NIgeria. First, there is a lack of explanation for the process that from a small maritime robbery into a org anized pirate g roup. Second, it is difficult to explain the low level of piracy in countries with extreamly poor conditions, from Somalia to Nigeria. In this study, I argue that the more severe foreign countries infringe on economic maritime sovereignty in vulnerable countries, the higher the intensity and frequency of piracy. If the infringement of economic maritime sovereignty caused by foreign groups occurs in a fragile state, the government could not respond to the acts of foreign groups, resulting in increased damage to maritime people, deteriorating the regional economic situation. As hostility grows, a culture favorable to piracy is created, which is actively utilized by local forces to inspire the people's hostility, and a favorable environment for piracy emerges in a way that responds politically to foreign powers. In Somalia and Nigeria, the infringement of economic maritime sovereignty by foreign groups emerged severe. And based on the stagnation of the local economy and hostility toward foreign groups, favorable conditions were formed for piracy, resulting in the rise of piracy. Meanwhile, Somalia's neighbor, one of the most fragile states in the world, Yemen have not suffered piracy. Also, the foreign infringement to the maritime economic sovereignty has rarely been observed.

• Korean Journal of Community Nutrition
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• v.27 no.5
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• pp.422-434
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• 2022

Objectives: With an increase in the population of the elderly in Korea, their nutritional status has become a cause for concern. This study was designed to compare the nutritional intake and health status of the Korean elderly according to their body mass index. Methods: The subjects were 3,274 elderly people aged 65 and above who had participated in the 2016-2018 Korea National Health and Nutrition Examination Survey. The subjects were divided into four groups: underweight, normal, overweight, and obese, based on their BMI. The general characteristics, daily energy, and nutrient intakes, nutrient intakes compared to the recommended nutrient intake, percentage of participants whose nutrient intake was lower than the estimated average requirement (EAR), index of nutrient quality, the mean adequacy ratio (MAR), intakes by food group, and health status of the four groups were compared. Results: Underweight elderly people showed lower energy, lipids, dietary fiber, vitamin C, riboflavin, niacin, phosphorus, sodium, and potassium intake and MAR score (P < 0.001) compared to the normal or obese elderly. The mean protein, riboflavin, niacin, vitamin C, phosphorus, and iron intake of the underweight elderly was lower than the EAR (P < 0.05). Underweight elderly people also had a lower intake of vegetables and fats, oil and sweets food groups than the other groups (P < 0.001). The prevalence of diabetes and dyslipidemia was higher in the obese group, but the percentage of anemia was higher in the underweight group. Conclusions: Underweight elderly people were vulnerable to undernutrition and were at a higher risk of anemia.

• The Journal of Korean Society for School & Community Health Education
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• v.17 no.1
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• pp.23-33
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• 2016

Objectives: The purpose of this study is analysing the influence of how health behavior such as smoking, drinking, and consuming salt and obesity affects to blood pressure and providing useful data for preventing ischemic heart disease of Peru which is main cause of death since 2012 and promoting healthy lifestyle of community. Methods: At the selected four districts in Lima and Callao region of Peru by KOICA Peru office, survey was conducted among adults over the age of 18. Excepted 19 incomplete people for the missing, 686 people were analysed in this survey. Results: There was no significant relationship between blood pressure and drinking and salt intake. By regression analysis, systolic blood pressure was significantly related with gender, age and abdominal obesity and diastolic blood pressure was significantly related with gender and abdominal obesity. Conclusions: As a result, diastolic and systolic blood pressure are mainly affected by waist circumference and gender. Therefore, It's need to be classifying male into vulnerable groups in the occurrence of hypertension and providing health education and information about hypertension to them. For improving health status of vulnerable group, awareness of hypertension prevention and changing unhealthy lifestyle to healthy lifestyle activities are necessary. In the end, it is necessary to prevent abdominal obesity through periodic health education.

