• Health Policy and Management
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• v.24 no.2
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• pp.172-180
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• 2014

Background: People with disabilities have higher prevalence rates and earlier onset of chronic disease than the non-disabled; therefore, their participation in health screening is important. This study evaluates the participation rate and trends in health screening of people with disabilities, and examines the association between their participation rate and disability characteristics, and socioeconomic status. Methods: Data on disability-related characteristics were collected from the National Disability Registry, and participants' corresponding health examination data were taken from the Korean National Health Insurance Corporation between 2002 and 2011. A total of 873,819 participants aged ${\geq}20$ years were analyzed in this study. Results: The rate of participation of people with disabilities in health screening has increased each year, but their participation rate is lower than that of the total population. The participation rate was lower in females than in males; the elderly group than in the younger group; those who live in city areas than rural areas; self-employed for health insurance than employees; those with an internal organ disability than those with an external physical disability; those with a severe disability than those with a mild disability; and those with a short-term disability than for those with a long-term disability. Conclusion: The factors associated with participation rate are age, sex, socioeconomic status, and disability characteristics. These findings indicate that health check-ups of people with disabilities should be promoted using an approach that takes into account the large individual differences in socioeconomic status and disability characteristics in this population.

• Phonetics and Speech Sciences
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• v.8 no.4
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• pp.115-122
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• 2016

This study investigates the acoustic-phonetic features and speech intelligibility of Lombard speech in children with intellectual disability, by examining the effect of Lombard speech at 3 levels of non-noise, 55dB, and 65dB. Eight children with intellectual disability read sentences and played speaking games, and their speech were analyzed in terms of intensity, pitch, vowel space of /a/, /i/, and /u/, VAI(3), articulation rate and speech intelligibility. Results showed, first, that intensity and pitch increased as noise level increased; second, that VAI(3) increased as the noise level increased; third, that articulation rate decreased as noise intensity increased; finally, that speech intelligibility increased as noise intensity increased. The Lombard speech changed the VAI(3), vowel space, articulation rate, speech intelligibility of the children with intellectual disability as well. This study suggests that the Lombard speech will be clinically useful for the persons who have intellectual disability and difficulties in self-control.

• Korean Journal of Biological Psychiatry
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• v.15 no.4
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• pp.310-315
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• 2008

Objectives : The evaluation of disability after trauma in psychiatry is relatively subjective compared with other departments. A consensus among evaluators could improve reliability of evaluations. We compared disability rate of common psychiatric disorders without definite brain injury depending on their diagnosis from experienced evaluators in Korea. Methods : A written questionnaire was mailed to each evaluator and the reply was analyzed. The questions included disability rate ranges of postconcussional syndrome, PTSD and depression. Other questions related with admission for evaluation, expected duration of treatment, life expectancy and need of supporting person were also asked. Results : Range of disability rate were from $8.6{\pm}4.5%$ to $26.6{\pm}12.8%$ in postconcussional syndrome, from $10.4{\pm}6.8%$ to $36.4{\pm}13.8%$ in PTSD and from $10.0{\pm}4.6%$ to $30.6{\pm}10.3%$ in depressive disorder. There were lots of diversity in expected duration of treatment with psychiatric disability. Decline of life expectancy and need of supporting person were considered at least 50% of disability. Conclusion : There is much diversity in evaluation of psychiatric disabilities with disability rate and expected duration of treatments even among experienced evaluators. A common consensus among experts may increase reliability of psychiatric evaluations after trauma.

• Korean Journal of Social Welfare
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• v.66 no.1
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• pp.251-276
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• 2014

This study scrutinizes the common sense in the field of disability employment that the bigger the size of a firm, the lower the employment rate of people with disabilities. This common sense has been established by conventional cross-tabulation and multiple regression analyses without taking into account possible interactions between the sizes of firms and the industries in which they operate. This study shows that the distribution of the disability employment rate violates the linearity and homoscedasticity assumptions of the OLS. In an effort to find models that explain the data better, this study fits the OLS model, the weighted linear regression model, and the multinomial logit model as well as the path analysis which is meant to examine the relationships between firm size and other variables relevant to disability employment. The result shows that, when an interaction term between firm size and industry is added to the model, firm size does not have any significant effect on disability employment rate for those firms with 100 or more regular employees, to the contrary of the findings of prior studies. It also demonstrates that other factors such as job setting, the extent of helpfulness of disability employment employers perceive, employers' care for disability, and employers' awareness of disability policies may matter more than does firm size. This study proposes that future research and policy implementation for disability employment should pay no less attention to industry and other factors mentioned above than to firm size.

