• Journal of Preventive Medicine and Public Health
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• 제34권2호
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• pp.141-148
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• 2001

Objective : To investigate the sources, extent and related factors in South Korean doctors. Methods : The study subjects were 934 doctors in Taegu, Kyungpook Province, Korea(540 independent practitioners, 105 employed at hospitals and 289 residents in training). Information concerning job stress was obtained using a 9-item questionnaire. Information regarding related factors such as demographic characteristics(age, sex, marital status), perceptions on the socioeconomic status of doctors and working conditions(work time, on-call days per week) was also obtained by self-administered questionnaire during April and May, 2000. Results : Major sources of job stress included clnical responsibility/judgement factor, patient factor and work loading factor. The job stress score of residents was the highest among three groups. The score was lower in older doctors. The score was low among those who thought doctors' socioeconomic status was not good. The longer the work time, the higher the job stress score was. Multiple regression analysis was conducted to control for the mutual influence of independent variables. In regression analysis, the score of residents was higher than practitioners. Work time and socioeconomic status perception had negative effects on job stress score. Conclusion : The average job stress score of the doctors was high. Age, work type, working conditions and perceptions of socioeconomic status were found to besignificantly related to job stress score. Although the job stress of doctors is somewhat inevitable due to the nature of the doctor's job, control of work time, development of coping tools and other intervention methods are needed to reduce job stress of doctors. Further studies are required to understand the characteristics of iob stress and reduce the job stress of doctors.

• Journal of Preventive Medicine and Public Health
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• 제39권1호
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• pp.81-86
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• 2006

Background: A number of studies have reported associations between the ambient air pollution concentrations and various health outcomes. Especially, ozone is well known for primary risk factor of asthma attacks. The results of a recent study indicate that the size of the effect on health outcomes due to air pollution varied according to several conditions, including age, gender, race and the socioeconomic status. Therefore, this study was conducted to examine the associations of ozone with the childhood asthma hospitalizations as stratified by the socioeconomic status (SES) at the community level in Seoul, Korea, 2002. Methods: SES at aggregated levels was measured on the basis of average regional health-insurance rate per citizen in the area. We applied the generalized additive model to analyze the effect of ozone on asthma after controlling for the potential confounding variables that were capable of influencing the results. Results: Our analysis showed that the number of children who were hospitalized for asthma increased as the SES of the residence area decreased. The estimated relative risks of hospitalization for asthma, as stratified by the SES of the community level, were 1.12 (95% confidence interval 1.00-1.25) in districts with the highest SES levels, 1.24 (95% CI=1.08-1.43) within the moderate SES levels, and 1.32 (95% CI=1.11-1.58) in the districts with the lowest SES levels. Conclusions: Our analysis showed that exposure to air pollution did not equally affect the health status of individuals. This suggests that not only the biological-sensitivity markers, but also the SES of the subjects should be considered as potentially confounding factors.

• Journal of Preventive Medicine and Public Health
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• 제42권1호
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• pp.35-41
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• 2009

Objectives : The changing population age structure and rapidly increasing medical costs make providing high-quality, effective medical care for the elderly a challenge. This study assessed the satisfaction with medical care in terms of comprehensiveness, general satisfaction, and accessibility among community-dwelling Korean elders. Methods : Data were obtained from a nationwide representative sample of the older adults(aged 65 years old or older) living in the community, who participated in a 2006 telephone survey conducted using random digit dialing(n=881). General satisfaction, comprehensiveness and accessibility were measured using a 10-item satisfaction survey questionnaire. Descriptive analysis was used to assess the distribution of each of three components of subjective satisfaction. Analysis of covariance(ANCOVA) was used to examine the association of each of the three components with socioeconomic variables. Results : Comprehensiveness and general satisfaction were low among older people with a high socioeconomic status. Accessibility was evaluated as low among older people of low socioeconomic status, those living in rural areas and those who were medical aid beneficiaries. Conclusions : Urgent interventions should be considered in order to improve accessibility to medical care for elders of low socioeconomic status and those living in rural communities. Given the rapid aging of the population, we need to develop a monitoring system to improve the quality of geriatric care.

