• Title/Summary/Keyword: insured

Search Result 283, Processing Time 0.025 seconds

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

  • 황정인;기명;손미아
    • 한국콘텐츠학회논문지
    • /
    • 제22권9호
    • /
    • pp.561-569
    • /
    • 2022
  • 우리나라 신장암 발생을 소득 수준에 따라 확인하고 병기별로 분석하여 소득 수준에 따른 지연된 진단 정도의 차이를 확인하기 위하여 2015년부터 2017년까지 중앙암등록자료 및 국민건강보험공단, 건강보험심사평가원 데이터베이스를 연계하여 국가 단위 신장암 코호트를 구축하여 병기별, 소득수준별 신장암 발생률을 산출하였다. 연구 기간 중 우리나라 신장암 발생률은 모든 소득 분위에서 증가하나 의료보장인구에서만 감소하는 양상을 보였다. 신장암 발생률은 인구 10만 명 당 7.35 명이었고 이 중 83.54%가 국한 및 국소 신장암으로 소득 상위 20%에서 인구 10만 명 당 21.46명의 높은 발생률을 보였다. 그 중 국한 및 국소 신장암이 18.37명으로 소득 수준이 높을수록 국한 및 국소 신장암 발생률이 높은 것으로 확인된 반면 소득 수준이 낮을수록 원격 전이된 상태로 신장암을 진단받을 위험이 높음(소득 하위 20% adj.OR 1.807, 95% CI 1.411-2.222)을 확인하였고 의료보장인구에서는 병기 미상으로 진단받을 위험비가 1.926(95% CI 1.317, 2.816)으로 관찰되었다. 소득 수준이 높을수록 조기에 암을 진단하는 빈도가 높지만 소득 수준이 낮을수록 전이 신장암으로 진단받거나 병기 미상으로 진단받을 위험이 높아 소득 수준에 따른 건강 불평등이 관찰되었다.

Analysis of the annual changes in dental institutions that claimed dental sedatives in Korea and the types of sedatives using health care big data

  • Minjae Lee;Seong In Chi;Hyuk Kim;Kwang-Suk Seo
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • 제23권2호
    • /
    • pp.101-110
    • /
    • 2023
  • Background: Dentists make various efforts to reduce patients' anxiety and fear associated with dental treatment. Dental sedation is an advanced method that dentists can perform to reduce patients' anxiety and fear and provide effective dental treatment. However, dental sedation is different from general dental treatment and requires separate learning, and if done incorrectly, can lead to serious complications. Therefore, sedation is performed by a limited number of dentists who have received specific training. This study aimed to investigate the proportion of dentists who practice sedation and the main sedatives they use in the context of the Republic of Korea. Methods: We used the customized health information data provided by the Korean National Health Insurance. We investigated the number of dental hospitals or clinics that claimed insurance for eight main sedatives commonly used in dental sedation from January, 2007 to September, 2019 at the Health Insurance Review and Assessment Service. We also identified the changes in the number of dental medical institutions by region and year and analyzed the number and proportion of dental medical institutions prescribing each sedative. Results: In 2007, 302 dental hospitals prescribed sedatives, and the number increased to 613 in 2019. In 2007, approximately 2.18% of the total 13,796 dental institutions prescribed sedatives, increasing to 3.31% in 2019. In 2007, 168 institutions (55.6%) prescribed N2O alone, and in 2019, 510 institutions (83.1%) made claims for it. In 2007, 76 (25.1%) hospitals made claims for chloral hydrate, but the number gradually decreased, with only 29 hospitals (4.7%) prescribing it in 2019. Hospitals that prescribed a combination of N2O, chloral hydrate, and hydroxyzine increased from 27 (8.9%) in 2007 to 51 (9%) in 2017 but decreased to 38 (6.1%) in 2019. The use of a combination of N2O and midazolam increased from 20 hospitals (6.6%) in 2007 to 51 hospitals (8.3%) in 2019. Conclusion: While there is a critical limitation to the investigation of dental hospitals performing sedation using insurance claims data, namely exclusion of dental clinics providing non-insured treatments, we found that in 2019, approximately 3.31% of the dental clinics were practicing sedation and that N2O was the most commonly prescribed sedative.

