• 한국간호교육학회지
• /
• 제15권2호
• /
• pp.321-328
• /
• 2009

Purpose: The aim of this study was to examine the relationship between caregivers' child rearing characteristics including discipline method, child rearing confidence, attitude, burden, attachment, and cognitive stimulation and preschooler's behavior problems in poor, urban group. Method: A cross-section study design was used. Conveniently selected one hundreds and three preschool aged children and their caregivers who are under National Security Act were recruited. Data was collected using Korean Child Behavior Checklist (K-CBC) comprised of nine sub-dimensions and caregivers' self report questionnaires. Results: Caregivers' discipline method was associated with behavior problems of child. The internalizing and externalizing behavior problem scores including aggressive behavior of children who experienced spanking were significantly higher than children who did not. In addition, Caregivers' child rearing confidence also showed associations with the children's behavior problems. Child behavior problems showed positive relationships with caregivers' child rearing burden, and negative relationships with child rearing attitude, attachment, and cognitive stimulation. Conclusion: Caregivers' negative discipline methods and low child rearing confidence showed significant relationships with children's behavior problems of poor, urban children. Nurses working in primary care and community-based settings are in key positions to address this problem and improve the parenting attitude of low-income caregivers and positively affect the behavior of their children.

• 보건행정학회지
• /
• 제20권1호
• /
• pp.125-136
• /
• 2010

Objectives: The purpose of this study is to analyze the proportion of fundus examination of DM patients for preventing microvascular complication and to examine the factors related to fundus examination in DM patients. Methods: This study used 2005 Korean national health and nutrition survey data. We selected all 1,129 diabetes mellitus patients from the data. And we choose 8 factors related to diabetes mellitus patients. These are sex, age group, type of residential area(rural or urban), education level, income level, comorbidity with hypertension, current insulin use, and duration of suffering from DM. We have analysed these factors by whether he had been examined fundus or no through Chi-square and logistic regression analysis. Results: Female DM patients have tendency to get more fundus examination than Male DM patients. And Young patients, patients who live in urban area, well educated patients, high income patients, comorbidity with hypertension, patients have got the insulin injection, patients have long duration of suffering from DM are to get more fundus examination. According to multivariate logistic regression analysis, sex and education level, income level, and duration of suffering from DM, comorbidity with hypertension, patients have got the insulin injection are significant factors on fundus examination for prevent microvascular diabetes mellitus complications. Conclusions and Discussion: We have concluded that physicians and policy makers should consider to fundus examination especially of man and DM patients who have more shorter disease period and low educated patients and low incomed patients and patients who have taken insulin therapy.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권9호
• /
• pp.4031-4035
• /
• 2015

Background: Breast cancer is one of the most feared diseases among women and it could induce the development of psychological disorders like anxiety and depression. An assessment was here performed of the status and to determine contributory factors. Materials and Methods: A cross-sectional study was conducted among breast cancer patients at University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur. A total of 205 patients who were diagnosed between 2007 until 2010 were interviewed using the questionnaires of Hospital Anxiety and Depression (HADS). The associated factors investigated concerned socio-demographics, socio economic background and the cancer status. Descriptive analysis, chi-squared tests and logistic regression were used for the statistical test analysis. Results: The prevalence of anxiety was 31.7% (n=65) and of depression was 22.0% (n=45) among the breast cancer patients. Age group (p= 0.032), monthly income (p=0.015) and number of visits per month (p=0.007) were significantly associated with anxiety. For depression, marital status (p=0.012), accompanying person (p=0.041), financial support (p-0.007) and felt burden (p=0.038) were significantly associated. In binary logistic regression, those in the younger age group were low monthly income were 2 times more likely to be associated with anxiety. Having less financial support and being single were 3 and 4 times more likely to be associated with depression. Conclusions: In management of breast cancer patients, more care or support should be given to the young and low socio economic status as they are at high risk of anxiety and depression.

• 대한지역사회영양학회지
• /
• 제1권3호
• /
• pp.395-404
• /
• 1996

The effect of meal service for home-staying, urban elderly with low income on their mineral status and prevalence of clinical symptoms was evaluated. One hundred. One hundred and eighty three subjects were assigned to meal-served(served) and non-served(non-served)groups. A meal containing approximately one half of the RDA for energy, protein, calcium and iron was served as lunch every day to served group at a welfare center. Dietary, biochemical and clinical data were collected before and after 6 months of meal service and the changes of parameters were analyzed with paired t-test. served female showed significantly increased intake of calcium. The mean hemoglobin, serum iron, TIBC and serum copper of female were significantly increase with meal service. The proportion of anemic female compared to reference data on hemoglobin, hematocrit and serum iron were 45.5$\%$, 29.1$\%$ and 16.4$\%$ respectively, but were lowered to 18.2$\%$, 7.3$\%$, and 5.5$\%$ after 6 months of meal service. served male showed significant increase in MCHC, serum copper, and urinary Na. The urinary Ca/Creatinine, which is often used as an index of bone resorption, was decreased significantly in served group. The decrease in the proportion of served women suffering from edema of ankle and diarrhea was most apparent and less women reported feeling clinical symptoms of dizziness, constipation, difficulty in hearing, and coughing after meal service. The symptoms of benumbness of hands and feet and coughing was lowered most among men after meal service. Clinical symptoms of non-served elderly did not show improvement in feeling clinical symptoms except slightly decreased frequency in coughing of female and buzzing sound in the ears and diarrhea of male.

