• Title/Summary/Keyword: hierarchical logistic regression

Search Result 122, Processing Time 0.025 seconds

Factors Affecting Depression in the Elderly Over 65 Years in Korea: Using Andersen's Behavioral Model (한국 65세 이상 노인의 우울증에 영향을 미치는 요인 : 앤더슨 모형을 활용한 융합적 연구)

  • Park, Hyo-Eun;Seo, In Soon
    • Journal of the Korea Convergence Society
    • /
    • v.10 no.8
    • /
    • pp.83-95
    • /
    • 2019
  • The purpose of this study was to comprehensively investigate predictive factors influencing on geriatric depression of the elderly by applying the Andersen's Behavioral Model of Health Service Use,. The research data was focused on the final analysis of 3,585 elderly population aged 65 or older among 21,724 participants in the 6th (2013-2015) Korea National Health and Nutrition Examination Survey. Hierarchical logistic regression analysis was conducted to multivariate analysis method of the variables for possible depression by the Andersen's Behavioral Model of Health Service Use. As a result of hierarchical regression analysis, there was a negative correlation of 0.49 times(0.31-0.78) for males. In addition, there was a positive correlation of pain 1.56 times(1.05-2.31), stress 0.55 times(1.10-2.19), walking exercise 1.44 times(1.03-2.00) and outpatient use 1.48 times(1.10-1.98). Therefore, differentiated support according to the gender of the community residents is necessary, and stress intervention or additional support for exercise is required.

Relationship between Health Risk Behaviors and Toothbrushing among School-Going Adolescents in Poor Urban Areas of Peru (페루 도시 빈민 지역 청소년들의 칫솔질 빈도와 건강위험행동의 관련성)

  • Kim, Yeun Ju;Nam, Eun Woo
    • Journal of dental hygiene science
    • /
    • v.17 no.4
    • /
    • pp.315-322
    • /
    • 2017
  • The aim of this study was to explore the association between daily toothbrushing frequency and health risk behaviors of school-going adolescents in poor urban areas of Peru. A cross-sectional survey was conducted among 959 school-going adolescents 11~19 years of age in poor urban areas of Peru in 2014. Health risk behaviors we assessed in the study were smoking; drinking; consuming sugar-sweetened soft drinks (more than one cup); leisure time activities including watching television, playing games, and using the Internet; and never or rarely handwashing with soap. Daily toothbrushing frequency was divided into two groups (once and twice daily). For statistical analyses, the chi-square test and hierarchical logistic regression were used at 5% level of significance. Of the total respondents, 63 (14.3%) were boys and 53 (10.3%) were girls and 116 (12.1%) engaged in toothbrushing (${\leq}1$ times daily). According to the adjusted logistic regression analysis for socio-demographic characteristics, two behaviors (leisure time use activities, including watching television, playing games, and using the Internet (odds ratio [OR], 2.29; 95% confidence interval [CI], 1.20~4.35), and never or rarely hand washing with soap (OR, 4.09; CI, 2.48~6.75) were statistically associated with toothbrushing frequency (${\leq}1$ times daily). We found two health risk behaviors (leisure time activities, including watching television, playing games, and using the Internet, and never or rarely handwashing with soap) associated with toothbrushing frequency among adolescents in the study area. Thus, oral health promotion programs should consider these health risk behaviors associated with toothbrushing frequency.

A Convergence Study on Influencing Factors of Paid Care Service: Andersen's Behavioral Model (유급 간병서비스 이용 영향요인에 관한 융복합적 연구: Andersen's Behavioral Model)

  • KIM, Han-Kyoul;Kim, Sung Kuk;Shim, Hyun-Jin;Lee, Hee Myung;Rhee, Hyunsill
    • Journal of Digital Convergence
    • /
    • v.15 no.4
    • /
    • pp.327-337
    • /
    • 2017
  • The purpose of this study is to identify the current state of paid care services and to identify the factors that affect the utilization of private nursing services. This study constructed and utilized the Korean Health Panel data (2011-2014) in the form of panel data, and selected 5,110 patients who had experience using one or more hospitalization services per year. STATA 12.0 SE was used for data processing and analysis of this study. Frequency analysis was performed to confirm basic characteristics of hospitalized patients. Cross-analysis and t-test were conducted to confirm the status of paid care services according to characteristics. Respectively. Finally, panel logistic regression was performed by applying a hierarchical method to stepwise modeling the three categories of Andersen's Behavioral Model to identify factors affecting the use of paid care services for inpatients. The results showed that the use of paid nursing services was higher in women, elderly, long - term hospitalized and disabled. On the other hand, significant household income variables in private employment did not show significant results. The results of this study are expected to be used as basic data for the selection of the nursing care integrated services under discussion. In addition, detailed discussions on the selection of subjects should be made in the future.

