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Analysis of the Health Expenditure and Medical Usage Difference of the Baby Boomers between Male and Female: Depression as a Mediators (베이비붐세대의 남녀 간 의료비 지출 및 의료이용 차이: 우울을 매개변수로)

  • Jeong, Ji Yun;Jeong, Jae Yeon;Cha, Sun Jung;Lee, Hae Jong
    • Health Policy and Management
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    • v.29 no.2
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    • pp.160-171
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    • 2019
  • Background: This study purposed to compare the difference on medical utilization and health expenditure of baby boomer generation by depression between gender. Methods: Korea Welfare Panel Survey 2016, provided by the Korea Institute for Health and Social Affairs, was used for the analysis. For the research, we used the two-part model, yes or no of use (part 1), and frequency of use (part 2) for medical utilization. The dependent variables are the whether or not to use of hospitalization services, outpatient services, length of stay, outpatient service visits, and health expenditure. And the independent variables are used as the predisposing (education, spouse presence), enabling (insurance type, private insurance, economic activity, income), and need (chronic disease, self-rated health, disability) factors in the Andersen behavior model. Depression was used as intervening variables. Structural equation model and multiple group analysis by gender were used. Results: There were differences in the medical care usage and cost between men and women in baby boomer. For men, mediating effects of depression were present at the hospitalization (yes/no), length of stay, and health expenditure. On the other hand, for women, the mediating effect of depression was found only at the outpatient visits. Specially, depression was working at the medical services by the different way between gender. The size of effect (multiple group analysis) was affected by significant differences between men and women. Conclusion: This study found that the mediating effect of depression is increased medical usage and health expenditure and the effect factors are different by gender. Therefore, it is necessary to establish a medical care policy considering the socio-economic characteristics of baby boomers.

Development of portal web service contents for nursing students' career search (간호대학생 진로 탐색을 위한 통합 인터넷 정보망 콘텐츠 개발)

  • Kim, Jeong-Guk;Lee, Soo-Kyoung
    • Journal of Digital Convergence
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    • v.17 no.7
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    • pp.245-254
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    • 2019
  • The purpose of this study is to develop portal web contents for nursing student's career search. The portal web contents named 'Nurse Dream' was designed and developed by using 134 nursing students' survey data and referring to expert consultation. 97.0% of respondents expressed intention of using website or application for career search if it is completed. What they want to know was 'income(19.0%)', 'qualifications for job(18.0%)', 'path to job(18.0%)'. With survey analysis and expert consultation, 'Nurse Dream' was designed to have various categories including 'Nurse Career Guidance', 'Nurse Recruitment'. Developing portal web contents suggests that it is possible for nursing students to get enough information for career search and enhance career satisfaction, which is likely to give them positive impact.

Association of Congestive Heart Failure and Death with Ankylosing Spondylitis : A Nationwide Longitudinal Cohort Study in Korea

  • Bae, Ki Hwan;Hong, Je Beom;Choi, Yoon Jin;Jung, Jin Hyung;Han, In-Bo;Choi, Jung Min;Sohn, Seil
    • Journal of Korean Neurosurgical Society
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    • v.62 no.2
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    • pp.217-224
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    • 2019
  • Objective : We attempted to discover that Ankylosing spondylitis (AS) has a comprehensive relationship with congestive heart failure and death. Methods : We used a nationwide database managed by the Korean National Health Insurance Service from 2010 to 2014. Twelve thousand nine hundred eighty-eight patients with a diagnosis of AS and 64940 age- and sex- stratified matching subjects without AS were enrolled in the AS and control groups. Incidence probabilities of 6 years congestive heart failure and death in each group were calculated. The Cox proportional hazard regression analysis was used to estimate the hazard ratio. We divided the AS and control groups into subgroups according to sex, age, income, and comorbidities. Results : During the follow-up period, 102 patients (0.79%) in the AS group and 201 patients (0.32%) in the control group developed congestive heart failure (p<0.0001). In addition, 211 (1.62%) subjects in the AS group died during the follow-up period compared to 639 (0.98%) subjects in the control group (p<0.0001). The adjusted hazard ratio of congestive heart failure and death in the AS group was 2.28 (95% confidence interval [CI], 1.80-2.89) and 1.66 (95% CI, 1.42-1.95), respectively. The hazard ratios of congestive heart failure and death were significantly increased in all of the subgroups. Conclusion : The incidence rates of congestive heart failure and death were increased in AS patients.

