• 제목/요약/키워드: Reproductive health education

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대구${\cdot}$경북지역 유방암 위험에 영향 미치는 생식적 요인 및 식품섭취 패턴 (Reproductive Factor and Food Intake Pattern Influencing on the Breast Cancer Risk in Daegu${\cdot}$Gyungbuk Area, Korea)

  • 이은주;서수원;이원기;이혜성
    • Journal of Nutrition and Health
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    • 제40권4호
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    • pp.334-346
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    • 2007
  • 본 연구에서는 대구${\cdot}$경북 지역의 103명의 유방암 환자 와 159명의 대조군을 대상으로 생식적 특성과 식품섭취패턴이 유방암 위험에 미치는 영향을 분석하였다. 조사는 설문지와 식품섭취빈도조사지, 개인 면담을 통하여 실시하였다. 식품섭취패턴에 따른 유방암의 상대적 위험도는 일반특성과 생식특성에서 환자군과 대조군간에 유의한 차이를 보인 요인들을 혼란변수로 통제한 후 산출되었다. 본 연구의 결과 유방암 환자군의 평균 BMI는 대조군에 비해 유의적으로 높았으며 이 차이는 특히 폐경 후 여성에서 현저하였다. 환자군은 유방암 가족력이 유의하게 높았으며 유산경험이 유의적으로 많았고, 모유수유 경험과 총 모유수유기간이 유의적으로 낮았다. 경구피임약과 호르몬 대체요법 등의 외인성 호르몬의 사용과 유방암 사이에는 유의적인 관련성이 나타나지 않았다. 식품섭취패턴과 관련하여서는 찜조리 선호군에 비해 튀김, 구이 조리 선호군에서 위험도가 유의적으로 높게 나타났다. 과일류와 해조류의 섭취 빈도가 높을수록 상대적 위험도가 유의적으로 낮았고, 녹황색 및 담색 채소류와 콩류는 섭취빈도가 많을수록 위험도가 낮은 경향을 보였지만 유의적인 결과는 아니었다. 생선류, 육류, 유지류, 유제품류의 섭취빈도에 따른 위험도의 관련성은 나타나지 않았으며, 녹차 커피의 경우는 일주에 2${\sim}$3회 섭취가 위험도를 낮추는 경향을 보였다. 본 연구의 결과 유방암의 위험과 관련된 요인으로는 높은 BMI, 유방암 가족력, 높은 유산 경험과 낮은 모유수유 경험, 짧은 모유수유 기간으로 나타났고, 식품섭취관련 인자로는 튀김 및 볶음, 구이 등의 조리법 선호와 과일과 해조류의 낮은 섭취 빈도가 위험요인으로 나타났다.

Effect of Screening on the Risk Estimates of Socio Demographic Factors on Cervical Cancer - A Large Cohort Study from Rural India

  • Thulaseedharan, Jissa Vinoda;Malila, Nea;Hakama, Matti;Esmy, Pulikottil Okuru;Cherian, Mary;Swaminathan, Rajaraman;Muwonge, Richard;Sankaranarayanan, Rengaswami
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권1호
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    • pp.589-594
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    • 2013
  • Background: Prospective cohort studies to determine cofactors with oncogenic HPV-infections for cervical cancer are very rare from developing countries and such data are limited to the few screening trials. Large screening trials provide such data as a by product. Some of the cases are prevented by screening and do not surface as invasive cancers at all. Also, pre-invasive lesions are detected almost entirely by screening. Screening causes selection bias if attendance in or effectiveness of screening is correlated with the risk factors. The aim of this study was to quantify the influence of screening on risk factors for cervical cancer. Materials and Methods: Our material stems from a rural cohort of 80,000 women subjected to a randomised screening trial. The effect of screening on the incidence of cervix cancer was estimated with reference to socio-demographic and reproductive risk factors of cervical cancer. We compared these risks with the incidence of cancer in the randomised control population by the same determinants of risk. Results: The results in the screening arm compared to the control arm showed that the women of low SES and young age were benefitting more than those of high SES and old age. The relative risk by age (30-39 vs 50-59) was 0.33 in the control arm and 0.24 in the screening arm. The relative risk by education (not educated vs educated) was 2.8 in the control arm and 1.8 in the screening arm. The previously married women did not benefit (incidence 113 and 115 per 100,000 women years in control vs screening arms) whereas the effect was substantial in those married (86 vs 54). Conclusions: The results in controls were consistent with the general evidence, but results in attenders and nonattenders of the screening arm showed that screening itself and self-selection in attendance and effectiveness can influence the effect estimates of risk factors. The effect of cervical cancer screening programmes on the estimates of incidence of cervical cancer causes bias in the studies on etiology and, therefore, they should be interpreted with caution.

