• Nutrition Research and Practice
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• 제17권1호
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• pp.103-121
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• 2023

BACKGROUND/OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic has affected the entire world population in many ways. This study aimed to analyze the patterns of changes in eating, food purchasing and preparation, physical activity, and subjective health after COVID-19 outbreak by various sociodemographic factors and to understand the factors associated with changes in subjective health. SUBJECTS/METHODS: A cross-sectional survey using a representative sample from Seoul was used for the analysis. The data collection was conducted from September to October 2020. A total of 3,833 citizens aged more than 18 years old participated in the Seoul Food Survey. Descriptive statistics and generalized ordinal logistic regression models were used to understand the changes in health behaviors, health indicators, and subjective general health by various socioeconomic status. RESULTS: It was shown that the changes in household income, food expenditure, food consumption and physical activities differed significantly by age, education, occupation, income, weight, and food security status. Low-income and food-insecure households were affected more severely by the pandemic. Older age, household food insecurity, income reduction, increased home cooking and frequency of having instant foods, decreased physical activity and weight gain were significant factors explaining worse perceived health during the COVID-19 pandemic. CONCLUSIONS: The results suggest that focusing on older populations and low-income families with food insecurity should be prioritized during infectious disease outbreaks. In addition, the role of physical activities and instant food consumption in explaining perceived health should be investigated further in this prolonged battle with the pandemic situation.

• Nutrition Research and Practice
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• 제16권1호
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• pp.94-105
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• 2022

BACKGROUND/OBJECTIVES: The purpose of this study was to investigate the association between socioeconomic status and chewing discomfort and identify the role of food insecurity in the association's causal pathway in a representative sample of Korean elders. MATERIALS/METHODS: We conducted cross-sectional analyses of the Korea National Health and Nutrition Examination Survey (2013-2015) data for elders aged ≥ 65 years. Socioeconomic status indicators used included household income and education level. Chewing discomfort was assessed according to the self-reported presence of chewing problems. Food security was surveyed using a questionnaire based on the US Household Food Security Survey Module. RESULTS: The odds ratios of chewing discomfort in the 1st and 2nd income quartiles were 1.55 (95% confidence interval [CI], 1.15-2.10) and 1.40 (95% CI, 1.03-1.90), respectively, compared to participants in the highest income quartile. Participants with the lowest education level were 1.89 (95% CI, 1.30-2.75) times more likely to have chewing discomfort than those without chewing discomfort. After including food security in the final model, the logistic coefficients were attenuated in the income and education quartiles. CONCLUSIONS: Low socioeconomic status was associated with chewing discomfort. In addition, the results confirm that food insecurity can mediate the association between socioeconomic inequalities and chewing discomfort among the elderly.

• 산경연구논집
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• 제13권11호
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• pp.11-19
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• 2022

Purpose: Food security is a dynamic concept, which has continuously integrated new dimensions and levels of analysis over the years; this reflects the wider recognition of its complexities in research and public policy issues. Food insecurity is a major challenge for Ethiopia and for many African countries. This paper aims to identify the roles of social enterprises to overcome food insecurity. Research design, data and methodology: The research has focused on one primary question. What are the role of social enterprises to overcome food insecurity? The survey questionnaire was developed and an interview was made using enumerators. A total sample size of 400 sample households was selected randomly using the method of sampling with probability proportionate to size. Descriptive and inferential statistical analysis methods were used for data analysis. Results: Results of the regression analysis show that all of the hypothesized independent variables are significantly and positively affecting post membership income of the sample households. Conclusions: all stakeholders as government, development actors and academic institutions should closely monitor and support social enterprises/cooperatives technically, financially and materially. By doing so, the full potential and contributions of social enterprises in reducing unemployment and solving the social and environmental problems can be effective.

• 사회복지연구
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• 제43권2호
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• pp.31-60
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• 2012

빈곤가구의 식품 미보장은 상대적으로 풍요로운 사회에서 경험되는 불평등과 사회적 박탈을 보여주는 중요한 현상이므로, 이 연구에서는 아동이 있는 수급 가구들의 '식품 미보장 경험'을 탐색하였다. 연구에 참여한 부모들은 제한된 소득 내에서 식품 구입을 위해 사용할 수 있는 자원의 부족으로 인해 적절한 혹은 충분한 양의 식재료 구입에 어려움을 겪고 있을 뿐 아니라, 질 낮은 식재료의 선택 및 사용, 상대적으로 보다 값싼 재료로의 대체, 이용가능한 식재료 종류(특히 육류와 과일)의 제한, 단조롭고 제한된 식사 구성과 같은 경험을 일상적으로 하고 있었다. 때로는 이로 인해 아이들이 식사를 거르기도 하였다. 즉 '식품 미보장'개념을 구성하는 내용들이 아동이 있는 빈곤 가구들에서 실제로 경험되고 있는 것으로 확인되었다. 하지만 식품 미보장 척도상에서 보고가능한 내용과 질적 면접을 통해 보고되는 내용에 어느 정도 차이가 있으므로 이러한 점이 향후 식품 미보장 척도를 활용함에 있어 충분히 고려되어야 할 것이라고 생각된다. 또 대부분의 가정에서 현재 이루어지고 있는 다양한 사회복지서비스들이 부분적으로 가구내 식품 미보장 상황을 보완해 주고 있는 점 등도 척도 활용시 고려되어야 할 점이라고 생각된다.

