• Journal of Preventive Medicine and Public Health
• /
• v.55 no.2
• /
• pp.153-163
• /
• 2022

Objectives: This study divided the factors that affect participation in health screenings into individual, household, and regional levels and conducted a multi-level analysis to identify the factors related to participation in health screenings. Methods: Participants from the 2017 Community Health Survey were classified into 2 groups (under 40 and 40 or older). A multi-level logistic regression analysis was conducted to identify the factors that affected participation in health screenings. Results: The screening rate of the participants was 69.7%, and it was higher among participants aged 40 and older (80.3%) than it was among participants younger than 40 (49.8%). At the individual level, the factors that influenced participation in health screenings included age, economic activity, smoking status, physician-diagnosed hypertension, and a moderate or high physical activity level. At the household level, the odds ratio of participation in health screenings was high for participants who lived in single-person households, lived with a spouse, earned a high monthly household income, and were not beneficiaries of national basic livelihood security. At the regional level, the odds ratio at the 95% confidence interval level of participation in health screenings was high for participants who had trust in the local community and lived in an area with a proportionally high social welfare budget. Conclusions: This study analyzed nationalwide data and confirmed that individual, household, and regional characteristics affected participation in health screenings. Therefore, policies that prioritize the improvement of regional level factors and especially household level factors are likely to be the most effective for improving the screening rate.

• Journal of Korean Tunnelling and Underground Space Association
• /
• v.15 no.2
• /
• pp.149-160
• /
• 2013

In the mix proportion of shotcrete, it was analyzed as required in terms of eco-friendly technology to take advantage of the screenings. Screenings of recycling can be a solution in order to overcome the quality degradation due to the recent lack of good quality sand as well as the utilization of waste materials. Five regional screening and screening replaced fine aggregates for physical characteristics were analyzed to evaluate the usability screenings as shotcrete's combined aggregate. It was analyzed the effect of particle size distribution in the combined aggregate for shotcrete and maximum replacement was estimated according to the type of screenings.

• The Korean Journal of Health Service Management
• /
• v.11 no.4
• /
• pp.89-104
• /
• 2017

Objectives : The purpose of this study was to find the determinants for non-participation in health screenings among the disabled. Methods : We used 2014-15 Korea Health Panel data and analyzed 1,073 people with disabilities older than 19 years to investigate the two-year health screening participation rates. Multiple logistic regression analyses were conducted to analyze the factors affecting non-participation in health screenings. Results : Of the 1,073 people with disabilities who were analyzed, 29.8% and 27.1% participated in NHI mass screenings and cancer screenings, respectively. In both screenings, non-participation rates were higher in people aged 19-49 and lower in people aged 50 -69 than those aged 70 or older; higher in people with lower education, higher in people with private health insurance; higher in people with fewer chronic diseases; and higher in people with severe disability ratings. Conclusions : People with disabilities should be provided with more appropriate preventive care services according to their disability types and severity compared to people without disabilities.

• Journal of the Korean Recycled Construction Resources Institute
• /
• v.6 no.4
• /
• pp.75-81
• /
• 2012

In case of crushing rock to produce materials for lean concrete subbase layer in concrete pavement, natural sand is used for the gradation adjustment of aggregates, and the percentage of natural sand used is 30%~40% of the weight ratio of aggregate mix. The supply of natural sand that is used in lean concrete as a fine aggregate is getting harder due to the current of exhaustion of source, and the cost for the purchase of natural sand is included in the cost of roadway construction. This study, therefore, was conducted in order to resolve the exhaustion of materials and economize in construction expenditure by the application of screenings, which is by-product of crushing rock in quarry, as an alternative to natural sand. As a result of a comparative analysis on the application of screenings and natural sand with typical types of rock that is produced in domestic, which was conducted in the first year, It is found out that the use of screenings as a fine aggregate showed better unconfined compression strength. Verification of actual application of screenings was conducted in the second year, after test construction and follow-up investigation. The compressive strength, compaction density, settlement of screenings applied case was higher than that of natural sand. Thus, it is expected that application of screenings to construction in field will contribute to the cost saving, material recycling and the protection of environment.