• Journal of Preventive Medicine and Public Health
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• v.45 no.4
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• pp.211-218
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• 2012

Objectives: The objective of this study was to identify the differences in obesity rates among people with and without disabilities, and evaluate the relationship between obesity rates and the existence of disabilities or characteristics of disabilities. Methods: Mass screening data from 2008 from the National Disability Registry and National Health Insurance (NHI) are used. For analysis, we classified physical disability into three subtypes: upper limb disability, lower limb disability, and spinal cord injury. For a control group, we extracted people without disabilities by each subtype. To adjust for the participation rate in the NHI mass screening, we calculated and adopted the weight stratified by sex, age, and grade of disability. Differences in obesity rates between people with and without disabilities were examined by a chi-squared test. In addition, the effect of the existence of disabilities and grade of disabilities on obesity was examined by multiple logistic regression analysis. Results: People with disabilities were found to have a higher obesity rate than those without disabilities. The obesity rates were 35.2% and 35.0% (people with disabilities vs. without disabilities) in the upper limb disability, 44.5% and 34.8% in the lower limb disability, 43.4% and 34.6% in the spinal cord injury. The odds for existence of physical disability and grade of disability are higher than the nondisabilities. Conclusions: These results show that people with physical disability have a higher vulnerability to obesity.

• Journal of Korean Physical Therapy Science
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• v.13 no.2
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• pp.27-36
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• 2006

The purpose of this study would like to analyze statically significant difference for low back-pain frequency of mother after development-disability children. Seven nursery children with disability conducted survey from 122 mothers cared children with disability. Survey data was obtained from April 14. 2006 to May 23. 2006. The results were as follows: According to walking-existence, assistance walking, and disability-degree, low back pain incidence frequency of mothers were statically significant difference, (p<0.05). Low back pain incidence frequency of walker-ability population was 51.4%, but low back pain incidence frequency of walker-disability population was 80.0%. then low back pain incidence frequency of mothers to walking-existence was differed amount. Disabled not statically significant difference to encephalopathy and disability-type1 and disability -type2 (p>0.05). children with disability-degree and assistance walking benchmarked low back pain disability-measure. Low back pain degree not relevancy statically significant. Physical load was statically significant difference between Oswestry's low back pain score and reach effect to child-cared(p<0.05). As development-children with disability of disable degree, Mother appeared to highly low back pain frequency rate and appeared to large reach effect child-cared owing to physical load of low back pain. So hereafter, location and person request to approach with more clinical and objectively. As approach result, it will help to stress solution of children with disability owing to develop to low back pain class and family capable strengthening program and so on.

• Journal of Yeungnam Medical Science
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• v.38 no.2
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• pp.127-135
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• 2021

Background: Dialysis patients are prone to having disabilities. We aimed to evaluate the association between disability and various clinical outcomes in Korean dialysis patients. Methods: This study consisted of 1,615 dialysis patients from 27 centers. We evaluated disability by using four questions on the activities of daily living (ADLs) concerning whether help was needed for feeding, dressing/undressing, getting in/out of bed, or taking a bath/shower. We divided the patients into three groups: no disability (Non-D, none of the four ADL domains required help; n=1,312), mild disability (Mild-D, one ADL domain required some/full help; n=163), or moderate to severe disability (MS-D, two or more ADL domains required some/full help; n=140). We evaluated falls, frailty, health-related quality of life (HRQoL), mortality, and hospitalization. Results: The numbers of participants with a fall during the last 1 year were 199 (15.2%), 42 (25.8%), and 44 (31.4%) in the Non-D, Mild-D, and MS-D groups, respectively (p<0.001). The numbers of participants with frailty in the Non-D, Mild-D, and MS-D groups were 381 (29.0%), 84 (51.5%), and 93 (66.4%), respectively (p<0.001). In both univariate and multivariate analyses, the physical component scale and mental component scale scores decreased as the grade of disability increased (p<0.001 for both scores). Hospitalization-free survival rate at 500 days was 64.2%, 56.7%, and 51.1% in the Non-D, Mild-D, and MS-D, respectively (p=0.001 for trend). Patient survival rate at 500 days was 95.3%, 89.5%, and 92.3% in the Non-D, Mild-D, and MS-D, respectively (p=0.005 for trend). Conclusion: Disability was associated with falls, frailty, HRQoL scales, and survival trends in Korean dialysis patients.