농장맞춤형 기상재해 조기경보서비스의 재해피해 경감효과 측정 (Measurement of Disaster Damage Reduction Effect of the Farm-customized Early Warning Service for Weather Risk Management in Korea)

  • 서상택;정윤희;김수진;심교문
    • 한국농림기상학회지
    • /
    • 제25권3호
    • /
    • pp.197-207
    • /
    • 2023
  • 본 연구는 조기경보서비스의 전국단위 확대를 앞두고 서비스 제공에 따른 재해피해 경감효과를 측정할 목적으로 수행되었다. 피해경감효과는 2017년~2020년 기간 동안 조기경보서비스 제공지역의 보험작물 19종에 대해 보험실적 자료를 이용하여 측정하였다. 측정결과, 조기경보서비스는 농가의 재해피해를 예방하거나 경감시키는 효과가 있는 것으로 분석되었다. 특히, 방재시설이 구비되어 있는 경우에 재해경감효과가 더 큰 것으로 나타났다. 이상의 분석결과를 통해 얻을 수 있는 시사점은 다음과 같다. 첫째, 주관적으로 경험한 재해경감 사례를 공신력과 객관성을 갖춘 보험실적자료를 활용하여 수치적 효과로 제시함으로써 조기경보서비스의 확대, 조기경보서비스 이용 시 보험료의 할인, 조기경보서비스 가입 촉진을 위한 홍보자료 등의 기초자료로 활용할 수 있다. 둘째, 조기경보서비스의 확대보급에 있어서 방재시설을 갖춘 지역이나 작목에 우선순위를 두는 것이 사업의 효율성과 효과성을 높이는데 도움이 될 수 있다.

목회자의 경제적 노후 준비 결정요인 (Determinants of Pastors' Economic Preparations for Old Age)

  • 송창국
    • 한국사회복지학
    • /
    • 제61권3호
    • /
    • pp.29-54
    • /
    • 2009
  • 본 연구는 교단은급제도를 둔 개신교 주요교단(예장합동, 예장통합, 기장, 기감의 4개 교단) 목회자의 경제적 노후 준비 결정요인을 파악하고자 전국의 4개 교단 목회자 452명을 대상으로 설문조사를 실시하였다. 연구결과를 요약하면 다음과 같다. 첫째, 목회자들이 노후준비를 할 필요가 없고 노후준비를 하는 것은 불신앙이라는 전통적인 생각은 약화된 것으로 나타났다. 둘째, 목회자들의 사적 경제적 노후 준비활동 수준은 낮은 수준이었다. 셋째, 교단은급제도는 의무가입방식을 채택하고 있는 교단(예장통합, 기장, 기감)은 75%이상으로 높게 나타났지만, 임의가입방식을 채택한 예장합동측은 11.5%로 매우 낮게 나타났다. 넷째, 국민연금은 기장측(61.8%)을 제외한 나머지 교단은 미가입자(53.3%)가 더 많았고, 미가입 사유도 경제적 어려움이 가장 컸다. 넷째, 경제적 노후 준비에 영향을 미치는 요인은 학력과 총수입, 교회자립 여부, 교회자체적립 여부, 그리고 국민연금 가입여부이고, 그 중 총수입이 가장 큰 영향을 미쳤다. 다섯째, 4개 교단 중 예장합동측을 기준으로 기장측 목회자가 노후 준비를 잘하고 있었다. 연구결과 첫째, 수입이 많으면 교단은급제도와 국민연금 및 사적 방식의 대책까지 모두 준비하지만, 수입이 적은 목회자들은 사적준비와 공적 준비 모두 못하고 있으므로 교단내 목회자간 소득격차를 줄이기 위한 장치가 필요하다. 둘째, 교단 은급제도 의무가입을 실시하는 교단에서도 미가입자가 상당하므로 은급(연금)제도에 대한 개선과 변화가 필요하다. 셋째, 국민연금제도에 대한 제도적 변화와 인식의 변화가 필요하다.

