• Korean Journal of Social Welfare
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• v.68 no.3
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• pp.5-27
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• 2016

In this study, we examine differences in the children's medical utilization by family structure with a focus on single-mother and single-father families using data from the Korean Health Panel Survey, years 2008~2012. We also investigate whether the cause of transition into a single-parent household, whether coresidence with children's grandparents, and number of siblings are associated with children's use of ambulatory visits. The main findings of this study are as follows. First, children who grew up in single-father households had fewer ambulatory visits compared to those living with both parents after controlling for children's demographic characteristics and family backgrounds. Second, coresidence with grandparents was not associated with children's medical utilization. However, number of siblings was significantly and negatively correlated with the use of ambulatory visits. Third, children living with a divorced father had fewer medical utilization compared to those living with a widowed father, and coresidence with grandparents was positively associated with children's use of ambulatory visits. Our findings suggest that tailored policy supports would be more fruitful based on characteristics of single-parent households such as gender of parents, and the supports should also pay more attention to health care needs and medical utilization of children.

• Korean Journal of Social Welfare
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• v.61 no.1
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• pp.195-218
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• 2009

The purpose of this study was to analyze the phenomenon of poverty among North Korean settlers in Korea in terms of its magnitude, the severity, and its determinants by comparing it with the South Korean poor. The data used for this analysis were the second Korean Social Welfare panel data for the South Koreans and the third longitudinal study on North Korean settlers in the South. The average household income of the North Korean settlers reached about 70% of the South Korean counterparts. The percentage of the North Korean households that earn 200% of the poverty line was about the same as the South Koreans, which indicates the improvement of the economic status of the long-term settlers in the South. However, the North Korean settlers below 100% of the poverty line were twice as much , and those under 50% of the poverty line were 8 times more than their South Korean counterparts. Despite the improved economic status of the long-term North Korean settlers in the South, those who still live below the poverty line tend to remain in poverty, which is chronic and severe. The determinants of the North Korean settlers' poverty were identified as age, number of household members in employment, alcohol problem and health satisfaction level. Policy implications were discussed in conclusion.

• The Journal of the Korea Contents Association
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• v.22 no.3
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• pp.354-360
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• 2022

Metabolic disease is a disease with a prevalence of 26% in Korean, and has three of the five states of abdominal obesity, hypertension, hunger glycemic disorder, high neutral fat, and low HDL cholesterol at the same time. This paper links the consumer panel data of the Rural Development Agency(RDA) and the medical care data of the National Health Insurance Service(NHIS) to generate a classification model that can be divided into a metabolic disease group and a control group through food consumption characteristics, and attempts to compare the differences. Many existing domestic and foreign studies related to metabolic diseases and food consumption characteristics are disease correlation studies of specific food groups and specific ingredients, and this paper is logistic considering all food groups included in the general diet. We created a classification model using regression, a decision tree-based classification model, and a classification model using XGBoost. Of the three models, the high-precision model is the XGBoost classification model, but the accuracy was not high at less than 0.7. As a future study, it is necessary to extend the observation period for food consumption in the patient group to more than 5 years and to study the metabolic disease classification model after converting the food consumed into nutritional characteristics.

• Biomolecules & Therapeutics
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• v.16 no.1
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• pp.54-60
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• 2008

