• Title/Summary/Keyword: 건강의 계층화

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The Effects of Perceived Stress on Dietary Habits and Oral Health Behaviors in Korean Adolescents (우리나라 청소년의 스트레스 인지수준이 식습관 및 구강건강행태에 미치는 영향)

  • Lee, Min-Young;Choi, Eun-Mi;Chung, Won-Gyun;Son, Jung-Hui;Chang, Sei-Jin
    • Journal of dental hygiene science
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    • v.13 no.4
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    • pp.440-448
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    • 2013
  • The purpose of this study was to analyze the effects of perceived stress on dietary habits and oral health behaviors in Korean adolescents. Data were from the Korea Youth Risk Behavior Web-based Survey (KYRBS) in 2011. A total of 74,186 adolescents were surveyed using the self-administered questionnaire. Logistic regression analyses were performed to elucidate the effects of perceived stress on dietary habits and oral health behaviors. Statistical analyses were conducted, and p<0.05 were considered significant. We found that adolescents with higher stress were more likely to increase the risk of adverse dietary habits (low consumption of fruits, vegetables and milk, high consumption of carbonated soft drinks, fast food and cookie) compared to those with lower stress. Regarding the relationship between perceived stress and oral health behaviors, adolescents with higher stress were less likely to practice oral health behaviors such as brushing teeth after snack consumption and brushing teeth before sleep compared to those with lower stress. This result indicates that adolescents' perceived stress might play a significant role in the negative dietary habits and oral health behavior.

Study on Poverty of the Middle Aged Men Living in Chokbang Area (쪽방거주 중고령 남성의 빈곤 사례연구)

  • Kim, Dong-Seon;Mo, Seon-Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.222-235
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    • 2020
  • This study examines the poverty progress and its factors which drove the lives of the middle-aged men in Chokbang area. The observed examples are the retired government officials and the self-employed who have been classified as the ones in the economically-middle class but currently as the welfare recipients. According to the results of in-depth interview and observation, the poverty of the observed has undergone the progress of trigger, worsening, breakup, desperation and stabilizing stages. The poverty factors found in this study could be categorized into two factors; circumstantial factors(bankruptcy after IMF, debt guarantee for relatives) and inner factors(the participants' behavior and characteristics). The circumstantial factors worked mainly in the trigger stage and the inner factors contributed to worsening economic crisis and facilitating the progress. According to the result, this study suggests not only individual-scale measures such as encouragement of familial bond or medical treatment of the alcoholism but also social measures including proper regulation of shark loan and opportunity supply to exit from poverty.

