• Title/Summary/Keyword: Low income families

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Health Status of Dependent Older People and Pattern of Care among Caregivers: A Case Study of Hong Ha Health Promoting Hospital, Lampang, Thailand

  • Wicha, Sumitra;Saovapha, Benjaporn;Sripattarangkul, Sirirat;Manop, Natchapan;Muankonkaew, Thanakrit;Srirungrueang, Supha
    • Asian Journal for Public Opinion Research
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    • v.5 no.3
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    • pp.228-249
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    • 2018
  • In 2015, the population of elderly people in Thailand was 16% of the total population and is predicted to be over 20% by 2021 and nearly 28% by 2031. The increase of the elderly population in Thailand has also increased the proportion of dependent elderly people, and caring for them poses many challenges for both families and the government. This descriptive method research aimed to survey the health status of dependent older people in the rural community of Lampang province in northern Thailand. The participants consisted of 62 older people and 62 primary family caregivers from Hong Ha Health Promoting Hospital, Lampang, Thailand (totaling 124 people). The researchers assessed the health status of older people and their activities of daily living (ADL). In addition, researchers assessed the health status and stress of caregivers. All the participants were interviewed about their experiences with caregiving. The results showed that most of the older respondents were female with an average age of 78.15 years. Based on the ADL assessment, 50 of the 62 older persons were homebound while the rest were bedridden. The majority of older people had chronic or long-term conditions that required hospitalization from time to time. Their frequent health problems included oral disorders such as tooth decay or caries/gum disease/no teeth, reduced sight, psychological disorders, knee pain and risk of falling, low BMI, risk of malnutrition, and urinary leakage and incontinence (58.06%, 66.13%, 62.90%, 70.97%, 38.71%, 66.13%, and 37.10%, respectively). Usual care provided by the family members included personal hygiene care, food preparation and feeding, medication management, housekeeping and organizing necessary equipment, supply of needed equipment, prevention of falls, helping with travel for medical checkups and treatment, and providing companionship. Families experienced shortages of medical supplies, daily use equipment, lack of employment, inadequate income, and difficulty accessing health care services due to lack of transportation. Some caregivers experienced caregiving stress related to a lack of social interactions as well as routine caregiving activities. Families need different types of support in order to promote the well-being of older people and caregivers. This highlights the need for a community participation model for the care of older people in order to reflect sustainable long-term outcomes.

The Effects of the Expansion of Formal Home Care Services for the Elderly on Time Allocation of Family in Korea (노인 재가서비스의 확대가 가족의 생활시간에 미친 영향: 삼중차이 방법의 적용)

  • Lee, Seungho;Byun, Geumsun;Shin, Yumi
    • 한국사회정책
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    • v.23 no.1
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    • pp.227-256
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    • 2016
  • This study examines whether formal home care has led to a reduction in family member's allocation of time to care of elderly and changing the allocation of other time: informal care, market work, leisure, etc. Long-term care for the elderly is not the entire burden of elderly families anymore due to the increasing of the formal home care service for elderly since mid-2000's. This study uses triple difference(DDD) methods for evaluating policy reforms when reforms are equally and nation-wide accessible and analyzes data from the 2004 and 2009 Time Use Survey Data of the National Statistical Office in Korea. The treatment group is composed of the families of the elderly who need care and low- and middle- income family. Controlling for demographic characters, the three-way interaction term has statically significant and negative impact on care time of family members in treatment group statistically significant. The results reveal that the policy changes in elderly home care service affect time allocation of family members with old adults, which decreases caregiving time in a daily life. This result becomes apparent when we limit the case of women. But the level of reduction is not enough to change other kinds of time-informal care, market work, leisure, etc. The results indicate that formal home care for the elderly can reduce the burden of caregiving in families, but only minimally.

Resident's Usage and needs for the improvement of Community Facilities in Public Rental Apartments (임대주택 커뮤니티시설의 거주자 이용현황 및 개선 요구)

