• Title/Summary/Keyword: status of use

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Impact of socioeconomic status on biologics utilization in rheumatoid arthritis: revealing inequalities and healthcare efficiency

  • Hye Won Kim;Yeon Ju Lee;You-Jung Ha;Eun Bong Lee;Yun Jong Lee;Eun Ha Kang
    • The Korean journal of internal medicine
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    • v.39 no.4
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    • pp.668-679
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    • 2024
  • Background/Aims: This cross-sectional study aimed to investigate biologics treatment disparities in rheumatoid arthritis (RA) patients based on socioeconomic status (SES). Methods: Data from the KOrean Observational Study Network for Arthritis (KORONA) database were analyzed to assess various factors associated with SES, health behaviors, and biologics use. Logistic regression and structured equation modeling (SEM) were utilized for data analysis. Results: Among 5,077 RA patients included, 393 (7.7%) patients were identified as biologics users. Within the entire cohort, 31.8% of the participants were in the low-income and low-education groups, and 39.3% of the participants were in the high-income and high-education groups. Despite the patients with low income or low education experienced higher disease activity at diagnosis, had more comorbidities, exhibited higher medication compliance, underwent more check-ups, and had more hospital admissions than their counterparts, the odds of patients with low-income receiving biologics were 34% lower (adjusted odds ratio = 0.76, 95% confidence interval: 0.60-0.96, p = 0.021) after adjustment for demographics and comorbidities. SEM and pathway analyses confirmed the negative impact of low SES on biologics use. Conclusions: The findings suggest that SES plays a significant role in biologics use among RA patients, indicating potential healthcare inefficiencies for low SES patients. Moreover, adverse healthcare habits negatively affect biologics use in RA patients. The study highlights the importance of considering socioeconomic factors while discussing biologics use and promoting equitable access to biologics for optimal RA management.

Changes in factors on unmet dental scaling rate according to the National Health Insurance coverage (국민건강보험급여에 따른 스케일링 미수진율의 영향요인 변화)

  • Kim, Han-Nah;Kim, Chun-Bae;Kim, Nam-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.3
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    • pp.539-551
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    • 2017
  • Objectives: The purpose of this study was to investigate the changes in factors on unmet dental scaling rate before and after the national health insurance. Methods: This study used the $2^{nd}$ data from the Community Health Survey. The study participants numbered 209,341 in 2011 and 219,517 in 2013.The average age was $51{\pm}17$ in 2011 and $52{\pm}17$ in 2013. Data were analyzed by descriptive statistics, chi -squared test and logistic regression using SPSS 23.0. Results: The scaling experienced rate of Korean adults has fallen by 3.5% from 66% to 69.5%. Logistic regression analysis showed that 2.7 times more 'people who were educated at elementary school level or lower' did not use dental scaling compared to higher educated children. Agriculture, forestry and fisheries workers did not use scaling at 2.0 times. Local residents with an income of less than one million won did not use 1.7times scaling. Local residents of 'no private insurance' did not use scaling at 1.5 times. In the case of the predisposing factors, the 20s had less than 1.8 times scaling compared to 50s. In the case of needs factor, local residents who experienced 'bad oral health status' and 'dental calculus' were treated scaling 1.3 times less compared to people with good oral health status and normal periodontal symptoms. Conclusions: In Korea, local residents are less frequently treated scaling due to enabling factors such as accessibility. In addition, predisposing factors such as age and sex, and oral health status and periodontal symptoms were related to not using the dental scaling. Therefore, the universality of health care services should be considered so that people who need periodontal care can use scaling.

A Fundamental Study on Supply Status and Use Plan of Fine Aggregates (잔골재의 수급현황 및 활용방안에 관한 기초적 연구)

  • Yu Myoung Youl;Lee Sea-Hyun;Lee Hyun-Soo
    • Proceedings of the Korea Concrete Institute Conference
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    • 2005.05b
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    • pp.101-104
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    • 2005
  • It analyzed the supply status of fine aggregate and find the point of issue related alternative fine aggregate through researches and interviews. The conclusions of the study are as follows. 1. Ready mixed concrete manufacture used crushed fine aggregate (15.5$\%$) and recycled fine aggregate (1.5$\%$) for alternatives aggregate than 1.3$\%$ in 1991. It is not allowed to use a recycled fine aggregate in ready mixed concrete, but they used it. 2. All alternative aggregate are satisfied the Korean Standard, But they showed low properties of mortar compared to when it replaced with natural fine aggregate. So, it is needed to make another special Korean Standard to use alternative aggregate in normal concrete by mixing method to recover the workability and compressive strength.

