• Title/Summary/Keyword: socioeconomic level

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Evaluation of Nutrient Intakes in the Hemodialysis Patients According to the Socioeconomic Status - In Daejeon and Chungnam Areas - (혈액투석환자의 사회경제적 수준에 따른 영양소 섭취상태의 평가 - 충남지역을 중심으로 -)

  • Chung, Young-Jin;Park, Yoo-Sin;Kim, Han-Sook;Chang, Yu-Kyung;Kim, Chan
    • Journal of Nutrition and Health
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    • v.35 no.5
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    • pp.544-557
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    • 2002
  • This study was performed to evaluate the quality of nutrient intakes of the hemodialysis patients (26 men and 23 women) according to the socioeconomic status by 3-day dietary recall in Daejeon city and Chungnam area, Korea. Mean age of the subjects was 50.7 yrs and BMI was 22.0 $\pm$ 0.4 kg/$m^2$. Education level was divided into two groups ($\leq$ 9 years: LE group, 9 years: HE group), and monthly family income level was divided into three groups (< 500,000 won: LI group, 500,000-1,499,999 won: MI group, $\geq$ 1,500,000 won : HI group). The data were analyzed by Student t-test and Oneway ANOVA using SPSS 9.0 version at p < 0.05 level. Intakes of energy, carbohydrates, cholesterol, potassium, thiamin and riboflavin were significantly higher in HE group than in LE group (p < 0.05). Intakes of all the nutrients except protein and phosphorus were less than Korean RDA, and INQs (Index of Nutritional Quality) of most nutrients were lower than 1.0 but cholesterol, phosphorus. thiamin and niacin being over 1.0 in HE group. MAR (Mean adequacy ratio) of all the nutrients (e.g., energy, protein, calcium, phosphorus, iron, vitamin A, vitamin C, thiamin, riboflavin and niacin) was significantly higher in HE group (0.61 $\pm$ 0.04) than in LE group (0.48 $\pm$ 0.03) at p = 0.036. Intakes of energy, protein (total, animal and plant), fat, cholesterol, potassium, calcium, phosphorus, iron, vitamin A, thiamin and riboflavin were also significantly higher in HI group than in LI and MI group (p < 0.05). Daily intakes of most nutrients were less than Korean RDA except protein ed phosphorus in HI poop, and INQs of thiamin, niacin and phosphorus were higher than 1.0, while those of calcium, iron, vitamin A and riboflavin were lower than 1.0. MAR of energy and 9 nutrients was significantly higher in HI group (0.70 $\pm$ 0.04) than in LI group (0. 56 0.04) and MI poop (0.47 $\pm$ 0.03) at p = 0.000. In conclusion, quality of nutrient intakes, especially energy and protein, was significantly influenced by socioeconomic status such as education and monthly income (p < 0.05). This result suggests that it would be very helpful to develop nutritional education programs considering hemodialysis patients' education levels, and to improve public supports (e.g., medical insurance system, low-rate lease system of dialysis equipments, etc.) focusing on the patients' family income levels f3r their better nutrition and health.

Relationship between Adolescent Obesity and Socioeconomic Status of Parents: In Seoul, Yangpyong, and Yanbian Area (청소년 비만과 부모의 사회경제적 수준의 연관성 -서울, 양평, 중국 연변지역 중학생을 대상으로-)

  • Ki, Mo-Ran;Kim, Mi-Kyoung;Fang, Jin-Nu;Xu, Chun-Ying;Ahn, Dong-Hyon;Kang, Yun-Ju;Choi, Bo-Youl
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.1
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    • pp.9-16
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    • 1999
  • Objectives. Few studies have attempted to explain the association between socioeconomic status (SES) and obesity in Korea Especially the studies on same race with different SES at same time are good for SES influence estimation. The present study highlights the influence of SES of parents on adolescent obesity. The subjects are the same race, but live in different areas, with different SES, Seoul and Yangpung in Korea, and Yanbian in China. Methods. The cross-sectional study was conducted in Mar-Jun 1996. We carried out anthropometry, 24 hour-recall diet survey, self-reported questionnaire about sociodemographic characteristics and physical activity. For SES indicators, we used income and education of parents. Results. The relationship between SES of parents, defined as educational status, and obesity in boys in Korea and China is direct, but not significant. The relationship is inverse and nonsignificant among Korean girls, However, for the Korean girls in severe obesity, the relationship is significant. For the Korean-Chinese girls, there is an inverse relationship between the education level and obesity but a direct relationship between the income level of parents and obesity. For the Korean adolescent, there are a direct association between the SES of parents and the nutrients factors such as energy, protein, and fat intake. The energy expenditure of adolescent has no relationship with SES of parents. Conclusion. Among boys, the higher the SES, the greater the risk of obese. Among girls in Korea and Korean-Chinese, on the other hand, the lower the educational status of parents, the greater the risk of obese.

