• Health Policy and Management
• /
• v.22 no.2
• /
• pp.275-296
• /
• 2012

Graduate School of Public Health, Seoul National University The national health insurance system in Korea is characterized as relatively high out-of-pocket payments, which are the principal source of catastrophic health expenditure (CHE). The objectives of this study are to estimate the incidence of household CHE and to clarify the characteristics that affect the occurrence and recurrence of household CHE using the Seoul Welfare Panel Survey database for 2008 and 2010. Thresholds to estimate CHE were 10% and 20% of the total household income (T/X), and 25% and 40% of the income excluding food share (T/Y). Determinants of the occurrence and recurrence of CHE at the threshold of T/X=10% were analysed using multiple logistic regression models. Out of the 3,665 households that responded in 2008 survey, households with CHE were 12.07% (T/X${\geq}$10%), 5.34% (T/X${\geq}$20%), 6.84% (T/Y${\geq}$25%), and 4.44% (T/Y${\geq}$40%). Risk factors associated with household CHE included living with a spouse, non-Medicaid beneficiary, householder unemployment, low household income, the number of disabled members, poor subjective health, and the number of chronic diseases. A total of 41.78% of households with CHE in 2008 repeatedly experienced CHE in 2010. Risk factors of CHE recurrence included decreased household income and an increase in chronic diseases over the two time periods, the number of members with disability or chronic diseases, and the presence of cancer patients in 2008. Households with lower socioeconomic and health status had a higher financial burden on health care than do their counterpart households. There is a need to enhance society-wide financial protection from health spending among vulnerable citizens in Seoul, particularly, households with low income, disabled members or cancer patients.

• Journal of Families and Better Life
• /
• v.29 no.4
• /
• pp.125-145
• /
• 2011

The purposes of this study were to examine low-income households' financial statuses and the socio-economic characteristics of single-person and non-single person households according to the financial indexes used for evaluating financial security and growth status developed based on financial ratios. Using 2009 KLIPS(Korean Labor & Income Panel Survey) data collected by the Korean Labor Institute, the satisfaction levels from the indexes were analyzed and compared between the two household types. The results showed that 46.0% of single-person households were not satisfactory in terms of all financial growth indexes but were partially satisfactory in terms of all financial security indexes. These householders tended to be females and in the their 70s, who lived in Seoul or in a suburb of Seoul, Korea. They reported problems with a lack of financial growth possibilities. 47.0% of non-single person households were not satisfactory in terms of all financial growth indexes but were partially satisfactory in terms of all financial security indexes. These householders tended to be males in their 60s and 70s with no job who were living in Seoul or in a suburb of Seoul, Korea. They reported having low level of liquidity and high level of debt redemption. 42.6% of single-person households were not satisfactory in terms of both financial security and growth indexes partially. These householders tended to be females in their 20s or 70s who were living in rural areas. They reported problems related to an adverse balance between household income and expenditures and a large scale of debt. 43.1% of non-single households were not satisfactory in terms of both financial security and growth indexes partially. These householders tended to be males in their 60s or 70s and homeowners. They reported problem related to an adverse balance of household income and expenditures and high a level of housing expenditures and liquidity. The research findings have implication for policy makers considering financial support programs and welfare programs for low-income householders, considering the recent changes in households structures.

• Journal of Convergence for Information Technology
• /
• v.10 no.8
• /
• pp.152-160
• /
• 2020

The purpose of this study was to analyze the effects of neglect and abuse of parents, a sub-factor of domestic violence victimization experience, on the career identity status, the mediate effects of adapting to school life in the process, and the control effects of the experience of using local children center service experience. To this end, 419 people were extracted from the data of the first year and sixth year of the children's panel at the local children's center. The main analysis results are as follows. First, parents' neglect, a sub-factor of domestic violence damage experience, was found to have a negative mediation effect on youth's sense of direction. Second, adapting to school life are being partially mediate effect in the relationship between neglect of duty and career identity. The practical implications of necessary for the forming career identity for teenager using local child center and the basis data for developing programs were derived.

