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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of agricultural medicine and community health
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Journal DOI :
Korean Association of Agricultural Medicine and Community Health
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Volume & Issues
Volume 21, Issue 2 - Dec 1996
Volume 21, Issue 1 - Jun 1996
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Utilization Trends of Health Subcenter for Primary Medical Care in a Korean Rural Area
Jo, Heui-Sug ; Wie, Cha-Hyung ;
Journal of agricultural medicine and community health, volume 21, issue 2, 1996, Pages 151~157
This study was analyze through the reports which published on the subject matter of Su Dong-Myun from year of 1972-1993, and analysis of data in 1994 was performed with medical records on the health subcenter by PC-SAS program. The result are as follows: The number of population in Su-Dong Myun(study area) was 5,707 in 1995, 4,641 in 1985 and 5,424 in 1975. In the composition rate of population "0-14" of age group only showed markedly decreasing tendancy from 42.8% in 1975 to 19.1% in 1995. However, "65 and over" showed markedly increasing tendancy from 5.7% in 1975 to 9.8% in 1995. Annual utilization rate showed rapidly increasing tendency from year of 1972 to 1978, such as 314 per showed rapidly decreasing tendency, such as 708 in 1981, 485 in 1984, 272 in 1987, 309 in 190 and in 1993. In the annual age-specific utilization rate, the age group of "0-14" showed the highest rate of 621 per thousand population in 1975, 1159 in 1980, 1021 in 1985 and 538 in 1990. However the age group of "65 and over" showed the highest rate of 481 in 1994. Age specific annual utilization rate showed markedly decreasing tendency in the age group of "0-14" and "15-44", however showed slightly decreasing tendency or same level in the group of "45-64" and "65 and over" from year of 1980 to 1994. In the age specific utilization rate, the lower down the age was, the higher tendency the rate showed, such as 621 per 1,000 population in "0-14" of the age group, 543 in "15-44", 406 in "45-64" and 294 in "65 and over" in 1975. However, the higher up the age was, the higher tendency the rate showed in 1980, 1985 and 1994, except "0-14" of age group. The 5 major diseases were disease of Respiratory system, Gastrointestinal system, Skin and Subcutaneous tissue, Accidents, Poisoning and Violence and Nervous system and Sense organ, in 1975, 1980 and 1985. However, in 1990 and 1994, the 5 major disease were disease of Respiratory system, Gastrointestinal system. Skin and Subcutaneous tissue, Musculoskeletal system and, Connective tissue and Circulatory system. In Composition rate of patient in Su Dong-Myun Health Subcenter by Charged Medical Fee, medical insurance showed almost all the highest rate of 93.9% in year of 1994 and C.H.D.A. of 100% in 1975. Proportion of insurance showed increasing tendency such as 6.6% in 1980, 21.3% in 1985, 69.0% in 1990 and relatively C.H.D.A. showed decreasing tendency.
Removal Effects of Organic-Phosphorus Pesticide Residue in lettuce by washing methods
Ko, Bok-Sil ; Jeon, Tae-Hwan ; Jung, Kyu-Saeng ; Lee, Sung-Kook ;
Journal of agricultural medicine and community health, volume 21, issue 2, 1996, Pages 159~171
It is investigated to determine the removal efficiency of organic - phosphorus insecticide residues in lettuce by washing processes, the 5 washing solution (stagnant tap water, flowing tap water, alkaline solution, acidic solution) were used with the washing time(10, 30, 50sec) and frequencies(1, 2, 3 washing, 2 rinsing). The removal efficiency of residual pesticides by 5 washing methods was increased on the more washing time and frequency, and also was the highest on the 3 times washing for each 50 sec. The removal rate with stagnant tap water was 33.7% of Diazinon, 45.7% of Dimethoate and 24.6% of Fenitrothion, but 29.4% of Diazinon, 37.7% of Dimethoate and 24.5% of Fenitrothion with flowing tap water. Therefore, the former was significantly higher effective than the latter one. The removal rate of residual pesticides with alkaline solution showed 32.1% of Diazinon, 49.5% of Dimethoate and 29.9% of Fenitrothion, and 30.4% of Diazinon, 36.4% of Dimethoate and 21.0% of Fenitrothion with acidic solution. The washing efficiency of neutral detergent showed the most effective result than others with 47.1% of Diazinon, 58.0% of Dimethoate and 39.5% of Fenitrothion. Consequently, it's appeared that the neural detergent washing was the most effective method on the 3 times washing for each 50 sec.
