• Title/Summary/Keyword: health gap

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A Study on the Lower Body Shape and Life Status of Elderly Women according to the Progress Group of Varus (노년 여성의 내반슬 진행집단에 따른 하반신 형태 및 생활실태 분석)

  • Jang, Ji Hyeon;Lee, Jeong Ran
    • The Korean Fashion and Textile Research Journal
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    • v.21 no.3
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    • pp.326-335
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    • 2019
  • This study categorized 100 female subjects over 65 years of age into two groups. The first group is called 'early stage of varus', which is when the gap between the knees is less than 5 cm. The second group is called 'progressive varus', which is when the gap between knees is 5 cm (or more). We then analyzed their lower body shapes and life status. The results were as follows. The average gap between knees in the early stage group and the progressive group was 3.3 cm and 6.2 cm. Direct and indirect measurements of their lower bodies showed that subjects in the progressive group had longer legs than the other group because their legs were bent outwards. Most of the subjects were found to live in western housing conditions, but maintained sedentary lifestyles. A total of 60% of the subjects thought that they were in bad health conditions and said that they found it difficult to move their knees dynamically; in addition, 63.6% of the subjects in the early stage group and 73.5% of the subjects in the progressive group suffered from arthritis. Subjects in the progressive group were more aware than the other group that their legs were bent outwards. They also responded that bent legs do harm to their appearance and make their lives uncomfortable. Most senior females with varus did not seek medical treatment and did not buy clothes that can help change their varus. However, 95% of the subjects responded they were in need for clothes that could straighten the varus-type.

Differences in Health Behaviors among the Social Strata in Korea (우리나라의 사회계층별 건강행태의 차이)

  • Moon, Ok-Ryun;Lee, Sang-Yi;Jeong, Baek-Geun;Lee, Sin-Jae;Kim, Nam-Sun;Jhang, Won-Ki;Yoon, Tae-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.4
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    • pp.469-476
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    • 2000
  • Objectives : To analyze differences in health behaviors among the social strata in Korea by using the 1995 National Health and Health Behavior Survey Data. Methods : Study Participants numbered 2,352 men and 1,016 women aged between 15-64 years old, with housewives, students and non-waged family workers excluded. Health behaviors in this study were defined according to the recommendations of the Alameda 7 study. The measure of health behaviors was based on the Health Practices Index(HPI; 0-5 range, with the exclusion of snacking between meals and regularly eating breakfast) developed by the Alameda County research. The significance of the relationship between social strata and HPI was assessed by considering the adjusted means from the multi-variate model. Results : For men, incidence rates of never having smoked, no/moderate use of alcohol, regular exercise, and regular 7-8 hours sleep per night were higher in the upper social strate. Meanwhile, for women, incidence rates of never having smoked, no/moderate use of alcohol, appropriate weight, regular exercise, and regular 7-8 hours sleep per night were higher in the upper strata. HPI varied significantly among social strata in both sexes (p<0.001), a result which held true when adjusted for age, education, income, social insurance type, marital status and region. Conclusions : Health behaviors assessed by Health Practices Index(HPI) varied significantly among social strata for both sexes. Therefore, the existing gap in health behaviors among social strata can be corrected more effectively by target oriented health promotional activities.

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Multilevel Analysis of Factors Associated with Perceived Good Health and Multimorbidity among Older Adults: Using the 2017 Community Health Survey

  • Boo, Sunjoo;Han, Young Ran;Choi, Hye Young
    • Research in Community and Public Health Nursing
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    • v.31 no.spc
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    • pp.549-562
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    • 2020
  • Purpose: This study aimed to identify individual- and regional-level factors associated with perceived good health and multimorbidity among older adults. Methods: Secondary analysis of the 2017 Korea Community Health Survey was conducted on a sample of 67,532 older adults. The individual level data set was combined with regional-level factors from the administrative data released on the Korea National Statistical Office website. Distribution of perceived good health and multimorbidity in 254 public health centers were calculated using sampling weights and presented as percentages. Multilevel logistic regression analyses were used to identify individual- and regional-level factors associated with perceived good health and multimorbidity. Results: Overall, 21.1% of subjects perceived their health to be good, ranging from 9.3% to 39.4% by region. The prevalence of multimorbidity was 15.9%, and varied between 6.6% and 22.6% by region. At the individual level, perceived good health was associated with men, younger age, higher educational levels, higher income levels, and those married and living with a partner and maintaining a healthy lifestyle. At the regional level, higher rates of health center personnel among public officials and higher levels of financial independence were associated with perceived good health. Multimorbidity was associated with marital status and healthy lifestyle, and higher rates of health center personnel among public officials. Conclusion: Regional factors such as health care personnel and local economy could affect population health. Our findings suggest the need to consider individual- and regional-level factors to promote good health among older adults and reduce the health gap by region.

