• 보건행정학회지
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• 제26권2호
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• pp.125-134
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• 2016

Background: Glycemic control is an effective way to reduce the cardiovascular complications of diabetes, but more than half of the adults with diabetes in Korea are improperly controlling their glycemic levels. The purpose of this study is to identify the factors associated with poor glycemic control in type 2 diabetes patients. Methods: This study analyzed 1,261 subjects ${\geq}30years$ old diagnosed with type 2 diabetes who participated in the fifth Korean National Health and Nutrition Examination Survey (2010-2012). Poor glycemic control rates were defined as hemoglobin A1c (HbA1c) level ${\geq}7%$. To shed light on the causes of poor glycemic control, socio-demographics, diabetes severity, health status, and health behavior factors were adjusted and logistic regression was done. Results: Of the total 1,261 patients, 53.0% of patients with type 2 diabetes had HbA1c ${\geq}7%$. After running a logistic regression model, the odds ratio of poor glycemic control was higher in high school graduates than elementary school graduates; in people living in Chungcheong and Jeolla/Jeju than those living in Seoul; in the group with diabetes for over 5 years had diabetes less than 5 years; in a group with insulin and oral hypoglycemic agent treatment than non-treatment; in a group with hypertriglyceridemia than without hypertriglyceridemia; and in the group with slept less than 6 hours slept 7-8 hours. Conclusion: We need a comprehensive public health policy to reduce the poor glycemic control rates in type 2 diabetes patients. We should recognize the education levels, duration of diabetes, diabetes treatment, hypertriglyceridemia, and sleep duration were associated with poor glycemic control.

• 대한한의학회지
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• 제28권4호
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• pp.74-85
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• 2007

Objective : In this study we wanted to confirm if proper stimulation and de-Qi of traditional Korean medical acupuncture could increase hot flash relief efficacy. Design : A randomized controlled, single blind study. We used two modalities of acupuncture, one with optimal stimulation [Study group; Korean medical acupuncture (TKMA)] and one with minimal stimulation [Control group; Minimal acupuncture (MA)]. Same acupoints [PC6(內關), HT8(少府), HT7(神門), LI4(合谷), ST36(足三里), SP6(三陰交), Ren4(關元)] were used in both groups. Fifty-two patients were treated twice a week for 8 weeks, and follow up was done after 4 weeks from the last treatment. Patients were checked hot flash VAS (visual analog scale), frequency and duration every time they visited. Results : Hot flash relief efficacy by 100mm hot flash VAS was obvious in both groups. Hot flash VAS scores of study group were smaller than the scores of control group at the early stage (3rd, $4^{th}$ and $8^{th}$ visit), but there wasn't a remarkable difference between study and control group at the end of the trial. Besides, diminution of hot flash VAS was faster and more even in the study group than control group by visualization using 'Box plot'. We compared frequency and duration of hot flash, 100mm sweating, palpitation, sleep disturbance VAS, and Kupperman Index, MENQOL, Patient's global assessment score. Both groups showed definite decrease from the baseline, but the difference was not statistically significant. There wasn't any adverse event. Hot flash relief efficacy was kept in most patients after 4 weeks' follow-up. Conclusion : Acupoint combination by Traditional Korean medical theory is effective on hot flashes and hot flash relief efficacy was faster and more even in optimal stimulation than minimal stimulation.

• 보건교육건강증진학회지
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• 제19권4호
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• pp.1-18
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• 2002