A Study on the causes of farmer's disease and greenhouse disease in a rural area of Kyungnam province
Hong, Dae-Yong ; Kim, Jang-Rak ; Lee, Myung-Soon ; Kang, Kyung-Hee ; Ha, Ho-Sung ;
Journal of agricultural medicine and community health, volume 21, issue 2, 1996, Pages 173~193
This study was carried out to elucidate the causes of farmer's disease and greenhouse disease in the rural area of Kyungnam province during 1996. 2,171 (69.1%) of the 3,140 adults above 20 years old who had lived in the selected 20 villages in Uiryong County of Kyungnam Province were selected in order to over both residents who live in the green house distracts and conventional rural area. The results were as follows: 1. Among the subjects, the male was 42.2% and female was 57.6%. The average age for the male was 52.3, 55.6 for the female. 2. The proportion of the farmers in the subjects was 81.5%. Among these 78.0% were engaged in the greenhouse farming. 3. Among the eight symptoms of Nofusho(japanese farmer's comples), lumbago was the most frequently complained and followed by shoulder stiffness and parenthesis of hand or foot. 4. The total score of farmer's disease was evidently higher in the female and the older the score was clearly bigger. 5. The prevalence of Nofusho(Japanese farmer's comples)was 26.8% and 43.15% was for the suspected Nofusho. In the male, the prevalence of Nofusho was 13.6% and 40.9% for the suspected Nofusho and in the female 36.5% and 44.7% were shown, comparatively. 6. According to the multiple classification analysis, sex, age, and occupation were selected as significant variables to explain the total score of Nofusho. 7. The correlations between the total score of Nofusho and the number of sick day, working years, and age were significant, comparatively. 8. According to the multiple classification analysis corolling interaction between independent variables, age was the only variable which was significant in the male and age, pesticide work in the female. 9. The score of greenhouse disease was highest in the group who engaged in greenhouse farming and conventional farming(2.76 for male, 3.77 for female) followed by the group who engaged only in greening house farming(2.66 for male, 3.49 for female) and by the group who engaged only in conventional farming(2.27 for male, 3.05 for female) 10. According to the multiple classification analysis with the total score of greenhouse disease as dependent variable, corolling interaction between independent variables, age and pesticide work were revealed as significant variables in the male, while, pesticide work and farming type were significant in the female. According to the above results, the following could be suggested. Because lumbago, shoulder stiffness, paresthesia of hand and foot were the most frequently complained symptoms in the respondent, the development of farming tool to reduce the body burden and periodical physical exercise and rest is highly recommended. It is revealed that both in the farmer' disease and greenhouse disease the score was higher in the female than in the male. So the reasonables measures is recommended to reduce the working hours of the female. Pesticide work was revealed as the significant variable in the female in farmer's disease and both in the male and the female in greenhouse disease. So the development of the safe method of pesticide spraying including safety education should be introduced. Particularly the female should be excluded in pesticide spraying.
