• 제목/요약/키워드: Socioeconomic Status

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냉담-무정서 특질이 소년범죄에 미치는 영향: 부모양육행동, 사회경제적 지위의 효과 (The Impacts of Callous-Unemotional Traits on Juvenile Crime: The effect of Parenting and Socioeconomic Status)

  • 전세진;이주영
    • 한국심리학회지:법
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    • 제11권2호
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    • pp.117-134
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    • 2020
  • 본 연구는 냉담-무정서 특질의 하위요인인 냉담성, 부주의/무신경, 감정표현결여와 부모양육행동, 사회경제적 지위가 소년범죄에 미치는 영향을 살펴보고자 했다. 이를 위해 2016년 7월부터 2017년 3월까지 서울 소재 보호관찰소에서 만 15~17세의 소년법 위반 청소년 103명, 2018년 7월에 수도권 소재 고등학교 1, 2학년 123명의 자기보고식 자료를 수집하였다. 먼저 범죄 유무에 따라 주요 변인의 차이를 살펴본 결과, 범죄 집단이 일반 집단에 비해 냉담-무정서 특질의 부주의/무신경이 더 높았고, 사회경제적 지위가 더 낮았다. 또한, 두 집단 모두에서 냉담-무정서 특질 중 유일하게 부주의/무신경이 부모의 수용, 일상생활 모니터링과 유의미한 부적 상관을 나타냈다. 마지막으로, 부주의/무신경과 가정의 경제 수준이 소년범죄를 유의미하게 예측하였다. 이러한 결과는 냉담-무정서 특질이 높은 청소년은 범죄 유무와 상관없이 부모의 긍정적인 양육행동을 적게 지각함을 보여주며, 부주의/무신경과 가정의 경제 수준이 소년범죄의 발생에 기여하는 잠재적 요인임을 시사한다.

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Differences in the Survival of Gastric Cancer Patients after Gastrectomy according to the Medical Insurance Status

  • Jang, Jae Seong;Shin, Dong Gue;Cho, Hye Min;Kwon, Yujin;Cho, Dong Hui;Lee, Kyung Bok;Park, Sang Soo;Yoon, Jin;Jang, Yong Seog;Kim, Il Myung
    • Journal of Gastric Cancer
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    • 제13권4호
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    • pp.247-254
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    • 2013
  • Purpose: In Korea, the entire population must enroll in the national health insurance system, and those who are classified as having a lower socioeconomic status are supported by the medical aid system. The aim of this study was to evaluate the association of the medical insurance status of gastric cancer patients with their survival after gastrectomy. Materials and Methods: A total of 247 patients who underwent surgical treatment for gastric cancer between January 1999 and December 2010 at the Seoul Medical Center were evaluated. Based on their medical insurance status, the patients were classified into two groups: the national health insurance registered group (n=183), and the medical aid covered group (n=64). The survival rates were calculated using the Kaplan-Meier method. Results: The median postoperative duration of hospitalization was longer in the medical aid covered group and postoperative morbidity and mortality were higher in the medical aid group than in the national health insurance registered group (P<0.05). The overall 5-year survival rate was 43.9% in the medical aid covered group and 64.3% in the national health insurance registered group (P=0.001). Conclusions: The medical insurance status reflects the socioeconomic status of a patient and can influence the overall survival of gastric cancer patients. A more sophisticated analysis of the difference in the survival time between gastric cancer patients based on their socioeconomic status is necessary.

일개 시 미취학 아동의 사회경제적 계층별 건강관리 현황 (Health Status of Preschoolers Depending on the Socioeconomic Status)

  • 방경숙
    • 부모자녀건강학회지
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    • 제9권2호
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    • pp.140-149
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    • 2006
  • Purpose: The current descriptive study examined the health and healthcare status of preschoolers in poverty group compared to those of comparison group. Method: Data were collected from 51 mothers in federal poverty group and 49 in low-income group and 200 mothers in normal income comparison group in one city. The instruments used for this study were Korean CBCL and health related questionnaire. Results: Public assistance group showed more low-birth-weight infants, developmental delay, and hospital admission experiences. Their compliance for vaccination and congenital metabolic disorder test were lower than those of comparison group. Preschoolers' behavior problems were not significantly different depending upon the income of the group. Conclusion: Preschoolers' health and healthcare status are affected by the socioeconomic characteristics of the family. It indicated an need for anticipatory guidance and early intervention that might help to prevent or ameliorate potential health problems in poverty.

