• Title/Summary/Keyword: 건강취약지역

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Mental Health Literacy and Vulnerable Group Analysis of Korea (한국인의 정신건강이해력 평가와 취약집단분석)

  • Seo, Mikyoung;Rhee, Minkyu
    • Korean Journal of Social Welfare
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    • v.65 no.2
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    • pp.313-334
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    • 2013
  • A study aims to assess Korean mental health literacy and analyze the characteristics of vulnerable population. This study presented typical vignettes of schizophrenia, depression and alcoholism to 1,197 adults randomly. All respondents were asked for recognition of mental illness, beliefs about causes, professional help and self-help, stigma for receiving psychiatric treatment for the person described. The results showed that the recognition of mental health problem in a vignette was very poor and that personal causes were seen by public as more important than environmental and bio-genetic causes. When the public were asked about various professional therapies and self-help activities, psychotherapy was favored while other professional help were considered to be less helpful than self-help activities. Among professionals, psychiatrist were viewed as most helpful. We used cluster analysis to compare high mental health literacy group with low mental health literacy group(vulnerable population). Vulnerable population were found to be more aged and to live in county area. We proposed government initiated program for enhancing public mental health literacy.

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Production of leisure score indicators for the elderly in Seoul and selection of vulnerable areas (서울시 노인여가점수 지표 제작 및 취약지역 선정)

  • HyunDong Kim;Jae Hoon Kang;Ju Yeon Lim;So Eun Kim;Woo Sung Jung;Hwa Jung Kim;Hyung Hu Kim;Jin-Kim
    • Proceedings of the Korea Information Processing Society Conference
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    • 2023.11a
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    • pp.378-379
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    • 2023
  • 본 연구의 목적은 최근 증가하고 있는 고령 인구를 위해 여러 가지 요인을 고려하여 노인만을 대상으로 하는 여가 만족도를 산출하는 것이다. 노인의 여가 만족도에 영향을 주는 요인으로 '여가시설', '노인 인구', '노인 건강', '노인 소득'을 산정하였다. 해당 요인들에 가중치를 분배하여 산정하기 위한 방법으로 PCA와 선형회귀를 사용하였다. 위 과정을 통해 제작된 노인 여가 만족도 지표에 인자값을 투입하여 자치구별로 노인 여가 만족도 점수를 산출하였고, 스코어 카드를 통해 현황을 살펴보았다. 본 연구는 산출된 각 자치구별 여가 만족도 점수와 인자에 해당하는 점수를 파악하여, 여가만족도가 낮은 지역들의 취약 분야를 파악하고 취약 분야를 중점으로 여가 만족도를 개선해나갈 것을 제안한다.

Hotspot analysis by water circulation evaluation elements of watershed (유역 물순환 평가 요소별 핫스팟 분석)

  • Kim, Sinae;Kim, Seokhyeon;Kim, Hakkwan;Kim, Kyeung;Lee, Hyunji;Kang, Moon-Seong
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.464-464
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    • 2021
  • 우리나라는 최근 도시지역의 광역화로 인해 시가화 지역이 지속적으로 증가하고 있으며, 이로 인해 증가한 불투수면적은 이수 및 치수 측면에서 다양한 문제를 야기하여 유역의 물순환 체계를 왜곡하고 있다. 더불어 하천의 건천화에 따른 하천 유지유량의 감소 및 공공수역으로 방출되는 오염물질의 증가는 하천의 다양한 환경적, 생태학적 문제를 야기하고 있다. 따라서 최근에는 유역 물순환 관리가 국가 물관리 정책의 핵심 전략으로 부각되고 있으며, 적절한 물순환 관리를 위해서는 물순환 건전성이 취약한 우선관리 유역을 도출하고, 해당 유역을 중심으로 보다 체계적이고 통합적인 유역관리 기술이 필요하다. 따라서 본 연구에서는 유역 물순환에 영향을 미치는 주요 요소들을 기후, 수문, 수질 및 사회·경제적 요인 측면으로 구분하고, Pressure-State-Response (PSR) framework를 적용하여 각 요소 별 주요 평가 지표들을 압력 (Pressure), 상태 (State) 및 반응(Reponse) 요인으로 분류하였다. 또한 전국 소권역 단위에 대하여 각 지표들을 분석하여 기후, 수문, 수질 및 사회·경제적요인 별 물순환 건강성 점수를 산정하였다. 한편, 지역 및 요인별 물순환 건강성 점수를 기반으로 핫스팟 분석 (Hot Spot Analysis)을 수행하여, 통계적으로 유의미한 패턴을 나타내는 지역을 중심으로 우선관리가 필요한 지역을 도출하였다. 본 연구에서 도출한 물순환 건강성 평가 요소별 점수 및 핫스팟 분석 결과는 향후 물순환 우선관리 지역 선정에 있어 기초자료로 활용될 수 있을 것으로 기대된다.

