• Journal of Preventive Medicine and Public Health
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• 제57권1호
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• pp.8-17
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• 2024

Objectives: The effectiveness and efficiency of pre-exposure prophylaxis (PrEP) in reducing the transmission of human immunodeficiency virus (HIV) among men who have sex with men (MSM) relies on how widely it is adopted and adhered to, particularly among high-risk groups of MSM. The meta-analysis aimed to collect and analyze existing evidence on various factors related to PrEP adherence in MSM, including demographic characteristics, sexual behaviors, substance use, and psychosocial factors. Methods: The meta-analysis followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The search included articles published between January 2018 and December 2022, obtained from the PubMed, ScienceDirect, and Scopus databases. The studies that were included in the analysis reported the proportion of MSM who demonstrated adherence to PrEP and underwent quality appraisal using the Newcastle-Ottawa Scale. Results: Of the 268 studies initially identified, only 12 met the inclusion criteria and were included in the final meta-analysis. The findings indicated that education (odds ratio [OR], 1.64; 95% confidence interval [CI], 1.12 to 2.40), number of sexual partners (OR, 1.16; 95% CI, 1.02 to 1.31), engaging in sexual activities with an human immunodeficiency virus-positive partner (OR, 1.59; 95% CI, 1.16 to 2.26), substance use (OR, 0.83; 95% CI, 0.70 to 0.99), and lower levels of depression (OR, 0.55; 95% CI, 0.37 to 0.82) were associated with higher rates of PrEP adherence among MSM. Conclusions: Despite these findings, further research is necessary to investigate PrEP adherence more comprehensively. The findings of this meta-analysis can be utilized to inform interventions aimed at improving PrEP adherence among MSM and provide directions for future research in this area.

• 생물정신의학
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• 제8권2호
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• pp.271-275
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• 2001

60세 남자 환자로 좌측 정중 전두엽과 양측 기저절 경색 후 발생한 과잉성욕 증상과 강박 증상을 주소로 내원하였다. 환자는 뇌졸중 후에 발생한 운동 기능 장애는 시간이 경과하면서 호전되어 발병 1개월 이내에 거의 정상화된 반면 과잉성욕 증상과 강박 증상은 호전되지 않았다. 환자에게 과잉성욕 증상과 강박 증상을 목표로 fluvoxamine과 perphenazine을 처방하였으며 치료 시작 후 2개월이 경과하면서 환자의 과잉성욕 증상과 강박 증상은 서서히 사라졌다. 이 증례는 기저절-시상전두엽 회로가 성적 행동과 강박 증상의 조절에 있어 중요한 역할을 하고 있음을 시사한다고 할 수 있다. 과잉성욕 증상은 임상에서 간과하기 쉽고 또한 일반적으로 성적 활동에 대한 변화는 환자들 스스로 보고하지 않는 경향이 많다. 따라서 뇌졸중 환자, 특히 정중 전두엽이나 기저절 병변을 동반한 환자들의 경우에는 비록 그 병변이 측두엽 침범이 없거나 Kluver-Bucy syndrome의 전형적인 증상을 보이지 않는다 할 지라도 성욕등 성적 활동에 대한 체계적인 조사가 필요할 것으로 생각된다. 또한 과잉성욕 증상과 강박 증상을 함께 가지고 있는 경우 선택적인 세로토닌 재흡수 억제제의 사용이 두 증상 모두를 효과적으로 치료하는 데에 도움이 될 수 있을 것이다.

• 한국심리학회지 : 문화 및 사회문제
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• 제23권4호
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• pp.605-634
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• 2017

