• 농촌의학ㆍ지역보건
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• 제19권2호
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• pp.159-173
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• 1994

Since the establishment of health centers in the 1960s, the centers have been played an important role in providing basic health care for the people. Although the health centers made a great effect to prevent diseases and promote the health status of the people for the last three decades, the function of health centers should be strengthened to meet the health care need of individual, family and community. Over the last ten years, there have been great changes and developments in health related environments, such as population size and age, rapid urbanization, up-grading of the educational level, increase of income, health care demand for promotive health care measures and practical measures for chronic diseases and also practicing healthy life. According to the great changes in health related environments, the health centers should be reformed. The following policy options are recommended as a summary; First, the function of health centers should be converted from providing basic health services into promotive and preventive health care services, to meet changing needs of people. Second, the health center personnel should be reinforced for their competency to provide a qualitative services to people and also the operation of health center should be reactivated. Third, a close linkage of health centers with the private sector is an essential requirement for the operation of the health care delivery system within a health district in order to improve the health status of people. Fourth, type of manpower mix, scope of organization and health care program should be varied, based on the health care needs of people, geographical characteristics and size of population etc. Fifth, a comprehensive health care delivery system should be developed, for maintaining healthy life style of people and also the health and welfare services should be integrated in order n ensure an effective service.

• 한국융합학회논문지
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• 제9권6호
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• pp.117-124
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• 2018

국민건강영양조사 제 6기(1, 2, 3차 년도) 원시자료를 이용하여 성인의 건강행태 및 요검사 수치와 치주염과의 융합적 영향요인을 분석하고자 하였다. 연구대상은 구강검진 내용과 요당, 요케톤 등의 요검사 수치가 있는 중년층 만 40세 이상을 대상자로 선정하였고, SPSS(SPSS 18.0 for Windows, SPSS Inc, USA)를 사용하여 최종 11,036명을 분석하였다. 인구사회학적 특성, 건강행태 및 요검사 수치와 치주염 유무 차이, 영향요인을 분석하기 위하여 교차분석(${\chi}^2-test$), 로지스틱 회귀분석을 하였다. 요검사 수치와 치주염 유병 관련성에서는 요당 양성, 단백뇨의 경우에서 통계적으로 유의 차이가 있었다. 위험요인으로는 남성, 연령, 소득과 교육수준, 농촌, 흡연, 비만일 경우, 요당 양성일 경우로 나타났다. 이상의 결과로 건강행태의 개선과 전신질환 요인들의 적극적인 관리가 필요하고 만성병인 치주염의 관리 및 예방 프로그램 개발이 이루어져야할 것이다.

• 대한가정학회지
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• 제29권3호
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• pp.247-261
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• 1991

This Study is designed to present the concret data on the contents of the economic role and their change in the recent decade among women in a Korean Village. The Case Study method was used and the data was obtained through the participant observation. This Study is composed of the three parts. The first part deals with the effect of the agricultural mechanization upon the agricultural labor pattern of women. The second part examines how the introduction of a golf course and the textile factory in the vinicity affects the labor pattern among village women. The last part tries to demonstrate that the increasing contribution of women to the village economy has not yet produced any positive effect to their social status in the village. This is seen through the detailed description of two important village activities, one social(Tae dong-Gae) and the other ritual (Mokshinjae). The Results of the Study can be summarized as fallows. Firstly, the mechanization of farming is responsible for the increasing marginalization of women's labor in farming. This is particularly true for rice cultivation. Horticulture is still cultivated by women. As the mechanization progresses further, this trend will be more articulated. Secondly, it is found that women are actively utilizing the new external economic opportunities. In fact they are found to prefer those non-farming works to the traditional farming work. The former offers them less burdened work, less working hours, and more income than the letter. Lastly, women are found to be completely excluded from the process of the two important village activities. Only men are participants in them, and women only provides the labor for preparation of food and the necessary chores.

• Journal of Preventive Medicine and Public Health
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• 제51권5호
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• pp.227-233
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• 2018