• Korea journal of population studies
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• v.19 no.1
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• pp.123-137
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• 1996

The goal of this study was to measure the level of health quantitatively by combining mortality and morbidity level of the Korean people. The 1989 Life Table was used for the mortality data. For the morbidity data, the 15-day morbidity survey (10, 940) the hospitalized patient survey (1, 770), chronic morbidity survey (7, 241) of the 1989 National Health Sunvey conducted by Korean Institute of Health and Social Affairs were utilized. The life table analysis technique of Sullivan was adopted. The morbidity period and disability period required for this method were estimated by measuring disability period rate and disability rate. The disability free life expectancy was estimated by excluding disability life expectancy from life expectancy. In case of males, the disability-free life expectancy at birth was 60.48 years. In case of females, the disability-free life expectancy at birth was 63.80 years. The percent of disability-free life expectancy to life expectancy was 90.63% at birth in case of males and 85.20% in case of females. The portion of females was lower than that of males in all age brackets. Therefore, the percent of time spent without disability condition to life expectancy was higher for females than males. Estimating disability-free life expectancy by region, it was 61.52 years at birth in urban area and 59.34 years in rural area in case of males. In case of females, it was estimated to be 64.60 years in urban area and 63.08 years in rural area. The life expectancy of Koreans was 66.73 years for males and 74.88 years for females, 8.15 years higher than males while disability-free life expectancy was 60.48 years for males, 63.80 years for females, only 3.32 years higher than males.

• 재활복지
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• v.17 no.4
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• pp.127-149
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• 2013

This study analyzed the hazard of unemployment and the influencing factors on the rate. Data came from the Panel Survey of Employment for the Disabled(PSED), 2010-2012, which is a longitudinal survey for 5,092 disabled people in Korea. For the main purpose of this study, the life-table method was used for describing the patterns of unemployment duration by disabled, and the cox proportional hazard model was used to identify significant factors on the unemployment duration. The results were as follows. First, according to the life table analysis, the unemployment rate to remain until the longest period of unemployment(25month) is 90.5%, and the rate of entry into the labor market was only 9.5%. Overall, the unemployment maintenance rate was high, the unemployment escape rate decreased after 12month. Second, looking at the results from the cox proportional hazards model, the unemployment escape possibility were increased for those who are male, are non-public benefit recipient with disability, have mild disability, and have less discrimination experiences. With these results, disability discrimination act which can reduce the disability discrimination in employment site should be strengthened. Also, the scheme of Nation Basic Protection Program should be modified to attract the employment of recipients with disability. Finally, policy targets having employment escape difficulty, such as women with disability, people with severe disabilities should be departmentalized. And employment service is provided in accord with the individual needs and characteristics.

• 재활복지
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• v.20 no.3
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• pp.105-124
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• 2016

The This study aims to verify the causal relationship among physically disability persons participation in exercise, heart rate variance, and facial expression recognition. To achieve such research goal, this study targeted 139 physically disability persons and as for sampling, purposive sampling method was applied. After visiting a sporting stadium and club facilities that sporting events were held and explaining the purpose of the research in detail, only with those who agreed to participate in the research, their heart rate variance and facial emotion awareness were measured. With the results of measurement, mean value, standard deviation, correlation analysis, and structural equating model were analyzed, and the results are as follows. The quantity of exercise positively affected sympathetic activity and parasympathetic activity of autonomic nervous system. Exercise history of physically disability persons was found to have a positive influence on LF/HF, and it had a negative influence on parasympathetic activity. Sympathetic activity of physically disability persons turned out to have a positive effect on the recognition of the emotion, happiness, while the quantity of exercise had a negative influence on the recognition of the emotion, sadness. These findings were discussed and how those mechanisms that are relevant to the autonomic nervous system, facial expression recognition of physical disability persons.