• Journal of agricultural medicine and community health
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• v.28 no.2
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• pp.1-14
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• 2003

Objectives: This paper introduces need and supply level of rural mental health care service and especially focuses on the evaluation for the community mental health programs of Public Health Centers(PHCs) in rural areas as the facilities for primary mental health care. Methods: We defined the need as prevalance rate and service utilization rate, for which reviewed the results of the epidemiological study of mental disorders using Korean Composite International Diagnostic Interview surveyed on a nationwide scale in 2001. Supply was appraised in terms of psychiatric beds and primary mental heath care facilities such as private psychiatric clinics, facilities for social rehabilitation, PHCs running community mental health programs. For this, we reveiwed a variety of annual reports related mental health published by Ministry of Health and Welfare. To evaluate the community mental health programs of PHCs in rural areas, we selected. randomly samples out of the 3rd community health plans including the contents of community mental health programs, which submitted by 89 rural counties and 44 cities mixed with rural areas, and used the program's guideline established by central government as a standard. Results: Prevalence rates of major psychiatric diseases such as schizophrenia, alcoholism, major depression, anxiety disorder were higher in rural area than in urban area and 8.9% of psychiatric patients in both areas stayed at homes contacted with mental health manpower more than one time during the last year. Psychiatric beds were sufficiently supplied, but urban area had less beds than rural area contrary to general health care service. Psychiatric clinics were supplied very insufficiently in rural areas and PHCs bridged the gap instead. However rural PHCs got less financial support for community mental health programs from higher positioned agencies than urban PHCs. Rural community health programs not supported hardly worked out. Conclusions: Central government should consider a special policy for rural primary mental health care, because private psychiatric clinics can't be introduced in rural areas due to demand-deficiency and the financial independence of rural counties was very vulnerable.

• Korean Journal of Family Social Work
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• no.55
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• pp.5-30
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• 2017

This study aims to analyze the influence of network of elderly with his or her non cohabiting children on their depression and its regional differences between urban and rural areas. The analysis is based on the sample of 1,609 elderly of 65 and above (1,011 Urban residents and 598 Rural residents) from the third time span(year 2010) to the fifth time span(year 2014) collected by the Korean Longitudinal Study of Ageing, whose research conducted by Korea Employment Information Service. First, it is found that rural elderly are more likely to suffer from depression than urban elderly. Second, it is found that rural elderly have on average a bigger number of non cohabiting children in their network, whereas geographical proximity and frequency in meeting, and economic support is stronger upon urban elderly. Third, urban elderly tend to suffer from depression as the frequency of phone calls with their non cohabiting children increases with time, and as the frequency of meeting and relationship satisfaction is decreases with time, whereas rural elderly tend to suffer from depression as their geographical proximity with their non cohabiting children is decreases with time. Based on the results of this analysis, this study further suggests practical policy interventions to prevent elderly depression.

• Research in Community and Public Health Nursing
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• v.23 no.1
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• pp.31-39
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• 2012

Purpose: The purpose of this paper was to compare community health status by region and to investigate related factors using community health and social indicators. Methods: Data were collected from statistics of local districts that were provided by KNSO and KCDC. ANOVA and correlation were analyzed using PASW 18.0. Results: The standardized cancer mortality rate was higher in metropolitan areas than in other areas. On the contrary, the mortality of respiratory disease, traffic accident, and suicide were higher in rural areas. Small cities and county districts showed higher prevalence in obesity prevalence than metropolitan areas. Metropolitan areas presented higher prevalence in alcohol drinking during the previous month, perceived stress, and seat belt use. The age-adjusted standardized mortality rate was correlated with higher prevalence of smoking, obesity, percentage of the elderly, number of beds, number of social welfare facilities, number of registered cars, lower percentage of financial independence, number of doctors, and percentage of water supply service & sewage. Conclusion: Since significant differences in mortality rate and prevalence of health risk behaviors exist between regional areas and the mortality rate was correlated with other social indicators and health indicators, health policies and social policies considering these differences should be develop and implemented to the communities.

