• 농촌의학ㆍ지역보건
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• 제37권3호
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• pp.131-144
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• 2012

이 연구는 상대적으로 사망 수준이 높은 지역사회를 대상으로 인지된 통제력으로 측정된 임파워먼트 및 사회적 자본(사회적 참여와 신뢰)의 주관적 건강수준과의 연관성을 규명하고자 수행되었다. 경상남도에서 표준화사망비가 상대적으로 가장 높은 29개 읍, 면, 동에서 체계적 표본 추출로 선정된 220 가구의 구성원 중 가장 생월일이 빠른 19세 이상 성인을 대상으로 직접 면접 방법으로 자료를 수집하였다. 자료 수집 기간은 2010년과 2011년의 8-10월이었으며, 최종 자료 분석 대상자는 6,383명이었다. 임파워먼트 수준은 Israel 등이 개발한 인지된 통제력 설문(개인 수준 2개 항목, 지역사회 수준 5개 항목)에 대해 5점 응답(매우 그렇다, 그렇다, 보통이다, 그렇지 않다, 전혀 그렇지 않다)의 Likert 척도로 측정하였다. 사회적 참여는 공식 집단 또는 비공식 집단에 참여하는 여부로, 신뢰수준은 영국의 국립 사회조사센터의 신뢰 설문 3항목을 번역한 질문에 대한 긍정적 답변의 수로 구하였다. 평소 본인의 건강에 대해 좋거나 매우 좋게 생각하는 경우를 주관적 건강수준(self-rated health)이 좋은 것으로 구분하였다. 임파워먼트, 사회적 참여, 그리고 신뢰 간의 Spearman의 상관계수 값은 임파워먼트와 사회적 참여 간 0.20, 임파워먼트와 신뢰수준 간 0.15, 사회적 참여와 신뢰수준 간 0.11로 약한 연관성이 유의하였다. 로지스틱 회귀분석 결과 인구사회학적 및 건강행태 변수를 보정한 후에도 임파워먼트 점수가 둘 다 낮은 경우를 기준으로 할 때 주관적으로 좋은 건강에 대한 교차비는 개인 및 지역사회 수준 둘 다 높은 경우 1.21(95% 신뢰구간 1.03-1.42)로 유의하였다. 사회적으로 공식 및 비공식집단 둘 다 미참여하는 경우를 기준으로 할 때 주관적으로 좋은 건강에 대한 교차비는 비공식집단만 참여하는 경우 1.23(95% 신뢰구간, 1.07-1.43)으로 유의하였다. 신뢰수준의 경우에도 0인 경우를 기준으로 할 때 주관적으로 좋은 건강에 대한 교차비는 신뢰수준이 높을수록 높아져서, 신뢰수준이 3인 경우 1.29(95% 신뢰구간 1.09-1.52)로 유의하였다. 결론적으로 임파워먼트는 사회적 자본, 인구사회학적 변수, 그리고 건강행태와는 독립적으로 주관적 건강수준과 연관성이 있었으며, 사회적 자본인 사회적 참여와 신뢰 수준과도 약하지만, 유의한 연관성이 있었다. 건강증진 사업에서 임파워먼트 및 사회적 자본 지표에 대해서는 더 많은 연구가 필요하다.

• 치위생과학회지
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• 제12권5호
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• pp.493-502
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• 2012

본 연구는 제2형 당뇨병 환자가 인식하고 있는 구강건강 문제를 파악하고, 당화혈색소와 주관적 구강건강상태와의 연관성을 제시함으로써 당뇨병 환자의 전신 및 구강건강증진을 위한 기초자료를 제시하고자 시행하였다. 2012년 1월 9일부터 2012년 3월 9일까지 만 40세 이상 제2형 당뇨병을 가진 환자 174명에게 설문지 조사와 $In2it^{TM}$을 이용하여 당화혈색소를 측정한 결과 다음과 같은 결론을 얻었다. 1. 연구대상자의 구강건강문제를 파악한 결과 구강점막질환 증상 중 '입 안 점막에 염증이 있다'와 '입 안 점막이 아프다', 치주질환 증상 중 '칫솔질 시 잇몸에서 피가 난다', 구강건조증 증상 중 '평상시 내 입 안은 마른다고 느낀다'를 가장 많이 인식하는 것으로 나타났다. 2. 일반적 특성에 따라 주관적 구강건강상태를 분석한 결과, 특히 당뇨병 유병기간이 길수록 입안점막질환과 치주질환의 증상 및 구강건조증 증상을 더 많이 인식하는 것으로 나타났다(p<0.05). 3. 혈당 조절을 위한 건강행동에 따라 당화혈색소 수준을 분석한 결과, 규칙적인 식사를 잘 실천하는 집단에서 당화혈색소 수준이 더 낮은 것으로 나타났다(p<0.01). 4. 주관적 구강건강상태에 따라 당화혈색소 수준을 분석한 결과, '혀에 타는 듯한 느낌이 있다', '칫솔질 시 잇몸에서 피가 난다', '잇몸이 치아 뿌리 쪽으로 내려갔다' 및 '입에서 나쁜 냄새가 난다'를 인식한 집단에서 당화혈색소 수준이 더 높았다(p<0.05). 또한 구강건조증 증상 중 '나는 목이 말라 자다가 일어나 물을 마신다'에 응답한 집단에서 당화혈색소 수준이 더 높았다(p<0.05). 특히 다중선형회귀분석 결과 치주질환 증상은 당화혈색소와 3번째로 강한 연관성을 보인 요인으로 나타났다. 이상의 결과로 볼 때 혈당조절 정도는 다양한 구강건강문제와 관련성이 있으므로 당뇨병 환자를 대상으로 구강관리 프로그램의 적용을 더욱 강화하고, 의료인력의 협진을 통해 구강 내 당뇨합병증을 최대한 감소시켜야 할 것이다.