본 연구는 성소수자들이 가족에게 커밍아웃 후 경험하는 가족의 반응을 알아보고, 가족의 태도가 성소수자의 정신 건강에 어떠한 영향을 미치는지를 연구하였다. 가족에게 커밍아웃한 만 19~30세의 남녀 성소수자 12명을 대상으로 심층 인터뷰를 진행하였으며, 추출된 자료는 합의적 질적 연구방법으로 분석하였다. 커밍아웃에 대한 가족의 태도는 대부분 부정적인 양상으로 거부적 또는 회피적 태도를 보였고, 일부만 수용적 태도를 취하는 것으로 나타났다. 이에 성소수자들도 맞대응을 하기도 하고, 설득, 전문가 상담 참여, 포기 및 회피, 또는 가출과 같은 대처 행동을 취하기도 하였다. 가족의 태도가 성소수자에게 미치는 영향은 대부분 분노, 슬픔, 소외감, 우울함, 불안감 및 두려움, 트라우마, 무력감, 자존감 하락, 알코올 의존, 자살생각 및 시도와 같은 부정적인 심리적 영향이었으며, 수용적인 태도를 보인 가족의 경우 성소수자가 안정감을 느끼는 것으로 나타났다. 연구 참여자들은 사회의 부정적인 태도보다 가족의 부정적 태도에 의해 더 상처를 받는 것으로 보고하였다. 성소수자가 커밍아웃 이후 가족으로부터 어떠한 태도를 경험하고 그들이 느끼는 심리적 어려움은 무엇인지 구체적으로 파악하였으며, 커밍아웃 전후의 과정과 성소수자의 극복방안 등을 심층적으로 보여주었다. 성소수자 개인이나 가족의 상담을 위한 실천적 전략을 마련하는데 도움을 줄 수 있을 것으로 보인다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제9권2호
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• pp.138-147
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• 1998

전국의 산부인과, 소아과, 가정의학과 및 응급의학과 전문의 7055명을 대상으로 근친간 성학대를 당한 15세 이하 아동을 진료한 경험에 대하여 조사하여 다음과 같은 결과를 얻었다. 1) 조사에 응한 의사들(1205명)중 157명(13.0%)이 진료시작 후 지금까지 근친간 성학대를 당한 만 15세이하 아동 315명을 진료한 경험이 있다고 응답하였고 이중 8명은 조사시점 1개월 이내에, 71명은 조사시점 1달이내에 경험하였다. 성학대의 아동진료를 보고한 157명 의사중 111명(70%)은 산부인과 전문의였다. 2) 가해자중 형제가 58명(36.9%)으로서 가장 많았고, 계부 32명(20.4%), 친부 26명(16.6%) 순이었고 가해자의 연령 분포상 10대가 70명(44.6%)으로서 가장 많았으며, 다음은 40∼59세(33.7%)이었다. 성별로는 대부분(98.7%)이 남자였다. 3) 피해 아동의 나이는 2세부터 15세까지 다양하였는데, 평균연령은 $12.1{\pm}3.3$세였고, 15세가 41명(26.1%)으로서 가장 많았다. 성별로는 모두 여자였고, 대부분 정상아동이였다. 4) 근친간 아동성학대 사실을 알게 된 경위는 행동이 이상해서 추궁하여 알게 된 경우가 45명(28.7%), 아동이 직접 이야기해서 알게 된 경우가 40명(25.5%), 임신으로 인해 알게 된 경우는 18명(11.5%)이였다. 아동이 근친간 성학대를 당한 후 병원에 오기까지 소요된 시간은 1개월 이상이 97명(61.8%)으로서 가장 많았으며, 근친간 아동성학대는 잘 알려지지 않은 채 장기간 지속되는 경향이 있음을 시사하였다. 5) 신체적 피해 상황은 회음부 손상이 93명(59.2%), 처녀막 파열이 90명(57.3%), 임신이 68명(43.3%)으로서, 임신 때문에 근친간 성학대가 발견되고 의사를 찾게 되었음이 두드러진 특성으로 보였다. 상기 결과는 상당수의 의사들이 근친간 성학대를 당한 피해 아동을 진료하고 있고 근친간 아동성학대는 사회적 문제일뿐 아니라 의학적으로도 중요한 문제이며 근친간 아동성학대의 예방과 치료를 위해서는 의사들의 적극적인 관심과 노력이 필요함을 시사한다. 또한 근친간 아동성학대는 가해자가 친족이라는 정의상의 차이점 외에 빈도와 의뢰이유, 발견방법, 신체적 후유증 및 학대의 원인등에서 가정외 아동성폭력과 매우 다른 양상을 보였음은 앞으로 아동성학대 연구에서 이들을 구분하여 연구할 필요성을 시사해준다.

