• Title/Summary/Keyword: Low income families

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Burden of COPD among Family Caregivers (만성폐쇄성폐질환자 가족의 보호부담에 관한 연구)

  • Kim, Jeong-Hwa;Kim, Eun-Kyung;Park, Sun-Hyung;Lee, Kyung-Ae;Hwang, Yong-Il;Kim, Eun-Ji;Jang, Seung-Hun;Park, Sung-Hoon;Lee, Chang-Youl;Lee, Myung-Goo;Lee, Ji-Yeon;Kim, Dong-Gyu;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.69 no.6
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    • pp.434-441
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    • 2010
  • Background: Chronic obstructive pulmonary disease (COPD) is a major health problem resulting in significant burden for patients and families. However, family caregivers' burden has not been well recognized. The objectives of this study were to evaluate the level of caregivers' burden and to explore the related factors based on family, patient, and social support factors. Methods: A face-to-face interview with 86 family caregivers who had been taking care of COPD patients was conducted. The participants answered a self-administered questionnaire. The questionnaire included the level of family caregivers' burden, health status and the relationship within the family, functional limitation of patients perceived by family caregivers and the social support. Results: The level of caregivers' burden among participants was considerably high. Risk factors for caregivers' burden included low educational level of family caregivers, low family income, hours of caregiving, and functional limitation of the patients. Protective factors for caregivers' burden were good relationship within the family and support from other family members or friends. Conclusion: It is proved that family caregivers are facing significant burden in taking care of COPD patients. To reduce family caregivers' burden, it is necessary to address socioeconomic status of the family and to provide various community resources including financial support and nursing services.

Development of Index of Park Derivation to Promote Inclusive Living SOC Policy (포용적 생활 SOC 정책 추진을 위한 공원결핍지수 개발 연구)

  • Kim, Yong-Gook
    • Journal of the Korean Institute of Landscape Architecture
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    • v.47 no.5
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    • pp.28-40
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    • 2019
  • In order to resolve the imbalances in the supply of living SOCs according to socio-economic status, location, and population groups, the discussions on inclusive city policies are expanding. The purpose of this study is to propose an Index of Park Derivation (IPD) as an alternative indicator for the promotion of an inclusive urban park policy that can be applied in the 7 major metropolitan cities to select a region with a relatively high park needs. The main research results are as follows. First, the concept of an inclusive urban park policy is defined as "a policy to supply to manage high-quality park services with priority given to areas with low socio-economic and environmental status, such as a large amount of elderly, children, low-income families, areas vulnerable to disasters, such as heat and fine dust, and population groups." Second, we developed the index of park derivation (IPD), which is a combination of 17 variables including park service level, demographic characteristics, economic and educational level, health level, and environmental vulnerability. The variables that constitute the index of park deprivation (IPD) can be applied to SOC policies outside the parks, such as sports facilities, daycare centers, kindergartens, and public libraries. Third, applying index of park deprivation (IPD) to 1,148 Eup/Myeon/dong areas of the 7 metropolitan cities resulted in areas with relatively high park service needs. This study implies that the central and the local government suggest an alternative index to promote an inclusive urban park policy based on statistical and geographical information and data that can be easily accessed and utilized.

A Study on Dietary Habits and Nutritional Knowledge of Specialized High School Students in Gyeonsangnam-do (경상남도 특성화고등학교 학생의 식습관 및 영양지식에 관한 연구)