• Journal of Preventive Medicine and Public Health
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• 제9권1호
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• pp.11-24
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• 1976

This study was a part of large scale of a prospective study on attitudes of professional students in medicine, nursing and teaching toward population related issues in Korea. The study was first conducted in May 1974 and then in May 1975 for the 1974 class cohot using a questionaire consisted of attitude scales and other items developed by Lee. The purpose of stuay was twohold, namely, to determine the difference in students among specializations on one hand and between the first and second years in the 1974 class cohot regarding tile subject matter. A one-way analysis of variance was used for attitude scale, and absolute and relative frequency were computed for the analysis of non-attitude scale items by employing Fishers' Ratio and Duncan's multiple range test at 5% level and chi square test at 5% level as significance tests. The hypothesis 'students in health profession are more likely to have positive attitudes toward population related issues progressively as class year advances than students in teaching profession' was tested and the following results were obtained: 1) Nursing students were more likely to display favarable attitudes toward family planning than medical or teaching students although the class cohot showed slightly negative improvement in the second year. Medical and teaching students apperaed to have slightly improved attitudes in the second year. 2) Respondents in general perceived national family planning program as a means of population control and this tendency was more true among nursing students as the class year advances than two other professional groups of students. Students in teaching profession appeared to perceive it more as a means to improve individual family welfare while health students were likely to see as to improve maternal and child health. This tendency was progressively improved as the class year advanced. 3) The majority of students regardless of their respective specializations believed that family planning program should be directed toward the improvement of individual family welfare. No progressive changes in the class cohot were observed. 4) About the plan to use contraceptives in future, no singnificant differences were observes among different specializations nor in different class years. However, the majority was confirmed to have a plan to use contracepives in future. An increasing proportion of the undecided category was observed, as class year advanced among health students. 5) Students in health profession were found to be more favorable about 'more leisure opportunities' as motive for limiting number of children whereas education students indicated the reasons as 'facilitate ambitions' and 'economic base' The progressive changes toward positive direction in both groups were observed as the class years advanced. 6) Attitudes toward induced abortions of the health students were observed to be positively related to class years while an inverse relationship was found in teaching students who showed much less favor in the subject matter than health students. This phenomenon may be due to the different exposure to learning environments unique to respective specializations. 7) Health students were found to have more favorable attitudes toward population education in general than the teaching students. The teaching students appeared to have changed more to the negative direction when they became the second year while no such development was observed in health students. The teaching students seemed to hold a very conservative position with regard to sex education in schools. 8) About the equality of sexes, the nursing group was found to be most favorable while the reverse was true in the teaching group. A change in the negative direction as the class year advanced was found in the teaching group. 9) About questions related to fertility values-the 10 percent of respondents regardless of specialization indicated that they would maintain their single status in future, however no change was observed in the second year. The desired number of children was found to be two by the majority of students in nursing, medicine and teaching in order of high proportion. No changes in a different class year were observed. The childless marriage was seen by nursing students as a problem more than other students, but a slight change in positive direction was found when the nursing students became the second year. In summing, as data supported in the above, students in health profession demonstrated more favorable attitudes toward population related issues than the teaching students and this tendency became more apparent in the second year. It was noticed that health students were more conscious about the health aspect of population and family planning program while the teaching students gave more attention to the socioeconomic aspect. The sex variable seemed to have operated in the item related to the equality of sexes. In conclusion, as data presented in the above, the hypothesis of this study was accepted except in the few items. It should be noted that the limitation of this study is the short duration of the observation in measuring the possible attitude changes. It should include curriculum analysis for the respective specializations in order to indentify the area of curriculum impact on students in future study.