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Levels of Health-related Quality of Life (EQ-5D) and Its Related Factors among Vulnerable Elders Receiving Home Visiting Health Care Services in Some Rural Areas (일부 농촌지역 맞춤형 방문건강관리 대상 취약계층 노인들의 건강 관련 삶의 질 (EQ-5D) 수준 및 관련요인)

  • Kim, Jong Im
    • Research in Community and Public Health Nursing
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    • v.24 no.1
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    • pp.99-109
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    • 2013
  • Purpose: The purpose of this study is to identify levels of quality of health-related life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas. Methods: The subjects of this study were vulnerable elders aged 65 or higher receiving visiting health care benefits by a public health center in a county. Results: Levels of health-related EQ-5D were high when the subjects were males, their ADL and IADL were high. The EQ-5D of the vulnerable elders and social supports had a positive correlation, while their IADL and depression had a negative correlation with the EQ-5D. We can see that the EQ-5D related factors are variables that have significance influence on gender, subjective health status, BMI, IADL, depression levels, and social support. Conclusion: To improve the EQ-5D of the vulnerable elderly, it needs maintenance of independent IADL levels, social supporting systems using small meeting of the elderly in community. It is necessary to maintain independent IADL levels, enhance social supporting systems including small group gatherings for elders living alone by means of places like community halls, and develop specific intervention programs for the prevention and management of depressive elders.

Typology of Community Health Vulnerabilities and Their Effects on Health Status by Type-Using Community Health Survey (지역의 건강결정요인 취약성 유형화 및 유형별 건강수준의 차이)

  • Park, Bohyun;Yi, Kyunghee;Choi, Sookja;Seo, Sukyong;Choi, Seonim
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.281-291
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    • 2021
  • Purpose: This study examined health determinants at a community level and put forward to a typology of five different forms of community health vulnerabilities. We also investigated the differences in the prevalence of chronic diseases, self-rated health, and quality of life (EQ-5D) among the five types. Methods: Latent class analysis was applied to material, social capital, and health behavior vulnerability variables across 255 regions of South Korea. The data came from 2017 & 2019 Community Health Survey. Results: We found five types of community health vulnerabilities: Type 1 group had the highest material vulnerabilities compared to Type 5. The typology was found to be significant in all the regression analysis on the prevalence of chronic diseases (hypertension and diabetes), self-rated health status, and quality of life. In the regions with high material vulnerabilities, the material vulnerability appeared the most effective to the health status of individual's. In the other regions with less material vulnerabilities, the social capital and health behavior resources were found to be effective. Conclusion: A comprehensive measure of vulnerability can be helpful to understand community health. Policy makers need to consider the level of material vulnerability when planning for a health promotion project.

Experience of Case Management Practice for the housing vulnerable group living in public low-income housing in Seoul (주거취약계층 매입임대주택의 사례관리자 경험)

  • Min, So-Young;Kim, Soyoung
    • Korean Journal of Social Welfare Studies
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    • v.49 no.1
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    • pp.263-296
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    • 2018
  • The purpose of this study is to examine the experience of case management practice for residents of low - income housing. The importance of the house for the vulnerable residents with homelessness is absolute, and case management that supports them to live as residents in the community is also very important. Nevertheless, the research so far has focused on the supply of affordable housing, the residential environment, the quality of life of the tenants, and the health, but there was a lack of interest in case management practices. In this study, we investigated the experience of case management practice by listening 10 case managers's experiences through FGI interview. As a result of the study, the case manager's experience is divided into four themes: 'Dilemma of support for the independent housing life after the facilities', 'Role competition between rent management and case management', 'Lonely practice for linkage and cooperation with the mainstream community support system', 'Double employment relationship and poor working environment' respectively. Based on their experiences, this study suggests practical and practical suggestions for case management of rental housing.