  • Lee, Ji Hye;Jung, Lan-Hee;Lee, In Ok
    • Journal of Korean Home Economics Education Association
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    • v.34 no.2
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    • pp.21-40
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    • 2022
  • This study was conducted to survey students' current eating behavior and nutritional knowledge to provide researchers with basic data that can help students with positive, practical, and healthy eating habits. For this purpose, a self-administered questionnaire was distributed to students of a vocational high school located in Gyeongsangnam-do. A total of 270 questionnaires were collected from a convenience sample and the data were analyzed using SPSS Version 25.0. The results are as follows. First, 57.40% of students lived with "parents," and 55.56% of students' household monthly income levels were "Low." Second, as for the eating behavior of the subjects, the students who ate 'two meals' a day showed the highest at 64.81%, 'one meal' occupied 17.41%, and those who ate one meal a day, 'School cafeteria' was the eating place most frequently mentioned (65.96%). Third, when students were classified based on their nutritional knowledge levels, "High" group comprised 37.78%, "Moderate" group 37.41%, and "Low" group 24.81% of the total students. Regarding the experience of nutrition education, 64.44% answered 'no experience of nutrition education' in the last 12 months, and among the 35.56% of students who had received nutrition education, 72.92% received the education from school teachers. Based on these results, to prevent problems with the eating habits that can occur to vocational high school students, organic cooperation between families, schools, and local communities is required. Furthermore, full support from the government is needed. In addition, more efforts are needed for practice-oriented dietary education so that nutritional knowledge can be converted into correct eating behavior.

A Theory Construction on the Care Experience for Spouses of Patients with Chronic Illness (만성질환자 배우자의 돌봄 경험에 대한 이론 구축)

  • Choi, Kyung-Sook;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.122-136
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    • 2000
  • Chronic illness requiring attention and management during a long period of time puts great burden onto patients, their family and society. For patients with chronic illnesses, providing social support is the most important, and the fundamental support comes from their spouses. Amount and quality of support from spouses seems to differentiated according to the sex of patients. Female patients tend to believe that their spouses are not very supportive. Therefore, the researchers assessed the burden of husbands of female arthritis patients to discover the factors that result in greater burden. Also, they developed a theoretical model of husbands′ care for their wives through a qualitative research into husbands′ experience. Method 1: The study material was 650 female arthritis patients registered in an arthritis clinic. The questionnaire about the disease experience of female arthritis patients and the burden of husbands were sent. Returned questionnaires numbered 210(32.3%) and 27 were excluded because of inadequate answers. The remaining 183 questionnaires were analyzed. The mean age of the patients was 51 years and the mean age of spouses was 55 years. The mean marital period was 28 years. The average duration since diagnosis was 9.1 years. Education level was varied from primary school to graduate school, and average income/month was 1,517,300 won. Method 2: Initial questionnaire studies on the burden of husbands were performed. Among 183 responding husbands, 23 consented to participate for a qualitative research. Data was obtained by direct and telephone interviews. The mean age of participants was 58 years, and the educational level and socioeconomic status also varied. Result: 1. Husbands′ burden: The average burden was 57.68 with a range of 6-96. 2. Burden and general characteristics: The husband′s burden correlated with the age of the patients, numbers in the family, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and the husband′s understanding of the level of severity. 3. Linear correlation analysis on burden: The husbands′ burden is explained in 22.5% by husband′s recognition of level of severity and husbands′ age. 4. There were four patterns of the burden on husbands: both objectve burden and subjective burden were high(pattern I), both of objectve burden and subjective burden were low(pattern II), objective burden was high but subjective burden was low(pattern III), objective burden was low but subjective burden was high(pattern IV). The pattern was correlated with the family income, educational level of the patients and their husbands, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and husband′s understanding of level of severity. 5. The core category of the caring experience of the husbands with arthritis patients was "companionship". The causal factor was the patients′ experience due to symptoms : physical disfigurement, pain, immobility, limitation of house chores, and limitation of social activities. Contextural factors are husbands′ identification of housework and husbands′ concern about the disease. The mediating factors are economic problems, fear of aging, feeling of limitation and family support. The strategy for interaction is mind control and how to solve emotional stress. The "companionship" resulted from caring activities, participation of household activities, helping patients′ to coping with emotional experience. 6. Companionship is established through the process of entering intervention, and caring state of mind. Entering intervention is the phase of participation of therapy and involvement of houseworks. The caring phase consists of decision on therapy, providing therapy, providing direct care, and taking over the household role of wife. Through caring phase, the changing phase set a stage in which husbands consolidate the relationship with their wives, and are reminded of the meaning of marriage. As a result, in changing phase, husbands′ companionship is enhanced. In conclusion, nursing care of chronic illnesses should include a family member especially the spouse. All information on disease shoud be provided to patients and whole family member. Strong support should also be provided to overcome difficulties in taking over role of other sex. Then the quality of life of patients and families will be much improved.

