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Vast volumes of studies of the medical and public health aspects of fertility and family planning have been published by the various institutes of health related research and university scholars in Korea. None of them, however, have dealed with the population problems associated with biologically and mentally handicapped people. It must be emphasized that the purpose of Korea's population policy should be to improve the quality of the population rather than to decrease its rate of increase. In this spirit, the first report of this study is to identify problems related with mentally and physically less fitted population, and to attempt to offer the possible solutions to the health planners and policy-makers. Several nation-wide surveys of the handicapped people in Korea have been compared. Each survey shows a wide range of difference in the prevalence of the handicaps (see Table 13). In this study, the data on the handicaps are collected by two independent system; one by the nationwide survey and the other by the reporting system existing at the Seoul National University Demonstration Health Project. The Chandrasekar-Deming technique was used to estimate the total number of handicaps. The estimates are summarized in the tables 8, 9 and 10. Estimate of total number of handicapped people in Korea is 601,400 with the prevalence rate of 16.1 per thousand persons. Even if taking a number of conditions which may result in a biased estimate of the total number of the handicaps into consideration, the proportion of handicapped people in Korea has increased in the past two decade as the result of the rapid decline in fertility and childhood mortality, which consequently prolonged life expectancy of persons with congenital or acquired impediment. An increase in the proportion of handicapped people will eventually bring about serious problems of social welfare, medical care, and population qualities from various aspects including eugenics. To tackle the problem, there must be an increased emphasis on the prevention of handicaps from the government and private sector. Based on the amount and quality of data, and from the practical point of view, this study prepared a set of recommendations for the government to strengthen its programs of the preventive activities during the prenatal period and early childhood, early finding from routine examinations, and proper social and medical rehabilitation.
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This study was conducted to survey on health status of the elderly for the aged 60 years and over during July in 1984 in Korea as a part of the four country study sponsored by the WHO regional office of the Western Pacific for Fiji, Korea, Malaysia and Philippines. The purpose of this study was to obtain the basic data for policy development for primary health care services including family and community support, self health care program to the aged for year 2000 within region and cross-cultural comparision. The subjects were sampled 560 elderlies (male 280, female 280) in Seoul and 417 aged for rural inhabitants (male 209, female 208) from the eight provinces except Chejudo. The results of the survey are summarized as follows: 1. The marital status showed that 66% of male and 41% of female in Seoul City have their spouses while 82% of male and 45% of female in rural residents. 2. In occupation, only 2% of the total surveyed were the professionals, 11% clerical and administrators, 5% skilled workers, the remainders were the unskilled and farmers. 3. In education, 46% of male and 67% of female in Seoul City and 54% of male and 91% of female in rural answered that they had no formal education because there were no such an education system when they were young. 4. Self-rated assessment on their own health, 54% of male and 45% of female answered that they are healthy. 5. Having health problems causes difficulties in daily living were 40% of the total; chewing difficulties - 59% of male, 61% of female, dental problems - 38% of male, 39% of female vision difficulties - 31% of male, 34% of female hearing difficulties - 17% of male, 17% of female low extremities - 16% of male, 21% of female walking difficulties for 300m distance - 15% of male, 9% of female cataracts - 11% of male, 9% female 6. Activities of Daily Living, ten item of questions asked and 71% of the total answered that they ecn perform for all of ten items. 7. Cognitive Function Test conducted in 15 item of questions including four mental health status assessment questions. Those who had correct answers in 12 items and over were 63% of male and 48% female in Seoul City and 59% of male and 35% of female in rural, Correct answers for less than 3 items were 2% in male and 4% in female of Seoul City and 2% of male and 6% of female in rural. insomnia - 40% of male, 43% of female worry and strain - 40% of male, 41% female loss of interest - 38% of male, 40% female depression - 32% of male, 36% female fatigue - 51% of male, 61% female loss of memory - 48% of male, 56% of female 8. Uae of health services in past one-month period; visit to doctors - 21% of male,17% female visit to phumacist - 25% of male, 29% female hospitalization - 5% of the total taking herbmedicine - 29% of male, 29% female take prescription medicine - 26% of male, 21% female take drugs without prescription - 38% of male, 45% of female 9. use of glasses - 59% of male, 37% female use of denture - 44% of male, 32% female 10. Three fourth of the total lived with their children. Living alone - 1% of male, 3% of female in urban 2% of male, 3% of female in rural. 11. Living conditions - 22% of total answered they feel unsafety at night. unsatisfied with their living conditions - 14% of total 12. Way of life. - smoking - 47% (61% male, 36% female) - membership in community organization - 28% of total - consult decision making in family affairs -75% of male, 65% of female - no one available to take care when they become sick - 16% of male, 20% of female - feely loniliness - 22% of the total - dependency of living to the family - 60% of male and 74% of female - living with their own income - 28% of male, 10% of female - living with pension - 5% of male, 6% of female - feel financial poverty - 30% of total - ownership of house - 44% of total.