Dyslipidemia is the multiple lipid metabolic disorders which is one of the high risk factors for the atherosclerotic diseases. It increases the morbidity and mortality and therefore, must be treated with antilipidemic agents. HMG-Co A reductase inhibitors (statins), one of many antidyslipidemic agents, have shown to be significant improvement from the various cholesterol levels. Especially, data from many comparative trials suggest that rosuvastatin is more effective than atorvastatin among many other statins. The aims of this study were to evaluate the efficacy and safety between rosuvastatin and atorvastatin in the treatment of Korean patients with dyslipidemia. Currently the Korean Society of Lipidology and Atherosclerosis based on the Korean health screening data suggests that Korean patients with dyslipidemia should be treated by the target cholesterol levels according to the Adult Treatment Panel III guidelines of the US National Cholesterol Education Program (NCEP-ATP III). We reviewed retrospectively all medical histories of the total 392 dyslipidemic patients with atorvastatin or rosuvastatin from June 1st, 2004 to August 31st, 2006 in Chungbuk National University Medical Center. Patients were classified as total 4 groups by the NCEP-ATP III Guidelines. The numbers of enrolled patients were each 5 mg atorvastatin (n=34), 10 mg atorvastatin (n=148), 5 mg rosuvastatin (n=94) and 10 mg rosuvastatin (n=82). In comparison between groups, rosuvastatin groups in the lowering LDL-C had better efficacies, and the results were each 22% (5 mg atorvastatin), 33.3% (10 mg atorvastatin), 35% (5 mg rosuvastatin) and 41.3% (10 mg rosuvastatin) with the dose relationship (P=0.000). Rosuvastatin groups also have shown to be more significantly reducing Total Cholesterol levels compared to atorvastatin groups with the no dose relationship (P=0.000). In the lowering of non-HDL cholesteroles, rosuvastatin groups showed significantly better efficacies than atorvastatin with the dose-relationship (P=0.000). Each medication groups did not demonstrate the differences in the changing of HDL cholesterol and triglyceride levels (P=0.096, 0.309, respectively). In conclusion, rosuvastatin was better efficacious than atrovastatin in reducing LDL-C Total Chol, and Tg. Therefore, rosuvastatin is a good antilipidemic agents for Korean patients with dyslipidemia and it can use to minimize the morbidity and mortality related to the cardiovascular diseases in Korean.

• Korea Journal of Hospital Management
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• v.22 no.3
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• pp.1-17
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• 2017

Purposes: Diabetes is a metabolic disorder that requires continuous care in order to prevent complications, as it can impose a critical burden on families and society due to various complications, including terminal renal failure, non-traumatic lower extremity amputation, and adult blindness. The usual sources of care are "specified private clinics, public health centers, or other facilities to visit when ill or when health-related advice is needed". These usual sources of care offer preventative services, have a high overall satisfaction rate in terms of public health care, and decrease the inpatient rates and medical costs of medical aid recipients. This study analyzed the current status of diabetic patients over 20 years of age based on their possession of a usual source of care, and the effects of this possession on the frequency of their medical service usage and its costs. Methodology: Based on data from the 7th Korea Health Panel, a Tobit analysis was used to analyze the different factors that can affect the frequency of medical service usage and its costs for diabetic patients with and without a usual source of care. Findings: The medical costs of diabetic patients with a usual source of care decreased in terms of inpatient, and the outpatient visits and inpatient costs of the group with a usual source of care in the form of a mainly-visiting doctor decreased more than those of the group with a mainly-visiting medical institution only. Practical Implications: Having a usual source of care can increase the treatment continuity, leading to reduced inpatient, and having a mainly-visiting doctor as the usual source of care further increases the treatment continuity. Based on these results, a new policy is needed to increase and strengthen diabetic patients? possession of a usual source of care.

• Journal of the Korea Society of Computer and Information
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• v.16 no.7
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• pp.183-190
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• 2011

Loan amount of housing mortgage is composed of various factors. This study paper studies focuses on estimating the determinants of a loan amount of housing mortgage. The region for analysis consist of seven groups, that is, metropolitan city (such as Busan, Daegu, Incheon, Gwangiu, Daejeon, Ulsan.) and Seoul. Analyzing period be formed over a 45 time points(2007. 01.~ 2010. 09). In this paper the dependent variable setting up loan amount of housing mortgage, explanatory(independent) variables are composed of the consumer price index, unemployment rate, average monthly household income per household, expenditure rate of health care, composite stock price index and overdue rate of household loans for commercial bank. In looking at the factors which determine loan amount of housing mortgage, evidence was produced supporting the hypothesis that there is a significant positive relationship between the consumer price index and unemployment rate. The study also produced evidence supporting the view that there is a significant negative relationship between expenditure rate of health care. The study found that average monthly household income per household, expenditure, composite stock price index and overdue rate of household loans for commercial bank were not significant variables. The implications of these findings are discussed for further research.