  • Hwang, Yeon-Sook;Yoon, Young-Sun;Son, Yeo-Rym;Chang, A-Ri
    • Korean Institute of Interior Design Journal
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    • v.19 no.4
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    • pp.48-57
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    • 2010
  • Nowadays, public rental apartments' community facilities emphasize only their quantity aspect without considering residents' characteristics, leading their installation regulations to be based on only the number of households, which is problematic. As a result, in many cases, residents, after moving in, alter the facility usage or remodel the facilities for their use. Hereby, this study conducted focus group interviews with public rental apartments' residents as to find out space conditions of and improvement demands for the community facilities. Two public rental apartment complexes in Seoul and Gyeongi-do which were built after 2007 were selected for this study. As for the survey method, workshop panel was employed. Four people in each age class of infants, children, adolescents, adults, and seniors were formed into one group, and a total of 40 people in 10 groups were surveyed. The survey was continuously conducted from February to March in 2009. The study findings can be summarized as follows. 1) Among community facilities, there were more satisfactory outdoor facilities than satisfactory indoor facilities. Residents expressed satisfaction with the facilities linked with natural environment. The causes of unsatisfactory facilities were mostly poor management. 2) The facilities demanded by the residents included ones relevant to study, exercise, and hobbies. As public rental apartments are resided mostly by low-income families, study and hobby activities bring them cost problems. Therefore, it is needed that the apartment complexes support diverse such activities 3) As for facilities demanded for usage alteration, a residents' meeting room accounted for the most popular opinions. As it was used only once a week, its usage was very low. It should be opened to the residents and allowed to be used in various ways. 4) As for demands of changing spatial characteristics, outdoor exercise facilities accounted for the most opinions. Although they were installed in most cases, they were damaged and poorly managed, therefore being in need of improvement in operation and management. In order to maximally utilize public rental apartments' community facilities, facility planning in consideration of various age groups from residents' viewpoint and sustainable systematic management are required.

The Reliability of Eye Screening Physical Examination in School and Living Environment Characteristics of Young Children with Amblyopia (유소년 약시환자의 생활환경 특성과 학교신체검사 안검진의 신뢰성)

  • Oh, Won-Geon;Kim, Sung-Chul
    • The Journal of the Korea Contents Association
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    • v.14 no.6
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    • pp.262-270
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    • 2014
  • Considering that few studies had paid attention to the living characteristics and social environment surrounding amblyopes, the present study surveyed the parents of children aged 3 to 12 and diagnosed-with amblyopia to analyse the time when the children were first diagnosed-with amblyopia, the characteristics of their living environment and the socio-environmental factorsand to delve into correlations. For the purpose of this study, 104 parents of patients in 4 hospitals in Seoul, Gyeonggi and Incheon consented to participate in the survey from September 2 to November 23: 2013. As for the time when the children were first diagnosed with amblyopia: the age of 4 accounted for the highest percentage(28.8%). The older the parents were: the later the children were diagnosed with amblyopia (p<.01). The higher the education of parents, the earlier the diagnosis of amblyopia(p<.05). The present findings-will be conducive to decreasing the number of patients who have no choice but to live-with low vision for life by missing some timely visual acuity tests and ophthalmological examination and particularly to developing a social safety net that can realize national medical welfare for the low-income families and the socially disadvantaged class.With the help of information technology.

An Analysis of the Effect on Childbirth Will of Married Women (기혼여성의 출산의지에 영향을 미치는 요인 연구)

  • Lee, So-Young
    • Journal of Family Resource Management and Policy Review
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    • v.12 no.2
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    • pp.15-30
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    • 2008
  • According to the research taken by the National Statistical Office, the fertility rate of a Korean fertile female is 1.17. This figure is the lowest in the world, and the reduction in the fertility rate over the last 30 years was the biggest in the world. It can be seen as a warning alarm about the effects of a low birth rate and a silver society. Assuming that there are several factors involved in this phenomenon, this study inquired into the attitude towards children, attitude towards nourishing children, attitude towards sex roles and the harmony between the jobs and families of married females, and examined the factors that influence the willingness to give birth. Final 581 copies of the survey questionnaire were used for analysis and the collected data were analysed by SPSS, Pearson's correlation analysis, t-test, ANOVA, and Duncan's Multiple Range Test. Three main conclusions were reached: Firstly, the value variables, such as sex-role attitudes and the preference for work or home, affect the willingness to give birth. Therefore, it can be said that one's values have a significant effect on these variables and the willingness to give birth. Secondly, both working morns and housewives have a strong tendency to give a birth if they are supported on child rearing. Finally, the employment of the married women itself can be a variable that can affect childbirth. In other words, the working hours affect employed married women so as sex-role attitudes, the preference between work and home, ideal number of children, and the income to housewives. Also, even in whole married women, the employment itself can be a major factor of the willingness to have a baby. Therefore, unemployed married women have more of a tendency to have children than employed married women.