  • PDF

치과 건강보험에 관한 인식 조사 (A Study on Awareness of the Dental Health Insurance Coverage)

  • 한지형;김윤신
    • 치위생과학회지
    • /
    • 제8권2호
    • /
    • pp.65-71
    • /
    • 2008
  • 본 연구는 건강보험에 대한 인식을 파악하여 치과 건강보험제도의 운영과 개선방안에 도움이 되고자 2006년 8월부터 10월까지 행정기관 및 임상전문가 568명과 의료기관에 내원한 의료소비자 1036명을 대상으로 설문조사를 실시하여 다음과 같은 결론을 도출하였다. 1. 전문가 집단의 인구 사회학적 특성에서 여성이 84.7%로 높은 비중을 차지하였으며, 연령은 20대, 30대, 40대 순으로 나타났다. 의료소비자 집단의 인구 사회학적 특성은 여성이 50.2%, 남성이 49.8%로 비슷한 분포를 나타냈으며, 연령은 20대, 30대,40대 순으로 나타났다. 2. 치과 건강보험의 재정확보에 관한 의견에 대해 조사한 결과 급여확대를 위한 재정수준에서는 전문가, 의료소비자 모두 '보험급여 재정수준을 늘여서 추가적으로 급여항목을 확대하되 우선순위도 재조정하자'는 의견이 높게 나타났다. 재원조달방법으로는 전문가의 경우 '정부 예산 지원비율 확대'와 '사회보장제도 마련', '지방자치단체의 예산편성' 순으로 나타났으며, 의료소비자의 경우 '정부의 예산 지원비율 확대', '지방자치단체의 예산편성', '소득수준에 따른 격차 확대' 순으로 나타났다. 3. 치과 건강보험에 대한 전반적인 견해에서 전문가는 비급여를 포함한 본인부담 비용의 적절성(2.47), 급여적용 항목수의 적절성(2.29) 순이었으며, 의료소비자의 경우 전체 건강보험 예산 중 치과 건강보험의 급여비율의 적절성(2.26), 급여적용 항목수의 적절성(2.16) 순을 기록하였다. 우선순위 설정 기준이 필요하다는 의견에서는 각각 3.75, 2.93을 나타냈다. 4. 치과 건강보험에 관한 인식도에 있어서 전문가와 의료소비자 모두 비슷한 의견을 보였으며, 특히 치과건강보험 제도에 대한 필요성을 크게 인식하고 있었다. 만족도에 있어서는 두 집단 모두 만족도가 모든항목에서 3점 이하로 불만족하는 경향을 보였으며, 특히 보험적용 항목에 대한 만족도가 가장 낮았다.

  • PDF

특정의약품의 자가투약행위에 관한 연구 (A Study on Self-medication Beharior of Four Cautious Drugs.)

