• Asian Pacific Journal of Cancer Prevention
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• 제16권6호
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• pp.2501-2505
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• 2015

Purpose: The present study was carried out to measure knowledge level and behavior of family health personnel (FHP) in Izmir on early diagnosis of breast and cervical cancers. Materials and Methods: The study population of this cross-sectional study was not selected. A questionnaire was applied to all FHP to measure knowledge level and behavior about cancer. The participation rate was 88%. Breast examination, mammography analysis, Papanicolaou smear applications were determined as dependent variables, and knowledge level about breast and cervical cancer, age, professional time as FHP as independent variables. Data were evaluated using definitive statistics, chi-square and logistic regression tests in SPSS software package for Windows 15.0. Results: A total of 970 family health personnel participated in the research. The age range was 20-45 years (82.4%). Mean age was $37.9{\pm}7.4$. Response rate was 87.3%. Of the participants, 88.4% performed breast self-examination. Rate of performing mammography at least once was 24.1%. Rate of performing Pap-smear examination at least once was 61.0%. In logistic regression analyses, it was determined that people with knowledge on breast and cervical cancer were those performing breast self-examination, mammography and Pap-smear examinations (p<0.05. Conclusions: It is essential that the knowledge, behavior and manners of health providers on early diagnosis for cancer increases awareness in the general population and provides information on execution ofthe most effective methods for generating a healthy society.

• 한국산학기술학회논문지
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• 제15권8호
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• pp.5169-5175
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• 2014

이 연구는 일개광역시 보건소 금연클리닉 서비스 이용자의 금연관련 요인을 찾고자 수행되었다. 연구 대상자는 2007년 일개광역시 보건소 금연클리닉에 등록된 이용자 2,125명이었다. 빈도분석, 카이제곱검장, 다중로지스틱 회귀분석 등이 이용되었다. 6개월 금연 성공률은 39.8%였다. 남성, 65세 이상에서 금연률이 높았다. 고혈압, 주 2회 이상 음주자, 규칙적인 운동자, 10ppm 이상의 일산화탄소량 일수록 금연성공률이 유의하게 높았다. 다른 독립변수는 금연성공률과 통계학적으로 유의한 결과를 보이지 않았다. 로지스틱회귀분석 결과, 연령, 사용된 니코틴패치 수, 총 의뢰횟수 등이 금연성공과 유의한 기여요인으로 도출되었다. 특히 총 의뢰횟수가 가장 높은 오즈비를 보였다. 규칙적인 의뢰가 보건소 금연클리닉 프로그램에서 금연성공의 가장 효과적인 중재가 될 수 있음을 확인하였다.

• Journal of Preventive Medicine and Public Health
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• 제53권4호
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• pp.236-244
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• 2020

Objectives: Although the World Health Organization (WHO) initiative "My 5 Moments for Hand Hygiene" has been lauded as effective in preventing hospital-associated infections, little is known about healthcare workers (HCWs)' hand hygiene behavior. In this study, we sought to assess knowledge and attitudes towards the concepts in this initiative, as well as associated factors, among Vietnamese HCWs at a general hospital. Methods: A structured questionnaire was administered to HCWs at a central Vietnamese general hospital in 2015. Multiple logistic regression analysis was used to identify factors associated with HCWs' knowledge and attitudes towards hand hygiene. Results: Of 120 respondents, 65.8% and 67.5% demonstrated appropriate knowledge and a positive attitude, respectively, regarding all 5 hand hygiene moments. Logistic regression indicated better knowledge of hand hygiene in workers who were over 30 years old, who were direct HCWs (rather than managers), who had frequent access to clinical information, and who received their clinical information from training. Those who worked in infectious and tropical disease wards, who had frequent access to clinical information, and who received information from training were more likely to have a positive attitude towards hand hygiene than their counterparts. Conclusions: Although many Vietnamese HCWs displayed moderate knowledge and positive attitudes towards the WHO hand hygiene guidelines, a key gap remained. Regular education and training programs are needed to increase knowledge and to improve attitudes and practices towards hand hygiene. Furthermore, a combination of multimodal strategies and locally-adapted interventions is needed for sustainable hand hygiene adherence.

