• Tuberculosis and Respiratory Diseases
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• 제69권6호
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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.

• Journal of Preventive Medicine and Public Health
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• 제18권1호
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• pp.25-39
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• 1985

도시 영세지역 주민의 이환 및 의료이용 양상을 파악하기 위하여 1984년 7월 한 달 동안에 대구시 중구 남산 4동 영세지역 468가구의 가구원 2,002명과 대조지역 374가구의 가구원 1,709명을 대상으로 가구원의 일반적 특성, 질병이환 및 의료이용 양상 등을 면담조사 하였다. 영세지역과 대조지역의 성별, 연령별 분포는 비슷하였으나, 경제수준, 교육수준, 주거밀집도, 의료보장 종류별 분포는 유의한 차이를 보였다. 15일간의 상병 이환율은 영세지역이 1,000명당 131로 대조지역의 71보다 유의하게 높았고, 연령이 증가함에 따라 이환율도 증가하는 경향을 보였으나 65세이상의 노인층에서는 오히려 감소하였다. 년간 만성병 이환율도 영세지역이 1,000명당 134로 대조지역의 89보다 유의하게 높았고 나이가 증가함에 따라 이환율이 증가하였다. 15일간의 상병은 영세지역과 대조지역 모두 호흡기계 질환이 각각 24.0%, 29.8%로 가장 많았고 그 다음은 소화기계 질환으로 21.0%, 20.6%였으며 손상 및 중독은 영세지역이 10.3%인데 비해 대조지역은 3.3%였다. 만성병은 영세지역과 대조지역 모두 소화기계질환이 22.1%, 21.7%로 가장 많았고 그 다음으로 영세지역은 근골격계 질환으로 12.3%, 대조지역은 신경통으로 14.5%였으며, 순환기계 질환은 대조지역이 11.8%로 영세지역의 5.6% 보다 더 많은데 비해 손상 및 중독은 영세지역이 10.8%로 대조지역의 4.6%보다 더 많았다. 15일간의 상병으로 활동제한을 받은 일수는 영세지역이 평균 4.0일로 대조지역의 평균 2.2일보다 유의하게 높았다. 15일간의 상병이나 만성병을 치료받기 위해 영세지역은 약국을 더 많이 이용하고 대조지역은 병의원 외래를 더 많이 이용하였으며, 특히 의료보장 종류별로는 의료보험 가입자는 병의원 외래를, 그리고 일반환자는 약국을 더 많이 이용하였으며, 미치료율은 의료보장 종류에 관계없이 15일 이환의 경우 영세지역이 17.9%, 대조지역은 11.6%, 그리고 만성병은 영세지역이 15.2%, 대조지역은 9.2%로 영세지역의 미치료율이 대조지역보다 더 높았다. 15일간의 상병이나 만성병 모두 경제적인 이유로 치료받지 않은 경우가 가장 많았다. 영세지역의 이환율이 대조지역보다 높은 것은 경제수준, 교육정도, 주거밀집도 등 여러가지 사회 경제적인 요소가 관련된 것으로 나타났으므로, 영세민을 위한 보건사업 계획에는 이러한 사회 경제적인 요소들을 개선하는 노력을 병행해야 효과적인 보건사업이 추진될 것으로 생각된다.

• 가정과삶의질연구
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• 제1권2호
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• pp.43-57
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• 1983

The purpose of the study, was to investigate Housewives behavior on how to buy refrigerators and how to use them. Besides, their knowledge and keeping ability of electricity and refrigerator is estimated according to regional differences, their ages, their educational courses, and their income. In the report, W e can see if it is related to the years of married life, numbers of the family, having jobs or not, and numbers of marketing a week. The subjects were 675 mothers of the students in the selected schools, at Seoul, Cheongjoo, and Kwesan gun. They answered to the questionnaire devised for the study. their answers were analyzed in percent to grasp their general trend of electricity and electric Appliance. Chi-square test and F-test are chosen to grasp the Cor-relationships between the related variables. The results are as follows: 1) The average rate of possesing the refrigerators is 84.06%. It shows us that the housewives in Seoul possess the more refrigerators than those in other areas. At ages, form 30 to 40 aged women gave the most refrigerators than any other ages women. It reveals us the high income and high educational housewives have high rate of possessing refrigerators. 2) They answered that they purchased the refrigerators by necessity. we can see their motivation of purchasing them is very reasonable. However, we can see that they do not manage the refrigerators well, because the rate of using them during four seasons is only 12.34%, An age of 20year old housewives mostly purchased the refrigerators at the time of marriage. The women who bought them after marriage answered that they mostly took a consultation with their husbands when they bought the refrigerators. They regarded the trade marks of the manufactures and size of the refrigerators, as they bought them. And most of them bought the refrigerators for cash. 3)At homes in Seoul, the kinds of retained foods in the refrigerator are more than those of the house in the city and in the agricultural town. The high income and high educational housewives tend to retain the more kinds of foods. But there are no significant differences between the essential variables such as the numbers of the family, the housewives having jobs or not, and the numbers of marketing. 4)Generally their knowledge on electricity and the refrigerator is very low. However, it shows the statistically significant differences. the housewives in Seoul have more information about refrigerator than the housewives in agricultural town. At ages , the women less than 29 years old have more information about the refrigerator, and the woman who had university education and high income tend to know much about the refrigerator. 5) The keeping ability of the refrigerator is very good, and there are no significant differences among variables. And also it shows that there is no correlationship between their knowledge and their keeping ability.

