• Korean Journal of Community Nutrition
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• v.3 no.4
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• pp.542-555
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• 1998

This study was conducted to assess the nutrient intake patterns among urban and rural adolescents and to investigate the effects due to parent's socioeconomic status and other factors, such as mother's job, family type and regular exercise on that pattern. 2,455 middle and high school students living in Seoul and Yangpong, Kyounffi-Do participated in a self-administered questionnaire that was used to collect data. The one-day dietary intake was surveyed through a 24-hour recall method. The factors significantly different between urban and rural adolescents according to monthly income, parent's education level, mother's job, family type and exercise. Income, the parents' education level and regular exercise were associated with the patterns of nutrient intakes as a percent of the RDA. So, when adjusted for parental income, the father's and mother's education level and regular exercise, there were no signifcant differences within the patterns of nutritional intake between urban and rural adolescents. The results provided the information regarding the determinants of nutrient status among adolescents and were expected to be helpful for planning school health promotion programs.

• Korean Journal of Culture and Social Issue
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• v.11 no.1
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• pp.43-57
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• 2005

Data were collected from 310 6th, 7th, and 8th grade students and parents by questionnaires and analyzed by t-test and multiple regression analysis. The higher parents attachment and parents monitoring, the higher prosocial behavior towards parents and siblings, the higher perspective-taking, the higher prosocial behavior towards parents, and the higher socioeconomic status, the higher prosocial behavior towards siblings. More prosocial behavior toward parents was reported by girls than by boys. Prosocial behavior toward siblings did not show a gender difference. In the total group, high parent attachment and perspective-taking predicted prosocial behavior towards parents; high parent attachment and socioeconomic status predicted prosocial behavior towards siblings. In the boy group, high parent attachment and perspective-taking predicted prosocial behavior towards parents; high socioeconomic status predicted prosocial behavior towards siblings. In the girl group, high parent attachment predicted prosocial behavior towards parents and high parent attachment and socioeconomic status predicted prosocial behavior towards siblings. Discussion focused on the relative importance of parents attachment, perspective-taking, and socioeconomic status in predicting early adolescents' prosocial behavior.

• Korean Journal of Social Welfare
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• v.60 no.4
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• pp.231-251
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• 2008

Academic interest has been drastically increased for the health disparities due to socioeconomic factors. For those who have a chronic illness such as diabetes, various psychosocial barriers related to illness management might affect and aggravate this disparity. This study focused on illness management barriers experienced by people with diabetes, and examined the differences by their Medicaid beneficiary status. The between group differences in illness management barriers, family support and health status were examined as well as the association between illness management barriers and health status. The sample of this study consists of 144 community dwelling adults who have diabetes, recruited from an outpatient diabetes clinic and a community welfare center. Medicaid beneficiaries reported poorer health status, and experienced more illness management barriers compared to their counterparts. Statistically significant differences were observed in barriers due to mental health, financial status, and lack of support. The between group difference in health status remained significant after controlling for the effect of demographic characteristics and illness related factors. Social work practitioners working with this population should address these illness management barriers to reduce socioeconomic health disparity.

• Journal of Nutrition and Health
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• v.20 no.4
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• pp.272-280
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• 1987

This research is intended to reveal the correlations between diabetes and dietary and other related factors. We were studied for 257 diabetics, in t도 9 general hospitals, located at Seoul, From August 109 to September 3, 1986. The result of this study can be follow ; 1) Distribution of the subjects according to their general characteristics ; The sex ration of the subjects is 1.06 ; 1.00 (male ; female), and the average age is 54.7 $\pm$10.9 years. Among the subjects 28.8% have a family history of diabetes ; the closer the genetic relationship, the more hereditory factors play a part. 2) Distribution of the scores according to their socioeconomic status ; As the socioeconomic status goes p, the intake of calories and fiber increases ; however, the frequency of eating out and the degree of physical activity decrease. 3) Relationship between obesity prevalence and each variable ; Among the subjects 27.2% are obese, and 60.3% have been obese in the past. Even though there is no significant relationship between the food habit and obesity, the number of people who are obese shows a significant increase as the socioeconomic status improves. 4) The effect of sex on each variable ; The intake of calories, sugar, alcohol and coffee is higher in male subjects, as is the frequency of eating out. In regular exercise and physical activity, there are significant differences between male and female subjects.

