• Journal of Preventive Medicine and Public Health
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• v.35 no.1
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• pp.24-32
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• 2002

Objective : Few studies have examined the relationship between the risk of cancer and exposure to pesticides in Korea or in other East Asian that have until recently used chlorophenoxy herbicides. The aim of this study was to evaluate the relationship between the exposure to pesticides and cancer incidence. Methods : We conducted a prospective cohort study with a follow-up period of 13 years (1985-1998). The subjects included 2,687 male and 3,589 female Kangwha Island residents, Koreans aged fifty-five or more as of March 1985, who received a personal health interview and completed a health examination survey. A Cox proportional hazards models were used to estimate relative risks(RR). Results : At baseline, the mean age of the study participants in 1985 was 66.4 for males and 67.1 for females. During the 13 years follow-up, a total of 300 incidents of cancer in males and 140 in females developed. In males, the total cancer incidence in the highest group was RR, 1.4 (95%. CI=1.0-1.9), p for trend=0.041, for digestive organ cancer Incidence in the highest group, RR, 1.5 (95% CI=1.0-2.3), p for trend=0.057, for stomach cancer, incidence in the highest group, RR, 1.6 (95% CI=0.9-2.8), p for trend=0.094, for gallbladder cancer incidence in the highest group, RR, 9.1 (95% CI=1.1-77.0), p for trend=0.014 were elevated according to the higher frequency of pesticide use per year. In particular, the risk of gallbladder cancer was very high. Although not significant, the risk of liver cancer was higher than in the non-exposed group (in the highest group, RR, 2.0(95% CI=0.7-5.9)). In females, although not significant, breast cancer incidence in the highest exposure group was higher than in the non-exposed group (in the highest group, RR, 4.7 (95% CI=0.5-27.9)). Conclusions : This study demonstrates that Korean farmers who use pesticides, particularly males, have a significantly higher total cancer incidence, particularly from digestive organ cancers such as, stomach, gallbladder, and liver cancer. In particular, the risk of gallbladder cancer was very high.

• Korean Journal of Health Education and Promotion
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• v.25 no.1
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• pp.105-115
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• 2008

For the development of Korean health promotion projects, this paper appraised the capacities of health promotion projects and examined the latest international trend of the health promotion field, based on the appraisal of data made by the Ministry of Health and Welfare, 2005 and IUHPE relevant reports. The capacities of Korean health promotion should be strengthened as follows: First, it is urgent to give health education and to use the professionals of it. Secondly, setting approach is required when working on health promotion projects. Thirdly, it is necessary to strengthen the capacities of local communities through the central government's administrative and financial supports for the healthy cities project which is a strategy of general approach to new public health projects. The $21^{st}$ century is an age of new public health that the cause for deaths increasingly is centered on life style. So it is necessary to expand the scope of health education to the field of making the environment of local community healthy beyond the level of individual health education. And further, it is required to develop the curriculum of health and to work out new strategies for health promotion. In conclusion, Korea should train competent human resources in the fields of practice of healthy public policies, of knowledge-based projects, and of health promotion (like health educators). The political direction for it should be to promote various healthy city projects, not only health center-led health promotion projects, and further, to strengthen the capacities of the health promotion projects of local communities.

• Health Policy and Management
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• v.27 no.1
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• pp.80-83
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• 2017

The proportion of people who reported unmet healthcare needs is an important indicator to measure the access problem in healthcare service. To examine current status and trends of unmet needs in Korea, we used data from four sources: the Korea National Health and Nutrition Examination Survey (KNHNES, '2007-2015); the Community Health Survey (CHS '2008-2015); the Korea Health Panel Survey (KHP '2011-2013); the Korean Welfare Panel Study (KOWEPS '2006-2015). The proportion of individual reporting unmet healthcare needs as of 2015 was 12.6% (KNHNES), 11.7% (CHS), and 16.3% (KHP, as of 2013). Annual percent change which characterizes trend for follow-up period was -9.4%, -3.4%, and 7.6%, respectively. The proportion of individual reporting unmet healthcare needs due to cost was 2.8% (KNHNES), 1.7% (CHS), and 4.6% (KHP). The proportion of household reporting unmet healthcare needs due to cost was 1.2% (KOWEPS). Annual percent change was -9.0%, -14.9%, 9.4%, and -18.2%, respectively. Low income population reported about 5 times more unmet needs than high income population. Therefore for decreasing the unmet healthcare needs, strategies focusing on low income population were needed.

