• 근관절건강학회지
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• 제21권3호
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• pp.246-254
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• 2014

Purpose: This study aims to provide baseline data on children's health care and household safety management in one region and to support implementation of customized visiting health care services for children. Methods: 51 children and their caregivers from socially vulnerable group and 69 children and their caregivers from general group are selected as research participants. Data were collected through home visiting survey by 10 professional nurses. Results: Children from socially vulnerable group are at higher risks of poor health care and safety accidents in households than general group. Rates of taking developmental screening tests, medical check-up remain considerably low in vulnerable social group. Regarding home safety, vulnerable children are more likely to be exposed to unsafe conditions. Conclusion: These results indicate that in order to promote health care and safety conditions for vulnerable children, it is necessary to implement customized visiting health care programs which actually can reach vulnerable households and meet their demands. These findings can be used as baseline data to develop customized visiting health care programs for children.

• East Asian Economic Review
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• 제27권4호
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• pp.273-301
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• 2023

This study investigates the impacts of long-term climate variability on household consumption in Indonesia, a country highly vulnerable to climate change. The analysis combines household survey data from nearly 5,998 families with satellite-derived weather data from NASA POWER spanning 30 years. We use the long-term variability in temperature and precipitation as a proxy for climate change. This study examines the impact of climate change which proceeds over the long term, unlike previous studies concerning one-off or short-term climate events. In addition, using satellite data enhances the accuracy of households' exposure to climate variability. The analysis finds that households in a village with higher temperature and precipitation variability significantly consume less food. This implies that households more exposed to climate change are at higher risk of malnutrition in developing countries. This study has a limitation that it cannot rule out the potential endogeneity of choosing a climate-vulnerable residential location due to economic poorness.

• 한국생활과학회지
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• 제21권2호
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• pp.225-240
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• 2012

The purpose of this study was to investigate the determinants of households with risky debt loads. The study used financial ratios to determine which households were over-indebted. The 3 ratios used were Debt to Asset ratio, Debt to Financial asset ratio, and Debt Service ratio. Data for this study was the 2011 Survey of Household Finance. Households that demonstrated total debts of 70% or more when compared to total assets were 8.8%. Households that demonstrated a debt load totaling 5 or more times their total financial assets were 19%. Households with monthly repayment obligations of 40% or more of disposable income were 20%. Households that fulfilled all 3 financial ratio criteria were 1.5% of total indebted households. Over-indebted households demonstrated severe economic condition in terms of debt, but not all over-indebted households were categorized as being in economically vulnerable group. The major determinants of households with risky debts were income, asset, purpose of loans, and spending behavior of the households.

• 보건행정학회지
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• 제22권2호
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• pp.275-296
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• 2012

Graduate School of Public Health, Seoul National University The national health insurance system in Korea is characterized as relatively high out-of-pocket payments, which are the principal source of catastrophic health expenditure (CHE). The objectives of this study are to estimate the incidence of household CHE and to clarify the characteristics that affect the occurrence and recurrence of household CHE using the Seoul Welfare Panel Survey database for 2008 and 2010. Thresholds to estimate CHE were 10% and 20% of the total household income (T/X), and 25% and 40% of the income excluding food share (T/Y). Determinants of the occurrence and recurrence of CHE at the threshold of T/X=10% were analysed using multiple logistic regression models. Out of the 3,665 households that responded in 2008 survey, households with CHE were 12.07% (T/X${\geq}$10%), 5.34% (T/X${\geq}$20%), 6.84% (T/Y${\geq}$25%), and 4.44% (T/Y${\geq}$40%). Risk factors associated with household CHE included living with a spouse, non-Medicaid beneficiary, householder unemployment, low household income, the number of disabled members, poor subjective health, and the number of chronic diseases. A total of 41.78% of households with CHE in 2008 repeatedly experienced CHE in 2010. Risk factors of CHE recurrence included decreased household income and an increase in chronic diseases over the two time periods, the number of members with disability or chronic diseases, and the presence of cancer patients in 2008. Households with lower socioeconomic and health status had a higher financial burden on health care than do their counterpart households. There is a need to enhance society-wide financial protection from health spending among vulnerable citizens in Seoul, particularly, households with low income, disabled members or cancer patients.