• The Journal of the Korea Contents Association
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• v.17 no.4
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• pp.424-433
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• 2017

The purpose of this study was to meta-analyze and compare the effect sizes of socioeconomic status and psychosocial factors on self-rated health among older adults. Also, to examine whether those effect sizes had been affected by certain moderator like gender through meta-regression analysis was attempted. A total of 487 effect sizes computed from 80 studies published in Korea before 2013 were analysed. The results of this research were as follows. Firstly, spousal support had the largest effects, followed by income, educational level, occupation, support of children, assets, non-family support, family support and social activities. Secondly, while the positive effect of non-family support on self-rated health increased for women than men, the positive effect of income decreased. The findings suggest the following; The importance of spousal support should be recognized for later life's health and the health support for those who had been bereaved must come first. Income security policies and non-family support for elderly women must be strengthened.

• Journal of Gastric Cancer
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• v.13 no.4
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• pp.247-254
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• 2013

Purpose: In Korea, the entire population must enroll in the national health insurance system, and those who are classified as having a lower socioeconomic status are supported by the medical aid system. The aim of this study was to evaluate the association of the medical insurance status of gastric cancer patients with their survival after gastrectomy. Materials and Methods: A total of 247 patients who underwent surgical treatment for gastric cancer between January 1999 and December 2010 at the Seoul Medical Center were evaluated. Based on their medical insurance status, the patients were classified into two groups: the national health insurance registered group (n=183), and the medical aid covered group (n=64). The survival rates were calculated using the Kaplan-Meier method. Results: The median postoperative duration of hospitalization was longer in the medical aid covered group and postoperative morbidity and mortality were higher in the medical aid group than in the national health insurance registered group (P<0.05). The overall 5-year survival rate was 43.9% in the medical aid covered group and 64.3% in the national health insurance registered group (P=0.001). Conclusions: The medical insurance status reflects the socioeconomic status of a patient and can influence the overall survival of gastric cancer patients. A more sophisticated analysis of the difference in the survival time between gastric cancer patients based on their socioeconomic status is necessary.

• Journal of Preventive Medicine and Public Health
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• v.50 no.1
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• pp.1-9
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• 2017

Objectives: By the end of the 2000s, the economic situation in many European countries started to deteriorate, generating financial uncertainty, social insecurity and worse health status. The aim of the present study was to investigate how the recent financial crisis has affected the lifestyle health determinants and behaviours of older adults living in the Mediterranean islands. Methods: From 2005 to 2015, a population-based, multi-stage convenience sampling method was used to voluntarily enrol 2749 older adults (50% men) from 20 Mediterranean islands and the rural area of the Mani peninsula. Lifestyle status was evaluated as the cumulative score of four components (range, 0 to 6), that is, smoking habits, diet quality (MedDietScore), depression status (Geriatric Depression Scale) and physical activity. Results: Older Mediterranean people enrolled in the study from 2009 onwards showed social isolation and increased smoking, were more prone to depressive symptoms, and adopted less healthy dietary habits, as compared to their counterparts participating earlier in the study (p<0.05), irrespective of age, gender, several clinical characteristics, or socioeconomic status of the participants (an almost 50% adjusted increase in the lifestyle score from before 2009 to after 2009, p<0.001). Conclusions: A shift towards less healthy behaviours was noticeable after the economic crisis had commenced. Public health interventions should focus on older adults, particularly of lower socioeconomic levels, in order to effectively reduce the burden of cardiometabolic disease at the population level.

