• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.32 no.3
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• pp.221-230
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• 2022

Objectives: The aim of this study is to evaluate the association between shiftwork and skeletal muscle mass index in a single university health check-up. Methods: We used data from 98,227 workers who answered in a special interview on health check-up at a local university hospital from 2014 to 2020. Pearson correlation analysis was conducted for comparing the association between skeletal muscle mass index and demographic and hematological variables in shiftwork and non-shiftwork groups. Mixed linear model analysis after controlling demographic and hematological variables was used to analyze the difference of skeletal muscle mass index between groups at every visit for seven years. Results: In linear regression analysis, the variables most significantly correlated with skeletal muscle index in both groups were shiftwork(p=0.049), BMI(p<0.001), hypertension(p=0.024), platelet(p<0.001), total protein (p<0.001), AST(p=0.028), ALT(p=0.003), ALP(p<0.001), total cholesterol(p=0.002), triglyceride(p=0.019), BUN (p=0.001), creatinine(p<0.001), and uric acid(p=0.002). After the adjustment for demographic and hematologic variables, the skeletal muscle mass index at every visit was decreased both in the shiftwork group and non-shiftwork group. The slope of the shiftwork group was -0.240 and non-shiftwork group -0.149, showing a significant difference (p<0.001). Conclusions: In the shiftwork group, the skeletal muscle mass index showed a tendency to decrease markedly over time compared to the non-shiftwork group. It is presumed that shift workers' skeletal muscle health was adversely affected by changes in the biological clock due to changes in wake-up and sleep patterns, and changes in food intake.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.27 no.3
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• pp.284-293
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• 2020

Purpose: Based on Anderson's model of health service utilization, we investigated the factors that affect the influenza vaccination status in Korean adults aged 50-64 years, who live alone. Methods: Data of 194 Korean adults aged 50-64 years, who live alone were obtained from the Korea National Health and Nutrition Examination Survey 7th Edition (2016-2018). Descriptive statistics and a multiple logistic regression model were used for statistical analysis. Results: The influenza vaccination rate in the study population was 39.3%. Educational status and health behaviors such as smoking habits and regular medical check-up were associated with the influenza vaccination rate in Korean adults aged 50-64 years, who live alone. Multiple logistic regression analysis showed that educational level lower than middle school graduation (odds ratio [OR] 2.02), non-smoking status (OR 1.98), and lack of regular medical check-up (OR 0.62) were significantly associated with the influenza vaccination rate in Korean adults aged 50-64 years, who live alone. Conclusion: The influenza vaccination rate in Korean adults aged 50-64 years, who live alone, is relatively low; therefore, policies should be implemented to improve the influenza vaccination rate in this population. Influenza vaccination in single households was affected by health promotion activities; therefore, interventions are warranted to encourage overall health promotion activities.

• Korean Journal of Occupational Health Nursing
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• v.8 no.2
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• pp.115-129
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• 1999

This study was conducted to investigate the kinds of health promotion program which workers want, worker's intention for participation, proper method, time, duration and manager. A self-administered questionnaire method was used to collect data from 412 employees of 3 worksites in Chungpook and Kyungkee. This survey was carried out from Aug. 10 to Aug. 20, 1998. The results of this study are as follows: 1. In male, among health promotion programs, favorite ones were physical fitness(32.2%), periodic health check-up(24.6%), and stress management(18.0%). In female, among health promotion programs, favorite ones were periodic health check-up(26.0%), physical fitness(22.0%), and body weight control(19.5%). 2. The more young subjects are, the more they like physical fitness program, and the female like body weight control program regardless of BMI. Manufacturing worker preferred back pain prevention program to clerical worker did. In female, drinker preferred stress management program to non-drinker did. 3. The more old subjects are, the more they like back pain prevention program, and non-smoker preferred body weight control program to smoker did. 4. In health promotion program format which the subjects wanted, learning of self-examination techniques was 41.1%, worksite screening was 3l.0%, availability of pamphlets and audiovisual materials was 20.0%, presentation of worksite educational sessions was 7.9%, and the most wanted manager for the program was medical doctor and then nurse, physical trainer, psychological counselor. The favorite health promotion program duration was less than 30 minutes(49.6%), and the favorite time was before work(49.6%). 5. Among respondents, 48.5% was smokers, 81.8% was drinkers, 39.9% engaged in the regular exercise, 68.2% engaged in regular diet habit. In vaccination, 50.2%, if possible, wanted to be vaccinated and 37.6% never wanted to be vaccinated. 6. Ex-smoker, ex-drinker, the subjects in the regular exercise, and in the regular diet habit responded they were in good health. There was a significant difference between exercise and health status. Need and intention for participation of health promotion program were high in ex-smoker, ex-drinker, the subjects in the regular exercise, and in the regular diet habit. According to results for this study, if the favorite programs, exercise, periodic health check-up, stress management program, are operated at a proper time and with managers they want, this programs can really raise the participation of employees. And as employees want to learn self-examination techniques if worksite educational sessions are performed, health promotion program can effectively be operated.

