• 보건행정학회지
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• 제30권2호
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• pp.199-210
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• 2020

Background: Based on the importance of ceasing smoking programs to control the regional disparity of smoking behavior in Korea, this study aims to reveal the variation of smoke rate and determinants of it for 229 provinces. An evaluation of the relative efficiency of the cease smoking program under the consideration of regional characteristics was followed. Methods: The main sources of data are the Korean Statistical Information Service and a national survey on the expenditure of public health centers. Multivariate regression is performed to figure the determinants of regional variation of smoking rate. Based on the result of the regression model, clustering analysis was conducted to group 229 regions by their characteristics. Three clusters were generated. Using data envelopment analysis (DEA), relative efficiency scores are calculated. Results from the pooled model which put 229 provinces in one model to score relative efficiency were compared with the cluster-separated model of each cluster. Results: First, the maximum variation of the smoking rate was 16.9%p. Second, sex ration, the proportion of the elder, and high risk drinking alcohol behavior have a significant role in the regional variation of smoking. Third, the population and proportion of the elder are the main variables for clustering. Fourth, dissimilarity on the results of relative efficiency was found between the pooled model and cluster-separated model, especially for cluster 2. Conclusion: This study figured regional variation of smoking rate and its determinants on the regional level. Unconformity of the DEA results between different models implies the issues on regional features when the regional evaluation performed especially on the programs of public health centers.

• Journal of Preventive Medicine and Public Health
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• 제57권3호
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• pp.260-268
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• 2024

Objectives: Regional disparities in cardiovascular care in Korea have led to uneven patient outcomes. Despite the growing need for and access to procedures, few studies have linked regional service availability to mortality rates. This study analyzed regional variation in the utilization of major cardiovascular procedures and their associations with short-term mortality to provide better evidence regarding the relationship between healthcare resource distribution and patient survival. Methods: A cross-sectional study was conducted using nationwide claims data for patients who underwent coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), stent insertion, or aortic aneurysm resection in 2022. Regional variation was assessed by the relevance index (RI). The associations between the regional RI and 30-day mortality were analyzed. Results: The RI was lowest for aortic aneurysm resection (mean, 26.2; standard deviation, 26.1), indicating the most uneven regional distribution among the surgical procedures. Patients undergoing this procedure in regions with higher RIs showed significantly lower 30-day mortality (adjusted odds ratio [aOR], 0.73; 95% confidence interval, 0.55 to 0.96; p=0.026) versus those with lower RIs. This suggests that cardiovascular surgery regional availability, as measured by RI, has an impact on mortality rates for certain complex surgical procedures. The RI was not associated with significant mortality differences for more widely available procedures like CABG (aOR, 0.96), PCI (aOR, 1.00), or stent insertion (aOR, 0.91). Conclusions: Significant regional variation and underutilization of cardiovascular surgery were found, with reduced access linked to worse mortality for complex procedures. Disparities should be addressed through collaboration among hospitals and policy efforts to improve outcomes.

• 보건행정학회지
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• 제26권4호
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• pp.271-278
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• 2016

Background: This study purposed to analyze the relationship between regional obesity rates and regional variables. Methods: Data was collected from the Korean Statistical Information Service (KOSIS) and Community Health Survey in 2012. The units of analysis were administrative districts such as city, county, and district. The dependent variable was the age-sex adjusted regional obesity rates. The independent variables were selected to represent four aspects of regions: health behaviour factor, psychological factor, socio-economic factor, and physical environment factor. Along with the traditional ordinary least square (OLS) regression analysis model, this study applied geographically weighted regression (GWR) analysis to calculate the regression coefficients for each region. Results: The OLS results showed that there were significant differences in regional obesity rates in high-risk drinking, walking, depression, and financial independence. The GWR results showed that the size of regression coefficients in independent variables was differed by regions. Conclusion: Our results can help in providing useful information for health policy makers. Regional characteristics should be considered when allocating health resources and developing health-related programs.