• 한국지역사회생활과학회지
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• 제18권1호
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• pp.147-160
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• 2007

This research challenges the general notion of one-person households of the elderly during widowhood as impoverished, isolated, and vulnerable. Recognizing a high potential vulnerability, however, this research attempts to describe the diverse composition of one-person households of the elderly. For this purpose, relying on 2% sample data from the 2000 census, it examines regional distribution, socio-economic characteristics, and determinants of one-person households of the elderly during widowhood. Socio-economic characteristics of one-person households of the elderly differ by region. Jeju island is distinct in terms of sex and age distribution, and residence area of children. In general, rates of economic activity and self-subsistence are higher in provinces than in cities. Compared to the elderly living with family, the elderly living alone show high rates of economic activity, self-subsistence, and capability of physical activity. Results of logistic regression analysis of determinants of living arrangement are consistent with those of descriptive statistics. Those who are economically active and able to move around without assistance tend to live alone after the death of a spouse. Number of sons and living in an urban area are negatively associated with living alone, whereas females are more likely than males to live alone. According to the separate analysis by age, the positive effect of economic activity is greater in the oldest of the old than in other age groups. Those who possess high educational attainment tend to live alone when they are 80 and older, unlike other age groups. Based on these findings, this paper finds that one-person households of the elderly nay not always be the most vulnerable group, and are diverse in terms of socioeconomic characteristics.

• 대한가정학회지
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• 제50권4호
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• pp.37-50
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• 2012

This research was conducted for the analysis the middle-old aged empty nest households' debt holdings and their financial status(emergency fund index, liquidity index, debt burden index) considering the level of income and assets. In order to accomplish this study, we made use of the KReIS third beta-version data. The results of the analysis were as follows. First, in all income asset groups there were more non-debts holding houses compared to debt holding houses. Moreover in debts holding houses, compared to other groups high income high assets groups were more. Second, the households that possessed more assets, had more debts. Third, the financial status of the households holding debts were more vulnerable compared to households that had no debts. Moreover, all income asset groups' emergency fund index were low. Households having no debts possessed low real assets and so the liquidity index was higher in holding debts households. In holding debts households, debt burden index was high. And especially these houses suffered from high debt burden when their income and asset were low.

• 한국콘텐츠학회논문지
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• 제20권12호
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• pp.332-345
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• 2020

본 연구는 코로나19 사태 속에서 더욱 열악한 환경에 노출된 농어촌 취약계층에 초점을 두고 사회서비스 영역의 수요를 탐색하고 정책적 함의를 제시하고자 하였다. 이를 위해 '2018년 농어업인 등에 대한 복지실태조사' 원자료를 활용하여 가구유형별 취약계층의 사회서비스 욕구를 분석하였다. 분석결과 농어촌 전체, 노인, 장애인, 1인, 노인 1인, 저소득 가구 등이 1순위 사회서비스는 '소득지원서비스'로 나타났고, 아동 가구는 '보육 및 교육 관련 서비스'로 나타났다. 2순위 사회서비스는 전체는 '문화여가향유지원서비스', 노인, 장애인, 노인 1인, 저소득 가구 등은 '보건의료 건강관리 서비스', 아동가구는 '문화여가향유지원서비스', 1인가구는 '일상생활지원서비스'로 나타났다. 이러한 결과를 토대로 농어촌 취약계층 맞춤형 사회서비스 지원 방안을 제안하였다. 또한 농어촌 보건복지 기본계획 등 정부의 도농간 복지 격차 완화 정책의 문제점을 공식부처 간의 협의체계 부재로 보고 농어촌 중장기 정책의 환류기능과 전담조직의 필요성을 논하고 '농어촌 지역맞춤형 사회서비스 제공여건 구축(안)'을 제안하였다.

