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Original Articles
- Regional Factors on the Self-rated Health of Wage Workers
- Min Jung Kwon, Eun Suk Choi
- J Korean Acad Community Health Nurs. 2018;29(1):21-32. Published online March 31, 2018
- DOI: https://doi.org/10.12799/jkachn.2018.29.1.21
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Abstract
PDF - PURPOSE
This study attempted to identify regional disparities of self-rated health among Korean wage workers and to investigate the influencing factors on them.
METHODS
The study subjects were 25,069 workers in 16 regions who were extracted from the 2014 Korean Working Condition Survey (KWCS). A multilevel analysis was conducted by building hierarchical data at individual and regional level.
RESULTS
In this study, ‘financial autonomy rate’ and ‘current smoking rate’ were identified as regional factors influencing the workers' self-rated health. When the socio-demographic and occupational factors of the workers were controlled, ‘current smoking rate’, a health policy factor, explained the regional disparity of workers' health status.
CONCLUSION
We found that the health status of workers can be affected by the health behavior level of the whole population in their residential area. In order to improve the health status of working population and to alleviate their regional health inequalities, it is necessary to strengthen macro and structural level interventions.
- Comparison of Comprehensive Health Status and Health-related Quality of Life between Institutionalized Older Adults and Community Dwelling Older Adults
- Hye Jin Hyun, Aekyung Chang, Su Jeong Yu, Yeon Hwan Park
- J Korean Acad Community Health Nurs. 2012;23(1):40-50. Published online March 31, 2012
- DOI: https://doi.org/10.0000/jkachn.2012.23.1.40
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Abstract
PDF
- PURPOSE
The aim of this study was to compare the factors of health-related quality of life in older adults according to the type of residency.
METHODS
A cross-sectional comparative study was conducted. The subjects were 114 institutionalized older adults and 99 community dwelling older adults. Data were collected through face-to-face interviews by nurses using structured questionnaires composed of SF-36 (ver.2) and CGA-SF.
RESULTS
The institutionalized older adults had more health problems and experienced lower quality of life compared to community dwelling older adults. Factors influencing health-related quality of life for institutionalized older adults were social support, educational level, and ADL, which explained about 25.7% of the total variance, while thoseof community dwelling older adults were IADL, experiencing fall, and weight loss, which had explanatory power of 31.8%.
CONCLUSION
These results indicate that differentiated nursing strategies according to the type of residency are required to promote health-related quality of life for older adults.
- Health Status and Utilization of Long-term Care Facility in the Urban and Rural Aged
- Hung Sa Lee
- J Korean Acad Community Health Nurs. 2008;19(2):260-269. Published online June 30, 2008
- 139 View
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Abstract
PDF
- PURPOSE
The purpose of this study was to identify differences in health status and the utilization of long-term care service between urban and rural aged residents in Korea.
METHODS
Through convenience sampling, 1,405 elders (829 from urban areas and 576 from rural areas) were selected during March 1 to May 31 in 2004. All the subjects agreed to participate and filled out the survey questionnaire after signing the consent form. The instruments utilized in this study were the impairment of physio-sensory function, ADL IADL, cognitive function, and psycho-social function scale. This instrument was developed by modifying the scale developed by Gurland & Wilder (1984). Data was analyzed using the SPSS Win program.
RESULTS
There were significant differences in economic status, duration of living and type of medical insurance between rural and urban elderly(p<.05). Physio-sensory functions (t=4.53, p<.001), ADL (t=3.61, p<.001), IADL (t=2.45, p=.014), cognitive functions (t=-2.63, p=.024) and psycho-social functions (t=3.69, p<.001) were significantly different between the two groups. The utilization of long-term care facility in the urban elderly was significantly higher than that in the rural elderly (chi2=10.14, p<.001).
CONCLUSION
Considering these findings, the need for long-term care should be assessed by residence characteristics. Because of different utilization of long term care facility according to the elderly's needs, long-term care services should be considered the residence characteristics.
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