• 대한간호학회지
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• 제40권1호
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• pp.14-23
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• 2010

Purpose: This study was done to compare health risk behavior prevalence for youth living in metropolitan, medium sized and small cities or rural area, in order to enhance understanding regional differences. Methods: For this study, data from the 2006 Youth Health Risk Behavior Online Survey collected by the Korean Center for Disease Control were analyzed using SPSS. Results: In the metropolitan areas, prevalence for disease and perceived obesity were higher than in other areas. Lack of intense or moderate physical activity, obesity, fast food intake, and insufficient sleep showed higher prevalence than in rural areas. Prevalence of lifetime smoking, lifetime alcohol consumption, present alcohol use, fruit intake less than once a day, and not wearing a seat belt were higher in rural areas than in urban areas. Gender, smoking, and alcohol use were correlated. Spearman correlation between living with parent and skipping breakfast were significant. Smoking, alcohol use, and sexual behavior were correlated. Conclusion: As significant differences in prevalence of youth health risk behaviors exist between regional areas, health education and health promotion programs considering these differences have to be developed and implemented for adolescents. Programs for prevention of smoking and alcohol use, programs for improvement of fruit intake and safety are suggested for adolescents in rural areas, whereas programs to enhance physical activity and obesity management are suggested for adolescents in metropolitan areas.

• 한국학교보건학회지
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• 제22권2호
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• pp.13-23
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• 2009

Purpose: Suicide was considered as a big public health concern in recent years because suicide mortality has been increased rapidly. This study was to investigate the prevalence and risk factors of suicidal ideation among adolescents in South Korea. Methods: The data of 2007 Youth Health Risk Behavior Web-based Survey collected by Korean Center for Disease Control were analyzed using logistic regression for this study. Results: The prevalence of suicidal ideation was 23.7% in South Korea. The risk factors of suicide ideation were depression (odds 8.43), perceived stress(odds 4.30), drug use (odds 2.47), sexual intercourse(odds 2.36), present smoking (odds 1.76), present alcohol drink (odds 2.39), feeling unhappiness (odds 2.89), living with none of parents (odds 1.71), gender(odds 1.72), health status (odds 1.66), and socioeconomic status (odds 2.0). Conclusion : Health risk behaviors and mental health status were related to suicide ideation. Health risk behavior such as smoking and drinking prevention programs and mental health promotion programs should be implemented to decrease suicide ideation among adolescents. Suicide, mental health and health risk behaviors should be prevented through comprehensive health promotion programs.

• International Journal of Costume and Fashion
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• 제14권1호
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• pp.29-45
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• 2014

In the contemporary world, fashionable bodies are socially constructed in light of current idealized images. Media portrayal of such images can have negative health implications. This issue has long been problematic for women. Nowadays, men are subject to more scrutiny regarding their bodies, although male body image has been studied far less than female body image. In this position paper based on a review of the major studies that have been conducted on men and body image, we summarize the findings from these state-of-the-art studies that have been recently published in academic journals. Three themes related to male body image were extracted: socio-cultural ideals, masculinity, and minority men. This study adds to the literature I that it demonstrates that men experience and view their bodies differently from women, though some behaviors, such as disordered eating, are similar. Other behaviors, such as the drive for muscularity, are couched in the context of the social construction of gender and power. Most of the studies were done on white, heterosexual populations of young men, and nearly all used quantitative research methods. Little research has been conducted on ethnic and sexual minorities. We conclude with a discussion of what we need to know, and to that end, we suggest future avenues of research.

• 보건교육건강증진학회지
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• 제11권1호
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• pp.43-56
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• 1994

Although the officially confirmed incidence of the acquired immune deficiency syndrome(AIDS) has remained low thus far in Korea, the progression of the pandemic has been rapid, concerned about an eventual increase in transmission. Until a vaccine or cure is found, public information and education remain an important weapon against AIDS. For the year 2000, the current WHO projection is that there will be a cumulative total of 40 million HIV infections in man, woman and children, of which more than 90％ will be in the developing countries. The incerased mortality among adults and children has raised concerns that AIDS may become so devastaing as to reverse positive population growth rates and wipe out entire population. In order to plan for the rising incidence of patient with AIDS, an assessment of AIDS-related cognition and behavior, attitude of the recognized high-risk groups is necessary. Considering that undergraduates have sexuality active and more oriented toward sexual concerns than other ages. Adolescents today are more sexually involved than in the past: The media, including films, music, and television, reinforce sexual concerns by preseating images of highly sexual adolescents. Incidence of both petting and sexual intercourse in higher and occurs at earlier ages, they are important reservoir of AIDS infection. Hence, it has become important to emymerats and describe the knowledge, attitude and behavior of them, I want.. This information will eventually guide the direction of change in public policies and education programs to meet the challenges of AIDS. The objective of this study were to identity Knowledge, Attitude, Experience of Sex and AIDS in Korea. The data were collected by survey at Korean Federation for AIDS Affairs, INC. and J university, K junior college. After October in 1993, surveyed with 507 student during their's college days in Seoul. The questionnaire was designed to provide information on sex and AIDS-related knowledge and attitudes and experience. AIDS-related knowledge was measured by using 26 questions on mode of transmission and AIDS-related attitudes were measured by 7 questions, AIDS-related experience was measured by 5 questions. There were the main dependent variables in our study, In conclusion, students during their university day need to develop AIDS-preventive education programs. Clearly, the many AIDS-prevention educational effort need to be guided by well trained health agents. Financial supports from all sectors (i.e., public and private) of our society are required to achieve that end. Further researches on AIDS-related Knowledge and Attitude and behaviors of undergraduates are needed for the development of comprehensive AIDS prevention programs.