The Effect of Privacy Concerns on Using Mobile Payment Services: Moderating Effect of Multidimensional Consumer Innovativeness (프라이버시 우려가 모바일 간편결제 서비스 이용에 미치는 영향: 소비자 혁신성의 다차원적 조절효과를 중심으로)

  • Heo, Deok-Won;Sung, Wook-Joon
    • Informatization Policy
    • /
    • v.28 no.1
    • /
    • pp.22-42
    • /
    • 2021
  • The purpose of this study is to investigate the effects of privacy concerns on the use of mobile payment services. In particular, paying attention to the multidimensionality of consumer innovation, we analyzed the effects of hierarchical logistic regression by gender. The results show that there is a positive (+) relationship for hedonic innovativeness regardless of gender, and that there is a negative (-) relationship for functional innovativeness overall and in the female group. In all groups regardless of gender, a positive (+) relationship was found for the hedonic innovativeness, and one negative (-) relationship was found in the functional innovativeness overall group and the female group. Second, in the male group, there is a moderating effect of privacy concerns and functional innovativeness. This suggests that the relationship between privacy concerns and the usage of mobile payment services may vary depending on functional innovativeness. This study is useful in that it can explain and predict consumers' patterns of use of new technology-based services in various and balanced ways by taking privacy concerns and multidimensional consumer innovation into consideration. In addition, it suggests that mobile payment companies should make efforts to ensure that their services are secure, useful, and fun to use so that consumers can feel confident using the services in various situations.

Self-rated Health and Individual Level Social Capital Across the Administrative Sections (행정구역(동.읍.면)에 따른 개인 수준의 사회적 자본과 지각된 건강수준)

  • Lee, Jin-Hyang;Paeng, Ki-Yeong;Kim, Jang-Rak;Jeong, Baek-Geun;Park, Ki-Soo
    • Korean Journal of Health Education and Promotion
    • /
    • v.29 no.2
    • /
    • pp.59-70
    • /
    • 2012
  • Objectives: The purpose of this research is to measure the level of individual social capital, and to reveal the associations between social capital and self-rated health status and how the administrative section(dong, eup, and myeon) might modify the relationships. Methods: This study used the data from Gyeongsangnam-Do health survey (2008). The study subjects were 6,500 adults randomly sampled from 20 counties. Trained interviewers conducted the interviews in the interviewees' houses using structured questionnaires. The association of social capital with self-rated health was analyzed using hierarchical logistic regression. Results: The proportion of trust and social participation were the highest at eup region and the lowest at myeon, The significant social capital associated with self-rated good health were both social participation and trust in the subgroups of dong. The significant social capital associated with self-rated good health were social participation and trust in the subgroups of eup. The significant social capital associated with self-rated good health was trust in the subgroups of myeon. Conclusions: This study highlights that self-rated good health was associated with social capital measured by social participation and trust, and the direction is different in the administrative section. But, health policy encouraging social capital to improve health should be considered.

Determinants of Mental Health Care Utilization in a Suicide High-risk Group With Suicidal Ideation

  • Kim, Hyun-Soo;Lee, Moo-Sik;Hong, Jee-Young
    • Journal of Preventive Medicine and Public Health
    • /
    • v.49 no.1
    • /
    • pp.69-78
    • /
    • 2016
  • Objectives: The suicide rate in Korea is increasing every year, and is the highest among the Organization for Economic Cooperation and Development countries. Psychiatric patients in particular have a higher risk of suicide than other patients. This study was performed to evaluate determinants of mental health care utilization among individuals at high risk for suicide. Methods: Korea Health Panel data from 2009 to 2011 were used. Subjects were individuals at high risk of suicide who had suicidal ideation, a past history of psychiatric illness, or had utilized outpatient services for a psychiatric disorder associated with suicidal ideation within the past year. The chi-square test and hierarchical logistic regression were used to identify significant determinants of mental health care utilization. Results: The total number of subjects with complete data on the variables in our model was 989. Individuals suffering from three or more chronic diseases used mental health care more frequently. Mental health care utilization was higher in subjects who had middle or high levels of educational attainment, were receiving Medical Aid, or had a large family size. Conclusions: It is important to control risk factors in high-risk groups as part of suicide prevention strategies. The clinical approach, which includes community-based intervention, entails the management of reduction of suicidal risk. Our study identified demographic characteristics that have a significant impact on mental health care utilization and should be considered in the development of suicide prevention strategies. Further studies should examine the effect of mental health care utilization on reducing suicidal ideation.

Factors Affecting Opinions on Marriage of Unmarried Women in Their 30's in Korea: Based on 2012 Social Survey (한국 30대 미혼여성의 결혼견해 영향요인: 2012 사회조사 기반)

  • Lee, Sung-Hee;Gweon, Hyun-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.16 no.1
    • /
    • pp.606-616
    • /
    • 2015
  • This study was conducted in order to identify factors affecting opinions on marriage of unmarried women in their 30's in Korea. Analysis of data on 529 unmarried women in their 30's, which were taken from the 2012 social survey, was analyzed. Data were analyzed using ${\chi}^2$ test, hierarchical logistic regression analysis as well as descriptive statistics by SPSS version 20.0. Results showed that age(Exp(b)=.90,p=.025), opinions on divorce(Exp(b)=3.81,p<.001) and remarriage(Exp(b)=3.09,p=.001), and value on marriage(Exp(b)=.80,p<.001) were independent predictors of opinions on marriage. Economic activity(Exp(b)=19.58,p=.003) was found to be an independent predictor of opinions on marriage for the 35-39 year old women differ from 30-34 year old women predictors. Findings of this study indicate a need for developing family and marriage value-centered education and the low-fertility policy for the 35-39year old actively working women considering factors affecting opinions on marriage.