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A Study on the Interpersonal Relationship between Parenting Stress and Children's Problem Behavior in Low Income Families (저소득층 가정 양육자의 양육스트레스와 아동 문제행동 간의 상호인과적 관계에 대한 종단연구)

  • Song, Mi-Ryoung;Hong, Seung-ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.340-348
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    • 2020
  • The purpose of this study was to investigate the mutual relationship between parenting stress and children's problem behaviors among those participating in dream start services. In order to verify the effect of parental and child effects on child's problem behavior and parenting stress based on repeated measures from the first grade of elementary school to the third grade of elementary school among children participating in dream start services, autoregressive cross-lagged modeling was applied. As a result, the stability coefficient showed that the two variables were significantly stable for 3 years. In other words, the measurement was maintained at a similar level with time. The causal relationship between parents 'parenting stress and child' s problem behavior was generally explained by the parental effect. In other words, parental stress is related to the child's problem behavior. These results show that the economic stress of poverty increases parents' parenting stress, which can negatively affect the adaptive development of children in the process of raising children.

The factors to identify high risk family (고위험가족 선별을 위한 위험요인 분석)

  • 방숙명
    • Journal of Korean Academy of Nursing
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    • v.25 no.2
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    • pp.351-361
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    • 1995
  • The main purpose of the study is to identify critical risk factors for development of a family assessment tool to screen high risk family. This study used a conceptual framework of family diagnosis developed by Eui-sook Kim's (1993) and analyzed risk factors to identify the high risk family. As employing a explorative and methodological study design, this study has four stages. 1. In the first stage, 34 family risk factors were identified by doing intensive literature review on conceptual framework of family diagnoses. 2. In the second stage, above risk factors were tested for content validity by consultation with 29 persons in community health nursing, nursing education, family theory, and social work. 3. In the third stage, existing survey data was used for actual application of the identified risk factors. The survey data used for this purpose was previously collected for the community diagnosis in a region of Seoul. At the final stage, through the comparison between high risk and low risk families, initially identified 34 risk factors decreased to 25 risk factors. Among 34 risk factors, six factors did not agree with content of questionnaries sand two factors were not significant in differentiating the high risk family Also, two risk factors showed high correlation between themselves, so only one of those two factors was chosen. As a result, twenty-five risk factors chosen to identify the high risk family are following ; 1. A single parent family due to divorce or death of a partner, or unweded single mother 2. A family with an unrelated household members 3. A family with a working mother with a young child 4. A family with no regular income 5. A family with no rule in family or too strict rules 6. A family with little or no support from other lam-ily members 7. A family with little or no support from friends or relatives 8. A family with little or no time to share with each other 9. A family with family history of hypertension, diabetus, cancer 10. A family with a sick person 11. A family with a mentally ill person 12. A family with a disabled person 13. A family with an alcoholic person 14. A family with a excessive smoker who smokes more than 1 pack / day 15. A family with too much salt intake in their diet. 16. A family with inappropriate management skills for family health 17. A family with high utilization of drug store than hospital to solve the health problems of the family 18. A family with disharmony between husband and wife 19. A family with conflicts among the family members 20. A family with unequal division of labor among family members 21. An authoritative family structure 22. A socially isolated family 23. The location of house is not residential area 24. A family with high risk of accidents 25. The drinking water and sewage systems are not hygienic. The main implication of the results of this study is clinical use. The high risk factors can be used to identify the high risk family effectively and efficiently. The use of high risk factors woule contribute to develop a conceptual framework of family diagnosis in Korea and the list of risk factors need to be revised continuously. Further researches are needed to develop an index of weight of each risk factor and to validate the risk factors.

