• Clinical and Experimental Pediatrics
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• 제48권7호
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• pp.685-690
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• 2005

Recently, twinning rate increases in Korea since the early 1990s by delayed marriage and prevailing of assisted reproductive technology. But twin and higher-order multiples are at increased risk for perinatal and neonatal mortality over 5 fold despite of dramatic improvement of perinatal and neonatal care. Because twins are born more prematurely and have lower birth weights than singleton. In addition, twins are at increased risk for cerebral palsy mainly in monochorionic twins due to co-twin fetal death, twin to twin transfusion and congenital anomaly. So, this article reviews the factors contributing to the mortality and morbidity of the twins and the efforts to decrease the neonatal mortality of twins.

• 유통과학연구
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• 제15권1호
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• pp.31-42
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• 2017

Purpose - The multicultural society is a society where a variety of ethnic groups and cultures co-exist. Regarding Korean multicultural society, the public interest in the multicultural society and its problems are on a growing trend due to the increasing number of the multicultural families by international marriage and the foreign immigrant workers. Research design, data, and methodology - Models of the multicultural society policies have been divided into those of assimilation and multiculturalism, while they have been materialized into the models of discriminative exclusivism, assimilation and multiculturalism. Most countries are aiming at the model of either the multiculturalism or the assimilation focused on national managerial situations. Results - In the case of Europe where the multicultural society had been formed earlier than Korea, Islamic immigrants have been politically accepted in order for Europe to overcome the problem of population decrease caused by its low birth-rate. Also, in the case of the United States. Conclusions - Korean multicultural society policies are characterized mostly by supporting the multicultural families of international marriage. In this study, it is intended to present the characteristics of diversified immigrants and the possible directions of the polices on immigrant youth in accordance with each country's managerial policy.

• 한국가족관계학회지
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• 제23권3호
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• pp.51-76
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• 2018

Objectives: This study was to examine literature on postdivorce partnership focused on cohabiting & Living Apart Together(LAT) and prospect postdivorce partnership in Korea in the near future. Method: For this study, domestic and foreign literature were reviewed especially on recent studies on living apart together(LAT). Results: Reviewed overseas studies showed that studies on cohabitation and Living Apart Together(LAT) were increased and prevalent in the divorced as an alternative marriage type following divorce partnership and many research have been proceeded on definition and classification and dynamics in those relationships. Especially studies are on the rise recently on LAT with importance demographically and academically among middle and older people. In comparison to overseas studies, very little research on partnership following divorce, especially on LAT in Korea. Conclusion: Considering increasing divorce rate rapidly in the milddle aged in Korea, it is expected that LAT following divorce might be emerged in the divorced in Korea. Therefore, it is needed to pay a lot of attention to cohabitation following divorce and Living Apart Together(LAT) as a postdivorce partnership and as an alternative type of marriage and to be treated as a significant phenomenon socially and academically.

• 농촌의학ㆍ지역보건
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• 제32권2호
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• pp.63-73
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• 2007

Objectives: The purpose of this study was to obtain basal information to establish a proper birth-encouraging policy in the future through the survey of the attitude towards childbirth and its related factors among female students in junior, senior high school, and university. Methods: A survey was performed for 2 weeks in June, 2006, for a total of 688 female students which included 185 ones in a girls' junior high school and 242 ones in a girls' senior high school in Sacheon, and 261 ones in two universities in Jinju. The selfadministered questionnaires developed by the authors included the socio-demographic characteristics, the attitude towards childbirth, the preference of a son for their future child, the belief on relative importance of family or work after marriage, the seriousness perception of low birth rate in Korea, frequencies of education in school about low birth rate. The attitude was measured by an answer to the question of 'To what degree do you think you are going to have a child(or children)?' Results: The proportion of positive attitude towards their future childbirth was 76.2% in junior high school, 63.9% in high school, and 82.8% in university students (p<0.01). In the logistic regression analysis, the significant factors related with positive attitude towards future childbirth were school grade, preference of a son for their future children, and belief on relative importance of family or work after marriage. Conclusions: It suggests that the related factors with positive attitude towards future childbirth need to be considered to make a proper birth policy.

• 대한간호학회지
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• 제42권3호
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• pp.377-384
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• 2012

Purpose: This study was done to investigate factors affecting preparation stage to quit smoking in men. Methods: Based on data from the Community Health Survey conducted in Chungbuk Province in 2008, we estimated rates and odds ratio (OR) of smoking cessation intention for 2,639 men who were current smokers. Multivariate logistic regression analyses were used to identify factors affecting preparation stage to quit smoking. Results: Among current male smokers, the rate of smoking cessation intention was 17.1%. The OR of factors affecting smoking cessation was as follows: Compared to men with middle school education, the OR for rate of smoking cessation intention in men with high school education was 1.47 (p=.018), and for college or higher, 1.55 (p=.017). Compared to being single, the OR for cohabitation after marriage was 1.61 (p=.011) and living alone after marriage, 2.23 (p=.005). The OR for attempt to quit smoking, exposure to secondhand smoke and participation in smoking education were 6.80 (p<.001), 1.32 (p=.020) and 1.69 (p=.005), respectively. Conclusion: Results of this study show that it is necessary to decrease exposure to secondhand smoke and to increase participation in smoking cessation education targeting current smokers to move them from precontemplation or contemplation stage to preparation stage.