• Journal of Korean Academy of Nursing
• /
• v.36 no.4
• /
• pp.604-611
• /
• 2006

Purpose. Koreans are one of the fastest growing Asian populations in the U.S. since 1960s. In Korean immigrant women (KIW), breast cancer was reported as the most frequently diagnosed cancer. However, their screening rates for breast cancer are lower than national guidelines; it is assumed that underlying cultural schemas of breast, breast cancer, and its screening modalities exist and need to be studied. This study was aimed to investigate cultural meanings of breast, breast cancer, and breast cancer screenings in KIW. Methods. Using cultural models theory from cognitive anthropology, naturalistic qualitative methodology was utilized. Three focus group interviews with fifteen KIW were conducted. Thematic analysis with constant comparison technique was performed eliciting units of meaning, categories, and themes. Results. The cultural schema of the meaning of breast is 'mother who is breast-feeding her baby,' with two themes of 'balance in size,' and 'shyness.' Regarding breast cancer, three themes, i.e., 'indifference,' 'fear,' and 'uncertainty' are emerged. 'Lack of information about screening modalities' is the overarching schema with reference to breast cancer screenings. Conclusions. The findings of this study demonstrate unique cultural models of KIW related to breast cancer and its screenings, which are critical to understand and penetrate their barriers to breast cancer screening.

• Journal of Korean Academy of Nursing
• /
• v.44 no.2
• /
• pp.139-148
• /
• 2014

Purpose: This study was conducted to identify the factors influencing second primary cancer (SPC) screening practice by examining the relationships of physical symptoms, knowledge and attitudes regarding SPC screening, perceived risk, primary cancer type, and demographic factors of cancer survivors. Methods: Participants were 308 survivors of stomach, colon, or breast cancer recruited from 2 university hospitals in Korea. Data were collected using a questionnaire and analyzed using IBM SPSS 21.0 and AMOS 18.0. Results: The proportion of participants taking all cancer screenings according to national guidelines was 40%. They had moderate knowledge and a relatively positive attitude regarding SPC screening and high cancer risk perception. The participants had taken fewer SPC screenings after than before cancer diagnosis. The factors influencing cancer risk perception were age, physical symptoms, knowledge regarding SPC and primary cancer type (stomach). The factors influencing SPC screening practice were age, gender, economic status, knowledge regarding SPC screening, and primary cancer types (colon). Conclusion: It is important for clinical professionals to recognize that survivors of cancer are susceptible to another cancer. Education on SPC screening for these survivors should focus on communicating with and encouraging them to have regular cancer screenings.

• Journal of Distribution Science
• /
• v.20 no.1
• /
• pp.109-114
• /
• 2022

Purpose: The purpose of this study is to confirm that multichannel distribution strategies may be used for cultural and artistic products such as musicals, just as for general consumer goods, through a case study on the distribution strategy for a musical title. In addition, a distribution strategy for cultural and artistic products is proposed based on the analysis of the case. Research design, data, and methodology: Qualitative research methods, such as case study research and in-depth interviews, were used in this study. Results: The case study of the Korean musical Myeongdong Romance confirmed that multichannel distribution strategies may be used for musicals, including performances at theaters, Naver TV screenings (a service linked to an Internet portal), LGU+ screenings (an IPTV and OTT media service), DVD releases, and screenings of recordings of Romance Hall performances. Conclusion: For cultural and artistic products such as musicals, distribution channels can be diversified to incorporate the simultaneous use of multiple channels. New cases involving other cultural and artistic products and services to which this distribution strategy is applicable may be identified, and the strategy may be implemented along with new technologies to reduce costs further.