  • 황미숙
    • 보건교육건강증진학회지
    • /
    • 제4권2호
    • /
    • pp.46-70
    • /
    • 1987
  • The survey with questionnaire were conducted to grasp the actual condition of four cautious drugs-antibiotics, sedative hypnctics, mincr tranquilizer, analeptics-self -medication behavior through drugstore use and to analyze the primary factors connected with it. The following six objectives were established. 1) To catch the reason why the man who medicate himself buy four cautious drugs at a drugstore, and to know the choice motive of each drug purchased. 2) To grasp the distribution of four cautious drug taken by the man who medicate himself and to analyse the reason of taking the drug. 3) To find out whether the buyer has taken the same drug past and to know the duration and the frequency. 4) To grasp the degree of recognition about four cautious drugs and the attitude toward continuous taking them. 5) To analyze the degree of recognition about the influence on human body and the attitude of medication behavior. 6) To know "the experience of side-effects" and to grasp the kind of the side-effects. The data were collected from 15 drugstores with 677 respondents in seoul from August 17 to september 21, 1987. The following results were obtained. 1) The reasons for drugstore use were first, "for easy access and convenience" (53.7%) second, "for the slightness of illness" (19.9%) third "for the cheap price" (13.2%). According to that result, the factor of "the easy access of drugstore" was most influential. In case of the poor, the factor "for the cheap price "was revealed second (37.3%). And "for the slightness of illness" was second reason in the medically insured (22. 9%), "for the cheap price" was second reason in the others (29%). 2) The kind of drugs purchased were antibiotics (62.8%), analeptics(17.2%), minor tranquilizer(13.3%) and sedative hypnotics (6.7%) on the whole. In teenagers, besides antibiotics the percentage of taking analepits came second (42.4%) and it was revealed that the percentage of sedative hypnotics, minor tranquilizer increase with age. But in proportion to the increase of age, the taking of analeptis decreased. 3) The choice motives of each drug purchased were all different. In case of antibiotics "recommendation of pharmacist" was 39.6%, sedative hypnotics "recommendation of pharmacist" and "my own judgement", 28.9%, respectively, minor tranquilizer "my own judgement", 35.2%. and in case of analeptics "my oun judgement" was most common with 53.5%. 4) The reasons for taking drugs were as follows. antibiotics was taken for the inflammation mitigation of a wound and a swelling (38.5%), sedative hypnotics for the removal of insomnia (97.5%), minor tranquilizer because of restlessness and qloominess(39.3%), and analeptics for the shortening of sleeping hours (35.1%). 5) Those experienced in taking four cautious drugs were 78.2% on the average. It was revealed that antibiotics use duration was "from one week to one month" (38.9%), the frequency was "rarely" (62.1%), sedative hypnotics and minor tranquilizer; "More than three years", (35.7%, 30.4%), respectively, "Somtimes", (43.8%, 35%), respectively. analeptics ; "from one year to three years", (27.6%), "Sometimes", (42.7%). 6) In regard to the source of information in taking drugs, 35.3 percent of male were relied on "recommendation of pharmacist", 32.6 percent of female "my own judgement", There was a difference between below the middle school graduates and over the high school graduates Thease were relied on "recommendation of pharmacist" first, those "my own judgement" first. And "my own judgement" was the first source of specialist(40%), labours(41.4%), salesman(43.5%), and jobless men(36.8%), "recommendation of ralatives on friends" was the first source of students (30.4%), "recommendation of pharmacist" was the first soure of teachers, administrative office workers (39%) and housewives (40.7%). 7) The degree of recognition about four cautious drugs was as follows. "know a little" was (43.0%), "don't know" (30.2%), "know" (26.8%), respectively. In regard to the attitude toward continuous taking them, it was revealed that "I will take it according to circumstamces" was first (56.2%), " I will not take it as possible" was first(56.2%), "I dont know well" (12.9%), "I will take it continuously" (8.3%). 8) About the influence on human body, "if proper, it is effect" was common attitude toward antibiotics (43.6%), "Probably bad influence on the health" was first toward the other drugs (46.2%), In terms of the degree of observance to taking-time and dose of drugs, "suitably" was first (37.3%), "relatively correctly" second (27%), "correctly" (17%). 9) The percentage of four cautious drugs side-effects was 27.5 on the average. The kind of side-effects were eruption and urticaria (28.5%), heart acceleration and so forth. (25.4%), headache and Giddiness, dyspepsia (23%), respectively.

  • PDF

국민건강보험 발전방향 (Future Direction of National Health Insurance)