• Journal of Families and Better Life
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• v.9 no.1 s.17
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• pp.81-94
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• 1991

The Purpose of this study is to determine how Korean and United Sates families manage resourcese. Further, socioeconomic and social psychological determinants of frequency of family resoures management will be investigated for each country. Comparision of results well be made to find similarities and differences between Korea and the U.S. Most studies of family resource management have used urban samples, so this study adds to understanding of another segment of the populations. Family resource management variables, as dependent variables, were measured by asking respondents how often they used a variety of wasys to handle finances and time. Independent variables were : (a) total household income, (b) respondents education, (c) respondents ages, (d) householder size, (e) family adaptability, (f) family cohesion, and (g) interpersonal communications. Data for the Korean sample were collected in rural areas of South Korea during summer 1989, U.S. data were collected in two counties of Illinois. The data used in this study include 473 Korean samples and 301 U.S. families. In both samples, the respondent was the financial manager, the person who usually handled the finances and paid the bills. The data were analyzed by frequencys, t-test, and multiple regression analysis methods. As a results, U.S. respondents tended to engage in family resource management more frequently than Korean respondents. This could be attributed to a longer history of consumer education and financial management education taught in the public schools and through the Cooperative Extension Service in the U.S. Social-psycological variables were significant predictors of frequency of family financial management in both samples. the differences in both samples are that, in Korea, frequency of family financial management increased as household size and educational years increased, however, in the United States, the relationships of these variables were not significant. Some similarities and differences were found in Korea and the U.S. families, and this results represents that interpersonal communications are important determinants, even in different cultures. One hadn, the difference of socio-cultural factors result as the difference of some statisical differences. Findings from this study have important implications for research and education, and can be applicated to study of family resource management in other rural areas.

• Journal of Korean Society of Rural Planning
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• v.3 no.2
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• pp.36-49
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• 1997

The drastic change of mountain community, which have led existing villages to a size reduction or an extinction, makes this study concentrate on finding out the new community unit as a spatial zone of dayily life and agricultural production. The communality which has played a key role in a aura settlement consistency has been focused on the socio-economic aspect till now, neglecting the spatia] nature. The settlement-communality( SC) putting a stress on the spatial aspect can be, therefore, shapec as being multi-dimensional, composed of both a horizontally areal coverage on the surface of the residential place and a vertically hierarchial relationship between settlements, by analyzing thro( elements of communality that are the economic, socio -cultural and spatial activities. The research site is located administratively in Milan-Myoun, Pyoungchang-Gun, Gangwon-Do that ha: the characteristics as a typical mountain community. The results of field survey of which the method i: to draw the activity zone from an interview with every village's head and some residents with th( prepared questionaire can be summarized as followings. Firstly, the SC in almost all villages tended to be weakened or extincted, none the less, the spatia zone of that overally enlarged and got out of natural village unit(hamlet). However the areal coverall on which the SC has an influence reaches up to the alliant domain of a few villages generally congruen with the lowest level administrative district, Secondly, the economic and social activity pattern in village life has a tendency to be directly linked with a upper central place, so that has induced the function of a central village in the middle-low settlement hierarchy to be largely shrinked. Not only the conventional residents'access to goods service but also the recent service-delivers'access to residents has gradually formed the vertical communality with direct linkage between the upper and the bottom level settlements Lastly, the enfeeblement of the SC in the lowest settlement level tends to be supplemented by enlarging the horizontal zone of the SC or especially by strengthening the vertical direct linkage system. The very this point makes the mountain community open to the external world and also makes the spatial unit of community be multi-dimensional just like a cubic.

• The Journal of Korean Society for School & Community Health Education
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• v.24 no.3
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• pp.37-50
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• 2023

Objectives: The aim of this study was to identify factors influencing communication satisfaction between geriatric caregivers and older adults in urban-rural complex communities. The ultimate goal was to design local community educational programs and policies to enhance communication satisfaction among geriatric caregivers and improve the quality of care services for older adults. Methods: To identify factors influencing communication satisfaction between elderly caregivers and older adults, a survey titled "CCEP: Assessment of Communication Status between Elderly Care Service Providers and Recipients" was conducted from February to July 2020, focusing on rural-urban complex areas. The survey was administered based on providers of elderly healthcare services. The survey targeted 131 respondents involved in providing care services for older adults. The dependent variable of this study was the communication satisfaction reported by elderly caregivers in their interactions with the elderly. The independent variables included perceptions of older adults, factors associated with communication difficulties, and communication efforts. Additionally, gender, working environment, working experience, and the proportion of face-to-face interactions with older adults during caregiving were controlled for the hierarchical multiple regression analysis. Results: The analysis revealed that communication efforts with older adults significantly influenced communication satisfaction (β=.09, p<0.01). However, perceptions of the elderly and communication hindrance factors did not have a significant impact on communication satisfaction among geriatric caregivers. Conclusion: Effective communication between geriatric caregivers and older adults is crucial for identifying and meeting the needs and demands of caregiving services, and it plays a vital role in overall caregiving service satisfaction. To enhance communication skills and satisfaction among geriatric caregivers and ensure the appropriate fulfillment of elderly care needs in the local community, the development of community-centered, specialized health communication programs and other initiatives will be necessary in the future.