• 사회복지연구
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• 제40권3호
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• pp.243-265
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• 2009

본 연구는 한국복지패널 1차년도의 아동부가조사를 활용하여 소득빈곤(최저생계비)과 주거빈곤(최저주거기준)의 관계와 차이를 확인하고 나아가 최저기준미달 주거가 아동의 학업성취에 독립적인 영향을 미치는지 분석하였다. 연구 결과는 다음과 같다. 첫째, 소득빈곤과 주거빈곤은 통계적으로 유의미한 상관이 있으나 그 상관의 정도는 낮았다. 둘째, 주거만 빈곤한 층은 소득과 주거가 모두 빈곤한 층, 혹은 소득만 빈곤한 층과 가구특성에 차이가 있었다. 셋째, 소득 빈곤여부와 아동의 성별, 자존감, 학교생활적응, 가족구조, 모교육수준, 사교육비, 부모양육행동을 통제한 상태에서 최저기준 미달 주거는 아동의 학업성취에 부정적인 영향을 미치고 있었다. 본 연구 결과는 건강한 아동발달을 위해 주거에 대한 정부의 적극적인 개입이 필요함을 보여준다. 결론에서 주거정책에 대한 논의를 전개하였다.

• Journal of Ecology and Environment
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• 제42권4호
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• pp.139-149
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• 2018

Background: Ethiopia is among the poorest countries where land degradation caused livelihood problem to its inhabitants. The livelihood of rural communities in Ethiopia is seriously threatened by land degradation. Land is the major natural resource that economic, social, infrastructure, and other human activities are undertaken on. Thus, land resources play an important role in shaping rural livelihoods, and lack of sustainable land management practices leads to land degradation. Thus, this study aimed to analyze interlink between land degradation and livelihood of rural communities in Chilga district, Northwest Ethiopia. It also addresses the factors which influence income diversification for livelihood of households in the study area. Result: The result depicts that the major causes of land degradation are both natural and anthropogenic. Land degradation and livelihood are negatively interlinked with each other. The livelihood of the majority of the population in the study area is dependent on subsistence agriculture both farming and animal husbandry with low diversification. The survey result showed that more than half (69%) of the sample households have farm size of less than 2 ha, nearly one third (31%) have 2.0-2.5 ha, and insignificant number of farmers have more than 2.5 ha. More than 80% of the respondents pointed out that land degradation has impacts both on crop yield and livestock production. Most of the explanatory variables such as gender, age, education level, farmland size, and family size have statistical significant influence (at P < .01 and P < .05 levels) for income diversification of households, while marital status on the other hand is not statistically significant though it has positive relation with income diversification in this study. Conclusions: Our results suggest awareness should be created in the community about the livelihood diversification mechanisms which enabled them to engage in different income-generating activities and comprehensive watershed management should be implemented.

• Annals of Occupational and Environmental Medicine
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• 제34권
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• pp.24.1-24.13
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• 2022

Background: In modern society, depression is serious issue that causes socioeconomic and family burden. To decrease the incidence of depression, risk factors should be identified and managed. Among many risk factors for depression, this study examined socioeconomic risk factors for depression. Methods: We utilized first (2006), second (2008), and third (2010)-wave data from the Korean Longitudinal Study of Aging (KLoSA). Depressive symptom was measured with the 10-item Center for Epidemiological Studies Depression Scale, Short Form (CES-D-10) in the survey in 2008 and 2010. Three risk factors including job security, employment type and monthly income were measured in the survey in 2006. The association between risk factors and depressive symptom was analyzed by Cox proportional-hazard model. Results: We analyzed data from 1,105 workers and hazard ratios (HRs) for 3 risk factors were significant entirely. In addition, regular worker with high income group is the most vulnerable group of poor job insecurity on depression among male workers (HR: 1.73; 95% confidence interval [CI]: 1.07-2.81). Finally, HRs for 7 groups who had at least 1 risk factor had higher HRs compared to groups who had no risk factors after stratifying 3 risk factors. In the analysis, significantly vulnerable groups were total 5 groups and the group who had highest HR was temporary/daily workers with poor job security (HR: 2.51; 95% CI: 1.36-4.64). The results concerning women, regardless of job type, were non-significant. Conclusions: This study presented one or more risk factors among poor job security, low income, temporary/daily employment type increase hazard for depressive symptom in 2 or 4 years after the exposure. These results inform policy to screen for and protect against the risk of depression in vulnerable groups.