This study identified the health habits affecting health status of industrial workers. Data was collected from 965 workers in 58 companies at Buchon. The research conducted a self-administered questionnaire survey and obtained the workers' health examination records. The results were as follows: 1. Among 965 respondents, men were 82.4%, women were 17.6%, 44.5% were of the 30${\sim}$40 age group, the married were 67.4%, the single were 30.8%, high school graduates were 81.1% and 38.8% were of people who worked between 1 and 5 years 2. As far as the seven health habits, current smokers were 52.8%, people who regularly exercise was 28.5%, 7${\sim}$8 hour of sleep, on the average were 71.4%, people eating breakfast nearly every day were 8.8%, and people eating between meals almost every day were 46.5%. Heavy drinkers who drink 3${\sim}$4 times or more per week were 14.2%, 1${\sim}$2 times per week were 32.6% and the obese were 9.3%. 3, Health status of A and B, estimated by doctors in the health examination were 80.8% and C, D1, D2, the unhealthy were 19.2%. For men, those who reported more than women in unhealthy groups and the results regarding health status reflects those for gender, educational level and age. That is to say that, lower educational level group and over 30 years of age group perceive their health to be worse than the higher educational level and under 30 age group. And these differences were statistically significant. 4. The relationship between health habits and health status were examined based on the odds ratio. Current smokers had a consistently worse health status than a non smokers with a 1.98 odds ratio. The workers who reported eating breakfast rarely or never were more associated with the unhealthy group than the regular breakfast eating group with a 2.96 odds ratio. One or more drink per week had a worse health status than a never or a little drinker with a 1.56 odds ratio. 5. General health habit score and duration of work were selected as significant factors influencing health status from the result of logistic regression analysis. According to the results of this model, the odds ratio of good health status was 2.08 for good health habit score, 1.63 for workers who worked five years or more duration at work. In summary, good health habits were associated with good health status. In particular, the workers who had 5 or more desirable health habits had a significantly better health status than the workers who had 4 or less than 4 good health habits. Therefore, in order to provide the health promotion programs to workers it is necessary to organize clear health management plans based on effective health education and health service perspective. If further research examines health habits and health status using a prospective study design, More precise findings for health promotion program development in the worksite and worksite health management planning.

• 산업융합연구
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• 제20권8호
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• pp.109-118
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• 2022

본 연구는 COVID-19 판데믹 기간 동안 라이프스타일 행동변화 정도, 일상생활 제한인식, 그리고 그 관계를 파악하고자 하였다. 2020년 지역사회건강조사를 이용하여, 한국 성인들이 판데믹 기간 동안 사회인구학적 특성 및 라이프스타일 행동 범주(신체적 활동, 수면기간, 음주, 흡연, 사회적 접촉, 대중교통수단 이용, 음식배달, 인스턴트음식 소비) 별로 일상생활의 제한인식 정도를 산출하였다. 일반화선형모형을 이용하여 행동변화와 제한인식간의 관계를 분석하였다. 총 227,808명의 조사대상자 중 56.70%가 판데믹 기간 동안 자신들의 일상생활이 절반이상 제한받았다고 응답하였다. 대부분의 응답자들은 신체적 활동, 사회적 접촉, 대중교통 이용을 감소시켰다(각각 52.71%, 89.70%, 63.74%). 신체적 활동, 수면시간, 사회적 접촉의 빈도를 줄이거나 음주빈도, 음식배달 및 인스턴트 식품섭취를 늘린 개인들은 그렇지 않은 사람들에 비해 일상생활에 대해서 보다 더 제한받았다고 인식하였다(p<0.001). 결론적으로 사회적 접촉과 신체적 활동의 감소 및 배달음식 이용 및 인스턴트 음식 소비의 증가는 판데믹 기간 중 일상생활에 대한 제한 인식의 증가와 유의한 관련성이 있었다. 판데믹 기간 동안 사람들이 느낄 일상생활에 대한 부정적인 심리적인 영향을 줄이기 위한 노력은 건강한 라이프스타일 행동을 증진하기 위한 노력을 수반해야 할 수 있다.