Determinants of Cervical Cancer Screening Uptake in Kurdish Women Living in Western Iran, 2014

  • Aminisani, N;Fattahpour, R;Abedi, L;Shamshirgaran, SM
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권8호
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    • pp.3763-3767
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    • 2016
  • Background: Cervical cancer is the second most common cancer among females across the world. It is a preventable cancer and early detection is very feasible. This study aimed to identify which women characteristics are potentially associated with and may have an important in uence on the uptake of cervical cancer screening in Kurdish women living in the west of Iran.. Materials and Methods: A cross sectional study was conducted in late 2014. A random sample of women aged 40 years and above without history of cervical cancer and identi ed as Kurdish background were selected and interviewed by two trained interviewers. Information about sociodemographic and reproductive factors, history of diseases, and cervical screening was collected using a questionnaire and women who had undergone a hysterectomy were excluded. Univariate analyses were used to describe the general characteristics of the study population. Multivariable logistic regression models with self-reported screening history were used to estimate odds ratios (ORs) with 95% con dence intervals (CI). Signi cance was considered at the 5% level. Results: A total of 561 women were included in this study (mean age $43.6{\pm}5.17$ years) participation in cervical screening at least once was about 32%. Cervical screening uptake percentage was signi cantly lower among people over 60 years of age (adjusted OR= 0.26, 95% CI: 0.11-0.64), and those who were illiterate (OR= 0.41 95% CI: 0.23-0.73) and post-menopausal (OR= 0.56, 95% CI: 0.35-0.91). Women with ${\leq}1$ child were less likely to report a Pap test (adjusted OR=0.43 95%CI: 0.13-1.37) Cervical screening uptake was higher among women with health insurance (OR= 2.31, 95% CI: 1.50-3.56). Conclusions: Cervical screening participation in this study was low compared to other studies in developed countries. The screening uptake was different based on age, education, parity, insurance coverage and menopausal status. It is recommended to target these groups of women in cervical screening program.

일부지역(一部地域) 여대생(女大生)의 영양성(營養性) 빈혈(貧血)에 관(關)한 연구(硏究) (A Study on Nutritional Anaemia of College Girls in Kwang-ju city Area)

  • 임현숙
    • Journal of Nutrition and Health
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    • 제11권4호
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    • pp.25-30
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    • 1978
  • The Nutritional Anaemia due to Iron Deficiency is by for the most common variety of anaemia throughout the world, affecting many women in their reproductive years, infant and children. In Korea, several studies reported that most of the female was iron-deficient and anemic. The present study was undertaken to investigate the nutritional anaemic state of the college girls in kwang-ju city area. Seventy-five college girls in child-bearing age (from 17 to 22 years old) were selected and practiced physical examination, hematological and parasitological tests. The results obtained are summarized as follows; 1) The mean body height $(158.6{\pm}3.4cm)$higher tendency compared to other studies, but the mean body weight $(51.1{\pm}5.6kg)$was lighter. 2) The mean red blood cell number was $441.4{\pm}17.7\;10^4/mm^3$, and most of the subjects were included normal criteria. The average hemoglobin level was $12.5{\pm}0.7gm%$, and 25..7% of the subjects was anaemic. (l2gm% below) The average hematocrit value was $39.1{\pm}2.3%$ and 7.0% was anaemic. (below 37%) The average M C.H.C. value was $32.1{\pm}0.9%$, and 86.0% was anaemic. (32% below) These results showed that the incidence of anaemia was high and the anaemia was characterized by hypochromic in general. 3) The mean value of serum total protein and albumin were $6.6{\pm}0.4gm%$ and $4.2{\pm}0.4gm%$. These values were indicated total protein intake was insufficiency, but albumin value was comparatively high. 4) The infestation rate of helminthes was 25.4%, (Ascaris lumbricoides: 20.3%, Trichuris trichiura: 8.5%) and there was no hookworm infected case.