• 대한간호학회지
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• 제25권2호
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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.

• 대한가정학회지
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• 제28권3호
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• pp.33-52
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• 1990

The aims of this study are to classify the life styles of urban housewives, to see their relationship between life style and demorgaphic variables, and also to see the relationship between life style and dietary patterns. This study has been performed by a questionsire about life style, demographic variables and dietary pattern. The selected samples were 475 housewives. The data were analyzed by factor analysis, cluster analysis, Duncan test, X-test and F-test. Life style is classified into 4 types: temporary enjoying type, passive irrational type, realistic conservative type, actual progressive type. The housewives who are in temporary enjoying type usually do randomly and don't think seriously something. And they have tendency to enjoy themselves. Therefore they don't have any plan for dietary behavior. The passive irrational type's housewives have no consistancy in their life and they do everything temporarily. The housewives who are in this type have relatively low incom, low level of education and they are high in age. The people who are in realistic conservative type act reasonably and elastically everything. They use convenient food very much, because they are willing to save time to make them. The housewives who are included in actual progressive type are well organized and planned in dietary behavior than others, when they dine out, they eat with family together in general, they usually use only a kind of western sauces and convenient food. They are relatively young, highly educated, and they are high income group. In conclusion realistic conservative type and actual progressive type are both relatively desirable type in dietary behavior, but in temporary enjoying type and passive irrational type, there, have to do some guide and education about managing family resources and dietary behavior.

• 가족자원경영과 정책
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• 제12권2호
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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.

• 한국사회복지학
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• 제39권
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• pp.157-179
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• 1999

이 연구는 사적 소득이전이 우리나라의 빈곤율을 어느 정도 낮추며, 소득계층별로 사적 소득이전에 의한 빈곤감소 효과가 어떻게 차이가 있는지를 실증적으로 분석하고자 하였다. 이 연구는 1996년, 1997년, 1998년 도시가계조사 원자료와, 한국보건사회연구원과 한국노동연구원이 1998년도에 조사한 실업가구조사 원자료를 분석자료로 이용하였다. 분석결과 다음과 같은 사실들을 발견할 수 있었다. 첫째, 우리나라의 사적 이전은 공공복지와는 비교가 안될 정도로 큰 규모를 형성하고 있는 것으로 밝혀졌다. 도시근로자 가구, 실업가구 모두에서 사적 이전소득 수혜율이 공적 이전소득 수혜율 보다 휠씬 높았고, 이전소득의 절대량도 사적 이전이 공적 이전보다 더 큰 것으로 분석되었다. 둘째, 사적 이전에 의한 빈곤감소 효과는 그다지 크지 않은 것으로 분석되었다. 도시근로자 가구 전체를 대상으로 할 때, 사적 이전의 빈곤감소율은 $10{\sim}11%$ 정도이고, 실업가구 전체를 대상으로 할 경우 빈곤감소율은 3% 내외에 불과했다. 셋째, 사적 이전은 극빈층의 빈곤감소에는 거의 기여하지 못하는 것으로 분석되었다. 도시근로자 가구 전체를 대상으로 할 때, 사적 이전은 극빈층이라고 할 수 있는 하위 5% 계층의 빈곤율을 전혀 하락시키지 못했고, 실업가구를 대상으로 할 경우에도 소득이 전혀 없거나 매우 적은 가구들인 하위 40% 이하 계층의 빈곤율을 겨우 $0.6{\sim}0.7%$ 포인트 정도밖에 떨어뜨리지 못하는 것으로 나타났다. 넷째, 사적 이전이 극빈층의 빈곤감소에는 거의 기여하지 못하지만, 극빈층이 현재의 생활을 유지하는 데는 매우 중요한 것으로 밝혀졌다. 도시근로자 가구를 대상으로 할때, 사적 이전소득을 수혜하는 하위 5% 계층의 경우 경상소득 대비 사적 이전소득의 비율이 25.6%에 이르며, 실업가구들에서 사적 이전소득이 있는 하위 20%계층의 경우소득 대비 사적 이전소득의 비율이 1이며, 하위 $21{\sim}40%$ 계층의 경우에도 그 비율은 52%에 달한다.