• 디지털융복합연구
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• 제11권12호
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• pp.657-663
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• 2013

본 연구는 비행청소년의 우울에 영향을 미치는 요인을 규명하기 위한 서술적 조사 연구이다. 연구대상은 D광역시 소재 의료 소년원에 입소한 비행 청소년 275명이었으며, 자료 수집기간은 2011월 5월에서 8월까지였다. 수집된 자료는 SPSS 20.0 통계프로그램을 이용하여 서술적 통계, t-test, ANOVA, Pearson's correlation coefficient, multiple regression으로 분석하였다. 본 연구결과 대상자의 32.4%와 52.0%는 임상적 수준의 ADHD와 우울로 나타났다. 비행소년의 ADHD 증상 및 자아존중감은 우울과 유의한 상관관계가 있었다. 비행청소년의 우울에 영향을 미치는 요인은 자아존중감, ADHD증상, 지각된 건강상태로 나타났으며 이들 전체 변수의 설명력은 37%였다. 따라서, 비행청소년들의 건상상태를 증진시키고 ADHD증상을 치료하고 자아존중감을 향상시킴으로써 우울을 예방하고 감소시킬 수 있을 것으로 생각한다.

• 디지털융복합연구
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• 제16권8호
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• pp.401-411
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• 2018

본 연구는 여성노인의 외모관심도, 미용성형에 대한 태도, 자아존중감 및 삶의 질 정도를 파악하고, 삶의 질에 영향을 미치는 요인을 파악하고자 하였다. G시 여성노인 162명을 대상으로 구조화된 설문지를 이용하여 자료를 수집하였으며 기술통계, ${\chi}^2-test$, t-test, ANOVA, Pearson correlation coefficient 및 다중회귀분석으로 분석하였다. 대상자의 외모관심도, 미용성형에 대한 태도, 자아존중감은 60대군과 70대군에서 통계적으로 유의한 차이는 없었다. 삶의 질은 60대군과 70대군이 통계적으로 유의한 차이가 있었으며, 삶의 질에 영향을 미치는 요인은 60대군에서는 자아존중감, 지각된 건강상태로 나타났으며 39.1%의 설명력이 있었다. 70대군인 경우 자아존중감, 교육수준이었으며 41.7%의 설명력이 있었다. 이는 여성노인의 외모에 대한 관심을 포함하여 노화 준비교육 및 삶의 질을 향상시키기 위한 프로그램 개발 시 고려해야 할 함의를 제시한다.

• 대한간호학회지
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• 제33권8호
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• pp.1093-1110
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• 2003

Purpose. The number of elders in institutions has increased as family supporting systems have changed in Korea. The purpose of this study were to understand the life satisfaction among elders in institutions and to identify the factors influencing on life satisfaction. Methods. The instruments used were Yun(1982)'s scale modified Memorial University of Newfoundland Scale for Happiness(MUNSH) in life satisfaction, ADL and IADL in activity level, Self-rating Depression Scale(SDS) in depression and Norbeck Social Support Questionnaire(NSSQ) scale in social support. Also, Perceived health status was measured by Visual Graphic Rating Scale. The subject of this study is 107 cognitively intact and ambulatory elders in 7 institutions in Daegu city and Kyungpook province. The data have been collected from May 1 to June 30, 2001. For the analysis of collected data, frequency analysis, mean, standard deviation, Pearson's correlation and stepwise multiple regression analysis were used for statistical analysis by SPSS win(version 9.0) program. Results. Life satisfaction for the elders in institutions showed negative correlation with SDS, and positive correlation with activity level. The regression form of the stepwise multiple regression analysis to investigate the influencing factors of life satisfaction for the elders in institutions was expressed by y =90.988-0. 733x1-0.188x2-0.069x3-0.565x4 (xl: SDS x2: Social support x3: Activity level x4: Monthly pocket Money) and 57.9% of varience in life satisfaction was explained by the model. Conclusion. The factors influencing on life satisfaction among the elders in institutions were SDS, social support, activity level and monthly pocket money. According to the results of this study, depression, social support and activity level are considered the prime causal factors for life satisfaction.

• 한국지역사회생활과학회지
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• 제25권2호
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• pp.233-246
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• 2014

This study investigates the level of satisfaction with quality attributes of meal services for low-income children in Wonju, Korea. Based on interviews with 287 subjects (users of meal boxes: 17.4%, card users: 82.6%; boys: 48.4%, girls: 51.6%; elementary school students: 44.4%, middle school students: 33.0%, high school students: 22.6%; two parents household: 29.8%, single- or no- parent household: 70.2%) through consent from their guardians, some key characteristics of the subjects and the relationships between their characteristics and the level of their satisfaction with meal services were examined. According to the results, the level of satisfaction ranged from 54.7% to 66.0% (those respondents indicating "very good" and "good") indicated that the meals were generally acceptable. The highest level of satisfaction was for sanitation (66.0%), followed by taste (64.0%), ease of choosing preferred menu items (61.9%), a proper temperature (61.9%), a sufficient amount (60.8%), diversity (56.3%), the comfortableness of the dining area (54.7%), and sufficient nutrition (41.0%). For these eight quality aspects of meal services, users of meal boxes were more likely to be satisfied with the comfortableness of the dining area, whereas card users, with the taste and temperature of the food. The type of meal service, the attitudes toward talking to friends about supporting meals, and subjectively perceived health status had significant effects on the level of satisfaction with meal services.

