• 제목/요약/키워드: Population Health

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OECD 국가들의 건강수준 결정요인 (The Determinants of Population Health in OECD countries)

  • 최병호;남상호
    • 보건행정학회지
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    • 제20권1호
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    • pp.1-18
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    • 2010
  • This article examines social determinants of population health in OECD countries, where life years, infant mortality, and PYLL are used as proxy variables of health. The unit of analysis is a country which is the OECD affiliate. A panel regression estimation is chosen as a method, using OECD Health Data. The results are: the increasing national health expenditure affected positively to improve population health. Education was rather a significant determinant of health than income level. The government direct investment for public health did not contribute positively to enhance population health. The expansion of health care coverage was working positively for improving health, but with a time lag. The supply of doctors was a most influential determinant of health. In case of Korea, the coverage expansion of health care was the most important determinant of health. The supply of doctors was, however, not a positive factor for better health, which is different result with the case of OECD countries.

Review of the Cervical Cancer Burden and Population-Based Cervical Cancer Screening in China

  • Di, Jiangli;Rutherford, Shannon;Chu, Cordia
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.7401-7407
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    • 2015
  • Cervical cancer continues to be a serious public health problem in the developing world, including China. Because of its large population with geographical and socioeconomic inequities, China has a high burden of cervical cancer and important disparities among different regions. In this review, we first present an overview of the cervical cancer incidence and mortality over time, and focus on diversity and disparity in access to care for various subpopulations across geographical regions and socioeconomic strata in China. Then, we describe population-based cervical cancer screening in China, and in particular implementation of the National Cervical Cancer Screening Program in Rural Areas (NACCSPRA) and the challenges that this program faces. These include low screening coverage, shortage of qualified health care personnel and limited funds. To improve prevention of cervical cancer and obtain better cancer outcomes, the Chinese government needs to urgently consider the following key factors: reducing disparities in health care access, collecting accurate and broadly representative data in cancer registries, expanding target population size and increasing allocation of government funding for training of personnel, improving health education for women, enhancing quality control of screening services and improving a system to increase follow up for women with positive results.

인구 유동에 따른 서울시 대기 중 초미세먼지 농도 변화 요인 분석 및 노출평가 (Analysis and Exposure Assessment of Factors That Affect the Concentration of Ambient PM2.5 in Seoul Based on Population Movement)

  • 우재민;신지훈;민기홍;김동준;성경화;조만수;우병열;양원호
    • 한국환경보건학회지
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    • 제50권1호
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    • pp.6-15
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    • 2024
  • Background: People's activities have been restricted due to the COVID-19 pandemic. These changes in activity patterns may lead to a decrease in fine particulate matter (PM2.5) concentrations. Additionally, the level of population exposure to PM2.5 may be changed. Objectives: This study aimed to analyze the impact of population movement and meteorological factors on the distribution of PM2.5 concentrations before and after the outbreak of COVID-19. Methods: The study area was Guro-gu in Seoul. The research period was selected as January to March 2020, a period of significant population movement changes caused by COVID-19. The evaluation of the dynamic population was conducted by calculating the absolute difference in population numbers between consecutive hours and comparing them to determine the daily average. Ambient PM2.5 concentrations were estimated for each grid using ordinary kriging in Python. For the population exposure assessment, the population-weighted average concentration was calculated by determining the indoor to outdoor population for each grid and applying the indoor to outdoor ratio to the ambient PM2.5 concentration. To assess the factors influencing changes in the ambient PM2.5 concentration, a statistical analysis was conducted, incorporating population mobility and meteorological factors. Results: Through statistical analysis, the correlation between ambient PM2.5 concentration and population movement was positive on both weekends and weekdays (r=0.71, r=0.266). The results confirmed that most of the relationships were positive, suggesting that a decrease in human activity can lead to a decrease in PM2.5 concentrations. In addition, when population-weighted concentration averages were calculated and the exposure level of the population group was compared before and after the COVID-19 outbreak, the proportion of people exceeding the air quality standard decreased by approximately 15.5%. Conclusions: Human activities can impact ambient concentrations of PM2.5, potentially altering the levels of PM2.5 exposure in the population.

