Korean J Women Health Nurs.  2020 Mar;26(1):93-103. 10.4069/kjwhn.2020.03.23.

Unmet healthcare needs and related factors according to gender differences in single-person households

Affiliations
  • 1Department of Nursing, Joongbu University, Geumsan, Korea
  • 2Department of Nursing, Hannam University, Daejeon, Korea

Abstract

Purpose
This study was conducted to identify unmet healthcare needs among male and female one-person households and to explore related factors by gender.
Methods
Data were drawn from the 2017 Korea National Health and Nutrition Examination Survey. The final sample consisted of 820 one-person households. The statistical analysis, conducted in SPSS version 20.1, included complex sampling analysis; descriptive statistics, the chi-square test, and logistic regression.
Results
The demographic and socioeconomic characteristics of women in one-person households were significantly different from those of men in one-person households. Women in single-person households were mainly in their 70s or older and married, and they tended to have a low education level, low income, and no formal occupation. Unmet healthcare needs were experienced by 17.3% of women in one-person households and 13.5% of men in one-person households, which was not a statistically significant difference (χ2=2.17, p=.139). Factors related to unmet healthcare needs were subjective health status and unmet dental care needs in single-person-household men. By contrast, having experienced impairment within the past year, stress, and unmet dental care needs were factors related to unmet healthcare needs in single-person-household women.
Conclusion
As one-person households become increasingly common, more attention needs to be paid to them and our understanding of them needs to be improved. Women in one-person households, in particular, are especially vulnerable, as they experience more unmet healthcare needs.

Keyword

One-person household; Women; Assessment of healthcare needs; Health services availability; 1인 가구; 여성; 의료 요구 사정; 의료 서비스 이용

Cited by  2 articles

Factors affecting unmet healthcare needs of low-income overweight and obese women in Korea: analysis of the Korean National Health and Nutrition Examination Survey 2017
Ju-Hee Nho, Sook Kyoung Park
Korean J Women Health Nurs. 2021;27(2):93-103.    doi: 10.4069/kjwhn.2021.05.06.

Do depression and its associated factors differ in women daytime and shift workers?: an analysis of the Korea National Health and Nutrition Examination Survey 2018
Hyun Ju Chae, Mijong Kim
Korean J Women Health Nurs. 2021;27(2):113-127.    doi: 10.4069/kjwhn.2021.05.17.


Reference

References

1. Statistics Korea. Special estimation of future households [Internet]. Daejeon: Author;2019. [cited 2020 Feb 02]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&bSeq=&aSeq=379314&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=#.
2. Statistics Korea. Statistical indicators [Internet]. Daejeon: Author;2020. [cited 2020 Feb 02]. Available from: http://kosis.kr/search/search.do#.
3. Lee YB. One-person households and their policy implications. Health Welf Policy Forum. 2017; (252):64–77.
4. Kang EN, Lee MH. Single-person households in South Korea and their policy implication. Health Welf Policy Forum. 2016; (234):47–56.
5. Bahn YK. Study on factors related to the unmet healthcare needs in single-person households [master’s thesis]. Seoul: Yonsei University;2015. 72.
6. Park G, Kim YJ. Lifestyle survey of single-woman households in Seoul: Survey of living conditions and support policy plans for individuals in their 40s and 50s with a focus on preparations for old age and social relationships. Seoul: Seoul Foundation of Women & Family;2016 Dec. 200 p. Report No.: 2016 policy research-13.
7. Lee J, Shin A. Vegetable and fruit intake in one person household: The Korean National Health and Nutrition Examination Survey (2010~2012). J Nutr Health. 2015; 48(3):269–276.
Article
8. Kang ET, Kang JK, Ma K. Subjective well-being of one-person households: focus on non-married and married one-person households. J Soc Sci. 2016; 27(1):3–23.
9. Jeon CH, Kwak JW, Kwak MH, Kim JH, Park YS. Factors associated with unmet healthcare needs of the older Korean population: the Seventh Korea National Health and Nutrition Examination Survey 2017. Korean J Health Promot. 2019; 19(2):84–90.
Article
10. Bennett AC, Rankin KM, Rosenberg D. Does a medical home mediate racial disparities in unmet healthcare needs among children with special healthcare needs? Matern Child Health J. 2012; 16 Suppl 2:330–338.
Article
11. Hwang BD, Choi R. The prevalence and association factors of unmet medical needs by age group in the elderly. Korean J Health Serv Manag. 2015; 9(1):81–93.
Article
12. Donabedian A. Aspects of medical care administration: specifying requirements for health care. Cambridge, MA: Harvard University Press;1973. p. 649.
13. Park EJ, Cha MR. Korean women’s health behaviors indicators: smoking, drinking and physical activity. Health Welf Forum. 2016; 5:25–22.
14. Kim SH, Lee CY. Analysis of factors affecting unmet healthcare needs of married immigrant women. J Korean Acad Nurs. 2013; 43(6):770–780.
Article
15. Kim NS. Women’s health indicators: a glance through women’s health STATS and FACTS in Korea. Health Welf Policy Forum. 2016; (235):6–14.
16. Lee MS, Song H, Kim B. Association between physical health status, health behaviors and subjective depression among single-person household. Korean J Health Educ Promot. 2018; 35(2):61–71.
Article
17. Kim YJ. Comparison of health practices between single- and multiple-member households by gender in Korean adults. J Korean Public Health Nurs. 2009; 23(2):219–231.
18. Kim SH, Kim YL, Kim KW, Kim KH. The health behavior of single adult households in Korean over 30: the 6th Korean National Health and Nutrition Examination Survey. Korean J Fam Pract. 2017; 7(3):330–336.
Article
19. Jung MC, Choi DH, Lee TY, An YI, Park SJ, Jang H, et al. Analysis of drinking behavior according to household type: using data from the 6th Korean National Health and Nutrition Examination Survey. Korean J Fam Pract. 2019; 9(3):254–259.
Article
20. Kim YJ, Choi SJ, Hwang BD. Factors associated with unmet healthcare needs according to households. Korean J Health Serv Manag. 2018; 12(2):39–49.
Article
21. Kim M, Park S. Healthcare utilization and patient experience of Korean adults: The 6th Korea National Health and Nutrition Examination Survey (2015). Korean J Health Commun. 2017; 12(2):223–235.
22. Yoo GM, Jin S, Moon SH. Exploratory study on factors of unmet medical needs using data mining analysis. Korean Policy Stud Rev. 2016; 25(4):269–300.
23. Chae HJ, Kim MJ. Health behavior, health service use, and health related quality of life of adult women in one-person and multi-person households. Korean J Women Health Nurs. 2019; 25(3):299–314.
Article
24. Choi HY, Rhu SY. Factors associated with the types of unmet health care needs among the elderly in Korea. Korean J Health Serv Manag. 2017; 11(2):65–79.
Article
25. Park JK. Factors influencing the unmet healthcare needs of elderly with chronic diseases: focusing on the 2017 Korean National Survey on elderly. J Korea Acad-Ind Coop Soc. 2019; 20(12):306–313.
26. Moon J, Kang M. The prevalence and predictors of unmet medical needs among the elderly living alone in Korea: an application of the behavioral model for vulnerable populations. Health Soc Welf Rev. 2016; 36(2):480–510.
27. Kim YR. A study on the factors related to unmet medical needs among some injury patient. J Digit Converg. 2019; 17(12):535–543.
28. Chung HT, Nam YH. Characteristics and influencing factors of injured patients in a hospital within the farming village. J Korean Isl. 2015; 27(2):141–155.
Full Text Links
  • KJWHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr