• Journal of Preventive Medicine and Public Health
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• v.39 no.1
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• pp.30-38
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• 2006

Objectives: We examined whether the neighborhood socioeconomic position predicts the smoking rates after adjusting for individual socioeconomic position indicators. Methods: Data were obtained from the 2001 Seoul Health Indicators Survey. The neighborhood socioeconomic position was the residential distribution of the high class (power elites), as measured by the location quotients (LQ) for each administrative dong (district). A high LQ denotes a high neighborhood socioeconomic status. The individual socioeconomic position included education, occupation and income. Age-adjusted smoking rates according to the LQ level were computed with the direct method. The total number of subjects in this study (26,022 men and 28,007 women) was the reference. A multilevel logistic regression analysis was conducted with the individuals at the first level and the neighborhoods at the second level to estimate the odds ratios of smoking with 95% confidence intervals. Results: For men, the age-adjusted smoking rates increased with a decrease in the LQ. For women, the relationship between the age-adjusted smoking rate and the LQ was not clear. The odds of smoking for both genders were greater among those subjects with lower incomes and lower education. The manual occupational class had greater odds of smoking than the non-manual class for the males, while the odds ratio of smoking among females with a manual occupation tended to be lower than those females with a non-manual occupation. For the males, the LQ levels independently predicted smoking after adjustment for individual income. However, this relation between the LQ and smoking in males was explained by full adjustment for the individual socioeconomic position indicators (education, occupation and income). Conclusions: A low level of neighborhood socioeconomic position was associated with higher smoking rates among the men residing in Seoul. This association between the neighborhood socioeconomic position and smoking in men was explained by the individual socioeconomic position. Anti-smoking efforts to reduce geographical inequality in smoking should be directed at reducing the smoking rates between the individuals with different socioeconomic backgrounds in the metropolitan city of Seoul, South Korea.

• Journal of the Korean Data and Information Science Society
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• v.27 no.5
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• pp.1203-1214
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• 2016

Obesity is a risk factor for various diseases as well as itself a disease and associated with socioeconomic factors. The obesity proportion has been increasing in Korea over about 15 years so that investigation of the socioeconomic factors related with obesity is important in terms of preventation of obesity. In particular, the association between obesity and socioeconomic status varies with gender and has spatial dependency. In the paper, we estimate the effects of socioeconomic factors on obesity proportion by gender, considering the spatial correlation. Here, a conditional autoregressive model under the Bayesian framework is used in order to take into account the spatial dependency. For the real applicaiton, we use the obestiy proportion dataset at 25 districts of Seoul in 2010. We compare the proposed spatial model with a non-spatial model in terms of the goodness-of-fit and prediction measures so the spatial model performs well.

• Journal of Korean society of Dental Hygiene
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• v.18 no.6
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• pp.911-920
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• 2018

Objectives: This study investigated the relationship between demographic and socioeconomic characteristics of the Korean elderly and their unmet dental care needs, by using the 2015 data from the $6^{th}$ Korea National Health and Nutrition Examination Survey (NHANES). Methods: In total, 1,372 elderly persons aged 65 and over, who responded to the $6^{th}$ NHANES, were included in the final analysis. Logistic regression analysis was performed in order to identify any relationship between demographic and socioeconomic characteristics and unmet dental care needs. Results: The rate of unmet dental care needs was shown to be less by 0.799 times in the elderly who reside in dong than those who live in eup and myeon (OR: 0.799, 95% CI: 0.679-0.959). Unmet dental care needs were higher in participants with 'low' and 'below average' than 'above average' income, by 1.645 times (OR: 1.645, 95% CI: 1.087-2.366) and 1.172 times (OR: 1.172, 95% CI: 1.108-1.880), respectively. Elderly individuals living alone had a higher rate of unmet dental care needs than those living with their family by 1.157 times (OR: 1.157, 95% CI: 1.084-1.498). Conclusions: Demographic and socioeconomic factors influenced unmet dental care needs, causing inequality. Proper policy support to the vulnerable should be considered in order to enhance the elderly's access to dental care.

• Journal of the Korea Society of Computer and Information
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• v.19 no.8
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• pp.197-205
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• 2014

The purpose of this study is to analyse on the internet use of Korean older adults focused on their socioeconomic characteristics. For this study, data were collected through the face to face interview with aged over 60 using a questionnaire for the residence of Daegu and Kyungsang Buk-Do areas. Subjects were divided into socioeconomic characteristics such as gender, education level, economic level, religion, and life satisfaction. The data were analysed the elderly's internet use such as frequency of internet access, motivation of internet use, utilization of internet, and usefulness of internet based on their socioeconomic characteristics. The results of this empirical study revealed that there exist a significant differences between internet use and socioeconomic characteristics in elderly people. It is hoped that the results of this study provide an essential data for developing the policy of the elderly's digital divide and welfare.

