Nam Kyung-Hui;Kim Young-Mee;Lee Go-Eun;Lee Yu-Na;Joung Hyo-Jee
Korean Journal of Community Nutrition
/
v.11
no.2
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pp.172-179
/
2006
Since the economic crisis in 1997, the number of low income families has increased and the turmoil is likely to affect nutritional and health status of the children in low-income families. The purpose of this study was to investigate dietary behaviors and physical development of low income family children in the Seoul area. The subjects were 44 boys and 56 girls, between the ages of 7 and 12 years, from the beneficiary families of the governmental assistant program and enrolled in after school-care centers. A self-reported questionnaire, including general characteristics and dietary behaviors, was applied to the children and their parents. Skipping meal rate was higher in breakfast than in lunch or dinner, and was less frequent in parents and children families compared to that of the other types of families (p<0.05). Most students are shown that they usually keep the dietary guideline for Korean children. There were significant differences in keeping the dietary guidelines between the parents and children family group and other groups in several items. The results imply that the nutrition education program should be more focused on the families which are not composed of parents and children.
Objectives: To relieve the financial burden faced by households, the Korean National Health Insurance (NHI) system introduced a "copayment ceiling," which evolved into a differential ceiling in 2009, with the copayment ceiling depending on patients' income. This study aimed to examine the effect of the differential copayment ceiling on financial protection and healthcare utilization, particularly focusing on whether its effects varied across different income groups. Methods: This study obtained data from the Korea Health Panel. The number of households included in the analysis was 6555 in 2008, 5859 in 2009, 5539 in 2010, and 5372 in 2011. To assess the effects of the differential copayment ceiling on utilization, out-of-pocket (OOP) payments, and catastrophic payments, various random-effects models were applied. Utilization was measured as treatment days, while catastrophic payments were defined as OOP payments exceeding 10% of household income. Among the right-hand side variables were the interaction terms of the new policy with income levels, as well as a set of household characteristics. Results: The differential copayment ceiling contributed to increased utilization regardless of income levels both in all patients and in cancer patients. However, the new policy did not seem to reduce significantly the incidence of catastrophic payments among cancer patients, and even increased the incidence among all patients. Conclusions: The limited effect of the differential ceiling can be attributed to a high proportion of direct payments for services not covered by the NHI, as well as the relatively small number of households benefiting from the differential ceilings; these considerations warrant a better policy design.
Journal of Family Resource Management and Policy Review
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v.17
no.1
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pp.81-102
/
2013
The purpose of this study was to investigate the work-family reconciliation level of married women in double-income households. Specifically, the study aimed to test the positive spillover effects, asymmetry, and differential functions of work-family reconciliation. The study thus analyzed 1,114 married women in double-income households in the third-year data of the Korean Longitudinal Survey of Women and Families (KLoWF) done by Korean Women's Development Institute (KWDI), with the exception of those who were separated, divorced, or widowed from their husbands. The data were put to descriptive statistics, frequency analysis, and exploratory factor analysis using SPSS 20.0 for Windows. AMOS 20.0 was used to test the hypothesis on positive spillover effects, asymmetry, and differential functions. The analysis results confirm that work-family conflict, family-work conflict, work-family facilitation, and family-work facilitation are different concepts, thus supporting the hypothesis on positive spillover effects. Secondly, the negative effects of family on work were greater than those of work on family, whereas the positive effects of family on work were greater than those of work on family, which finding partially supported the hypothesis on asymmetry among the components of work-family reconciliation. Finally, the married women in double-income households with preschool children experienced more work-family conflict and family-work conflict than those with no preschool children, which result supported the hypothesis on differential functions between the two groups of women. The findings were combined to provide implications for the utilization of family resources, policies for work-family reconciliation, and plans for institutional supports to promote the work-family reconciliation of married women in double-income households.
Tze, Christina Ng Van;Fitzgerald, Henry;Qureshi, Akhtar;Tan, Huck Joo;Low, May Lee
Asian Pacific Journal of Cancer Prevention
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v.17
no.7
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pp.3179-3183
/
2016
The aim of this study was to assess the rate of uptake of a customised annual Colorectal Cancer Awareness, Screening and Treatment Project (CCASTP) using faecal immunohistochemical test (FIT) kits in low income communities in Malaysia. The immediate objectives were (1) to evaluate the level of adherence of CRC screening among low-income groups, (2) to assess the knowledge and awareness of the screened population and (3) to assess the accuracy of FIT kits. A total of 1,581 FIT kits were distributed between years 2010 to 2015 to healthy asymptomatic participants of the annual CCASTP organized by Empowered - the Cancer Advocacy Society of Malaysia. Data for socio-demographic characteristics, critical health and lifestyle information of the registered subjects were collected. Findings for use of the FIT kits were collected when they were returned for stool analyses. Those testingd positive were invited to undergo a colonoscopy examination. A total of 1,436 (90.8%) of the subjects retuned the FIT-kits, showing high compliance. Among the 129 subjects with positive FIT results, 92 (71.3%) underwent colonoscopy. Six cases (6.5%) of CRC were found. Based on the data collected, the level of awareness of stool examination and knowledge about CRC was poor amongst the participants. Gender, age group, ethnicity and risk factors (i.e. smoking, lack of exercise and low consumption of fresh fruits) were associated with positive FIT-kit results. In conclusion, CRC screening can be performed in the community with a single FIT-kit. Although CRC knowledge and awareness is poor in low-income communities, the average return rate of the FIT kits and rate of colonoscopy examination were 91.2% and 70.3%, respectively.
