• 제목/요약/키워드: Vulnerable Population

검색결과 327건 처리시간 0.025초

한국 사회의 고위험 음주 결정요인에 관한 연구: 중도 절단 이변량 프로빗 모형의 적용 (Determinants of High Risk Drinking in Korea)

  • 정우진
    • 한국인구학
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    • 제26권2호
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    • pp.91-110
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    • 2003
  • 고위험 음주는 개인 건강 뿐 아니라 사회에 막대한 부담을 초래한다. 본 연구는 보건복지부와 서울대학교외 건강위험요인 전국조사 자료에 중도 절단 이변량 프로빗 모형(bivariate probit model with censoring)을 활용하여 한국 사회에서 15세 이상 인구계층의 고위험 음주에 미치는 요인을 규명하였다. 연구결과에 따르면 우리나라에서 소주가 음주 주종 중 고위험 음주와 가장 관련성이 큰 주종임이 밝혀졌다. 그동안 소주의 문제점에 관해서는 대부분 인식하고 있었으나 전국 조사 자료 및 최신 통계분석방법을 적용한 연구가 전무하여 실증적인 뒷받침이 되지 않았던 사실이 밝혀진 셈이다. 또한 나이가 많은 계층, 배우자와 동거하지 않는 계층, 경제활동에 종사하는 계층, 스트레스에 취약한 계층, 다양한 주종을 소비하는 계층이 각각 상대적으로 그렇지 않는 계층에 비해 고위험 음주를 할 가능성이 높았다. 본 연구결과로써 한국 사회에서 음주로 인한 위해를 감소시키기 위해서는 주종별로 차별화된 정책과 함께 고위험 음주 가능성이 상대적으로 높은 인구계층을 대상으로 정부 및 민간 노력이 집중되어야 한다는 정책적 시사점을 도출할 수 있었다.

The Effects of National Health Insurance Denture Coverage Policies for the Elderly on the Unmet Dental Needs of the Edentulous Elderly

  • Ahn, Eunsuk;Hwang, Ji-Min;Han, Ji-Hyoung
    • 치위생과학회지
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    • 제18권3호
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    • pp.182-187
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    • 2018
  • As the elderly population increases, they are increasingly affected by oral health problems. Therefore, efforts are being made to improve the oral health of older people, alleviate mental discomfort, and reduce unmet dental needs. This study was conducted to confirm the relationship between the National Health Insurance Elderly Denture Coverage and the unmet dental need for the edentulous elderly, as part of the protection policy. We analyzed the 2011 and 2013 Community Health Survey data of the edentulous elderly, aged 75 years or older, before 2012. In order to more precisely confirm the effects of the denture donation policy on unmet dental care, basic life recipients who were subject to the free elderly prosthetic project were excluded from the analysis. The final analysis included 20,400 subjects. According to our investigation of the factors that affect the unmet dental needs of the elderly, the National Health Insurance Elderly Denture Coverage did not affect unmet dental needs. The statistically significant variables that affected the unmet dental needs of the elderly were education and income levels, which are representative socioeconomic status variables. The lower the level of education, the unhealthier the dental care experience, and income levels showed a similar tendency. The elderly who have a low socioeconomic status are more likely to experience unmet dental needs because they lack the knowledge and socioeconomic ability to pay for dental care. Therefore, the policy for health protection of the entire elderly population should be continuously expanded. In addition, the socioeconomically vulnerable groups may have health problems due to the restriction of medical use, which may lead to quality of life deterioration.