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A Study of the Relationship between the Level of Conflict and the Coping behavior of Urban husbands and wives (기혼남,녀의 부부간 갈등정도와 대응행동에 관한 연구)

  • 송말희
    • Journal of Families and Better Life
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    • v.8 no.2
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    • pp.31-47
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    • 1990
  • The purpose of this paper is to investigate the relationship between the married people's conflict level and coping behavior, and find out how independent variables(male or female, age, level of education, family income, religion, types of marriage, types of family) have an effect on two dependent variables. The research problems as follows: 1) How independent variables influence on the level of conflict. 2) How independent variables influence on the coping behavior 3) How related the level of conflict and th coping behavior. Two instruments wee administrated to 302 married man and woman in Seoul, in June, 1990 The first instrument, 25 items questionnaire, made by investigator, was developed based upon Lee Sun and Moon Sung Sun. The second instrument, 20 item questionnaire, based upon filed , and modified to be appropriate to Korean Culture, Data was analyzed by frequency, percentage, mean, t-test, F-test and pearson r. The results are summarized as follows; 1) Most husbands and wives how the middle level of conflict 2) Among independent variables, male or female(p<.05), level of education (p<.05), types of family (p<.05), were variables to have influence on the level of conflict. 3) Husbands and wives's coping behavior are relatively middle level. 4) Among independent variables, types of marriage(p<.05) was variable to have influence on the coping behavior. 5) There were very low positive correlation (r=.15, p<.01) between the level of conflict and the negative coping behavior, and very low negative correlation(r=-.21, p<.001) between the level of conflict and the positive coping behavior. Form this results, more objective methods and research are needed to develop the style of conflict and the coping behavior.

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The Influence of Maternal Educational Level on the Oral Health Behavior of Korean Adults

  • Young-Eun Jang;Su-Kyung Park
    • Journal of dental hygiene science
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    • v.23 no.4
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    • pp.312-319
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    • 2023
  • Background: Parental attention is crucial for preventing childhood oral diseases. Mothers play a significant role in maintaining their families' oral health, and their educational level influences their children's oral health behaviors. This study investigates the impact of mothers' educational levels on adult oral health behaviors using data from a national survey. Methods: This study employed a cross-sectional analysis of secondary data. The data used were obtained from the 8th Korea National Health and Nutrition Examination Survey. Descriptive statistics were calculated to identify participant characteristics. Next, t-tests and one-way analysis of variance were conducted to examine the effects of the explanatory variables on the distribution of the dependent variable. Finally, logistic regression analysis was used to investigate the influence of the explanatory variable on the dependent variable, using "no education" as the reference value, and calculate the odds ratios. Results: Children of mothers with a college education or higher had a 1.13 times higher likelihood of receiving oral examinations than those whose mothers had no education. Children whose mothers graduated from college or higher had a 2.23 times higher probability of receiving preventative dental treatment than those whose mothers had no education. Children whose mothers graduated from college or higher had a 1.92 times higher probability of receiving scaling than those whose mothers had no education. Children whose mothers graduated from high school had a 1.35 times higher probability of receiving scaling than those whose mothers had no education. Conclusion: Developing oral health programs is important for low-educated and low-income parents to change theirs and their children's oral health behaviors/attitudes. This will help reduce oral health disparities among adults raised by parents of higher and lower socioeconomic statuses. Therefore, a comprehensive approach is essential for adults to maintain good oral health, regardless of variations in their parental educational levels during childhood.

Analysis of Factors Affecting Health Inequalities Among Korean Elderly (노인 집단에서 나타나는 건강 수준 차이의 요인 분석)

  • Kim, Dongbae;Yoo, Byungsun;Min, Jungsun
    • Korean Journal of Social Welfare Studies
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    • v.42 no.3
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    • pp.267-290
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    • 2011
  • This research attempts to analyze the effects of demographic factors, socioeconomic factors, health behaviors and social/familial supports on health inequalities among Korean elderly. For this end, this study adopts the multiple linear regression analysis to process data on population aged over 65 contained in 'The Third Korea Welfare Panel Study' published in 2008. The following are the results. First, the less educated they are, the smaller income they earn, the less they drink, the less satisfied with relationships with their family members, the more they turn out to feel depressed. Second, the less educated they are, the smaller income they earn, the less they drink, the less they are satisfied with relationship with family members, the more they benefit from social welfare services, the worse they turn out to rate their health. Based on these findings, three following suggestions could be forwarded. First, vulnerable aged groups including female elderly, low-income elderly, less-educated elderly need customized social supports. Second, new social policy for households is required to enhance elderly people's satisfaction with their family relationships with the rapid trend of a growing number of nuclear families and aging. Third, social welfare service programs need to be reevaluated to enhance their function for the aged.