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A Phenomenological Study on the Child-rearing Experience and Conflict of Grandmothers in Dual-income Families: from the Grandmother's and Working Moms' Point of View (맞벌이 가정 조모의 손자녀 양육경험와 양육갈등에 관한 현상학적 연구: 조모와 취업모 관점에서)

  • Kim, Mee Ok;Song, Seung Min;Lee, Sa Rah
    • Korean Journal of Childcare and Education
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    • v.11 no.4
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    • pp.239-269
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    • 2015
  • The purpose of this study is to understand the different views of grandparent's that are rearing children from the grandmother and working mom as co-caregivers by studying conflicts and the experience made by grandmothers by rearing children through a phenomenological approach, and to help to build healthy relationships and furthermore to promote a healthy educational environment. Data were collected from six working mothers from a child care center in Gyeonggi, and their six grandmothers who were rearing grandchildren through in-depth interviews, emails and observation based on the instruction of semi-structured interviews. For analysis, a phenomenological analysis method is used. As a result, 78 meaning units, 15 sub-elements and 6 theme categories were drawn. Theme categories were (1) grandmothers' rearing experience; perform a double-role through grandchildren-rearing (2) working moms' rearing experience; conflicts over ideologue of motherhood (3) grandmothers' rearing positive effect: increasing grandmothers' efficacy and intimate relationships with grandchildren (4) working moms' rearing positive effect: reducing working moms' children-rearing stress (5) negative effect: increasing grandmothers' children-rearing stress and working moms' low children-rearing efficacy (6) rearing conflicts: the two mothers' conflicts over children-rearing values. Through the study, it implies that social intervention is needed to solve the conflicts between two mothers over the rearing attitudes and methods as understanding and intervention is needed.

Factors Related to Dietary Fiber Intake Among Sixth Grade Elementary School Children in Daejon City

  • Chung, Young-Jin;Lee, Yangsoon;Suh, Yoon-Suk
    • Nutritional Sciences
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    • v.7 no.2
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    • pp.113-120
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    • 2004
  • This study was conducted to investigate variables related to dietary fiber intake among sixth grade children in an elementary school in Daejon city. One hundred and forty-seven children completed a questionnaire for determining their socioeconomic background and their food habits. Anthropometric measurements were taken, and a 24-hour diet recall method was used to collect three-day food intakes. The socioeconomic status of the children's families belonged to the upper middle class; 53.0% of their fathers and 25.8% of their mothers had completed college or higher degrees. 27.9% of the mothers had jobs, including part-time jobs. Approximately 30% of the children skipped breakfast, 66.4% of the children preferred animal foods to plant foods, and 52.4% of the children preferred green vegetables to yellow or pale vegetables. Grilled meat dishes, such as Grilled beef rib with seasoning, Bulgogi, grilled pork belly and beef steaks, were the most popular types of food eaten outside home by the children. Daily dietary fiber intake was 14.5 g in boys and 14.5 g in girls, and these intakes are low compared to the standard guidelines. The average intakes of energy and protein of the children were 84.5% and 114.0% of the Korean Recommended Dietary Allowances (RDAs), respectively. Besides energy, riboflavin, iron and calcium intakes were below the RDAs, and especially calcium intake was only 50% of the RDAs. On the other hand, thiamin, niacin, ascorbic acid, protein and phosphorus intakes exceeded the Korean RDAs. Family income or the children's body mass index (BMI) was not directly related to dietary fiber intakes. However, higher dietary fiber intakes tended to be related to higher intakes of green vegetables and fruits. Children with higher dietary fiber intake tended to prefer plant foods to animal foods. Energy and most nutrients, except heme iron and retinol, showed positive relationships with dietary fiber intake. Especially potassium and plant origin protein and calcium were highly correlated with dietary fiber intakes(r>0.6). From these results, it is concluded that dietary fiber intakes of these sixth grade elementary school children were less than the standard reference and it is anticipated to decrease further in the future with increased incomes. Therefore, increased intakes of dietary fiber by elementary school children should be promoted through nutrition education, together with the development of cooking methods and recipes utilizing green vegetables and fruits.