사학연금 가입자들을 위한 점진적 퇴직제도의 도입방안에 관한 연구

  • Lee, Jeong-U
    • Journal of Teachers' Pension
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    • v.2
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    • pp.47-102
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    • 2017
  • 오늘날 대다수의 선진 국가들은 고령화 사회에 대비하여 자국의 노후소득보장 제도를 대대적으로 개혁해 오고 있다. 우리나라의 경우에서도 지난 2015년 사학연금제도의 개혁이 이러한 취지에 해당될 수 있을 것이다. 본 연구에서는 고령화 사회의 문제가 단순히 노인부양비용의 증가 그 자체가 아니라, 평균수명의 증가에도 불구하고 늘어나게 된 노후의 삶에 대한 시간적 배분이 근로와 여가에 걸쳐 균형적으로 이루어지지 않고, 사회적 부양을 필요로 하는 노후의 여가만 일방적으로 늘어나고 있다는 점을 문제점으로 지적하였다. 따라서 이러한 차원에서 볼 때 고령화 사회의 문제는 생애근로기간의 연장을 통해서만 효과적으로 극복할 수 있을 것으로 생각된다, 하지만 이와는 반대로 개인별로 건강상태나 가족상황 등의 이유로 생애근로주기의 연장이 불가능한 사람들을 위하여 별도의 제도적 장치가 추가적으로 마련되어야 할 것이다. 종합해 보면, 고령화 사회의 노동시장 문제는 개인별로 다양한 욕구나 능력을 반영하여 각자에게 다양한 선택권을 보장해 줄 수 있는 방향으로 개선되어야 할 필요가 있다. 본 연구에서는 고령화 사회에 대비하여 연금수급연령 상향조정의 필요성을 사학연금제도를 중심으로 살펴보고, 대신 그로 인해 발생할 수 있는 소득공백문제와 연금가입경력 공백문제 등 제반의 충격을 흡수할 수 있는 제도적 장치로서 점진적 퇴직제도의 도입방안을 제안하였다. 개략적으로 사학연금제도에 있어서 점진적 퇴직모형은 법정연금수급연령의 인상 일정에 따라 다음과 같이 운영하는 방안을 제안하였다. 먼저 법정연금수급연령이 60세로 유지되는 2022년까지의 단기적 대책으로서 여기서 점진적 퇴직의 자격연령은 모든 가입자에게 60세로 적용하도록 한다. 이 경우 가입자들의 신분구분에 따라 각각 교수 5년, 교원 2년(문제해결에 대한 정책적 의지에 따라 이행구간을 확장할 수도 있음) 그리고 교직원 0년의 조기의 점진적 퇴직이 허용되므로, 현재 교원이나 교수의 임용대란문제에 효과적으로 대응을 할 수 있는 장점이 있다. 다음으로는 2023년 이후 2033년 사이 법정연금수급연령의 인상단계에 해당되는 기간 동안의 대책으로서 여기서는 교수, 교원, 교직원에게 적용되는 정년연령과 매년도 법정연금수급연령 사이의 기간을 조기의 점진적 퇴직 이행구간으로 정하도록 한다. 그리고 이러한 이행구간에 상당하는 기간만큼 후기의 점진적 퇴직 이행구간을 별도로 설정하여 그에 적절한 혜택이 주어질 수 있도록 한다. 마지막으로 2033년 이후부터는 교수, 교사, 교직원의 신분구분 없이 모두에게 적용되는 사항으로서 65세를 기준으로 그 이전의 5년은 사학연금의 적용을 받는 조기의 점진적 퇴직 그리고 그 이후의 5년은 국민연금의 적용을 받는 후기의 점진적 퇴직이 이루어질 수 있도록 한다. 그리고 전체 10년의 점진적 퇴직 이행구간 동안 개인별로 퇴직시점이나 퇴직형태의 선택이 자유롭게 이루어질 수 있도록 하기 위하여 보험수리의 원칙에 입각한 감액률 또는 가산율의 엄격한 적용을 제안하였다. 그리고 고령계층이 자신의 근로시간을 단계적으로 단축할 수 있도록 하고, 그 과정에서 발생하게 되는 소득의 감소부분은 별도의 제도적 방법(가교연금, 시간가치적립계정 등)으로 충당하도록 하는 방안을 제안하였다. 나아가 점진적 퇴직제도의 운영방식은 근로시간의 단축뿐만 아니라 작업부담의 경감 등에 대해서도 인정을 해주도록 해줌으로써 임금피크제도의 기능과 연계가 가능할 수 있도록 할 것을 제안하였다.

Health and nutrition intake status of the Korean elderly according to their food security level: data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII), 2016-2018 (식품안정성 수준에 따른 한국노인의 건강상태와 영양섭취현황: 제7기 (2016-2018) 국민건강영양조사 자료 활용)

