• Title/Summary/Keyword: low-income population

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Epidemiologic Impact of Rapid Industrialization on Head Injury Based on Traffic Accident Statistics in Korea

  • 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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    • 제59권2호
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    • pp.149-153
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    • 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.

허혈성심질환 예측모형을 이용한 사회경제적 위치와 허혈성심질환 위험도의 연관성 (The Relationship Between Socioeconomic Position and the Predicted Risk of Ischemic Heart Disease with Using Health Risk Appraisal)

  • 고동희;한순실;지선하;김형렬
    • Journal of Preventive Medicine and Public Health
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    • 제39권4호
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    • pp.359-364
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    • 2006
  • Objectives: The object of this study is to assess the relationship between socioeconomic factors and the predicted 10-year risk of cardiovascular disease by using health risk appraisal of ischemic heart disease. Methods: The study population was taken from The 2001 Korea National Health and Nutrition Survey, and it consisted of 1,566 men and 1,984 women aged 30-59. We calculated 10-year risk using the risk function of ischemic heart disease as developed by Jee. The educational level and equivalized household income were dichotomized by a 12 years education period and the median income level. Occupation was dichotomized into manual/non-manual work. We stratified the population by age(10 years) and sex, and then we rated the risk differences according to socioeconomic factors by performing t-tests for each strata. Results: There were gradients of the predicted 10-year risk of ischemic heart disease with the educational level and the equivalized household income, and thet was an increasing tendency of risk differences with age. Manual workers didn't show significant risk difference from non-manual workers. Conclusions: There was definite relationship between low socioeconomic position and the predicted risk of ischemic heart disease in the future.

여성임금과 출산력 (Women's Wage and Childbearing)

  • 최슬기
    • 한국인구학
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    • 제35권2호
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    • pp.29-53
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    • 2012
  • 이 논문에서는 여성 임금과 출산율의 관계를 미국자료(NLSY79)를 통해 분석하였다. 여성임금은 사회학적 시각에서는 역할충돌을 완화하는 기제로, 경제학적 시각에서는 소득효과와 대체효과가 혼재되어 있는 것으로 이해될 수 있다. 분석 결과, 여성의 시간당 임금과 출산수준은 대체로 부의 상관관계를 보였다. 정의 관계를 보인 경우는 대졸여성의 자녀수와 그녀의 2년 전 시간당 임금의 경우 뿐이었다. 연령대별로 나누어 살펴보면, 나이가 들어갈수록 부의 관계는 약화되는 것으로 나타났다. 하지만 이산형 위험모델을 통한 분석결과, 이러한 관계는 교육수준에 따라 다르게 나타났다. 고졸이하의 여성은 임금이 상승할 때 출산을 줄이는 경향이 나타났지만, 그이상의 학력을 가진 여성은 임금이 상승할 때 오히려 출산을 늘이는 경향이 나타났다. 이는 상대적으로 고소득이 기대되는 고등교육을 바진 여성에게서만 임금상승이 역할 충돌을 완화하는 작용을 성공적으로 하고 있다고 볼 수 있다. 또한 임금상승의 의미가 저학력 여성에겐 대체효과가 더 크고, 고학력 여성에겐 소득효과가 더 크다고 해석될 수 있다. 이는 출산을 미룬 대졸여성들에겐 노동시장에서 성공이 출산에 긍정적 관계를 갖는다는 의미를 보여준다.

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건강검진 수검률에 미치는 영향요인 분석 : 국민건강영양조사 제7기 자료를 중심으로 (Analysis of Influencing Factors on Health Examination Acceptance Rate: Focused on the 7th National Health and Nutrition Survey Data)

  • 유아현;조수현;신혜원;이성원
    • 산업융합연구
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    • 제19권1호
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    • pp.1-6
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    • 2021
  • 본 연구는 국가건강검진에 대한 현 상황을 제시하여 수검률을 높이기 위한 방안을 찾는 것을 목적으로 한다. 이를 위해 인구적 요인(성별, 연령, 소득수준, 교육수준), 건강 요인(흡연, 음주, 비만, 주관적 건강상태)을 각각 선정하고, 선정된 요인이 집단별 차이가 있는지 여부와, 병원 수·소득수준에 따른 수검자를 시각화했다. 그 결과 주관적 건강상태를 제외한 건강 요인, 인구적 요인, 병원 개수 모두 검진 여부와 관련이 있었다. 또한 인구적 요인의 연령 중 20대와 소득수준이 낮은 집단과, 건강적 요인의 비만여부 중 저체중이 미수검률이 높았다. 따라서 이러한 집단들의 미수검자에 대한 홍보와 지원, 교육 등이 필요하다고 여겨진다.