• 보건행정학회지
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• 제28권1호
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• pp.15-22
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• 2018

Background: Health is affected by various local factors. This study aims to investigate the age-standardized mortality variation of Seoul as well as the characteristics of the factors related to the mortality variation. Methods: The Korea Community Health Survey data, Seoul Survey data, Seoul statistics, and e-regional indicators of the National Statistical Office were used. To investigate the basic boroughs standardized mortality variation in Seoul, external quotient, coefficient of variation (CV), and systematic component of variation (SCV) values were suggested; correlation analysis and multiple regression analysis were conducted to investigate the characteristics related to standardized mortality rate. Results: The highest and the lowest standardized mortality rate of Seoul by boroughs had as much as 1.4 times difference; a low level of variation was shown in CV by 8.2; and was shown in SCV by 79. As a result of the multiple regression analysis of the factors that affect standardized mortality variation, the higher the rate of householders with college or higher, the lower the standardized mortality rate, and the higher the high-risk drinking rate, the higher the standardized mortality rate. Of the two, the rate of householder with a degree equivalent or higher than college was shown to have the biggest impact, followed by high-risk drinking rate. Conclusion: We found a variation in age-standardized mortality rate of boroughs in Seoul. The results suggest that policy makers should take into account socioeconomic environmental characteristics of community in developing community-based health promotion rather than focusing on lifestyle changes of residents.

• 보건교육건강증진학회지
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• 제32권3호
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• pp.23-31
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• 2015

Objectives: The contribution of health behavior is high in the mortality variation. Mortality variation can be decreased through the policies and programs for improving health behavior. We investigated that health behaviors effected with standardized mortality in community. Methods: We examined the distribution of health determinant factors and correlation analyzed between factors and performed multiple linear regression. Data were collected from 2012 Community Health Survey in 253 communities, annual regional statistics, and statistics from Statistics Korea. Results: This study defined that the variation of standardized mortality and there are exist inequality level of health determinant factors in 253 communities. This study showed that the higher standardized mortality explained through health behavior factors of the current smoking rate, walking exercise rate and diagnosis of hypertension or diabetes rate after adjusted other factors(adjusted $R^2=0.709$, p<0.001). Conclusions: Smoking, walking exercise and diagnosis chronic disease affecting on the regional variation of standardized mortality. These factors can be improved by the local residents themselves.

• 보건교육건강증진학회지
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• 제33권3호
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• pp.95-107
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• 2016

Objectives: Physical activity is well known as one of the most effective health behaviors for maintaining and promoting health. The purpose of this study was to investigate the regional variation, compositional and contextual factors on physical activities in Korea. Methods: This study analyzed data of 6,353 adults in 4th-1, 2 Korea National Health and Nutrition Examination Survey (KNHANES). Independent variables were compositional factors that included general characteristics, health behaviors, health status, and contextual factors that included physical environment, political environment, and social safety net. Dependent variables were vigorous physical activity, moderate physical activity, and walking activity. Multilevel analysis were used to determine a variation of physical activity between levels of compositional factors and contextual factors. Results: Physical activities of the Korean people were affected by the regional variables. Financial independence and population density were related with moderate physical activity significantly. Population density, school sport or rally spaces, cultural facilities, and social safety concerns were related with walking activity significantly. These variables impacted on physical activities along with variables at the individual level. Variance Partition Coefficient were 9.94% at moderate physical activity and 2.91% at walking activities, respectively. Conclusions: The results suggest that the regional variables should be considered when planning public intervention to promoting physical activities in Korean adults.

• 한국지역지리학회지
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• 제6권3호
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• pp.139-152
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• 2000

본 연구는 남한에서의 25년간의 여름 강수량으로서 Cluster 분석을 행하여 강수의 지역 특성을 밝혔다. 여름의 강수 현상에서 다우 지역은 남해안 경기 북부 영동 지방에 출현하고, 6월의 강수량은 장마전선과 저기압의 영향에 대부분 의존하고, 7월의 것은 장마전선이 주도하고, 8월에는 태풍이 강하게 작용하고, 9월에는 태풍 장마전선 저기압의 영향에 의한다. 월강수량의 증감 경향은 매월 지역적으로 반씩 출현하며, 특히 다우 지역에서 심하다. 증가 경향은 경기 북부와 영동 지방에서 우세하고, 감소 추세는 남해안 지방과 제주도에서 탁월하다. 월강수량의 변동은 다우 지역에서 크고 소우 지역에서 작고, 그리고 9월에 가장 크고 7월에 가장 작다.