• 보건교육건강증진학회지
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• 제14권1호
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• pp.147-160
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• 1997

Nowadays according to the complexity of our daily life due to the development of industry and transportation various kinds of injuries happen. Since 1993 the death rate among 5-14 age children by injuries amount to about 57%. Furthermore, the injury of children can give a direct damage to their own family and it can also bring a serious loss to the country as well as the community where they live in accord with degree of an injury. From this reason, the importance of safety education has been increasing. In this study, it is aimed to clarify the effect of injury preventive behaviors on injury incidence of the 6th grade students in the elementary school. This study is accomplished by the survey sampled from 9 elementary schools in seoul, each of which belong to different district. The survey took for 15 days from the date of september 10th 1996 to september 25th 1996 and the results were as follows; 1. For demographic characteristic, sexual distribution was 48.7% of male students and 47.1% of female students. The required time from home to school was 10-19 minutes(51.8%), and the most way of their going to school is to walk(89.7%). Mothers who graduated from high school were 46.6% and 49.4% of fathers were above university graduated level. The most vocation of mothers was housewife as 56.7%. 2. The results of analysis on the injury rates, 75.8% of children experienced more than one injury and the most was play injury. With regards to sites where injuries happened, the room, the kitchen, and the living room in the house ranked first(38.3%) and then injuries at school such as on the playground, in the classroom, and on the stairs was 34.1%. 3. Considering the rate of injury incidence in accordance with demographic characteristics, male students experienced more injuries than female students(p〈0.05). For the way from home to school, children who went to school by bicycle experienced the most injuries and then on foot, by bus in order of which differences were statistically significant(p〈0.05). 4. From the comparison of parents' safety education practice and the injury incidence, the less often parents practice safety education, the more often children experience injuries(p〈0.05). 5. The results of analysis on the effect of injury preventive behaviors on accidents children who didn't act injury preventive behaviors experienced much more injuries than those who did injury preventive behaviors of which differences were statistically significant(p〈0.01). 6. From the results of analysis of factors effecting on the elementary school children's injuries, children without injury preventive behaviors had more effect on accidents than those who had injury preventive behaviors as odds ratio 2.06(p〈0.01), and the odds ratio of male students compared with female students was 1.47(p〈0.05).

• 한국학교ㆍ지역보건교육학회지
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• 제14권2호
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• pp.1-14
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• 2013

Objectives: The purpose of this study was to identify the relationship of internet use time and health risk behaviors among adolescents and provide data to set up a strategy for preventing internet addiction. Methods: The data of the 2011 Youth Health Risk Behavior web-based Survey Collected by Korean Center for Disease Control was analyzed using t-test, ANOVA, Chi-square test for this study. Results: There were significant differences between boys and girls in internet use time. Boy's internet use time was different according to city size(F=13.20, p<.001), grade(F=35.85, p<.001), school record(F=298.95, p<.001), economic state(F=326.75, p<.001), living with parents(t=11.60, p<.001), father's education level(F=147.92, p<.001), and mother's education level(F=110.93, p<.001). Girls' internet use time was also different according to school grade(t=-8.68, p<.001), grade(F=61.03, p<.001), school record(F=233.32, p<.001), economic state(F=185.78, p<.001), living with parents(t=10.81, p<.001), father's education level(F=86.54, p<.001), and mother's education level(F=92.64, p<.001). Regarding the health risk behaviors, present smoking, present alcohol drink, drug use skipping breakfast, eating fast food, drinking soda, sexual behavior, suicidal attempt, engagement time in physical education classes, severe exercise, and sleeping satisfaction made differences in the internet use time. Conclusions: The results suggest that health risk behaviors are influenced by internet use time of adolescents. Thus, these results may be contribute to development of programs to prevent internet addiction.