Degree of Daily Living Activity and Depression in the Rural Elderly
Lee, Yeung-Seuk ; Chun, Byung-Yeol ; Kim, Sang-Soon ; Lee, Sam-Soon ;
Journal of agricultural medicine and community health, volume 21, issue 2, 1996, Pages 195~207
In other to study functional capacity of the daily living activity and depression in the rural 394 people(154 men and 250 women), over 65 year old, who are living in Koryung County of Kyungpook Province were interviewed using questionnaire during the period February 14 to March 30 1996. The percentage of ADL dependent patient who cannot perform one item or more was 20.1% in men and 22.5% in women. The percentage of IADL dependent people who cannot perform one item or more was 72.1% in men and 56.2% in women. The prevalence of depression in female(68.8%) was higher than that in male(59.1%). There was statistically significant association between ADL score and other variables(sex, age religion, living with spouse, family resident, living expenses, self-rated health status, leisure, satisfactory of pocket money, drinking)(p<0.05). There was statistically significant association between IADL and other variables(age, education, living with spouse, family resident, living expenses, satisfactory of pocket money, smoking, self-rated health status)(p<0.05). The prevalence of depression in dependent elderly was significantly related with ADL in both genders(p<0.05), however, not related with IADL. In conclusion, the functional capacity dependency and the prevalence of depression in the rural elderly was high and depression was significantly related with ADL score.
The Prevalence of Chronic Degenerative Disease and Utilization of Medical Facility in Rural Population
Ann, Kil-Soo ; Chun, Byung-Yeol ; Yeh, Min-Hae ;
Journal of agricultural medicine and community health, volume 21, issue 2, 1996, Pages 209~220
This study was performed to investigate the prevalence of chronic disease and utilization of medical facility in rural area. 5,797 persons were randomly selected from 28,883 rural residents who were over 30 years old and living in Moonkyung city in Kyungsangpook Province during the period October 1 1983 to February 28 1994. The person prevalence rate was 336 per 1,000. The prevalence rate in men(278 per 1,000) was higher than that(388 per 1,000) in women. The spell prevalence rate in men(367) was significantly higher than that(429) in women (p<0.05). The prevalence was increased with the age, 106 in the 30's. 223 in the40's, 336 in the 50's, 407 in the 60's, and 457 in the age group of 70 above. Of all chronic diseases, the prevalence of neuralgia ranked first(128), chronic gastrointestinal disorders(64), degenerative arthritis(54). hypertension (44) and diabetes (14) were followed in descending order. In men, the prevalence of neuralgia ranked first, chronic gastrointestinal disorders, degenerative arthritis, hypertension and bronchial asthma were followed in descending order. In women, the prevalence of neuralgia ranked first, degenerative arthritis, chronic gastrointestinal disorders, hypertension and diabetes were followed in descending order. The prevalences of neuralgia, degenerative arthritis and hypertension were significantly higher in women than those in men, however, those of cardiovascular disease, pulmonary tuberculosis and liver cirrhosis in men were significantly higher than those in women(p<0.05). Most patients with chronic diseases were more likely to utilize hospital and/or local clinics than public health facility or community health providers. Patients with neuralgia, degenerative arthritis and bronchial asthma tended to utilizing local clinics initially, however, they were changed to visit public health facility or community health providers afterwards. Patients with hypertension or pulmonary tuberculosis were more likely to visit public health facility, however, those with diabetes, cancer, heart failure, CVD, liver cirrhosis were more likely to visit hospital.