• 한국치위생학회지
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• 제19권4호
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• pp.565-575
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• 2019

Objectives: In this study, both subjective and objective levels of oral health were used to identify the relationship between oral health inequalities. Methods: Korean National Health and Nutritional Examination Survey data from 2013 to 2015 were combined to create an analysis plan. Oral health questions categorized as subjective oral health conditions and oral health-related diseases used dental tissue disease status as data measured by the Community Periodical Index(CPI) and decayed, missing, filled teeth(DMFT) experience. Other data on oral health behaviors such as toothache experience, the frequency of toothbrush use, chewing problems, oral examination status, and unmet dental care needs were classified and analyzed according to the socioeconomic level. Data were analyzed using frequency and cross analyses, and the statistical significance level was set at 0.05. Results: It was found that higher the economic and educational level, better was the subjective oral health, lower the CPI, lower the experience of toothache, higher the frequency of toothbrush use, lower the number of people having chewing problems, and higher the frequency of oral checkups. Conclusions: Oral health inequality exists among social classes. It is suggested that continuous research and efforts be carried out to promote oral health while considering socioeconomic and educational levels. Further, active government efforts will be needed to address polarization by social class.

• Journal of Preventive Medicine and Public Health
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• 제39권5호
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• pp.371-378
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• 2006

Objectives: This study was conducted to investigate the prevalence of childhood obesity, the association between the undesirable lifestyles and socioeconomic factors, the association between childhood obesity and various risk factors, including socioeconomic factors, and the agreement between the body mass index (BMI) classification and the body fat percentage. Methods: The study subjects were all the 5th grade students from all the elementary schools in Gunpo City, Kyunggi Province, South Korea (4043 children at 22 schools). The subjects were measured for their height, weight and percent body fat etc. and they were also surveyed by questionnaire from March 18th to April 25th, 2005. To determine whether the children were within normal limits or not, standardized BMIs for each age group were used. The data was analyzed by logistic regression analysis using SAS 9.0 version. Results: The prevalence of childhood obesity prevalence was 25.1 %. Boys had a higher prevalence of obesity (27.5%) than did the girls (22.5%). Children had tendencies of having undesirable lifestyles and getting obese if they had a lower socioeconomic status. The risk factors for childhood obesity were low paternal education (OR: 1.17, 95% CI : 0.97-1.42) and non-parental caregivers (OR: 1.34, 95% CI : 0.98-1.82). Other risk factors for childhood obesity were a high birth-weight, longer TV/computer-using time, a lower fruit-eating frequency, short sleeping hours and parental obesity. The agreement rate between the BMI classification and the body fat percentage was 93.1 %. Conclusions: This study showed the children had a higher prevalence of obesity: further, not only individual lifestyles, but also socioeconomic factors could influence childhood obesity. Childhood obesity was especially more problematic for children with a low socioeconomic status.

• 한국인구학회:학술대회논문집
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• 한국인구학회 2006년도 후기학술대회 및 정기총회
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• pp.59-87
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• 2006

본 연구의 주된 목적은 IMF 외환위기를 계기로 하여 사회경제적 차별출산의 양상이 어떻게 변화하였는가를 파악하는 것이다. 이 연구에서는 2003년 전국출산력조사 자료를 활용하여 20-49세 기혼 여자의 총출생아수와 1998년 이후의 출생아수에 대한 비교분석이 이루어 졌다. 또한, 분석대상을 1997년 이전에 결혼하였거나 재혼한 부인들과 1997년 이후 처음 결혼한 부인들의 두 집단으로 구분하여 출산력 수준과 출산행태를 비교함으로써 IMF 외환위기 이전과 이후의 변화양상을 파악하고자 시도하였다. 총 출생아수에 대한 분석 결과, 부부의 교육수준, 직업, 종사상 지위 등의 사회경제적인 조건과 출산수준은 대체로 뒤집어진 J 자형의 관계를 유지하는 것으로 밝혀졌다. 즉 사회경제적 지위가 가장 높은 집단은 바로 밑의 집단보다 출산수준이 상대적으로 높았다. 그런데, 최근의 출산수준은 이러한 사회경제적 차별출산과는 뚜렷하게 대조적인 양상을 나타냈다. IMF 외환위기 이후 출산수준 감소의 폭은 기존의 출산수준과 정비례하는 방식으로 이루어졌다. 출산수준이 높은 집단일수록 급속한 출산력 저하가 이루어졌으며, 출산수준이 낮은 집단에서는 상대적으로 변화가 완만하였다. 그 결과, 최근의 출산수준은 중상층에 해당하는 사회경제적 지위를 지닌 집단이 가장 높고 다음이 최상위 집단, 그리고 하위 집단의 순으로 바뀌었다. 이러한 경향은 부부의 교육수준, 직업, 종사상 지위, 주관적 계층에 따른 최근 출산력의 변화양상에서 일관적으로 나타났다.