A Comparative Study on the Elderly Welfare Act between the Korea and Japanese (한·일 노인복지법의 비교법적 연구)

  • Lee, Doh-Hee
    • The Journal of the Korea Contents Association
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    • v.19 no.3
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    • pp.429-440
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    • 2019
  • The proportion of people aged 65 or older in the world's major advanced nations is increasing to a significant extent. Aging population causes various socioeconomic problems. One of the most important issues is the welfare of the elderly. Advanced foreign countries that have already experienced aging early are investing a lot of money or legal system to provide welfare services necessary for old age such as income security system for the elderly, health care service for the elderly, and long-term protection problems. The contents of the social welfare legislation including the welfare of the elderly are closely related to the society, politics, economy, and culture of each country. Both Korea and Japan are actively intervening in the social security of the nation based on the constitutional ideology. The elderly welfare Act is a time when more careful diagnosis is needed because it is in the process of establishing the basic direction based on human dignity and pursuing the most efficient way to achieve it in such an ideology and reality. Therefore, in this study, based on the Elderly Welfare Act of Japan, which is the selection country of aging, I would like to examine the implications for the Elderly Welfare Act in Korea.

A Study on the Relationship between Firefighters' Smartphone Addiction and Stress (소방공무원의 스마트폰 사용과 스트레스간의 상관관계)

  • Kong, Ha-Sung;Shin, Seung-Yeun
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.1
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    • pp.185-191
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    • 2019
  • The use of smartphone improves convenience and efficiency in modern people's lives but threatens the mental health of individuals by manifesting an addiction phenomenon that is difficult for everyday life without a smartphone. In particular, it is suggested that the effects of the smartphone addiction of firefighters who have a high level of job stress due to work environment exposed to disaster and fire have a very negative effect on their personal well-being and job performance. Therefore, the analysis of the relationship between firefighters' smartphone addiction and stress will be helpful in examining the problems of stress management. This study analyzed the relationship and influence between smartphone addiction and stress of firefighters. Total study subjects were 230 and SPSS 20.0 was used. Statistical methods are group analysis (t-test and ANOVA) and multiple regression analysis. The results of this study show that firefighters' household type and monthly income have a significant effect on stress. Of the sub-factors of smartphone addiction, withdrawal experience has a statistically significant effect on stress. The results of the study will provide empirical data on the smartphone addiction of fire service employees.

Regional Distribution Characteristics and Meanings of Women-only Shared Housings - A Case Study of Agency-managed Shared Housings in Seoul - (여성전용 셰어하우스의 지역 분포특성과 의미에 관한 연구 - 서울의 운영사 관리형 현장 사례를 중심으로 -)

  • Kim, Nasung;Park, So-Hyun
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.35 no.4
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    • pp.3-14
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    • 2019
  • The purpose of this study is to analyze the distribution characteristics of the agency-managed shared housings in Seoul and draw the possible implications from it. The needed data for the study was obtained from an on-line shared housing portal service which provides housing information from various shared housing management agencies. By mapping out the locations and other related data into a GIS(Geographic Information System) program, this study shows that shared housings in Seoul can be sorted into four large clusters. Each cluster has a different ratio of housing types and room capacities reflecting each regional circumstance and common causes. Women-only shared housing takes up 79% of the overall shared housing ratio and, while multi-family housing type has the most count, the apartment type has a noticeably high ratio in women-only housing compared to the apartment type ratio among the other gender-specific housings. Given the high crime rate against the single-person household of young adult women, the reason for the popularity of shared-apartment housing among young women can be deduced. However, the potential tenants' practical choices and their concern for safety are not the only causes that drive the current shared housing market. The young adults in their 20's and 30's choose to live in popular places where they can engage social activities. A new tier of shared housing market has also appeared in places where young adults could not have afforded if they lived alone. Choosing where we live is no longer about just meeting the requirements for a house based on what she/he needs but also about satisfying the preferences for a living based on what she/he desires. This paper indicates that although there is an undeniable premise that 'sharing a house' revolves around the realm of housing welfare and is not a typical topic for the upper-income households, the way we live and how we choose our place to live is shifting.