• 대한지역사회영양학회지
• /
• 제4권2호
• /
• pp.123-131
• /
• 1999

The nutritional status of 125 preschool children(Female : 56, Male : 69) residing in low income area of Seoul was surveyed. The mean family size was 4.3 and the mean monthly income was 921,000 won which was below the poverty level. Average heights of boys aged 3, 4, 5 and 6 were 98.6cm, 106.1cm, 111.9cm and 116.0cm and those for girls were 99.4cm, 106.4cm, 110.9cm, and 116.0cm, respectively. There was no significant difference between the height of boys and girls. The proportion of children showing stunted growth(<90% of Korean standard of height) was 3.2%. The mean weight of boys for each age group(3, 4, 5, 6) were not significantly differient from that of girls. The proportion of children assessed as moderately underweight (<80-90% of Korean Standard of weight) was 10.4% and 3.2% of children was underweight(<80% of weight standard). The group of children aged 3 were taking adequate energy, whereas the mean energy intake of children aged 4.5 and 6 were within 77.3-78.6% of RDA. The proportion of energy derived from carbohydrate, fat and protein was 60.1%, 24.6% and 15.3%. The high proportion of energy derived from fat seems partly due to high energy intake from fat in the snack. The nutrients which did not meet 75% of the RDA were vitamin A and calcium for children aged 5, and iron for children aged 3 to 5. Carbohydrate intake was positively correlated with the height, weight and girth of chest(P<0.05-P<0.001). There was positive correlation between protein intake and weight, girth of chest and BMI, respectively(P<0.05). Iron intake showed positive relationship with height, weight and BMI(P<0.05).

• 지역연구
• /
• 제33권3호
• /
• pp.101-113
• /
• 2017

본 연구는 2014년 스마트카드 데이터를 활용하여 장거리 통행에서 대중교통 의존도가 높은 교통 취약계층의 대중교통 이동성을 평가하는 것에 목적이 있다. 특히, 신체적인 문제나 제도적으로 대중교통수단을 선택하게 되는 교통약자(노인, 청소년)와, 경제적 여건으로 대중교통을 이용하여 통근통행을 하는 저소득층 인구를 중심으로 대중교통 이동성을 평가하였다. 또한, 서울시의 노인, 청소년, 기초생활수급자의 분포와 각 취약계층의 대중교통 이동성 수준을 함께 고려하여 각 취약계층의 대중교통 이동성 취약지를 식별하고, 이를 종합하여 대중교통 이동성 개선 우선 지역을 선정하였다. 분석 결과, 대중교통 이동성이 낮으며, 교통취약계층 인구가 많이 거주하고 있는 15개의 대중교통 우선 개선지역을 도출하였다. 본 연구는 개인의 실제 통행 데이터인 스마트카드 데이터를 이용하여 대중교통의 이동성을 평가한 점과 교통 취약계층의 기본적인 이동성을 위해 대중교통 서비스가 개선되어야할 대중교통 이동성 취약지를 식별하였다는 점에서 의의를 가진다.

• 대한지역사회영양학회지
• /
• 제3권2호
• /
• pp.174-189
• /
• 1998

The purpose of this study was to evaluate the nutritional status and growth of Korean infants, who were atending peripheral community clinics in low income areas, by anthropometric measurements and estimating dietary intakes. Dietary intakes and growth were compared among different feeding patterns of 143 infants until age 9 months. The overall mean nutrient intakes of infants in this study were below the recommended allowances except the calcium intake from significant difference in each groups; however, calcium, zinc and iron intake of the formula fed infant(FF) was higher than the breast fed infant(BF) or the mixed fed infant(MF). Form ages 4-6 months, the nutrient intakes were shown to be higher in groups that were given supplementary foods than groups that were not. From ages 7-9 months, all nutrient intakes were higher in or the formula and supplementary foods fed(ESF) infants than in the breast and supplementary food(BSF) or the formula and supplementary food(FSF) groups, All subjets in this study showed a large Z-score. The growth of infants up to 6 months of age showed no significant difference in the feeding pattern, however, after 7 months of age the BSF group had significantly lower weight than the FSF or the ESF groups, There were significant positive relationships between infants weight gain at age 7-9 months from birth and the current protein or zinc intakes. As a result the average status of nutrient intakes of infants in this area was loser than the RDA, however, the growth pattern was fairly good. Although the breast milk is beneficial for infants, mothers should be educated for the importance of supplemental food and its practice to support good mutrition(Korean J Community Nutrition 3 (2) : 174-189, 1998)

