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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
  • 9,144 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.

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
  • 3,127 View
  • 40 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.


PHRP : Osong Public Health and Research Perspectives