• 보건행정학회지
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• 제31권1호
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• pp.114-124
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• 2021

Background: In this study, we aimed to investigate the interaction effects of individual socioeconomic status and regional deprivation on the onset of diabetes complications and diabetes-related hospitalization among type 2 diabetes patients. Methods: Korean National Health Insurance Service National Sample Cohort data from 2002 to 2013 were used. A total of 50,954 patients newly diagnosed with type 2 diabetes from 2004 to 2012 and aged 30 years or above were included. We classified patients into six groups according to individual income level and neighborhood deprivation: 'high in advantaged,' 'high in disadvantaged,' 'middle in advantaged,' 'middle in disadvantaged,' 'low in advantaged,' and 'low in disadvantaged.' We calculated hazard ratios (HR) of onset of diabetes complication and diabetes-related hospitalization using the Cox proportional hazard model, with the reference group as diabetes patients with high income in advantaged regions. Results: In terms of the interaction effects of individual income level and regional socioeconomic level, even with the same low individual income level, the group with a high regional socioeconomic level (low in advantaged) showed low HRs for the onset of diabetes complication (HR, 1.04; 95% confidence interval [CI], 1.00-1.08) compared to the 'low in disadvantaged' group (HR, 1.10; 95% CI, 1.05-1.16). In addition, the 'high in advantaged' group showed slightly higher HRs for the onset of diabetes complication (HR, 1.06; 95% CI, 1.00-1.11) compared to the 'low in advantaged' and it appeared to be associated with slight mitigation of the risk of diabetes complication. For the low-income level, the patients in disadvantaged regions showed the highest HRs for diabetes-related hospitalization (HR, 1.29; 95% CI, 1.19-1.41) compared to the other groups. Conclusion: Although we need to perform further investigations to reveal the mechanisms that led to our results, interaction effects individual socioeconomic status and regional deprivation might be associated with on onset of diabetes complications and diabetes-related hospitalization among type 2 diabetes patients.

• 지역사회간호학회지
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• 제28권4호
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• pp.472-481
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• 2017

Purpose: The purpose of this study were to compare working condition, socioeconomic status, and health status between elderly and non-elderly workers and to examine the influencing factors of health status according to age groups. Methods: This study is a secondary analysis of data extracted from the 2014 Korean Working Conditions Survey. For the present analysis, 15,980 elderly workers over the age of 55 and 32,037 non-elderly workers under the age of 55 were selected. Results: The prevalence of subjective unhealthy status and poor mental health were significantly higher among the elderly workers than the non-elderly workers. The elderly workers were more likely to have lower level of education and income than the non-elderly workers. They also reported less support from colleagues and managers, however, have more decision authority. Among the elderly workers, long working hours, awkward posture, physical environmental risks, quantitative demand, decision authority, social support, age discrimination, education level, and income level were significant predictors of subjective health status or mental health. Conclusion: For keeping elderly workers healthy and productive, work environment needs to become more age-friendly. An age-friendly workplace may include: accommodative support, workers' participation, minimization of environment risk, etc.

• 한국보건간호학회지
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• 제31권2호
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• pp.234-243
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• 2017

Purpose: This study was conducted to evaluate the socioeconomic status as a risk factor for hepatitis C virus infection among community-dwelling adults in Korea. Methods: This study was a cross-sectional study including 2,617 adults. Data from hepatocellular carcinoma epidemiological investigation and information regarding three markers of socioeconomic status, education, employment, household income, were obtained. Multiple logistic regression was performed to calculate odds ratios (ORs) for hepatitis C virus infection for socioeconomic status markers, adjusting for the other soioeconomic status marker, behavioral and hepatitis-related factors. Results: Of the 2,617 study subjects, 104 subjects infected with hepatitis C virus and prevalence was 4%. When compared to subjects with a lowest education, ORs was 0.16 (95% confidence interval [CI]: 0.04-0.69) for highest education group. After adjusting behavioral and hepatitis-related factors, ORs was 0.20 (0.05-0.87) for highest education compared with lowest group. Conclusion: Low educational level was associated with an increased risk of hepatitis C virus infection.