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Comparative Study of the Health Status of Two Koreas (남북한 주민의 건강수준 비교연구)

  • 김영치
    • Health Policy and Management
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    • v.7 no.1
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    • pp.155-182
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    • 1997
  • Objectives : This study was designed to compare North Korea and South Korea in measures of the quality of life (physical quality of life index and human development index) and to investigate the impact of selected medical and socioeconomic factors on PQL variables. Data and Methods : The World Bank, the United Nations Development Programme, and Population Reference Bureau were the principal sources of statistical data of 121 countries. Variables included infant mortality, life expectancy at birth, literacy rate, secondary school enrollment (male and female), GNP per capita, population per doctor, daily calorie supply per capita, and a composite PQL index. The Ordinary Least Square model was employed for cross-countries analysis. Findings : Both countries under quite different political and economic systems saw big improvememts in the quality of life, reducing mortality and prolonging life expectancy during the past three decades. In recent decad, however, North Korea has experienced abrupt exacerbation in the quality of life. Significant improvements in infant mortality of the population wer attributable mainly to GNP per capita and the secondary school enrollemt of female. The principal predictors of life expectancy at birth were population per doctor, infant mortality, and literacy rate. The secondary school enrollment of female and population per doctor were significantly associated with improvements in the physical quality of life index (PQLI). Conclusion : The results of this study confirmed a point illustrated by other studies : The association between quality of life as a measure of health status and socioeconomic factors was strong and positive. The important contribution of educational attainment in general, female education level in particular to improvements in the quality of life deserves good news for building an integrated health care system in the reunified Korea, taking into account the high level of education two koreas are enjoying. Meanwhile, when a sharp drop in the quality of life has been observed in North Korea under serious economic difficulties and food shortage in recent decade, the significant contribution of economic development to improvements in the quality of life poses bad nows for reunifying Korean health care in economic terms.

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The Estimation of Prevalence of Diabetes Mellitus in a Rural Adult Population (일부 농촌 성인의 당뇨병 유병률 추정)

  • Park, Sue-Kyung;Kim, Joung-Soon
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.3 s.54
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    • pp.483-494
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    • 1996
  • The objectives of this study are to estimate the prevalence of diabetes mellitus (DM) and to identify risk factors associated with fasting blood sugar in a rural adult population. We carried out a cross - sectional study on the residents over 30-year old. Among the 1077 eligible subjects, 725 persons responded to the study;the study consisted of interview on family and past history of DM, anthropometry, blood pressure, and blood sugar level in each subjects. Only 707 subjects of 725 participants had fasting blood sugar(FBS) examined and the rest, 18 subjects were had casual blood sugar examined due to failure of fasting over 8 - hour. When subjects had $FBS\geq140mg/dl$, 2 hours postprandial blood sugar level was checked after 75g oral glucose loading. The prevalence of DM was 8.9%, and age standarized prevalence rate adjusted to Korean population of 1995 was 5.8%. Mean and SD of fasting blood sugar in men was $99.8{\pm}22.6$, and in women was $111.5{\pm}29.9$. Mean levels of fasting blood sugar were significantly higher in women than in man and as their ages advanced the prevalences increased in both sexes. PP2 blood sugar levels were significantly higher in elder age and in persons with higher FBS levels than others. The risk factors associated with FBS were past history of diabetes, sex, socioeconomic status and waist - to - hip circumference ratio;the risk of diabetes was increased in female, people with past DM history, central obesity and low socioeconomic state. The low socioeconomic status associated with DM in this study, which is different from other study results, should be pursued in further studies.