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응급피임약 사전 제공이 청소년의 성과 피임 행위에 어떤 영향을 미치는가?: 체계적 문헌고찰과 메타분석 (How Does Advance Provision of Emergency Contraceptives Affect Contraceptive Use and Sexual Activity Among Adolescents? Systematic Review and Meta-Analysis)

  • 류경순;이미순;김영혜;반선화;최미향
    • 대한간호학회지
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    • 제48권3호
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    • pp.255-265
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    • 2018
  • Purpose: The purpose of this study was to analyze the effect of emergency contraceptive pill on adolescent sexuality and contraceptive behaviors through a meta - analysis of intervention studies on advance provision of emergency contraceptives. This study aimed to provide objective data on the transition of general medicines to be discussed in relation to the reclassification of emergency contraceptive pills. Methods: Using electronic database, 1,820 studies written in Korean or English without limitation of the year were reviewed and for analysis, 5 studies were selected, in which emergency contraceptives were provided to adolescents. Results: The advance provision of emergency contraceptives has increased their use and shortened the time it takes to take contraceptive pills after unprotected sex. There was no change in the frequency of engaging in sexual intercourse and unprotected sex or in existing contraceptive behavior, pregnancy rates decreased, but there was no increase in sexually transmitted infection. Conclusion: The results of this study provide objective grounds for the reclassification of emergency contraceptive pills and propose effective interventional programs on contraceptive education, such as on efficacy and side effects of the contraceptive drug and its proper use among the youth who engage in sexual activity, to improve their reproductive health.

Human Papillomavirus Genotypes Profile in Cervical Cancer Patients at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

  • Tobing, Maringan Diapari Lumban;Sahiratmadja, Edhyana;Dinda, Mufti;Hernowo, Bethy Suryawathy;Susanto, Herman
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5781-5785
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    • 2014
  • Background: As in other developing countries, cervical cancer is the most frequent gynecologic malignancy in Indonesia. Persistent high risk genotypes of human papillomavirus (HPV) that infect the cervical tissue have been established as the etiology of cervical cancer. This study aimed to explore the profile of cervical cancer patients and the infected HPV genotypes at Dr. Hasan Sadikin General Hospital-Bandung. Materials and Methods: During the year 2010, 554 cervical cancer patients were registered. In a subset of the patients during July - November 2010, 40 randomized fresh biopsies were tested for HPV genotype after obtained informed consent. The distribution of HPV genotypes and the association to risk factors were analysed. Results: The result showed that 62.5% of the tested biopsies were infected by multiple HPV infections, with HPV-16 found in most of the cervical cancer patients (90%). Marriage at age younger than 16 years old was statistically significant in relation to multiple HPV infection (p=0.003), but not parity more than three times (p=0.59). Conclusions: Although high paritiy in our study was not associated with multiple HPV infection, good family planning programs and reproductive health education need to be emphasized in Indonesia as high parity and marriage at young age might increase the chance of cervical cancer development.

모바일 애플리케이션을 활용한 시민참여 인공새집 모니터링 방안 연구 (A Monitoring for Citizen Participation in Artificial Nest Boxes Using Mobile Applications)