This study purported to acquire information necessary to improve the operational efficiency of general hospitals. It tried to determine major indices which represent managerial performance of general hospitals and to identify the managerial characteristics of general hospital which affect the major financial indices. 201 hospitals which were subject to standardization audit by the Korean Hospital Association were investigated and 80 hospitals were finally chosen for this study. Their financial and managerial data during the period between January 1991 and December 1991 were collected. Considering financial indices in this study were the ration of net income to total asset, income growth rate, and quick ration. The results of study are summarized as followings. First. The ration of net income to total assets and quick ration were highly related to managerial characteristics of general hospitals. Therefore, the standardization of three financial indices should be needed to systematically check the operational efficiency of general hospitals. Second, the sample hospitals can be classified as four groups on the basis of their financial indices' level. 4 of those hospitals(5.0%) showed high level of performance in terms of three financial indices and 27 of them(33.7%) showed that they are highly related to only two financial indices. 34 hospitals(42.5%) showed they have high level of relationship with only one indices and 15 hospitals(18.8%) showed very weak performance level with three indices. In addition, there is no hospitals to show mid-range level of managerial performance in relation to all three financial indices. Third, there is no significant relationship between three financial indices and the managerial characteristics of hospitals such as the number of beds, type of operation, location of hospitals, and etc. However, in the case of hospitals which have high level of managerial performance, they have more specialists and medical support personnel in comparison to low performance hospitals. They also have high level of bed occupancy rate and average length of stay(ALOS). In conclusion, the study showed the standardization of 3 financial indices are necessary to systematically evaluate the managerial performance of general hospitals and provide more accurate operational information for each hospital. To do so, it is necessary to focus on management side of hospital such as the effective human resource management and quality enhancement of medical treatment.
Park, Jiyoung;Park, Youngsook;Lee, Jeongeun;Kim, Soobin
Child Health Nursing Research
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v.23
no.2
/
pp.158-167
/
2017
Purpose: The purpose of this study was to investigate the ecological factors influencing school adjustment of adolescents from low-income families. Methods: Secondary data analysis was performed using data of 1,321 low-income adolescents in 123 regions found on the Survey on Service Satisfaction with Community Child Care Center. Results: The results of multi-level analysis identified the factors influencing school adjustment of low-income adolescents as follows: individual-level factors were gender, grade in school, and emotional problem; an interpersonal-level factor was family structure; organizational-level factors were length of time attending center and satisfaction with the service of the center; community-level factors were region and perception of community. Conclusion: The results suggest that low-income adolescents' adjustment to school is influenced not only by individual factors but also by diverse environmental factors. Community factors suggest that more education support systems and leisure facilities for adolescents need to be built in small and medium cities. Strategies to enhance positive perception of community are also needed for this population. Further, it is necessary to develop multi-level interventions to improve the school adjustment of adolescents from vulnerable social groups.
The purpose of this study is to analyze the factors influencing poverty in the elderly under the income maintenance, focusing on labor. Accordingly, a Panel Logit Analysis was conducted based on the 7th to 16th data of the Korean Welfare Panel. The analysis results are as follows. First, even if demographic, economic, and health variables affecting elderly poverty are controlled, National Pension and Special Occupational Pension among the income maintenance are negatively related to elderly poverty. On the other hand, it was found that the amount of Basic Pension and National Basic Living Security were positively related to poverty for the elderly. Second, it was found that if the elderly receiving national basic living security work, there is a high possibility of poverty. This raises the need to restructuring the Basic Pension, and suggests that it is necessary to combine the National Basic Living Security with the elderly job policy. Finally, in order to alleviate overall elderly poverty, it is suggested to rebuild the multi-pillar old-age income security system, including Basic Pension and Retirement Pension.
