• Title/Summary/Keyword: inequality factors

Search Result 187, Processing Time 0.029 seconds

Socioeconomic Inequality in the Prevalence of Smoking and Smokeless Tobacco use in India

  • Thakur, Jarnail Singh;Prinja, Shankar;Bhatnagar, Nidhi;Rana, Saroj;Sinha, Dhirendra Narain;Singh, Poonam Khetarpal
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.14 no.11
    • /
    • pp.6965-6969
    • /
    • 2013
  • Background: Tobacco consumption has been identified as the single biggest cause of inequality in morbidity and mortality. Understanding pattern of socioeconomic equalities in tobacco consumption in India will help in designing targeted public health control measures. Materials and Methods: Nationally representative data from the India Global Adult Tobacco Survey (GATS) conducted in 2009-2010 was analyzed. The survey provided information on 69,030 respondents aged 15 years and above. Data were analyzed according to regions for estimating prevalence of current tobacco consumption (both smoking and smokeless) across wealth quintiles. Multiple logistic regression analysis predicted the impact of socioeconomic determinants on both forms of current tobacco consumption adjusting for other socio-demographic variables. Results: Trends of smoking and smokeless tobacco consumption across wealth quintiles were significant in different regions of India. Higher prevalence of smoking and smokeless tobacco consumption was observed in the medium wealth quintiles. Risk of tobacco consumption among the poorest compared to the richest quintile was 1.6 times higher for smoking and 3.1 times higher for smokeless forms. Declining odds ratios of both forms of tobacco consumption with rising education were visible across regions. Poverty was a strong predictor in north and south Indian region for smoking and in all regions for smokeless tobacco use. Conclusions: Poverty and poor education are strong risk factors for both forms of tobacco consumption in India. Public health policies, therefore, need to be targeted towards the poor and uneducated.

Stability Condition of Discrete System with Time-varying Delay and Unstructured Uncertainty (비구조화된 불확실성과 시변 지연을 갖는 이산 시스템의 안정 조건)

  • Han, Hyung-seok
    • Journal of Advanced Navigation Technology
    • /
    • v.22 no.6
    • /
    • pp.630-635
    • /
    • 2018
  • In this paper, we consider the stability condition for the linear discrete systems with time-varying delay and unstructured uncertainty. The considered system has time invariant system matrices for non-delayed and delayed state variables, but its delay time is time-varying within certain interval and it is subjected to nonlinear unstructured uncertainty which only gives information on uncertainty magnitude. In the many previous literatures, the time-varying delay and unstructured uncertainty can not be dealt in simultaneously but separately. In the paper, new stability conditions are derived for the case to which two factors are subjected together and compared with the existing results considering only one factor. The new stability conditions improving many previous results are proposed as very effective inequality equations without complex numerical algorithms such as LMI(Linear Matrix Inequality) or Lyapunov equation. By numerical examples, it is shown that the proposed conditions are able to include the many existing results and have better performances in the aspects of expandability and effectiveness.

Association between Residential Area and Unmet Healthcare Needs due to Physical Accessibility (거주지역에 따른 물리적 접근성으로 인한 미충족 의료경험)

  • Kim, Ji Eun;Hahm, Myung-IL
    • Health Policy and Management
    • /
    • v.31 no.2
    • /
    • pp.197-206
    • /
    • 2021
  • Background: The purpose of this study was to identify factors affecting unmet healthcare needs due to physical accessibility by residential area by utilizing the Korea Community Health Survey (KCHS). Methods: Andersen's medical service behavioral model was applied to analyze the enabling factors, predisposing factors, and needs factors of unmet healthcare needs focusing on residential areas. This study used data from the KCHS (2017-2019, n=440,792). We used multivariate survey logistic regression analysis in order to identify affecting factors. Sub-group analysis was conducted in order to evaluate the effects of residential areas. Results: Some participants (2,621, 0.59%) had experienced unmet healthcare needs due to physical accessibility and 2,047 subjects (78.1%) of them lived in rural areas. Multivariate survey logistic regressions revealed that experience of unmet healthcare needs due to physical accessibility increased when people lived in rural areas (odds ratio [OR], 3.95; 95% confidence interval, 3.46-4.51). Conclusion: This study showed that despite the development of transportation and efforts to alleviate medical inequality, residents in rural areas may still have higher experience of unmet healthcare needs due to physical accessibility compared to the metropolitan city regardless of any other sub-group differences (OR range, 1.90-6.31). This study suggested that government and policymakers should identify the causes of the experience of unmet healthcare needs due to physical accessibility and should develop policies to alleviate those healthcare disparities.