지리정보시스템(GIS) 및 존재인구를 이용한 초미세먼지(PM2.5) 노출평가 (Existing Population Exposure Assessment Using PM2.5 Concentration and the Geographic Information System)

  • 우재민;민기홍;김동준;조만수;성경화;원정일;이채관;신지훈;양원호
    • 한국환경보건학회지
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    • 제48권6호
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    • pp.298-305
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    • 2022
  • Background: The concentration of air pollutants as measured by the Air Quality Monitoring System (AQMS) is not an accurate population exposure level since actual human activities and temporal and spatial variability need to be considered. Therefore, to increase the accuracy of exposure assessment, the population should be considered. However, it is difficult to obtain population data due to limitations such as personal information. Objectives: The existing population defined in this study is the number of people in each region's grid. The purpose is to provide a methodology for evaluating exposure to PM2.5 through existing population data provided by the National Geographic Information Institute. Methods: The selected study period was from October 26 to October 28, 2021. Using PM2.5 concentration data measured at the Sensor-based Air Monitoring Station (SAMS) installed in Guro-gu and Wonju-si, the concentration for each grid was estimated by applying inverse distance weights through QGIS version 3.22. Considering the existing population, population-weighted average concentration (PWAC) was calculated and the exposure level of the population was compared by region. Results: The outdoor PM2.5 concentration as measured through the SAMS was high in Wonju-si on all three days. Wonju-si showed an average 22% higher PWAC than Guro-gu. As a result of comparing the PWAC and outdoor PM2.5 concentration by region, the PWAC in Guro-gu was 1~2% higher than the observed value, but it was almost the same. Conversely, observations of Wonju-si were 10.1%, 11.3%, and 8.2% higher than PWAC. Conclusions: It is expected that the Geographic Information System (GIS) method and the existing population will be used to evaluate the exposure level of a population with a narrow activity radius in further research. In addition, based on this study, it is judged that research on exposure to environmental pollutants and risk assessment methods should be expanded.

Community Health Promotion Programs in Japan

  • Eto, Takashi
    • Korean Journal of Health Education and Promotion
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    • 제1권1호
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    • pp.119-124
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    • 1999
  • Before considering health promotion programs carried out in Japan, I would like to explain a summary of today's health conditions of Japan for a while. Current major concern in public health world as well as political or economic world is an aging society. To say more precisely, it would be an aging society with relatively small children's population. Estimated total population is 126,166,000 in 1997. Among these, almost 10% population loves in Tokyo Metropolitan Area. (omitted)

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Abuja시의 인구성장이 보건의료서어비스의 수요에 미치는 영향 (Effects of Growing Population and Demand for Health Care Services in the Federal Capital City, Abuja)

  • Olaleye, David Oyewole
    • 한국인구학
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    • 제12권1호
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    • pp.74-85
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    • 1989
  • Ascertaining the actual growth rate of the population is an issue that has generated a lot of arguments amongst various scholars in the process of determining the actual census count. As such, this has had a pronounced effect in the determination of the actual growth rates for different urban populations in the country. But the effect centres much when it comes to accurately determining the major components or the factors contributing to the rapid growth of urban populations. The problem of rapid population growth centres much on its effects on the available basic social services and amenities provided for the people in these areas. Factors such as levels of medical knowledge and services, nutrition, quantity and quality of housing etc. to some extent influence the quality and duration of lives of the people. As such, their importance cannot be overemphasized when dealing with the issue of population growth. The study aims to examine the rate of population growth in the Federal Capital City, Abuja with respect to the available public provision of basic social services among other objectives. The findings from the data obtained from the Population Survey conducted in the city in 1985 show that the health care facilities available in the capital city are grossly inadequate to serve the entire inhabitants of the city. Moreso, the volume of in-migration into the city also compounds the health problems facing the city. The conclusion is that there is need for more resources to be allocated to the health sector to guarantee adequate and functional health care services in the city.