A Study on the Change of Dental Scaling Experience in Some Areas after Applying Scaling Insurance (스케일링 보험적용에 따른 일부지역의 스케일링 경험 변화 연구)

  • Park, Il-Soon
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.387-397
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    • 2017
  • The purpose of this study is to investigate the regional change of dental scaling experience by scaling insurance coverage in July, 2013. The data were used in the "Community Health Survey" of the 2012 and 2014. The results of the study are as follows; 1) The subjective oral health status and brushing of lunch was highest in Gangnam-gu in both 2012 and 2014(p<0.001). 2) Regular dental check-up was high in Gangnam-gu in both 2012 and 2014(p<0.001). 3) The Scaling experience rate increased in all three regions(p<0.001). 4) The socio-demographic characteristics and scaling experience were higher in 2012 and 2014(p<0.001). The scaling experience was higher when there were office workers and spouses(p<0.001). From the policy perspective, it seems necessary to take measures to reduce the gap in scaling experience rate due to differences in income and unequal medical environment.

The Effects of the Parents' Social Class on Infant and Child Death among 1995-2004 Birth Cohort in Korea (우리나라의 1995-2004년도 출생코호트에서 부모의 사회계급이 영아사망률과 소아사망률에 미치는 영향)

  • Oh, Ju-Hwan;Choi, Yong-Jun;Kong, Jeong-Ok;Choi, Ji-Sook;Jin, Eun-Jeong;Jung, Sung-Tae;Park, Se-Jin;Son, Mi-A
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.6
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    • pp.469-476
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    • 2006
  • Objectives : To investigate the effect of parents' social class on infant and child mortality rates among the birth cohort, for the period of transition to and from the Koran economic crisis 1995-2004. Methods : All births reported to between 1995 and 2004 (n=5,711,337) were analyzed using a Cox regression model, to study the role of the social determinants of parents in infant and child mortality. The results were adjusted for the parents' age, education and occupation, together with mother's obstetrical history. Results. The crude death rate among those under 10 was 3.71 per 1000 births (21,217 deaths among 5,711,337 births) between 1995 and 2004. The birth cohorts from lower educated parents less than elementary school showed higher mortality rates compared with those from higher educated parents over university level (HR:3.0 (95%CI:2.8-3.7) for father and HR:3.4 (95%CI:3.3-4.5) for mother). The mother's education level showed a stronger relationship with mortality among the birth cohort than that of the fathers. The gaps in infant mortality rates by parents' social class, and educational level became wider from 1995 to 2004. In particular, the breadth of the existing gap between higher and lower parents' social class groups has dramatically widened since the economic crisis of 1998. Discussions : This study shows that social differences exist in infant and child mortality rates. Also, the gap for the infant mortality due to social class has become wider since the economic crisis of 1998.

A Study on the Regional Difference of Obesity in the Social Vulnerabilities -Focused on the Suwon City (사회취약계층 비만의 지역 격차에 관한 연구 -수원시를 중심으로)

  • Kim, Han-Yee;Kim, Yong-Jin
    • The Journal of the Korea Contents Association
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    • v.19 no.4
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    • pp.682-689
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    • 2019
  • This study aims to spatialize the gap between obesity levels through the body mass index, an objective indicator of the level of health among vulnerable people. Thus, areas where the BMI showed cluster patterns with spatial high and low values were extracted and the characteristics of the region were analyzed. The analysis showed that the I statistics for the obesity rate were 0.07 and the z-score was 4.39, confirming spatial autocorrelation. For z-score, it was much larger than the maximum threshold of 2.57. This means that the rate of obesity among the socially vulnerable is regional, and this gap is spatially significant. The results of comparing and analyzing the local environment for these areas of obesity and health care were found to be areas with poor public transportation, less readily available parks, and a concentration of single and multi-generation housing. The analysis results of this study are meaningful in that they provide spatial implications for the health of the socially vulnerable class that previous studies have neglected.

