• 디지털융복합연구
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• 제12권1호
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• pp.445-455
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• 2014

본 연구는 보건소 금연클리닉의 신규등록자와 재등록자의 금연성공 요인을 비교분석하여, 향후 보건소 금연 사업의 효율성 제고를 위한 개선방안을 제안하고자 하였다. 연구자료는 2009년 7월 16일부터 2010년 7월 15일까지 전국 253개 보건소 금연클리닉에 등록하여 6개월 이상 서비스를 이용한 흡연자 319,908명이며, 재등록자와 신규등록자로 구분한 후, 6개월 금연성공여부를 종속변수로 하여 ${\chi}^2$검정과 t검정, 로지스틱 회귀분석을 실시하였다. 연구결과에 따르면 조사대상자들의 6개월 금연성공률은 재등록자(51.6%)가 신규등록자(48.7%) 보다 높게 나타났고, 금연성공에 영향을 미치는 공통적인 요인으로는 성, 연령, 사회보장유형, 거주지역, 하루 평균 흡연량, 처음 흡연연령, 니코틴 의존도, 서비스 내용 등이었다. 특히 보건소 금연클리닉에서 제공되는 서비스 내용 중 신규등록자는 행동요법만 제공하는 경우가 금연성공률이 높은 반면 재등록자는 행동요법과 약물요법을 병행하는 경우가 금연성공률이 높았다. 이에 따라 보건소 금연클리닉을 운영함에 있어 대상자의 특성을 고려한 다양한 금연지원서비스를 제공할 필요가 있으며, 등록유형에 따라 차별화된 서비스 제공의 필요성을 제언한다.

• 한국대기환경학회지
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• 제20권6호
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• pp.715-727
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• 2004

This study was carried out to evaluate non-smoker's exposure levels to environmental tobacco smoke (ETS) in the air of offices in urban areas. A total of 65 offices were selected from two large cities, i.e. Daegu and Daejeon. The field sampling was conducted repeatedly in summer (1999) and winter (1999～2000). The measured ETS markers included respirable suspended particles (RSP as PM$_{40}$ ), vapor and particulate phase ETS markers, including nicotine, 3-ethnyl pyridine (3-EP), ultraviolet absorbing particulate matter (UVPM), fluorescing particulate matter (FPM), and solanseol in ETS particles (SolPM). RSP was measured gravimetrically by a microbalance. The particle samples were then used for the determination of particulate ETS markers by HPLC, while vapor phase markers determined by GC/NPD. The analytical methods were validated for repeatability, linearity, detection limits, and duplication precision. The concentrations of RSP and other ETS markers were significantly higher in smoking offices than non-smoking offices. Despite the similar smoking strength in each office for different seasons, the concentration levels of ETS components appeared to be higher in winter than summer. The contributions of ETS to RSP concentrations based on SolPM, FPM, and UVPM methods were estimated to be in the range of 15.2 ～ 25.3% in smoking offices, whereas 2.4 ～ 15.9% in non-smoking offices. The cooling and heating types did not affect significantly the concentrations of RSP and other ETS markers. Finally, further research issues were suggested to obtain more scientific information on the non-smoker's exposure to ETS with respect to the frame of risk assessment..

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1577-1581
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• 2016

Tobacco use is a well-established risk factor for many types of cancers. Recent data on selected cancer incidence and mortality related to smoking in the Indonesian population are provided in this study. Morbidity and mortality data were derived from GLOBOCAN 2012 and the population attributable fraction (PAF) was estimated using the standard methodology developed by the World Health Organization. Using these data, we calculated disability adjusted life year (DALY) values for smoking-related cancer. The DALY was estimated by summation of the years lived with disability (YLD) and years life lost due to premature death (YLL). The cancer cases related to smoking in Indonesia numbered 45,132, accounting for 35,580 cancer deaths. The morbidity and mortality of lung cancer can be considered as the highest priority in both men and women. Furthermore the greatest YLD due to smoking in Indonesian men and women were from pancreas and lung cancers. For YLL among men, the highest years lost were from lung and liver cancers. On the other hand, among women lung oral cavity and lip were most important. Based on the DALY indicator, burden priorities for Indonesian men were lung cancer (298,980), liver cancer (60,367), and nasopharynx (46,185), while among Indonesian women they were lung cancer (34,119), cervix uteri (9,213) and pancreas cancer (5,433). In total, Indonesian burden of cancers attributed to smoking was 638,682 DALY. This study provides evidence about the burden of cancers caused by smoking as a rational basis for initiating national tobacco control policies in Indonesia.