• Journal of Korean Public Health Nursing
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• v.9 no.2
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• pp.104-114
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• 1995

This study was designed to develop preventing occupational disease programme in small-medium scale industries. The intervention was done in 354 enterprises from July to December in 1993 by health personnels in mobile occupational health centers. The summarized results of the above achievements were as follows. 1. Total number of enterprises were 354. Among them $66.9\%$ was under 100 workers, $26.6\%$ was u!1der 200 workers, and $6.5\%$ was belong to over 200 workers. The majority manufactures were non-metallic mineral product industries $(11.3\)$ fabricated metal product industries $(11.0\%)$. and textile industries $(10.7\%)$. 2. In 1993, for 350 enterprises were carried out evaluation of workplace environment. A total of $76.3\%$ industries were found to improper showing higher level of hazardous agent than the TLV. Noise and dust are the typical agent of which levels in workplace were high in most of industries. 3. A total 60 cases $(0.8\%)$ of occupational diseases were detected through physical check-up from 7,394 industrial workers in 1993. Detection rate by hazardous agent was highest among workers in relation to dust, and secondly highest to noise. 4. Through the systematic approach by hazardous agent was increased to the monitoring of work condition and follow up care of occupational disease. In future, there should be development in the scaled check list of preventing occupational disease management.

• Journal of Preventive Medicine and Public Health
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• v.38 no.2
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• pp.154-162
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• 2005

Objectives: To analyze the relationships of socioeconomic status(SES) to health status and health behaviors in the elderly. Methods: Data were obtained from self-administered questionnaire of 4,587 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, socioeconomic status, health status (subjective health status, acute disease, admission experience, dental state, chronic disease etc.), activities of daily living (ADL), instrumental activities of daily living (IADL), and mini-mental state examination-Korean (MMSEK). Binary and multinominal logistic regression analyses were employed to analyze factors affecting on the socioeconomic status of the elderly. Results: With regard to the SES and health status, those with a low SES had poorer subjective health states and lower satisfaction about their physical health. Also, acute disease experiences, admission rates and tooth deciduation rates were higher in those of low SES. In the view of physical and cognitive functions, the ADL, IADL and MMSE-K scores were also lower in those of low SES. However, with regard to health behaviors, lower smoking and alcohol drinking rates were found in the low SES group, and a similar trend was shown with regular physical exercise, eating breakfast, and regular physical health check-up. From these findings, we surmise that those with low SES have a poorer health condition and less money to spend on health, therefore, they can not smoke or drink alcohol, exercise and or have a physical health check-up. Conclusion: This study suggests that socioeconomic status plays an important role in health behaviors and status of the elderly. Low socioeconomic status bring about unhealthy behavior and poor health status in the elderly. Therefore, more specific target oriented(esp. low SES persons) health promotion activities for the elderly are very important to improve not only their health status, but their health inequity also.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.12 no.2
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• pp.50-54
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• 2016

Regular dental visit of disabled patients is an important strategy for maintenance of oral health because of the lack of awareness of oral care. But there is limited information about follow up period in disabled patients after dental treatment. The aim of this study was to investigate the pattern of dental visit and dental management of special care needs patients according to the types of disabilities. A total of 140 patients who received dental treatment at Seoul National University Dental Hospital from 2010 to 2012 were reviewed. Patients were divided 3 groups according to the types of disabilities (disorder of external physical function, disorder of internal organ, psychic disability). Patient's characteristic, dental treatment performed, follow up period and frequency were investigated. The mean follow up period was 28.2 months and average frequency of visit was 3.69 times per year. There was no difference in period and annual visit between 3 groups, but significantly difference in cooperation with medical hospital in affiliation. Regular check-up was the most common dental treatment in all groups. In psychic disorder group, the proportion of sedative treatment was significantly higher than other groups. The results of this study provide information necessary for treatment planning and dental management of disabled patients.

