• Korean Journal of Clinical Pharmacy
• /
• v.26 no.2
• /
• pp.128-136
• /
• 2016

Objective: This study was to explore the association between having a usual source of care and adherence to medicines in patient with chronic diseases. Methods: The 2012 Korea Health Panel was used as a data source. We analyzed 4,418 respondents that were diagnosed with chronic diseases and utilized health care services. Non-adherence to medication, a dependent variable, was defined as "not taking the medicines that were prescribed for treating chronic disease" or "not following the direction for medication". Whether having a usual source of care or not was used as a key independent variable, which was defined as having a regular site or a regular doctor for medical test, treatment, and consultation. Sex, age, education level, marital status, income, the type of health insurance, the number of chronic disease and CCI (Charlson Comorbidity Index) were included as covariates in the analysis. We conducted a multivariate logistic regression. Results: Totally, 30 percent of respondents reported to experience non-adherence to medication. Having a usual source of care was significantly associated with lower non-adherence to medication regardless its type, which is a regular doctor (OR=0.61, 95% CI=0.53-0.70) or a regular site (OR=0.67, 95% CI=0.58-0.78). Furthermore, having a usual source of care was associated with both of medication persistence (OR=0.66, 95% CI=0.54-0.81) and compliance (OR=0.65, 95% CI=0.56-0.76). Conclusion: Our results showed the possibility that usual source of care is able to conduct a positive role in improving adherence to medication with better management of chronic disease.

• Journal of the Health Care and Life Science
• /
• v.9 no.1
• /
• pp.11-25
• /
• 2021

This study is to analyze the relationship between self-esteem and happiness of parents and children in the 4th-grade elementary school and the 1st-grade of middle school using Korean Children and Youth Panel Survey(KCYPS) 2018 data by the National Youth Policy Institute. The context of analysis is to determine how parents' self-esteem and happiness affect parenting attitudes, and furthermore, how they affect their children's academic activities, self-esteem and happiness. This study is able to explore the level at which self-esteem and happiness, the mental health measure of children and adolescents, were linked to parental self-esteem and happiness. And it suggests that the importance of the role of a parent as a family background has been confirmed in promoting the healthy development of children and adolescents.

• Korean Journal of Social Welfare Studies
• /
• v.42 no.2
• /
• pp.303-322
• /
• 2011

The increased needs for medical cost containment and the quality of life improvement for the low-income elderly with chronic disease require the complementary relationship between hospital care and community health services. This study investigated the current status of the linkage between Korean hospital care and community services using Seoul Welfare Panel Study(SWPS) data. Logistic regression analysis was used to examine the effects of experiences of hospitalization and outpatient health services on use and needs of community health services. The analysis results indicated that the elderly with chronic disease who have not experienced outpatient health services were unlikely to receive health and social services in the community. Even those who have experienced hospitalization were not provided complementary health services in the community despite the increasing demand.

• Journal of Family Resource Management and Policy Review
• /
• v.28 no.3
• /
• pp.29-40
• /
• 2024

The purpose of this study was to examine the effect of socioeconomic deprivation in single-person households on depression and to identify the moderating effect of age. To achieve this, data from 2,969 individuals aged 20 and older living in single-person households were analyzed using the 17th wave of the Korean Welfare Panel Study(2022). Socioeconomic deprivation was measured by 15 items related to six domains: food, housing, social security, economic status, social exclusion, and health and medical care. Depression was measured using the CESD-11 scale, while age was considered a continuous variable. The results showed a significant relationship between socioeconomic deprivation and depression, with age playing a moderating role. Specifically, socioeconomic deprivation had a stronger negative influence on depression thean older single-person households. Based on these findings, it is suggested that policy and practical interventions should take into account age-related changes in the life course when addressing the impact of socioeconomic deprivation on depression in single-person households.

• Korea Journal of Hospital Management
• /
• v.22 no.3
• /
• pp.1-17
• /
• 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 Preventive Medicine and Public Health
• /
• v.48 no.3
• /
• pp.151-169
• /
• 2015