Implementation of Smoke-free Legislation in Malaysia: Are Adolescents Protected from Respiratory Health Effects?

  • Zulkifli, Aziemah;Abidin, Najihah Zainol;Abidin, Emilia Zainal;Hashim, Zailina;Rahman, Anita Abd;Rasdi, Irniza;Syed Ismail, Sharifah Norkhadijah;Semple, Sean
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.12
    • /
    • pp.4815-4821
    • /
    • 2014
  • Background: This study aimed to examine the relationship between respiratory health of Malaysian adolescents with secondhand smoke (SHS) exposure and smoke-free legislation (SFL) implementation. Materials and Methods: A total of 898 students from 21 schools across comprehensive- and partial-SFL states were recruited. SHS exposures and respiratory symptoms were assessed via questionnaire. Prenatal and postnatal SHS exposure information was obtained from parental-completed questionnaire. Results: The prevalence of respiratory symptoms was: 11.9% ever wheeze, 5.6% current wheeze, 22.3% exercise-induced wheeze, 12.4% nocturnal cough, and 13.1% self-reported asthma. SHS exposure was most frequently reported in restaurants. Hierarchical logistic regression indicates living in a comprehensive-SFL state was not associated with a lower risk of reporting asthma symptoms. SHS exposure in public transport was linked to increased risk for wheeze (Adjusted Odds Ratio (AOR) 16.6; 95%confidence interval (CI), 2.69-101.7) and current wheezing (AOR 24.6; 95%CI, 3.53-171.8). Conclusions: Adolescents continue to be exposed to SHS in a range of public venues in both comprehensive- and partial-SFL states. Respiratory symptoms are common among those reporting SHS exposure on public transportation. Non-compliance with SFL appears to be frequent in many venues across Malaysia and enforcement should be given priority in order to reduce exposure.

Association between Awareness of Nutrition Labels and Menstrual Cycle Irregularity in Korean Women: The Fifth Korea National Health and Nutrition Examination Survey (2010~2012)

  • Yoo, Hae Young;Ryu, Eunjung;Kim, Ji-Su;Han, Kyung-do
    • Journal of Korean Academy of Nursing
    • /
    • v.47 no.1
    • /
    • pp.133-141
    • /
    • 2017
  • Purpose: The aim of this study was to identify the relationship between awareness of nutrition labeling and menstrual cycle irregularity in women from a nationally representative sample of the Korean population. Methods: A cross-sectional analysis was performed using hierarchical multi-variable logistic regression analysis models. A total of 4,324 women aged 19~54 years from the 2010~2012 Korean National Health and Nutrition Examination Survey participated in the study. The participants were classified into three groups based on self-report responses to a questionnaire about their awareness of nutrition labels: Reading, Not-Reading, and Not-Knowing Groups. Results: The Reading, Not-Reading, and Not-Knowing Groups comprised 46.4%, 44.9%, and 8.7% of the participants, respectively, and 53.6% of the participants had never used nutrition labels. In the Not-Knowing Group, irregular menstrual cycles for more than 3 months were significantly more common than women with irregular menstrual cycles for up to 3 months and women with regular menstrual cycles. Women in the Not-Knowing Group were more likely to exhibit menstrual cycle irregularity (adjusted odds ratio: 1.63, 95% confidence interval: 1.10~2.41) compared to women in the Reading Group after adjusting for age, body mass index, smoking status, alcohol intake, exercise regularity, stress, depression, suicidal ideation, metabolic syndrome, age at menarche, parity, and use of oral contraceptives. Conclusion: No awareness of nutrition labeling appears to be associated with a higher prevalence of menstrual cycle irregularity in a nationally representative group of Korean women.

Community Health Convergence through Analysis of Chronic Disease Influencing Factors -Focusing on 30-40s Adults in Sejong City- (만성질환 영향요인 분석을 통한 지역사회 건강융합 -세종특별자치시 30-40대를 중심으로-)

  • Lee, Mi-Kyoung;Jo, Ahra;Lim, Sun-Og
    • Journal of the Korea Convergence Society
    • /
    • v.8 no.5
    • /
    • pp.127-135
    • /
    • 2017
  • The study was investigated for verifying the rate of diagnosis influencing factors for chronic diseases the people living in the Dong and Myeon in Sejong city. This study was secondary analysis based on the data from the Community Health Survey(2013-2015), totaling 1,067 people. The data were analyzed using a hierarchical logistic regression. The results showed that the probability of getting diagnosed with chronic diseases was 7.34 times higher for men than for women in the people living in the Dong. Also the group with less than three days of walking was 2.2 times higher than the other group who walked more than 3days. However, smoking group in the people living in the Myeon was 1.19 times higher than non-smoking group. As a result of the study, it was confirmed that it is necessary to develop a differentiated chronic disease prevention health care program adequate to Sejong city dweller.