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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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The Korean Journal of Health Service Management
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Korea Society of Health Service Management
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Volume & Issues
Volume 7, Issue 4 - Dec 2013
Volume 7, Issue 3 - Sep 2013
Volume 7, Issue 2 - Jun 2013
Volume 7, Issue 1 - Mar 2013
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Correctional Officer`s Mental Health Management and Promotion
Im, Hyuk ; Lee, Hyo-Young ; Kim, Hye-Sook ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 1~13
DOI : 10.12811/kshsm.2013.7.3.001
This study is proposed to suggest the preventing methods for correctional officer`s mental health problems. For this purpose, Delphi method was used and the study panel was composed of finally 10 people. Total Delphi process was performed for 4 times and six qualified researchers & skilled correctional officers participated in developing Delphi questionnaires. As the main results, major correctional officer`s mental health problems are PTSD(post traumatic stress disorder), job stress, suicide witnessing, stress from violent accidents, and anger by related with their own work. All of these problems must need to be managed. Besides, the most effective preventing method for correctional officer`s mental health problem is providing regular counsels & treatments with a psychiatrist or the fully qualified experts. The mental health promotion strategies for correctional officers must be settled for providing appropriate mental health services to them.
Attitude on the Elderly and Elderly Patients among Nursing Students and Nurses
Jeong, Hye-Sun ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 15~28
DOI : 10.12811/kshsm.2013.7.3.015
The purpose of this study is to identify if there is difference in the attitude toward the elderly and the elderly patients among nursing students and nurses. Data were collected between August 1 and November 30, 2012 by using a structured questionnaire and the participants of this study were 423 nursing students in 6 universities and 244 nurses in 5 hospitals. The nursing students and nurses had more negative attitudes toward elderly patients than the elderly. There was difference in attitudes toward elderly patients according to grade, whether to take gerontological nursing course, the level of interest in the Aged, and whether to have experience in living with the old in the past among nursing students. There was difference in attitudes toward elderly patients according to the quality of volunteer service experience among nurses. In order to identify the attitudes accurately in nursing studies or education related to the elderly, the process to classify and define the objects of attitudes in details should be administered first.
Analysis of Contents of Website Information about CPR and Automated External Defibrillator
Gang, Bo-Ra ; Yang, Hyun-Mo ; Lee, In-Soo ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 29~44
DOI : 10.12811/kshsm.2013.7.3.029
The purpose of this study is to give the users, who wants to know the information about CPR and AED on the Internet, more accurate information which is analyzed and considered with the factors to improve the contents of them. The source of the instrument for this study is from the contents of twenty four websites which is able to join in and searched by the Web Search Engine with four keywords: `Cardiopulmonary Resuscitation`, `CPR`, `Automated External Defibrillator`, and `AED`. According to the results of the study, frequency questions of more than 50% among 53 questions on whether to suggest were investigated as 22 questions from content analysis results of the websites, and it showed that the highest frequency, which were examined to that chest compressions and respiratory rate; 79.2%. The correctness of the contents of the all websites of the study is as low as 36.00 point full marks at 100 points.
The Effects of Relationship Marketing Factors and Relationship Quality on Relationship Performance in Cosmetics Industry
Kim, Eun-Suk ; Cho, Kyoung-Won ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 45~55
DOI : 10.12811/kshsm.2013.7.3.045
Cosmetic products are high value-added ones, and characterized by short life-cycles and income elasticity. Since most cosmetic products are procured through consults with salespersons, it is necessary to have detailed knowledge about basic cosmetics. In this paper, a possible relationship marketing strategy is suggested using the results of examining the effects of relationship marketing factors and relationship quality in cosmetics industry. The findings of this research can be summarized as follows. In order to examine the effects of relationship marketing factors and relationship quality on satisfaction which is a relationship performance, and the willingness to procure it again, this paper executed multiple regression analysis. The typical findings of this paper are as follows. The higher the specialty is, the better the brand image is, the higher customization and trust with customer are, the higher satisfaction and willingness to buy it again get. The analysis of relative influences of sub-factors revealed that trust was the strongest factor. In this paper, by revealing the effects of relationship marketing factors and relationship quality on relationship performance, empirically suggested the results which show the same findings as those of previous researches. This result can be a method to establish systematic education systems in places selling basic cosmetic products and in cosmetics companies.