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Socioeconomic Disparities in Osteoporosis Prevalence: Different Results in the Overall Korean Adult Population and Single-person Households

  • Kim, Jungmee;Lee, Joongyub;Shin, Ju-Young;Park, Byung-Joo
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.2
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    • pp.84-93
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    • 2015
  • Objectives: The present study was conducted in order to examine the association between socioeconomic status (SES) and osteoporosis prevalence in Korea and to assess whether different associations are found in single-person households. Methods: A cross-sectional population-based study was conducted using the Korea National Health and Nutrition Examination Survey, from 2008 to 2011. The study subjects were people aged ${\geq}50$ years with osteoporosis as defined by bone mineral density. Multivariate logistic models were used to estimate prevalence odds ratios (pORs) and 95% confidence intervals (CIs). Gender differences in the likelihood of osteoporosis were analyzed based on household income, education level, and residential area. Results: There were 8221 osteoporosis patients aged ${\geq}50$ years, of whom 927 lived in single-person households. There was a gender-specific association between osteoporosis prevalence and all three SES factors that we analyzed: income, education, and residential area. After adjusting for age, SES, and health behaviors, including body mass index (BMI), low household income was only significantly associated with osteoporosis in men, whereas education level had an inverse relationship with osteoporosis only in women (p=0.01, p<0.001, respectively). However, after controlling for age and BMI, rural residency was only associated with osteoporosis in women living in single-person households (pOR, 1.59; 95% CI, 1.05 to 2.43). Conclusions: The Korean adult population showed a gender-specific relationship between SES and osteoporosis prevalence, with a different pattern found in single-person households.

Health Inequality of Local Area in Seoul : Reinterpretation of Neighborhood Deprivation (서울시 소지역 건강불평등에 관한 연구 : 지역박탈에 대한 재해석)

  • Kim, HyoungYong;Choi, Jinmu
    • Journal of the Korean association of regional geographers
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    • v.20 no.2
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    • pp.217-229
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    • 2014
  • This study was performed to identify neighborhood deprivation indicators associated with health and to test the contextual effects of those indicators on individual health. This study calculated SMR based on Dong district and see the differences of prediction across deprivation index and indicators. Then, a multi-level analysis using HGLM was conducted to test the contextual effect of neighborhood depreivation indicators on health after controlling for demographic and socioeconomic status of individuals. The results showed that regional SMR had strong correlations with land price, education, welfare recipients, female household proportion in Dong district but failed to show the correlation with individual health and neighborhood deprivation. Individual health was only associated with individual level of demographic and socioeconomic status. That is, spatial dispersion of illness is understood as the distribution of social classes in terms of socioeconomic status of individuals, not the contextual aspects of community.

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Evaluation of items for the food behavior checklist and nutrition quotient score on children in rural areas of Gyeongbuk (경북 농촌지역 어린이 대상 영양지수 (Nutrition Quotient) 조사 및 평가)

  • Yoo, Jung-Sun;Choi, Young-Sun
    • Journal of Nutrition and Health
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    • v.46 no.5
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    • pp.427-439
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    • 2013
  • The aim of this study was to determine whether Nutrition Quotient (NQ) for children, which has been developed from data on urban children, can be applied to children in rural areas. A total of 200 children (108 boys and 92 girls) in fifth and sixth grade at three elementary schools in rural areas of Gyeongbuk participated in the survey conducted during June 2012. Questionnaires consisted of items on food intake frequency and dietary behavior. Food intake data were obtained using the 24-hour recall method, and nutrient intake was calculated using the CAN-Pro 4.0 Program. Percentages of children who took less than the estimated average requirement were 76.5%, 49.5%, 45.5%, 33.5%, and 26.0% for calcium, vitamin C, iron, vitamin A, and folate, respectively. Significant associations were observed between intake frequencies of vegetables, kimchi, and fruits, and intake of vitamin C, folate, and dietary fiber. White milk and legumes showed positive correlation with intake of calcium and vitamin A. Eating breakfast, meal regularity, and diverse side dishes showed positive correlation with intake of folate and calcium. The 19 food checklist items could be categorized according to five factors. The mean NQ score of the subjects was 62.0, which was similar to that of urban children, 64.4. NQ score and factor scores for balance, regularity, and practice were significantly lower in children with lower socioeconomic level as compared to those with higher socioeconomic level. Higher NQ score showed an association with increased intake of vitamin B2, folate, vitamin C, and calcium. In conclusion, NQ offers a valuable instrument for evaluation of food habit and dietary quality of rural children as well as urban children, and children with low socioeconomic status should be monitored by testing with NQ checklist before implementation of nutrition programs.