A Study on Every possible Correlation between Daily Food Intakes and Growth Rate of Kindergarden Children (유치원 아동의 영양섭취실태와 성장발육에 관한 연구)

  • Lee, Jong-Mee
    • Journal of Nutrition and Health
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    • v.9 no.1
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    • pp.51-59
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    • 1976
  • This study was designed to find out passible correlations between the growth rate and daily food intakes of two hundreds E and Y kindergarden children in Seoul, Korea. The subjects adapted in this study were 5-year-old boys and girls and their physical growth index was calculated by means of body weight and height. Dietary survey was performed by recording all the foods taken at daily basis for six days. The results are summarized as follows: 1. Living circumstances of the subjects. a) In most cases, subjects had two to three brothers and sisters. b) About 39% of boys were brought up by cow's milk and 34%, by mined nourishment with mother's milk and cow's milk, while approximately 40% of the girls were brought up by mother's milk and 37%, by mixed one. Of the whole subjects, 70% were weaned at the age of $7{\sim}18$ months. c) Fruit juices were introduced to children at about 3 months old in 40% of the subjects. d) Approximately 60% of the children had their meals regularly and the rest of the subjects had irregularlity in their meal, mainly because of excess consumption of snacks. e) About $20{\sim}40%$ of total income of sampled families were spent for foods. f) The most favorate main dish was steamed rice, other favorate foods were beef and pickled cabages for boys, and ham and dried laver for girls. The least favorate foods for both sexes were oyster, shellfish and various vegetabes. Fruits, juice, milk, and ice cream are more popular snacks among children. 2. Nutrition survey a) Insufficient caloric intakes were shown in both sexes, comprising 90% of daily recommended dietary allowences for boys and only 75% for girls. Iron intake was strikengly low, reaching only 62% of R.D.A. for boys and 72% for girls. b) The total caloric intake was composed of CHO 62%, protein 18%, and fat 21% respectively. c) The consumption of animal protein comprises 55% of total protein intake. d) The cereal consumption was found to be the highest at the level of 43%. e) When the total caloric intake was divided into each meal and snack, snack took the highest part in any other meal. Each figure showed as follow; breakfast 21%, lunch 27%, supper 22% and Snack 30% for boys, and 23%, 22%, 25% and 30% for girls, respectively. 3. The result of statistical analysis. a) There was a significant relationship between the growth rate and the caloric intake of the subjects at the level of 0.050.01.

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The Consumer Financial Quotient and Demand on Financial Consumer Education of University Students (대학생 소비자의 금융 이해력 및 금융소비자교육 요구도 분석)

  • Kim, Mi-Lee;Kim, Si-Wuel
    • Journal of Families and Better Life
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    • v.29 no.4
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    • pp.109-123
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    • 2011
  • The importance of finance in our society is truly absolute, and the of financial consumers who cope with the financial environment is becoming. Recently, many authorities in Korea to perceive the absence of serious economic or financial consumer education in order to find a fundamental solution for such a phenomenon, there is a growing need to introduce financial consumer education. This study aims to review the comprehension power of finance among consumers are college students in this society the importance of finance is becoming greater, and to a way promote financial consumer education by analyzing the demand level for The main results obtained from the include the following. First, as a result of reviewing the characteristics of respondents, their average age was 21.8 years old, and on average they each had 4.16 credit cards. Most of them had no experience of receiving financial consumer education in their teenage years, and their interest level in investment was shown to be above average. Second, as a result of reviewing their comprehension power of finance, it was shown to be 64.10 points on average their comprehension of the income area was the highest, their comprehension money management was shown to be the lowest. Third, as a result of reviewing the perception level of the provision of financial consumer education, it was shown to be very low the perception level of on-line and off-line financial consumer education provided by the YMCA was shown to be the highest. Fourth, as a result of reviewing the level financial consumer education, it was shown to be very high. For the level for institutions financial consumer education, financial institutions the highest. For the level for the method of financial consumer education, respondents chose practical experience the most and education books the least. For the intention of participating in financial consumer education, most respondents that they would participate, and most of them answered that the starting period should be the teenage years and childhood Therefore, as a result, most university student's consumers have concerned on financial education and financial inportance, it need to educate for the university student's consumers, and it need to develop technical tools and contents for ficancial education.