• Journal of the Korean Society of Food Culture
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• v.32 no.1
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• pp.66-74
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• 2017

This study was conducted to investigate the correlation between frequency of high-caffeine energy drink intake in adolescents and their mental health status using data from the Korean adolescent health behaviors online survey (2014-15). Mental health was classified by the five categories: Perception of stress (PS), Insufficient relief of fatigue after sleep (IRFS), Experience of sadness despair (SD), Suicidal ideation (SI), and Subjective unhappiness (SU). Regarding general characteristics, higher age, height, and body weight of subjects were associated with higher frequency of high-caffeine energy drink (HCED) intake (p< .0001). In the OR analysis, when the lowest group (${\leq}2/wk$) and highest group ($1{\geq}day$) were compared, the highest group showed significantly higher OR in all five categories of mental health. According to gender, males did not show better PS, SD, and SI than females who had a high frequency of HCED (p for trend<.0001). According to school level, middle school students showed a higher risk rate than high school students in PS, IRFS, and SD (p for trend< .0001). Based on the above results, higher frequency of HCED intake among adolescents was associated with more adverse effects on mental health.

• Journal of the Korean Society of Safety
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• v.29 no.5
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• pp.110-115
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• 2014

The construction accidents which had been on the downward trend for the past decades have increased for five consecutive years since 2008. In order to let the increasing trend of construction accident slow growing or switching to decline, various efforts are required of all members in construction industry such as government, employers, construction engineers, safety managers, construction workers, etc. Although the criteria for appointment of safety managers in construction site introduced in 1982 have contributed to prevent construction accident as a forefront for the past 30 years, it has not been a remarkable improvement in the safety manager's status and roles which have been required to change according to the changes of circumstances and environments. In associated with a newly introduced the criteria for appointment of health managers in construction site in the year 2015, the problems such as role, status, number of safety and health managers are needed to be considered comprehensively and improved widely. In this study, we propose several improvement plans which will improve the current criteria for appointment of safety and health managers in construction sites.

• Journal of the Korea Society of Computer and Information
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• v.23 no.10
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• pp.119-125
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• 2018

The purpose of this study was to investigate the effect of health care on the body composition and metabolic Syndrome risk factors in male office workers. The subjects of this study were 30~40's male office workers and their physical activities were increased by mobile healthcare. The date analysis in this study was carried out paired t­test using SPSS 20.0 version(${\alpha}=.05$). The result of study were as follow: First. body composition kg(p<.015), BMI(p<.041), WC(p<.026) were significantly decreased after Increase in Physical Activity Using Mobile Health Care, although these did not reach statistical significance, SMM(p<.123), BF(p<.059) was slightly increased and decreased trend. Second, SBP(p<.300), DBP(p<.384) was slightly decreased trend and BS(p<.034) were significantly decreased after Increase in Physical Activity Using Mobile Health Care, Third, plasma TC(p<.015), TG(p<.003), LDL-C)(p<.000) were significantly decreased after Increase in Physical Activity Using Mobile Health Care and plasma HDL-C (p<.003) were significantly increased. These results suggest that increased physical activity using mobile health care has a positive effect on the body composition and metabolic syndrome index in male office workers. Sedentary lifestyles could be changed by Continuous feedback using mobile healthcare.

• The Journal of Korean Society for School & Community Health Education
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• v.22 no.2
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• pp.75-91
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• 2021

Purpose: The purpose of this article is to clearly describe research trends on health life expectancy using oral health indicators that have been published from 2010 to 2020 then suggest the direction of future research. Methods: Online academic databases in English (PubMed, Web of Science and Embase) were used to find those articles by applying a variety of keywords, including terms (adjusted life year, adjusted life expectancy, dental and oral). We identified relevant articles based on the following classification method of Mathers: (1) health gaps, (2) health expectancies. Results: Among 1,728 articles from the online databases, the final 13 studies satisfied the inclusion criteria and were selected for analysis. Health life expectancy studies indicate that research growth was recently achieved overseas. Among the literature collected in this study, 10 studies using health gap indicators yielded seven Disability-Adjusted Life Year (DALY), and three calculated Quality-Adjusted Life Year (QALY), which differed in the nature of the survey data used in the study measuring DALY and QALY. There are only three health expectancies and the number of papers were smaller than the health gap study. Conclusion: Establishing a foundation to calculate health life expectancy indicators through the development and improvement of oral health level are needed. More studies in the area of health life expectancy estimation research is based on actual prevalence and oral health-related quality of life are also needed.