  • 박은철
    • 보건행정학회지
    • /
    • 제27권4호
    • /
    • pp.273-275
    • /
    • 2017
  • It has been forty years since the implementation of National Health Insurance (NHI) in South Korea. Following the 1977 legislature mandating medical insurance for employees and dependents in firms with more than 500 employees, South Korea expanded its health insurance to urban residents in 1989. Resultantly, total expenses of the National Health Insurance Service (NHIS) have greatly increased from 4.5 billion won in 1977 to 50.89 trillion won in 2016. With multiple insurers merging into the NHI system in 2000, a single-payer healthcare system emerged, along with separation policy of prescribing and dispensing. Following such reform, an emerging financial crisis required injections from the National Health Promotion Fund. Forty years following the introduction of the NHI system, both praise and criticism have been drawn. In just 12 years, the NHI achieved the fastest health population coverage in the world. Current medical expenditure is not high relative to the rest of the Organization for Economic Cooperation and Development. The quality of acute care in Korea is one of the best in the world. There is no sign of delayed diagnosis and/or treatment for most diseases. However, the NHI has been under-insured, requiring high-levels of out-of-pocket money from patients and often causing catastrophic medical expenses. Furthermore, the current environmental circumstances of the NHI are threatening its sustainability. Low birth rate decline, as well as slow economic growth, will make sustainment of the current healthcare system difficult in the near future. An aging population will increase the amount of medical expenditure required, especially with the baby-boomer generation of those born between 1955 and 1965. Meanwhile, there is always the problem of unification for the Korean Peninsula, and what role the health insurance system will have to play when it occurs. In the presidential election, health insurance is a main issue; however, there is greater focus on expansion and expenditure than revenue. Many aspects of Korea's NHI system (1977) were modeled after the German (1883) and Japanese (1922) systems. Such systems were created during an era where infections disease control was most urgent and thus, in the current non-communicable disease (NCD) era, must be redesigned. The Korean system, which is already forty years old, must be redesigned completely. Although health insurance benefit expansion is necessary, financial measures, as well as moral hazard control measures, must also be considered. Ultimately, there are three aspects that we must consider when attempting redesign of the system. First, the health security system must be reformed. NHI and Medical Aid must be amalgamated into one system for increased effectiveness and efficiency of the system. Within the single insurer system of the NHI must be an internal market for maximum efficiency. The NHIS must be separated into regions so that regional organizers have greater responsibility over their actions. Although insurance must continue to be imposed nationally, risk-adjustment must be distributed regionally and assessed by different regional systems. Second, as a solution for the decreasing flow of insurance revenue, low premium level must be increased to an appropriate level. Likewise, the national reserve fund (No. 36, National Health Insurance Act) must be enlarged for re-unification preparation. Third, there must be revolutionary reform of benefit package. The current system built a focus on communicable diseases which is inappropriate in this NCD era. Medical benefits must not be one-time events but provide chronic disease management. Chronic care models, accountable care organization, patient-centered medical homes, and other systems that introduce various benefit packages for beneficiaries must be implemented. The reimbursement system of medical costs should be introduced to various systems for different types of care, as is the case with part C (Medicare Advantage Program) of America's Medicare system that substitutes part A and part B. Pay for performance must be expanded so that there is not only improvement in quality of care but also medical costs. Moreover, beneficiaries of the NHI system must be aware of the amount of their expenditure through a deductible payment system so that spending can be profiled and monitored. The Moon Jae-in Government has announced its plans to expand the NHI system; however, it is important that a discussion forum is created so that more accurate analysis of the NHI, its environments, and current status of health care system, can take place for reforming NHI.

노인복지시설(老人福祉施設)에 대한 대학생(大學生)의 의식(意識)과 관련요인(關聯要因) (An Awareness of Welfare Facility for the Elderly and It's Related Factors of College Students)

