• 한국노년학
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• v.39 no.1
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• pp.145-167
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• 2019

The purpose of this study is to examine the solidarity types between parents-children and to verify whether the types of solidarity relationships are directly related to life satisfaction of older adults. To achieve this, 2,072 Korean elderlies from proportional stratified sample were participated, and the data was divided into urban and rural area where respondents live in. The Latent Profile Analysis(LPA), multiple regression analysis were mainly used for data analysis. The results of the study were as follows: The major findings are following. Patterns of parental bond among urban and rural elderly were classified into three(urban) and two(rural) patterns. For the effect of each parental bonding pattern on life satisfaction, positive effect of parental bond was found only in urban dwellers. In other words, for older people in rural areas, parental bond did not significantly affected on life satisfaction. However, elderly in rural area showed non-familial factor based relationship, such as social capital(community trust, social cohesion, and social support), was influenced their life satisfaction rather than relationship with children. Finding from the study highlight political and practical implications for improving life satisfaction for the elderly.

• Korean Journal of Community Nutrition
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• v.26 no.1
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• pp.37-47
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• 2021

Objectives: The purpose of this study was to discover the changes in obesity prevalence and dietary habits in Korean adults residing in various residential areas during the last 10 years. Methods: Data on Korean adults aged 19 years and above was obtained from the 4th (2007-2009) and the 7th (2016-2018) Korea National Health and Nutrition Examination Survey. The subjects were classified into metropolitan (4th: n=5,977, 7th: n=6,651), urban (4th: n=4,511, 7th: n=5,512) and rural (4th: n=3,566, 7th: n=2,570) based on their residence. The general characteristics, nutrient intake, intake amount, food groups, and healthy dietary factors were analyzed. The association between residential areas and obesity prevalence were analyzed by multiple logistic regression. Results: In urban and rural areas, the obesity rate increased in the 7th survey compared to the 4th survey, excluding the metropolitan area. The carbohydrate intake decreased, and lipid intake increased in the 7th survey compared to the 4th survey. Over the same period, the intake of cereals and vegetables decreased, and the intake of meat and processed foods increased. Rural residents had a higher intake of cereals and vegetables, and a lower intake of milk and processed foods than those in metropolitan areas and urban residents. The proportion of subjects who practiced a healthy diet increased in the 7th survey compared to the 4th survey. In the 4th survey, there was no relationship seen between the prevalence of obesity and the subject's residential area, but in the 7th survey, the odds ratio of obesity was higher in rural areas than in the metropolitan areas, confirming the regional gap (OR: 1.16, 95% CI=1.00-1.36, P=0.044). Conclusions: This study showed that the obesity prevalence increased in rural residents compared to metropolitan residents, indicating a gap between the regions. The nutrient intake and intake of food groups changed in the 10 years under consideration, and there were differences seen between regions. Therefore, it is necessary to formulate a policy that will reduce obesity prevalence and health inequalities between regions.

• Journal of agricultural medicine and community health
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• v.25 no.2
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• pp.413-425
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• 2000

The purpose of this study was to compare the health services information need between urban area and rural area in Sooncheon City. For accomplishing this purpose, we selected 1,060 adults randomly, 744 urban residents and 314 rural residents were surveyed from 1st, December to 31st, December in 1999. Compared the difference between two areas by cross tabulation, and chi-square test were used. The results of this study are as follows: 1. There were statistically difference in sociodemographic characteristics between urban residents and rural residents, such as age, education, job, income, and insurance payment(p<0.001). 2. According to the health utilization behavior, types of health facility, satisfaction of medical cost, and satisfaction of medical results were statistically different between the two areas(p<0.001). Also utilization of the health service center, and accessibility were statistically different between urban and rural areas(p<0.001). 3. Experiencing the health service information, type of health service information, methods of information, effectiveness, and satisfaction were statistically different between the two areas(p<0.001). 4. And experience of using computer, and internet and preference of method of health service information were statistically different between urban and rural areas. Therefore, the construction of health information system should be carefully reviewed by community health service centers and they should consider the different residents information needs, and accessibility and convenience of community residents.