• Nutritional Sciences
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• 제7권4호
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• pp.218-222
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• 2004

Iron deficiency anemia (IDA) is the world's most common nutritional problem. It is characterized by a low hemoglobin (Hb) level and low iron status. A study was conducted to investigate the incidence of iron deficiency anemia in day scholar girls belonging to different socioeconomic strata at Punjab University, Lahore. Iron status of the subjects was estimated by measuring Hb, hematocrit (Hct), red blood cell (RBC) count, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCR), serum iron, serum ferritin, total protein and albumin. Results indicated that females belonging to low socioeconomic strata had lower values for Hb, Hct, RBC count, total protein and albumin. Serum iron, serum ferritin, MCV and MCH values fell within the normal range for all of the socioeconomic groups. However, serum iron and ferritin varied with socioeconomic status and higher-income groups had significantly higher serum iron and ferritin. It was concluded that anemia may develop due to poor intake and absorption of iron and that those in the low-income bracket are the most affected group.

• 보건교육건강증진학회지
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• 제31권1호
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• pp.45-56
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• 2014

Objectives: This study aimed to examine how the relationship between socioeconomic factors at the macro level and suicide mortality rate of Korea was different from that of other OECD countries. Methods: We created OECD panel data of 29 OECD countries from 1985 to 2006 and analyzed the relationship between socioeconomic factors and suicide mortality rate for separate age and sex groups using a fixed-effect model. Economic factors included per capita GDP, per capita GDP growth rate, unemployment rate, and women's economic participation rate. Social factors included birth rate, alcohol consumption, and the percentage of population 65 and older. Results: Unemployment rate had a positive relationship with suicide in other countries but it had a negative relationship in some groups of Korea. Women's economic participation rate was both positively and negatively related with suicide in Korea but it did not relate to suicide in others. The negative relationship of birth rate and the positive relationship of alcohol consumption with suicide were evident in Korea, which were not found in other countries. The percentage of population 65 and older was negatively correlated in some female groups in Korea, while no significant relationship was found in other countries. Conclusions: Korea was substantially different from other OECD countries in the relationship between socioeconomic factors and suicide mortality rate.

• Asian Pacific Journal of Cancer Prevention
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• 제15권7호
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• pp.3279-3286
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• 2014

Background: Cancer is one of the leading causes of death in Korea. To reduce cancer incidence, the Korean National Cancer Center (KNCC) has been expanding its organized cancer screening program. In addition, there are opportunistic screening programs that can be chosen by individuals or their healthcare providers. The purpose of this study was to investigate factors associated with participation in organized and opportunistic cancer screening programs, with a particular focus on socioeconomic factors. Materials and Methods: We used data from the Korea National Health and Nutrition Examination Survey (KNHANES), a cross-sectional nationwide study conducted by the Korean Ministry of Health and Welfare from 2007 to 2011. The study included information from 9,708 men and 12,739 women aged 19 years or over. Multinomial logistic regression analysis was conducted, adjusting for age, year of data collection, residential region, current smoking status, current alcohol consumption status, exercise, marriage status, job status, perceived health status, stress level, BMI, limitation of activities, cancer history, health insurance type, and private insurance status, to investigate the association between education level, economic status, and cancer screening participation. Results: In terms of education level, disparities in attendance were observed only for the opportunistic screening program. In contrast, there was no association between education level and participation in organized screening. In terms of economic status, disparities in opportunistic screening participation were observed at all income levels, but disparities in organized screening participation were observed only at the highest income level. Conclusions: Our findings reveal that socioeconomic factors, including educational level and economic status, were not significantly associated with participation in organized cancer screening, except at the highest level of income.

• Journal of Preventive Medicine and Public Health
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• 제38권4호
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• pp.391-400
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• 2005

Objective : This study examined the socioeconomic differentials for the health and health related behaviors among South Korean middle school students. Methods : A nationwide cross-sectional interview survey of 3,449 middle school second-grade students and their parents was conducted using a stratified multi-stage cluster sampling method. The response rate was 93.3%. The socioeconomic position indicators were based on self-reported information from the students and their parents: parental education, father's occupational class, monthly family income, out-of-pocket expenditure for education, housing ownership, educational expectations, educational performance and the perceived economic hardships. The outcome variables that were measured were also based on the self-reported information from the students. The health measures included self-rated health conditions, psychological or mental problems, the feelings of loneliness at school, the overall satisfaction of life and the perceived level of stress. The health related behaviors included were smoking, alcohol drinking, sexual intercourse, violence, bullying and verbal and physical abuse by parents. Results : Socioeconomic differences for the health and health related behaviors were found among the eighth grade boys and girls of South Korea. However, the pattern varied with gender, the socioeconomic position indicators and the outcome measures. The prevalence rates of the overall dissatisfaction with life for both genders differed according to most of the eight socioeconomic position indicators. All the health measures were significantly different according to the perceived economic hardship. However, the socioeconomic differences in the self-rated health conditions and the psychosocial or mental problems were not clear. The students having higher socioeconomic position tended to be a perpetrator of bullying while those students with lower socioeconomic position were more likely to be a victim. Conclusions : The perceived economic hardships predicted the health status among the eighth graders of South Korea. The overall satisfaction of life was associated with the socioeconomic position indicators. Further research efforts are needed to explore the mechanisms on how and why the socioeconomic position affects the health and health related behaviors in this age group.