• Journal of Preventive Medicine and Public Health
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• 제46권3호
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• pp.139-146
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• 2013

Objectives: Cigarette smoking prevalence among adolescent males in rural areas of Korea has increased in recent years. The aim of this study was to explore the factors related to increasing trends in cigarette smoking among adolescent males living in rural areas. Methods: The raw data from the Korea Youth Risk Behavior Web-based Survey from 2006 to 2009 were used. Data were analyzed by using the method of complex survey data analysis considering complex sampling design. Multiple logistic regression models were used to explore the factors affecting cigarette smoking. We evaluated the linear time trends in the prevalence of factors that were related to current smoking status and the linear time trends in cigarette smoking in groups stratified by the exposure to each factor using logistic regression models. Finally, we examined the contributions of the factors to the time trends in cigarette smoking by adjusting for each of those factors in the baseline regression models and changes in the adjusted odds ratio by survey year. Results: A statistically significant increasing trend in smoking was observed after adjusting for the factors affecting cigarette smoking. Significant factors related to cigarette use were perceived stress, experience with depression, current alcohol drinking, exposure to secondhand smoke, and academic performance. The factor related to increasing trends in cigarette smoking was academic performance. Conclusions: Stress about academic performance is an important factor affecting the increase in cigarette smoking among adolescent males in a rural area of Korea.

• 디지털융복합연구
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• 제16권3호
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• pp.353-362
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• 2018

본 연구는 원격간호교육 성인학습자의 성격강점, 자기효능감이 이들의 주관적 행복감에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 자료는 2015년 9월부터 11월까지 일 국립원격대학교의 간호학사 특별편입과정 성인학습자 261명을 대상으로 성격강점, 자기효능감, 주관적 행복감 척도를 이용하여 수집하였다. 원격간호교육 성인학습자의 주관적 행복감의 평균 점수는 미국과 한국의 일반 성인 보다 약간 낮은 수준이었으며, 성격강점은 6개 하부영역 중에서 초월과 인간애가 가장 높았으며 정의감이 가장 낮았다. 다중회귀분석 결과, 원격간호교육 성인학습자의 주관적 행복감에 영향을 미치는 요인은 긍정적 통합성, 강인성과 지각된 건강상태이었다. 이들 변수가 주관적 행복감 총 변량의 38.0%를 설명하였으며, 긍정적 통합성이 가장 큰 영향을 미치는 요인이었다. 직업과 원격학습을 병행하는 간호사들의 주관적 행복감을 증진하기 위한 방안으로 긍정적 통합성과 강인성의 성격강점을 강화하고 건강상태를 효과적으로 관리할 수 있는 다양한 교육 및 학습 지원전략의 개발을 제언한다.

• 한국식품영양학회지
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• 제29권1호
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• pp.115-127
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• 2016

In this study, we compared diet related attributes such as food taste preference, food consumption frequency and nutrition intake between elderly residents in their 80's of areas in Jeollanam-do that are well known for longevity and those of a part of Seoul. Structured in-depth interviews were conducted by trained interviewers on 125 consented subjects (67 Jeonnam and 58 Seoul). Differences of groups were tested using Chi-square tests for nominal or ordinal data and t-tests and ANOVA tests for ratio data. The elderly from Jeonnam tended to sleep longer, express emotion more freely, and interact with others more often than those from Seoul. The elderly tended to prefer sweet or salty tastes, which might be highly related to serious health problems. The most frequently consumed foods were napa cabbage kimchi (2.19 times/day) and multigrain rice (1.99 times/day). Elderly from Jeonnam tended to consume garlic, milk, beans and roasted barley/corn teas less often; whereas, they consumed porridge, dried radish greens, potato, fermented fish, dried fish, pork rib, pork belly, soybean paste soup, soybean paste/Ssamjang, other kimchis, pickled vegetables, snacks, cookies, and green/black teas more often than elderly residents from Seoul. Differences in nutrition intake between the regions were greater than differences between the perceived levels of household economic status. NAR and INQ for folate were lower among elderly from Jeonnam than those from Seoul, while those for protein, vitamin C, niacin, vitamin $B_6$ were higher. The study results indicated that elderly from Jeonnam engaged in a more diverse diet than the elderly from Seoul.