• 한국산학기술학회논문지
• /
• 제12권2호
• /
• pp.909-919
• /
• 2011

웹 사이트가 정보와 지식 습득을 위한 일상생활의 필수도구로 인식되면서 정보취약계층을 위한 웹 접근성이 중요시 되고 있다. 특히 2008년 장애인차별금지법의 시행으로 접근성 있는 웹 사이트의 제작이 의무화됨에 따라 웹 접근성 관련 전문 인력의 수요가 더욱 증가하고 있으나, 국내 대학의 정규 교육과정에서 웹 접근성 교육은 이루어지지 않고 있다. 이에 따라 본 논문에서는 타일러 모형과 교수체제 설계기법에 기반을 두고 국내 대학에서 활용 가능한 웹 접근성 교육과정을 개발하였다. 이를 위해 웹 접근성 교육목표를 설정하고, 국내 423개 대학과 국외 4개국의 197개 대학을 대상으로 웹 접근성 관련 교육현황 및 교육내용 구성과 특징을 분석하였다. 이를 바탕으로 웹 접근성 교육 내용을 구성하였고 웹 접근성 전문가 자문을 통해 이의 타당성을 검증하였다. 본 논문은 국내 대학이나 기관에서 웹 접근성 전문 인력 양성을 위한 교육과정의 기초자료로서 활용이 가능하다는 점에서 실무적인 공헌도가 있다.

• 법제연구
• /
• 제41호
• /
• pp.125-170
• /
• 2011

우리나라 장애인복지의 발전과정은 대체로 4기로 구분할 수 있다. 제1기는 1981년 이전으로 장애인을 한낱 자선의 대상으로만 보았던 시절이고, 제2기(1981~1988)는 "장애인복지법"제정으로 장애인복지 이념의 등장과 태동시기에 해당하며, 제3기(1989~2006)는 장애인복지제도의 틀을 정비하고 복지서비스 확대를 도모하던 시기라고 할 것이며, 제4기(2007~현재)는 장애인차별금지법 제정 등으로 장애인 인권 및 복지 보장의 확대전환기라 할 수 있다. 특히 우리나라에 있어서 장애인복지 관련 법제는 2007년이 새로운 역사적 이정표를 세운 해라고 할 것이다. 이 해에 장애인계의 오랜 숙원이었던 "장애인차별금지 및 권리구제 등에 관한 법률"이 제정되었고, 기존의 "특수교육진흥법"이 폐지되면서 새로운 "장애인 등에 대한 특수교육법"으로 대체 입법 제정되었으며, "장애인복지법"이 장애인복지 패러다임 변화를 수용하는 내용으로 전부개정되는 등 법제도상의 괄목할만한 성과를 이룩하였던 것이다. 여기서는 우리나라 현대사에 있어서의 장애인복지 수준을 가늠할 수 있는 관련 법제도의 입법화과정과 현행 법제의 체계를 살펴보고, 현행 법제의 주요내용과 개선과제를 논함으로써 향후 우리나라 장애인복지 관련 법제의 발전방향을 제시해보고자 한다.

• 융합정보논문지
• /
• 제9권11호
• /
• pp.218-226
• /
• 2019

본 연구는 중고령 장애인의 사회안전 인식 수준과 영향요인을 분석하는 것을 목적으로 한다. 2018년 사회조사에 응답한 50세 이상 장애인을 분석대상으로 하였으며, 응답자의 인구사회학적 요소와 위험대처수준, 본인준법수준, 타인준법수준, 공공질서 준수수준을 주요 변인으로 위계적 회귀분석을 통해 사회안전 인식에 영향을 미치는 요소와 영향의 수준을 분석했다. 분석결과 조사 응답자의 성별, 연령, 거주지역, 교육수준, 주관적 건강상태, 위험대처수준, 타인 준법수준, 공공질서 준수수준 요인이 중고령 장애인의 사회안전 인식수준에 유의미한 영향을 미치는 것으로 나타났다. 본 연구를 통해 중고령 장애인의 사회안전 인식에는 개인적 요건과 사회적 자본(social capital)의 중요성을 알 수 있었으며, 향후 장애유형별 안전인식에 대한 차이를 연구하거나 인식과 함께 실제적 사회안전수준도 연구에서 함께 고려해야 할 것으로 논의하였다.