• 보건행정학회지
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• 제27권1호
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• pp.56-62
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• 2017

Background: There have been deviations in the regional rate of certification in Korean long-term care insurance (LTCI). This study aimed to explore the determinants of the rate of certification in LTCI. Methods: The panel data of the year 2010-2014 of the 227 National Health Insurance Service (NHIS) regional office were used. Making use of 26 explanatory variables (socio-demographic factors, access to the long-term care services, etc.), we estimated the random effects model using STATA SE ver. 13.0 program (Stata Corp., College Station, TX, USA) and tried to find out the determinants of the regional rate of certification. Results: Estimation results showed that the most important determinants of the regional rate of certification in LTCI are the long-term care infrastructure such as capacity or number of the homecare service institution, sanatorium, or convalescent hospital. The number of the elderly who lives alone and the dimentia patients were positively related to the regional rate of certification in LTCI. Conclusion: The estimation results implied that the regional variation in the rate of certification in LTCI has nothing to do with the NHIS regional offices or their employees. To alleviate the deviation in the regional rate of certification in LTCI, we suggested the analysis of the deviation in the survey checklist. We also proposed to found the regional comprehensive support center to prevent the geriatric illness and to improve the residents' health, etc.

• 한국지리정보학회지
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• 제14권4호
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• pp.182-193
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• 2011

지역 규모에 따른 한국 남부해역 표층 수온의 시 공간적 변동 패턴을 비교하고자 시기적으로는 31년간(1980~2000)의 동계와 하계를, 지역적으로는 남부해역 전체 해역(A 지역)을 비롯하여 제주도를 중심으로 서부 해역(B 지역)과 동부 해역(C 지역) 등 세 해역을 선정하였다. 수온의 시간적 변동 패턴을 위해서는 회귀분석을, 수온의 공간적 변동패턴 분석을 위해서는 수온의 가중평균중심과 표준편차타원체 분석이 각각 적용되었다. 수온의 회귀분석 결과 세 지역에서 두계절 모두 장기적으로 상승하는 경향을 보였다. 하지만 31년 평균수온이 하계에는 세 지역 모두 유사하였지만, 동계에는 C 지역이 B 지역보다 높게 나타났다. 두 계절 수온의 공간적 변동 패턴은 세 지역에서 각기 다름을 보였다. A 지역에서는 동-서 방향, B 지역에서는 남동-북서 방향, C 지역에서는 남서-북동 방향으로 나타났다. 아울러 동계에 수온의 가중평균중심 위치와 평균 수온과의 관계가 A와 B 지역에서는 상관성이 있는 반면, C 지역에서는 상관성이 없게 나타났다. 따라서 수온의 시 공간적 변동패턴 분석 시 지역적 규모를 고려해야 함을 알 수 있다.

• 헤리티지:역사와 과학
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• 제41권1호
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• pp.21-33
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• 2008

충청지역의 다양한 유적의 소토(燒土)에서 구한 34점의 고고지자기 측정데이터를 통해 충청지역의 고고지자기 변동 양상을 살펴보고, 더 나아가 국내에서의 지자기의 지역적인 차이에 대해 검토해 보았다. 충청지역의 고고지자기 측정데이터는 거리상으로 차이가 있는 일본의 고고지자기 변동과의 비교에서 보면, 전체적인 변동 모습은 비슷하나 A.D. 300년경에서는 편각이 동쪽으로 10도 이상 치우치는 현저한 차이를 보이고, 그 이외 시기에서는 복각이 다소 깊어지고 편각이 서쪽으로 약간씩 치우치는 지자기의 지역적인 차이가 확인되었다. 이러한 양상은 우리나라 전체의 고고지자기 변동 양상과 큰 차이가 없으며, 충청지역 데이터와의 직접 비교에서도 국내에서는 서력기원전시기와 기원후 시기 모두 뚜렷한 지자기의 지역차는 확인되지 않았다. 앞으로 더 많은 고고지자기 측정 데이터가 증가하고 다양한 시기의 데이터가 채워지면 더욱 명확해 지겠지만, 충청지역 유적의 고고지자기 측정결과를 통해 볼 때, 지자기의 지역적인 차이에 의해 발생하는 고고지자기 측정연대의 오차와 같은 문제점은 우리나라 내에서는 크게 걱정하지 않아도 될 듯하다. 게다가 시료의 채취와 측정에서 신뢰가 가능한 측정데이터를 구하기 위하여 많은 노력들을 하고 있기 때문에, 고고지자기 측정결과에서 추정연대의 오차문제 뿐만 아니라 데이터의 신뢰도의 측면에서도 문제가 없을 것이라 생각된다.