지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학위논문
- 저자정보
- 지도교수
- 류소연, 박종
- 발행연도
- 2016
- 저작권
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ABSTRACT
Social Disparities in Utilization of Preventive Health Services among Korean Women Aged 40-64
Park Hyun Hee
Advisor: Prof. Ryu So Yeon, MD, Ph.D
Co-Advisor: Prof. Park Jong, MD, Ph.D
Department of Health Science,
Graduate School of Chosun University
Objectives: This study was performed to examine the utilization rates of preventive health services including flu vaccination, general health and cancer screenings among Korean women aged 40-64, and to identify disparities in these services utilization according to socioeconomic factors
Methods: This study used the data from 2014 Community Health Survey, and study subjects were 57,522 women aged 40-64. The selected socioeconomic factors in this study were age, educational attainment, job, monthly income, marital status and residential area, and preventive health services were defined the utilizations of flu vaccination in the past year, and general health and cancer screenings in last 2 years. To examine the social disparities in utilization of preventive health services, chi-square test and multiple logistic regression analysis were used.
Results: The service utilization rates of flu vaccination, general health and cancer screenings were 34.3%, 77.8%, and 73.6%, respectively. Increasing age, lower educational attainment, being unemployed and living in rural area had higher odds ratios for flu vaccination. Increasing age, lower educational attainment, being employed, increasing monthly income, living with partner and living in urban area were statistically significant associated with receiving general health screening. The associated factors with cancer screening were increasing age, lower educational attainment, being employed with non-physical job, increasing monthly income, living with partner and living with urban area.
Conclusion: This study was showed that socioeconomic disparities in utilization of preventive health services were found in Korean women aged 40-64. Efforts to improve social disparities in preventive health service utilization among Korean women need an important public health focus.
Key words: Middle-aged, Preventive Health service, Screening, Social disparities, Vaccination, Women
Social Disparities in Utilization of Preventive Health Services among Korean Women Aged 40-64
Park Hyun Hee
Advisor: Prof. Ryu So Yeon, MD, Ph.D
Co-Advisor: Prof. Park Jong, MD, Ph.D
Department of Health Science,
Graduate School of Chosun University
Objectives: This study was performed to examine the utilization rates of preventive health services including flu vaccination, general health and cancer screenings among Korean women aged 40-64, and to identify disparities in these services utilization according to socioeconomic factors
Methods: This study used the data from 2014 Community Health Survey, and study subjects were 57,522 women aged 40-64. The selected socioeconomic factors in this study were age, educational attainment, job, monthly income, marital status and residential area, and preventive health services were defined the utilizations of flu vaccination in the past year, and general health and cancer screenings in last 2 years. To examine the social disparities in utilization of preventive health services, chi-square test and multiple logistic regression analysis were used.
Results: The service utilization rates of flu vaccination, general health and cancer screenings were 34.3%, 77.8%, and 73.6%, respectively. Increasing age, lower educational attainment, being unemployed and living in rural area had higher odds ratios for flu vaccination. Increasing age, lower educational attainment, being employed, increasing monthly income, living with partner and living in urban area were statistically significant associated with receiving general health screening. The associated factors with cancer screening were increasing age, lower educational attainment, being employed with non-physical job, increasing monthly income, living with partner and living with urban area.
Conclusion: This study was showed that socioeconomic disparities in utilization of preventive health services were found in Korean women aged 40-64. Efforts to improve social disparities in preventive health service utilization among Korean women need an important public health focus.
Key words: Middle-aged, Preventive Health service, Screening, Social disparities, Vaccination, Women
목차
목 차표 목 차 ⅲABSTRACT ⅳI. 서론 1II. 연구방법 4A. 연구자료 및 대상 4B. 이용변수 41. 사회경제적 특성 42. 건강관련요인 53. 만성질환 이환 64. 예방적 보건의료서비스 이용 6C. 자료 분석 방법 6III. 연구결과 8A. 대상자의 특성분포 81. 조사대상자의 사회경제적 특성 분포 82. 조사대상자의 건강관련요인 분포 103. 조사대상자의 만성질환 이환 분포 114. 조사대상자의 예방적 보건의료 서비스 이용 분포 12B. 사회경제적 특성 및 건강관련 요인에 따른 예방적 보건의료서비스 이용 비교 131. 사회경제적 특성에 따른 예방적 보건의료서비스 이용 비교 132. 건강관련 요인에 따른 예방적 보건의료서비스 이용 비교 15C. 다중로지스틱회귀분석을 이용한 사회경제적 특성에 따른 예방적 보건의료서비스 이용 비교 171. 사회경제적 특성에 따른 독감예방접종의 교차비 172. 사회경제적 특성에 따른 일반 건강검진 수검의 교차비 193. 사회경제적 특성에 따른 암검진 수검의 교차비 21IV. 고찰 23V. 요약 및 결론 28References 30표 목 차Table 1. Characteristics of the study subjects 9Table 2. Health related characteristics of the study subjects 10Table 3. Morbid state of chronic diseases of the study subjects 11Table 4. Utilization rates of preventive health services of the study subjects 12Table 5. The comparisons of utilization of preventive health services according to socioeconomic factors 14Table 6. The comparisons of utilization of preventive health services according to health-related characteristics 16Table 7. The odds ratios of flu vaccination in socioeconomic factors 18Table 8. The odds ratios of general health screening in socioeconomic factors 20Table 9. The odds ratios of cancer screening in socioeconomic factors 22
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