• 한국보육지원학회지
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• 제9권3호
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• pp.5-32
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• 2013

본 연구는 아버지의 사회 경제적 지위에 따라 교사가 지각한 유아의 행복감 및 정서지능이 차이가 있는지를 알아보고자 하였다. 연구대상은 5세 104명과 6세 160명, 총 264명 유아들을 대상으로 그들의 아버지의 사회 경제적 지위, 학력, 소득수준, 직업을 조사하였고, 담임교사에 의해 그들의 정서지능 및 행복감이 측정되었다. 자료 처리는 아버지의 학력, 소득수준 및 직업에 따른 유아의 정서지능 및 행복감의 차이와 유아의 정서지능 및 행복감에 대한 사회 경제적 지위 간의 상호작용 효과가 있는지를 알아보기 위해 다변량 분석을 실시하였다. 본 연구결과는 첫째, 유아의 정서지능은 아버지의 학력, 소득수준 및 직업에 따라 유의한 차이를 보였다. 둘째, 유아의 행복감은 아버지의 학력, 소득수준 및 직업에 따라 유의한 차이를 보였다. 이러한 본 연구의 결과는 유아의 정서지능 및 행복감을 예측하는데 아버지의 사회 경제적 지위, 즉 학력, 소득수준, 직업이 주요 변인이라는 것을 시사한다.

• 한국산학기술학회논문지
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• 제14권6호
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• pp.2667-2676
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• 2013

본 연구는 청소년이 인지하는 스트레스, 우울 및 자살생각을 확인하고 일반적 특성에 따른 차이와 부모의 사회경제적 지위에 영향 요인을 파악하기 위한 서술적 조사연구이다. 본 연구 자료는 질병관리본부의 2009년도 국민건강 영양조사 원시자료 중 건강 설문조사 부분을 응답한 청소년 904명이다. 수집된 자료는 빈도와 백분율, 교차분석, 다변량 로지스틱 회귀분석을 이용하여 검정하였다. 본 연구의 결과 우울과 자살사고의 경우에서 사회경제적 수준이 낮은 집단에서 더 높은 분포를 보였고, 스트레스의 경우는 사회경제적 수준이 높은 세대주의 자녀의 경험비율이 그 외의 집단에 비해서 높은 수치를 보였다. 우울과 자살생각을 주요결과로 한 분석모형에서는 부모의 직업 상태에 따라 차이가 있었다. 자살생각에 대한 위험요인으로는 어머니의 교육수준과 기초생활수급가족 여부도 포함되었다. 본 논문의 분석방법을 통해 국가표본조사 데이터를 이용하여 자살을 예방하고 우울, 스트레스를 감소시키기 위한 개별 및 집단 상담, 정규 교육 프로그램의 개발과 적용이 요구되며, 청소년 개인의 건강행태 뿐만 아니라 부모의 정보를 바탕으로 하는 위험 집단 선별과 가정내 환경요인 중재를 강화하는 연구에 기여할 수 있다.

• 가정과삶의질연구
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• 제30권5호
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• pp.107-119
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• 2012

This study examined the mediating effect of maternal abuse and neglect on the relationship between socioeconomic status and preschoolers' social behavior. A total of 702 mothers with 3-year-olds(353 boys and 349 girls) and the children's teachers, all of whom reside in Seoul, participated in the study. Socioeconomic status was measured by maternal educational level and monthly household income. Maternal abuse and neglect were assessed by asking mothers to complete the Parent-to-Child Version of the Conflict Tactics Scales. Both mothers and teachers completed the Preschool Social Behavior Scale in order to evaluate prosocial behavior and aggression. The results indicated that both socioeconomic status and maternal abuse and neglect were significantly associated with preschool children's prosocial behavior, and socioeconomic status was significantly and negatively related to aggression. Furthermore, a structural equation model confirmed the mediating effect of maternal abuse and neglect on the relationship between socioeconomic status and preschool children's prosocial behavior, suggesting the need for interventions focusing on improving positive parenting and decreasing negative parenting to promote prosocial behavior.