• 한국학교ㆍ지역보건교육학회지
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• 제6권
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• pp.35-48
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• 2005

The age of the very first smoking is a significant indicator of life-long health status. Smoking prevention intervention was actively conducted based in middle and high schools with the support of the Korean Act for Health Promotion since 1998. These governmental supports became large and various smoking prevention programs were developed and conducted in diverse standards and perspectives. This study made a comprehensive descriptive literature review on smoking prevention educational programs for youth in Korea to identify the intervention quality and effectiveness of them for future smoking prevention program development. A total of 28 peer-reviewed journal articles published between May, 1995 and May 2005 (for the last 10 years) were finally included in this review process. The study participants should be adolescences in middle or high schools in Korea and the intervention types of the review studies should be smoking prevention or cessation educational programs. The outcomes of the reviewed studies were reanalyzed by the participants' characteristics, theory basement, evaluation design, intervention period, evaluation outcomes, and program effectiveness Most smoking intervention programs were not specified by sex and smoking status. Largely most intervention programs focused on male students although female students' smoking percent is increasing including both smokers and nonsmokers. Based on the school grades, the large percents of smoking intervention were conducted to the first grade of middle school and the first grade of high school. Almost 70% of the reviewed studies did not apply any health behavior change theories and the Transtheoretical model and social cognitive theory were utilized in 7 studies among the last reviewed 30%. The theory-based intervention studies had greater effectiveness than the non-theory based studies. More than 90% had quasi-experimental evaluation design and the effectiveness of the non-experimental designed study seemed over estimated than the quasi-experimental or experimental designed studies. More than 60% of the reviewed studies made their education for less than j days, over a short period and the evaluation factors were knowledge and attitude in general which can be obtained in short intervention period. Therefore, smoking intervention programs for youth in Korea need to be modified in terms of research design such as the intervention period, intervention-evaluation design, theory-based approach, and population-focused intervention specification.

• 한국콘텐츠학회논문지
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• 제12권11호
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• pp.76-87
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• 2012

이 연구는 한국과 미국의 텔레비전 금연 광고를 내용분석하여 어떤 차이를 보이는지를 조사하고자 하였다. 금연 광고의 메시지 구성에 있어서 모델이 되는 이론들에서 제시하는 요소를 종합하고 이러한 요소가 실제 한국과 미국의 금연광고에서 어떤 방식으로 나타나는지를 분석하고, 특히 한국과 미국의 문화적인 차이에 따른 광고 메시지의 차이를 발견하는 것을 주요 연구문제로 설정하였다. 이를 위해 2005년부터 2012년까지 한국의 금연광고와 같은 기간의 미국 금연광고를 샘플링하여 총 71개의 TV광고를 건강증진재단의 자료를 통해서 내용 분석하였다. 그 결과 금연광고는 건강 커뮤니케이션의 핵심 이론인 건강신념모델, 합리적행동이론, 사회인지이론등을 바탕으로 제작되었으며 이론적 토대를 바탕으로 시청자들에게 흡연에 대한 태도를 부정적으로 만들고 흡연을 하지 않게 하는 행동적인 목적을 수행하고 있음을 밝혔다. 조사결과에 따르면 한국의 금연광고는 사회적 규범의 메시지를 가장 많이 이용하였고, 그 다음으로는 흡연에 대한 태도 메시지를 사용하였으며, 자기효능감이나 모델링을 사용한 메시지는 가장 적게 사용한 반면, 미국의 경우에는 자기효능감이나 모델링을 사용한 메시지가 가장 많았다. 이러한 차이의 이유는 문화적 차이에서 기인하는 것으로 판단하였다. 금연광고에서 사용된 정서는 국가별 차이가 존재하지 않았으며 양국 모두 공포와 유머가 제일 빈번하게 사용되었으며 슬픔이나 단순정보전달, 분노는 상대적으로 적게 사용되었다. 청소년층만을 대상으로 광고가 제작된 경우는 양국 모두 많지 않았다. 이 연구에서는 금연광고에서 자주 사용된 메시지 유형과 그렇지 않은 유형을 발견함으로써 건강 커뮤니케이션의 이론적 요소가 실제로 어떻게 사용되고 있는지를 연구함으로써 금연광고의 학문적 이해에 기여하였다.