• Nutrition Research and Practice
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• 제17권2호
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• pp.269-283
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• 2023

BACKGROUND/OBJECTIVES: This study aimed to examine the food security status of urban poor adolescents and its association with diet quality. SUBJECTS/METHODS: A cross-sectional survey was conducted among 188 adolescents aged 13-18 yrs living in Kuala Lumpur, Malaysia. Household food insecurity and dietary intake data were collected using the Radimer/Cornell hunger and food insecurity instrument and 2-day 24-h dietary recalls, respectively. Diet quality was determined using the Malaysian Healthy Eating Index (HEI). Weight and height were measured and body mass index-for-age, as well as height-for-age z scores were calculated. RESULTS: The present study revealed that 47.9% of the adolescents experienced household food insecurity, 24.5% experienced individual food insecurity, 18.6% household food security, and 9.0% child hunger. The mean score of diet quality was 56.83 ± 10.09, with a significantly lower HEI score among food insecure adolescents (household food insecure, individual food insecure, and child hunger) than household food secure adolescents (P = 0.001). The differences between food secure and food insecure households were found to be significant for energy (P = 0.001) and nutrients including proteins (P = 0.006), carbohydrates (P = 0.005), dietary fiber (P = 0.001), folate (P < 0.001), and vitamin C (P = 0.006). The multiple linear regression showed that adolescents who experienced food insecurity (β = -0.328; P = 0.003) were found to be significantly associated with poor diet quality (F = 2.726; P < 0.01), wherein 13.3% of the variation in the diet quality was explained by the food security status. CONCLUSIONS: Experiencing food insecurity contributed to poor diet quality among urban poor adolescents. Further longitudinal studies are needed to comprehensively understand this association to improve food insecurity and diet quality among urban poor communities.

• Nutrition Research and Practice
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• 제2권1호
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• pp.26-34
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• 2008

This cross-sectional study assessed household food insecurity among low-income rural communities and examined its association with demographic and socioeconomic factors as well as coping strategies to minimize food insecurity. Demographic, socioeconomic, expenditure and coping strategy data were collected from 200 women of poor households in a rural community in Malaysia. Households were categorized as either food secure (n=84) or food insecure (n=116) using the Radimer/Cornell Hunger and Food Insecurity instrument. T-test, Chi-square and logistic regression were utilized for comparison of factors between food secure and food insecure households and determination of factors associated with household food insecurity, respectively. More of the food insecure households were living below the poverty line, had a larger household size, more children and school-going children and mothers as housewives. As food insecure households had more school-going children, reducing expenditures on the children's education is an important strategy to reduce household expenditures. Borrowing money to buy foods, receiving foods from family members, relatives and neighbors and reducing the number of meals seemed to cushion the food insecure households from experiencing food insufficiency. Most of the food insecure households adopted the strategy on cooking whatever is available at home for their meals. The logistic regression model indicates that food insecure households were likely to have more children (OR=1.71; p<0.05) and non-working mothers (OR=6.15; p<0.05), did not own any land (OR=3.18; p<0.05) and adopted the strategy of food preparation based on whatever is available at their homes (OR=4.33; p<0.05). However, mothers who reported to borrow money to purchase food (OR=O.84; p<0.05) and households with higher incomes of fathers (OR=O.99; p<0.05) were more likely to be food secure. Understanding the factors that contribute to household food insecurity is imperative so that effective strategies could be developed and implemented.

• Annals of Occupational and Environmental Medicine
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• 제34권
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• pp.24.1-24.13
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• 2022