  • 김경태;이현정;김채영;김휘문;송원경
    • 한국환경생태학회지
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    • 제37권3호
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    • pp.221-231
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    • 2023
  • 박새는 도시생태계 내 환경변화를 측정할 수 있는 생물지표종이자 대표적인 식충성 조류로 건전성 유지와 같은 중요한 역할을 맡고 있다. 연구자들은 박새과 조류의 번식생태 파악을 위해 인공새집 조사방법을 활용하고 있으나, 공간적·시간적 한계로 거시적 관점의 연구를 진행하기에는 어려움이 있다. 본 연구는 전문가 중심으로 수행된 기존 인공새집 모니터링이 갖는 한계를 벗어나고자 시민참여 인공새집 모니터링 프로젝트를 설계하였다. '수원시 앞마당 조류 모니터링단'은 시민조사원들의 자발적인 참여를 통해 경기도 수원시 내 녹지공간에 인공새집을 설치하고 박새과 조류의 번식생태를 관찰하는 프로젝트이다. 2021년 2월 9일부터 2월 22일까지 온라인 설문조사를 통해 참가자를 모집하였고, 시민조사원은 2021년 2월 23일부터 8월 31일까지 인공새집 설치부터 관찰까지 직접 수행하였다. 비전문가인 시민조사원들의 진입장벽을 낮추고 일관된 데이터를 수집하기 위해 모니터링 과정 전반에 대한 온라인 교육을 수행하였고 모바일 애플리케이션을 이용하여 인공새집 관찰기록을 수집하였다. 시민참여 인공새집 모니터링 프로젝트에는 98명의 시민조사원이 참여하였고 배포된 206개의 인공새집 중 175(84.95%)개가 수원시 내 녹지공간에 설치되었다. 설치된 인공새집 중 위치 좌표 생성 오류가 발생한 2건을 제외한 173(83.98%)개를 대상으로 시민과학 프로젝트 결과를 확인했다. 시민조사원으로부터 수집한 인공새집 관찰기록은 총 987회이며, 최솟값은 1회, 최댓값은 26회, 평균은 5.71±4.37회로 나타났다. 월별 인공새집 관찰 횟수는 2월 70회(7.09%), 3월 444회(44.98%), 4월 284회(28.77%), 5월 133회(13.48%), 6월 46회(4.66%), 7월 6회(0.61%), 8월 4회(0.41%)로 조사되었다. 설치된 173개의 인공새집 중 57개(32.95%)에서 조류의 이용을 관찰할 수 있었고 박새 12개소(21.05%), 곤줄박이 7개소(12.28%), 미동정 조류 38개소(66.67%)로 확인되었다. 본 연구는 박새과 조류의 번식생태를 조사방법으로 활용되는 인공새집 모니터링에 시민의 참여 가능성을 처음으로 검토한 연구로 향후 시민과학을 접목한 생태모니터링 설계의 기초자료로 활용될 수 있을 것으로 판단된다.

청소년의 성지식 요구 (Needs for Sex Knowledge in Adolescents)

  • 이은주
    • Child Health Nursing Research
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    • 제5권2호
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    • pp.211-234
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    • 1999
  • The purpose of this article was to get hold of adolescent's needs for sex knowledge and to reveal their understanding of sex. These results may be applied to the sex education and counselling for adolescent. The participants of study were 267 students (females, 144 ; males, 123) who were the first and second grade form 1 middle and 2 high schools. They were asked to describe 3 questions that they wanted to know or to learn about sex. Their questions about sex were total 779(girls, subtotal 456, mean 3.2, boys, subtotal 323, mean, 2.6). These questions categorized to 9 items by content analysis. The items were ‘sexual drive, behavior and tendency(229, 29.4%)’ , ‘anatomy and physiology of reproductive system(140, 18.0%)’, ‘reproduction(131, 16.8%)’, ‘concept of sex(31, 4.0%)’, ‘acquaintance between the other sexes(17, 2.2%)’, and ‘the others(9, 1.2%)’ in order of frequency. The most frequent item that the student want to know or team about sex was ‘sexual drive, behavior and tendency’ except girls of sophomore in middle school. There were several features in participants' needs for sex knowledge as respects of the understanding of sex- biological sex, gender, and sexuality. The prominent feature in knowledge need of bio logical sex was that the participants had the interests according to their biological sex. They had the negative attitude to the phenomenons (ex, menstruation and pregnancy, phimosiectomy, etc) that they experienced or would experience due to their biological sex. A part of them asked the questions based the misconceptions and used the slangs or ‘××’, ect. to name the male or female genitalia. The male students wanted to know the female genitalia. The participants' understanding of gender reflected the sexism of our society, but they didn't accept and had doubts about the dual, hierarchical structure of that. The students, especially female seemed to be powerless to the harms of the sexual violence. Girls had much interest in their appearances and complained to our sexual culture that women comforted and served men. The participants had the dual perspective that the sexuality as respects of physiologic phenomenon was considered as natural but that as related to heterosexuals was as negative. And they deemed that men's sexual drive was stronger than women's and was difficult or was not able to be inhibited. They had much interests in homosexuality but reflected the negative attitude to that in our society. Adolescent felt wonder why the expressions of sexuality of adult were permitted but theirs were not. Lastly, a part of boys substituted querying the sexuality of animals for asking that of human. Maybe it was because of the embarrassment to talk about human's sexuality directly. The teenaged participants understood that the sex had not only the biological meanings but also the sociocultural meanings. They regarded the sex as natural and wanted to know it, but they had conceptions that it was difficult and embarrass to talk about it openly and directly.