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Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

  • Chang, Oliver;Choi, Eun-Kyung;Kim, Im-Ryung;Nam, Seok-Jin;Lee, Jeong Eon;Lee, Se Kyung;Im, Young-Hyuck;Park, Yeon Hee;Cho, Juhee
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권20호
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    • pp.8607-8612
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    • 2014
  • Background: Breast cancer patients experience a variety of altered appearance - such as loss or disfigurement of breasts, discolored skin, and hair loss - which result in psychological distress that affect their quality of life. This study aims to evaluate the impact of socioeconomic status on the altered appearance distress, body image, and quality of life among Korean breast cancer patients. Materials and Methods: A cross-sectional survey was conducted at advocacy events held at 16 different hospitals in Korea. Subjects were eligible to participate if they were 18 years of age or older, had a histologically confirmed diagnosis of breast cancer, had no evidence of recurrence or metastasis, and had no psychological problems at the time of the survey. Employment status, marital status, education, and income were assessed for patient socioeconomic status. Altered appearance distress was measured using the NCI's cancer treatment side effects scale; body image and quality of life were measured by the EORTC QLC-C30 and BR23. Means and standard deviations of each outcome were compared by socioeconomic status and multivariate linear regression models for evaluating the association between socioeconomic status and altered appearance distress, body image, and quality of life. Results: A total of 126 breast cancer patients participated in the study; the mean age of participants was 47.7 (SD=8.4). Of the total, 83.2% were married, 85.6% received more than high school education, 35.2% were employed, and 41% had more than $3000 in monthly household income. About 46% had mastectomy, and over 30% were receiving either chemotherapy or radiation therapy at the time of the survey. With fully adjusted models, the employed patients had significantly higher altered appearance distress (1.80 vs 1.48; p<0.05) and poorer body image (36.63 vs 51.69; p<0.05) compared to the patients who were unemployed. Higher education (10.58, standard error (SE)=7.63) and family income (12.88, SE=5.08) was positively associated with better body image after adjusting for age, disease stage at diagnosis, current treatment status, and breast surgery type. Similarly, patients who were married and who had higher education had better quality of life were statistically significant in the multivariate models. Conclusions: Socioeconomic status is significantly associated with altered appearance distress, body image, and quality of life in Korean women with breast cancer. Patients who suffer from altered appearance distress or lower body image are much more likely to experience psychosocial, physical, and functional problems than women who do not, therefore health care providers should be aware of the changes and distresses that these breast cancer patients go through and provide specific information and psychosocial support to socioeconomically more vulnerable patients.

Measuring and Decomposing Socioeconomic Inequalities in Adult Obesity in Western Iran

  • Najafi, Farid;Pasdar, Yahya;Hamzeh, Behrooz;Rezaei, Satar;Nazar, Mehdi Moradi;Soofi, Moslem
    • Journal of Preventive Medicine and Public Health
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    • 제51권6호
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    • pp.289-297
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    • 2018
  • Objectives: Obesity is a considerable and growing public health concern worldwide. The present study aimed to quantify socioeconomic inequalities in adult obesity in western Iran. Methods: A total of 10 086 participants, aged 35-65 years, from the Ravansar Non-communicable Disease Cohort Study (2014-2016) were included in the study to examine socioeconomic inequalities in obesity. We defined obesity as a body mass index ${\geq}30kg/m^2$. The concentration index and concentration curve were used to illustrate and measure wealth-related inequality in obesity. Additionally, we decomposed the concentration index to identify factors that explained wealth-related inequality in obesity. Results: Overall, the prevalence of obesity in the total sample was 26.7%. The concentration index of obesity was 0.04; indicating that obesity was more concentrated among the rich (p<0.001). Decomposition analysis indicated that wealth, place of residence, and marital status were the main contributors to the observed inequality in obesity. Conclusions: Socioeconomic-related inequalities in obesity among adults warrant more attention. Policies should be designed to reduce both the prevalence of obesity and inequalities in obesity by focusing on those with higher socioeconomic status, urban residents, and married individuals.

사회경제적 지위, 어머니의 학습관여 및 양육행동과 아동의 자기결정동기 간의 관계 (The Relationship between Socioeconomic Status, Maternal Involvement in Learning, Parenting Behavior and Children's Self-Determination Motivation)

  • 노보혜;박성연;지연경
    • 아동학회지
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    • 제32권4호
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    • pp.83-97
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    • 2011
  • The purpose of this study was to examine the relationship between socioeconomic status, maternal involvement in learning, parenting behavior and children's self-determination motivation. The participants of this study consisted of 333 fifth- and sixth-grade elementary school children and their mothers living in Seoul. The results of this study indicated that mothers with a higher educational attainment reported greater autonomy support behavior and involvement in their offspring's learning. Conversely, mothers with low incomes were found to use psychological control and were also found to be involved in learning to a lesser degree. Hierarchical multiple regression analysis indicated that children whose mothers were less involved in learning showed higher levels of self-determination motivation. Additionally, maternal support for autonomy and psychological control had a number of moderating effects on the association between maternal involvement in learning and the child's self-determination motivation. Specifically, children tended to exhibit significantly lower levels of self-determination motivation when mothers were more involved in learning among those who received less support in terms of autonomy. Conversely, children had significantly higher levels of self-determination motivation when mothers were less involved in learning when it came to those children who were under less psychological control.