  • Maeng, Ahreum;Lee, Jeehyun;Yoon, Eunju
    • Journal of Nutrition and Health
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    • v.54 no.2
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    • pp.179-198
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    • 2021
  • Purpose: This study examined general characteristics, health status, accessibility to medical services, health-related quality of life, dietary behavior, and energy and nutrient intakes of the elderly at different levels of food security utilizing data from the 7th Korea National Health and Nutrition Examination Survey (2016-2018). Methods: The elderly subjects (1,721 males and 2,271 females) were divided into 3 groups (secure, mildly insecure, moderately/severely insecure) according to their food security levels. Health and nutrient status was determined using energy intake, nutrient density, the prevalence of insufficient nutrient intake, dietary behavior, and health status. Results: The elderly with food insecurities had a lower self-evaluated health status and a higher prevalence of physician-diagnosed chronic diseases such as arthritis, osteoarthritis, rheumatoid arthritis, osteoporosis for males, and hypertension, stroke, arthritis, and osteoarthritis for females. The associated financial burden was the major reason for not accessing medical services in the food insecure group. Furthermore, the food insecure group had a higher risk of impaired health-related quality of life compared to the secure group. The proportion of subjects with an energy intake below the estimated energy requirement was higher in the food insecure group and a significantly higher prevalence of insufficient intake was observed for all the nutrients (proteins, vitamin A, vitamin B1, vitamin B2, niacin, vitamin C, calcium, and iron) assessed in this study compared to the food secure group. Conclusion: This study suggests that food insecurity poses a challenge to the health and nutritional status of the elderly population in Korea and needs proper management. It would be helpful to develop food and nutrition assistance programs to ensure the food stability of the elderly population and assure quality to address gaps in their nutrient intake.

Housing Planning Criterion for Active Senior Generation -Focused on Baby Boomer in Seoul- (액티브 시니어 계층을 고려한 주택단지 계획기준 연구 -서울시 베이비붐 세대를 중심으로-)

  • Woo, Mi-Kyung;Park, Tae-Won
    • The Journal of the Korea Contents Association
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    • v.14 no.7
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    • pp.529-540
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    • 2014
  • Korea's baby boomers constitute a quarter of the population structure, and they are now faced with super-aged era represented by the life expectancy of 100 years. Since this generation who played a leading role in economic growth of the country has needs for active participation in society and continuous economic activities based on the healthy bodies, sufficient wealth and desires for cultural consumption, it is called 'active seniors' as a new demographic class differentiated from the conventional elder generation. This study was intended to investigate housing needs of baby boomers as preliminary seniors in Seoul with the highest residential density of the baby boomers through a bottom-up process from the perspective of consumers, and to select the findings as criteria for residential complex plans. The analysis results showed that 'social accessibility' was most highly valued among baby boomers in Seoul, and 'medical accessibility' was determined to be the second most important factor. Other items such as 'convenience of living' and 'spatial cognition' were ranked as the least important factors. These findings suggest that the life style of baby boomers in Seoul is very similar to that pursued by active seniors in terms of life cycle, and it is determined to be a characteristic as a niche for housing needs different from the one found in conventional elder generation.

Oral Health Promotion Program for Elderly in Dong-gu, Daejeon: A Case Report (대전 동구 노인 불소도포 스케일링 사업 사례 보고)

  • Song, Eun-Joo;Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.16 no.3
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    • pp.249-255
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    • 2016
  • The Ministry of Health and Welfare in Korea has enforced the oral health promotion program for elderly in Korea. There are the denture delivery program and the fluoride application-scaling program for elderly. Donggu Public Health Center in Daejeon has delivered the fluoride application-scaling program for elderly since the demonstration project in 2009. The official dental hygienists had a prior consultation with Dong-gu branch of Korean Senior Citizens Association in Daejeon. We expanded the program through government office, welfare centers, and nursing homes. The participants were satisfied with the public relations (95.2%), scaling (99.7%), fluoride application (91.5%), toothbrushing education (98.6%), and denture cleaning education (96.6%). After a medial accident with persistent bleeding, the pre-inspection survey about systemic disease and medication was reinforced. The official dental hygienists have agonized over the low participation of the low-income group and the overlap benefit with health insurance benefit of scaling. We suggested it be needed the assessment of the public oral health program to overlap with health insurance benefit.

ICT-based Living in the Contact Type Service Model for Self-life Support of the Elderly Living Alone (독거노인 자가생활지원을 위한 ICT기반의 생활밀착형 서비스 모델 개발)

  • Kim, Mi-Yun;Seo, Dong-Jo;Byun, Jong-Bong;Kang, Jong-Kwan
    • Journal of Digital Convergence
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    • v.13 no.4
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    • pp.25-38
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    • 2015
  • In case of current South Korea, the rapid graying is in the progress. Because of it, the increase of elders who live alone causes variety of social, economic and national problems. Especially in the modern city, the health care, safety and maintenance of pleasant and joyful life of elders who live alone are being a big social issue. Even though practical services have been tried at the whole of government approach, the detailed alternatives are insufficient to improve the daily life support and service to approach the information. This research suggests the "ELA Service Model" which actively improves the easy access to information and corresponds to condition and circumstance of elders for providing the ICT-base Elderly Living alone care service. It is a step self-life support service based on fundamental desire of elders which resolves the problem and contributes to establish the active and balanced policy to the elderly.