• Journal of Preventive Medicine and Public Health
• /
• v.51 no.4
• /
• pp.181-187
• /
• 2018

Objectives: To identify factors responsible for potentially clinically unnecessary cervical cancer screenings in women with prior hysterectomy. Methods: A retrospective cross-sectional study was conducted using the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS). This study targeted adult women and examined whether they received a both a Papanicolaou (Pap) test and undergone a hysterectomy in the last three years. We conducted multivariate analyses, including weighted proportions and odds ratios (ORs), based on the modified BRFSS weighting method (raking). The inclusion criteria were adult women (>18 years old) who reported having received a Pap test within the last 3 years. Results: Of all women (n=252 391), 72 366 had received a Pap test, and 32 935 of those women (45%, or 12.5 million, weighted) had a prior hysterectomy. We found that age, race/ethnicity, marital status, family income, health status, time since last routine checkup, and health insurance coverage were all significant predictors. Black, non-Hispanic women were 2.23 times more likely to receive Pap testing after a hysterectomy than white women (OR, 2.23; 95% confidence interval [CI], 1.99 to 2.50). Similarly, the odds for Hispanic women were 2.34 times higher (OR, 2.34; 95% CI, 1.97 to 2.80). The odds were also higher for those who were married (OR, 1.17; 95% CI, 1.08 to 1.27), healthier (OR, 1.24; 95% CI, 1.14 to 1.35), and had health insurance (OR, 1.54; 95% CI, 1.28 to 1.84), after controlling for confounders. Conclusions: We conclude that women may potentially receive Pap tests even if they are not at risk for cervical cancer, and may not be adequately informed about the need for screenings. We recommend strategies to disseminate recommendations and information to patients, their families, and care providers.

• Asian Pacific Journal of Cancer Prevention
• /
• v.16 no.18
• /
• pp.8541-8551
• /
• 2016

Background: The coverage of breast and cervical cancer screening has only slightly increased in the past decade in Thailand, and these cancers remain leading causes of death among women. This study identified socioeconomic and contextual factors contributing to the variation in screening uptake and coverage. Materials and Methods: Secondary data from two nationally representative household surveys, the Health and Welfare Survey (HWS) 2007 and the Reproductive Health Survey (RHS) 2009 conducted by the National Statistical Office were used. The study samples comprised 26,951 women aged 30-59 in the 2009 RHS, and 14,619 women aged 35 years and older in the 2007 HWS were analyzed. Households of women were grouped into wealth quintiles, by asset index derived from Principal components analysis. Descriptive and logistic regression analyses were performed. Results: Screening rates for cervical and breast cancers increased between 2007 and 2009. Education and health insurance coverage including wealth were factors contributing to screening uptake. Lower or non-educated and poor women had lower uptake of screenings, as were young, unmarried, and non-Buddhist women. Coverage of the Civil Servant Medical Benefit Scheme increased the propensity of having both screenings, while the universal coverage scheme increased the probability of cervical screening among the poor. Lack of awareness and knowledge contributed to non-use of both screenings. Women were put off from screening, especially Muslim women on cervical screening, because of embarrassment, fear of pain and other reasons. Conclusions: Although cervical screening is covered by the benefit package of three main public health insurance schemes, free of charge to all eligible women, the low coverage of cervical screening should be addressed by increasing awareness and strengthening the supply side. As mammography was not cost effective and not covered by any scheme, awareness and practice of breast self examination and effective clinical breast examination are recommended. Removal of cultural barriers is essential.

• Advances in concrete construction
• /
• v.4 no.3
• /
• pp.207-220
• /
• 2016

The objective of this study was to evaluate the influence of recycled materials, namely, shredded scrap tire (SST), reclaimed asphalt pavement (RAP) and class C fly ash (CFA) on compressive and tensile strength of concrete. Either SST or RAP was used as an aggregate replacement and class C fly ash (CFA) as Portland cement replacement for making concrete. A total of two types of SST and RAP, namely, chips and screenings were used for replacing coarse and fine aggregates, respectively. A total of 26 concrete mixes containing different replacement level of SST or RAP and CFA were designed. Using the mix designs, cylindrical specimens of concrete were prepared, cured in water tank, and tested for unconfined compressive strength (UCS) and indirect tensile strength (IDT) after 28 days. Experimental results showed aggregate substitution with SST decreased both UCS and IDT of concrete. On the contrary, replacement of aggregate with RAP improved UCS values. Specimens containing RAP chips resulted in concrete with higher IDT values as compared to corresponding specimens containing RAP screenings. Addition of 40% CFA was found to improve UCS values and degrade IDT values of SST containing specimens. Statistical analysis showed that IDT of SST and RAP can be estimated as approximately 13% and 12% of UCS, respectively.