• Journal of Korean society of Dental Hygiene
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• v.17 no.6
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• pp.1109-1119
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• 2017

Objectives: The purpose of this study is to evaluate the relationship between socioeconomic characteristics and prevalence of periodontal disease in a representative sample of Korean adults older than age 20. Methods: Data of 3,837 adults were collected by the six Korean National Health and Nutrition Examination Survey, which was conducted in 2015. Socioeconomic, demographic, and oral health-related behavior data were collected as independent variables. We determined frequencies, percentage, and determining statistical significance using multiple regression analysis. Results: Prevalence of periodontal diseases showed statistically significant difference in accordance with sex, age, socioeconomic and demographical characteristics and oral health-related behavior. It was confirmed that the prevalence of periodontal diseases was increased in the lower educational level and income (OR, 1.478 and 1.520) after adjusting for conditions such as age, sex, recent dental check-ups, visiting dental clinic, tooth brushing frequency, use of self-care devices. Conclusions: The prevalence of periodontal disease was related with socioeconomic factors in Korean adults. Therefore, differentiated oral health service policies and dental health education among adults with lower education and income is required in order to reduce the prevalence of periodontal disease.

• Korean Journal of Social Welfare Studies
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• v.49 no.4
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• pp.5-30
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• 2018

The purpose of this study was to develop and empirically evaluate a theoretical model that delineated the processes whereby parents' socioeconomic status affected students'academic achievement via parental support and students' ego-resilience. The proposed model was tested with the first and second wave of a cohort sample of the first grade middle school students from the Korean Children Youth Panel survey by using linear structural relations techniques. The results of analysis showed firstly that parents' socioeconomic status, parental support and students' ego-resilience directly affected the level of students'academic achievement with statistical significance. Secondly, parental support, the proxy of social capital of the family, was contingent upon the parents'socioeconomic status. Thirdly, in addition to its direct effect, parents'socioeconomic status gave indirect effect on students' academic performance through parental support and ego-resilience. Based upon these results implications for social work intervention were provided.

• Journal of Preventive Medicine and Public Health
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• v.51 no.6
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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.

• Journal of Preventive Medicine and Public Health
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• v.55 no.3
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• pp.297-306
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• 2022

Objectives: The incidence of cardiovascular disease (CVD) mortality is increasing in developing countries. This study aimed to decompose the socioeconomic inequality of CVD in Iran. Methods: This cross-sectional population-based study was conducted on 20 519 adults who enrolled in the Ardabil Non-Communicable Disease cohort study. Principal component analysis and multivariable logistic regression were used, respectively, to estimate socioeconomic status and to describe the relationships between CVD prevalence and the explanatory variables. The relative concentration index, concentration curve, and Blinder-Oaxaca decomposition model were used to measure and decompose the socioeconomic inequality. Results: The overall age-adjusted prevalence of CVD was 8.4% in northwest Iran. Multivariable logistic regression showed that older adults, overweight or obese adults, and people with hypertension and diabetes were more likely to have CVD. Moreover, people with low economic status were 38% more likely to have CVD than people with high economic status. The prevalence of CVD was mainly concentrated among the poor (concentration index, -0.077: 95% confidence interval, -0.103 to -0.060), and 78.66% of the gap between the poorest and richest groups was attributed to differences in the distribution of the explanatory variables included in the model. Conclusions: The most important factors affecting inequality in CVD were old age, chronic illness (hypertension and diabetes), marital status, and socioeconomic status. This study documented stark inequality in the prevalence of CVD, wherein the poor were more affected than the rich. Therefore, it is necessary to implement policies to monitor, screen, and control CVD in poor people living in northwest Iran.

• Child Health Nursing Research
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• v.7 no.2
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• pp.203-212
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• 2001

The subjects were 349 high school boys and girls who were 10th and 11th graders in Seoul, Korea. Statistical analysis included percentages, means, Pearson correlation coefficient, ANOVA, t-test, and stepwise multiple regression analysis. As a result, there were positive correlations between social support, stress reduction and increases in health behavior. Stepwise multiple regression analysis of social support, stress, and adolescents health behavior showed that social support explained 26.3％ of the variance in health behavior, The more social support subjects experienced more health behavior level and the less the correlated stress level. In the area of demographic attributes, gender, height, weight, grade level, socioeconomic level of the parents, and stress were significantly correlated, grade levels, religion, socioeconomic level of parents and social support. sibling order, religion, socioeconomic level of the parents, parents education, occupation of father. and health behavior were statistically significant The findings indicated stress was a negative factor in health behavior, and social support was a positive factor in reducing stress and promoting health behavior. To reduce adolescents stress and to promote health behavior, we should endeavor to develop realistic social support programs.

• Journal of Korean Academy of Nursing
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• v.53 no.2
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• pp.249-259
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• 2023

Purpose: Based on the Reserve Capacity Model, this study investigated the effects of pre- and postmenopausal women's socioeconomic status (SES) on depression, focusing on the mediating effects of self-esteem, happiness, and family relationship satisfaction with social network relationships. Methods: This cross-sectional study involved secondary analysis of national data on 771 perimenopause women gathered from the 16th Korea Welfare Panel Study (KOWEPS) 2021. A path analysis model was constructed to evaluate the relationship between SES, social network satisfaction, self-esteem, perceived health status, and depression. Data were analyzed using ADANCO 2.3.1 and Mplus 8.4. Results: Although SES had no direct effect on depression, it did affect depression through self-esteem, happiness, and satisfaction with family relationships. Conclusion: The findings of this study indicate that perimenopausal women's personal resources—psychosocial variables such as self-esteem and happiness—had a higher effect on depression than tangible reserves like SES. Therefore, interventions for enhancing self-esteem and happiness may prevent depression in perimenopausal women effectively.