• 대한가정학회지
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• 제36권10호
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• pp.179-196
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• 1998

The purpose of this study was to analyze the financial status of Korean elderly households to make a financial plan for retirement preparation. The sample obtained from 1997 KHPS, consisted of 326 households of 55-64 aged and 210 households of 65 and over aged. Statistics employed for the analysis were frequencies, percentile, univariate analysis and logistic analysis. And Lorenz curve and Gini coefficient were used to compare the financial status. The results could be summarized as follows. First, total income, total expenditure, total debt and net worth of 55-64 aged group were higher than those of 65 and over group, while total asset of 55-64 aged group was similar to 65 and over group's Second, total expediture to total imcome ratio(R1) and total asset to total debt ratio(R4) of 55-64 aged group were higher than 65 and over group's, but net worth to minimum cost of living ratio(R2) and financial asset to monthly expenditure ratio(R3) of 65 and over group were higher than 55-64 aged group's . Third, R4's Gini coefficient was the highest and R1's Gini coefficient was the lowest among all Gini coefficients. Also, R1's and R4's Gini coefficients of 55-64 aged group were greater than 65 and over group's. ourth, variables affecting R1's stability of 55-64 aged group were household head's age, educatonal attainment and family type, while those of 65 and over group were household head's age, past economic experience and the number of children. There was no significant variable affecting R2's stability of 55-64 aged group, but there was only household head's pst economic experience affecting those of 65 and over group. The variable contributing to R3's stability of 55-64 aged group was residence while the variables of 65 and over group were household head's educational attainment, past economic experience and the number of children. The variables contributing to R4's stability of 55-64 aged group were the number of children and residence, and the number of children was one variable of contributing to R4's stability of 65 and over aged group.

• 한국지역사회생활과학회지
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• 제25권2호
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• pp.163-173
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• 2014

This study investigates the dietary risk factors in elderly individuals in rural Korea by focusing on the development of service programs that can improve their health. The sample included 1,000 free-living elderly individuals aged 65 and over in rural Korea. A three-stage stratified random sampling method based on 2010 Korean census data was employed. Data on the dietary status and the need for assistance in meal management were collected through face-to-face interviews. The dietary status was evaluated based on the Nutrition Screening Initiative (NSI) checklist, and the outcomes for three groups classified base on their family type were examined. According to NSI scores, more than 70% of the subjects faced some nutritional risk. The activities most requiring assistance in meal management included preparing meals (18.3%) and purchasing food items (11.7%). More than half of the subjects reported that having meals at community senior centers at least once a week. The results indicate that those subjects from single-individual households were most likely to face some nutritional risk and require, assistance in purchasing food items and preparing meals. In addition, these subjects were least likely to be satisfied with their health and dietary management. To improve the dietary status of elderly individuals in rural Korea, any service programs should facilitate their daily activities by focusing on improving their diet, particularly that of those from low-income, single-individual households.

• 한국사회복지학
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• 제65권3호
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• pp.183-206
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• 2013

본 연구는 한국노동패널 1~11차년도 자료를 이용하여 가구특성별로 빈곤가구의 빈곤지속기간을 실증 분석하였다. 이를 위해 먼저 이산시간위험률모형을 통해 빈곤탈피율과 빈곤재진입률을 추정하고 이들 확률을 결합하여 빈곤진입 이후의 빈곤지속기간을 추산하였다. 연구결과 빈곤진입가구의 절반가량은 1~2년의 단기빈곤층, 1/4정도는 5년 이상의 장기빈곤층, 나머지 1/4은 3~4년의 중기 또는 반복 빈곤층으로 분류되었다. 가구특성에 따라 빈곤지속기간에는 큰 차이가 나타나는데, 여성가구주가구, 노인가구, 가구주 교육수준이 낮은 가구, 배우자 없는 가구, 가구주나 가구원이 미취업이거나 임시/일용직에 종사하는 가구에서 장기빈곤층의 비중이 높았다. 이와 같은 결과는 빈곤층이 다양한 집단으로 구성되어 있으며, 이들의 특성을 보다 구체적으로 파악하여 각각에 알맞은 빈곤정책을 수립하여야 함을 시사한다.

• 노동경제논집
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• 제29권1호
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• pp.41-73
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• 2006

본 연구는 한국노동패널조사의 제 1차~6차년도의 자료를 이용하여 근로빈곤(working poor)의 규모 및 특성, 그리고 동태적 이행과정을 분석하고 있다. 분석결과 빈곤가구의 절반 이상이 근로빈곤(working poor)가구이며, 취업자가 있는 가구의 상당수는 빈곤상태에 놓여 있다. 그러나 근로빈곤가구는 빈곤의 진입과 이탈이 매우 활발하고 미취업가구에 비해 빈곤에 빠질 위험성이 낮으며, 빈곤에 빠지더라도 곧장 벗어날 확률이 높다. 가구주의 연령이 높고 저학력일수록 근로빈곤의 위험성이 높은 것으로 추정되고 있다. 또한, 임금근로가구에 비해 자영업가구와 임금 자영업 혼합가구의 근로빈곤 위험성이 높다. 근로빈곤의 해소를 위해 빈곤 취약계층의 능력개발과 좋은 일자리의 창출이 중요하다. 특히 좋은 일자리의 창출은 고용문제의 해결을 위해서뿐만 아니라 소득불평등의 완화를 위해서도 중요하다. 자영업가구에 대한 정책적 관심의 제고와 더불어 근로빈곤계층에 대한 합리적인 사회복지 지원책의 마련도 요구된다.