• Journal of the Korea Society of Computer and Information
• /
• v.26 no.12
• /
• pp.265-271
• /
• 2021

The purpose of this study is to make practical suggestions to help multicultural adolescents' academic adaptation. For this purpose, changes in the academic adaptation of multicultural adolescents were identified, and longitudinal changes in self-esteem were explored in the relationship between bicultural acceptance attitude and academic adaptation. The data from the panel survey of multicultural youth of the Korea Youth Policy Institute was used for the analysis. The result of analyzing the longitudinal mediating effects of self-esteem between bicultural acceptance and academic adaptation through the multivariate potential growth model, the mediating effects of self-esteem was confirmed. Based on these results, the practical implications for enhancing the bicultural acceptance attitude, academic adaptation, and self-esteem of multicultural youth were presented.

• Korean Journal of Social Welfare
• /
• v.67 no.1
• /
• pp.31-53
• /
• 2015

This study analyzed the factors having an influence on married woman's childbirth abandonment based on the 2011 materials (the 4th year) of PSKC (Panel Study on Korean Children), KICCE (Korea Institute of Child Care and Education). The analysis showed a few results. First, 'educational expenses for children' and 'physical hardship' were the factors having a major influence on the abandonment of another childbirth. Second, there was some difference in the reason for the abandonment of another childbirth according to the current number of children. That is, women with one child gave up another childbirth because of 'hardship to juggle child-care and work', while women with two children showed 'child-care costs' as a more important reason for the abandonment of childbirth. Third, 'age' and 'instrumental value of children' also had an influence on the abandonment of childbirth. Fourth, there was some difference in the factors having an influence on childbirth abandonment according to the current number of children. The research found that the community child-care environment such as 'leisure and cultural facilities' influenced the women with one child, and maternal psychological factor such as 'marital conflicts' influenced the women with two children in their abandonment of another childbirth.

• Journal of Digital Convergence
• /
• v.15 no.10
• /
• pp.19-29
• /
• 2017

The purpose of this study was to identify the multidimensional factors that affect the satisfaction of life by type of baby boomer generation. The subjects of this study were 1,895 households who were born from 1955 to 1963 among the respondents in the Korea welfare panel (the 10th year). The baby boomer generation was classified into four types such as gender, income status, male and female as socioeconomic status. The male type IV (B=.074, t=1.992, p<.05), health status (B=.233, t=7.268, p<.001), household income (B=.174, t=4.476, p<.001), depression (B=-.182, t=-5.242, p<.001), self-esteem (B=.255, t=7.027, p<.001), trust (B=.064, t=2.036, p<.05), etc. were found to have a significant effect on the life satisfaction of the male baby boomer generation. The female type IV (B=.100, t=2.598, p<.05), health status (B=.239, t=6.790, p<.001) (P<.001), depression (B=-.181, t=-5.142, p<.001), and self-esteem (B=.320, t=8.600, p<.001), etc. were found to have a significant effect on the life satisfaction of the female baby boomer generation.

• Journal of rehabilitation welfare engineering & assistive technology
• /
• v.9 no.4
• /
• pp.275-283
• /
• 2015

This study was to find out the relationship between the rehabilitation service and the life satisfaction of industrially injured workers and how medical rehabilitation service, psycho-social rehabilitation service, and occupational rehabilitation service influence in this relation. For this, it analyzed 977 people who were using rehabilitation service with industrial disaster disability among 2,000 research subjects using the first year materials of industrial disaster insurance panel of Workers' Compensation & Welfare Service. For the relationship of variables on the suggested 3 models, the mediating effect of the occupational rehabilitation service in the relation of medical rehabilitation of the industrially injured workers and life satisfaction by applying SPSS Macro and Sobel method and did the regression analysis to find out the control effect of psycho-social rehabilitation service by the mean centering of the material. The result of the analysis showed; when the satisfaction on the medical rehabilitation service was increased the satisfaction on the voacational rehabilitation was increased, when the satisfaction on the occupational rehabilitation service was increased, the satisfaction on the life satisfaction was increased, and when the satisfaction on the psycho-social rehabilitation service was increased the medical rehabilitation service had a indirect effect on the daily life satisfaction.