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지역사회 보건사회지표를 이용한 지역사회 건강수준 관련 요인 분석 (Analysis of Community Health Status and Related Factors Using Community Health and Social Indicators)

  • 박은옥
    • 지역사회간호학회지
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    • 제19권1호
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    • pp.13-26
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    • 2008
  • Purpose: The purpose of this paper was to investigate community health status and related factors using community health and social indicators. Method: Data sources were reviewed and data for 10 categories, 75 indicators were collected. Community health status and health-related factors were categorized, and the means and standard deviation of individual indicators were obtained and standardized scores were calculated. In addition, through factor analysis of individual indicators by category using the scores and using the resultant factor coefficients as weights, indexes were calculated by area. Correlation and regression were analyzed. Result: Each indicator was highly correlated with each index, and the indexes were highly correlated with one another. Correlation coefficients were above 0.8 between community health index and population, education, housing, and economy, between population and education, housing and economy, between education and housing and economy, and between housing and economy, environment and industry. But multicollinearity was not found in the result. Significant factors on community health index were population, health personnel and facilities, education, housing and economy, and R-square were 92.4%. Conclusion: Health determinants such as population, health personnel and facilities, education, housing and economy could be influencing factors on community health in community level. These results showed the importance of intersectoral collaboration within a local government. Overall community health can be enhanced by intersectoral collaboration.

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Influences of Tobacco-Related Knowledge on Awareness and Behavior towards Smoking

  • Park, Jinju;Lim, Min Kyung;Yun, E Hwa;Oh, Jin-Kyoung;Jeong, Bo Yoon;Cheon, Yejin;Lim, Sujin
    • Journal of Korean Medical Science
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    • 제33권47호
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    • pp.302.1-303.10
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    • 2018
  • Background: A considerable amount of research has shown that knowledge and appropriate awareness are essential for encouraging positive behaviors and promoting health. In Korea, the roles that behavioral changes play in the prevention of cancer have been an important issue since the introduction of the 10 codes for cancer prevention in 2006. Thus, the present study investigated the associations of tobacco-related knowledge with awareness and attitudes towards positive smoking-cessation behaviors. Methods: The present study analyzed data from the 2010 national questionnaire survey (n = 1,006). This study evaluated sociodemographic characteristics, smoking status, self-rated health status, health-related interests, and the accuracy of 12 tobacco-related statements to determine knowledge level and to investigate its impact on awareness and behaviors related to smoking. These parameters were examined and staged using the Precaution Adoption Process Model. Results: A higher level of tobacco-related knowledge was significantly associated with a positive attitude towards smoking cessation (5-8 correct answers: odds ratio [OR], 2.53; 95% confidence interval [CI], 1.57-4.08; ${\geq}9$ correct answers: OR, 3.90; 95% CI, 2.22-6.82; reference: ${\leq}4$ correct answers). Interestingly, among current smokers, only those who correctly responded to ${\geq}9$ of 12 tobacco-related statements were significantly associated with a positive attitude towards smoking cessation. Conclusion: This study found that having a higher level of tobacco-related knowledge had a significant impact on positive attitudes towards smoking cessation. This suggests that there is a need to disseminate appropriate knowledge to the general population to encourage positive attitudes and promote healthful behaviors in terms of smoking.

동구 제국의 인구 및 보건의료정책에 관한 종합적 연구 (A study on the Population and Public Health Policies in East European Countries)

  • 안계춘;김영기
    • 한국인구학
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    • 제11권1호
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    • pp.117-130
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    • 1988
  • Though most of East European coutries seem to hold a pronatalist policy, they approve of family planning and provide contraceptive services. One of the most popular contraceptive method has traditionally been the coitus interruptus in these countries. One of the major reasons for adopting family planning is to decrease the incidence of induced abortion has been closely related to the popular use of coitus interruptus in these countries. Most of the East European countries liberalized induce abortion legally mainly to neutralize the wide practice of illegal abortion. However, the practice of induced abortion is under the strict control of the public health authorities in these countries. Migration and redistribution of population of population are mostly under the control of the state in these socialist countries. Policies on migration and redistribution are usually carried out to achieve the general goal of socio-economic development plan of the states. Both incentive measures and control measures are mobilized to affect the internal migration and redistribution of population. With respect to public health East European countries are characterized by the socialized medicine following the Soviet model. Public health measures and medical practice are controlled by the state and highly centralized in many countries except Yugoslavia. They place much emphasis on preventive medicine, primary health care, occupatinal and industrial medicine, and health education. Private sectors in medical practice do not exist in these countries of Eastern Europe.

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