청소년의 근감소성 비만과 비근감소성 비만이 대사증후군 구성요소에 미치는 영향 (Influences of Sarcopenic and Non-sarcopenic Obesity on the Components of Metabolic Syndrome in Adolescents)

  • 박현주
    • Journal of Korean Biological Nursing Science
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    • 제19권4호
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    • pp.266-275
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    • 2017
  • Purpose: The purpose of this study was to investigate the influences of sarcopenic and non-sarcopenic obesity on the components of Metabolic Syndrome (MetS) in adolescents. Methods: This study used the fifth Korean National Health and Nutrition Examination Survey data from 2010 to 2011. The study included 859 adolescents aged 12 to 18 years. Descriptive statistics and simple and multiple logistic regression analyses were conducted using SAS 9.2. Results: Based on the results, adolescents with sarcopenic obesity had a higher risk of central obesity (AOR: 23.41, 95% CI: 12.76-43.97), high triglyceride (OR: 4.58, 95% CI: 2.69-7.79), low HDL-cholesterol (AOR: 2.66, 95% CI: 1.74-4.05), high blood pressure (AOR: 3.44, 95% CI: 1.37-8.68), and high fasting glucose (AOR: 2.37, 95% CI: 1.13-4.96) than their normal counterparts. Adolescents with non-sarcopenic obesity had a higher risk of central obesity (AOR: 19.75, 95% CI: 9.73-44.67), high triglyceride (OR: 3.09, 95% CI: 1.22-7.81), and low HDL-cholesterol (AOR: 2.73, 95% CI: 1.37-5.45) than normal youths, and these were not significantly related to high blood pressure and fasting glucose. Conclusion: Sarcopenic obesity was more related to the components of MetS than non-sarcopenic obesity. Since adolescents with sarcopenic obesity are a more vulnerable population, a prevention and management program for MetS and cardiovascular risk should be implemented in this population.

제주지역 공공업무시설의 장애물 없는 생활환경 실태조사 연구 (A Survey on the Barrier-Free Environment of Public Office Building in Jeju Area)

  • 성기창;박철민;김인배
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제22권4호
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    • pp.29-36
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    • 2016
  • Purpose: Considering the proportion of the population such as the elderly, pregnant women, infants companion and constantly increasing foreign tourists, there is a high need for implementing an environment without barriers. In terms of policy and institutional aspects, Jeju Special Self-Governing Province is striving to create an environment without barriers and to promote the safety and convenience of Vulnerable Pedestrians. But it is not enough to create a viable barrier-free environment. Methods: Method of this research is to analyze the general population status and installed facilities status for the disabled in Jeju. And analysis of policy research needs and level of barrier-free. By applying the barrier-free environment certification standards should conduct an assessment of the level of the current public office buildings in Jeju. It presents the environmental improvement of public office buildings for barrier-free environment. Result: Barrier-free environment status of the five public office buildings research surveyed all buildings have shown low levels of installed facilities for the disabled. In particular, it was analyzed that represents a very low level in the intermediate facilities and other facilities. The development of a specific installation manual for the facilities for the disabled is required to improve public office buildings. And barrier-free criteria need to reflect on the implementation of regulations. Implications: Through continuous research to analyze the barrier-free level and problems of public office buildings, it will be made to improve the comprehensive and reasonable alternative.

Weed Population Dynamics under Climatic Change

  • Bir, Md. Shahidul Haque;Eom, Min Yong;Uddin, Md. Romij;Park, Tae Seon;Kang, Hang Won;Kim, Do Soon;Park, Kee Woong
    • Weed & Turfgrass Science
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    • 제3권3호
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    • pp.174-182
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    • 2014
  • This paper provides some of the scientific background on how projected environmental conditions could affect weeds and weed management in crops. Elevated $CO_2$ levels may have positive effects on crop competitiveness with $C_4$ weeds, but these are generally outnumbered by $C_3$ species in weed populations. Moreover, higher temperatures and drought will favor $C_4$ over $C_3$ plants. The implementation of climate change adaptation technologies, such as drought-tolerant germplasm and water-saving irrigation regimes, will have consequences for crop-weed competition. Rainfed production systems are thought to be most vulnerable to the direct effects of climate change and are likely to face increased competition from $C_4$ and parasitic weeds. Biotic stress-tolerant crop cultivars to be developed for these systems should encompass weed competitiveness and parasitic-weed resistance. In irrigated systems, indirect effects will be more important and weed management strategies should be diversified to lessen dependency on herbicides and mechanical control, and be targeted to perennial rhizomatous ($C_3$) weeds. Water-saving production methods that replace a weed-suppressive floodwater layer by intermittent or continuous periods of aerobic conditions necessitate additional weed management strategies to address the inherent increases in weed competition. Thus, climatic conditions have a great effect on weed population dynamics all over the world.