An Analysis on the Economic Effects of the Korean Cosmetic Industry
Suh, Jeong-Kyo ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 57~69
DOI : 10.12811/kshsm.2013.7.3.057
In these days, the interest on health industry is increasing around the world. This paper attempts to estimate the economic effects of the Cosmetic Industrydusing the Input-Output Analysis. Especially, 78*78 Sector Tables were used as the first analysis tool. So then, 79*79 Sector Tables adjusted were used for that industry. The main analysis tools of this study are comparing and analyzing backward and forward linkage effects, the induced effects of the self industry and other industries and the induced coefficients such as product, value-added, job and employment. According to the result of analysis, the cosmetic industry has great economic impacts which affects the major macroeconomic factors such as product, value added and backward linkage effect. And the induced effects of the self cosmetic industry are significant compared to other industries in aspects of product, value-added, and employment.
Correlation between Arterial Stiffness and Physiological Parameters
Shin, Jae-Wook ; Seok, Seong-Ja ; Lee, Gil-Hyun ; Choi, Seok-Cheol ; Hyun, Kyung-Yae ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 71~82
DOI : 10.12811/kshsm.2013.7.3.071
Arterial stiffness(AS) is an important pathologic state of vascular injury. This study was carried out to elucidate the effect of physiological variables on brachial-ankle pulse wave velocity(BAPWV), index of AS. Four hundred adults(volunteers) participated in this study. Body indices, biochemical, cardiac and inflammatory markers, and right(Rt)- and left(Lt)-BAPWV were measured. Body mass index(BMI), Rt- and Lt-BAPWV, glucose, triglyceride, alkaline phosphatase(ALP), gamma-glutamyl transferase(GGT), creatinine, uric acid, troponin-I(TNI), NT-proBNP and high sensitivity C-reactive protein(hs-CRP) levels were higher than the reference value of each variable. Rt- and Lt-BAPWV were directly correlated with age, body weight, BMI, glucose, ketone, aspartate aminotransferase, alanine aminotransferase, ALP, GGT, total cholesterol, low density lipoprotein, lipoprotein(a), apolipoprotein-B, blood urea nitrogen, heart rate, TNI, creatine kinase, CK-MB, lactic dehydrogenase, myoglobin, hs-CRP, lipase, reumatoid factor, fibrinogen and D-dimer (P<0.05, P<0.01, P<0.001 or P<0.000, respectively), but inversely associated with total bilirubin, uric acid, apolipoprotein-A1 and GFR (P<0.05). These observations suggest that a variety of physiological variables may influence BAPWV, resulting in increased risk or prevention of cardiovascular and/or cerebrovascular attacks. Therefore, physiological variables affecting BAPWV should be regularly controlled.
The Effects of Oral Health Belief on Use of Dental Service of Students of Health and Medical Department of Universities
Kwon, Su-Jin ; Lee, Eun-Ju ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 83~93
DOI : 10.12811/kshsm.2013.7.3.083
This study was conducted on 350 students of health and medical department of universities in Busan from June 3, 2013 to June 21, 2013, and a total of 350 questionnaires were researched. Among them 337 responses were used after 13 unfaithful responses were excluded. The effects of oral health belief on use of dental service of students of health and medical department of universities were examined and analyzed to provide basic data which can be used to expand understanding about oral health belief, to promote changes in behaviors regarding oral health and to improve oral health of the public. Collected data was analyzed through SPSS (Statistical Packages for Social Science 15.0. SPSS Inc. USA). For verification of differences of oral health belief depending on general matters and oral health behavior, t-test and ANOVA analysis were conducted, and for examination of the effects of oral health belief on use of medical service, logistic regression and regression analysis were conducted. The study results suggest that those who had higher sensitivity among oral health belief variables had higher probability of needing dental treatment and seeing the dentist immediately. And those who showed higher sensitivity and importance had higher frequency of seeing the dentist for six months. Future studies need to be conducted on the methods to change oral health belief for sustainable and systematic oral health enhancement in consideration of the factors affecting oral health belief and oral health behavior of the students of dental hygiene department.