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여성의 출산 후 체중변화와 생활양식 (Body Weight Changes and Lifestyle in Women within 1 year after Childbirth)

  • 정재원;김혜원;김효정
    • Perspectives in Nursing Science
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    • 제13권2호
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    • pp.88-95
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    • 2016
  • Purpose: Gestational weight gain and prepregnancy body weight are important factors of childbirth outcomes, which further cause obesity, metabolic diseases, or psychological problems later in women's lives. Changes in diet, westernized lifestyle, traditional postpartum care, and childbirth at older age are thought to be threats to proper weight management in Korean women of reproductive age. Public health and antenatal care need to focus on the proper body weight management of women by carefully planning pregnancy to postpartum periods. Purpose: This study explored the body weight changes from pregnancy to postpartum and the related characteristics in women within 12 months after childbirth. Methods: A cross-sectional, retrospective study was conducted with 102 Korean women within 12 months after childbirth. Data were collected using an online survey system, and a structured questionnaire available for electronic self-administration was modified to include demographics, obstetrical history, and body weight at 6 time points. The International Physical Activity Questionnaire and Eating Habit Measurement instruments were also used in data collection. A professional survey agency recruited the participants, and data were automatically saved and then analyzed. Results: The average age of the participants was 33.8 years, 48% were housewives and were well-educated. Seventy-two percent of the participants were primiparas and 82% had breastfed their babies. The body mass index (BMI) ranged from 17.3 to 27.8, indicating that 21.5% of the participants were overweight or obese. The mean gestational weight gain was 11.8 kg, and weight loss was apparent during the first 3 months postpartum. The mean decline in weight was 3.4 kg at one year after childbirth. Women wanted to lose 5.6 kg (range: 3~20 kg), however 44% of them reported that they had not engaged in any weight control efforts. Further, 72% of them reported having engaged in a low level of physical activity. Body weight was not associated with women's characteristics, physical activity score, and diet. Conclusion: Women's awareness of gestational weight gain, lifestyle modification, and the risk of prolonged weight retention should be promoted through the antenatal and women's healthcare systems. As pregnancy and childbirth are critical events that affect women's health, integrative education to ensure healthy transition to life after delivery is required.

지역사회 가임기 여성의 생리대 사용 조사 (Use of Menstrual Sanitary Products in Community Women of Childbearing Age )

  • 단현주;정희자
    • 문화기술의 융합
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    • 제9권6호
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    • pp.401-407
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    • 2023
  • 본 연구는 지역사회 가임기 여성의 생리대 사용실태를 조사하기 위해 시행된 서술적 조사연구이다. 연구대상자는 지역사회의 만 19-40세의 가임기 여성 1,571명으로, 자료수집은 2020년 9월부터 2021년 8월까지 온라인 및 모바일 설문조사로 진행되었다. 연구결과 참여자의 88.9%(1,396명)가 일반 패드형 생리대를 사용하고 있었으며, 탐폰 5.6%(88명), 면 생리대 3.1%(49명), 생리 컵을 포함한 기타가 2.4%(38명) 순이었으며, 일반적 특성에 따른 사용하는 생리대 종류의 차이는 나이(p=.006), 결혼상태(p=.005), 교육정도(p=.002), 연 소득(p=.018), 임신경험(p=.036), 및 월경규칙성(p=.022)에 따라 모두 유의한 차이를 나타냈다. 또한 참여자들의 절반 이상(53.8%)이 면 생리대는 '아주 안전' 혹은 '안전하다'고 응답하였으며, 일반 패드형 생리대와 탐폰은 각각 27.9%, 20.1%가 '안전하다'고 응답하였다. 생리대 종류에 따른 월경불편감의 차이는 탐폰 사용자가 일반 패드형 생리대나 면 생리대 사용자보다 '가장 최근 월경'의 월경불편감 점수(F=4.092, p=.017) 및 '월경 전 4일'의 월경불편감 점수에서 모두 높은 것으로 나타났다(F=4.178, p=.016). 따라서 가임기 여성의 생리대의 사용실태 및 생식건강과의 관련성에 대한 지속적인 조사와 관리가 필요할 것으로 생각된다.