Research in Community and Public Health Nursing

Original Articles

[English] The Relationship between Unmet Healthcare Needs Due to Financial Reasons and the Experience of Catastrophic Health Expenditures: Jeong Hee Kang, Chul-Woung Kim; J Korean Acad Community Health Nurs. 2021;32(1):95-106. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.95

2,580 View
31 Download
1 Citations

Purpose
The purpose of this study is to investigate the association between unmet healthcare needs due to financial reasons and catastrophic health expenditures. Methods: This study used secondary data from the 2014~2015 Korean Health Panel survey. The subjects of this study were 21,495 people aged 20 or older, and of them, there were 16,227 people aged 20 to 64 and 5,268 people aged 65 or older, which were surveyed between 2014 and 2015. The association between unmet healthcare needs due to financial reasons and catastrophic health expenditures was analyzed through logistic regression. Results: In 2015, 1.7% of people aged 20~64 years and 7.9% of those aged 65 or older experienced unmet healthcare needs due to financial reasons. In the 20~64 age group, people who repeatedly experienced catastrophic health expenditures (=10%,=20%) were less likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=0.50, OR=0.41). However, in the 65-or-older group, people who repeatedly experienced catastrophic health expenditures (=20%) were more likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=1.68). Conclusion: A greater percentage of the elderly repeatedly faced both catastrophic health expenditures and unmet healthcare needs due to financial reasons compared to the non-elderly.

Citations

Citations to this article as recorded by

Satisfaction with local healthcare services and medical need among hypertensive patients: a nationwide study
Woorim Kim, Yeong Jun Ju, Soon Young Lee
BMC Public Health.2024;[Epub] CrossRef

[English] Is Nonstandard Employment Hazardous to Workers' Health Status? A Focus on Special Employment in South Korea: Bo Hyun Park, Tarlov Elizabeth, Chang Gi Park; J Korean Acad Community Health Nurs. 2020;31(Suppl):525-533. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.S.525

1,843 View
17 Download
1 Citations

Abstract PDF

Purpose
Workers in special employment relationship (WSERs) are workers in nonstandard employment arrangements who lack worker protection accorded in standard employment arrangements. This study aimed to describe self-rated health (SRH) and depressive symptoms (DS) among Korean WSERs in comparison to regular wage workers (RWW) and identify associations between working conditions and those outcomes.
Methods
In this study, secondary data analysis using the 5th Korean Working Conditions Survey was used. The sample totaled 29,120, including 1,538 WSERs and 27,564 RWWs. Sociodemographic and work-related characteristics were employed as explanatory variables and SRH and DS as dependent variables. Using multiple logistic regression, the determinants of fair/poor SRH and DS were identified.
Results
The prevalence rates for fair/poor SRH and DS in WSERs were 25.2% and 28.3%, respectively, and 20.7% and 25.0% in RWWs, respectively. Compared to RWWs, WSERs had 31% (aOR=1.31, 95% CI=1.14~1.49) and 20% (aOR=1.20, 95% CI=1.06~1.36) higher odds of SRH and DS, respectively. Some factors, such as a lack of rest guarantee and sickness presenteeism, had a larger influence in the WSER than in the RWW group.
Conclusion
Compared to RWWs, WSERs reported having poorer working conditions and were more likely to report poor general and mental health. Therefore, in Korea, public health policymakers should consider measures to protect the working conditions and health of WSERs, a growing segment of the working population. The study produced new epidemiological evidence regarding the relationships between employment arrangements and health.