Effects of Korea's R&D Activities on Expansion of Contingent Job (우리나라의 연구개발활동이 비정규직 확산에 미치는 영향)

  • Loh, Jeunghwee
    • Journal of Science and Technology Studies
    • /
    • v.16 no.1
    • /
    • pp.29-61
    • /
    • 2016
  • This paper explains the one of the most problematic factor in the society that leads to social inequality - increase in non-regular work. Theoretically, this expansion of non-regular work can be explained by technologies that are designed to save the labor force, especially since corporations in Korea have strategies to replace the regular workers with temporary workers, to save money. OECD also noted that Korea's income inequality is pretty high in ranking when compared with the rest of the OECD members, and says that globalization and technological innovation are the factors of this problem. To refine the argument, this study also looks at relationship between development made in sciences - which can be stated as a proxy variable to look at the advances made in technology - and expansion of temporary work force by using VAR methodology. Based on the results of this analysis in the future temporary/regular workers ratio started with decline, then turn to rise. These temporary/regular workers ratio sustained growth prediction shows that the expansion of the temporary expansion contributes to instability and social inequality in the labor market and technological change are interrelated.

The Relationship between Socioeconomic Status and Health Inequality in Later Life: The Mediation Effects of Psycho-social Mechanisms (노인의 사회경제적 지위에 의한 건강불평등: 심리사회적 기제들의 매개효과 분석)

  • Chang, Sujie;Kim, Soo Young
    • 한국노년학
    • /
    • v.36 no.3
    • /
    • pp.611-632
    • /
    • 2016
  • Solutions for elderly health issues need to be found that take into account not only a medical perspective, but also interactions with social conditions such as socioeconomic status. With this in mind, this study aims to understand how socioeconomic status leads to health inequalities for the elderly. Specifically, this study investigates the mediating effects of socioeconomic status(income and education levels), health activities as an intermediary of the three dimensions of physical health(medical health, functional health, subjective health), accessibility of medical facilities, social participation, and social network. To test the research model, a secondary data analysis was conducted on the 2014 National Survey of Senior Citizens. The participants of the study were 10,451 elderly men and women aged 65 and above. To test the mediated model, hierarchical multiple regression analysis was conducted following the procedures suggested by Baron and Kenny(1986). In addition, a Sobel test was conducted to test the mediated model's significance. According to the analysis, the effects of income and educational levels on the health of the elderly were not the same. Additionally, different results were found depending on health dimensions. However, the overall direction of the results showed that the socioeconomic status of the elderly creates health disparities, and health behaviors, accessibility of medical facilities, social participation, and social network had significant mediation effects between socioeconomic status and physical health. Study findings especially worth noting are as follows: education was shown to have a stronger effect on health than income; effects of social integration factors such as social participation were highlighted; and significant mediating effects on the accessibility of medical facilities remained even after taking residential area into account. Results of this study shed light on health inequality mechanisms due to socioeconomic conditions and the need to find alternatives to alleviate these problems.

Analysis of dental utilization and expenditure of patients with chronic diseases

  • Kim, Yun-Jeong
    • Journal of Korean society of Dental Hygiene
    • /
    • v.20 no.2
    • /
    • pp.129-137
    • /
    • 2020
  • Objectives: Using the annual data from the 2016 Korean Health Panel, this study aims to identify the factors that affect the dental utilization and expenditure of patients with chronic diseases, and to provide basic data to explain the inequality gap in dental utilization. Methods: The dental utilization and expenditure of 3,557 patients with chronic diseases were analyzedfor frequency using the SPSS Windows version 23.0 (SPSS Inc. IL, USA). Analysis of the factors that affect dental utilization and expenditure were performed using a multiple regression analysis. The level of statistical significance was 0.05. Results: The frequency of dental utilization in patients with chronic diseases was high for subjects who were younger than 65 years and those whose education level was below high school. The frequency of dental utilization was relatively lower for subjects who did not have disabilities and those with healthier subjective health status. The dental expenditure of patients with chronic diseases was higher in subjects who were younger than 65 years and those with greater household income. Conclusions: The above findings suggest that a plan is needed to control dental utilization by efficiently managing chronic diseases, and that a policy-based plan is needed to devise ways to supplement the uninsured medical expenses of dental care.