• 한국융합학회논문지
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• 제1권1호
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• pp.31-39
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• 2010

이 연구의 목적은 2007년 대전시 보건소 금연 클리닉 이용자 중 금연 성공자와 금연 실패자의 일반적 특성과 흡연특성, 금연특성, 그리고 중재요인 등을 분석하여 금연 성공에 영향을 미치는 요인을 알아보고자 했다. 2007년 대전시 보건소 금연 클리닉에 등록된 2,125명을 분석하였다. 참가자의 특성파악을 위한 빈도분석과 특성에 따른 금연성공률의 유의성 검증을 위한 $X^2$-검정, 그리고 각각의 특성이 금연성공률에 미치는 영향력을 파악하기 위해 로지스틱 회귀분석을 시행하였다. 6개월간의 전체 금연 성공률은 39.8% 이었다. 금연 성공 집단에서 남자가 여자보다 더 높은 성공률을 보였다. 또 65세 이상인 집단이 40세 미만인 집단보다 더 금연 성공률이 높았다. 중구보건소가 다른 곳에 비해 높은 금연성공률을 보였다. 금연 성공률에 영향을 미치는 요인에 대한 로지스틱 회귀분석은 나이, 보건소, 2단계 니코틴 패치, 총 상담횟수와 유의성을 보였다. 금연성공률에 대한 총 상담횟수는 다른 유의성 있는 요인보다 높은 비차비를 보였다. 따라서 우리는 총 상담횟수가 금연 성공률과 높은 연관을 가지며 상담이 금연클리닉에서 중요한 역할을 할 것이다.

• 농촌의학ㆍ지역보건
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• 제32권3호
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• pp.125-138
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• 2007

Objectives: This retrospective study is to identify related factors of treatment success of patients with tuberculosis at community health centers. Methods: The subjects of this study were 1,417 patients with tuberculosis treated in 28 community health centers. The predictors of tuberculosis treatment success were analyzed in terms of 2 areas, which were characteristics of patients and health centers(TB control program). The characteristics of patients consist of 2 factors, such as demographic & diagnosis and treatment. The present conditions of health centers consist of 3 factors, location of centers, resources, and community activities. Data were analysed using X2- test and logistic regression methods. Results: The significant differences between success group and failure group were sex(p=0.003), age(p=0.013), job(p=0.000), type of patients(p=0.001), past history(p=0.029), BCG injection(p=0.009), sputum culture examination(p=0.017), period of treatment(p=0.000), location of center(p=0.001), population per staff(p=0.015), FTE(p=0.027), education days of staff(p=0.005), BCG injection rate(p=0.001), case detection rate (p=0.003), and health education provision rate(p=0.044). Then these variables were analysed using logistic regression analysis. Significant positive factors of treatment success were occupation(95% CI:1.3-6.1), periods of treatment(95% CI:1.5-2.2), center in large city(95% CI:1.2-16.7), center in middle city(95% CI:2.1-24.3), job education related TB(95% CI:1.02-1.3), and BCG injection rate(95% CI:1.1-303.4). Significant negative factors of treatment success were male(95% CI:0.1-0.5) and treatment after default(95% CI:0.005-0.5). Conclusions: Tuberculosis is still one of serious diseases in Korea, because it causes highest mortality rate among OECD countries. This study may provide information to improve treatment effectiveness of tuberculosis at community health centers.

• 디지털융복합연구
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• 제19권4호
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• pp.25-31
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• 2021

고령화 시대에 따라 고령운전자 역시 증가하고 있으며, 이들에 의한 교통사고 심각성에 대한 관심이 높아지고 있다. 이에 고령운전자에 의한 사고심각도 예측 모형의 필요성이 점차 요구됨에 따라, 본 연구에서는 기계학습 기법을 활용하여 고령운전자에 의한 차대사람 사고심각도 예측을 위한 모형 정립 및 분석을 수행하고자 한다. 이를 위해 4개의 기계학습 알고리즘 (Logistic Model, KNN, RF, SVM)을 활용, 예측 모형을 개발하고 각 결과를 비교하였다. 연구 결과에 따르면 Logistic과 SVM 모형이 상대적으로 높은 예측력을 보였으며, 정확도 측면에서는 RF가 높은 것으로 나타났다. 추가적으로 각 중요 변수들을 이용하여 교차분석을 수행한 후 그 결과를 제시하였다. 본 연구의 결과들은 고령화시대에 고령운전자에 의한 사고심각성을 예방하기 위한 안전정책 및 인프라 개발에 활용될 것으로 판단된다.

