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박보현 ( Park Bo-Hyun ) - Changwon National University Department of Nursing
이경희 ( Yi Kyung-Hee ) - Doowon Technical University Department of Nursing
최숙자 ( Choi Sook-Ja ) - Chung-Ang University Red Cross College of Nursing
서수경 ( Seo Su-Kyong ) - Eulji University College of Nursing
최선임 ( Choi Seon-Im ) - JEI Univeristy Department of Nursing
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Abstract
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Purpose: This study examined health determinants at a community level and put forward to a typology of five different forms of community health vulnerabilities. We also investigated the differences in the prevalence of chronic diseases, self-rated health, and quality of life (EQ-5D) among the five types.
Methods: Latent class analysis was applied to material, social capital, and health behavior vulnerability variables across 255 regions of South Korea. The data came from 2017 & 2019 Community Health Survey.
Results: We found five types of community health vulnerabilities: Type 1 group had the highest material vulnerabilities compared to Type 5. The typology was found to be significant in all the regression analysis on the prevalence of chronic diseases (hypertension and diabetes), self-rated health status, and quality of life. In the regions with high material vulnerabilities, the material vulnerability appeared the most effective to the health status of individual’s. In the other regions with less material vulnerabilities, the social capital and health behavior resources were found to be effective.
Conclusion: A comprehensive measure of vulnerability can be helpful to understand community health. Policy makers need to consider the level of material vulnerability when planning for a health promotion project.
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KeyWords
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지역사회, 건강의 사회적 결정요인, 사회자본, 건강행태, 건강수준
Community, Social determinants of health, Social capital, Health behavior, Health status
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원문 및 링크아웃 정보
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등재저널 정보
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