• 한국사회복지학
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• 제38권
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• pp.284-308
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• 1999

이 연구는 우리나라 부부의 갈등영역과 부부관계 유형에 따른 부부관계에서의 불안정성 정도와 양상을 살펴보기 위하여 전국의 기혼 남녀 1,217명을 대상으로 전국 조사를 실시하였다. 조사결과, 우리나라 부부들이 가장 많은 갈등을 겪고 있는 영역으로는 습관의 차이, 가사일 분담, 여가 혹은 취미활동 등으로 정서적인 것보다는 구체적이고 물리적인 것들이었다. 이 연구에서는 부부관계의 유형을 부부간의 만족도와 불안정성을 두 축으로 하여 네가지 유형으로 나누고 있는데, 부부관계가 불만족스럽고 불안정한 유형 (A) 이 8.3%, 반면에 부부관계의 만족도도 높고 안정성도 있는 유형 (D)은 68.4%로서 전체적으로 볼 때 비교적 안정적 결혼관계를 유지하고 있는 것으로 보인다. 한편 부부관계가 만족도와 안정성에서 불일치를 보이는 집단인 불만족/안정의 유형 (B)은 전체의 17.1%, 그리고 만족/불안정 유형 (C)도 6.2%를 차지하고 있었다. 이러한 결과로 볼 때 안정되고 만족한 결혼생활을 위해 개입이 요되는 부부가 30%가 넘는다고 할 수 있다. 특히 불만족스럽고 불안정한 유형은 우리나라의 이혼율을 볼 때 해체가능성이 매우 커서 이들에 대한 개입이 절실한 실정이다. 한편 이들 부부관계 유형과 부부갈등은 매우 밀접한 관계에 있다. 전체적인 갈등정도(p<.000)와 갈등영역들(p<.05)이 모두 통계적으로 유의미한 차이를 보였다. 갈등영역 중 부부관계의 유형에 따라 특히 차이가 많은 영역은 애정/사랑의 문제와 가치관/인생관의 문제 및 역할기대 문제로써 이들에 대한 갈등관리가 만족하고 안정된 결혼생활을 위해 필요한 것임을 알 수 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권1호
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• pp.455-460
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• 2014

Background: The purpose of the present study was to determine geographic clustering of breast cancer incidence in Kanagawa Prefecture, using cancer registry data. The study also aimed at examining the association between socio-economic factors and any identified cluster. Materials and Methods: Incidence data were collected for women who were first diagnosed with breast cancer during the period from January to December 2006 in Kanagawa. The data consisted of 2,326 incidence cases extracted from the total of 34,323 Kanagawa Cancer Registration data issued in 2011. To adjust for differences in age distribution, the standardized mortality ratio (SMR) and the standardized incidence ratio (SIR) of breast cancer were calculated for each of 56 municipalities (e.g., city, special ward, town, and village) in Kanagawa by an indirect method using Kanagawa female population data. Spatial scan statistics were used to detect any area of elevated risk as a cluster for breast cancer deaths and/or incidences. The Student t-test was performed to examine differences in socio-economic variables, viz, persons per household, total fertility rate, age at first marriage for women, and marriage rate, between cluster and other regions. Results: There was a statistically significant cluster of breast cancer incidence (p=0.001) composed of 11 municipalities in southeastern area of Kanagawa Prefecture, whose SIR was 35 percent higher than that of the remainder of Kanagawa Prefecture. In this cluster, average value of age at first-marriage for women was significantly higher than in the rest of Kanagawa (p=0.017). No statistically significant clusters of breast cancer deaths were detected (p=0.53). Conclusions: There was a statistically significant cluster of high breast cancer incidence in southeastern area of Kanagawa Prefecture. It was suggested that the cluster region was related to the tendency to marry later. This study methodology will be helpful in the analysis of geographical disparities in cancer deaths and incidence.

