This study tries to understand how the physical impairment develops to practical disabilities among adults with cerebral palsy through path analysis, based on the concept of disability by WHO that the physical impairment and "activities of daily living"(ADL) are affected by the combination of interrelated concept of personal health and environment. Pain and instrumental support are conceptualized as mediating variables for ADL among the adults with cerebral palsy, which are used in the analysis. As a result of surveying of 381 participants, paralyzed region is the only variable directly influencing ADL; other variables such as gender, age, and types of cerebral palsy do not have direct effect on ADL. However, it turns out that age, types of cerebral palsy, and paralyzed region influence on pain problems and also on ADL indirectly, when pain is introduced as a mediating variable. The study also shows that the extent of instrumental support works directly and indirectly toward pain and ADL. It means that individual impairment does not necessarily have influence on the limitations of ADL, but on the result of interrelatedness of individual factors and social factors. Finally, this study implies that the social work practice should be intervened with a new approach of the consideration of the effects of mediating variables.
This study investigated population characteristics that influencing treatment service use of people who are voluntarily using drug dependency treatment services by using logistic and hierarchical regression analysis. The research model of the current study was driven by the framework of the 'the Behavioral Model of Health Services Use(the Andersen model)' that has been broadly applied to study on health behavior. This study used data from a sample group of 80 adults by using purposive sampling. This study found that some predisposing factors, enabling factors and need factors have direct effects on service use. In detail, individuals who graduated from high school use drug dependency treatment utilities more than those who did not. Further, individuals who were given more support from family, peers, or others, use the treatment utilities more frequently and were more willing to use the utilities continuously. Furthermore, the greater the perceived need felt by the dependent, the greater the tendency to enter hospitals or shelters. The important implications of this study for social work practice and social policy can be summarized as follows: first, this study supports the idea that intervention for drug dependents in Korea should be focused on environment resources rather than population characteristics; and government must support drug dependent treatment systems; the present study was the first to investigate Korean drug dependents through taking a more positive view, as well as the first to apply 'the Behavioral Model of Health Services Use', and as such represents an example of how studies could be productively conducted in the future. Despite these implications, there remain some limitations in this study. These include the following: limitation in generalizability of the results; the cross-sectional nature of the study design; survey research through the questionnaire method; using foreign scales; and the difficulty of classifying treatment settings.
The purpose of this study is to empirically structure the patterns of baby boomer retirees'consumption and their effects on depression in later life. Using the 5th wave of Korea Retirement and Income Study(KReIS) in 2013, of baby boomers born in 1955 to 1963, we analyzed those who were completely retired(n=420). The Latent Profile Analysis(LPA) classified the empirical patterns of consumption and then a multiple regression analyzed the effect of consumption patterns on depression among these baby boomer retirees. The LPA results showed that the consumption patterns consist of five groups: (1) Basic life-oriented class(26.9%), (2) Balanced consumption class(29.3%), (3) Social life-oriented class(18.3%), (4) Leisure-oriented class(18.5%), and (5) Education-oriented class(7.0%). Baby boomer retirees' depression was associated with their consumption patterns. Specifically, the basic life-oriented class showed significantly lower depression than the education-oriented class. Other correlates such as higher education, having no spouse, lower subjective health, greater limitations in physical functions, having a diagnosed disability, having fewer children, higher dissatisfaction with leisure activities, and lower self-perceived economic status were associated with higher levels of depression in this study. These findings suggest meaningful implications for gerontological policy and practice for baby boomer retirees in Korea. In light of vulnerable retirement preparation, social services specialized for baby boomers should consider financial education for revamping consumption scale beyond asset management and long-term case management of pre and post retirement cases.