도시동태모델을 이용한 경주 지역사회변화 예측 (Forecasting a Gyeongju's Local Society Change Using Urban Dynamics Model)

  • 이영찬
    • 경영과학
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    • 제25권3호
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    • pp.27-43
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    • 2008
  • This study analyzes the changes of Gyeongju local society because of setting up low and intermediate level radioactive waste disposal site by using urban dynamics model. Specifically, after examining 'Gyeongju Long-Term Development Plan' announced in 2007, I establish the number of industries, population, gross local product, residents' income, and the long term employment condition as essential change-causing factors in Gyeongju local society based on the Big3 government project, and forecast it by using 'Gyeongju long-Term Development Plan' and all sorts of statistical data. In this stage, I assume 3 scenarios(basic, optimistic, and pessimistic view) to estimate the changes of local society more exquisitely, and scenarios are composed through mediation about variables of a growth rate and an inflow or outflow rate. The result shows that Gyeonaju local society would have growing changes by 2020. The essential change-causing factors are as follows. The case of population is estimated that it starts going down at the level of approximately 270 thousand by 2009, starts going up continuously after 2009, the year of completion of low and intermediate level radioactive waste disposal site, and increases from the level of about 300 thousand as minimum to 340 thousand as maximum in 2020. The estimates of other cases are made that the number of Industries has about 10 thousand increases, gross local product has almost 6 trillion increases, nominal gross national income doubles, as well as residences have approximately 280 thousand increases, and also made that employment condition also improves continuously, and diffusion ratio of house starts going up but the amount of supplies is a little bit insufficient in the long view.

Lifestyle and Cancer Risk

  • Weiderpass, Elisabete
    • Journal of Preventive Medicine and Public Health
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    • 제43권6호
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    • pp.459-471
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    • 2010
  • The main behavioural and environmental risk factors for cancer mortality in the world are related to diet and physical inactivity, use of addictive substances, sexual and reproductive health, exposure to air pollution and use of contaminated needles. The population attributable fraction for all cancer sites worldwide considering the joint effect of these factors is about 35% (34 % for low- and middle-income countries and 37% for high-income countries). Seventy-one percent of lung cancer deaths are caused by tobacco use (lung cancer is the leading cause of cancer death globally). The combined effects of tobacco use, low fruit and vegetable intake, urban air pollution, and indoor smoke from household use of solid fuels cause 76% of lung cancer deaths. Exposure to these behavioural and environmental factors is preventable; modifications in lifestyle could have a large impact in reducing the cancer burden worldwide. The evidence of association between lifestyle factors and cancer, as well as the main international recommendations for prevention are briefly reviewed and commented upon here.

Alcohol as a Risk Factor for Cancer: Existing Evidence in a Global Perspective

  • Roswall, Nina;Weiderpass, Elisabete
    • Journal of Preventive Medicine and Public Health
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    • 제48권1호
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    • pp.1-9
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    • 2015
  • The purpose of the present review is to give an overview of the association between alcohol intake and the risk of developing cancer. Two large-scale expert reports; the World Cancer Research Fund (WCRF)/American Institute of Cancer Research (AICR) report from 2007, including its continuous update project, and the International Agency for Research of Cancer (IARC) monograph from 2012 have extensively reviewed this association in the last decade. We summarize and compare their findings, as well as relate these to the public health impact, with a particular focus on region-specific drinking patterns and disease tendencies. Our findings show that alcohol intake is strongly linked to the risk of developing cancers of the oral cavity, pharynx, larynx, oesophagus, colorectum (in men), and female breast. The two expert reports diverge on the evidence for an association with liver cancer and colorectal cancer in women, which the IARC grades as convincing, but the WCRF/AICR as probable. Despite these discrepancies, there does, however, not seem to be any doubt, that the Population Attributable Fraction of alcohol in relation to cancer is large. As alcohol intake varies largely worldwide, so does, however, also the Population Attributable Fractions, ranging from 10% in Europe to almost 0% in countries where alcohol use is banned. Given the World Health Organization's prediction, that alcohol intake is increasing, especially in low- and middle-income countries, and steadily high in high-income countries, the need for preventive efforts to curb the number of alcohol-related cancers seems growing, as well as the need for taking a region- and gender-specific approach in both future campaigns as well as future research. The review acknowledges the potential beneficial effects of small doses of alcohol in relation to ischaemic heart disease, but a discussion of this lies without the scope of the present study.