An Analysis of the Performance Paths of Rural Area Revitalization Project: Focusing Eup·Myon Comprehensive Improvement Project (읍·면 소재지 종합정비사업의 성과경로 분석)

  • Kim, Jung-Tae;Jung, Nam-Su
    • Journal of Korean Society of Rural Planning
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    • v.25 no.2
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    • pp.47-62
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    • 2019
  • This paper considers the effect of "comprehensive rural community improvement project" in terms of three factors - physical environment, rural tourism, socioeconomic and analyzed the path effect leading to the final outcome - the quality of life of residents, using covariance structure analysis. By doing so, this study looks into why residents prefer the improvement of a physical environment that takes a public nature. The analysis showed that the socioeconomic effect did not have an immediate impact on the improvement of quality of life of residents at a significance level of 5%, whereas the improvement of physical environment had a static effect on the quality of living at a significance level of 1%. Residents' preference for "hardware" or physical environment may be attributed to lack of their understanding of human factors such as social capital. However, analyzing the impact of specific contents of the project on performance, it is found that as projects fail to generate a tangible socioeconomic effect, residents strategically prefer the repair of their physical environment such as public facilities that directly affect their daily lives, so that they can maximize an improvement of the quality of living. Hence, this study suggests that instead of attributing the failure of rural community development projects to residents, macroscopic problems of rural communities and specific contents of projects should be dealt with before the success of any project can be discussed.

The Influence of COVID-19 on the Life of Artists : Focusing on the Survey of Artists (코로나19가 예술인의 삶에 미치는 영향 : 예술인 실태조사를 중심으로)

  • Jang, Woo-Hyeon;Lee, Ji-Yeon
    • The Journal of the Korea Contents Association
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    • v.21 no.3
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    • pp.301-313
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    • 2021
  • This study was conducted on 253 artists for a month from April 19, 2020 to study the influence and countermeasures of COVID-19. The analysis results are as follows. First, as a result of frequency analysis, the timing of the occurrence of COVID-19 and the period of the decrease in artist's artistic activities were consistent, and the subjective socioeconomic level perceived by the artist was degraded from COVID-19. Second, as a result of the multivariate variance analysis, the income level and employment environment of artists affected the variables associated with COVID-19. Third, as a result of the hierarchical analysis analysis, the income level and the socioeconomic level changes due to COVID-19, and concerns about COVID-19 infections, have been shown to have had a significant impact on the level of stress felt by artists. Fourth, as a result of qualitative research, the artist reported that he was experiencing economic and psychological difficulties due to the influence of COVID-19, and emphasized the need for policy support as a way to cope with them. We hope that the results of this study will be used as empirical data in the process of developing support systems and programs for artists experiencing economic constraints and social alienation due to COVID-19.

The Relationship for Socioeconomic Factors and the Violence Victim (폭력 손상과 일부 사회경제적 요인의 관련성)

  • Kim, Jaeik
    • Journal of Digital Convergence
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    • v.10 no.10
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    • pp.415-421
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    • 2012
  • The purposes of this thesis are to grasp the aspect of injuries by violence which is the recent social issue, analyze the relationship with socioeconomic factors and provide it as the basic material of policy development and prevention. With the specimen in-depth investigation materials of injured patients of emergency room which is injuries examination system based on medical institution, this thesis compared injuries by violence with aspect of other injuries and conducted logistic regression analysis after controlling gender, age, educational level and occupation mutually. Women showed more danger to be exposed to injuries by violence than men. The less the age was, the more danger by violence was. The more academic background was, the less rate to be exposed to violence was. For occupations, there were dangerous in order of service workers, shop and market sales workers, unemployed, elementary occupations. In conclusion, Some differences of socioeconomic factors made an effect on the danger of injuries by violence victim.