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Influencing factors to Academic Achievement according to Demographic and Socio-economic Characteristics, Health Behaviors and Health Status in Korean Adolescents (중·고등학생들의 인구사회경제적 특성, 건강관련행위 및 주관적 건강인지가 학업성취도에 미치는 영향)

  • Yoon, Byoung-Jun
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.3
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    • pp.1-13
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    • 2019
  • Objectives: The purpose of this study was to examine whether demographic and socio-economic characteristics, health behaviors and health status are related to academic achievement in Korean adolescents. Methods: Data from the 14th Korea Youth Risk Behaviors web-based Survey(KYRBWS) administered in 2018 were analyzed; 60,040 students in middle and high school participated in the survey. It was conducted frequency analysis, Rao-Scott chi-square test and multiple logistic regression analysis after adjusted for variables such as age, school grade. Results: The significant influencing factors on academic achievement were family economic status, living with parents, subjective health status, smoking experience, alcohol use experience, eating breakfast, sleeping, internet use during weekdays, depressive symptom(p<.001). The odds ratio for achieving higher academic achievement compared with those who never smoked was 1.50(p<.001). Conclusion: I found that students' undesirable health behaviors affect their academic performance. To improve academic achievement, I recommend intervention programmes such as school health promotion that reduce undesirable health related behaviors.

A Study on the Intention to Use Community Care Service by Pre-Caregivers Based on Dementia Under the Long-Term Care Insurance System for the Aged -Special dementia rating (5 rates) in the focus (예비치매 부양자의 재가서비스 이용에 관한 연구 -치매특별등급(5등급) 중심으로)

  • Son, Yi-Suk;Lee, Kyung-Soo;Chung, Jae-wook
    • Journal of Korean Clinical Health Science
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    • v.4 no.3
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    • pp.603-614
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    • 2016
  • Purpose. The purpose of this study was to provide basic data regarding the intention to use community care service based on special grading for dementia in the South Korean Society. Methods. A survey was conducted using a questionnaire adapted on the basis of literature review regarding the first to fourth grade under the long-term care insurance system for the aged from May 1 to 30, 2015 and a total of 272 questionnaires were statistically processed using SPSS 21.0. Frequency analysis, descriptive statistics, and cross-tabulation analysis were performed. The non-parametric type of test, ${\chi}^2$ test, was used for statistical testing. Results. This study obtained the following results: First, caregivers had greater intention to ask recipients to use daytime and nighttime care service. Second, there were statistically significant differences in caregivers' education, occupation, monthly average income, co-residence status, intimacy, and care-giving burden (emotional, financial, and social) and recipients' activities of daily living, instrumental activities of daily living, mental health status, dementia status, and intention to use community care service based on special grading for dementia. Conclusions. There are very few statistical data and academic materials regarding special grading for dementia, which has recently been established. The results of this study are therefore expected to help make a systematic analysis of the intention to use community care service by caregivers based on special grading for dementia.

The Experimental Study on Performance Evaluation and Use Status of Diagnostic X-ray Grid being used in Che-ju Province (4) 제주도내 진단용 X선 격자의 이용실태와 성능평가에 관한 실험적 연구)

  • Ko In ho;Kim sung hoon;Kang chang soo;Lee kyung sung
    • Journal of The Korean Radiological Technologist Association
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    • v.25 no.1
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    • pp.192-200
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    • 1999
  • This experiment is to examination about the use status and the performance test of x-ray grid being used to medical center, general hospital, local clinic and college, etc in che-ju province. As results of this experiment were as follows; To the use statu

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Influence of Computer Use Hours on Physical Development, Dietary Patterns, and Nutritional Status of Higher Grade Elementary School Children (컴퓨터 사용시간이 고학년 초등학생의 신체 발달, 식생활 습관 및 영양 상태에 미치는 영향)

  • Kim, Hye-Seon;Lee, Bog-Hieu
    • Journal of Nutrition and Health
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    • v.41 no.2
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    • pp.165-173
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    • 2008
  • This study was intended to investigate whether the computer use hours affect physical development, dietary habits, and nutritional status or not. One hundred and ninety elementary school students from Gyeonggi province and Seoul were selected and surveyed during December, 2006. Participants were divided into 2 groups: long-time computer user (${\geq}$ 2 hrs./day) and short-time computer user (<2hrs./day). The survey included the questionnaires and anthropometric measurement. A dietary survey was conducted by using 24-hour recall method. The most of long-time computer user accessed computer more often than those of short-time computer user weekly bases. The purpose of the computer use was for the computer game (p < 0.05). Most participants accessed computer after the school at night and at their home. The longer the computer use, the more the body weight and %RBW (p < 0.05). Dietary habits score of long-time computer user 34.5 points) was lower than that of short-time computer user (38.0 points) (p < 0.001). The long-time computer user consumed more fatty foods, instant foods, and sugary foods. In case of dietary habit changes incurred by computer use, the long-time computer user had inferior dietary habits: skipping meals, meal size, appetite, eating speed, weight, exercise, and sleeping trouble (p < 0.05). The long-time computer user consumed less calories than the short-time computer user (p < 0.05). Also, the long-time computer user tended to have lower intakes of vitamin C, Ca, and dietary fiber without significance. From the findings, the longer use of computer by the elementary school children negatively affects their physical development, dietary habits and nutritional status.