• 보건행정학회지
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• 제29권3호
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• pp.288-302
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• 2019

Background: The one-person households (OPH) are rapidly increasing and vulnerable to socioeconomic and health problems. Because it is predicted to be inequitable to health care utilization, we would like to find out about the equity of health care utilization of the OPH by comparison with the multi-person households (MPH). Methods: This study followed the theoretical framework of Wagstaff and van Doorslaer (2000), O'Donnell and his colleagues (2008), where the horizontal inequity index is the difference between the concentration indices of actual health care utilization and health care needs. This study employed the 9th Korea Health Panel survey, and a total of 10,807 cases were analyzed. Health care needs were measured by age, sex, subjective health status, chronic disease count, Charlson's Comorbidity Index, limitation of activities, and disability. Results: Compared with the MPH, there were pro-poor inequities in hospitalization, emergency utilization, hospitalization out-of-pocket payments, and pro-rich inequities in outpatient out-of-pocket payments for the OPH. The decomposition of the concentration index revealed that chronic disease count made the largest contribution to socioeconomic inequality in outpatient utilization. Age, health insurance, economic activities, and subjective health status also proved more important contributors to inequality. The variables contributing to the hospitalization and emergency utilization inequity were age, education, Charlson's Comorbidity Index, marital status, and income. Conclusion: Because the OPH was more vulnerable to health problems than the MPH and there were pro-poor inequities in medical utilization, hospitalization, and emergency costs, it is necessary to develop a policy that can correct and improve the portion of high contribution to medical utilization of the OPH.

• 여성건강간호학회지
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• 제26권1호
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• pp.93-103
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• 2020

Purpose: This study was conducted to identify unmet healthcare needs among man and woman one-person households and to explore related factors by gender. Methods: Data were drawn from the 2017 Korea National Health and Nutrition Examination Survey. The final sample consisted of 820 one-person households. The statistical analysis, conducted in SPSS version 20.1, included complex sampling analysis; descriptive statistics, the chi-square test, and logistic regression. Results: The demographic and socioeconomic characteristics of women in one-person households were significantly different from those of men in one-person households. Women in single-person households were mainly in their 70s or older and married, and they tended to have a low education level, low income, and no formal occupation. Unmet healthcare needs were experienced by 17.3% of women in one-person households and 13.5% of men in one-person households, which was not a statistically significant difference (χ²=2.17, p=.139). Factors related to unmet healthcare needs were subjective health status and unmet dental care needs in single-person-household men. By contrast, having experienced impairment within the past year, stress, and unmet dental care needs were factors related to unmet healthcare needs in single-person-household women. Conclusion: As one-person households become increasingly common, more attention needs to be paid to them and our understanding of them needs to be improved. Women in one-person households, in particular, are especially vulnerable, as they experience more unmet healthcare needs.

• 한국도서관정보학회지
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• 제52권3호
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• pp.335-368
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• 2021

본 연구는 국내외 1인 가구 대상 공공서비스 및 도서관서비스 운영 현황과 도서관 이용자 및 전문가 대상 인식조사 결과를 분석하여, 서울시 공공도서관의 1인 가구 대상 도서관 서비스 방향 및 프로그램 제공 방안을 제시하고자 수행되었다. 그 결과로 제시된 1인 가구 대상 도서관 서비스 방향은 1인 가구의 삶과 밀착된 정보자원을 확보하여 제공하고, 서비스를 담당할 지원센터를 설립하여 자치구 도서관과 함께 인적자원을 효율적으로 활용하고, 자료 중심 도서관에서 벗어나 1인 가구를 포함한 이용자 중심의 시설 인프라를 조성하고, 1인 가구의 특성과 분포에 따른 권역별 특화와 맞춤형 서비스를 제공할 것을 제안하였다. 그리고, 1인 가구 대상 독서문화프로그램으로는 취약한 1인 가구를 위한 사회적 활동지원, 사회적 유대, 돌봄, 봉사활동, 여가 및 문화활동 분야가 무엇보다 필요하다고 보고, 청년, 중장년, 여성 1인 가구 대상의 특화된 도서관 서비스 및 프로그램을 제안하였다.