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2 "multilevel analysis"
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Original Articles
Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South Korea
Seung Eun Lee, Miyeon Yeon, Chul-Woung Kim, Tae-Ho Yoon, Dongjin Kim, Jihee Choi
Osong Public Health Res Perspect. 2019;10(5):295-306.   Published online October 31, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.5.06
  • 9,563 View
  • 42 Download
  • 3 Citations
AbstractAbstract PDF
Objectives

In this study the relationship between neighborhood deprivation and the unmet health care needs of elderly individuals (≥ 65 years) was examined. Some previous studies suggested that neighborhood characteristics affect access to health care, yet research on the unmet needs of older individuals is limited.

Methods

Multilevel logistic regression analysis was used to assess the relationship of neighborhood-level factors with unmet health care needs due to costs, adjusting for individual-level factors, in individuals ≥ 65 years in the 2017 Korean Community Health Survey (n = 63,388).

Results

There were 2.6% of elderly individuals who experienced unmet health care needs due to costs. Following adjustment for individual and neighborhood characteristics, the neighborhood deprivation in urban areas was found to have an inverse association with unmet needs (odds ratio = 0.50; 95% confidence interval = 0.24–1.06) for the most deprived quartile versus the least deprived quartile). However, in rural areas neighborhood deprivation was not a significant variable. Among the individual-level variables, household income was one of the strongest correlates with unmet needs in both urban and rural areas.

Conclusion

The present findings suggest that targeted policy interventions reflecting both neighborhood and individual characteristics, should be implemented to reduce the unmet health care needs of elderly individuals.

Citations

Citations to this article as recorded by  
  • The Older Persons' Index of Multiple Deprivation: Measuring the deprivation circumstances of older populations in Aotearoa New Zealand
    Daniel J. Exeter, Michael Browne, Tommi Robinson-Chen, Jessie Colbert, Ngaire Kerse, Arier Lee
    Health & Place.2022; 76: 102850.     CrossRef
  • The Contribution of Material, Behavioral, Psychological, and Social-Relational Factors to Income-Related Disparities in Cardiovascular Risk Among Older Adults
    Chiyoung Lee, Qing Yang, Eun-Ok Im, Eleanor Schildwachter McConnell, Sin-Ho Jung, Hyeoneui Kim
    Journal of Cardiovascular Nursing.2021; 36(4): E38.     CrossRef
  • Association between community deprivation and practising health behaviours among South Korean adults: a survey-based cross-sectional study
    Bich Na Jang, Hin Moi Youn, Doo Woong Lee, Jae Hong Joo, Eun-Cheol Park
    BMJ Open.2021; 11(6): e047244.     CrossRef
Associations between Social and Physical Environments, and Physical Activity in Adults from Urban and Rural Regions
Bongjeong Kim, Hye Sun Hyun
Osong Public Health Res Perspect. 2018;9(1):16-24.   Published online December 31, 2017
DOI: https://doi.org/10.24171/j.phrp.2018.9.1.04
  • 3,475 View
  • 42 Download
  • 6 Citations
AbstractAbstract PDF
Objectives

This study investigates investigated the relationship between social and physical environments, and moderate to vigorous physical activity (MVPA) amongst adults in both rural and urban areas within Korea.

Methods

A sample of 128,735 adults from the 2013 Community Health Survey (CHS) was analyzed using a multilevel logistic analysis.

Results

Urban residents with higher satisfaction in public transportation satisfaction and rural residents with more access to sports parks, hiking trails, and bike cycle paths were more likely to be active. The MVPA of adults from rural areas correlated urban adults was uncorrelatedwith neighborhood factors, but that of rural adults was whereas no correlations were observed in adults from urban areas.

Conclusion

These differences should be considered when developing interventions strategies to enhance adult physical activity in different communities.

Citations

Citations to this article as recorded by  
  • Neighborhood Environmental Factors and Physical Activity Status among Rural Older Adults in Japan
    Kenta Okuyama, Takafumi Abe, Xinjun Li, Yuta Toyama, Kristina Sundquist, Toru Nabika
    International Journal of Environmental Research an.2021; 18(4): 1450.     CrossRef
  • Youth’s Physical Activity and Fitness from a Rural Environment of an Azores Island
    João Pedro Gouveia, Pedro Forte, Eduarda Coelho
    Social Sciences.2021; 10(3): 96.     CrossRef
  • The Changes in Obesity Prevalence and Dietary Habits in Korean Adults by Residential Area during the Last 10 Years — Based on the 4th (2007–2009) and the 7th (2016–2018) Korea National Health and Nutrition Examination Survey Data
    Da-Mee Kim, Kyung-Hee Kim
    Korean Journal of Community Nutrition.2021; 26(1): 37.     CrossRef
  • Regional Disparity in Adult Obesity Prevalence, and Its Determinants
    Bongjeong Kim
    Journal of Health Informatics and Statistics.2021; 46(4): 410.     CrossRef
  • Factors Affecting Activity Limitation in the Elderly: Data Processed from the Korea National Health and Nutrition Examination Survey, 2016
    Jong-Hoon Moon
    Osong Public Health and Research Perspectives.2019; 10(3): 117.     CrossRef
  • Corrigendum to “Associations between Social and Physical Environments, and Physical Activity in Adults from Urban and Rural Regions”[Osong Public Health Res Perspect 2018;9(1):16–24]
    Bongjeong Kim, Hye Sun Hyun
    Osong Public Health and Research Perspectives.2018; 9(5): 283.     CrossRef

PHRP : Osong Public Health and Research Perspectives