• Korean Journal of Community Nutrition
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• v.9 no.1
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• pp.3-11
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• 2004

The objective of this study was to examine relationships between breakfast skipping and ecological factors related to eating practice. Participants were 537 children (male: 274, female: 263) from two elementary schools in Kyunggi-do (School A) and Seoul (School B). Analysis included cross-tabulation of demographics, factors related to eating practice and weight status, frequency of breakfast skipping and types of breakfast and the number of foods at breakfast by schools. Logistic regression were conducted to identify the factors associated with breakfast skipping. Children in school B showed higher socioeconomic status by living environment and the type of fathers' job than those in school A. Eighty six percent of children in school B and 75% in school A ate breakfast 5 times and more per week. School and father's occupation differences correlated with the frequency of breakfast, but not mother's employ status was not. After controlling school. type of father's job, mother's employ status, eating breakfast 5 times and more was associated with eating with other family members, feeling hungry before breakfast, normal weight status, eating Korean traditional meal type and number of food eaten at breakfast. The results stress the need for intervention programs aimed at decreased skipping breakfast among elementary school children. While programs need to reach all children skipping breakfast, approaches need to be suitable to in particular those from low socioeconomic backgrounds.

• Korean Journal of Health Education and Promotion
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• v.24 no.2
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• pp.1-14
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• 2007

Purpose: The purpose of this study is to investigate predictors of depression among elderly who have received visiting health services in public health centers. Method: The data has been collected from 678 elderly living in Seoul and Gyeonggi Province during the period from February 21 to June 30 in 2006. The data were collected by individual interview and were analyzed using correlation and multiple regression analysis with the SAS 9.1 program. Result: Among elderly, 73.8% of them showed depression. The elderly with higher level of socioeconomic status (${\beta}=0.136$, p=0.019) and higher level of social support including family support(${\beta}=-0.018$, p<.0001), friend's support(${\beta}=-0.025$, p<.0001) and special person's support (${\beta}=-0.021$, p<.0001) show lower levels of depression. In addition, elderly with perceived good health status (${\beta}=0.119$, p<.0001) feel less depression than those who have poor health condition. Conclusion: These findings suggest that low socioeconomic status and lower level of social support among elderly should be considered to decrease depression. These findings would contribute to health education, designing interventions and program development for appropriate depression management for the elderly.

• Journal of Preventive Medicine and Public Health
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• v.38 no.4
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• pp.391-400
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• 2005

Objective : This study examined the socioeconomic differentials for the health and health related behaviors among South Korean middle school students. Methods : A nationwide cross-sectional interview survey of 3,449 middle school second-grade students and their parents was conducted using a stratified multi-stage cluster sampling method. The response rate was 93.3%. The socioeconomic position indicators were based on self-reported information from the students and their parents: parental education, father's occupational class, monthly family income, out-of-pocket expenditure for education, housing ownership, educational expectations, educational performance and the perceived economic hardships. The outcome variables that were measured were also based on the self-reported information from the students. The health measures included self-rated health conditions, psychological or mental problems, the feelings of loneliness at school, the overall satisfaction of life and the perceived level of stress. The health related behaviors included were smoking, alcohol drinking, sexual intercourse, violence, bullying and verbal and physical abuse by parents. Results : Socioeconomic differences for the health and health related behaviors were found among the eighth grade boys and girls of South Korea. However, the pattern varied with gender, the socioeconomic position indicators and the outcome measures. The prevalence rates of the overall dissatisfaction with life for both genders differed according to most of the eight socioeconomic position indicators. All the health measures were significantly different according to the perceived economic hardship. However, the socioeconomic differences in the self-rated health conditions and the psychosocial or mental problems were not clear. The students having higher socioeconomic position tended to be a perpetrator of bullying while those students with lower socioeconomic position were more likely to be a victim. Conclusions : The perceived economic hardships predicted the health status among the eighth graders of South Korea. The overall satisfaction of life was associated with the socioeconomic position indicators. Further research efforts are needed to explore the mechanisms on how and why the socioeconomic position affects the health and health related behaviors in this age group.