Computation of composite suitability index for fish and macroinvertebrate species in the Gongneung River (공릉천에서의 어류와 저서무척추 동물에 대한 복합 서식처 적합도 지수의 계산)

  • Kim, Seung Ki;Choi, Sung-Uk
    • Ecology and Resilient Infrastructure
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    • v.4 no.2
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    • pp.105-114
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    • 2017
  • This study performed physical habitat simulation for fish and macroinvertebrate species in the Gongneung River. Target fishes were selected as Rhinogobius brunneus and Zacco platypus. Target macroinvertebrate species were selected as Hydropsyche kozhantschikovi and Chironomidae. Habitat suitability curves were constructed by using monitoring data from the monitoring project which is called "the survey and evaluation of aquatic ecosystem health". For calculation of CSI, weighted mean method was used. For macroinvertebrates species, the weighting factor derived from analytic hierarchy method was considered. River2D, which is capable to simulate flow in two-dimensional space, was selected for flow computation. Composite suitability index was simulated for target fish and macroinvertebrate species for discharge of drought, low, normal, and averaged-wet flow. Simulation results show that Chironomidae and Hydropsyche kozhantschikovi prefer the pool and riffle habitat, respectively. Rhinogobius brunneus and Zacco platypus show high suitability in riffle habitat.

Making Primary Policies for Reducing Particulate Matter (미세먼지 저감을 위한 정책 선정 연구)

  • Kim, Bong Gyun;Lee, Won Sang;Jo, Hye In;Lee, Bong Gyou
    • The Journal of Society for e-Business Studies
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    • v.25 no.1
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    • pp.109-121
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    • 2020
  • The purpose of this study is to find out primary policies for reducing PM(particulate matter) as well as for improving the quality of life. Serious particulate matters cause to diverse healthcare and economy problems including business transactions. Unfortunately, until recently there are very few researches regarding the decision-making process for particulate matter policies. This study has applied the AHP(Analytic Hierarchy Process) method to develop cooperative policy making processes. The upper layer of this hierarchy analysis consists of four parts, i.e., transportation, production facility, living environment, and urban planning management. And each upper layer parts has their own three policies. 25 experts including policy-makers, academic researchers and industrial specialists have decided the primary policies and directions. The most significant PM policy is the mandatory reduction of air pollution and suspension of factory operation in the production industry. The results of this study can lead to guidelines for making environmental policies.

An Efficient Hospital Service Model of Hierarchical Property information classified Bioinformatics information of Patient (환자의 바이오인포매스틱 정보를 속성수에 따라 계층적으로 분류한 효율적인 의료서비스 모델)

  • Seo, In-Kyu;Lee, Sang Ho
    • Journal of Convergence Society for SMB
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    • v.5 no.4
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    • pp.17-23
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    • 2015
  • Due to the development of information and communication technology as health care service is popular variety utilizing bioinformatics patient information services are being provided to the patient. In particular, the healthcare utilizing bioinformatics information, and change in a variety of healthcare trends. However, healthcare services using bioinformatics information of the patient and the complexity of the disease, new diseases (SARS, AIDS, etc .) due to the emergence of increasing health care costs and health promotion services provided to patients may not be smooth. In this paper, we propose a model for low-cost health services and medical care of patients bioinformatics fast access to information. The proposed model can be so big a bioinformatics data formation by the patient's patient information anytime / anywhere providing medical services in the home or the nearest hospital for their own disease management. In particular, the proposed model of health care services is characterized improve work efficiency, reducing the burden on hospitals by passing a medical illness to easily analyze patient information.

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