• Title/Summary/Keyword: inequality factors

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The Relationship between Regional Material Deprivation and the Standardized Mortality Ratio of the Community Residents Aged 15-64 in Korea (우리나라에서의 지역의 물질적 결핍수준과 15-64세 인구 표준화사망비의 관계)

  • Jeong, Baek-Geun;Jung, Kap-Yeol;Kim, Joon-Youn;Moon, Ok-Ryun;Lee, Yong-Hwan;Hong, Young-Seoub;Yoon, Tae-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.1
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    • pp.46-52
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    • 2006
  • Objectives: This study was performed to investigate the relationship between regional material deprivation and the standardized mortality ratios(SMRs) of community residents aged 15-64 in Korea. Methods: SMRs were investigated using the registered death data from 1995 to 2000 that was obtained from the Korean National Statistics Office with the denominators being drawn from the 1995 to 2000 census. Material deprivation was measured using the Townsend score that was calculated from the 1995 to 2000 census. The relationship between the regional material deprivation and the SMRs of the community residents aged 15-64 was investigated by using ANOVA, Spearman's rank correlation analysis and Pearson's correlation analysis. The trends in mortality inequality were investigated using the concentration index. Results: On the ANOVA, the SMRs of the men and women residents in the least deprived areas were the smallest and those in the most deprived areas were the largest. Spearman's rank correlation analysis, Pearson's correlation analysis and the concentration index revealed that significant positive relationships exist between the regional material deprivation and the SMRs of the community residents aged 15-64. Conclusions: This study suggests that there are mortality inequalities among the communities in Korea and part of this difference is due to the material deprivation of the community. Strategies aimed at reducing mortality inequalities among the communities will be needed to address economic inequalities. Further studies are needed to explore the mechanisms of how the regional deprivation influences on health and how the other factors of the community influence on the health of the community residents.

The Custom of Bride Wealth in Africa: The Context of Change and Reconstruction (아프리카의 신부대(bride wealth) 관습: 변화와 재구성의 맥락)

  • Seol, Byung-Soo
    • Cross-Cultural Studies
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    • v.50
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    • pp.131-172
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    • 2018
  • It is noted that nowadays, the bride wealth custom takes an extremely distorted form in African society. Such a phenomenon is a result that the male-dominant culture, Western religions, and capitalist economic system have been negatively combined into dynamic factors seen as bride wealth. This means that the concept of bride wealth has been incessantly reconstructed in the middle of clash and conflict of tradition and modernity. There is also little doubt that the practice is inextricably tangled with the common and current ways of livelihood, early marriage, polygyny, kinship/family structure, poverty, and migration labor. Bride wealth has become an increasingly commercialized element under a capitalist economic system. Accordingly, its traditional symbolism is seen to be subsequently weakening, whereas a tendency towards the reification of women is strengthening more in modern society that embraces modern customs bent on the protection of women's human rights. Its commercialization has produced a result, which instigates the noted violations of women's basic human rights, gender inequality, and promotion of domestic violence. The ways that people perceive bride wealth vary according to their own sex, generation, stratification, and ethnic background. Those people who negatively recognize bride wealth will increase with the deepening of its commercialization due to the influence of capitalism. Its color and effect will deepen and depend on how its agents correspond to socioeconomic changes. They will constantly reinterpret and reconstruct it within their own environments, but the basic human rights efforts are constantly under review by concerned individuals seeking to promote equality for women as a global effort.

Socioeconomic Inequalities in Cervical and Breast Cancer Screening among Women in Korea, 2005-2015

  • Choi, Eunji;Lee, Yoon Young;Suh, Mina;Lee, Eun Young;Mai, Tran Thi Xuan;Ki, Moran;Oh, Jin-Kyoung;Cho, Hyunsoon;Park, Boyoung;Jun, Jae Kwan;Kim, Yeol;Choi, Kui Son
    • Yonsei Medical Journal
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    • v.59 no.9
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    • pp.1026-1033
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    • 2018
  • Purpose: Consistent evidence indicates that cervical and breast cancer screening rates are low among socioeconomically deprived women. This study aimed to assess trends in cervical and breast cancer screening rates and to analyze socioeconomic inequalities among Korean women from 2005 to 2015. Materials and Methods: Data from the Korean National Cancer Screening Survey, an annual nationwide cross-sectional survey, were utilized. A total of 19910 women were finally included for analysis. Inequalities in education and household income status were estimated by slope index of inequality (SII) and relative index of inequality (RII), along with calculation of annual percent changes (APCs), to show trends in cancer screening rates. Results: Cervical and breast cancer screening rates increased from 54.8% in 2005 to 65.6% in 2015 and from 37.6% in 2005 to 61.2% in 2015, respectively. APCs in breast cancer screening rates were significant among women with higher levels of household income and education status. Inequalities by household income in cervical cancer screening uptake were observed with a pooled SII estimate of 10.6% (95% CI: 8.1 to 13.2) and RII of 1.4 (95% CI: 1.3 to 1.6). Income inequalities in breast cancer screening were shown to gradually increase over time with a pooled SII of 5.9% (95% CI: 2.9 to 9.0) and RII of 1.2 (95% CI: 0.9 to 1.3). Educational inequalities appeared to diminish over the study period for both cervical and breast cancer screening. Conclusion: Our study identified significant inequalities among socioeconomically deprived women in cervical and breast cancer screening in Korea. Especially, income-related inequalities were greater than education-related inequalities, and these were constant from 2005 to 2015 for both cervical and breast cancer screening.