• Journal of dental hygiene science
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• v.15 no.3
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• pp.287-294
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• 2015

The aim of the study was to investigate the affecting factors on National Health Insurance coverage dental scaling experience. The self-reported survey for the adults living in Seoul, Gyeonggi province and Incheon had been progressed from February 10, 2014, to February 28, 2014, after receiving informed consents. And the 238 survey results had been analysed as the data of this study. The data analysis such as frequency analysis, ${\chi}^2$-test, and multi-logistic regression (p<0.05) for all collected survey data had been processed using IBM SPSS Statistics ver. 20.0. According to multiple logistic regression analysis, regular dental check-up (odds ratio [OR], 2.63; confidence interval [CI], 1.05~6.59) and dental scaling experience (OR, 3.06; CI, 1.09~8.54), monthly income (OR, 3.55; CI, 1.01~12.56) were the factors having statistically significant influence. Therefore, in order to increase of National health insurance dental scaling experience, it is necessary to increase awareness of the new dental scaling system through the promotion and oral health education about national health insurance dental scaling, and to emphasize the importance of dental Scaling by regular dental check-up.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.27 no.1
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• pp.59-69
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• 2017

Objectives: The objective of this study is to evaluate the exposure of VOCs and effects of the chemicals on the nail technicians whose works in a nail shop. Methods: For four month from May to August in 2016, we measured twenty-two kinds of VOCs in ten nail shops and carried out health examinations on thirty-four workers in there. Results: The TVOC concentration in indoor air of nail shops is $0.487mg/m^3$ at a minimum and $33.236mg/m^3$ at a maximum where it consists of 70.5% of Ketones, 25.4% of Alcohols, 2.6% of Esters, 0.8% of Aldehydes and 0.7% of Aromatics. The VOCs concentration during nail art works shows an increase in average ratio 1.8 compared to the concentration of indoor air quality and also the concentration of Isopropanol rose with 3.2 of the highest ratio. The results of Spearman correlation between TVOC concentration in indoor air and environmental factor was like that has significance level of correlation(${\rho}$<0.05, r=0.682) in case of number of customers per day, but the other factors were not meaningful in correlation. Correlation between VOCs and medical check-up items was like that has positive significance level(${\rho}$<0.01, r=0.638) between isopropanol and GPT, but the others have not meaningful. The exposure level of VOCs was not exceed the criteria exposure level 1 of working environment measuring method which announced by labor ministry in all ten nail shop indoor air quality. Conclusions: In this study although it was not significant correlation between harmful substances and medical check-up items in the nail shop indoor air quality, it is necessary to do more ventilation and to install exhaust facilities because of existing high VOCs concentration in the nail shop indoor air.

• Korean Parent-Child Health Journal
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• v.9 no.1
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• pp.72-82
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• 2006

Purpose: To analyze the health concept and health behaviors in school children through the interview on study groups. To obtain the subjective data for health concept and health behaviors in school children. Methods: This study is a qualitative study applied the interview of study groups. Participants are 12 people and two groups- each of them is 3 males and females, which are $6^{th}$grade of elementary schools located in Seoul city and Kyung-gi Province. The interviews were conducted twice on November in 2005. Results: 83 items are significantly related in health concept for school children. The results are the following; 1) the significant health concept for school children is 15 items and there are 5 areas- strength, comfort, action, compatibility and normal life. 2) the actual health behaviors are 23 items and there are 8 areas-exercising, associating, mentally resting, laughing, releasing stress, well sleeping, well eating and receivingcheck-up. 3) the needed and the wanted health behaviors are 45 items and there are 12 areas-well eating, well cleaning, exercising, playing, comforting, resting, staying in familiar environment, receiving regular check-up, abstaining, associating, enjoying hobbies, and forming environment & facilities. Conclusion: For health concepts, school children consider significantly not only physical activities but also social and mental activities and environment. They also want exercising, abstaining, eating well, checking-up, enjoying hobbies, forming environment & facilities with various activities.

• The Journal of the Korean dental association
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• v.58 no.1
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• pp.45-49
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• 2019

Korean society is experiencing a very rapid change in population aging. Oral diseases, including dental caries and periodontal disease, are usually cumulative and make oral health worse with age. Preventing tooth loss through the prevention and treatment of caries and periodontal diseases are essential for retaining oral function later in life. This study aimed to identify the trend in oral health status among elderlies over 65 years old, using major oral health indicators of Health Plan 2020. The fifth, sixth, and seventh Korea National Health and Nutrition Examination Survey (KNHANES V, VI, VII) were used in the present study to estimate the number of remaining natural teeth, the rate of 20 or more natural teeth, the rate of chewing difficulty, and the rate of oral health check-up of elderly. The number of remaining natural teeth increased from 15.6 in 2010 to 17.1 in 2015, and the rate of 20 or more natural teeth also increased from 45.8% in 2010 to 53.7% in 2015. The rate of chewing difficulty was similar but declined a little from 44.3% in 2010 to 42.9% in 2017. Finally, the rate of oral health check-ups of the elderly increased significantly from 12.2% in 2010 to 21.1% in 2017.