• Title/Summary/Keyword: burden

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Measuring the Burden of Disease in Korea, 2008-2018

  • Jung, Yoon-Sun;Kim, Young-Eun;Park, Hyesook;Oh, In-Hwan;Jo, Min-Woo;Ock, Minsu;Go, Dun-Sol;Yoon, Seok-Jun
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.5
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    • pp.293-300
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    • 2021
  • The study aims to examine the current status and differences in the burden of disease in Korea during 2008-2018. We calculated the burden of disease for Koreans from 2008 to 2018 using an incidence-based approach. Disability adjusted life years (DALYs) were expressed in units per 100 000 population by adding years of life lost (YLLs) and years lived with disability (YLDs). DALY calculation results were presented by gender, age group, disease, region, and income level. To explore differences in DALYs by region and income level, we used administrative district and insurance premium information from the National Health Insurance Service claims data. The burden of disease among Koreans showed an increasing trend from 2008 to 2018. By 2017, the burden of disease among men was higher than that among women. Diabetes mellitus, low back pain, and chronic lower respiratory disease were ranked high in the burden of disease; the sum of DALY rates for these diseases accounted for 18.4% of the total burden of disease among Koreans in 2018. The top leading causes associated with a high burden of disease differed slightly according to gender, age group, and income level. In this study, we measured the health status of Koreans and differences in the population health level according to gender, age group, region, and income level. This data can be used as an indicator of health equity, and the results derived from this study can be used to guide community-centered (or customized) health promotion policies and projects, and for setting national health policy goals.

Development of Automatic Evaluation Equipment for Burden of Instrument Transformer using Resistor Simulator (저항기를 이용한 계기용 변성기 부담 자동 평가 장치 개발)

  • Lee, Young Seob;Jung, Jae Kap
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.63 no.4
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    • pp.589-595
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    • 2014
  • The error of instrument transformers is measured by connecting the external burden with the secondary terminal of the instrument transformers. Because the error of transformer is affected by the apparent power and power factor of the external burden, an accurate measurement of burden is important for transformer evaluation. We have developed the burden evaluation equipment for both potential transformer and current transformer by employing the series resistor in the range of $20m{\Omega}{\sim}5{\Omega}$ and the parallel resistor in the range of $1M{\Omega}{\sim}500{\Omega}$, respectively, together with visual basic program. We could reduce testing time more than 5 times by employing method developed in this study, compared with that developed in past. This method shows more better reliability by analyzing the evaluation results and fitting graphs of burden measurements. The test results of the developed system is compared with those obtained in the power meter analyzer to verify the validity.

Measuring the Burden of Hypertension using DALY in Korea (장애보정생존년수(DALY)를 활용한 우리 나라 고혈압의 질병부담 측정)

  • 윤석준;하범만;김창엽
    • Health Policy and Management
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    • v.11 no.3
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    • pp.89-101
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    • 2001
  • This study estimated the burden of disease due to hypertension in Korea in disability-adjusted life years(DALYs) using vital registration data and the National Health Examination Survey data. Firstly, we estimated the years life lost due to premature death (YLLs) of hypertension using the vital registration data. Secondly, to calculate the years lived with disability (YLDs), we estimated the average age at onset and disease duration using the National Health Examination Survey data. The disability weights for hypertension were estimated by person trade off method. Finally, the burden of hypertension was calculated in DALYs, which are the sum of YLLs and YLDs. The burden of hypertension for males was attributed mainly to YLD(97.9%). DALYs for females were also attributed mainly to YLD(96.7%). DALYS for males were 993,950 person-years and for females were 743,282 person-years. Results of this study provide a rational basis to plan a national health policy regarding the disease burden of hypertension in Korea. We will need accurate epidemiological study results and other study results of national burden of disease in Korea to get more accurate results of this burden of disease study.