• 대한지역사회영양학회지
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• 제29권1호
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• pp.51-64
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• 2024

Objectives: This study examined the association between ultra-processed food (UPF) consumption and chronic diseases in elderly Koreans. Methods: Data from the 2019-2021 Korea National Health and Nutrition Examination Survey were analyzed. Dietary intake and UPF consumption were assessed using the NOVA food classification based on 24-hour recall data from 3,790 participants (aged 65+ years). Participants were divided into 4 groups based on the quartile of energy intake from UPFs. Regions were classified as urban or rural. Multivariable logistic regression was employed to estimate the adjusted odds ratios (AORs) with 95% confidence intervals (CIs) after controlling for potential confounders. Results: Among the participants, 71.3% resided in urban and 28.7% in rural areas. Compared to the urban elderly, rural participants tended to be older, have lower education and income levels, be more likely to live in single-person households, and have a higher smoking rate (P < 0.05). Urban elderly consumed more UPFs daily (146.1 g) compared to rural residents (126.6 g; P < 0.05). "Sugar-sweetened beverages" were the most consumed category in both regions. "Sweetened milk and its products" and "traditional sauces" were prominent in urban areas, while rural elderly consumed more "traditional sauces" and "distilled alcoholic beverages." Rural areas also had a higher carbohydrate-to-calorie ratio than urban areas. Compared to the lowest quartile of UPF intake, the highest quartile was significantly associated with impaired fasting glucose only in rural areas (AOR, 1.48; 95% CI, 1.00-2.19; P for trend = 0.0014). No significant associations were observed for diabetes in either urban or rural areas. Conclusions: This study suggests that high intake of UPFs is associated with increased odds of impaired fasting glucose in rural elderly. Further research is needed to elucidate the specific negative health effects of UPFs in different populations, and targeted efforts should promote healthy diets in both urban and rural areas.

• 대한예방한의학회지
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• 제14권1호
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• pp.37-48
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• 2010

Objective : The purpose of this research was to provide basic data for developing the collaborating care of Korean traditional medicine and western medicines by analyzing the perceptions of residents visiting local health centers on the collaborating care. Method : To this end, a self-administrated questionnaire was surveyed to 417 participants from March 10 to March 19, 2005. The questionnaires were regarding medical preferences, effectiveness, co-operative treatment types, and the demographic characteristics of the study population. The main statistical methods employed for analysis were frequency chi-square test analysis, using SPSS system 12.0 software for Windows. Result : First, the perceptions of collaborating care, such as preference and effectiveness, were better for residents who had experienced Korean traditional medicine(p < 0.05). Second, the most favorable collaborating care type was the neuromuscular disease and rehabilitation, and in particular, the preference of the patient who had experienced Korean traditional medicine was much higher than those who had not experienced it(p < 0.05). Third, as for recognizing the future of collaborating care, respondents insisted that collaboration care has to be conducted under evidence-based research. The reasons why collaborating care has not been active were reported as "difference in solving disease problems between oriental medicine and western medicine." The most important role of the Korean traditional medicines in the public sector was to provide specialized service for the elderly and low income households. Conclusion : Most respondents expected the positive effects of the collaborating care and wanted it to develop, particularly for neuromuscular diseases. As for the health promotion program in health centers, it was more popular than the home visiting program for the elderly and preventive rehabilitation for stroke. Now we must plan to balance between the need of the community and the medical provider on collaborating care.

• 한국병원경영학회지
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• 제21권4호
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• pp.55-62
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• 2016

Purposes: The industry has specialized and fragmented than in the past. As a factor of economic growth and industrialization, the number of people employed in primary industry decreased and the number of people employed in secondary and third industry continuously increased. In modern times, incidence of chronic disease is increasing according to industrial development. So, the purpose of this study was to analyze the chronic disease according to Clark's industrial classification. Methodology: Data were derived from the 2012 Korea Health Panel. The sample was made up of 7,132 adult participants aged 20 or over selected Korea Health Panel by probability sampling from Korea. Binary logistic regression analysis was conducted to examine the main factors associated with chronic disease. Findings: The significant factors associated with chronic disease were gender, age, marital status, household member, education level, insurance type, disability, BMI, and industrial classification. Female, elderly, divorced(including bereavement, missing and separation), one-person households, less than high school graduation, medical aid, disability, obese and primary industry were confirmed chronic disease increases. Practical Implications: The study finds that primary industry's prevalence of chronic disease was higher than secondary and third industry. Therefore, this study aims to management and effort of the worker who engaged in the primary industry. Policy development is required to address inequality or popularization of the differences in these factors by conducting a study to define the working conditions and socio-economic factors between industry.