Journal of the Korean Society for Library and Information Science
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v.55
no.4
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pp.245-266
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2021
In this study, in order to practice the social inclusion of libraries, the related policies currently announced in the 3rd Comprehensive Library Development Plan were examined, and the current status of tasks promoted by central administrative agencies and metropolitan and provincial libraries was examined based on these policies. As a result, first, in terms of active information welfare realization, various programs and services are being implemented to bridge the knowledge and information gap, but it seems that the scope of the target should be expanded in the future, cooperation with related organizations, and infrastructure improvement. Second, in terms of expanding the openness of the space, the expansion of the open space as an open space and the application of universal design are being performed. In the future, it seems that the scope of universal design application should be expanded in consideration of budget investment for continuous space reconstruction and diversity of users. Third, in terms of linking services across boundaries, services and programs are provided to infants and toddlers, children, women, the elderly, the underprivileged, job seekers, and multicultural families. In the future, it seems that the improvement of the service system for the expansion of inclusive services in libraries should precede, and cooperation between related ministries should be made to provide differentiated services. Finally, it is expected that future policy-making tasks for social inclusion should be considered not only for books, programs, and spaces, but also for librarians' education, establishment of cooperative networks with related organizations, and marketing for services and programs.
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.6
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pp.520-526
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2020
This study aimed to address the effect of poverty on depression and self-rated health in older adults living alone in Korea. In addition, this study identified the mediating effect of social participation on the poverty-depression and poverty-self-rated health relationships. The researcher conducted a secondary data analysis using the 6th wave of the Korean Longitudinal Study on Aging. The final sample was 1,093 older adults living alone. Using structural equation modeling, standardized coefficients of each path were analyzed. Then, the statistical significance of the mediating effect of social participation was addressed via analyzing direct, indirect, and total effects. Results show that older adults under poverty were more depressed and had a lower level of self-rated health than their counterparts. Moreover, frequent participation in religious gatherings, social gatherings, and leisure activities decreased depression in older adults living alone. Moreover, religious gatherings, social gatherings, and alumni meetings were positively related to self-rated health om older adults living alone. Significant mediating effects appeared in poverty-social gathering-depression, poverty-social gathering-self-rated health, and poverty-alumni meeting-self-rated health relationships. Based on the results, the researcher also discussed implications for social work practice.
The purpose of this study was to examine the attitude toward own aging among community-residing elderly and the predictors of the attitude focusing on personal resources, social support, and social participation. Data were collected from 198 elders aged 60+ with the cooperation of several social service center for the aged, senior centers, and senior citizen associations in Daejeon Metropolitan City. SPSS 22.0 software was used for descriptive analysis, correlation analysis, and hierarchical regression analysis. The results showed that (1) the research participant elderly's attitude toward own aging indicated fairly negative perception of their own aging; (2) self-esteem and economic status were statistically significant factors indicating the higher levels of self-esteem and economic status predicting the positive attitude of their own aging; (3) emotional support from family was statistically significant factor that predicted the positive attitude of their own aging; (4) the level of social participation was also statistically significantly associated with the positive attitude; (5) In the full model of all independent variables, the significance of emotional support from family and social participation disappeared, but self-esteem and economic status among personal resources remained statistically significant influential factors. Based on the findings, suggestions for social welfare policy and practice to improve community-residing elderly's positive attitude toward their own aging were discussed.
Journal of Family Resource Management and Policy Review
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v.19
no.4
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pp.71-94
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2015
The purpose of this study is to propose measures for social work practice to enhance the happiness of middle-aged married men and women by identifying the effects of family stress and social support resources (formal and informal support resources) on marital satisfaction among mid-life married couples. Subjects were selected through purposive sampling among married men and women aged between 40 and 59 and living in Seoul City and Gyeonggi province. The study results are follows. First, the average score of family stress was 3.06 points (SD=.56), slightly higher than the median value of 3 points. Of all subscales of family stress, the subjects experienced the most stress from family relationships, followed by financial problems, health and loss of families, and work-family compatibility. In regard to social support resources, the mean value of all social support resources categories was greater than the median. Among the subscales, informal support (family support and support from other people) was found to be higher than formal support. The level of marital satisfaction was higher than the median, and the score was 3.21 points (SD=.78). Second, in order to explore differences in marital satisfaction according to family stress and social support, differences in marital satisfaction were analyzed by grouping subjects who scored high, middle, and low levels of marital satisfaction. According to the results, marital satisfaction was statistically significantly higher in the group that experienced less family stress (F=6.25, p<.01). With respect to social support, marital satisfaction was statistically significantly higher in the group that received high social support (F=29.68, p<.001). Third, according to the analysis of factors affecting marital satisfaction in middle-aged married men and women, subjective economic status, family relationship stress, economic stress, and family support showed statistical significance. The higher the subjective economic status and the lower the family relationship stress and economic stress levels, the higher the marital satisfaction among middle-aged married men and women. In addition, the greater the family support, the higher the marital satisfaction. The results of this study underscore the need to improve family relationships in middle-aged married couples and to distribute family life education programs that can strengthen family support resources. For example, family relationship enhancement programs are currently performed, including "Family School for Middle-Aged Baby Boomers" and others as part of the Healthy Family Support Work regarding the promotion of marital satisfaction of middle-aged couples. In addition, continuing effort is warranted to include content on strengthening family support resources, maximizing the effectiveness of programs, and promoting service accessibility.