Citations

Citations to this article as recorded by

The Effect of Job Demands, Job Resources, and Musculoskeletal Complaints on Presenteeism Among the Dependent Self-employment Workers in Korea
Jiyun Kim, Sookja Choi
Journal of Occupational & Environmental Medicine.2022; 64(9): 719. CrossRef

[English] The Effect of Unemployment in Depression by Age Group: Using 12 States' Data from the Behavioral Risk Factor Surveillance System: Kyung Mi Woo, Zhi Sun Zhang; J Korean Acad Community Health Nurs. 2020;31(4):436-446. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.436

2,877 View
36 Download
2 Citations

Abstract PDF

Purpose
This study aims to explore the association between unemployment and depression in people from different age groups ranging from 18 to 65 years old.
Methods
This study used a cross-sectional design. We performed bivariate analysis and multivariable logistic regression on the 2010 Behavioral Risk Factor Surveillance System (BRFSS) data from 12 states in the United States.
Results
On a sample comprised of n=53,406 individuals, of whom 2,546 (7.8%) were identified as being depressed and 3,448 (10.6%) as unemployed, we found that individuals aged 61~65 years have a lower depression risk compared to those aged 18-25 after adjusting for other variables including employment status. However, people from 61~65 have higher increased risk of depression when unemployed compared to other age groups in all three models tested (3.95 times higher in unemployed people in model 1, and 2.81 times higher in model 2 and model 3).
Conclusion
Our findings indicate that there may need to be more focus on older adults who are unemployed, with associated support services for their mental health. The results of our study indicate that although older adults are less likely to be unemployed, there are more likely to experience depression if they are unemployed (once other confounding factors are taken into account) than younger adults. Policies and interventions can be developed to address not only the physical difficulties but also the mental challenges with which older adults can be at risk facing in case of unemployment.

Citations

Citations to this article as recorded by

Work-family trajectories and health: A systematic review
Vendula Machů, Iris Arends, Karin Veldman, Ute Bültmann
Advances in Life Course Research.2022; 52: 100466. CrossRef
Self-Rated Health, Demographic Factors and Depressive Symptoms Among Malaysian Adults
Nur Syahirah Mohd Shah, Nik Nur Wahidah Nik Hashim, Nadzirah Ahmad Basri, Siti Fauziah Toha
INTERNATIONAL JOURNAL OF CARE SCHOLARS.2022; 5(1): 29. CrossRef

[English] A Comparison of Characteristics between Success Group and Failure Group of 1-year Continuous Smoking Abstinence in Young Adult and Middle-aged Male Workers: with Focus on the First-year Analysis of Korean Cross-sectional Survey: Juna Lee, In Sook Lee; J Korean Acad Community Health Nurs. 2016;27(2):95-105. Published online June 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.2.95

2,857 View
9 Download
1 Citations

Abstract PDF

PURPOSE
This study examined the characteristics differences associated with 1-year continuous smoking abstinence in Korean young adult and middle-aged male workers.
METHODS
'Korea National Health and Nutrition Examination Survey (KNHANES)' is an ongoing surveillance system that assesses the health and nutritional status of Koreans. For a secondary analysis of cross-sectional data from KNHANES VI-1, this study selected 683 Korean male workers as a subpopulation, who were young adult or middle-aged. The subpopulation was composed of success or failure group of 1-year continuous smoking abstinence. Binomial logistic regression analysis was performed.
RESULTS
Success group was more likely to be older, live in urban areas, rate their health status as excellent or good, and have ever been diagnosed with hypertension than failure group. Additionally, Success group was less likely to have used electronic cigarettes (e-cigarettes), drink more than once a month, and have been exposed to secondhand smoking in workplace within a week.
CONCLUSION
Developing smoking cessation programs requires consideration of resources in rural areas, promoting self-efficacy, restricting e-cigarettes and drinking, and promoting a smoke-free workplace.

Citations

Citations to this article as recorded by

Association of Satisfactory Smoking Cessation Support Services and Treatment Administered with Successful Quitting of Smoking in Korea
Chanmin Lee, Ja-Mi Cho, Kyoung-Jin Kim, Eun-Jung Oh, Jinyoung Shin, Jae-Kyung Choi, Hyuk-Jung Kweon, Min-woo Jo, Yu-Jin Paek
Journal of the Korean Society for Research on Nicotine and Tobacco.2019; 10(2): 62. CrossRef

First
Prev
Page of 1
Next
Last

Search