• Journal of Preventive Medicine and Public Health
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• 제42권1호
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• pp.42-48
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• 2009

Objectives : This study was conducted to examine the factors implicated when people start smoking again after a 6 month cessation, and was carried out at the smoking cessation clinic of a public health center. Methods : The study subjects were 191 males who had attended the smoking cessation clinic of a public health center for 6 months in an attempt to quit smoking. Data was collected, by phone interview, regarding individual smoking habits, if any, over the 6 month study period. The factors which may have caused an individual to smoke again were examined. This study employed a health belief model as it theoretical basis. Results : Following a 6 month cessation, 24.1% of the study group began to smoke again during the 6 month test period. In a simple analysis, the factors related to individuals relapsing and smoking again included barriers of stress reduction, body weight gain and induction of smoking by surroundings among perceived barriers factor of our health belief model(p<0.05). In multiple logistic regression analysis for relapsed smoking, significant factors included barriers of stress reduction and induction of smoking by surroundings(p<0.05). The most important reason of for an individual to relapse into smoking was stress(60.9%) and the most likely place for a relapse to occur was a drinking establishment(39.1%). Conclusions : Our results indicate that both regular consultations and a follow-up management program are important considerations in a public health center program geared towards maintaining smoking cessation.

• Asian Pacific Journal of Cancer Prevention
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• 제16권7호
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• pp.2899-2902
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• 2015

Background: Cervical cancer is one of the most common cancers among women worldwide, and in Thailand is the second most common cancer among women. In 2008, a national cervical cancer screening programme was implemented in Thailand, but coverage remains relatively low. Objectives: The purpose of the study was to investigate whether cervical cancer screening uptake is associated with the area of residency in Thailand. Materials and Methods: A case-control study was carried out in women aged 30 to 60 year-old, who live in Sikhiu district, Nakhon Ratchasima province, Thailand. Structured-questionnaires were used to interview 226 women (cases) who had attended cervical cancer screening in the last five years and 226 women (controls) who had not. Multiple logistic regression was used to investigate the association between the area of residency and cervical cancer screening uptake. Results: After controlling for parity, marital status and duration of hormonal contraceptive use, an association between the area of residence and cervical cancer screening uptake could not demonstrated ($OR_{adj}$ 1.27, 95%CI: 0.79, 2.04). Conclusions: We found no evidence to suggest remoteness to health care center led to lower cervical cancer screening uptake.

• 보건교육건강증진학회지
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• 제29권3호
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• pp.91-101
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• 2012

Objectives: This study examined the extent to which attitudes about smoke-free air policies (SFAPs) in bars/restaurants, workplaces, all public places, and motor vehicles when minors are present can be explained by individuals' sociodemographic characteristics, smoking status, and beliefs about the health of others. Methods: Data were gathered from 359 individuals age 18 or older who attended the Lawrence County Fair in Indiana, United States, in July, 2009, an area where there were no SFAPs in place at the time of survey administration. Results: Multinomial logistic regression analyses indicated that perceived severity of secondhand smoke (SHS) on others, perceived responsibility of smokers for the harm their SHS causes to others, and perceived susceptibility of others to SHS exposure, along with education level and smoking status, significantly predict opposition to SFAPs in this population. Conclusions: The results of this exploratory study suggest the need for additional research related to attitudes about health policies as well as to the practical applications of these findings for smoke-free air advocacy.

• Journal of Preventive Medicine and Public Health
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• 제46권4호
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• pp.183-191
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• 2013

Objectives: In Korea, the proportion of deaths due to alcohol is estimated at 8.9%, far exceeding the global estimate of 3.8%. Therefore, this study was performed to examine the factors associated with low-risk, moderate-risk, and high-risk drinking patterns in Korean adults and to identify target populations for prevention and control of alcohol-related diseases and deaths. Methods: We analyzed data from 230 715 Korean adults aged 19 years and older who participated in the 2009 Korean Community Health Survey. Multinomial logistic regression analysis was used to examine associations between socio-demographic and health-related factors and patterns of alcohol use. Results: A substantially larger proportion of men than women engaged in high risk (21.2% vs. 3.4%) and moderate-risk alcohol use (15.5% vs. 8.2%). In both sexes, moderate- and high-risk uses were associated with younger age, higher income, being currently employed, smoking, being overweight/obese, and good self-rated health. Conclusions: Given the large proportion of the population that is engaging in moderate- and high-risk drinking and given the social norms that support this behavior, public health policies and campaigns to reduce alcohol consumption targeting the entire population are indicated.