Methane emission from municipal solid waste dumpsites: A case study of Chennai city in India

  • Srinivasan, Pavithrapriya;Andimuthu, Ramachandran;S.N., Ahamed Ibrahim;Ramachandran, Prasannavenkatesh;Rajkumar, Easwari;Kandasamy, Palanivelu
    • Advances in environmental research
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    • 제9권2호
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    • pp.97-107
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    • 2020
  • The indiscriminate growth in global population poses a threat to the world in handling and disposal of Municipal solid waste. Rapid urban growth increases the production, consumption and generation of Municipal solid waste which leads to a drastic change in the environment. The methane produced from the Municipal Solid waste accounts for up to 11% global anthropogenic emissions, which is a major cause for global warming. This study reports the methane emission estimation using IPCC default, TNO, LandGEM, EPER and close flux chamber from open dump yards at Perungudi and Kodungaiyur in Chennai, India. The result reveals that the methane emission using close flux chamber was in the range of 8.8 Gg/yr-11.3 Gg/yr and 6.1Gg/yr to 9.1 Gg/yr at Kodungaiyur and Perungudi dump yard respectively. The per capita waste generation was estimated based on waste generation and population. The waste generation potential was projected using linear regression model for the period 2017-2050. The trend of CH4 emission in the actual field measurement were increased every year, similarly the emission trend also increased in IPCC default method (mass balance approach), EPER Germany (zero order decay model) where as TNO and Land GEM (first order decay model) were decreased. The present study reveals that Kodungaiyur dump yard is more vulnerable to methane emission compared to Perungudi dump yard and has more potential in waste to energy conversion mechanisms than compare to Perungudi dump yard.

Disaster Health Literacy of Middle-aged Women

  • Seifi, Bahar;Ghanizadeh, Ghader;Seyedin, Hesam
    • Journal of Menopausal Medicine
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    • 제24권3호
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    • pp.150-154
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    • 2018
  • As disasters have been increasing in recent years, disaster health literacy is gaining more important for a population such as middle-age women. This is because they face developmental crises (menopause) and situational crisis (disaster). Due to the growing elderly population, it is imperative to seriously consider the issue of aging women's healthcare, and their educational needs relative to emergencies and disasters. The purpose of study was to clarify the importance of disaster health literacy for middle-age women. This study is a review of the literature using PubMed, ScienceDirect, Web of Science, Google Scholar, SCOPUS, OVID, ProQuest, Springer, and Wiley. Data was collected with keywords related to the research topic ("Women's health" OR "Geriatric health") AND ("Health literacy" OR "Disaster health literacy" OR "Disaster prevention literacy" OR "Risk knowledge" OR "Knowledge management") AND ("Disasters" OR "Risk" OR "Crises") in combination with the Boolean-operators OR and AND. We reviewed full text English-language articles published November 2011 November 2017. Additional references were identified from reference lists in targeted publications, review articles and books. This review demonstrated that disaster health literacy is critical for elderly women, because they may suffer from physical and psychological problems triggered by developmental crises such as menopause and situational crises such as disasters. Disaster literacy could enable them to improve resiliency and reduce disaster risk. Education has vital role in health promotion of middle-age women. Policymakers and health managers should be aware of the challenges of elderly women as a vulnerable group in disasters and develop plans to incorporate disaster health literacy for preparedness and prevention in educating this group.