• Journal of Korean Academy of Rural Health Nursing
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• v.18 no.2
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• pp.113-124
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• 2023

Purpose: The number of households vulnerable to isolation increases rapidly as social ties decrease, raising concerns about the associated increase in lonely deaths. This study aimed to identify issues related to lonely deaths by analyzing South Korean news articles; and to provide evidence for their use in preventing and managing lonely deaths via community nursing. Methods: This exploratory study analyzed the structure and trends of meaning of lonely deaths by identifying the association between keywords in news articles and lonely deaths. In this study, we searched for all news articles on lonely deaths, covering the period from January 1, 2010, to May 31, 2023. Data preprocessing and purification were conducted, followed by top-keyword extraction, keyword network analysis and topic modeling. The retrieved articles were analyzed using R and Python software. Results: Four main topics were identified: "discovering and responding to lonely death cases", "lonely deaths ending in lonely funerals", "supportive policies to prevent lonely deaths among of older adults", and "local government activities to prevent lonely deaths and support vulnerable populations." Conclusion: Based on these findings, it can be concluded that lonely death is a complex social phenomenon that can be prevented if society shows concern and care. Education related to lonely deaths should be included in nursing curricula for concrete action plans and professional development.

• Journal of Family Resource Management and Policy Review
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• v.20 no.1
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• pp.43-60
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• 2016

The purpose of this study was to investigate what life safety services the elderly living alone in rural areas need and to propose the life safety services that they actually need. The research subjects were 1,000 people aged 65 years and over living in the rural areas of Korea. Among the total 1,000 respondents, 283 elderly people who did not live together with their married children were included in this study. Data were analyzed through frequency analysis, descriptive statistics, and multiple regression analysis. The results of this study were as follows. First, the needs of health care services and vehicle support services (when the elderly went to the hospital or walked out) were high. These were services related to health, which means that the health of the elderly is not good and that they are interested in health. Of course, it is important to treat the disease. However, it is more important to prevent disease and maintain health. An expansion of these services is urgently needed. Second, the need for life safety services was affected by the frequency of contact with neighbors, uncomfortable housing, exercise, the frequency of contact with children, gas accidents, and nutrition variables. Through this analysis, we propose to include the housing improvement service, nutrition improvement services, and expanding social relations services in the life safety services.

• Architectural research
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• v.13 no.3
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• pp.31-40
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• 2011

Profit-keeping behaviors naturally occur in the market to satisfy consumers, and the logic behind it lies in the economies of scale. On the flip side, some commodities transacted in the market are not available or can not be easily acquired unless the demand is high enough. Under this proposition, some consumers rise and find their own solution to meet the services at a reasonable cost or at an adequate level. The commonly adopted way is to establish a cooperative, and it stirs purchasing power by pooling resources and further bargains price and service quality. As a consumer cooperative, housing cooperatives notably found in rural towns enable the elderly to continue independent living. This study is to take a closer look at residential life of the rural elderly in housing cooperatives. Utilizing in-depth focus group interviews with 40 residents in four housing cooperatives, this qualitative research draws main factors affecting the decision to move in, residential assessment, and strengths and weakness of living in a housing cooperative. The primary factor influencing the moving decision is to continue to independent living in a familiar community, and the bottom line is planning ahead. Frailty and bereavement are found to be the leading occasions for them to move. The participants are satisfied with the independent living arrangement, and particularly, cited such features as safety and security, elderly-friendly design, common spaces, freedom, social activities and efficient living. Also, it is stated that some cooperative natures such as control over the property and giving a voice on management render positive impacts on the satisfaction with communal living. In spite of all the benefits and strengths, participants face with a public notion that an independent living arrangement like a housing cooperative has never done before in rural towns, so that most people recognize it as part of dependent living arrangements like nursing home.

• Journal of Agricultural Extension & Community Development
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• v.24 no.2
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• pp.143-154
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• 2017

Saemaul Undong (SM U) initiated in Korea in the 1970's is widely acknowledged as a successful model for rural community development, despite its limitations. This paper investigates the success factors of the SMU model and the lessons thereof for Sam Sang Model of Lao PDR, which appears ineffective over the years. Results show that land reforms, social ties among villages, strong institutional support and leadership and incentive system as well as "top-down" and "bottom-up" development approaches are among the factors that significantly contributed to the success of the SMU. However, rural development program would not be effective if residents are unwilling to participate. Therefore, to successfully achieve rural community development in Lao PDR, the government should through the Sam Sang model employ top-down and bottom-up approaches to enhance local participation and address the exact needs of the local people.