Longitudinal Study of Diabetic Differences between International Migrants and Natives among the Asian Population

  • Piao, Heng;Yun, Jae Moon;Shin, Aesun;Cho, Belong
    • Biomolecules & Therapeutics
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    • 제28권1호
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    • pp.110-118
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    • 2020
  • Migration presents a substantial social and public health issue. However, it is unclear whether diabetes is worse among Asian migrants than natives of South Korea over time. This longitudinal study investigated the nationwide population, including 2,680,495 adults aged 20 years and older (987,214 Asian migrants and 1,693,281 natives), who received health check-ups, using the Korean National Health Insurance Service data (2009-2015). Joinpoint regression was used to estimate the annual percentage change of diabetes, and multivariable logistic regression was used to examine differences in incident type 2 diabetes between Asian migrants and natives adjusting for age, sex, economic status, body mass index, smoking status, any alcohol use, and physical activity. The age-adjusted prevalence of diabetes increased among native men (from 8.8% in 2009 to 9.7% in 2015, APC=1.64, p<0.05) compared to Asian migrant men, and the age-adjusted prevalence of diabetes increased among native women (from 6.0% in 2009 to 6.7% in 2015, APC=1.88, p<0.05) compared to Asian migrant women. In the multivariate analyses, Asian migrants were less likely to get type 2 diabetes than natives (odds ratio, 0.82; 95% CI, 0.78 to 0.86) between the first and last health check-ups. However, the odds ratio for developing type 2 diabetes was 1.15 (95% CI, 1.10 to 1.20) among low-income levels compared to high-income levels, regardless of whether they were Asian migrants or natives. The results could help to establish a new strategy for prevention, treatment, and management of diabetes among the Asian population.

인구구조의 고령화와 소비격차 (Population Aging and Consumption Inequality in Korea)

  • 석상훈
    • 한국노년학
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    • 제30권4호
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    • pp.1225-1237
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    • 2010
  • 본 연구는 한국노동연구원의 『한국노동패널』 1-11차년도 자료를 이용하여 인구구조의 변화가 소비격차에 미친 영향에 대해 코호트 분해 방법을 활용하여 분석하였다. 이에 따르면 우리나라 소비격차는 외환위기 직후 급격히 악화된 이후 점차 개선되고 있으나 2005년 이후 다시 악화되고 있는 모습을 보이고 있다. 이러한 소비 격차의 변화를 연령-세대-연도효과로 분해할 경우 40대 중반을 기점으로 소비격차는 큰 변화가 있으며 노인 세대보다 젊은 세대에서 소비격차를 개선시키는 효과는 적은 것으로 나타났다. 이는 앞으로 현재 젊은 세대가 자연스럽게 나이가 들어감에 따라 소비격차의 문제는 지금보다 심각해질 가능성이 있음을 시사한다. 그리고 1998년을 기준으로 인구-세대-연령 효과 요인을 분해하여 그 변화를 살펴본 결과에 의하면 소비격차의 변화에 대한 연령효과는 낮아지고 인구구조의 변화에 따른 인구고령화 효과에 의한 설명력은 더욱 높아지고 있다. 이는 향후 인구고령화가 급격히 진행되는 우리사회에 소비격차의 문제가 더욱 심각하게 다가올 수 있음을 시사하고 있다.

저출산의 요인분석과 사회복지적 함의 (A Study on the Factors Affecting Low Fertility and the Implication of Socal Welfare)

  • 이인숙
    • 한국사회복지학
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    • 제57권4호
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    • pp.67-90
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    • 2005
  • 본 연구는 저출산과 관련된 요인을 고찰하기 위해 인구학적 요인, 사회경제적 요인, 그리고 가치관적 요인으로 나누어 이들의 영향력을 분석하고 사회복지적 함의를 찾고자 하였다. 분석 결과 첫째, 현재 자녀수에 영향을 미치는 요인은 인구학적 변수 중에서는 결혼기간이, 사회경제적 변수 중에서는 소득수준이, 가치관 변수 중에서는 자녀의 필요성이 결정요인이었다. 둘째, 향후 출산 여부를 결정하는 요인은 인구학적 변수 중 결혼기간과 현재 자녀수, 그리고 첫 자녀의 성별이었고, 사회경제적 변수 중에서는 소득수준, 가치관 변수 중에서는 결혼의 필요성과 남아선호, 자녀에 대한 대리성취욕구 등이었다. 셋째, 자녀 출산을 연기하는 주요 요인은 자녀보육비 및 교육비 부담, 자녀를 안심하고 맡길 곳이 없음 등이었다. 이러한 결과를 통해 본 연구는 저출산 극복을 위한 사회복지적 측면에서 출산환경 조성의 중요성을 제기하며, 또한 인구정책을 비롯한 여성정책, 가족정책, 보육정책, 교육정책, 고용정책 등이 통합된 형태로 이루어지는 인구복지정책 개발의 필요성을 제기한다.

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