Estimating a Mode Choice Model Considering Shared E-scooter Service - Focused on Access Travel and Neighborhood Travel - (공유 전동킥보드를 고려한 수단선택모형 추정 - 접근통행과 생활권통행을 중심으로 -)

  • Kim, Ji yoon;Kim, Su jae;Lee, Gyeong jae;Choo, Sangho
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.20 no.1
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    • pp.22-39
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    • 2021
  • This study estimated mode choice models for access travel and neighborhood travel from an SP survey in metropolitan areas where shared e-scooter services are offered. Model results show that travel time and travel cost have negative effects on mode utility. It is also revealed that people are more sensitive to travel time in access travel, whereas they are more influenced by travel cost in neighborhood travel. Looking at individual and household attributes, it has a positive effect when under 40 yerars of age, owning bikes, being a public transportation user, while it has been shown a negative effect in less than 3 million won in monthly household income and owning individual cars.

Effect of TV Watching Activeness on Class-Oriented Drama Viewing Rate: Focusing on Residential Characteristics (TV 시청의 적극성이 상류 계층 묘사 드라마 시청률에 미치는 영향: 거주지역의 특성을 중심으로)

  • Park, Mee-Hyun;Shin, Hyung-Deok;Park, JooYeon
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.941-948
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    • 2021
  • This study investigated the differences between active and inactive TV watching groups, in terms of residential characteristics, of class-oriented drama viewing rate. We compared Flow and Social Comparison Theories to explain the relationship between class-oriented contents in the drama and viewing rate. We collected 110,000 TV viewers data of 4 class-oriented and the other 4 dramas, aired between Feb. 2016 and March 2019, through D-Live local cable service provider. Controlling gender ratio and income level which may affect viewing rate, we found that class-oriented content significantly and positively affects viewing rate in active watching group while the same content significantly and negatively affects viewing rate in inactive watching group. These results imply that Flow and Social Comparison Theories may apply in opposite directions in different watching groups.

An Overview to the History of Social Forestry in Overcoming Poverty and Forest Conservation in Java's Colonial Period

  • Hum, Warto M.
    • Journal of Forest and Environmental Science
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    • v.38 no.1
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    • pp.1-11
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    • 2022
  • The Dutch colonial government introduced social forestry at the end of the 19th century with a commitment to controlling forest resources in the Dutch East Indies. This program was a response to the rampant deforestation which had resulted in forest degradation and poverty of the population around the forest. This study examined the practice of social forestry in the late colonial period which had not been done much. From a historical perspective, social forestry practices in Indonesia before independence could be explained more comprehensively. This study uses a historical method which includes four stages: heuristic, source criticism, interpretation, and historiography (composing historical stories). Sources of information were explored through studies of archival documents and contemporary artefacts, especially official colonial government reports and contemporary newspapers/magazines. Data from various sources are then compared and tested for validity to obtain data validity. The next stage is to build facts based on data obtained and then interpreted using the social science theories. Finally, compiling a historical (historiographical) story about social forestry during the late colonial period. The results showed that colonial forestry during the colonial period was still limited in terms of area and method, namely in the area of teak forest and involving villagers through the intercropping system. Farmers involved in these activities are called pesanggem who earn income from forest land being rejuvenated. However, the relationship between pesanggem and the forestry service has not been well institutionalized, consequently the pesanggem is often disadvantaged. Including certainty of ownership and ownership of forest land never gained clarity and even became a source of conflict.

A Study on Consumer Confidence, Satisfaction, and Repurchase Intention on Convenience Store Lunch Boxes by Food-related Lifestyle Type

  • Bok, Mi-Jung;Hong, Eun-Sil
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.3
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    • pp.157-164
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    • 2022
  • This study was to analyze consumer confidence, satisfaction and repurchase intention after categorizing food-related lifestyle among 488 consumers who had experience purchasing convenience store lunch boxes. The data were analyzed with PASW 18.0 using frequency analysis, k-means cluster analysis, crosstabs analysis and one-way ANOVA. According to findings, first of all, types of food-related lifestyle are divided into 4 groups: a type of eating out(11.7%), a type of convenience seeking(18.3%), a type of food indifference(15%), a type of dietary interest(55%). Secondly, the types of food-related lifestyle showed statistically significant difference gender, age, marital status, education, monthly average household income, monthly average allowance, job, monthly average number of lunch box buying, lunch box purchase time zone and average one cost of lunch box buying of socio-economic variables. Thirdly, convenience seeking and dietary interest type showed the highest in consumer confidence and dietary interest type showed the highest level of satisfaction and repurchase intention.