• Korean Journal of Social Welfare Studies
• /
• v.43 no.1
• /
• pp.5-29
• /
• 2012

The present study was to explore what makes adolescents think of themselves as troublemakers even without conduct problems. It was expected that the failure to attain socio-developmental milestones(e.g., healthy relationships with others, academic achievement) would lead to form trait aspect of deviant self-concept. A latent state-trait autoregressive modeling was used to analyze five annual waves of data from 3,449 adolescents taken from the Korean Youth Panel Study. We decomposed trait and state aspect of deviant self-concept and identified significant predictors of trait-like deviant self-concept, while additionally testing for gender differences. Our results showed that conduct problems had greater effect on deviant self-concept among girls compared with boys. Conduct problem was most predictive of deviant self-concept, and yet both poor peer-relations and school failures predisposed adolescents to have deviant self-concept. Low academic achievement conferred risk for trait aspects of deviant self-concept with no gender difference, whereas poor peer relation was more predictive among girls. It highlights the cultural value system underlying self-concept and how and why adolescents think of themselves as troublemakers.

• 재활복지
• /
• v.17 no.4
• /
• pp.127-149
• /
• 2013

This study analyzed the hazard of unemployment and the influencing factors on the rate. Data came from the Panel Survey of Employment for the Disabled(PSED), 2010-2012, which is a longitudinal survey for 5,092 disabled people in Korea. For the main purpose of this study, the life-table method was used for describing the patterns of unemployment duration by disabled, and the cox proportional hazard model was used to identify significant factors on the unemployment duration. The results were as follows. First, according to the life table analysis, the unemployment rate to remain until the longest period of unemployment(25month) is 90.5%, and the rate of entry into the labor market was only 9.5%. Overall, the unemployment maintenance rate was high, the unemployment escape rate decreased after 12month. Second, looking at the results from the cox proportional hazards model, the unemployment escape possibility were increased for those who are male, are non-public benefit recipient with disability, have mild disability, and have less discrimination experiences. With these results, disability discrimination act which can reduce the disability discrimination in employment site should be strengthened. Also, the scheme of Nation Basic Protection Program should be modified to attract the employment of recipients with disability. Finally, policy targets having employment escape difficulty, such as women with disability, people with severe disabilities should be departmentalized. And employment service is provided in accord with the individual needs and characteristics.

• 한국노년학
• /
• v.29 no.1
• /
• pp.71-87
• /
• 2009

The purpose of this study were to identify factors of successful aging and to suggest a successful aging model of elderly using Rowe & Kahn's model of successful aging. The components of the factors consisted of healthful status, physical·cognitive functions, psychosocial characteristics and productive activities. Data were collected from 2,958 elderly who has spouse and aged 65 above in KOSA Panel. Data were analyzed by Amos program 7.0 version. The statistical techniques were used descriptive statistics χ² and covariance structural analysis. Major findings of this study were as follows; Healthful status were positively related to increasing effort on physical·cognitive functions as well as psychosocial characteristics. Physical·cognitive functions were positively and directly related to psychosocial characteristics and productive activities. Psychosocial characteristics were positively and directly related to productive activities. Physical·cognitive functions and psychosocial characteristics were increased by receiving a direct and positive effort from healthful status. Productive activities were increased by receiving a direct and positive effort from physical·cognitive functions and psychosocial characteristics. Specific and realistic measures should be prepared for successful aging not only for present elderly but also for the future elderly people. Further research should be continued and encouraged to improve the implications for the successful aging especially in korea.