A Study on the development for the primary school fluoride mouthrinsing project through the public health system in a rural area
Choi, Jin-Su ; Hong, Suk-Jin ; Hwang, Min-Hong ; Lee, Sang-Dae ; Jeong, Seong-Soog ;
Journal of agricultural medicine and community health, volume 21, issue 2, 1996, Pages 221~230
This study was purposed to develop the fluoride mouthrinsing project through the public health system in a rural area. This project was performed under the management of the public health dentist for the 3rd grade students selected from the 5 primary schools at Goksunggun in Chonnam area. Fluoride mouthrinsing was executed with 0.2% neutral sodium fluoride solution once a week. After 1 year's fluoride mouthrinsing project, DMFT index, DMF rate frequencies of toothbrushing, simplified oral hygiene index, and the responses to fluoride mouthrinsing project of the school children participated were examined. The results obtained from this study were as follows: 1. The fluoride mouthrinsing project for school children was performed average 10 times a year by the public health dentist. They were relatively little active to perform this project. 2. There was no significant difference in the increasement of DMFT index and DMF rate during 1 year between control and fluoride mouthrinsing group. 3. Control group was increased higher than fluoride mouthrinsing group in simplified oral hygiene index. 4. Toothbrushing frequencies increased in both groups. 5. 80.4% of school children participated in fluoride mouthrinsing project was responded to like it, and 78.2% among them was responded the project to be beneficial for their dental health. 6. 39.2% of school children was responded to have water-like taste for fluoride solution. But 34.0% of them was done to have strange taste. On consideration of above findings, this fluoride mouthrinsing project was not well performed by the public health dentists and also the oral health status of school children participated was not significantly improved by this project. Therefore, to perform continually this project well, it was recommended that this project should be performed by other person such as dental hygienist rather than public health dentist.
Health Status and Health Care Utilization in a Rural Area, Nepal
Lee, Myung-Ken ; Kim, Myung-Ho ; Lee, Myung-Sun ; Park, Kyoung-Ok ;
Journal of agricultural medicine and community health, volume 21, issue 2, 1996, Pages 231~241
The estimation of medical care status and the planning of health service program should be done according to each community resident's socio-medical background and public health service. In this point, it is most necessary to be set the exact and new socio-economic statistics data in Nepal, one of the worst countries in national health status. We surveyed 668 house, 3,425 residents in Dolka area, Nepal from January 25th to February 1st, 1995. 1. In personal characteristics, the ratio of men and women was similar, the person who were below 19 years old were 28.1% and the single were 52.4%. The illeterate person were 50.3% and the lower group in economic status which had been estimated by interviewers were 46.9%. 2. In sanitational characteristics, the person who used stream water or rainwater to drink were 42.2% and the person who always boiled water to drink were only 8.3%. The person who had not toilet in their house were 67.3% and the lower group in sanitational status which had been estimated by interviewers were 61.8%. 3. The prevalence rate of illness during the last one month were 8.6% and the chronic were 26.1% and the acute were 72.5%. The distribution of sickness symptom were headache, fever and joint pain in order and the person who took no medical treatment among the sick were 37.0%. The patterns of medical utilization were public health center, hospital and pharmacy in order. 4. Illness prevalence was significantly related to sex, age, merital status and educational experience. The residents who were women, 40 years old or more, married and had not educational experience were apt to take illness. 5. Medical utilization was significantly related to educational experience, job, distance from home to medical facilities and economic status. The person who had educational experience, were officer workers or merchants, lived near by medical facilities and had higher economic status took medical treatment very well.
A Study on the Patterns of Medical Utilization among Inhabitants in Ulnung Island
Lim, Hyun-Sul ; Kim, Doo-Hie ;
Journal of agricultural medicine and community health, volume 21, issue 2, 1996, Pages 243~251
Authors surveyed the inhabitants in Ulnung Island to assess the patterns of medical utilization. One hundred eighty six population(65 male and 121 female) were surveyed with formed questionnaire from Aug. 16 to Aug. 19 in 1994. Results are as follows. 1. The prevalence rate of acute diseases was 19.3%. 2. The prevalence rate of chronic diseases was 35.0%. In classification of chronic disease, the disease of musculoscletal system was the highest(33.9%) and that of digestive system in next order. 3. The first-visit medical facility when disease developed was community health center mainly. The admission care was taken in 37.6%. The 80.0% among location of medical facility for admission care was out of island. The surgical operative care were taken in 19.9%. The 86.5% among location of medical facility for surgical operative care was out of island. 4. Among the contents of dissatisfaction for medical service within island, 'Insufficient equipment' was the highest(35.8%), and 'Insufficient traffic networks' in next order. The results of this study suggest that public health facilities and medical personnel be strengthened and emergency transfer system be secured in Ulnung Island.