• 대한지역사회영양학회지
• /
• 제1권2호
• /
• pp.228-238
• /
• 1996

This study was designed to assess the effect of a meal service for home-staying urban elderly people with low-income on their protein nutrition status and serum lipids. One hundred and eighty three subjects, who had already completed the first nutritional survey were assigned to two groups : meal served(served) and non-meal served (non-served). A meal approximately containing one half of the RDA for energy, protein, calcium and iron was served as lunch everyday to served group. After 6 months of meal service, the second nutritional survey was done and changes of parameters were analyzed with paired t-test. Served females showed significantly increased intake of energy while non-served females showed significantly decreased intakes of energy, protein and fat after 6 months. Served males were observed with significantly higher intake of energy, fat, vitamin A, niacin and ascorbic acid, whereas intake of vitamin A was lower in non-served males. Arm circumference of both served and non-served females were significantly lowered after 6 months. Mean DBP of served males was significantly lower, while SBP of served females was significantly higher after 6 months of meal service. Serum total protein, serum albumin, serum cholesterol and LDL-cholesterol were significantly increased within normal range regardless of gender and meal service. But HDL-cholesterol was significantly higher in only served elderly subjects after 6 months. (Korean J Community Nutrition 1(2) : 228-238, 1996)

• 농촌계획
• /
• 제15권2호
• /
• pp.97-110
• /
• 2009

The objective of this research was to develop a rural settlement demand model to analyze the determinants of settlement demand of urban residents. The point aimed at from model development was deriving stated preference of potential consumers towards rural settlement through setting a hypothetical market, and using settlement subsidy as a surrogate variable for price in the demand model. The adequate demand model deducted from hypothetical market data was derived from the basis of Hanemann's utility difference theory. In the rural settlement demand model, willingness to accept was expressed by a function of settlement subsidy. Data utilized in the analysis was collected from surveys of households nationwide. According to inferred results of the demand model, settlement subsidy had a significant influence on increasing demand for rural settlement. A significant common element was found among variables affecting demand increase through demand curve shift. The majority group of those with high rural settlement demand sought agricultural activity as their main motive, due to harsh urban environments aggravated by unstable job market conditions. Subsequently, restriction of income opportunities in rural areas does not produce an entrance barrier for potential rural settlers. Moreover, this argument could be supported by the common trend of those with high rural settlement demand generally tending to have low incomes. Due to such characteristics of concerned groups of rural settlement demand, they tended to react susceptibly to the subsidy provided by the government and local autonomous entities.

• 한국환경보건학회지
• /
• 제48권6호
• /
• pp.315-323
• /
• 2022

Background: Socioeconomical disadvantaged communities are more vulnerable to environmental chemical exposure and associated health effects. However, there is limited information on chemical exposure among vulnerable populations in Korea. Objectives: This study investigated chemical exposure among underprivileged populations. We measured urinary metabolites of phthalates in urban disadvantaged communities and investigated their correlations with residential environment factors and relative socioeconomic vulnerability. Methods: Urine samples were collected from 64 residents in a disadvantaged community in Seoul. A total of eight phthalate metabolites were analyzed by liquid chromatography-mass spectroscopy. Analytical method used by the Korean National Environmental Health Survey (KoNEHS) was employed. Covariate variance analysis and general linear regression adjusted with age, sex and smoking were performed. Results: Several phthalate metabolites, namely monomethyl phthalate (MMP), monoethyl phthalate (MEP), mono-(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP), and mono-n-butyl phthalate (MnBP) had higher levels than those reported in the adults of 4th KoNEHS. Notably, the MnBP level was higher in the lower socioeconomic group (geometric mean [GM]=47.3 ㎍/g creatinine) compared to non-recipients (GM=31.9 ㎍/g creatinine) and the national reference level (GM=22.0, 28.2 and 32.2 ㎍/g creatinine for adults, 60's and 70's, respectively.). When age, sex and smoking were adjusted, MEP and MnBP were significantly increased the lower socioeconomic group than non-recipients (p=0.014, p=0.023). The lower socioeconomic group's age of flooring were higher than non-recipients, not statistically significant. Conclusions: These results suggest that a relatively low income and aged flooring could be considered as risk factors for increased levels of phthalate metabolites in socioeconomic vulnerable populations.