Cyberbullying Victimization Experience on SNSs: Focusing on Self-disclosure, Compulsive Internet Use, and Depressive Status (SNS상에서 사이버불링 피해경험: 자기노출, 강박적 인터넷 사용 그리고 우울한 상태 중심으로)

  • Jooyeon Won;DongBack Seo
    • Information Systems Review
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    • v.26 no.1
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    • pp.219-249
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    • 2024
  • Cyberbullying has become a critical issue as people (especially, young people) daily use social networking sites (SNSs). This study investigates possible factors affecting cyberbullying victimization experiences, comparing SNS users in Austria and Korea. Particularly, this study focuses on how individuals' self-disclosure patterns, compulsive Internet use, and depressive status are related to four different types of cyberbullying victimization experiences (written-verbal, visual, exclusion, and impersonation). Furthermore, the results are compared between SNS users in Austria and Korea. Results from total 519 respondents show that self-disclosure patterns on SNSs, compulsive Internet use, and depressive status are positively related to different types of cyberbullying victimization experiences. However, there are differences between Austria and Korea. For example, the frequency of changing one's profile setting is positively related to all types of cyberbullying victimization experiences in Korea, while it is only positively related to victimization experience of visual cyberbullying in Austria. Depressive status is only positively related to victimization experience of written-verbal cyberbullying in Korea, while it is positively related to all types of cyberbullying victimization experience in Austria.

A Case Study on the Status and Problems of Regulations of Land Use in Gyeonggi-do (경기도 토지이용규제 현황과 문제점 고찰)

  • Kim, Young-Hoon;Kwon, Gyoung-Nam
    • KIEAE Journal
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    • v.16 no.6
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    • pp.57-67
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    • 2016
  • Purpose: Laws and regulations of land use are enormous, and the appliance of regulations is overlapped redundantly. Therefore, there are many problems such as time consuming in the process, limiting individual property rights, and interrupting enterprises' economic activities. This study will discuss problems of redundant regulations of land use and its improvement by figuring out current regulations of land use in Gyeonggi-do, one of provinces which applies the most various regulations of land use. Method: This study reviews laws on national land-use planning system and characteristics of land-use regulation in Korea. The extent of the review is limited to "framework act on the regulation of land use" with categories of national land, urban planing, architecture, etc. Through case studies in Gyeonggi-do, the status and problems of redundant regulations of land use are defined. For example, it is overlapped in "Seoul Metropolitan Area Readjustment Planning Act", Development Restriction Zone, Paldang Special District, and so on. It is mainly referred to 2015 Gyeonggi-do land-use restriction map. Result: First, Gyeonggi-do confronts many problems related to the development restrictions and the financial increasement for environmental management by redundant regulations. The development restrictions include supplying additional land for industrial use, relocating colleges, and height limitation relating to military facilities. Second, in order to organize redundant regulations, it is required to combine similar regulations and adjust through communication system among other departments. Third, regulations should consider unique local condition of each district. Lastly, efficient application of regulations is necessary so as to maximize the function of land, protect individual property rights, and stimulate local development.

The Occupational Structure of the Junior College Students' Transfer and Occupation Status Effect (편입학의 직업지위 효과와 직업구조: 전문대졸자 vs. 일반대 편입학자)

  • Choi, Sun-Mee
    • Journal of vocational education research
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    • v.35 no.4
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    • pp.63-88
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    • 2016
  • This study surveyed and analyzed the labor market result when comparing the case that junior college students found a job after transferring to 4-year university with the case that they found the job directly after graduating the junior college. The difference of the occupational structure following the transfer was surveyed in detail and this study examined what effect the transfer had on the occupation status. The graduate occupation movement survey(GOMS) was used and the samples of 544 persons were extracted to use through propensity score matching(PSM) to raise the choice convenience of the sample. The occupation status index to use as a dependent variable was developed to apply. The study result is as follows. First, as a result of confirming the occupational structure of the transfer, the transfer students were distributed in more various industrial fields evenly compared to the non-transfer students in the horizontal industrial structure, and non-transfer students were intensively distributed in the certain field. In the vertical occupation status structure, transfer students were distributed in the high occupation status more than non-transfer students who were broadly distributed in the low occupation status. Second, it was revealed the college transfer was highly effective for the occupation status, which appeared statistically significantly. The explanation variable that appeared significantly outside of that included the parents' academic background, major affiliation, employment pattern, major job coincidence, and job coincidence. The higher students' academic background was, the higher the occupation status was and in case of the engineering natural science affiliation, the occupation status was higher than the humanities social science. In case of full-time workers, their occupation status was higher than one of part time workers and it was revealed the occupation status was high when the their major coincided with the job and their educational/technical level coincided with their job.