• Korean Journal of Community Nutrition
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• v.27 no.2
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• pp.132-145
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• 2022

Objectives: This study examined trends in the health status and dietary behavior changes by region using the raw data from the 2008 ~ 2019 Community Health Survey. Methods: This study analyzed the data of 2,738,572 people among the raw data of the Community Health Survey from 2008 to 2019. The regional differences in health status and dietary behavior were examined by classifying the regions into capital and non-capital regions, and the non-capital regions were classified into metropolitan cities and provinces. A chi-square test was conducted on the body mass index (BMI), diagnosis of diabetes and hypertension, frequency of eating breakfast, salty taste in usual diet, recognition of nutrition labeling, reading of nutrition labeling, and utilization of nutrition labeling. Results: In determining obesity using the BMI, the normal weight by year decreased, and the obesity rate by year was 34.6% in 2019, which increased by 13% compared to 2008. In addition, the diabetes diagnosis rate and hypertension diagnosis rate continued to increase with the year. Both diabetes and hypertension diagnosis rates were higher in the non-capital regions than in the capital region. Eating breakfast five to seven times per week was most common and showed a significant decreasing trend by year (P < 0.001). The percentage of respondents who said they eat slightly bland foods increased from 19.5% in 2008 to 19.9% in 2010 and then to 22.1% in 2013. The percentage then decreased to 19.9% in 2019, but showed an overall increasing trend (P < 0.001). According to the region, the capital region had a higher percentage than the non-capital region. The nutrition labeling's recognition rate and utilization rate increased yearly, whereas the reading rate decreased. Conclusions: The study results presented the primary data necessary to develop nutrition education programs and establish strategies for local nutrition management projects to improve disease prevention and dietary problems.

• Korean Journal of Community Nutrition
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• v.16 no.6
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• pp.683-696
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• 2011

This study compared levels of health beliefs and health behavior practices according to lifestyle pattern among adults in Seoul. A self-administered survey questionnaire was collected from a total of 1,004 Seoul residents aged 30-59 years. The levels of perceived benefit, perceived barrier, and self-efficacy from health belief model and health behavior practices were measured across multiple health behavior areas including dietary behavior, drinking, smoking, exercise, functional food consumption, and weight control behavior. Factor analysis and subsequent cluster analysis based on 28 lifestyle questions divided the subjects into four lifestyles of society-, economy-, trend-, and health-oriented lifestyle. Some general characteristics were significantly different by lifestyles. The society-oriented lifestyle was significantly higher in proportions of men and overweight. The trend-oriented lifestyle was significantly younger and spent more monthly allowance. Health-oriented lifestyle was older. The levels of health belief variables and health behavior practices significantly differed by lifestyles. Overall the health-oriented lifestyle showed more desirable levels of health belief variables and health behavior practice in various health behavior areas compared to the other lifestyles, whereas the society-oriented lifestyle was found the other way. Health belief model variables including perceived benefit, perceived barrier, and self-efficacy were generally significant in predicting the levels of various health behavior practice, with somewhat differences by lifestyle pattern and health behavior type. The study findings suggest it may be useful to segment target subjects according to lifestyle pattern in planning and administering health education programs.

• Journal of Korean Academy of Nursing
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• v.44 no.6
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• pp.743-750
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• 2014

Purpose: The objective of this study was to provide a trend analysis of the prevalence of diabetes relative to the socioeconomic, lifestyle, and physiologic risk factors among Korean adults aged over 30 years for a 10-year period using data from the Korean National Health and Nutrition Examination Survey. Methods: Prevalence difference and the slope index of inequality were calculated for each risk factors using binomial regression by considering the repeated cross-sectional features of the data. The prevalence ratio and the relative index of inequality were calculated using log-binomial regression. Linear trend tests were performed using SAS 9.2. Results: Crude prevalence of diabetes increased over the 10-year period, and was higher for men than for women. It was very high for adults 60 years or over, consistently increasing over time. The prevalence among unemployed men, women with higher level of stress, women with hypertension, and adults with serum triglyceride levels over 135 mg/dL increased over the 10-year period in comparison with the respective control group. Conclusion: Considering the rapid economic development and associated lifestyle changes in Korea, action should be taken to control the prevalence of diabetes by both preventing and consistently monitoring these identified risk factors using a public-health approach.