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The Burden of Aged Parents Caring for Adult Children with Disabilities (성인이 된 장애자녀를 돌보는 노인부모의 부양부담감)

  • Suk, Min-Hyun;Kim, Eun-Hye
    • Research in Community and Public Health Nursing
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    • v.21 no.4
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    • pp.439-447
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    • 2010
  • Purpose: This study was to describe the burden of aged parents caring for adult children with disabilities and related factors. Methods: The subjects were 123 caregivers aged over 65 who were caring for 18-year-old or older children with disabilities. The research tool of this study was a structured questionnaire on family burden. Data were collected from June 3 to 25, 2010, and analyzed by Cronbach's alpha, mean, standard deviation, t-test, and ANOVA using SAS 9.2 program. Results: The major findings of this study were as follows. Elderly parents caring for adult children with disabilities perceived a moderate level of burden. The burden from concern over their children's future was highest, and economic and physical burdens were higher when the parents were younger. Burden was significantly different according to parents' characteristics such as gender, perceived health status, disease, the costs of caring for disabled children, and children's characteristics such as disability rating, health status, and ADL. Conclusion: In order to reduce the burden of elderly parents caring for adult children with disabilities, we need to improve their health status and assess comprehensive policies.

Housing Cost Burden of Single- or Two-person Households in Their 20s and 30s in the United States (미국 20-30대 1-2인가구의 주거비 부담 실태)

  • Lee, Hyun-Jeong
    • Journal of the Korean housing association
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    • v.23 no.2
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    • pp.69-77
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    • 2012
  • The purpose of this study was to explore housing cost burden of young single- or two-person households in the United States who have recently moved for job-related reasons. Total 580 households were selected from 2009 American Housing Survey public-use microdata for data analysis. The findings are as follows: (1) Targeted single-person households were characterized as younger households with higher educational attainment, lower household income, and greater proportion of renters, multifamily housing residents and households with housing cost burden than other households; (2) two-person households showed a higher income level and lower housing cost burden; (3) characteristics that showed significant influences on housing cost burden were household size, householder's age, gender, race and educational attainment, household income level and tenure type; and (4) a linear combination of household size, household income, whether or not a low-income household, residency in metropolitan area, and home structural type were found to be most efficient to predict a single- or two-person household's housing cost burden regardless of the household size.

Influencing Factors on the Family Caregivers' Burden of Inpatients with Acute Stroke (급성기 뇌졸중 입원환자 가족 간호제공자의 부담감 영향요인)

  • Lim, Jung Soon;Chung, Bok Yae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.2
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    • pp.149-159
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    • 2018
  • Purpose: The purpose of this study was to explore the influencing factors on the family caregivers burden who have has inpatients with acute stroke. Methods: Subjects were 126 family caregivers who have has inpatients with acute stroke. Data were collected by questionnaires. The collected data were analyzed by t-test, ANOVA, Scheffe's test, Pearson's coefficients and multiple regression. Results: The Anxiety of family caregivers was identified as a determinant of family caregivers burden who have has inpatients with acute stroke by the multiple regression analysis (${\beta}=.58$, p<.001). Gender and low cognitive function of inpatients were significantly related to family caregivers burden. And knowledge about care (r=-.27, p=.002) was correlated with anxiety significantly. Conclusion: The family caregivers burden is not only an important issue for nursing but also major nursing problem to be addressed nurses. Family caregivers with acute stroke inpatients feel more anxiety than family caregivers with other illnesses. The anxiety of family caregivers is important especially to the family caregivers who have to care acute stroke inpatients to reduce their burden.

Activities of Daily Living of The Elderly with a Chronic Disease and Burden on Family Care-givers (노인 만성 질환자의 일상생활 수행정도와 가족간호자의 부담감)

  • Bang, Su-Hyang;Jang, Hee-Jeong
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.135-144
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    • 2007
  • Propose: The purpose of this study was to help families decrease and alleviate the burden on family care-givers taking care of elderly patients. Method: Data was collected by a questionnaire from 100 family members who were registered in the department of home health care nursing at 4 hospitals of H University Medical Center from September 20 to October 25, 2005. The collected data was analyzed using Mean and Standard Deviation, Pearson Correlation Coefficient, t-test and One-Way ANOVA with the Duncan's test, and Stepwise multiple regression. Result: The average burden on family care-givers of elderly patients with chronic diseases was 3.31. The social burden was the highest(M=3.68), the lowest was the emotional burden(M=2.95). In ADL of elderly patients with chronic diseases, all 10 questions showed an average point above 2.50. The dependency level of going up and down the stairs was the highest(M=2.88). Conclusion: This research is necessary for the application of a plan in the social support system in order to reduce the burden on family care-givers who are taking care of elderly patients with a chronic disease.