The purpose of this study was to explore the experience in cultural competence of multicultural counselors working with female immigrants by marriage. In-depth interviews, followed by a phenomenological analysis, were conducted on 10 multicultural counselors. 6 themes were emerged from data analysis: facing difficulties due to linguistic and cultural differences, feeling doubts about self and one's ability, reflecting self, putting efforts to learn other cultures and groups, realizing changes, and feeling insecure still. 3 categories appeared from the 6 themes above: difficulties, efforts to change, and change and limitations. Based on the results, social work suggestions for increasing cultural competence of multicultural counselors were discussed.
Dahlui, Maznah;Gan, Daniel Eng Hwee;Taib, Nur Aishah;Pritam, Ranjit;Lim, Jennifer
Asian Pacific Journal of Cancer Prevention
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v.13
no.7
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pp.3443-3449
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2012
Introduction: Despite health education efforts to educate women on breast cancer and breast cancer screening modalities, the incidence of breast cancer and presentation at an advanced stage are still a problem in Malaysia. Objectives: To determine factors associated with the uptake of breast cancer screening among women in the general population. Methods: This pre-intervention survey was conducted in a suburban district. All households were approached and women aged 20 to 60 years old were interviewed with pre-tested guided questionnaires. Variables collected included socio-demographic characteristics, knowledge on breast cancer and screening practice of breast cancer. Univariate and multivariate analysis were performed. Results: 41.5% of a total of 381 respondents scored above average; the mean knowledge score on causes and risks factors of breast cancer was 3.41 out of 5 (SD1.609). 58.5% had ever practiced BSE with half of them performing it at regular monthly intervals. Uptake of CBE by nurses and by doctors was 40.7% and 37.3%, respectively. Mammogram uptake was 14.6%. Significant predictors of BSE were good knowledge of breast cancer (OR=2.654, 95% CI: 1.033-6.816), being married (OR=2.213, 95% CI: 1.201-4.076) and attending CBE (OR=1.729, 95% CI: 1.122-2.665). Significant predictors for CBE included being married (OR=2.161, 95% CI: 1.174-3.979), good knowledge of breast cancer (OR=2.286, 95% CI: 1.012-5.161), and social support for breast cancer screening (OR=2.312, 95% CI: 1.245-4.293). Women who had CBE were more likely to undergo mammographic screening of the breast (OR=5.744, 95% CI: 2.112-15.623), p<0.005. Conclusion: CBE attendance is a strong factor in promoting BSE and mammography, educating women on the importance of breast cancer screening and on how to conduct BSE. The currently opportunistic conduct of CBE should be extended to active calling of women for CBE.
This study aimed to understand the child rearing burden of mothers of youth with developmental disabilities and mothers' inner growth through their rearing experiences. The researchers conducted focus group interviews using the 'photovoice' method and individual interviews with a mothers' group of an orchestra whose members are youth with developmental disabilities. The data were qualitatively analyzed applying systematic content analysis. The results revealed that the lives of mothers of children with developmental disabilities were framed as 'keeping walking, even it's invisible', and their experiences were summed up by the phrase 'coming together and growing with their children.' Although the mothers of children with developmental disabilities experienced distress and difficulties, they also experienced joy and growth while parenting their children. Their children's participation in the orchestra were associated with changes in the mothers' perceptions of their children as well as their self-perceptions as caregivers, and the relationships with the support systems. Based on these findings, the implications of this study for social welfare practice were discussed.
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