Related Factors on Health Service Utilization and Satisfaction of Health Center Clients -Using `2010 Community Health Survey`-
Kim, Hye-Sook ; Park, Young-Hee ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 95~109
DOI : 10.12811/kshsm.2013.7.3.095
The objective of this study is to assess the utilization and satisfactions about public health centers in Korea. For the analysis, the study utilize the nationwide data of 229,229 person on `2010 Community Health Survey` of Ministry of Health & Welfare. The statistical methodology used in the study is
, ANOVA, logistic regression model and multiple regression model. This study have four major findings. First, the significant affecting socio-demographic factors in utilizing public health center were gender, age, region, national basic living secured, married, income, education, job, state of health, chronic disease, unmet medical needs and utilization reason. Second, the most serviced category of health center user was vaccination both city and rural area and the next was certificate, primary care, health screening, other use, the mother and child in city area, primary care, health screening, certificate, home visiting health in rural area. Third, the significant affecting socio-demographic factors in satisfaction degree on health center service were age, region, national basic living secured, income, education, job, state of health, utilization degree and reason. Fourth, the most satisfied service of health service center was home visiting health in city area and mental health service in rural area and the next was nutritive control and the lowest satisfied service was user of certificate. The utilization and satisfaction on health center service were identified as different with residental area and user`s characteristics. The politic effort are needed to support socially disadvantaged class and to narrow regional gap.
Factors Affecting Adaptation in Parents of Newborn with Congenital Heart Disease
Kim, Kyoung-Nam ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 111~123
DOI : 10.12811/kshsm.2013.7.3.111
The purpose of this study was to identify factors affecting stress and adaptation in newborn congenital heart disease patients of parents. Data were obtained through questionnaires from 181 newborn congenital heart disease inpatients of parents from P university in Y city. The data were analyzed SPSS 18.0, using descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Stress was negative correlated with level of patents adaptation. Social support, marital communication and family cohesion were positive correlated with level of patents adaptation. The explained variances for patents adaptation were 45.2% and factors affecting patients adaptation were congenital heart disease, family cohesion, stress, social support and marital communication. Educational intervention program for parents of newborn with congenital heart disease, reduce stress, and to increase the adaptation will be developed.
Self-Perception of Halitosis According to Some Soldiers` Halitosis-Related Factors
Lee, Mi-Ra ; Shim, Jae-Suk ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 125~135
DOI : 10.12811/kshsm.2013.7.3.125
The purpose of this study was to enhance soldiers` oral health level and to offer basic data on controlling and preventing halitosis. It surveyed halitosis-related elements and analyzed relationship between subjective self-perception level of halitosis according to it targeting 253 soldiers in their 20s in some areas of Seoul from September 2012 to October. Thus, the following conclusions were obtained. 1. As for subjects` self-perception of halitosis, the perception status of oral health was indicated to be `very bad` and to be shown most highly in one place. It was indicated to be high in the group of feeling Xerostomia much and the group of often feeling the white membrane of tongue. The statistically significant difference was shown(p<0.01). 2. Subjects` self-perception of halitosis was indicated to be the highest in the group with the largest intake of snacks. It was shown to be the highest in the group of having sinus infection and rhinitis. It was indicated to be the highest in the group of having a habit of oral respiration. Significant difference was shown(p<0.05). 3. Subjects` self-perception of halitosis was indicated to be lower in the group, which ever received oral health education, than the group in opposite case. Significant difference was shown(p<0.05).
Influence of Patient`s Satisfaction to Marketing Mix on Trust and Relationship Commitment
Yoo, Hyun-Sik ; Ji, Jae-Hoon ; Kim, Won-Joong ; Choi, Hyun-Ju ; Kim, Kwang ; Bang, Ki-Hyeon ; Yi, Sun-Chan ; Cho, Hee-Jung ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 137~147
DOI : 10.12811/kshsm.2013.7.3.137
This study classifies the marketing mix of LASIK eye surgery clinics into 7Ps, examines the influence of each factor of 7Ps(product, place, price, promotion, process, people and physical evidence) on customer satisfaction, and investigates the effect of customer satisfaction on trust and relationship commitment. Survey of 500 patients who received surgeries in 3 eye clinics in Busan area was conducted through self-administered questionnaires, and, with this data, path analysis was performed to estimate the study model. Main result showed that, among 7Ps, product, price, promotion, people and physical evidence had significant positive effect on customer satisfaction which, in turn, had significant positive effect on trust and relationship commitment. Also, it was found that trust positively affected relationship commitment. This result would be considered helpful in medical institution`s efforts to establish trust on customer satisfaction and maintain relationship commitment. It also implies that, in order to enhance competitiveness in increasingly competitive medical market, establishment of proper marketing strategy is urgently required where the determinants of customer satisfaction are effectively administered and ultimate relationship commitment of customers based on trust can be maintained and enhanced.