Effects of family characteristics on the work-life balance of youth in early adolescence: differences between fifth and eighth graders (가족특성이 초기 청소년의 일생활 균형에 미치는 영향: 초등학교 5학년과 중학교 2학년의 차이)

  • Koh, Sun-Kang
    • Journal of Family Resource Management and Policy Review
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    • v.25 no.1
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    • pp.91-112
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    • 2021
  • This study aimed to explore the influence of family characteristics on the work-life balance of early adolescents. A series of data analyses was conducted on adolescents' use of time in daily life on the basis of 2018 Korean Children and Youth Panel Survey (KCYPS 2018). We found that the work-life balance of youth is related to their parents' health status, presence of older siblings, household income, parenting attitude, parent-child communication time, and mother's occupation. The work-life balance of the fifth graders is more likely to be influenced by family characteristics compared with that of the eighth graders. In particular, the fifth graders' sleep deprivation is affected by the mother's occupation, but there is no significant effect on the eighth graders' sleep deprivation. An important factor in skipping breakfast is household income, with adolescents from low-income families tending to skip breakfast more than five days a week. In addition, parents' health status and parenting attitude are significantly related to skipping of breakfast in early adolescents. Household income is related to the after-school private tutoring hours of both the fifth and eighth graders; however, parenting attitude and mother's occupation are also significant influencing factors of the fifth graders' after-school study. Mother's occupation is related to excessive cell phone use; specifically, the fifth graders whose mothers work white-collar jobs, sales and services or manufacturing are more likely to play with cell phones more than three hours a day than those whose mothers are full-time housewives. These results suggest that the work-life balance policies targeted at the family characteristics of adolescents can improve family environments in a manner that enhances adolescents' life balance, thus supporting the well-being of early adolescents and their families.

The Odd Pair Family's Health management in rural, Korea -Comparison with the Pair Family- (농촌거주 외짝가족의 건강관리-부부가족과의 비교)

  • Rhie Seung Gyo;Cho Young Sook;Won Hyang Rye
    • The Korean Journal of Community Living Science
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    • v.16 no.1
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    • pp.149-163
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    • 2005
  • Family has emerged as a key concept for health, and it has been identified as one of the most important conditions. The relationship between health habit and its management is different depending on family. The odd pair family, mostly rural lower income class, worry to have poor health because of no spouse and small family size. One thousand eight hundred and seventy(1870) subjects were collected in 9 provinces through the sampling of Probability Proportional to Size (PPS). Questionnaire method was conducted on health checking, bath states, alcohol consumption, cigarette smoking, and the prevalence of farmer's health related problems. The main results were as follows: 1) The characteristics of odd pair families are that the head of household is female(77% ), the size of family is small(1.76 persons), the education level is low(7.5 years for male, 3.1 years for female) and the age group is old (male: 89.78 year old, female: 73.69 year old). 2) For the odd pair family, the frequency of health checking is quite low with one or two times per year(l0.2%) and the rate of no-health checking is much higher(35.8%) .3) Bathing utility is not available 29.6% of the odd pair family and only cold water is supplied at home for the 11.5 % of them. However, for the paired family, 9.8 % of them has no bathing utility and the rate of the family supplied with only cold water is just 7.9%. 4) The bathing frequency score of odd pair family is l.74points for male and 1.25 points for female. 5) The rate of smoking habits for odd pair family is 68.5 % and specially it is 7.6% for female, which is higher comparing with that of pair family. 6) The smoking frequency score of odd pair family is 1.57 points. 7) Alcohol drinking frequency score of odd pair family is 1.79 points for male, and 3.24points for female. 8) Farmers' syndrome(FS) revealed 38.7% of odd pair family and it is lower than that of pair family(57.3%). Special pain of FS was huckle bone and muscle(28.4%) and articular pain(24.l %). The pain rate of huckle bone and muscle(43.l %) and articular pain(33.5%) were higher in a year in odd pair family were lower than those of pair family: farming machine caused accidents(6.5%) and pesticide poisoning(5.7%). l0) The odd pair family use more frequently medical clinic or public health center for the treatment of FS(74.7%) and pesticide poisoning(62.5%) than the pair family for FS(69.0%) and for pesticide poisoning(.53.6%). The score of FS treatment is 5.70 points for odd pair family and it is not significantly different from 5.62 points of the paired family. The result of pesticide poisoning treatment score is as same as that of FS.

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