Risk Assessment of Azoxystrobin Residues in Fresh Crown Daisy from Farm to Fork (생산단계에서 소비단계 생식 쑥갓의 azoxystrobin 잔류량에 따른 위해성 평가)

  • Sun-Woo Ban;A-Yeon Oh;Hee-Ra Chang
    • Korean Journal of Environmental Agriculture
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    • v.42 no.2
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    • pp.131-138
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    • 2023
  • The biological half-life and dissipation rate of azoxystrobin in crown daisy were calculated to establish the pre-harvest residue limits (PHRLs). The pesticide residues were calculated after washing with five different processes to propose an effective process in the household and conducted a risk assessment to confirm dietary safety. Azoxystrobin was sprayed according to the critical good agricultural practices (cGAP) in two different field trials, and the samples were harvested 7 times. The limit of quantitation was 0.02 mg/kg, and the mean recoveries of azoxystrobin were within the range of 70~120% with below 20% coefficient variation at the concentration of 0.02 and 0.2 mg/kg . The biological half-lives were 7.4 and 4.7 days, and the dissipation rate constants were 0.0872 and 0.1217 in fields 1 and 2, respectively. The average removal rates were 58.13~78.13% by the different washing processes, and there were significant differences between the washing processes (one-way ANOVA analysis and post-hoc Duncan test, p-value<0.05). The residues of azoxystrobin in crown daisy were safe levels from farm to fork after application with the critical good agricultural practice (cGAP) registered in Korea.

Identifying the Types of Collaboration in Community Health Promotion (지역사회 건강증진사업의 협력유형 분류)

  • Jang, Myung-Wha;Cho, Won-Sup;Yoon, Nan-He;Kwak, Min-Son;Yoo, Seung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.26 no.3
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    • pp.125-135
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    • 2009
  • Objectives: This study attempts to identify and categorize the types of collaboration that community health centers in Seoul planned to form in order to conduct health promotion programs. Methods: A content analysis was performed by reviewing the Phase 4 Community Health Plans for 2007-2010 of the 25 districts in Seoul. Results: In total, 614 cases of collaboration were identified which the community health centers in Seoul had planned for 2007-2010. These cases were grouped into 10 categories of collaboration activities: offering direct services through external venues utilizing external facilities; providing health education materials to partner agencies promoting health messages through media; running committees with collaborators inviting external experts; participating in external events; referring clients to external health services; connecting services; and miscellaneous. These types and cases were compared across community health promotion programs. Conclusion: Collaboration and partnership should be clearly defined for community health research and practice. Further research is needed to investigate the potential gap between plans for collaboration and actual collaboration activities, and to develop Korean models for collaboration building for community health promotion.

A Survey on the Level and Related Factors of Health Literacy in Korean People (우리나라 국민의 건강정보이해력 수준과 사회경제적 특성 및 건강행태와의 관계)

  • Kim, Junho;Park, Chong Yon;Kang, Shinhee
    • Health Policy and Management
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    • v.29 no.2
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    • pp.146-159
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    • 2019
  • Background: The purpose of this study is to measure the Korean health literacy level and to analyse its gaps according to the factors of socioeconomic and health status and health behaviors. Based on this, policy implications were reviewed to improve the understandability on health information and to reduce the gap among socioeconomic groups. Methods: HLS-EU-Q47, a tool developed by the European Health Literacy Project, was used to conduct a face-to-face interview survey on the health literacy for the samples from general population. Results: The public general health literacy (HL) index was 34.5 out of 50. HL is consisted of three sub-dimensions: healthcare (HC-HL), disease prevention (DP-HL), and health promotion (HP-HL). And a HL analysis found scores of 34.7 points for HC-HL, 35.4 points for DP-HL, and 33.3 points for HP-HL. The level of all HL was different according to socioeconomic characteristics and health behavior. Conclusion: Based on the results of this study, more research activities on health-related literacy need to be conducted, and monitoring system on the HL level needs to be developed and implemented. In addition, a program to improve HL levels needs to be developed in order to strengthen the basis for a more sustainable healthcare system as an agenda with national health policy priority.

Current Epidemiological Data on Asthma Management in South Korea from Qualitative Assessment of Asthma Management by Health Insurance Review and Assessment Service (HIRA)

  • Kim, So Ri;Lee, Yong Chul;Sung, Myung Ju;Bae, Hye Won
    • Tuberculosis and Respiratory Diseases
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    • v.80 no.3
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    • pp.221-225
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    • 2017
  • Since 2015, the Health Insurance Review and Assessment Service (HIRA) has performed annual qualitative assessments of asthma management provided by all medical institutions that care for asthma patients in Korea. According to the third report of qualitative assessment of asthma management in 2017, the assessment appears to have contributed to improving the quality of asthma care provided by medical institutions, especially primary clinics. However, there is still a gap between the ideal goals of asthma management and actual health care policies/regulations in real clinical settings, which leads to the state of standstill with respect to the quality of asthma management despite considerable efforts such as the qualitative assessment of asthma management by national agencies such as the HIRA. At this point, a harmonized approach is needed to raise the level of asthma management among several components including medical policies, efforts of academic associations such as education and distribution of the guideline for management, and reliable financial support by the government.