• 대한한방부인과학회지
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• 제26권1호
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• pp.69-81
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• 2013

Purpose: The aim of this study is to determine associated factors affecting the utilization of Medical Care for an overactive bladder. Methods: Total 114 women with overactive bladder participated in this study. Patients were categorized in two groups, the patients with treatment experiences for an overactive bladder(n=40) and without treatment experiences for an overactive bladder(n=74). Patients completed Overactive Bladder Severity Score, Beck Depression Inventory, King's Health Questionnaire, and questionnaires on treatment experience. The results were analysed using SPSS for Windows 12.0k. All statistical tests were two-sided with a p-value < 0.05 being significant. Results: Patients with treatment experience had a greater score on KHQ, OABSS, BDI and had longer symptom duration period than those without treatment experience. And only Impact of Life(P=0.004), Role Limitation(P=0.004), Social Limitation(P=0.007), Emotion(P=0.035), Sleep/Energy(P=0.001), Incontinence Severity Measures(P=0.012) among KHQ domains were statistically significant difference between two groups. Conclusions: The most influencing factor associated with utilization of Medical Service in overactive bladder is the impact of the patient's quality of life.

• 디지털융복합연구
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• 제10권10호
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• pp.405-413
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• 2012

본 연구는 50인 이하의 소규모 제조업 사업장 남성 근로자들의 직무스트레스 수준을 파악하고, 이들의 인구 사회학적 특성, 건강행태 및 직업관련 특성과의 관련성을 규명하고자 하였다. 조사대상은 한 검진기관에서 건강검진을 실시하고 있는 50인 이하의 소규모 제조업 사업장에 종사하고 있는 남성 근로자 856명으로 하였다. 자료 수집은 2010년 4월 1일부터 6월 30일까지의 기간 동안에 자기기입식 설문조사를 통해 이루어졌다. 연구결과, 조사대상자의 직무스트레스는 여러 인구사회학적 특성, 건강관련행위 특성 및 직업관련 특성 변수들과 유의한 관련성이 있었다. 특히 이들의 직무스트레스에 영향을 미치는 요인으로는 음주상태, 수면시간, 여가활동여부, 직종, 직급, 근무기간, 주당 근무시간, 외래 및 입원경험 여부, 직장생활에 대한 만족도 등이 지적되었으며, 따라서 직무스트레스를 감소시키기 위해서는 건강관련행위 및 작업환경과 직무내용의 개선을 위한 노력이 필요하다고 생각된다.

• Child Health Nursing Research
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• 제12권4호
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• pp.495-505
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• 2006

Purpose: The purpose of the study was to describe growth and development of breast-fed infants and to depict experiences of breastfeeding mothers. Method: The data were collected from 145 infants and mothers participating in A Healthy Breastfeeding Infant Contest. The instrument used for this study was a self-report questionnaire completed by the participants and an evaluation record completed by the examiners. Results: The more specific results of the study are as follows: the weight of the infants was much higher than the Korean Standards. The height of infants was not significantly different from the Korean Standards except for 5 month old male infants. The results of Denver II showed all 145 infants were classified as normal. The breastfeeding experiences in mothers was as follows; 31.7% of the mothers breastfed for 5 months, 48.3% wanted to breastfed as long as the baby wanted. The mothers pointed out that the difficult problem in breastfeeding was insufficient breastfeeding room in public areas. What mothers want to know related to breastfeeding was, breastfeeding duration, time to begin solid food and recommended amounts, time to discontinue breastfeeding at sleep time and appropriate methods. Conclusion: Mothers' experience in breastfeeding was positive. We should provide mothers a comfortable place in public areas for breastfeeding. Based on the result of the study it's propose that health professionals must intervene in breast care during both antepartum and early postpartum periods.