Sources of Anxiety and Burden of Family Caregivers of Stroke Patients: The Role of Self-efficacy and Knowledge about Care (뇌졸중 환자 가족 간호제공자의 불안과 부담감의 예측 요인: 자기효능과 돌봄에 대한 지식을 중심으로)

  • Kim, In-Ja
    • Korean Journal of Adult Nursing
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    • v.24 no.1
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    • pp.1-10
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    • 2012
  • Purpose: Among the sources of anxiety and burden of family caregivers of stroke patients, this study investigated the role of self-efficacy and knowledge about care. Methods: Descriptive and correlational study design was used. One hundred and thirteen subjects were included. They were anticipated family caregivers of stroke patients. All patients were hospitalized at the intensive care unit (ICU) for the first time as a stroke patients. Data of family caregivers were collected during the time that patients were in the ICU with self-reported standardized questionnaire. Pearson's correlation coefficients and regression analysis were used to explore the role of self-efficacy and knowledge. Results: Self-efficacy was correlated with burden, but not with anxiety. Knowledge about care was correlated with anxiety and burden. Only knowledge about care was the significant predictor of anxiety and burden of anticipated family caregivers. Conclusion: The knowledge about care for stroke patients is important especially to the family caregivers who have to care stroke patients for the first time to reduce their anxiety and burden.

Differences in the burden of disease of the elderly by socioeconomic status (노인의 사회계층간 질병부담격차)

  • Lee, Chae-Eun;Kwon, Soon-Man
    • Health Policy and Management
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    • v.18 no.4
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    • pp.1-22
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    • 2008
  • Burden of disease analysis provides a unique perspective on health by integrating fatal and non-fatal outcomes, yet allows the outcome of two classes to be examined separately. Although many studies have shown the inequality in health outcomes across socioeconomic status (SES), an analysis and comparison of Disability Adjusted Life Year (DALY) between different socioeconomic groups has been rare. This paper calculates the DALY and analyzes the distribution of DALYs for different SES. This study draws from 3,278 cases from the survey on "The Livelihood and Welfare Needs of the Elderly (2004)". It first provides a comprehensive assessment of the burden of 10 chronic diseases of the elderly based on DALY. Then this paper analyzes inequalities in the burden of disease by the levels of SES such as education, income, family size, occupation, and subjective economic conditions. For the elderly, the burden of disease is the highest for hypertension, arthritis and cancer. DALY rate per 1,000 people for the most socio-economically disadvantaged group is expressed as a multiple of the standardized rate for the least disadvantaged group (Rate Ratios). Family size is strongly related to. the difference in the burden of disease between SES groups, and the elderly Who live alone have higher DALY rate than those who live with their family. Other significant variables related to SES groups include subjective economic conditions, occupation, elderly income, and household income.

Changes in the Attributable Burden of High Temperatures on Deaths (하절기 기온상승으로 인한 사망의 기여부담 변화)

  • Ha, Jongsik
    • Journal of Environmental Health Sciences
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    • v.38 no.6
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    • pp.460-471
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    • 2012
  • Objectives: Due to global warming resulting from climate change, there has been increasing interest in the relationship between temperature and mortality. These temperature-related deaths depend on diverse conditions related to a given place and person, as well as on time. This study examined changes in the impact of high temperatures on death in summer, using the effect and burden of elevated temperatures on deaths in Seoul and Daegu. Methods: A Poisson regression model was used to estimate short-term temperature effects on mortality. Temperature-related risks were divided into three time periods of equal length (1996-2000, 2001-2005, and 2006-2010). In addition, in order to compare the impact of high temperatures on deaths, this study calculated the proportion of attributable deaths to population, which simultaneously considers the threshold and the slope above the threshold. Results: The effect and burden of high temperatures on deaths is high in Daegu. However, the impact (i.e. the effect and burden) of elevated summer temperatures on deaths has declined over the past 15 years. Sensitivity analyses using alternative thresholds show the robustness of these findings. Conclusion: This study suggests that the attributable burden of high temperatures on deaths to be more plausible than relative risk or threshold for comparing the health impact of high temperatures across populations. Moreover, these results contain important implications for the development or the adjustment of present and future strategies and policies for controlling the temperature-related health burden on populations.