Health Inequalities in Korea: Current Conditions and Implications (한국 건강불평등의 현황과 문제점)

  • Kim, Yu-Mi;Kim, Myoung-Hee
    • Journal of Preventive Medicine and Public Health
    • /
    • v.40 no.6
    • /
    • pp.431-438
    • /
    • 2007
  • Objectives : The aim of this study is to summarize the current conditions and implications of health inequalities in South Korea. Methods : Through a literature review of empirical studies and supplementary analysis of the data presented in the 1998, 2001, and 2005 KNHANEs, we evaluated the extent and trends of socioeconomic inequalities in both health risk factors, such as smoking, physical activity, and obesity, and outcomes, such as total mortality, subjective poor health status by self-reports and metabolic syndrome. Relative risks and odds ratios were used to measure differences across socioeconomic groups, and the relative index of inequality was used to evaluate the changes in inequalities over time. Results : We found clear inequalities to various degrees?in most health indicators. While little change was observed in mortality differences over time, the socioeconomic gaps in risk factors and morbidity have been widening, with much larger differences among the younger population. Conclusions : Socioeconomic inequalities are pervasive across various health indicators, and some of them are increasing. The trends in socioeconomic inequalities in health should be carefully monitored, and comprehensive measures to alleviate health inequalities are needed, especially for young populations.

An Optimal Path Generation Method considering the Safe Maneuvering of UGV (무인지상차량의 안전주행을 고려한 최적경로 생성 방법)

  • Kwak, Kyung-Woon;Jeong, Hae-Kwan;Choe, Tok-Son;Park, Yong-Woon;Kwak, Yoon-Keun;Kim, Soo-Hyun
    • Journal of the Korea Institute of Military Science and Technology
    • /
    • v.13 no.6
    • /
    • pp.951-957
    • /
    • 2010
  • An optimal path generation method considering the safety of UGV(Unmanned Ground Vehicle) is proposed and demonstrated through examples. Among various functions of UGV, real-time obstacle avoidance is a key issue to realize realistic scenario in FCS(Future Combat Systems). A two-dimensional narrow corridor environment is considered as a test field. For each step of UGV movement, two objectives are considered: One is to minimize the distance to the target and the other to maximize the distance to the nearest point of an obstacle. A weighted objective function is used in the optimization problem. Equality and inequality constraints are taken to secure the UGV's dynamics and safety. The weighting factors are controlled by a fuzzy controller which is constructed by a fuzzy rule set and membership functions. Simulations are performed for two cases. First the weighting factors are considered as constant values to understand the characteristics of the corresponding solutions and then as variables that are adjusted by the fuzzy controller. The results are satisfactory for realistic situations considered. The proposed optimal path generation with the fuzzy control is expected to be well applicable to real environment.

Analysis of health inequality by the type of employment on health among employees - Pathway of the effect via the exposure of hazardous factors - (임금근로자의 고용형태에 따른 건강수준의 차이 분석 - 유해위험요인 노출을 경유한 영향 경로 -)

  • Rhee, Kyung Yong
    • Journal of the Korea Safety Management & Science
    • /
    • v.16 no.2
    • /
    • pp.81-90
    • /
    • 2014
  • Flexible production system has been expanded to all sectors of economy with the change of labor market and diversification of employment. The unstable employment with irregular work has replaced stable employment with regular work. This study has investigate the impact pathway of the type of employment on health status especially ill-health symptoms experiences. Among the first Korean Working Conditions Survey data, the employee's response data was used to analyze the path way with multiple regression analysis. The result has shown the direct effect of the type of employment on ill-health symptoms experience. Indirect effect of the type of employment was found the pathway via the exposure to noise, high temperature, low temperature, dust, skin contact to chemicals, painful posture, heavy material handling, standing position, repetitive movement of hands. However the exposure to the other hazardous factors such as organic solvent, wholebody vibration, radiation, lifting people, infectious materials were not influenced by the type of employment.

Physical and Mental Health Differential by Income Level Amongst the Divorced: A Focus on Midlife Divorce

  • Cha, Seung-Eun;Han, Gyoung-Hae
    • International Journal of Human Ecology
    • /
    • v.7 no.2
    • /
    • pp.111-124
    • /
    • 2006
  • The purpose of this study was to analyze the differences in the health status of the divorced population according to their income status and to explain the social mechanisms. By analyzing 287 midlife men and women divorced within the last 5 years, we found a strong inverse relationship between their health and income status: the low-income divorced group was more liable to depression and poor physical health. Lack of social connections and having less hope for remarriage after getting a divorce were main factors explaining health vulnerability of the low income group among divorced. Further details have been discussed.