• 보건행정학회지
• /
• 제29권3호
• /
• pp.288-302
• /
• 2019

Background: The one-person households (OPH) are rapidly increasing and vulnerable to socioeconomic and health problems. Because it is predicted to be inequitable to health care utilization, we would like to find out about the equity of health care utilization of the OPH by comparison with the multi-person households (MPH). Methods: This study followed the theoretical framework of Wagstaff and van Doorslaer (2000), O'Donnell and his colleagues (2008), where the horizontal inequity index is the difference between the concentration indices of actual health care utilization and health care needs. This study employed the 9th Korea Health Panel survey, and a total of 10,807 cases were analyzed. Health care needs were measured by age, sex, subjective health status, chronic disease count, Charlson's Comorbidity Index, limitation of activities, and disability. Results: Compared with the MPH, there were pro-poor inequities in hospitalization, emergency utilization, hospitalization out-of-pocket payments, and pro-rich inequities in outpatient out-of-pocket payments for the OPH. The decomposition of the concentration index revealed that chronic disease count made the largest contribution to socioeconomic inequality in outpatient utilization. Age, health insurance, economic activities, and subjective health status also proved more important contributors to inequality. The variables contributing to the hospitalization and emergency utilization inequity were age, education, Charlson's Comorbidity Index, marital status, and income. Conclusion: Because the OPH was more vulnerable to health problems than the MPH and there were pro-poor inequities in medical utilization, hospitalization, and emergency costs, it is necessary to develop a policy that can correct and improve the portion of high contribution to medical utilization of the OPH.

• 한국학교보건학회지
• /
• 제24권1호
• /
• pp.99-109
• /
• 2011

Purpose: The purpose of this study was to investigate factors influencing dysmenorrhea in middle school girls and to analyze the differences in dysmenorrhea according to personal factors of the subjects. Methods: This study was conducted from March 22 to April 2, 2010. The subjects of the study were 572 girls who attended three middle schools in Seoul and experienced dysmenorrheal. All were surveyed using the same questionnaire. Data were analyzed by the SPSS/WIN 12.0 program and included descriptive statistics, ANOVA and multiple regression analysis. Results: 1) The mean age of the subjects was 13.53 years, and the mean age of first menstruation (menarche) was 11.94 years. The number of days between the onset of menstrual cycles was 30.01 days. Most of the respondents had irregular menstrual cycles and menstrual periods lasting 3 to 7 days long. 2) Chief menstrual pains were lower abdominal and back pain. Subjects reported experiencing severe lower abdominal and/or back pain, most commonly on the second day of menstruation. The average score of menstrual discomfort was over 60 points (63%). The average score per 6 points of dysmenorrhea was as follows: fatigue (3.48), sensitivity (3.27), disability of movement (3.27), napping or lying down (2.98), mood swings (2.95), interference with studies (2.87). 3) Individual subject characteristics influencing the onset of dysmenorrhea were as follows: high stress levels, being in poor health, having an irregular diet, being younger and having longer menstrual periods than most other subjects. Conclusion: During puberty, girls with earlier menarche complained of physical and emotional discomfort, and irregular menstrual periods. Therefore, we need to explain overall menstrual characteristics and individual differences in the occurrence of dysmenorrhea, in health education programs.

• 융합정보논문지
• /
• 제11권11호
• /
• pp.266-276
• /
• 2021

본 연구의 목적은 건강한 두피관리행동의 증진을 위해 건강신념모델에 기초한 여대생의 라이프스타일을 유형으로 나누어 두피관리행동에 대하여 알아보는 것이다. 연구를 위하여 서울, 경기지역의 여대생 총 534명을 대상으로 2020년 3월 18일에서 2020년 4월 7일까지 실시하였다. 연구의 결과 라이프스타일에 따른 두피건강관리 건강신념수준의 차이는 인지된 유익성과 인지된 장애성, 자기효능감에서 모두 유의미한 차이가 나타났다. 또한 라이프스타일에 따른 두피관리행동 차이에 대한 결과로는 사회지향성향, 유행추구성향, 경제지향성향 순으로 높게 나타났다. 따라서 본 연구를 통해 두피건강신념수준을 높일 수 있는 정보와 교육 프로그램의 개설 및 라이프스타일의 유형별 두피관리제품의 개발이 필요하다고 사료된다.