A Study on the Suicidal Ideation and Self-esteem of Nursing Students
Jung, Ha-Yun ; Jung, Kwuy-Im ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 149~160
DOI : 10.12811/kshsm.2013.7.3.149
The purpose of this study was to investigate the relationships of suicidal ideation and self-esteem of nursing students. The subjects of the study were 438 nursing students. The period of data collection was from September 1 to 30, 2012. The data was analyzed by SPSS 19.0 program. The result are as follows; First, the average of suicidal ideation was 1.74 and self esteem was 3.48 points. Second, suicidal ideation was significantly different according to economic status, health status, friendship, personality, adaptation of environment, satisfaction on school, satisfaction on nursing major, score, and bully. Self-esteem was significantly different according to economic status, health status, personality, adaptation of environment, satisfaction on school, satisfaction on nursing major, score, and bully. Third, suicidal ideation was correlated with positive self esteem negatively and negative self esteem positively. Forth, the influencing factor in suicidal ideation of participant were self esteem, friendship and satisfaction on school,
Raise Capital Type and Investment Efficiency of Hospital in Korea
Jung, Yong-Mo ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 161~176
DOI : 10.12811/kshsm.2013.7.3.161
This research analyzed Raise Capital type and Investment Efficiency for non-profit hospitals in Korea. 152 cases of financial information from 2007 to 2010 were utilized for analysis. As a result of analysis, Raise Capital for Borrowings to total assets was primarily used, taking around 40% on average, and the method of Raise Capital with significant difference among Medical Institutions was Liabilities in Excluded Borrowings to Total Assets and Capital Stock & Capital Reserves to Total Assets. Besides, the relation between Invested capital and Investment efficiency was opposite each other in the non-profit hospitals, and Region was an important element influencing over Productivity per Value Added. In addition, in the investment activity of non-profit hospitals in the light of Investment Efficiency, only hospitals among Medical Institution types had a character of Capital Intensive, and General Hospital and Geriatric & Long-term Medical Care Hospital among Medical Institution types showed a character of Labor Intensive in the light of Performance.
The Effects of Area-Specific Social Network on Life Satisfaction
Chong, Hyun-Chong ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 177~192
DOI : 10.12811/kshsm.2013.7.3.177
The present study investigated the effect of area-specific social networks on urban workers life satisfaction. For this, 356 adults over age 20 were interviewed from June 17th 2013 to June 29th 2013. The findings are as follows: First, the closeness of family network index demonstrates that participants with higher affective support have higher life satisfaction. In addition, stronger extended family network brings more life satisfaction and so does a bigger friendship network. Secondly, the extended family network explains 17.6% of the variance in social networks follows by family network, other network, and friendship network, respectively. The closeness variable of social networks yields statistical significance on all categories of networks. The affective support level in the closeness variable of social networks shows differences as well; family network positively associates with life satisfaction. The purposes of this research are to investigate the actual conditions of urban workers` life satisfaction and the influence of family, extended family, friendship, and other variables on life satisfaction. If social networks have an influence on life satisfaction, to find the domain of social networks that holds the most influences on life satisfaction is an important ground in the process of implementing regional welfare.
Research on Dental Hygienics Students` Perception of Personal Protection and Instrument Disinfection of by Practical Training Type in Some Areas
Ka, Kyung-Hwan ; Ku, In-Young ; Lee, Myeong-Seon ; Moon, Seon-Jeong ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 193~202
DOI : 10.12811/kshsm.2013.7.3.193
This study aimed to investigate and compare the perception of personal protective equipments and instrument sterilization of students who are in attendance at colleges and universities and which have bedside training as a regular subject in their curriculum for third-year students. `Completely True` is the highest response to the question about the importance of wearing gloves, mask and medical gown from all groups. `Completely True` is the highest response to the question about the necessity for replacement of gloves from all groups. `Moderate True` is the highest response to the question about the necessity for replacement of mask from the group without practical training and `Completely True` is the highest response to the question about the importance of hair cleanliness from all groups regardless of practical training experience. For the question about the perception of instrument disinfection and sterilization, the group with inside and outside practical training showed the highest perception level. Consequently, the right education for prevention of infection by setting inclusive guidelines to enhance the level of perception and practice seems continuously necessary.