• Journal of Community Nutrition
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• v.3 no.2
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• pp.103-109
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• 2001

With a continuous and steep increase in life expectancies, Korean society is expected to enter the aged society by year 2020. And as the number of elderly increases, the burden of medical and health care expenses for them becomes greater in every developed society. Hence, the preventive approach for chronic degenerative diseases remains to be the best solution for the above-mentioned problem and warranting optimal nutrition would be one of the most important approaches. We performed a nutrition survey on 585 older adults of 50 years of age and older, residing in 3 metropolitan areas including Daejun, Daeku and Kwangju. Anthropometry, including body composition analysis based on the bioelectrical impedance analysis using InBody 3.0 and dietary intake survey by semi-quantitative flood frequency questionnaires, were used in collecting data. As one of the most important factors affecting the health and nutritional status of the elderly, we focused on living arrangements. Analyses were performed on the data from 550 subjects only, after excluding statistical outliers. Three hundred and sixty-eight of them(66.9%) were female and the number of elderly(65 years of age and older) was 485. According to the statistical analyses, the female elderly were more vulnerable to malnutrition than the male elderly. And the older they befame, the less adequate they were in nutrient intake. In addition to this, the elderly living alone showed the poorest patterns of nutrient intake and anthropometry. Although the exact effect of living alone could differ among different sex-age groups, the fact that the elderly living alone is vulnerable to malnutrition would remain concrete. This raises the utmost necessity of nutrition intervention to be devised and directed to the targeted population, namely the living-alone elderly from the government level. The intervention may include nutrition education, nutrition counseling and support In forms of meal service by networking the efforts of central as well as local governments to ensure the good health of the Korean elderly.

• The Journal of the Korea Contents Association
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• v.17 no.8
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• pp.290-300
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• 2017

This study concerns whether the public spirit of medical services, which is the foundational goal of national hospitals, is being realized. To derive results regarding this question, it is necessary to identify the determinants that influence the choice of national hospitals. The data are based on the number of cases of medical service use among the data for 6 years from 2008 to 2013 in the Korea Medical Panel, and the subjects were limited to those who were 18 years old or older. In the final analysis, 14,365 cases of hospitalization service uses were employed. For the research method, Andersen's behavioral model theory was applied, and predisposing, enabling, and individual factors were determined to be variables. Logistic regression analysis was conducted to analyze the determinants of national hospital choice factors. It was found that the rate of use of national hospitals was very low, with 5.23% for hospitalization services. Furthermore, socioeconomically vulnerable people, such as the elderly, low-income people, the national meritorious and medical care beneficiaries, chronic patients, and disabled patients are more likely to choose national hospitals than private hospitals. Therefore, for the appropriate management of medical service use for low-income vulnerable groups, it is necessary to discuss the enhancement of primary medical care in national healthcare.

• Journal of Korean Library and Information Science Society
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• v.51 no.2
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• pp.295-318
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• 2020

This study was conducted to grasp the changing user needs, especially the changing information needs of the vulnerable groups of knowledge and information. The study analyzed the information needs of the migrants in Area A by introducing a community-based participatory research methodology. The authors cooperated with the local community throughout the entire course of the study and proposed an inclusive library strategy for the underprivileged in the A region. Migrants were in demand for easy writing materials, reading activities programs, leisure culture programs, and literacy programs. In particular, it was analyzed that services should be provided through cooperation with related organizations. As a result of the study, it was suggested to provide experiences of deeply participating in the current library and to provide various information sources (resource guides) and to promote through children.

• Journal of Preventive Medicine and Public Health
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• v.51 no.2
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• pp.64-70
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• 2018

Objectives: In most countries around the world, sex work is an illegal activity. Female sex workers (FSWs) in Iran hide their identities, and they are known to be a hard-to-reach population. Despite free access to HIV testing, fewer than half of FSWs receive HIV testing. The purpose of this study was to characterize the reasons for which FSWs do not seek testing at drop-in centers (DICs) and voluntary counseling and testing (VCT) centers in Iran. Methods: A qualitative study was conducted in 2016. The participants were 24 FSWs who received services at VCT centers and DICs for vulnerable females in the north of Iran and 9 males who were the clients of FSWs. In this study, we made use of purposive sampling and carried out a thematic analysis. Results: We found 4 major and 6 minor themes. The major themes were: fear of being infected (with HIV), stigma, indifference, and knowledge. Conclusions: Despite the significant efforts made by the government of Iran to establish and expand DICs for vulnerable females, the number of FSWs receiving services at these centers has not been very considerable. Consequently, by introducing and implementing training programs for peer groups, it may be possible to take steps toward establishing strategic programs for the control and prevention of HIV/AIDS.