• The Korean Journal of Health Service Management
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• v.7 no.3
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• pp.275-286
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• 2013

To identify the prevalence and its influencing factors on depression among elderly vulnerable people in one urban community. This study used data from 381 of elderly vulnerable people in the community. The prevalence of depression was found to be 51.97%. Multivariate logistic regression analysis shows that depression was more prevalent as people in female gender; people with lower self-esteem compared to those with higher self-esteem; in elderly who perceived lower social support compared to those who perceived higher social support; and in the older adults with limitation in instrumental activity of daily living. The finding of a significant association between gender difference; self-esteem; perceived social support, and limitation in instrumental activity of daily living and occurrence of depression expected to promote the screening strategy for elderly at risk of depression in Korean community.

• Environmental Analysis Health and Toxicology
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• v.19 no.4
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• pp.327-334
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• 2004

도심지역의 중금속 배출원은 매우 다양하며, 배출 중금속은 물질별 노출 수준, 노출기간에 따라 건강유해영향을 일으킬 수 있다. 따라서 직업적 노출이 없는 도심 지역의 일반인의 혈중 중금속의 모니터링은 독성학적 측면에서 중요하다. 본 연구는 서울 도심지역의 직업적 노출이 없는 성인 남녀 144명(20∼75세)을 대상으로 중금속(납, 크롬, 니켈, 카드뮴)의 혈액 내 축적된 정도를 평가하였다. 채취한 혈액의 분석은 GF-AAS를 사용하였다. 물질별 혈중 중금속 농도는 납 63.2 $\mu\textrm{g}$/L, 크롬 0.12 $\mu\textrm{g}$/L, 니켈 $\mu\textrm{g}$/L, 카드뮴 1.43 $\mu\textrm{g}$/L로 각각 조사되었다.

• Pediatric Infection and Vaccine
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• v.21 no.2
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• pp.104-113
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• 2014

Purpose: We compared the clinical manifestations of patients with tsutsugamushi disease between children and adults. Methods: From January 2003 to December 2012, 768 patients diagnosed with tsutsugamushi disease were retrospectively reviewed, and the clinical characteristics, laboratory findings, and complications were compared between children and adults. Results: No patterns of annual increases in the number of patients were noted in both children and adults. The higher incidences occurred in October and November respectively. By gender, male outnumbered female in children, but the opposite trend was seen in adults. By residential area, the urban distribution of children was higher than that of adults. Rashes (P =0.001) and eschar (P =0.004) were more common in children, while myalgia was more common in adults. Children had a high prevalence of anemia (P =0.041), and low incidence rates of thrombocytopenia, abnormal liver and renal function. Children yielded better results in the duration of their hospital stay and the incidence of complications (P <0.001). A comparison of the therapeutic effects of doxycycline and macrolide antibiotics, which was performed only on the children, did not reveal any significant differences. Conclusion: Compared to adults, children had higher incidence rates of male patients and more often suffered from rashes and eschar. Children yielded better results in the laboratory findings and duration of the hospital stay and complications. Therefore, when children are suspected to have tsutsugamushi disease, especially during its peak occurrence period, detailed physical examination and serological test should be performed to ensure a prompt diagnosis, and the use of macrolide antibiotics, which have fewer side effects, is expected to yield the same therapeutic effects.