Objectives: Chronic diseases, including back pain, result in significant patient morbidity and societal burden. Overall improvement in physical fitness is recommended for prevention and treatment. Walking is a convenient modality for achieving initial gains. Our objective was to determine whether neighbourhood walkability, acting as a surrogate measure of physical fitness, was associated with the presence of chronic disease. Methods: We conducted a cross-sectional study of prospectively collected data from a prior randomized cohort study of 227 patients referred for tertiary assessment of chronic back pain in Ottawa, ON, Canada. The Charlson Comorbidity Index (CCI) was calculated from patient-completed questionnaires and medical record review. Using patients' postal codes, neighbourhood walkability was determined using the Walk Score, which awards points based on the distance to the closest amenities, yielding a score from 0 to 100 (0-50: car-dependent; 50-100: walkable). Results: Based on the Walk Score, 134 patients lived in car-dependent neighborhoods and 93 lived in walkable neighborhoods. A multivariate logistic regression model, adjusted for age, gender, rural postal code, body mass index, smoking, median household income, percent employment, pain, and disability, demonstrated an adjusted odds ratio of 2.75 (95% confidence interval, 1.16 to 6.53) times higher prevalence for having a chronic disease for patients living in a car-dependent neighborhood. There was also a significant dose-related association (p=0.01; Mantel-Haenszel chi-square=6.4) between living in car-dependent neighbourhoods and more severe CCI scores. Conclusions: Our findings suggest that advocating for improved neighbourhood planning to permit greater walkability may help offset the burden of chronic disease.

• 농촌지도와개발
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• 제19권3호
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• pp.551-579
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• 2012

This case study aims to explore how RDA PLA model affects the agri-SMEs' empowerment. As an agri-business management renovation program from main workshop it was conducted on March to December 2011 with agri-SMEs and extension officials nationwide by RDA. Especially, as a packaged action learning process in the model used participatory action research. This study collected data with participants observation, interviews, situational analysis and systematic review of discourse in qualitative method. For the validity and identifying empirical results, this study used statistic analysis as a mixed method. Further including various pedagogic methods and business coaching skills, this model was conducted from workshop in RDA, in turn, on-farm business coaching as follow-up, CoPs' activities, and local ATCs extension services by each actors. The dynamic process and effects of each process led some change for farmers' innovative knowledge, skills, attitude, practice and aspiration on their farm business. RDA PLA model development based on the previous practices and research, which provided a configurated picture in the holistic action learning process. In statistic research, this study focused on 279 farmers as respondents who had participated in the program. It shows that their income and benefits increased from their renovative practices on farm business. Following the sampling group, it was surveyed by four indicators - products, customer, quality and cost. The level of contribution of education on economic impact 15% is quoted from previous paper. Even in some limitations of public sector, RDA PLA model actively suggests the paradigm shift of agricultural HRD and development of alternative extension-service system.

• 농촌의학ㆍ지역보건
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• 제43권3호
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• pp.147-157
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• 2018

본 연구는 취약계층노인의 건강정보원 탐색현황파악하고, 인구사회학적 특성을 통제한 상태에서 건강정보원의 탐색정도가 건강정보 이해능력에 미치는 정도를 파악하고자 하였다. 연구수행을 위해 지역사회의 종합사회복지관에 방문하는 200명의 취약노인을 대상으로 설문조사를 실시하여 이루어졌다. 설문조사의 분석방법으로는 빈도분석, 교차분석 및 다중로지스틱회귀분석을 사용하였으며 IBM SPSS 24.0을 활용하여 분석하였다. 본 연구의 결과 취약노인계층의 건강정보원탐색 중 인터넷을 통한 탐색이 극히 적음을 확인했다. 그리고 월별수입(OR=2.201, p<.05)과 건강정보원 탐색정도(OR=2.989, p<.01)는 건강정보이해능력에 유의미한 영향을 미치는 것으로 나타났다. 이 결과는 노인들의 건강정보 이해능력의 향상을 위해 건강정보 탐색의 전략이 필요함을 시사하며, 향후 노인들의 건강정보 이해능력 향상 프로그램개발에 활용될 수 있을 것으로 사료된다.

• 보건행정학회지
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• 제19권4호
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• pp.66-77
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• 2009

This study aims to examine the effect of socioeconomic status (hereafter, SES) on healthcare utilization of the patients with rare and incurable diseases. Information of 2,973 patients who were self-employed insured and utilized healthcare service in 2007 was drawn from the National Health Insurance (hereafter, NHI) claim data. SES was set as four groups based on the monthly contribution. Outcome variable was the expense for outpatient and in-hospital services, which was log-transformed and square-rooted in oder to obtain normal distribution. Covariates included age, gender, residence and diagnosis. To examine the effects after controlling for covariates, we employed generalized estimating equation model, since patients with the same diagnosis are likely to have similar characteristics of demographics and healthcare utilization. Univariate statistics showed that lower SES was associated with less utilization of healthcare services. After controlling for covariates, a significantly smaller amount of money was expended for the lowest SES group compared to the highest one. Rural residence was associated with less utilization, except that residents in Seoul significantly more utilized outpatient services in tertiary hospitals. Considering that there is a subsidy program for the low income patients, such differences in healthcare utilization according to SES seems to result from the burden of out-of-pocket payments for uncovered services of the NHI.