Background: In modern society, depression is serious issue that causes socioeconomic and family burden. To decrease the incidence of depression, risk factors should be identified and managed. Among many risk factors for depression, this study examined socioeconomic risk factors for depression. Methods: We utilized first (2006), second (2008), and third (2010)-wave data from the Korean Longitudinal Study of Aging (KLoSA). Depressive symptom was measured with the 10-item Center for Epidemiological Studies Depression Scale, Short Form (CES-D-10) in the survey in 2008 and 2010. Three risk factors including job security, employment type and monthly income were measured in the survey in 2006. The association between risk factors and depressive symptom was analyzed by Cox proportional-hazard model. Results: We analyzed data from 1,105 workers and hazard ratios (HRs) for 3 risk factors were significant entirely. In addition, regular worker with high income group is the most vulnerable group of poor job insecurity on depression among male workers (HR: 1.73; 95% confidence interval [CI]: 1.07-2.81). Finally, HRs for 7 groups who had at least 1 risk factor had higher HRs compared to groups who had no risk factors after stratifying 3 risk factors. In the analysis, significantly vulnerable groups were total 5 groups and the group who had highest HR was temporary/daily workers with poor job security (HR: 2.51; 95% CI: 1.36-4.64). The results concerning women, regardless of job type, were non-significant. Conclusions: This study presented one or more risk factors among poor job security, low income, temporary/daily employment type increase hazard for depressive symptom in 2 or 4 years after the exposure. These results inform policy to screen for and protect against the risk of depression in vulnerable groups.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권5호
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• pp.447-456
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• 2020

Purpose: Food insecurity, which is the inability to obtain food or inadequate food consumption in terms of quality and quantity, has physical and psychological consequences on children's health. This study aimed to investigate the relationship between children's growth disorders and food insecurity in Qazvin city, Iran. Methods: A case-control study was conducted on 177 cases and 355 controls of children aged 3 to 6 years, who were referred to health centers in Qazvin city. The case group consisted of children with growth disorders. Data were obtained with the 18-item US Department of Agriculture questionnaire, a household socioeconomic questionnaire, a and growth monitoring card. The data were analyzed with using IBM SPSS Version 22.0, by independent sample t-test, chi-square test, and logistic regression. Results: A significant relationship was found between children's growth disorders and household food insecurity with (p<0.05, odds ratio [OR]=17.0, confidence interval [CI]=5.9, 48.8) and without hunger (p<0.05, OR=2.69, CI=1.4, 4.9). There were also significant relationships between children's growth disorders and socioeconomic status (p<0.05, OR=3.4, CI=1.4, 8.5), the duration of breastfeeding (p<0.05, OR=0.94, CI=0.9, 0.98), and children's ages (p<0.05, OR=0.94, CI=0.92, 0.96). Sex and birth order, and the age of the parents was not found to be significantly related with growth disorders. Conclusion: Lower socioeconomic status and household food insecurity were the important predictors of children's growth disorders. Policymakers should focus more on promoting steady employment and income among family members. Nutritional education for mothers is also recommended, in order to better meet the nutritional needs of the children.

• 한국컴퓨터정보학회논문지
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• 제28권3호
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• pp.127-135
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• 2023

본 연구는 대학생들의 취업기대감과 취업소진이 취업불안에 미치는 영향을 분석하고자 하였다. 수집한 데이터는 PASW 18.0 통계 프로그램을 이용하여 빈도분석, 기술통계분석, 신뢰도분석, one-way ANOVA, T-test, 상관관계분석, 다중회귀분석을 실시하였다. 연구결과 첫째, 대학생들은 취업불안 상태보다 취업불안 유발상황과 원인에 대한 불안을 조금 더 경험하는 것으로 나타났다. 둘째, 취업불안은 성별, 학년, 용돈, 월평균 가계소득에 따라 차이가 있는 것으로 밝혀졌다. 셋째, 취업불안은 취업기대감이 낮을수록, 무능감, 부정적 신념, 비인간화 등의 취업소진이 높을수록 더 증가하였다. 넷째, 취업불안과 관련된 변수들의 영향력을 분석한 결과 가장 크게 영향을 미치는 변수는 무능감이었다.

• 한국사회복지학
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• 제68권3호
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• pp.181-201
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• 2016

본 연구는 저소득층이 경험하는 물질적 어려움과 자살생각의 관계를 규명하는 것을 목적으로 한다. 이를 위해 한국복지패널 7~9차년도 자료를 사용하였고, 가구주를 분석단위로 2,081가구를 분석에 활용하였다. 연구의 결과는 다음과 같다. 먼저, 물질적 어려움을 경험한 저소득 가구주는 물질적 어려움을 경험하지 않은 가구주보다 자살생각을 할 가능성이 높게 나타났다. 또한 물질적 어려움의 4개 하위변수들과 자살생각의 관계에서는 식품 불안정이나 신용불량을 경험한 가구주가 그렇지 않은 가구주보다 자살생각을 할 가능성이 높은 것으로 나타났다. 마지막으로 물질적 어려움과 자살생각의 정적인 관계가 여성가구주 집단보다는 남성가구주 집단에서, 비노인가구주 집단보다는 노인가구주 집단에서 더 두드러지는 것으로 나타났다. 본 연구는 이와 같은 결과를 바탕으로 자살 문제를 접근하는데 있어 사회구조적 책임에 대한 인식과 문제를 완화하기 위한 통합적이고 체계적인 예방정책의 필요성을 제언하였다.