• Research in Community and Public Health Nursing
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• v.31 no.spc
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• pp.549-562
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• 2020

Purpose: This study aimed to identify individual- and regional-level factors associated with perceived good health and multimorbidity among older adults. Methods: Secondary analysis of the 2017 Korea Community Health Survey was conducted on a sample of 67,532 older adults. The individual level data set was combined with regional-level factors from the administrative data released on the Korea National Statistical Office website. Distribution of perceived good health and multimorbidity in 254 public health centers were calculated using sampling weights and presented as percentages. Multilevel logistic regression analyses were used to identify individual- and regional-level factors associated with perceived good health and multimorbidity. Results: Overall, 21.1% of subjects perceived their health to be good, ranging from 9.3% to 39.4% by region. The prevalence of multimorbidity was 15.9%, and varied between 6.6% and 22.6% by region. At the individual level, perceived good health was associated with men, younger age, higher educational levels, higher income levels, and those married and living with a partner and maintaining a healthy lifestyle. At the regional level, higher rates of health center personnel among public officials and higher levels of financial independence were associated with perceived good health. Multimorbidity was associated with marital status and healthy lifestyle, and higher rates of health center personnel among public officials. Conclusion: Regional factors such as health care personnel and local economy could affect population health. Our findings suggest the need to consider individual- and regional-level factors to promote good health among older adults and reduce the health gap by region.

• Health Policy and Management
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• v.32 no.1
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• pp.63-72
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• 2022

Background: Depression is a common disease around the world. Many studies are showing that mental health can be improved through physical activity, and daily regular exercise can reduce the negative effects of depression or depressive symptoms. In order to promote individual physical activity, a physical activity-friendly environment must precede. Therefore, this study attempted to confirm whether the number of sports facilities for all affects individual depression. Methods: Among the respondents to the 2018 Community Health Survey, data from 181,086 people excluding missing value were used. Descriptive and chi-square tests were performed to understanding the general characteristics of individual level variables. A multilevel logistic regression was conducted to confirm the effect of individual and regional level variables on depressive symptoms. Results: As a result of confirming the effect of individual characteristics on depressive symptoms, it was confirmed that both socioeconomic and health behavior factors had an effect. Similar results were shown in a model that considered regional level variables, and in the case of the number of sports facilities per population, people who belongs to smaller areas were more likely to have depressive symptoms (odds ratio, 0.98; 95% confidence interval, 0.97-0.99). Conclusion: As a result of the analysis, it was confirmed that both individual level and regional level variables had a significant effect on depressive symptoms. This suggests that not only individual level approaches but also regional level approaches are needed to improve individual depressive symptoms In particular, it may be possible to consider to increase the number of sports facilities in areas where the prevalence of depressive symptoms is high and the number of sports facilities is insufficient.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.36 no.1
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• pp.19-26
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• 2023

Because of the development of computational resources, an entire structure in which many components are combined can be analyzed. To do so, the calculation time and number of data points are increased. In many practical industry structures, there are many parts with repeated patterns. To analyze the repetitive structures effectively, a homogenization method is usually employed. In a homogenization module, including commercial programs, it is generally assumed that a unit cell is repeated in all directions. However, the practical industry structures usually have complicated, repeated patterns or structures. Complicated patterns are difficult to address using the conventional homogenization method. Therefore, in this study, a multilevel homogenization method was devised to consider complex regularities. The proposed homogenization method divides the structure into several areas and performs multiple homogenizations, resulting in a more accurate analysis than that provided by the previous method.

• Earthquakes and Structures
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• v.15 no.2
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• pp.215-225
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• 2018

To reach a better foundation treatment project, an optimized analysis of composite foundation was studied in the field of hydraulic engineering. Its unique characteristics in hydraulic engineering were concluded. And, the overall and detailed analysis of the composite foundation model established was carried out. The index parameters of the vertical reinforced rigid pile composite foundation were formulated. Further, considering the unique role of cushion in hydraulic engineering, its penetration and regularity were analyzed. Then, comparative and optimized analyses of cushion multistage physical dimensions and multistage material characteristics were established. The parameters of the piles distance were optimized and the multilevel scientific and reasonable parameters information was obtained. Based on the information of these parameters, the practical application was verified. It effectively supported the effective application of vertical reinforcement rigid pile composite foundation in hydraulic engineering. The service mechanism of composite foundation was fully analyzed.

• International conference on construction engineering and project management
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• 2015.10a
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• pp.294-298
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• 2015

In the United States, the completion of Construction Work Zone (CWZ) impact assessments for all federally-funded highway infrastructure improvement projects is mandated, yet it is regarded as a daunting task for state transportation agencies, due to a lack of standardized analytical methods for developing sounder Transportation Management Plans (TMPs). To circumvent these issues, this study aims to create a spatiotemporal modeling framework, dubbed "SWAT" (Spatiotemporal Work zone Assessment for TMPs). This study drew a total of 43,795 traffic sensor reading data collected from heavily trafficked highways in U.S. metropolitan areas. A multilevel-cluster-driven analysis characterized traffic patterns, while being verified using a measurement system analysis. An artificial neural networks model was created to predict potential 24/7 traffic demand automatically, and its predictive power was statistically validated. It is proposed that the predicted traffic patterns will be then incorporated into a what-if scenario analysis that evaluates the impact of numerous alternative construction plans. This study will yield a breakthrough in automating CWZ impact assessments with the first view of a systematic estimation method.