• 한국심리학회지 : 문화 및 사회문제
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• 제11권1호
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• pp.43-57
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• 2005

본 연구는 부모 및 형제에 대한 초기청소년의 친사회적 행동에 미치는 관련변인으로 부모애착, 부모모니터링 사회경제적 지위 및 조망수용 등을 탐색하여 가족맥락 안에서의 친사회적 행동을 증가시키는 방안을 모색하고자 실시되었다. 이에 초등학교 6학년과 중학교 1, 2학년 남녀 310명과 학부모를 대상을 질문지를 적용하여 측정한 자료를 분석하였다. 초기청소년의 친사회적 행동과 사회경제적 지위를 포함한 인구학적 배경은 부모용 응답지를 그리고 부모애착, 부모모니터링 및 조망수용은 청소년용 자기보고식 응답지를 이용하였다 연구문제를 검증하기 위하여 t-test와 중다회귀 분석을 실시하였으며 분석결과, 첫째, 부모애착과 부모모니터링이 높을수록 부모와 형제에 대한 친사회적 행동 수준이, 조망수용 수준이 높을수록 부모에 대한 친사회적 행동 수준이 그리고 사회경제적 지위가 높은 가정의 청소년일수록 형제에 대한 친사회적 행동 수준이 높았다. 둘째, 여아가 남아보다 부모를 향한 친사회적 행동을 더 많이 하는 것으로 나타났다. 셋째, 중다회귀 분석결과 전체 청소년의 부모에 대한 친사회적 행동은 부모애착과 조망수용이, 형제에 대한 친사회적 행동은 부모애착과 사회경제적 지위가 중요한 예언변인이었다. 성 차 구분에 의한 분석에서 남아의 경우, 부모에 대한 친사회적 행동은 부모애착과 조망수용이, 형제에 대한 친사회적 행동은 사회경제적 지위가 예언변인이었다 여아의 경우 부모에 대한 친사회적 행동은 부모애착이, 형제에 대한 친사회적 행동은 부모애착과 사회경제적 지위가 예언 변인으로 나타나 성 차에 따른 관련변인의 차이를 보였다.

• 농촌계획
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• 제25권2호
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• pp.47-62
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• 2019

This paper considers the effect of "comprehensive rural community improvement project" in terms of three factors - physical environment, rural tourism, socioeconomic and analyzed the path effect leading to the final outcome - the quality of life of residents, using covariance structure analysis. By doing so, this study looks into why residents prefer the improvement of a physical environment that takes a public nature. The analysis showed that the socioeconomic effect did not have an immediate impact on the improvement of quality of life of residents at a significance level of 5%, whereas the improvement of physical environment had a static effect on the quality of living at a significance level of 1%. Residents' preference for "hardware" or physical environment may be attributed to lack of their understanding of human factors such as social capital. However, analyzing the impact of specific contents of the project on performance, it is found that as projects fail to generate a tangible socioeconomic effect, residents strategically prefer the repair of their physical environment such as public facilities that directly affect their daily lives, so that they can maximize an improvement of the quality of living. Hence, this study suggests that instead of attributing the failure of rural community development projects to residents, macroscopic problems of rural communities and specific contents of projects should be dealt with before the success of any project can be discussed.

• 한국보건간호학회지
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• 제26권1호
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• pp.113-125
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• 2012

Purpose: This study was conducted in order to investigate health behaviors and health status and to identify factors that affect health behaviors and health status of the elderly in Daegu. Methods: Analysis of data on 360 Daegu citizens aged 65 and over, which were taken from the 2010 social survey, was analyzed using the SAS program. Results: Results of logistic regression analysis showed that gender, age, education, and economic activity were independent predictors of health behaviors. Economic activity and owner-occupied housing were found to be independent predictors of health status. Conclusion: Findings of this study indicate a need for development of strategies to promote the health of vulnerable members of the elderly population with consideration for these variables that were found to affect health behaviors and health status of elderly citizens.

• 보건의료산업학회지
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• 제12권4호
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• pp.139-154
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• 2018

Objectives: The aim of this study was to examine factors influencing health-related quality of life of waged workers. Methods: This study used data from the Seventh Korea National Health and Nutrition Examination Survey. Data were analyzed with the $x^2-test$, t-test, ANOVA, and multiple regression. Results: The significant predictors of health-related quality of life were depression, subjective health status, age, activity limitation, education, worker status, monthly income, drinking, smoking, physical injury, stress, and moderate physical activity. Conclusions: Personal health characteristics, psychological characteristics, socioeconomic characetrictics and working characetrictics affect health-related quality of life. Health-related quality of life is also affected by social structural problems such as socioeconomic factors and employment instabilitye. In addition to the development of health care programs to improve health-related quality of life of twaged workers, policy changes are needed to improve the social structure.