Difference in the Incidence Rate of Kidney Cancer in Korea by Relative Level of Household Income and SEER Stage at Diagnosis (우리나라 신장암의 소득 수준별 발생률과 진단시 병기의 차이)

  • Hwang, Jeong-In;Ki, Myung;Son, Mia
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.561-569
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    • 2022
  • A study was conducted to determine whether there is a difference in the incidence of kidney cancer according to income level and the difference in delayed diagnosis. To this end, the incidence of kidney cancer in Korea was analyzed by income level and by stage. From 2015 to 2017, a national kidney cancer cohort was established by linking the KCCR(Korea Central Cancer Registry), NHISS(National health insurance sharing service), and the HIRA(Health insirance review and assessment service) database to calculate the kidney cancer incidence by stage and income level. During the study period, the incidence of kidney cancer in Korea increased in all income deciles, but decreased only in the medical aid population. The incidence of kidney cancer in Korea was 7.35 per 100,000 people, and 83.54% of them were locoregional kidney cancer. In the top 20% of the income decile, there was a high incidence of 21.46 cases per 100,000 people, among which 18.37 cases were locoregional kidney cancer. On the other hand, even after adjusting for risk factors related to kidney cancer, it was confirmed that the lower the income level, the higher the risk of being diagnosed with kidney cancer with distant metastasis (lowest income 20% adj.OR 1.807, 95% CI 1.411-2.222). In the insured population, the risk ratio of being diagnosed with unknown stage was 1.926 (95% CI 1.317, 2.816). The higher the income level, the higher the frequency of early cancer diagnosis, but the lower the income level, the higher the risk of being diagnosed with metastatic kidney cancer or an unknown stage, so health inequality according to income level was observed.

A Study on Change Trajectories of Self-Rated Health in Middle Aged: Longitudinal Study Using Latent Class Growth Analysis (중·장년기 주관적 건강상태의 변화궤적 유형과 예측요인 탐색: 잠재계층성장분석(LCGA)을 이용한 종단연구)

  • Kim, Ho Jeong;Nam, Seok In
    • 한국노년학
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    • v.39 no.4
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    • pp.941-958
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    • 2019
  • The purpose of this study was to explore change trajectories patterns of Self-Rated Health in middle aged, to identify socioeconomic factors, self-esteem, family relationship factors, and to identify relevant predictors. For this purpose, the 2,418 middle aged, who married couples were extracted from the 2nd to 12st waves of Korea Welfare Panel Survey data. The data analysis included Latent Class Growth Analysis, multiple logistic regression. The change trajectories patterns of self-rated health in middle aged were classified into four types: (1) high state-retained type(46.3%), (2) low state-retained type(19.6%), (3) reduced type(17.5%), (4) increasing type(16.6%). Despite the control of chronic diseases that are closely related to health, when the low state-retained type, which is a crisis group, was set as the reference group for the self-rated health, the economic participation, self-esteem and satisfaction of the family relationship had a more inadequate effect than the high state-retained type. Likewise, when the reduced type, which is a crisis group, was set as the reference group for the self-rated health, the economic participation, self-esteem, satisfaction of the family relationship, and family stress had a more effect than the increasing type. Based on the analysis results, this study suggest political and practical intervention to maintain the proper health, and the details are as follows.

An Exploratory Study upon The Factors for Discriminating Generations: Focusing on Welfare Attitudes Values on Social Issues (한국인의 세대 판별요인에 대한 탐색적 연구: 복지태도와 가치관을 중심으로)

  • Sin-Young Kim
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.4
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    • pp.169-174
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    • 2024
  • This study purports to identify the factors that contribute to the classification of age groups or generations of Koreans. Independent variables such as respondents' attitudes toward welfare, attitudes toward equity, education level, perception of inequality in Korean society, tax awareness, and health status are included in the model that were put into the analysis with the main interest. Since this study does not construct any hypothesis prior to analysis, the nature of this study can be said exploratory. The data utilized for the analysis are from the 17th year of the Korean Welfare Panel collected in 2022, and a linear discrimination analysis technique will be used. First and foremost, a theoretical review of the generational classification will be conducted through domestic and international literature in the past. To date, there is no quantitative studies in Korea that have a significant influence on the generational classification. Therefore, in this study, a theoretical review of political tendencies and values, which are estimated to have a significant influence on the generational classification, that is, the difference between generations, will be significant. The perception and attitude toward welfare will be discussed in the review of values. Next, analysis models, analysis techniques, and variables to be used in the analysis will be introduced. After