Depression and Related Factors of Children Using Community Child Center in Gwangju and Jeollanamdo (광주 및 전라남도 지역아동센터 이용 아동의 우울감 및 관련요인)

  • Yoon, Sang-Eun;Han, Mi Ah;Park, Jong;Ryu, So Yeon
    • Journal of agricultural medicine and community health
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    • v.46 no.4
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    • pp.242-252
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    • 2021
  • Objectives: This study examined the current status of depression and related factors among children using community child center. Methods: A cross-sectional study selected children in grades 4-6 who used the Gwangju and Jeollanamdo community child center (n=224) using a convenience sampling method. General characteristics, family characteristics, children's emotional characteristics, children's school life environment and depression status were assessed using a self-reported questionnaire. Results: The average score of depression among children using community child center was 15.31±7.70 out of a total of 27. Fifty-eight (25.9%) children had depression above 22 points. Variables related to children's depression were shown as grade, subjective economic level awareness, after-school activities excluding local children's centers, presence of family members after school, and family structure. Conclusions: The depression prevalence of children using community child center was higher. Policy support such as children's psychological support programs would be needed to reduce children's depression, and community child centers are expected to be effective in reducing children's depression if continuous child psychological support services are developed for children's mental health.

A Study on Examination of Health Inequality among Dying Alone Cases (고독사와 건강불평등에 대한 탐색적 연구)

  • Kim, Hae Sung
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.1
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    • pp.311-318
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    • 2019
  • Dying alone is an emerging social problem in South Korea. It is reported that most cases of dying alone showed various and chronic health problems. Despite of this situation, there existed neither medical support nor welfare services when dying. It indicated severe health inequality problems. With this background, the purpose of this study was to examine health inequality issue among dying alone cases by using news paper articles during the past three years(2016-2018). Content analysis was employed for 89 dying alone cases. Characteristics of dying alone cases, types of illness and health problems, and unmet medical services were analyzed. Based on the findings, future directions were addressed.

The Effect of Health Promotion Program on the Frailty of Rural Elderly Women Implemented at Primary Health Care Posts (일부 보건진료소에서 실시한 건강증진프로그램이 농촌여성노인의 노쇠에 미치는 효과)

  • Kim, Min-Kyung;Park, Ki-Soo
    • Journal of agricultural medicine and community health
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    • v.44 no.3
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    • pp.115-123
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    • 2019
  • Objective: This study was conducted to examine the effects of a health promotion program on the health condition of rural elderly women implemented at primary health care posts using Korean Frailty Index. Methods: The research was designed a nonequivalent control group pretest-posttest setting. The participants in this study were 50 residents (intervention group: 25, control group: 25) selected from 4 villages 2 primary health care posts in J city Gyeongsangnam-do. The health promotion program was conducted at the primary health care posts twice a week for 12 weeks. This program consisted of basic exercises(Gukseondo + Theraband muscle strength training) and additional activities(including modified Theraband activity, rubber ball exercise, ball massage, nutrition class, singing class). Collected data were analyzed by descriptive statistics, paired t-test, and repeated measures ANOVA with SPSS 21.0. Results: Results of the health promotion program showed that the health conditions(measured by perceived health status, frailty score, upper/lower flexibility, maximum grip strength, dynamic balance test Timed Up and Go) of the experimental group(25) all statistical significantly improved. Conclusion: Study findings indicate that the health promotion program implemented at primary health care posts on rural elderly women is effective and can contribute to a developed health promotion program for local residents in the future.

Cumulative Impact Assessment Using Environmental Health Screening Tool in Seoul (환경보건 스크리닝 툴을 이용한 서울시 누적영향 평가)

  • Lim, Yu-ra;Bae, Hyun-joo
    • Journal of the Korean association of regional geographers
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    • v.20 no.4
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    • pp.444-453
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    • 2014
  • Inequality of environmental impact is forecast to deepen due to the damage of environmental risk by the interaction between environmental and social inequalities causing more harms to environmentally vulnerable population. This study assessed the integrated cumulative impact of Seoul using Environmental Health Screening Tool developed by Environmental Protection Agency of California. In order to screen vulnerable area to environmental health, 10 indexes have been selected according to the environmental burden of exposure to environment and public health effects, population characteristics of sensitive populations and socio-economic factors. As a result of assessment conducted on cumulative impact of Seoul for years 2009~2011 through Environmental Health Screening Tool, risk factor for districts of Gangseo and Gangnam of Seoul showed high - Gangseo area indicated high risk factor both in environmental burden and population characteristics, while Gangnam area appeared high in environmental burden. The result of survey will be able to suggest scientific basis to push through fair and effective environmental policy in consideration of environment vulnerable population.

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