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KMID : 0378019730160040085
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New Medical Journal
1973 Volume.16 No. 4 p.85 ~ p.97
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Illness and Health Care Patterns of Yonhee Community Health Service Area
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Abstract
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A survey for illness and health care patterns in the Yonhee Community Health Service Area was
done in June 1971 on 1851 persons out of 37, 000 inhabitants, selected with the systematic sampling
method. The data were collected in an household interview by well trained interviewers. The following is a brief summary of the results obtained from the survey:
1. Population structure showed that the age group below 20 was represented with 53.5% and the age group over 60 with only 2.3%. The low rate (5%) of the group in the twentieth was characteristic.
2. 56.6% of the studied population were raised in the rural area. While two third of slum inhabitants were raised in the rural area, two third of apartment dwellers were raised in the urban area. The level of education of bead of household disclosed that 39.0% completed only primary school, 47.6% completed middle to high school and 12.8% were college graduates. The college graduates were three times more frequent among apartment dwellers than among slum dwellers.
3. About half of the heads of households among slum population, were either jobless or daily workers without skill, as compared with 28% of apartment dwellers. About 62% of the apartment dwellers and 30% of the slum population were either skilled workers or salaried clerks.
4. 14.9 per 1, 000 among apartment dwellers and 19.0 per 1, 000 among slum inhabitants had a history of active tuberculosis. These rates rapidly increased with increase of age and showed negative relation with the level of education of the head of households.
5. 24.7 per 1, 000 of slum inhabitants and 11.2 per 1, 000 of apartment dwellers had a history of typhoid fever. These rates also showed negative relation with the level of education. Those inha￢bitants raised in the rural area had a significantly higher history of typhoid fever than those raised in the urban area.
6. The prevalence rates of chronic diseases were 185. 8 per 1, 000 among slum inhabitants and-. 115. 2 per 1, 000 among apartment dwellers. These rates increased sharply with increasing age. Ages over 60 bad the highest chronic disease prevalence rate, which is 414.6 per 1, 000. The main chronic diseases complained of were neurologic and sensory, digestive and nutritional problems.
7. The monthly incidence rate for acute diseases was 82.7 per 1-0M. This rate was higher among slum inhabitants (84.7 per 1.000) than among apartment dwellers (70.6 per 1, 000).
8. Among those who were sick, 70% obtained treatment. Among those who received treatment 54.2% obtained treatment from drug stores, 35.5% from the clinics or hospitals and 3.7% from herb doctors. Those who were raised in the rural area obtained treatment from clinic or hospital less often than those who were raised in the urban area.
9. About 69.6% of those who failed- to receive treatment did so because of economic reasons, 17.4% because of diseases not serious and 13.1`% for other reasons.
10. The admission rates to hospitals during the past one year was 1.9%. Apartment dwellers were hospitalized twice as often than slum dwellers (1.7%).
11. 8.9% had chest X-ray taken during the past one year.
12. 20.0% of the apartment dwellers and 15.2% of the slum inhabitants would demand medical care immediately when economic problem was not a burden.
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