• Korea journal of population studies
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• v.34 no.1
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• pp.99-127
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• 2011

This study examines whether educational differentials in health are greater in more recent cohorts in Korea. This study utilizes latent growth-curve modeling to examine intercohort trends in health for three educational subgroups, using panel data (2003-2007) based on a national probability sample of 9,639 adults. Among young and middle adults with less than a high school diploma, the 4-year newer cohort demonstrated better health at the same age, implying a favorable trend. Middle and older adults with college level and a high school diploma also enjoyed favorable trends in health. This study suggests the possibility that the education-based overall disparity in health is increasing, but there are variations in the trend depending on age group. The increasing disparity mainly occurred among older adults.

• Journal of the Korea Society of Computer and Information
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• v.28 no.3
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• pp.137-148
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• 2023

The purpose of this study is to classify the potential types of mental health of mothers of multicultural youth by applying Latent Profile Analysis, analyze the influence of predictors, and find out how differences in potential types affect parental efficacy. To this end, panel data for the 9th year (2019) of the Multicultural Youth Panel Survey (MAPS) were used. As a result of the analysis, first, the mental health types of mothers of multicultural adolescents were analyzed in the order of 'middle risk type of mental health'(class3) > 'high risk type of self-esteem'(class1) > 'high risk type of mental health'(class4) > 'cultural adaptation and daily life stress'(class2). Second, compared to the "class 1" group, the lower the family economy level of multicultural youth mothers, the lower the educational background of multicultural youth fathers (husbands) graduate from middle school, the lower the level of Korean, and the lower the level of communication with children, the higher the odds of belonging to the 'mental health medium risk' group (Ods). Third, compared to the 'middle risk type of mental health'(class3) and 'high risk type of mental health'(class4), the 'high risk type of self-esteem'(class1) group was found to have a significant positive (+) effect on parental efficacy.

• Journal of Korean Public Health Nursing
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• v.33 no.2
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• pp.214-227
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• 2019

Purpose: This study examined the socio-demographic factors, the disaster related factors, the physical health related factors and the psychological factors of older adults exposed to natural disaster and these factors may possibly cause the occurrence of PTSD. Methods: A cross-sectional study was designed using the secondary data from the 3rd Disaster Victims Panel Survey (2012-2017). The data from 1,397 disaster victims were analyzed using descriptive statistics and logistic regression analysis. Results: Compared with the younger adult disaster victims, the elderly were more likely to have symptoms of PTSD (15.0% vs. 12.1%). Factors such as the number of years since being exposed to the disaster, anxiety, depression and social adjustment were significantly associated with occurrence of PTSD for both older and younger adults. Female gender was the additional risk factors for the older adults, while marital status, income, having witnessed another person's injury or death, and having lost a home were associated with the occurrence of PTSD. Conclusion: The elderly were more likely to develop PTSD as compared with younger adults. More targeted post-disaster mental health services to the elderly with the symptoms of depressive, anxiety and impaired social adjustments, should be provided to improve their mental health.

• Journal of radiological science and technology
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• v.28 no.4
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• pp.273-277
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• 2005

The rapid development in digital acquisition technology in radiography has not been accompanied by information regarding optimum radiolographic technique for use with an amorphus silicon flat panel detector. The purpose of our study was to compared image quality and radiation dose of an amorphus silicon flat panel detectors for digital chest radiography. All examinations were performed by using an amorphus silicon flat panel detector. Chest radiographs of an chest phantom were obtained with peak kilovoltage values of $60{\sim}150kVp$. Published data on the effect of x-ray beam energy on image quality and patient dose when using an amorphus silicon flat panel detector. It is important that radiographers are aware of optimum kVp selection for an amorphus silicon flat panel detector system, particularly for the commonly performed chest examination.

• Research in Community and Public Health Nursing
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• v.32 no.1
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• pp.95-106
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• 2021

Purpose: The purpose of this study is to investigate the association between unmet healthcare needs due to financial reasons and catastrophic health expenditures. Methods: This study used secondary data from the 2014~2015 Korean Health Panel survey. The subjects of this study were 21,495 people aged 20 or older, and of them, there were 16,227 people aged 20 to 64 and 5,268 people aged 65 or older, which were surveyed between 2014 and 2015. The association between unmet healthcare needs due to financial reasons and catastrophic health expenditures was analyzed through logistic regression. Results: In 2015, 1.7% of people aged 20~64 years and 7.9% of those aged 65 or older experienced unmet healthcare needs due to financial reasons. In the 20~64 age group, people who repeatedly experienced catastrophic health expenditures (=10%,=20%) were less likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=0.50, OR=0.41). However, in the 65-or-older group, people who repeatedly experienced catastrophic health expenditures (=20%) were more likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=1.68). Conclusion: A greater percentage of the elderly repeatedly faced both catastrophic health expenditures and unmet healthcare needs due to financial reasons compared to the non-elderly.

• Health Policy and Management
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• v.30 no.1
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• pp.112-119
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• 2020

Suicide has been a long-standing problem for global public health, along with almost 800,000 deaths from suicide worldwide in 2016, accounting for 1.4% of all deaths. South Korea was ranked first in suicide mortality in 2018 among countries in the Organization for Economic Cooperation and Development. This study aimed to suggest up-to-date information about suicide-related indicators such as the rate of suicidal ideation, suicide attempt, and suicide death, and its trends by applying sampling weight to make it nationally representative. In this study, we used the data sources: Korea National Health and Nutrition Examination (KNHANES, '07-13, '15-18), Korean Community Health Survey (KCHS, '08-09, '13, '17), Korean Wealth Panel Study (KOWEPS, '12-18), Korea Health Panel Survey (KHP, '10-13), and Statistics Korea (1983-2017). The rate of suicidal ideation as recent year was 4.73% (KNHANES, '17), 6.96% (KCHS, '17), 2.29% (KOWEPS, '18), and 5.39% (KHP, '13). That of suicide attempt as recent year was 0.51% (KNHANES, '18), 0.32% (KCHS, '17), and 0.15% (KOWEPS, '18). Annual percentage change (APC) of suicidal ideation was -15.4% (KNHANES, '07-13, '15, '17), -2.5% (KCHS, '08-09, '13, '17), -10.8% (KOWEPS, '12-18), and -10.9% (KHP, '10-13). APC of suicide attempt was -4.4% (KNHANES, '07-13, '15-18), -4.4% (KCHS, '08-09, '13, '17), and -13.6% (KOWEPS, '12-18). APC of death by intentional self-harm was -1.25% (Statistics Korea, '07-18). All suicide-related indicators were found to be decreasing in the overall from 2009. Individuals with lower income level were more likely to experience suicidal ideation and suicide attempts. Even though suicide rate had been continuously decreasing from its highest point in 2011 (suicide rate: 31.7 per 100,000 population) to 2017 (suicide rate: 24.3 per 100,000 population), it increased again in 2018 (suicide rate: 26.6 per 100,000 population). This information would be grounded on policy implementation for suicide prevention, thus continuous data observation is necessary.

• The Korean Journal of Health Service Management
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• v.12 no.2
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• pp.75-87
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• 2018

Objectives : This study aimed to investigate factors affecting multicultural acceptability of adolescents at individual and environmental levels. Methods : Participants were 2,032 first-year high school students who participated in the 4th-year Korean Children and Youth Panel Survey in 2013. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and multilevel analysis. Results : Individual factors affecting multicultural acceptability of adolescents were health status, ego-resilience, and experience of visiting foreign countries. Learning activity, school regulation, relationship with teachers, and community spirit were significant factors at environmental level. Conclusions : Findings suggest that it is necessary to consider health status, improve positive resilience, activate a multicultural experience program, establish friendly relations with teachers, adhere to social norms, and strengthen community spirit for multicultural acceptability.

• Journal of the Korean Society of School Health
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• v.34 no.2
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• pp.123-132
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• 2021

Purpose: Adolescents are vulnerable to depression; however, many health policies for adolescents tend to target students in schools. This study aims to identify factors related to depression according to gender among adolescents who have ceased attending school either temporarily or permanently. Methods: The data were generated from the 5th Dropout Youth Panel Survey (2017), and this study included 318 students in the survey that had dropped out of school. The data were analyzed using hierarchical multiple linear regression to identify related factors in depression among the participants. The analyses were performed by SPSS 25.0 program. Results: The depression scores of the students who had ceased attending school were: 20.28±5.47 for boys; 21.23±5.88 for girls. Their depression scores are significantly associated with self-esteem (p<.001 for boys; p=.001 for girls) and social stigma (p=.002 for boys; p=.002 for girls). Among those, peer attachment (p=.050), community integration (p=.004), and community disorder (p<.001) were significantly associated with depression only in boys. Conclusion: The findings of this study suggest that strategies for managing depression in adolescents who have dropped out of school should address the differences in contributing factors according to gender. This study also suggests a basis for approaching such a strategy.

• Korea Journal of Hospital Management
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• v.27 no.1
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• pp.31-42
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• 2022

Purposes: This study aims to investigate the changes in the length of stay and medical expenses by the impact of the admission decided by patients or their family. Methodology: The analysis was conducted using data from elder patients aged 65 or older who have used admission services more than once from year 6(2012) to year 12(2017) of the Korean Medical Panel Data(KOWEPS). The statistical analysis was performed through the Chi-square test, mean difference analysis, and generalized estimation equation analysis. Findings: Compared to the patients who used admission services decided by doctors, those who used admission services decided by patients or their family had a longer length of stay and a lower daily medical expense. Practical Implications: Inappropriate admission decided by patients or their family can increase the risk of hospital-acquired infections, impairing the health of elderly patients, and has a negative impact on the efficiency of health resources. Therefore, it is necessary to prevent and properly manage inappropriate admission decided by patients or their family

• Health Policy and Management
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• v.26 no.4
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• pp.390-398
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• 2016

Background: This study aims to analyze the impact of levels of health care coverage on the trajectory of self-rated health, comparing the near-poor which tends to be excluded in traditional health care systems with the upper middle class. Methods: The study participants were 3,687 people who sincerely responded questions regarding health care expenditures, unmet medical needs, and self-rated health in the Korea Health Panel data in 2009-2012. Results: The higher health care expenditures and the presence of unmet medical needs were significantly associated with the lower level of self-rated health. However, both factors did not significantly predict the steeper decline in the self-rated health. The results from multiple group analyses showed that health care expenditures and unmet medical needs had greater impact on the near-poor compared to their higher income counterparts. Conclusion: Public health care coverages need to be enhanced as well as reducing health care expenditures and unmet medical needs.