• The Korean Journal of Health Service Management
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• v.7 no.3
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• pp.177-192
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• 2013

The present study investigated the effect of area-specific social networks on urban workers life satisfaction. For this, 356 adults over age 20 were interviewed from June 17th 2013 to June 29th 2013. The findings are as follows: First, the closeness of family network index demonstrates that participants with higher affective support have higher life satisfaction. In addition, stronger extended family network brings more life satisfaction and so does a bigger friendship network. Secondly, the extended family network explains 17.6% of the variance in social networks follows by family network, other network, and friendship network, respectively. The closeness variable of social networks yields statistical significance on all categories of networks. The affective support level in the closeness variable of social networks shows differences as well; family network positively associates with life satisfaction. The purposes of this research are to investigate the actual conditions of urban workers' life satisfaction and the influence of family, extended family, friendship, and other variables on life satisfaction. If social networks have an influence on life satisfaction, to find the domain of social networks that holds the most influences on life satisfaction is an important ground in the process of implementing regional welfare.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.16 no.1
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• pp.12-21
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• 2009

Purpose: The survey-based study aimed to determine the distribution and clustering tendency of metabolic syndrome risk factors in urban residents, and cluster odds ratios. Methods: Cluster sampling involved 827 urban participants and analysis of the collected data. Results: Regarding the prevalence of metabolic syndrome risk factors used for diagnosis, abdominal obesity was higher in women(69.5%) than in men(34.3%), high blood pressure was higher in men(57%) than in women(46.5%), and blood sugar was higher in men(6.9%) than in women(5.7%). Clustering increased with increasing body mass index(BMI), weight:height ratio(W/Ht) and abdominal obesity Risk factors for females were 1.7 times higher than for males. Participants with a family history of metabolic syndrome displayed related risk factors 1.5 times more than participants without a family history. Participants having a BMI ranking them as obese were 9.5 times more likely to display metabolic syndrome risk factors than non-obese participants. Obese participants were 20 times more likely to display risk factors than non-obese participants. Conclusion: BMI, W/Ht and abdominal obesity correlate with clustering of metabolic syndrome risk factors. The risk is increased by smoking and family history. Exercise weight control and non-smoking are recommended for comprehensive management of clustering of metabolic syndrome risk factors.

• Journal of Environmental Science International
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• v.16 no.11
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• pp.1231-1238
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• 2007

The promotion of walking and bicycling is recently a hot topic in the urban planning and design field. Many planners have already examined the many components of the land use-transportation connection and built environment-physical activity link. A rapidly growing area of urban form research is to measure the level of walk-ability in urban environments. With this background, this research conducted a preliminary study to develop the evaluation indicators of pedestrian environments. Based on the literature reviews on walking or pedestrian environments, we proposed the seventeen indicators related with pedestrian facilities, road attributes and walking environment. We also performed a questionary survey to evaluate the satisfaction of their neighborhood pedestrian environments for 302 randomly selected adults living in the City of Changwon, Gyeongsangnam-do. Finally, this research provided the valid model to evaluate the effects of physical environmental factors on the walking satisfaction using factor analysis and multiple regression analysis.

• Journal of Korean Public Health Nursing
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• v.26 no.2
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• pp.303-313
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• 2012

Purpose: This study was conducted to examine the correlation between social support, loneliness, sleep quality, and perceived health status among community-dwelling older adults. Methods: Older adults who lived in urban and rural local communities were taken into account. Among them, 396 people participated in this study. Path analysis was conducted in order to verify the study model and its verification. SPSS WIN 18.0 and AMOS17.0 were used for analysis of collected data. Results: The results showed that social support had a significant effect on perceived health status (${\beta}$=.17, p= .003) and loneliness (${\beta}$=-.56, p<.001), while loneliness had a significant effect on perceived health status (${\beta}$=-.12, p=.045) and sleep quality (${\beta}$=.20, p<.001). In addition, the results also indicated that sleep quality had a significant influence on perceived health status (${\beta}$=-.16, p <.001). According to results derived from the model, Chi-square=.359, df=1 NC=.359, CFI=1.0, NFI=0.98, RMSEA=.000; thus, the model was shown to be significant. Conclusion: For maintenance of the health of the aged, social support, loneliness, and sleep quality should be secured; in order to realize this, an effort should be made toward health promotion while providing the aged with more social attention.