• Safety and Health at Work
• /
• 제11권4호
• /
• pp.491-499
• /
• 2020

Background: Assembly lines work is frequently associated to work-related upper limb musculoskeletal disorders. The related disability and absenteeism make it important to implement efficient health surveillance systems. The main objective of this study was to identify self-reported variables that can determine work-related upper limb musculoskeletal symptoms-discomfort/pain-during a 6-month follow-up. Methods: This was a prospective study with a 6-month follow-up period, performed in an assembly line. Upper limb musculoskeletal discomfort/pain was assessed through the presence of self-reported symptoms. Uni- and multivariate logistic regression analyses were used to evaluate which self-reported variables were associated to upper limb symptoms after 6 months at the present and to upper limbs symptoms in the past month. Results: Of the 200 workers at baseline, 145 replied to the survey after 6 months. For both outcomes, "having upper limb symptoms during the previous 6 months" and "education" were possible predictors. Conclusion: Our results suggest that having previous upper limb symptoms was related to its maintenance after 6 months, sustaining it as a specific determinant. It can be a hypothesis that this population had mainly workers with chronic symptoms, although our results give only limited support to self-reported indicators as determinants for upper limb symptoms. Nevertheless, the development of an efficient health surveillance system for high demanding jobs should implicate self-reported indicators, but also clinical and work conditions assessment should be accounted on the future.

• 보건행정학회지
• /
• 제29권2호
• /
• pp.160-171
• /
• 2019

Background: This study purposed to compare the difference on medical utilization and health expenditure of baby boomer generation by depression between gender. Methods: Korea Welfare Panel Survey 2016, provided by the Korea Institute for Health and Social Affairs, was used for the analysis. For the research, we used the two-part model, yes or no of use (part 1), and frequency of use (part 2) for medical utilization. The dependent variables are the whether or not to use of hospitalization services, outpatient services, length of stay, outpatient service visits, and health expenditure. And the independent variables are used as the predisposing (education, spouse presence), enabling (insurance type, private insurance, economic activity, income), and need (chronic disease, self-rated health, disability) factors in the Andersen behavior model. Depression was used as intervening variables. Structural equation model and multiple group analysis by gender were used. Results: There were differences in the medical care usage and cost between men and women in baby boomer. For men, mediating effects of depression were present at the hospitalization (yes/no), length of stay, and health expenditure. On the other hand, for women, the mediating effect of depression was found only at the outpatient visits. Specially, depression was working at the medical services by the different way between gender. The size of effect (multiple group analysis) was affected by significant differences between men and women. Conclusion: This study found that the mediating effect of depression is increased medical usage and health expenditure and the effect factors are different by gender. Therefore, it is necessary to establish a medical care policy considering the socio-economic characteristics of baby boomers.

• Journal of Preventive Medicine and Public Health
• /
• 제52권1호
• /
• pp.51-59
• /
• 2019

Objectives: The purpose of this study was to estimate the mediating effect of subjective unmet healthcare needs on poor health. The mediating effect of unmet needs on health outcomes was estimated. Methods: Cross-sectional research method was used to analyze Korea Health Panel data from 2011 to 2015, investigating the mediating effect for each annual dataset and lagged dependent variables. Results: The magnitude of the effect of low income on poor health and the mediating effect of unmet needs were estimated using age, sex, education level, employment status, healthcare insurance status, disability, and chronic disease as control variables and self-rated health as the dependent variable. The mediating effect of unmet needs due to financial reasons was between 14.7% to 32.9% of the total marginal effect, and 7.2% to 18.7% in lagged model. Conclusions: The fixed-effect logit model demonstrated that the existence of unmet needs raised the likelihood of poor self-rated health. However, only a small proportion of the effects of low income on health was mediated by unmet needs, and the results varied annually. Further studies are necessary to search for ways to explain the varying results in the Korea Health Panel data, as well as to consider a time series analysis of the mediating effect. The results of this study present the clear implication that even though it is crucial to address the unmet needs, but it is not enough to tackle the income related health inequalities.

• 디지털융복합연구
• /
• 제16권12호
• /
• pp.647-654
• /
• 2018

본 연구는 또래와의 상호적으로 다양한 움직임을 이끌어 내는 그룹 심리운동과 기능적인 움직임을 이끌어내기 위한 개별 감각통합치료가 유아의 운동기술(motor skills) 향상에 미치는 영향을 비교하여 살펴보고자 하였다. 연구 대상은 본원에 재원 중인 만 4세 아동 2명을 대상으로 2017년 4월부터 2018년 1월까지 주 2회 40분 씩 각각 심리운동과 감각통합치료를 적용하였다. 연구 방법은 B-O test, DeGangi-Berk Test of sensory Integration(TSI), MOT4-6 등의 평가도구를 사용하였으며 그 중 대 동작을 필요로 하는 항목을 선별하여 사전 평가 결과와 프로그램 진행 후 사후평가 결과를 토대로 항목별 향상 정도를 그래프로 비교 분석하였다. 연구 결과는 심리운동과 감각통합치료 모두에서 운동기술 향상을 가져왔으며 특히 균형성 및 자세조절 등에서 두드러지게 향상 된 점수를 획득되어 두 영역의 프로그램이 운동기술에 긍정적인 효과가 있음을 알 수 있었다.