• Tuberculosis and Respiratory Diseases
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• v.81 no.3
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• pp.241-246
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• 2018

Background: The "Tuberculosis Relief Belt Supporting Project (Tuberculosis Patient Management Project for Poverty Groups)" is a national program for socioeconomically vulnerable tuberculosis (TB) patients. We sought to evaluate the clinical and socioeconomic characteristics of poverty-stricken TB patients, and determined the need for relief. Methods: We examined in-patients with TB, who were supported by this project at the National Medical Center from 2014 to 2015. We retrospectively investigated the patients' socioeconomic status, clinical characteristics, and project expenditures. Results: Fifty-eight patients were enrolled. Among 55 patients with known income status, 24 (43.6%) had no income. Most patients (80%) lived alone. A total of 48 patients (82.8%) had more than one underlying disease. More than half of the enrolled patients (30 patients, 51.7%) had smear-positive TB. Cavitary disease was found in 38 patients (65.5%). Among the 38 patients with known resistance status, 19 (50%) had drug-resistant TB. In terms of disease severity, 96.6% of the cases had moderate-to-severe disease. A total of 14 patients (26.4%) died during treatment. Nursing expenses were supported for 12 patients (20.7%), with patient transportation costs reimbursed for 35 patients (60%). In terms of treatment expenses for 31 people (53.4%), 93.5% of them were supported by uninsured benefits. Conclusion: Underlying disease, infectivity, drug resistance, severity, and death occurred frequently in socioeconomically vulnerable patients with TB. Many uninsured treatment costs were not supported by the current government TB programs, and the "Tuberculosis Relief Belt Supporting Project" compensated for these limitations.

• Journal of The Korea Institute of Healthcare Architecture
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• v.28 no.1
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• pp.63-74
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• 2022

Purpose: The purpose of this study is to present an evacuation performance analysis model that can derive vulnerable evacuation spaces with considering the movement behavior as per the elderly groups in the event of a fire in a geriatric hospital. Methods: The evacuation characteristics of geriatric hospital users were investigated through the review of precedent studies. First, the occupant conditions and the evacuation scenario were set to analyze a study target hospital. Then, the evacuation simulation was carried out considering the group types and the density of each group. Finally, an evacuation performance analysis model according to the group type was presented based on the simulation results. Results: The results of this study are as follows: (1) The evacuation performance according to the group type is to be clarified through the suggested study model. (2) It is necessary to secure a ramp or an emergency elevator to distribute the evacuation personnel at the design stage because congestion occurs due to collisions between evacuees on the stairs and delays the evacuation time. (3) It is necessary to consider the evacuation stairs and openings of sufficient size by analyzing the frequency of congestion occurrence and the escape routes of occupants in advance to identify the space where the evacuation flow overlaps. Implications: It is expected that the study result is to be used as primary data for studies that consider the elderly and clustering evacuation behavior in the event of a fire in a geriatric hospital.

• Health Policy and Management
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• v.24 no.2
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• pp.128-135
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• 2014

Background: With ageing and growing importance of disease management system, it is necessary to investigate the extent of regional difference in service utilization for chronic diseases among the elderly and to reflect it in designing the system. Methods: A multiple regression analysis and descriptive statistics analyses were employed using patient survey, which covers nationwide health facilities and their users. Results: While the differences in the rate of service utilization/utilization outside living area between urban and rural areas or between income levels are not large, considerable variations are observed within urban or rural areas and within income groups. Conclusion: This results suggest that it is important to subsidize economically disadvantaged segments of the population and residents of less-favored areas to be better-equipped for chronic disease management in order to prevent the development of severe ailments and the need for treatment at higher-level medical institutions. Improvements to the service infrastructure in vulnerable regions are essential.