• Journal of Preventive Medicine and Public Health
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• 제57권1호
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• pp.65-72
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• 2024

Objectives: Protecting people against financial hardship caused by illness stands as a fundamental obligation within healthcare systems and constitutes a pivotal component in achieving universal health coverage. The objective of this study was to analyze the prevalence and determinants of catastrophic health expenditures (CHE) in Iran, over the period of 2013 to 2019. Methods: Data were obtained from 7 annual national surveys conducted between 2013 and 2019 on the income and expenditures of Iranian households. The prevalence of CHE was determined using a threshold of 40% of household capacity to pay for healthcare. A binary logistic regression model was used to identify the determinants influencing CHE. Results: The prevalence of CHE increased from 3.60% in 2013 to 3.95% in 2019. In all the years analyzed, the extent of CHE occurrence among rural populations exceeded that of urban populations. Living in an urban area, having a higher wealth index, possessing health insurance coverage, and having employed family members, an employed household head, and a literate household head are all associated with a reduced likelihood of CHE (p<0.05). Conversely, the use of dental, outpatient, and inpatient care, and the presence of elderly members in the household, are associated with an increased probability of facing CHE (p<0.05). Conclusions: Throughout the study period, CHE consistently exceeded the 1% threshold designated in the national development plan. Continuous monitoring of CHE and its determinants at both household and health system levels is essential for the implementation of effective strategies aimed at enhancing financial protection.

• 한국조사연구학회지:조사연구
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• 제3권1호
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• pp.65-90
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• 2002

가구는 인구, 사회, 경제적으로는 물론 통계적으로 매우 중요한 단위이다. 전통적으로 가족주의에 기반을 둔 한국 사회가 최근산업화, 도시화 등의 영향으로 가구 구조에서 많은 변화를 겪고 있어, 장래 가구를 추정하는 것은 비단 산업이나 학문뿐 아니라 가족복지 정책을 수립하는데도 매우 중요하다. 장래가구를 추계하는 방법으로는 가구주율법이 단순하면서 자료에 대한 제한이 적을뿐더러, 한국 사회처럼 혼인 연령이 빠르게 상승하는 사회에 적합한 방법으로 나타났다. 장래 가구 주율은 가구주가 35세미만인 경우에는 선형로그식, 35세이상인 경우에는 순천이율(net transition rate)로 추정하는 것이 가장 바람직하였다. 장래 가구주율 추정결과를 보면, 남자는 35-39세까지 급격히 증가한 후 50-54세에 정점에 달하는 일봉(one peak)패턴을, 여자는 20대에 증가하다가 30-34세에 감소한 후 다시 증가하는 쌍봉(two peaks)패턴을 보였다. 한편 가구추계의 정도를 높이기 위해서는 20대 및 노인층을 중심으로 빠르게 늘어나는 1인 가구에 대해 가구형성과 해체 패턴을 좀 더 면밀히 검토할 필요가 나타났다.

• 한국산학기술학회논문지
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• 제19권1호
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• pp.497-505
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• 2018

이 연구의 목적은 중증질환자들을 대상으로 민간의료보험 가입자와 미가입자간의 특성을 파악하고, 가입 요인을 분석하기 위함이다. 연구도구는 2015년도 국민건강영양조사 자료를 이용하였으며, SPSS ver 23.0을 사용하였고, 연구 대상자는 19세 이상 중증질환자(암, 심장질환, 뇌혈관질환) 417명을 선정하였다. 분석방법은 민간의료보험 가입 현황과 차이를 파악하기 위해 교차분석을 실시하였고, 민간의료보험 가입에 미치는 요인을 분석하기 위해 이항 로지스틱 회귀분석을 실시하였다. 분석 결과 사회 인구학적 특성에서는 성별, 거주지, 혼인상태와 관계없이 나이가 젊을수록 높았다. 그리고, 사회 경제적 상태에서는 교육수준과 관계없이 가구소득이 높을수록, 의료급여대상자에 비하여 건강보험대상자의 가입률이 높았다. 건강행태에서는 주관적 건강 인식 및 걷기 실천과 무관하게 활동제한이 있는 집단의 민간의료보험 가입률이 낮았으며, 설명력은 51.7%이었다. 그러므로, 중증질환자 중 민간의료보험에 가입하지 못한 집단을 선별하여 생활환경 개선 및 지방자치단체의 지원을 촉구해야 할 것이다. 또한, 사회적 취약계층 및 건강행태에 제한 있는 집단을 대상으로 중증질환 예방을 위한 정부의 보건교육 또는 프로그램 제공 등 다양한 보건정책을 고려해야 할 것이다.