  • 좌윤택;남철현;박천만
    • 대한예방한의학회지
    • /
    • 제2권1호
    • /
    • pp.87-111
    • /
    • 1998
  • For the newly approach of policy with the old aged era at hand, the result which examines the 1,200 students attending professional colleges and upward in three small-to-medium sized cities, for two months, from October 1, 1996 to November 30, in order to know the change of consciousness of the growing modern young intellectual age group is as follows. 1. The objects of survey consist of 72.1% of women, 40.4% of 20 to 21 age, 49.1% of atheists, and people from big cities and fishing and agrarian village occupy equally 40.2%. Concerning the long-termed residents, 49% of them dwell in big cities. In case of the parents' age is more than 55, 31.5% in fathers, and 10.9% in mothers. 2. The types of housing in which they desire to reside in their getting older are : 72.8% of them hope to live in individual houses, 16.6% in apartments or villas, and 3.4% in social welfare facilities. Out of respondents, compared with other groups, man rather than woman, those who are 20 to 21 age group and from fishing and agrarian villages and have over 7 family members and live with their parents have a higher preference for independent houses. 3. The districts in which they hope to live when they are old are : 41.6% of them, with the highest percent, hope to live in farming villages, the older they are, the more they hope to live in agricultural district, and women of 21 years and upward hope to live in big cities. On the other hand, the preferable degree for social welfare facilities is higher each in people who are 24 years and upward, buddhists, self-boarding students, and the more poorly they are off, the higher the percent is. 4. The types of preferable welfare facilities for the elderly are : 58.2% of them think silver towns desirable, 28.4% think the charged (or free) elderly welfare facilities. Compared with other groups, the percentage which prefer silver towns is higher in women, people from big cities, residents of main family, long-termed city residents, people with higher income, people having grandparents alive, and people who had experience of taking lectures on hygienics or social welfare. 5. 50.3% of the respondents insist that provision of living expenses against old age should be insured by social security system, and 42.8% by the elderly themselves. The percentage of the former shows higher in people of 21 years and upward, women, residents of fishing and agrarian villages, christians, people in more needy circumstances and people who have experience of using a medical institution. 6. Compared with other nations, 54.5% of the respondents have an opinion that elderly welfare and welfare work in Korea stays in insufficient level and most of them are women, people from farming village, residents of head family, people having younger parents and people being worse health condition, and they have a more positive attitude about the elderly welfare work. 7. 92.3% of the respondents answered that a national budget for the elderly welfare is scarce, and the percentage is higher in people who are older, residents of big cities, people in lower living condition and people in worse health condition. 8. 35.2% of the respondents answered that the proper cost of their old age must be over 220mi11ion. The more a family's total income is, the higher the percentage is. 9. The factors which have an effect on the preference of silver towns are sex(p<0.01, the type of the present residence(p<0.05), and a family's total income(p<0.05). 10. From the survey result of the above, we comes to the conclusion that, for the sake of welfare of the increasing elderly population, government authorities and parties concerned must exert their utmost for the elderly welfare by increasing a budget of it and establishing a number of facilities of the elderly welfare and silver towns located in fresh and comfortable villages. In addition, they have to set up a course of hygienics in all the colleges and instruct the contexts on hygienic welfare as well.

  • PDF

항공보험에 대한 약간의 고찰 -항공보험의 담보범위를 중심으로 (Some Considerations on Aviation Insurance : With a focus on coverage of aviation insurance)

  • 김선이;정다은
    • 항공우주정책ㆍ법학회지
    • /
    • 제25권2호
    • /
    • pp.43-77
    • /
    • 2010
  • 항공 산업의 발달은 승객과 화물 등의 운송량을 기하급수적으로 증가시켰으며 운송 도중 발생하는 각종 사고에 대한 피해의 규모역시 점차 확대되는 추세이다. 따라서 항공보험의 필요성은 나날이 커져가는 실정이며 대다수의 국가에서 입법으로 강제가입 하도록 하는 경향이 크다. 그러나 우리나라도 가입하였으며, 현재 국제민간항공사회에서 가장 넓게 효력을 발휘하고 있는 1999년 몬트리올 조약과 우리나라의 항공운송사업진흥법 역시 가입하여야 하는 항공보험의 담보범위에 대하여 구체적으로 어느 범위까지를 일컫는지에 대하여 명확한 설명이 없어 논의의 문제를 남겼다. 1999년 몬트리올 조약상 항공보험의 담보범위에 있어 '보험의 형태'는 조약의 목적과 전체적인 맥락에서 볼 때 제3자를 제외한 승객, 수하물, 화물 그리고 지연에 한하는 것이 합당하나, '보상한도액'의 경우는 그 판단이 각국에게 남겨졌다고 할 수 있다. 그러나 1999년 몬트리올 조약과는 달리 이미 EU, 미국, 캐나다와 같은 항공운송사업의 선진국들은 항공보험의 담보범위에 대하여 명확하게 규정하고 있다. 이 국가들은 모두 승객과 제3자에 대하여 항공보험에 가입하여야 함과 그 보상한도액을 법률상으로 규정하고 있다. 또한 EU는 화물과 수하물까지 가입대상에 포함하고 있으며 미국과 캐나다의 경우 화물에 대하여는 보험의 존부여부에 대한 서면고지를 화주에게 제공하도록 함으로 인해 보험가입을 권고하고 있다. 항공보험의 담보범위를 법률상 명확히 하는 것은 항공운송인의 위험분산과 피해자의 충분한 보호 외에도 항공운송에서 요구되는 국제적의무의 준수와 더 나아가 생산적이고 유지 가능한 항공 산업의 발전을 도모하는데 그 이익이 있다. 따라서 우리나라 항공보험에 대한 문제점을 해결하기 위해서는 항공운송의 선진국의 입법례 등을 참작하여 우리나라의 항공운송 실정에 적합한 항공보험의 담보범위를 명시해야함은 물론이거니와 더 나아가 항공보험에 대하여 전체적으로 규율할 수 있는 국내 입법화가 촉진되어야 할 것이다.