Objectives: The deleterious effects of air pollution on various health outcomes have been demonstrated. However, few studies have examined the effects of air pollution on liver enzyme levels. Methods: Blood samples were drawn up to three times between 2008 and 2010 from 545 elderly individuals who regularly visited a community welfare center in Seoul, Korea. Data regarding ambient air pollutants (particulate matter ${\leq}2.5{\mu}m$ [$PM_{2.5}$], nitrogen dioxide [$NO_2$], ozone [$O_3$], carbon monoxide, and sulfur dioxide) from monitoring stations were used to estimate air pollution exposure. The effects of the air pollutants on the concentrations of three liver enzymes (aspartate aminotransferase [AST], alanine aminotransferase [ALT], and ${\gamma}$-glutamyltranspeptidase [${\gamma}$-GTP)]) were evaluated using generalized additive and linear mixed models. Results: Interquartile range increases in the concentrations of the pollutants showed significant associations of $PM_{2.5}$ with AST (3.0% increase, p=0.0052), ALT (3.2% increase, p=0.0313), and ${\gamma}$-GTP (5.0% increase, p=0.0051) levels; $NO_2$ with AST (3.5% increase, p=0.0060) and ALT (3.8% increase, p=0.0179) levels; and $O_3$ with ${\gamma}$-GTP (5.3% increase, p=0.0324) levels. Significant modification of these effects by exercise and alcohol consumption was found (p for interaction <0.05). The effects of air pollutants were greater in non-exercisers and heavy drinkers. Conclusions: Short-term exposure to air pollutants such as $PM_{2.5}$, $NO_2$, and $O_3$ is associated with increased liver enzyme levels in the elderly. These adverse effects can be reduced by exercising regularly and abstinence from alcohol.

• Health Policy and Management
• /
• v.28 no.4
• /
• pp.369-377
• /
• 2018

Background: Catastrophic health expenditure (CHE) occurs when medical expenditure of a household passes over a certain ratio of household income. This research studied the effect of gender on CHE based on Korea Health Panel data. Methods: This study implemented binary logistic regression model to figure out whether gender affects CHE and how different gender groups show pattern of CHE process. With gender, age, marital status, income level, economic activity, membership of private insurance, existence of chronic disease, and self-rated health were included in the model. Results: Results showed that females faced CHE 1.5 times more than males (odds ratio, 1.241). Also, main determinants of CHE in female groups were marital status, while age and economic activity status were significant in male groups. Subgroup analysis displayed that married female under 35 years old are located in intersectionality of CHE including pregnancy and delivery, multiple health risk behaviors, mental stress, and relatively vulnerable social status due to lower income. Meanwhile, both gender above 50 years old faced remarkably high chance of CHE, which seems to be caused by complex health risk behaviors and chronic diseases. Conclusion: Such results implied not only that gender is an important determinant of CHE, but also other determinants of CHE differ according to gender, which suggests a necessity of gender-based CHE support and rescue policy.

• Korean Journal of Social Welfare Studies
• /
• v.42 no.1
• /
• pp.305-331
• /
• 2011

This study analyzes the consumption patterns of the poor households. The first objective of this analysis is to show that the group living in poverty get not one consumption pattern but several types of consumption patterns. The second objective is to understand what factors effect the consumption patterns. This study use the data of Korea Welfare Panel Study in 2008 & 2009. In oder to achieve first goal, We conduct factor analysis and cluster analysis. And to achieve second goal, We conduct multinomial logistic Analysis. Major findings are as follows. First we find six patterns of consuming types of the poor households. They are education oriented consuming type, diet oriented type, social network oriented type, transportation-communication oriented type, health & medical oriented type, and housing expenditure oriented type. Second we find these consumption patterns are effected by not economic factors but socio-populational factors, especially by life cycle of members of household.

• Journal of Industrial Convergence
• /
• v.22 no.1
• /
• pp.163-168
• /
• 2024

This study was attempted to identify factors for managing hyperlipidemia in middle-aged adults. The research method is a secondary analysis study analyzing the 2018 data from the Korean Medical Panel Survey. The subjects of the study were 622 adults aged between 40 and 65 who were diagnosed with hyperlipidemia. As a result of the study, it was found that there was a correlation between the level of education and the presence or absence of hyperlipidemia management (𝒳²= 7.285, p = .026), and that there was a correlation between the subject's subjective health status and the presence or absence of hyperlipidemia management (𝒳²= 7.295, p =.026). Middle age is a time when the physical aging process begins in earnest, and there is a high possibility of developing chronic diseases, and hyperlipidemia is an early disease that causes chronic diseases. Accordingly, active health management is necessary, and in particular, the development of differentiated programs for hyperlipidemia management tailored to the subject's education level and health status is required.

• Journal of the Health Care and Life Science
• /
• v.11 no.1
• /
• pp.33-48
• /
• 2023

This study used the data from the 10th, 13th, and 16th child supplementary surveys of the Korea Welfare Panel to confirm the causal changes between social relationships, academic achievement, and school adjustment from elementary school to middle school and high school. Elementary school, which is childhood, and middle school, and high school, which is adolescence, are when relationships with parents, school teachers, and friends at home change very sensitively. is to check whether As a result of the analysis, the effect of the relationship between parents, teachers, and friends, who are important others, on academic achievement and school adjustment shows relatively different results according to each school level and gender group. The results of this study can confirm the effect of social relationships in childhood and adolescence on academic achievement and school adaptation, and furthermore, it is judged that it can be used as information to help healthy development of children and adolescents.