• 한국생활과학회지
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• 제9권3호
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• pp.297-315
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• 2000

The purpose of this study is to provide the basic data for the leisure space planning desirable for adolescents through survey on their using leisure space. Four hundred sixty-six middle and high school students living in Chongju city, Gwesan-gun and Eumsung-gun responded the first basic questionnaire and 160 students among them answered again the second questionnaire for more information on the site of leisure space they want. Frequency, percentage, $x^2-test$ and Multi-Dimensional Scale were methods of analysis. The results are as follows. Adolescents are wasting their leisure time because of insufficient facilities for productive activities. They use the time, when observed in one week, roaming around downtown, studying in off-school academies, visiting shops and playing in the game rooms. And when observed in a month, they use time meeting friends in coffee shops, visiting restaurants, studying in the libraries, playing in the ground and visiting sports facilities. Adolescents' leisure time were different according to sex, age, father's educational level, mother's occupation, household income, and living area. Students hoped the leisure spares to be located in the neighborhood where they can access easily, and facilities they wanted were small shop-buildings, game rooms, off-school academies, schools, sports facilities, studying moms and libraries. It is necessary that adolescents have opportunities to learn how to use their leisure time healthy in the leisure space. And consideration on adolescents living in the remote rural area have to be dealt importantly in the beginning of various planning.

• 환경영향평가
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• 제18권6호
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• pp.461-467
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• 2009

This paper provides two case studies of environmental impacts with socio-economic values. The first case is on flood protection levees conducted from 2003 to 2004 in Phu Tan district, An Giang province. The impacts were found by comparing full flood protection levees area (FFPL) to non-full flood protection levees area (NFFPL). Participatory Rural Appraisal (PRA) tools per each group of rich, middle, and poor people were used to list the impacts. Then, major impacts were selected by ranking and interviewing 60 households per site, and assessed by Cost Benefit Analysis (CBA) in rice production from 1996 to 2002 between two areas. The tested research indicated moving system of NFFPL to that of FFPL lost about 11 million VND/ha/year. The second case is on impacts of Penaeid shrimp farming conducted in Duyen Hai District, Tra Vinh Province in 2004-2005. Ninety households and 12 local officials were interviewed. Four PRAs were conducted and 36 water samples were taken inside and outside shrimp pond to measure values of DO, COD, Fe total, TSS, N-$NO_3{^-}$, N-$NH_4{^+}$, P-$PO{_4}^{3-}$, and Chlorophyll-a. Research results showed only 36.7% of the households got profit from shrimp farming. Highest financial efficiency was 0.72 for the semi-intensive system. Tested water indicators showed surface water quality did not match Vietnamese standard for surface water in coastal area (TCVN 5943-1995) and in rain. The water was very muddy and contaminated by organic aluminum. Summarily, the impacts were clarified more obviously via adding socio-economic values to assessment. Importantly, the values were transformed to household's income which is an indicator for policy-makers to consider the impacts obviously. Besides, data of different group of people impacted are cases contributing to consideration of the impacts in an appropriate social level.

• 지역연구
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• 제8권1호
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• pp.1-29
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• 1992

The major purpose of this paper is to examine two closely related issues. An attempt is made here to examine internationally high land price in Korea from the perspectives of market fundamentals (MF) and bubble theory, respectively. Another theoretical issue, whether land speculation can result in market failure, is also examined. It has been concluded that the primary causes for the rapid increases in land prices in Korea, could be found in the perspective of MF. (1) The financial intermediaries has been controlled by the government since 1960s. Real Interest rates in the commercial banks has been controlled at the level of zero or sometimes negative; scarce financial resources has been rationed by the government. The governmental control of the bands has also resirained the development of securities market. Money, which can not find the appropri opportunity for saving in financial market, moves to land market. (2) Socially created land value, based on rapid economic gorwth and big public investment, has been appropriated mainly by the private: The effective tax rate of land holding tax has been under 0.02 percent; Real Estate Capital Galns Tax has, in fact, affected few persons, mainly because examptions and preferential taxation have been widely permitted. (3) The government has ploaced severe limitations on rural-to-urban land conversion, although the demand for urban uses has repidly grown. All factors above caused the cyclical land speculation. This, in turn, created the myth that land prices will inevitably continue to rise. Based on the myth, the growing bubble in land price has been created. This is the secondary reason for high land price relative to income in Korea. It is also shown that it is possible that speculation in land results in market failure because land is fixed in quantity and can be used for production and speculation purposes simultaneously.