  • PDF

비체중(比體重)의 보험의학적고찰(保險醫學的考察) (A Study on the Ratio of Weight-far-Height in Insurance Medicine)

  • 임영훈
    • 보험의학회지
    • /
    • 제2권1호
    • /
    • pp.195-217
    • /
    • 1985
  • A statistical analysis on the ratio of weight-for-height in insurance medicine was carried out in a total of 12,690 insured persons who were medically examined at the Honam medical department, Dong Bang life insurance company, ltd. from June, 1979 to February, 1984. The results were as follows: 1. The mean value of the ratio of weight-for-height(W/H ratio) was $102.3{\pm}11.3%$ in all males, and $105.2{\pm}103.6%$ in all females. The difference of the values between males and females showed statistical significance(P<0.001). The mean value of W/H ratio in all the insureds was $103.8{\pm}12.9%$. In each age group, the mean value of female was higher than that of male without exception(P<0.001). The mean value of both sexes in each age group showed gradual increase with age except for the age group over 50(P<0.001). 2. The incidences of the average weighted, overweighted and underweighted lives were respectively 91.6% in all males, 84.2% in all females(P<0.001); 7.9% in all males, 15.4% in all females(P<0.001); 0.5% in all males, 0.4% in all females(P>0.05). The incidences of average weighted, overweighted and underweighted lives in all the insureds were respectively 87.6%, 12.0% and 0.5%. The incidence of the average weighted lives in male in each age group was always higher than that in female with the exception of the age group below 19(P<0.001), whereas the incidence of the overweighted lives in male in each age group was always lower than that in female(P<0.05 in the age group below 19, P<0.001 in the other age groups). The incidence of average weighted lives of both sexes in each age group showed gradual decrease with age from the second to fifth decade(P<0.001), whereas the incidence of the overweighted lives of both sexes in each age group showed gradual increase with age from the second to fifth decade(P<0.001). 3. The relative frequency distribution polygons of W/H ratio of both sexes drawn in a pair on one coordinate plane revealed lying in juxtaposition each other horizontally and showed the shifting of female's polygon to male's one toward the direction of greater value of W/H ratio at a short distance which increased gradually with age. 4. Correlations between both sexes and among age groups relating to W/H ratios of the insureds seem to be a physiological phenomenon of body build and should be considered on the rating of the build. Author prepared a rating table of build based on the correlations above menthioned. Some gradients by sex and age in the rating table of build are organized; in female group, the ratings of 0, 30-50, 50-100 and 100-D are to calculate by the build with W/H ratio of 80-125%, $126{\sim}145%,\;146{\sim}165%$ and over 166% respectively in the age group of 29 or under, by the build with W/H ratio of $80{\sim}130%,\;131{\sim}150%,\;151{\sim}170%$ and over 171% respectively in the age group of $30{\sim}59$, and by the build with W/H ratio of $80{\sim}135%,\;136{\sim}155%,\;156{\sim}175%$ and over 176% respectively in the age group of 60 or over. In male group, the ratings of 0, $30{\sim}50$, 50-100, and 100-D are to calculate by the build with W/H ratio of $80{\sim}120%,\;121{\sim}140%,\;141{\sim}160%$ and over 161% respectively in all ages. Of under weighted lives, in both sexes, the ratings of 30-50 and 50-D are to calculate by the build with W/H ratio of $76{\sim}79%$ and under 75% respectively. The results of the ratings according to a rating table by author were as follows: The incidence of the ratings of 0, 30-50, 50-100 and 100-D showed no difference between male and female. The incidence of the ratings of 0(indicating the average weighted lives) showed gradual decrease with age and the incidence of the ratings of 30-50 and 50-100(indicating the overweighted lives) showed gradual increase with age. These results are thought to be considerably reasonable because the incidence of the builds in each age group is supposed to have no difference by sex and the incidence of the overweighted lives would increase with age.

  • PDF