당뇨병과 관련인자들에 대한 연학적 연구 -서울시내 일부 종합병원 환자를 중심으로- (The Epidemiological Study on Diabetes and Related Factors)

  • 유차숙
    • Journal of Nutrition and Health
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    • 제20권4호
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    • pp.272-280
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    • 1987
  • This research is intended to reveal the correlations between diabetes and dietary and other related factors. We were studied for 257 diabetics, in t도 9 general hospitals, located at Seoul, From August 109 to September 3, 1986. The result of this study can be follow ; 1) Distribution of the subjects according to their general characteristics ; The sex ration of the subjects is 1.06 ; 1.00 (male ; female), and the average age is 54.7 $\pm$10.9 years. Among the subjects 28.8% have a family history of diabetes ; the closer the genetic relationship, the more hereditory factors play a part. 2) Distribution of the scores according to their socioeconomic status ; As the socioeconomic status goes p, the intake of calories and fiber increases ; however, the frequency of eating out and the degree of physical activity decrease. 3) Relationship between obesity prevalence and each variable ; Among the subjects 27.2% are obese, and 60.3% have been obese in the past. Even though there is no significant relationship between the food habit and obesity, the number of people who are obese shows a significant increase as the socioeconomic status improves. 4) The effect of sex on each variable ; The intake of calories, sugar, alcohol and coffee is higher in male subjects, as is the frequency of eating out. In regular exercise and physical activity, there are significant differences between male and female subjects.

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저소득층 노인에서 식품불안정과 사회경제적 지표, 건강상태, 영양소 섭취와의 관련성 (Associations of Household Food Insecurity with Socioeconomic Measures, Health Status and Nutrient Intake in Low Income Elderly)

  • 권성옥;오세영
    • Journal of Nutrition and Health
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    • 제40권8호
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    • pp.762-768
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    • 2007
  • This study examined household food insecurity and the associations of food insecurity with socioeconomic conditions, food behaviors, and nutrient intakes among 458 older adults(mean age=$73.2{\pm}4.5$) from 5 clusters of low-income areas in Seoul, Korea. Using an adapted version of the USDA short form household food insecurity scale, 63.4% of the households were food insecure(40.7% for food insecure without hunger and 22.7% for food insecure with hunger). The proportion of household was lower on the items measured more severe level of food insecurity. Food insecurity was linearly and negatively associated with food expenditure, food secured period and the degree of nutrition management skills, health status and depression. Food secure older adults had mere of energy and other nutrients from animal resources(riboflavin and animal protein, fat and calcium), but less of carbohydrates than those from the food insecure households. These results suggest household food insecurity measures used in this study was valid as well as food insecurity was prevalent and an important indicator of nutrition well-being among low income elderly persons.

부모의 사회경제적 지위가 유아의 사회적 유능성 및 인지발달에 미치는 영향 : 부모 온정성과 교육적 가정환경의 매개효과 (The Effects of Parental Socioeconomic Status on Preschoolers' Social Competence and Cognitive Development : The Role of Parental Warmth and Home Learning Environment)

  • 장영은
    • 아동학회지
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    • 제36권6호
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    • pp.1-21
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    • 2015
  • This study was aimed at examining the paths through which family socioeconomic status as indicated by family income and parental education influenced preschool-aged children's socioemotional and cognitive development through the mediating role of parental warmth and the home learning environment. The study made use of data from 1,080 families who participated in the 5th wave of the Panel Study on Korean Children, when their children were approximately 4 years of age. Structural equation modeling analysis revealed that the models, including both parental warmth and the home learning environment did not fit the data well. The effects of warmth on social competence and cognitive development were not statistically significant. The modified models, using the home learning environment as a mediator between family SES and child's developmental outcomes showed that higher level of family income and parental education predicted a more cognitively stimulating home environment, which in turn, predicted a child's greater levels of social competence and positive cognitive development. The social competence of preschool-aged children again significantly predicted their cognitive development. The mediating effects of the home learning environment were statistically supported.

Association Between Socioeconomic Status and Obesity in Adults: Evidence From the 2001 to 2009 Korea National Health and Nutrition Examination Survey

  • Kim, Jihye;Sharma, Shreela V.;Park, Sung Kyun
    • Journal of Preventive Medicine and Public Health
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    • 제47권2호
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    • pp.94-103
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    • 2014
  • Objectives: The present study examined relationships between socioeconomic status (SES) and obesity and body mass index (BMI) as well as the effects of health-related behavioral and psychological factors on the relationships. Methods: A cross-sectional population-based study was conducted on Korean adults aged 20 to 79 years using data from the 2001, 2005, and 2007 to 2009 Korea National Health and Nutrition Examination Survey. Multivariate logistic and linear regression models were used to estimate odds ratios of obesity and mean differences in BMI, respectively, across SES levels after controlling for health-related behavioral and psychological factors. Results: We observed significant gender-specific relationships of SES with obesity and BMI after adjusting for all covariates. In men, income, but not education, showed a slightly positive association with BMI (p<0.05 in 2001 and 2005). In women, education, but not income, was inversely associated with both obesity and BMI (p<0.0001 in all datasets). These relationships were attenuated with adjusting for health-related behavioral factors, not for psychological factors. Conclusions: Results confirmed gender-specific disparities in the associations of SES with obesity and BMI among adult Korean population. Focusing on intervention for health-related behaviors may be effective to reduce social inequalities in obesity.