• Korean Journal of Health Education and Promotion
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• v.30 no.3
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• pp.59-73
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• 2013

Objectives: The study is aimed at examining the individual reasons and regional/environmental factors of online search on suicide using social big data to predict practical behaviors related to suicide and to develop an online suicide prevention system on the governmental level. Methods: The study was conducted using suicide-related social big data collected from online news sites, blogs, caf$\acute{e}$s, social network services and message boards between January 1 and December 31, 2011 (321,506 buzzes from users assumed as adults and 67,742 buzzes from those assumed as teenagers). Technical analysis and development of the suicide search prediction model were done using SPSS 20.0, and the structural model, nd multi-group analysis was made using AMOS 20.0. Also, HLM 7.0 was applied for the multilevel model analysis of the determinants of search on suicide by teenagers. Results: A summary of the results of multivariate analysis is as follows. First, search on suicide by adults appeared to increase on days when there were higher number of suicide incidents, higher number of search on drinking, higher divorce rate, lower birth rate and higher average humidity. Second, search on suicide by teenagers rose on days when there were higher number of teenage suicide incidents, higher number of search on stress or drinking and less fine dust particles. Third, the comparison of the results of the structural equation model analysis of search on suicide by adults and teenagers showed that teenagers were more likely to proceed from search on stress to search on sports, drinking and suicide, while adults significantly tended to move from search on drinking to search on suicide. Fourth, the result of the multilevel model analysis of determinants of search on suicide by teenagers showed that monthly teenagers suicide rate and average humidity had positive effect on the amount of search on suicide. Conclusions: The study shows that both adults and teenagers are influenced by various reasons to experience stress and search on suicide on the Internet. Therefore, we need to develop diverse school-level programs that can help relieve teenagers of stress and workplace-level programs to get rid of the work-related stress of adults.

• Journal of Preventive Medicine and Public Health
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• v.39 no.1
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• pp.30-38
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• 2006

Objectives: We examined whether the neighborhood socioeconomic position predicts the smoking rates after adjusting for individual socioeconomic position indicators. Methods: Data were obtained from the 2001 Seoul Health Indicators Survey. The neighborhood socioeconomic position was the residential distribution of the high class (power elites), as measured by the location quotients (LQ) for each administrative dong (district). A high LQ denotes a high neighborhood socioeconomic status. The individual socioeconomic position included education, occupation and income. Age-adjusted smoking rates according to the LQ level were computed with the direct method. The total number of subjects in this study (26,022 men and 28,007 women) was the reference. A multilevel logistic regression analysis was conducted with the individuals at the first level and the neighborhoods at the second level to estimate the odds ratios of smoking with 95% confidence intervals. Results: For men, the age-adjusted smoking rates increased with a decrease in the LQ. For women, the relationship between the age-adjusted smoking rate and the LQ was not clear. The odds of smoking for both genders were greater among those subjects with lower incomes and lower education. The manual occupational class had greater odds of smoking than the non-manual class for the males, while the odds ratio of smoking among females with a manual occupation tended to be lower than those females with a non-manual occupation. For the males, the LQ levels independently predicted smoking after adjustment for individual income. However, this relation between the LQ and smoking in males was explained by full adjustment for the individual socioeconomic position indicators (education, occupation and income). Conclusions: A low level of neighborhood socioeconomic position was associated with higher smoking rates among the men residing in Seoul. This association between the neighborhood socioeconomic position and smoking in men was explained by the individual socioeconomic position. Anti-smoking efforts to reduce geographical inequality in smoking should be directed at reducing the smoking rates between the individuals with different socioeconomic backgrounds in the metropolitan city of Seoul, South Korea.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.10
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• pp.119-130
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• 2016

This study was conducted to investigate the effects of individual patient behavior regarding health and medical care level on doctor's diagnoses of hypertension. A X2-test was used to compare therapeutic compliance in individual characteristics and two-stage multilevel logistic regression to identify community variance of the related index of high blood pressure therapeutic compliance using data from 229,229 adults over the age of 19 in a community health survey conducted in 2010. The experience rate of doctors' diagnoses of hypertension was higher for people of older age, higher level of education, higher BMI, and among heavy drinkers (no recipients of basic living). Furthermore, there was a higher rate for those visiting health and medical institutions, having more frequent checks of blood pressure in a month, having a higher stress level, and having depression. Among paid workers, the ratio was lower for employers and owner/operators with more daily exercise (such as walking), infrequent smokers, and private health insurance holders. Doctor's diagnoses of hypertension was affected by individual health behavior and health and medical care level. Further studies employing multilevel analyses considering regional level data should be conducted in the future.

• Tribology and Lubricants
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• v.25 no.5
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• pp.335-341
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• 2009

Elastohydrodynamic lubrication (EHL) analysis shows that film thickness is very flat in the contact area and pressure distribution is somehow similar to that of Hertzian contact pressure except the outlet region with pressure spike. These typical patterns of EHL film thickness and pressure are the cases under the steady contact conditions of applied loads and speeds. However, many engineering contacts are rather under the conditions of varying loads and contact speeds, and therefore the predictions for endurance life and performance of machine elements with steady EHL analysis are not suitable in many occasions. This study shows the differences in film thickness formation and pressure distribution between steady and transient contact conditions in several contact cases.

• Proceedings of the Korean Operations and Management Science Society Conference
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• 1994.04a
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• pp.715-725
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• 1994

The objective of this research is to develop a cost model for integrated CAD system. A computerized system realizing this model then is used to aid designers. The first area is to propose a conceptual framework of a multilevel cost model. The methodology of constructing the model is discussed. Then suggestion of an object oriented programming technique for implementing the model is presented. Complicate estimation procedure can be systematically handled by this technique. Interval analysis to deal with the uncertainty of information and decision during design process is used. An experimentation algorithm for calculating the cost distribution is proposed to overcome the shortcoming of interval analysis. Major focus of this research is on net shape manufacturing processes including die casting, injection molding, and metal forming.