• Nutrition Research and Practice
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• 제10권3호
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• pp.313-320
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• 2016

BACKGROUND/OBJECTIVES: This study was conducted to compare the overall changes in dietary intake and metabolic syndrome risk parameters in Vietnamese marriage-based female immigrants over time. SUBJECTS/METHODS: The subjects of this study were 581 Vietnamese marriage-based female immigrants, who were recruited from local clinical centers in Korea. Baseline data were collected from 2006-2011 and the follow-up data were collected from 2012-2014. Dietary food intake was assessed by a 1-day 24-hour recall method. RESULTS: Compared to the baseline, the mean body weight, body mass index, waist circumference, high density lipoprotein (HDL)-cholesterol, systolic blood pressure and diastolic blood pressure increased while the fasting blood sugar, triglycerides and low density lipoprotein-cholesterol decreased at follow-up. The total consumption of foods such as vegetables/fruits/seaweeds/mushrooms, oil and fat, and eggs decreased during the follow-up period, whereas the consumption of sugars, beverages and meats increased. Partial correlation between the rate of change [(Follow-up - Baseline) / Baseline ${\times}100$] in metabolic syndrome risk parameters and food intake after controlling for confounding factors showed that the waist circumference was positively correlated with either the total plant food intake (r = 0.1042, P = 0.0129) or the total food intake (r = 0.0880, P = 0.0359). The plasma levels of total cholesterol (r = -0.1918, P = 0.0289) and HDL-cholesterol (r = -0.1424, P = 0.0007) were negatively correlated with the percentage of total intake from plant food, and HDL-cholesterol levels were positively correlated with the intake of total animal food (r = 0.0980, P = 0.0217). The serum C-reactive protein levels were positively correlated with the total intake of animal food (r = 0.2374, P < 0.0001) or the percentage of total intake from animal food (r = 0.1346, P = 0.0016). CONCLUSIONS: These results suggest that the change rate of dietary intake such as total plant food or animal food is associated with the change rates of metabolic syndrome risk parameters.

• 한국인구학
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• 제32권1호
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• pp.139-164
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• 2009

이 글은 유럽을 중심으로 진행된 제2차 인구변천에 관한 논의를 검토하고, 이러한 논의가 한국 사회의 출산력 변천에 어떤 함의를 지니고 있는가를 제시하고자 한다. 제2차 인구변천에 관한 논의는 기본적으로 산업국가에서 출산력 수준이 대체수준 이하로 감소되고 있는 상황을 설명하기 위한 노력에서 출발하였다. 제1차 인구변천과 달리 제2차 인구변천은 종착점으로 인구의 균형상태를 상정하지는 않는다. 오히려 새로운 변화는 대체수준 이하의 출산력, 결혼이 아닌 다양한 형태의 삶의 양식, 결혼과 출산의 무관계성, 안정된 인구의 부재 등을 가져올 것으로 전망한다. 또한 제2차 인구변천은 이민자의 유입이 없으면 인구가 지속적으로 감소할 것이며, 저출산과 평균수명의 연장의 결과로 인해 제1차 인구변천이론에 의해 예측된 인구보다 고령화될 것으로 전망한다. 제2차 인구변천에 대한 논의는 인구변천을 겪고 있는 유럽 국가들의 인구학적 변화를 밝히는데 중요할 뿐만 아니라 한국 사회의 인구학적 변화를 설명하는데 중요한 근거를 제공할 것으로 기대된다. 한국의 제2차 인구변천에서 두드러지게 나타나고 있는 상황은 저출산이다. 저출산 현상은 다양한 요인들이 유기적으로 연결되어 나타난 것이다. 이 중 결혼율의 감소, 초혼 연령의 상승, 이혼율의 상승, 소자녀 가치관 등 가족형성과 관련된 변수들은 저출산에 직접적으로 영향을 주는 변인으로 볼 수 있다. 이들은 제2차 인구변천 내용에 포함된 인구학적 변수들과 크게 다르지 않다. 다만 이러한 변인들에 영향을 주는 요인들이 유럽 사회와 다르게 작동하고 있는 것으로 보인다. 인구학적 변인 이외에 양성평등의 관념, 노동시장의 불안정성, 자녀 양육 및 교육 비용 등은 한국 사회의 저출산을 이해하는데 상대적으로 설명력이 큰 변인으로 볼 수 있다.

• Journal of Preventive Medicine and Public Health
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• 제10권1호
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• pp.138-141
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• 1977

The total population of Korea in 1975 was 35,281,000 and population density was $357/km^2$, which is one of the highest rate of the countries in the world. In the early part of 1960's, prior to the initiation of national family planning program in 1962, the natural population increase rate in Korea was almost 3.0%. However, due to the positive support and activity of the national family planning program, the population growth rate has been dropped right below 2.0% in 1970, and decreased to 1.7% in 1975. The average number of children per woman was 5.8 in 1961 and has decreased steadily to 3.5 in 1975. However, traditional value like the 'boy-preference' concept may bring many difficulties of lowering the fertility rate, decreasing number of children less than three in the future. Rising marriage age which had much contributed to decrease the population growth showed preferably falling trends since 1970. There is a prospect that total number of birth will be continuously increased while the fertility rate may be fallen since the age group born during 'baby-boom' soon after the Korean war are becoming the reproductive age group at present time. Considering the above mentioned factors, family planning program should be much improved and strengthened and the government support is much required in order to meet the above mentioned objectives which maintain appropriate level of the population growth.