An Analysis of the Regional Characteristics in Agropolitan Cities for Sustainable Development (도농통합시의 지속가능한 개발을 위한 지역특성 분석)

  • Park, Kyung-Hun;Jung, Sung-Kwan;Choi, Won-Myeung
    • Journal of the Korean Association of Geographic Information Studies
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    • v.3 no.2
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    • pp.37-47
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    • 2000
  • Since 1995, agropolitan cities have been created, in order to pursue the balanced development between urban cities and its surrounding rural counties. However, the inequality of regional level that was caused by indiscreet development has become the ever-serious problems recently. Therefore, this study aims to analyze regional characteristics and patterns for setting up the sustainable spatial planning. Firstly, the regional characteristics were summarized by five factors; development-oriented factor, agricultural factor, living environmental factor, rice growing, fruit gardening factor. The regional patterns were classified with five patterns using cluster analysis; orchard farming, farming of medium and small size, small stagnation, under urbanization, mixed urban-rural properties, and industry of southeastern seashore. Accuracy of the results by discrimination analysis showed that pattern II, V, and VI were confidence level of 100%, but the others had nearly 90% confidence level.

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A Biographical Study of Social Exclusion Experiences - Focused on the Physical and Cerebral Palsy Disabled - (장애인의 사회적 배제 경험에 대한 생애사 연구 -지체와 뇌병변 장애인 중심으로-)

  • Shin, Yu-Ri
    • Korean Journal of Social Welfare
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    • v.64 no.2
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    • pp.299-323
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    • 2012
  • The purpose of this study is to understand social exclusion experiences with the disabled through a biographical study. It is analysed the interview date conducting an interview about 10 focused on the physical and cerebral palsy disabled with social exclusion experiences. The results show that it is multi-social exclusion including the inequality of approach opportunity of education, labor, education, medical, social participation, information, social service, space, health etc. It shows their life neglected and marginalized resulted from not providing social right as citizenship. And their social relationship is isolated by social exclusion and Other-directed identity is to be shaped in accordance to the method to define as regulated social ideals. Also, there is their painful and heavy life bound with double risky factors of disability and poverty. They share common historical experiences and social events impacted on their recognition and value among participants generation in biographical narrative. On the other hand, their life is reconstructed according to each their resource and standard to interpreter and evaluate on it. It suggests political and clinical implications in order to overcome the disabled's social exclusion, which is based on practical and vivid experiential dates from the participants.

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Development of finite element analysis program and simplified formulas of bellows and shape optimization (벨로우즈에 대한 유한요소해석 프로그램 및 간편식의 개발과 형상최적설계)

  • Koh, Byung-Kab;Park, Gyung-Jin
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.21 no.8
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    • pp.1195-1208
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    • 1997
  • Bellows is a component in piping systems which absorbs mechanical deformation with flexibility. Its geometry is an axial symmetric shell which consists of two toroidal shells and one annular plate or conical shell. In order to analyze bellows, this study presents the finite element analysis using a conical frustum shell element. A finite element analysis is developed to analyze various bellows. The validity of the developed program is verified by the experimental results for axial and lateral stiffness. The formula for calculating the natural frequency of bellows is made by the simple beam theory. The formula for fatigue life is also derived by experiments. The shape optimal design problem is formulated using multiple objective optimization. The multiple objective functions are transformed to a scalar function by weighting factors. The stiffness, strength and specified stiffness are considered as the multiple objective function. The formulation has inequality constraints imposed on the fatigue limit, the natural frequencies, and the manufacturing conditions. Geometric parameters of bellows are the design variables. The recursive quadratic programming algorithm is selected to solve the problem. The results are compared to existing bellows, and the characteristics of bellows is investigated through optimal design process. The optimized shape of bellows is expected to give quite a good guideline to practical design.

Cumulative Impact Assessment Using Environmental Health Screening Tool in Seoul (환경보건 스크리닝 툴을 이용한 서울시 누적영향 평가)

  • Lim, Yu-ra;Bae, Hyun-joo
    • Journal of the Korean association of regional geographers
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    • v.20 no.4
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    • pp.444-453
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    • 2014
  • Inequality of environmental impact is forecast to deepen due to the damage of environmental risk by the interaction between environmental and social inequalities causing more harms to environmentally vulnerable population. This study assessed the integrated cumulative impact of Seoul using Environmental Health Screening Tool developed by Environmental Protection Agency of California. In order to screen vulnerable area to environmental health, 10 indexes have been selected according to the environmental burden of exposure to environment and public health effects, population characteristics of sensitive populations and socio-economic factors. As a result of assessment conducted on cumulative impact of Seoul for years 2009~2011 through Environmental Health Screening Tool, risk factor for districts of Gangseo and Gangnam of Seoul showed high - Gangseo area indicated high risk factor both in environmental burden and population characteristics, while Gangnam area appeared high in environmental burden. The result of survey will be able to suggest scientific basis to push through fair and effective environmental policy in consideration of environment vulnerable population.

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