International Standards of Electrical Equipments for Medical Practice
Lee, Tae-Bum ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 203~212
DOI : 10.12811/kshsm.2013.7.3.203
Medical devices separated by a committee of the International Electrotechnical Commission IEC TC (Technical Committee) 62 medical electrical equipment being promoted by the International standards. Actually, a lot of standards were existed, but many national and international standards for medical devices were lacking in practical standards that can be applied to their development. Most international standards were focused in electrical and mechanical safety of medical devices. Therefore, there were few practical standards which contain essential performance evaluation. Although medical device regulations do not enforce a fixed lifecycle model, activities are presented in a sequential manner, thus hinting at a waterfall process. Meanwhile, for a decade or more, software teams have benefitted from agile development methods. Several medical device manufacturers have adopted agile practices while keeping development in compliance with regulations, but conflicts arise and decisions have to be taken in favor of agility or formality. However, if there are new practical standards of medical devices, it must be possible to promote the medical devices industry in their nation. To do this, there is a need to develop a new standard could apply to the international market through the analysis of the medical device related technology. Consequently, new standards such as NP (New proposal) or NWIP (New Work Item Proposal) should be developed through international standardization of medical device technology.
EMR System and Patient Medical Information Protection
Jeun, Youngl-Ju ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 213~224
DOI : 10.12811/kshsm.2013.7.3.213
The purpose of this study is to find out the most successful way for the protection of medical information focusing on the electronic medical record(EMR). In this study, every aspect of the EMR is reviewed in terms of the hospital management. In particular, definitions, major functions, strengths and weaknesses of the EMR are considered. This study also examines the general development of the EMR as well as the current situation of applying the EMR. Important issues such as the protection of patient Medical information, informed consent, and the customer-oriented hospital information system are discussed and interpreted in light of the introduction of the EMR into the area of the hospital management. Finally, in this paper Protection of medical information by major Issues on Patient medical information.
Analyzing the Efficiency of Regional Medical Resource Uses for Foreign Patient Care
Cha, Sun-Mi ; Lee, Kwang-Soo ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 225~235
DOI : 10.12811/kshsm.2013.7.3.225
This study purposed to analyze the productivity of regional medical capacity in attracting medical tourist between 2009 and 2011. Data envelopment analysis (DEA) and Malmquist productivity index (MPI) were applied to test the productivity and changes in study periods. The DEA model included a number of doctors, nurses, and beds as input factors, and a number of inpatient and outpatient, and hospital income as output factors. The result of the study were as follow. Jeju had efficiency value of 1 for three years. Seoul, Busan, Daegu, Daejeon, Ulsan, Gyeonggi, Gangwon, Jeonnam, Gyeongbuk, and Gyeongnam showed an increasing trend of efficiency value over three years. Seoul had the efficiency value, 1, in 2011. But, Incheon, Gwangju showed decreasing efficiency score during the study period. MPI showed overall productivity decrease during the period. Further studies will be needed by collecting more time-series data.