• Journal of Oral Medicine and Pain
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• 제42권2호
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• pp.29-34
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• 2017

Purpose: To evaluate aggravating factors of intermittent locking among temporomandibular joint using magnetic resonance imaging (MRI) and diagnostic criteria for temporomandibular disorder (DC/TMD) diagnosis. Methods: A retrospective analysis was conducted of 35 patients with intermittent locking history but normal intra-articular findings between September 2012 and June 2015 in Kyung Hee University Dental Hospital. A standardized DC/TMD assessment was performed on subjects with MRI findings. Clinical findings were assessed on the basis of maximum mouth opening (active & passive), self-reported habits, patients' age, gender, systemic diseases at the initial visit. First, chi square test was used to examine differences with variables and then risk factors for intermittent locking were assessed using multivariate logistic regression. Results: Self-reported bruxism was strongly associated with intermittent locking history. Conclusions: The new DC/TMD protocol is intended for use within any clinical setting and supports the full range of diagnostic activities from screening to definitive evaluation and diagnosis. Self-reported sleep bruxism has been associated with a higher likelihood of intermittent locking. Comorbidity is therefore a factor that must be assessed. It is necessary to consider the amount of contact of the teeth and the duration.

• 한국콘텐츠학회논문지
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• 제14권1호
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• pp.326-336
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• 2014

본 연구는 한국인 성인을 대상으로 습관성 코골이와 대사증후군 구성 요소들과의 관련성에 대해 알아보고 또한 성별에 따른 차이점을 알아보고자 연구를 시행하였다. 2012년 3월부터 2012년 12월까지 일개 대학병원에 내원한 40세 이상 69세 이하까지 성인들 중 연구에 참여하기로 동의한 2,007명(남자 434명, 여자 1,573명)을 대상으로 하였다. 연구 대상자들에 대하여 구조화된 설문지를 작성하였고 신체 계측, 생활 습관 및 임상검사결과를 비교분석하였다. 연구 조사대상자들의 대사증후군의 유병률은 17.4% (남성 20.7%, 여성 16.5%)였으며, 연령이 증가할수록 대사증후군의 유병률도 같이 증가하였다. 연구 대상자에 대해 연령, 흡연, 음주, 수면시간, 규칙적 운동 변수를 보정한 후 다변량 로지스틱 회귀분석 결과 습관성 코골이에 의한 대사증후군의 위험이 여전히 유의하게 높았다(교차비: 1.96, 95% CI=1.45-2.66). 성별에 따라 연령, 음주, 흡연 요인을 보정한 후 다변량 로지스틱 회귀분석을 한 결과 여자에서 고밀도지질단백콜레스테롤, 혈당, 허리둘레의 발생 위험이 유의하게 높았으며(p<0.05), 대사증후군의 발생 위험도 유의하게 높았으나(교차비: 2.36, 95% CI= 1.64-3.40), 남자에서는 대사증후군 구성 요소 및 대사증후군 발생 위험이 높아지지 않았다.

• The Journal of Korean Physical Therapy
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• 제6권1호
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• pp.37-48
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• 1994

In order to grasp the occupational add social characteristics of the onset of lumbago among elementary and high school teachers, 423 elementary and high school teachers were taken as subjects of study through questionaires. The following are the results of the study which were analyzed through data, conducted for one month in the City of Taegu, between Jun. 90, and Jul. 20 of 1993: 1. the incidence of lumbago of the entire teachers was $75.2\%$, with the elementary school teacher$(81.9\%)$ higher than high school teacher$(70.6\%)$. 2. In the relationship between the characteristics of job and lumbago. characteristics of teaching, monthly income, chores and satisfaction with job did not show significance, but weekly teaching hours, mental stress and the degree of comfort of chair reflected significantly(p<0.01). 3. In social relationship, personal nature, sleeping hours and place, smoking and drinking did not hold significance, but daily average walking hours, posture during sleep, general health conidition(p<0.01) and daily average riding hours and regular exercise(p<0.05) etc. showed significant relationships. 4. In the sistuation of lumbago of the teacher groups, no significant differences wee found in the cause of lumbago, duration of lumbago, sick leaves and recognigion of lumbago, but it was contrary in the treatment of lumbago(p<0.01). Based on the above results, lumbago is closely related to occupational and social factors, the prevention and treatment can be diversified based on occupation and environment. Consequently, regular educational program is considered imperative mainly on prevention of lumbago by putting aside time for such purpose.