농촌지역의 생활환경 만족수준이 이주의사에 미치는 효과 (Effects of the Satisfaction Level of Living Environment in Rural Area on the Migration Intension)

  • 김정태;신동호
    • 농촌계획
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    • 제24권4호
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    • pp.1-13
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    • 2018
  • This study analyzes the effect of the level of satisfaction with the living environment of rural people on migration. The analysis data were used by the Rural Development Administration for the survey of welfare systems for farmers and fishermen in 2017, and samples of 3,776 were used for the analysis. The analysis variables were divided into a group of migrants, a group of permanent residents, and a group of decision-keeping, and the level of satisfaction with the living environment of each of the 10 rural areas was used as an independent variable. According to the analysis results, the basic living base and safety of rural residents were having a positive effect. The results show that the projects for developing rural areas, which increase the basic living base, are making substantial contributions to preventing the breakaway of the rural population. Safety has been neglected in the area of rural planning, but if the level of discontent is not enough, it has had the greatest impact on the livelihoods of rural residents. Welfare and cultural leisure set the main demand level for welfare and cultural leisure to the elderly and vulnerable classes, and interpret it as a result of weakened defense against stress from relocation of residence, difficulty of migration due to low income levels, and migration. Therefore, the paradoxical analysis results could be interpreted as showing that measures to increase the satisfaction of the people on welfare and cultural leisure should be taken.

쪽방지역 주거기간과 우울증상 경험과의 관련성 (Association between period of living alone in a shabby one-room and depression experience)

  • 김진성;차선화;김창수;박희정
    • 한국학교ㆍ지역보건교육학회지
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    • 제20권2호
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    • pp.37-51
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    • 2019
  • Purpose: This study aims to substantiate a correlation between the period of living alone in a shabby one-room and a depression experience. Methods: We conducted a cross-sectional study using data from the Korea Homeless Survey carried out by the Korea Institute for Health and Social Affairs in 2016. In the study, the data included 485 survey participants who resided in a single room. The period of single-room occupancy being divided into three groups: less than 1 year, 1 to 4 years, and more than 5 years was considered a primary independent variable. The outcome variable which represented a depression experience was measured by CESD-11(The Center for Epidemiological Studies-Depression Scale). We carried out a Chi-square test and multiple logistic regression to evaluate the association. Results: The rate of depression experienced in this population was 77.5%. Almost 83.9% of the participants were reported as being unable to receive the mental health counselling in the last 12 months. After controlling for covariates, subjects who were living in a single room occupancy for 1-5 years(OR=3.89; 95% CI=1.43-10.56) and more than 5 years(OR=2.71; 95% CI= 1.05-6.95) were found to be more likely to experience depression. Conclusions: The results showed that living alone in a shabby one-room had a high correlation with experiencing depression. We proposed that there is a need to develop a new strategy for mental health promotion program for the poor, vulnerable and deprived population.

우리나라 노인의 체질량지수에 따른 영양소 섭취 수준과 건강 상태 비교: 저체중 노인을 중심으로 (Comparison of the Nutrient Intake and Health Status of Elderly Koreans According to their BMI Status: Focus on the Underweight Elderly Population)

  • 이유신;이윤나
    • 대한지역사회영양학회지
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    • 제27권5호
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    • pp.422-434
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    • 2022
  • Objectives: With an increase in the population of the elderly in Korea, their nutritional status has become a cause for concern. This study was designed to compare the nutritional intake and health status of the Korean elderly according to their body mass index. Methods: The subjects were 3,274 elderly people aged 65 and above who had participated in the 2016-2018 Korea National Health and Nutrition Examination Survey. The subjects were divided into four groups: underweight, normal, overweight, and obese, based on their BMI. The general characteristics, daily energy, and nutrient intakes, nutrient intakes compared to the recommended nutrient intake, percentage of participants whose nutrient intake was lower than the estimated average requirement (EAR), index of nutrient quality, the mean adequacy ratio (MAR), intakes by food group, and health status of the four groups were compared. Results: Underweight elderly people showed lower energy, lipids, dietary fiber, vitamin C, riboflavin, niacin, phosphorus, sodium, and potassium intake and MAR score (P < 0.001) compared to the normal or obese elderly. The mean protein, riboflavin, niacin, vitamin C, phosphorus, and iron intake of the underweight elderly was lower than the EAR (P < 0.05). Underweight elderly people also had a lower intake of vegetables and fats, oil and sweets food groups than the other groups (P < 0.001). The prevalence of diabetes and dyslipidemia was higher in the obese group, but the percentage of anemia was higher in the underweight group. Conclusions: Underweight elderly people were vulnerable to undernutrition and were at a higher risk of anemia.