Status of Polypharmacy and Inappropriate Medication Use of the Elderly in Nursing Homes
Kim, Jeong-Sun ; Kang, Sook ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 237~249
DOI : 10.12811/kshsm.2013.7.3.237
This study was done to investigate status of polypharmacy and inappropriate medications use of the elderly of in nursing homes. The subjects of this study were 270 elderly people in the nursing homes of G city and K city, In this study, the medications were classified by Anatomical Therapeutic Chemical (ATC) code, polypharmacy was defined as taking medications more than five, and inappropriate medications use were identified by Beers criteria. Data was analyzed by using descriptive statistics, t-test and one-way ANOVA. Total number of drug types in this study was the average
. The subjects with polypharmacy were 193(71.5%), and with inappropriate medications use were 138(51.1%). There was a significant difference in the polypharmacy according to the number of diseases(p<.001) and in the inappropriate medications use according to age(p
Research on Internet Counselling for Oral Health
Kim, Min-Ja ; Yang, Hee-Jeong ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 251~260
DOI : 10.12811/kshsm.2013.7.3.251
The purpose of this study was to make a comparative analysis of dental question and answer in portal sites. To achieve this, 4,212 questions were used for final analysis after connecting to Naver, Daum and Nate, which take first, second and third place in rank information of all sites at Rankey.com, to search dental information by keyword from January to late March. The results are as follows. Naver was the highest as a portal of Internet search engines. Questions on the use of dental clinics, the quality of dental services and the offer of dental services by types of dental clinics were very important. Dental clinics had to give dental patients customized services and information to please them through dental services and dental information services on the Internet, and questions and answers on this were increasing very explosively. Consequently, Dental clinics will have to give Internet users and health- and disease-related data searchers distinctive professional services by inquiring into factors affecting portal search and factors affecting health- and disease-related search, respectively.
Factors Influencing the Drinking Behavior of Chronic Liver Disease
Kim, Tae-Kyung ; Min, Hye-Sook ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 261~273
DOI : 10.12811/kshsm.2013.7.3.261
The purpose of this study is a chronic liver disease that affects the drinking behavior is to identify the factors. The subjects of the study was diagnosed with chronic liver disease outpatient visit were studied in 120 patients. The collected data were analyzed by using SPSS WIN 18.0. Drinking behavior of chronic liver disease to determine the factors influencing the results of the multiple regression analysis, the regression model was found to be significant(F
Prevalence and Its Influencing Factors on Depression among Elderly Vulnerable People in Urban Community
Kim, Hye-Ryoung ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 275~286
DOI : 10.12811/kshsm.2013.7.3.275
To identify the prevalence and its influencing factors on depression among elderly vulnerable people in one urban community. This study used data from 381 of elderly vulnerable people in the community. The prevalence of depression was found to be 51.97%. Multivariate logistic regression analysis shows that depression was more prevalent as people in female gender; people with lower self-esteem compared to those with higher self-esteem; in elderly who perceived lower social support compared to those who perceived higher social support; and in the older adults with limitation in instrumental activity of daily living. The finding of a significant association between gender difference; self-esteem; perceived social support, and limitation in instrumental activity of daily living and occurrence of depression expected to promote the screening strategy for elderly at risk of depression in Korean community.
Regional Suicide Mortality Rate in Korea
Park, Sang-Hwa ; Kim, Young-Bae ; Lim, Dar-Oh ;
The Korean Journal of Health Service Management, volume 7, issue 3, 2013, Pages 287~296
DOI : 10.12811/kshsm.2013.7.3.287
The aim of this study was to compare the regional difference of death from intentional self-harm. The analysis was based on data of intentional self-harm deaths (31,450) from the 2010-2011 vital statistics of Korea. The suicide rate (per 100,000 population) was 46.2 in male and 22.3 in female. Gender ratio (male / female) of suicide rate was 2.07, and Jeju province had the lowest gender ratio (1.82), and Chungbuk province had the highest gender ratio (2.42). In the age-gender standardized death rate (per 100,000) of self-harm by region, the highest suicide rate was observed in Gangwon province (44.8) and Chungnam province (44.3), and the lowest in Seoul metropolitan city (28.9) and Ulsan metropolitan city (29.2). There was a significant increase in the rate of suicide in city areas (odds ratio: 1.11, 95% CI: 1.08-1.13), county areas (1.62, 1.56-1.67) as compared with the rate of suicide in metropolitan areas. The commonest methods of suicide were hanging (53.7 percent), self-poisoning by pesticides (16.8 percent) and jumping from a height (14.3 percent). The methods used for suicide differed between rural (county) and urban areas (metropolitan city and city). In county areas, 43 percent of suicides used pesticides as compared to only 7-18 percent of those in urban areas. In urban areas, jumping was more common (13-17 percent vs. 6 percent). There were no difference in hanging between urban and rural areas. The odds ratio of death by pesticides was 9.86 in rural areas compared with death rate of metropolitan areas. The odds ratio of death by jumping was 0.59 in rural compared with death rate of metropolitan areas.