• Korean Journal of Social Welfare Studies
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• v.48 no.4
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• pp.91-120
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• 2017

This study aimed (a) to examine the association between chronic illness and multidimensional disability(i.e., psychological/emotional functions, activity capacity, and participation frequency) among older adults with disabilities, (b) to investigate the effect of formal and informal supports on multidimensional disability, and (c) to analyze the moderating effects of formal and informal supports on the association between chronic illness and multidimensional disability. This study used 2014 Korea Welfare Panel Study(the 9th wave) data and 450 older adults with disabilities aged 50 and over were selected as the study target. The research model was analyzed by structural equation modeling using IBM AMOS 22.0. Based on the ICF framework developed by WHO, health condition was measured by the level of chronic illness; psychological/emotional functions were measured by health satisfaction, self-esteem, and depression; activity capacity was measured by ADLs and IADLs; participation frequency was measured by the total number of social activities joined; formal support was measured by the total number of formal welfare services for people with disabilities utilized; informal support was measured by perceived social support. The findings showed that the level of chronic illness was negatively associated with psychological/emotional functions among the older adults with disabilities. The informal support positively affected psychological/emotional functions and activity capacity, whereas the formal support showed the opposite result. That is, the formal support negatively influenced activity capacity and showed a moderating effect on the association between the level of chronic illness and the psychological/emotional functions in a reverse way. Based on the results, practice and policy implications for alleviating disability level among the older adults with disabilities were discussed.

• 한국노년학
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• v.31 no.1
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• pp.143-155
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• 2011

Disabled elderly faced with disability and the aged problems at the same time. So, this research creates two research questions and examines. First research question is how nine dimensions of daily life satisfaction according to gender difference. Second research question is how the factor of daily life satisfaction by gender difference. The data is sixty-five disabled elderly, 386 among Panel Survey of Employment for the Disabled(PSED, 2008). The methods of analysis for identifying research questions is t-test and multiple linear regression. The result of analysis on first research question, the gender difference six dimensions among nine dimensions of daily life satisfaction come out statistically significant. And The result of analysis on second research question, come out statistically significant, too. Socioeconomic status: the lower class, physical condition: bad health, chronic disease is or not, family and other people's social supports, disability: serious turn out to be factors in common. It has been suggested social policies from the results of studies that the provision of health support policy and program, enlarge assistance on daily life, support system on serious disabled elderly. On the other hand, analysis showed that distinctive factors between disabled elderly man and woman was age and education level. In other words, disabled elderly woman come out into the open that the more grow old, the less daily life satisfaction low, while disabled elderly man appeared higher daily life satisfaction in case of junior and senior high school graduate than uneducated.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.3
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• pp.309-316
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• 2018

Purpose: This study was conducted to identify the prevalence and related factors of metabolic syndrome in Korean adolescents. Method: Based on data from the Korea National Health and Nutrition Examination Survey of 2015, 404 adolescents aged 12-18 years were enrolled. We used the adolescent Ford method as the diagnostic criteria for adolescent metabolic syndrome. The data were analyzed using descriptive statistics, t-test, $x^2$-test, and logistic regression with SPSS WINDOW 23.0 program. Results: The prevalence of metabolic syndrome in Korean adolescents was 6.5% (6.5% for boys and 6.4% for girls). Among metabolic syndrome components, the prevalence of elevated blood pressure (28.8%) was the highest, followed by elevated triglycerides (21.3%), increased waist circumference (14.1%), decreased high density lipoprotein-cholesterol (11.5%), and elevated fasting blood sugar (7.8%). The only factor associated with metabolic syndrome in both boys and girls was the Body Mass Index (BMI), and the likelihood of a metabolic syndrome increased by 1.6 to 2.3 times (Adjusted OR=1.552 to 2.313, p=0.001) as the BMI increased. Conclusion: Based on the results of this study, an intervention program should be developed and provided to maintain the BMI in the normal range for the prevention and management of metabolic syndrome in Korean adolescents.

• 한국노년학
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• v.40 no.1
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• pp.1-21
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• 2020

The purpose of this study is to examine that basic pension entitlement affects the subjective well-being(SWB) of the elderly. For controlling unobserved heterogeneity, we used fixed effects model for longitudinal data. The data used for this study is KLoSA from 2006 to 2016. The research results are as follows. SWB of non-basic pensioners was higher than for basic pension beneficiaries. Second, when the demographic variables were controlled, SWB of the basic pension recipients was higher then that of non-beneficiaries. Third, the factors affecting SWB were economic satisfaction, marital status, family financial support, employment status, subjective health status, daily life restrictions, gender, and age. Fourth, the effect of basic pension on SWB was positive at the lowest income quartile. The results of this study shows that the basic pension system has a positive effect on the SWB of elderly despite the low benefit level. Therefore, it is necessary to expand the basic pension system to solve poverty problems and improve the quality of life for the aged. Also, various aspects of social support for the low-income vulnerable elderly are needed. Lastly, It was suggested that the benefit level of the basic pension should be raised to have a substantial effect on the low-income class, which is a key policy subject.