The purpose of this study is to introduce the concept of community resilience to rural society and build an index suitable for the reality of rural areas. Furthermore, by calculating the importance of evaluation factors, it was attempted to present priorities and alternatives for each evaluation factor. By stratifying the derived indicators, a survey was conducted targeting 20 researchers, practitioners, and public officials, three groups of experts working in rural areas who were well aware of the realities and problems of rural areas. In the survey, a pairwise comparison was performed to compare factors 1:1 to calculate the importance, and for rational and consistent decision-making, decisions were made in the 9-grade section. Using the collected data, consistency analysis that can evaluate reliability in the decision-making process and the relative weight of evaluation factors were calculated through AHP analysis. As a result of the analysis, as a result of examining the priority of final importance by summarizing the importance of all evaluation factors, 'Income creation using resources' > 'Population Characteristics' > 'Tolerance' > 'External Support' > 'Social Accessibility' > 'Physical Accessibility' > 'Community Competence' > 'Infrastructure' > 'Leader Competence' > 'Natural Environment' was derived in the order. In the study dealing with urban community resilience indicators, social aspects such as citizen participation, public-private cooperation, and governance were presented as the most important requirements, but this study differs in that the 'income creation' factor is derived as the most important factor. This can be seen through the change in the income difference between rural and urban areas. The income structure of rural areas has changed rapidly, and it is now reaching a very poor level, so it is necessary to prepare alternatives to 'income creation' in the case of rural areas. Unlike urban indicators, 'population characteristics' and 'tolerance' were also derived as important indicators of rural society. However, there are currently no alternatives to supplement the vulnerability by strengthening the resilience of rural communities. Based on the priority indicators derived from the study, we tried to suggest alternatives necessary for rural continuity in the future so that they can be supplemented step by step.
Kim, Dong Ho;Chung, You Nam;Park, Young Seok;Min, Kyung Soo;Lee, Mou Seop;Kim, Young Gyu
Journal of Korean Neurosurgical Society
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v.59
no.2
/
pp.149-153
/
2016
Objective : The aim of the present study is to estimate the incidence trend of head injury and the mortality based on traffic accident statistics and to investigate the impacts of rapid industrialization and economic growth on epidemiology of head injury in Korea over the period 1970-2012 including both pre-industrialized and post-industrialized stages. Methods : We collected data of head injury estimated from traffic accident statistics and seven hospital based reports to see incidence trends between 1970 and 2012. We also investigated the population structure and Gross National Income (GNI) per capita of Korea over the same period. The age specific data were investigated from 1992 to 2012. Results : The incidence of head injury gradually rose in the 1970s and the 1980s but stabilized until the 1990s with transient rise and then started to decline slowly in the 2000s. The mortality grew until 1991 but gradually declined ever since. However, the old age groups showed rather slight increase in both rates. The degree of decrease in the mortality has been more rapid than the incidence on head injury. Conclusion : In Korea during the low income stage, rapid industrialization cause considerable increase in the mortality and the incidence of head injury. During the high income stage, the incidence of head injury gradually declined and the mortality dropped more rapidly than the incidence due to preventive measures and satisfactory medical care. Nevertheless, the old age groups revealed rather slight increase in both rates owing to the large population structure and the declining birth rate.
As a society is becoming more and more complicated people living in modern times are experiencing more stresses for various reasons. Some past research results proved the role of clothing in reducing the stresses. The purpose of this study is to investigate how the preference of the mini-style which is recently most fashionable styles is related to the psychological factors such as stress and body satisfaction. Measure Instrument were Nolmes and Masuda(1973)'s SRRS(Social Readjustment Rating Scal) Secord and Jourard(1953)' Body Cathexis Scale and mini-style preference scale by author Survey questionnaires were distributed to two hundred seventy adult women living in Seoul area during may 25 1992. through June 8. 1992. The age range of the subjects was from 30 to 49 The final number of subjects in-cluded in the statistical analysis was 244. The result and conclusions are as follows: 1. Significant difference was existed in mini-style preference between high and low body satisfaction groups. Mini-style was pre-ferred by high body satisfaction group than low body satisfaction group. 2, Significant difference was existed in mini-style preference between high and low stress groups. Mini-style was preferred by low stress group than high stress group. 3. Regarding demographic characteristics unmarried 2 year college graduates with low family income in their early 30's pref. mini-style. 4. There was a marginal interaction effect of demographic characteristics on the relation-ship between mini-style preference and body satisfaction. The higher preference and body satisfaction. The higher preference for mini-style was found for the higher body satis-faction group mostly with the age range of 35 to 39 married 4 year college graduates as drop-puts and mid less income group. 5. There was a marginal interaction effect of demographic variables on the relatonship be-tween mini style preference and stress level The higher preference for mini-style was re-lated to the low stress level group mostly with age group of 35 to 44 high school graduates or lower and highest income group regardless of their marital status. In sum mini-style seems to be preferred by women who feel relatively less stress and are more satisfied with their bodies thus psycho-logically stable.
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