• Korean Journal of Health Education and Promotion
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• 제3권1호
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• pp.113-128
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• 2001

The purpose of this study is to examine the prevalence and correlates of three types of risk-taking behavior among high school students in Korea in a cross-sectional national sample. A sample of 636 male and 622 female high school students is analyzed using descriptive statistics and logistic regression. Three types of risk-taking behavior are examined: drinking alcohol, smoking, and premarital sex. The results are as follows: Forty-three percent of students in the sample have ever drunk alcohol, 32% have ever smoked, 11% have experience premarital sex. Risk-taking behavior is more prevalent among boys than among girls. Boys and girls in Seoul are much more likely to have experienced three types of risk-taking behavior. Not having two parents in the family and having lived away from immediate family increase the likelihood of some risk-taking behavior. Students who have a friend with premarital sexual experience are much more likely to have experienced premarital sex themselves. Among sexually active students, having multiple sexual partners is common and prevalence of condom use is low. Reproductive health education at school has no effect on students' sexual behavior. The prevalence of risk-taking behavior among adolescent in Korea is likely to rise in the future. Substantial proportion of adolescents are exposed to the risks of STDs and substantial proportion of adolescent girls risk premarital pregnancy. Current health education programs are inadequate in protecting students from risk-taking behavior. Students whose families do not include both parents and students who live away from their immediate families need special programs to protect them from risk-taking behavior.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.965-971
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• 2016

Aims: To investigate the distribution of epidermal growth factor receptor (EGFR) mutations, and explore any relationships with clinical characteristics in non-small-cell lung carcinoma (NSCLC) patients. Materials and Methods: EGFR mutations were assessed by ADx-ARMS in 261 NSCLC patients from West China Hospital of Sichuan University. Relationships between EGFR mutation and clinical characteristics were analyzed by SPSS. Results: The EGFR mutation rate was 48.7% (127/261), 19-del and L858R mutations occurred predominantly, accounting for 33.1% and 40.9%, respectively, in mutated cases. Moreover, 10.2% patients were found to carry double mutations. EGFR mutations occurred more frequently in women (57.5%) than in men (41.8%) (P=0.01), and were more frequent in non-smokers (61.2%) than in former or current smokers (31.2%) (P<0.00). In addition, they were more common in adenocarcinomas (52.8%) and adenosquamous carcinomas (42.8%) than in squamous cell carcinomas (14.8%) (p<0.00). However, only smoking history and pathological types, rather than gender, proved to be associated with EGFR mutations on multivariate logistic regression analysis. No significant differences in pathological stage and metastasis status were found between EGFR wild-type and mutated cases, although EGFR mutation type was related to pathological type (p=0.00) - 19-del, L858R and other mutation types respectively occurred in 34.2%, 42.5% and 23.3% of adenocarcinomas, but in 14.3%, 0% and 85.7% of non-adenocarcinomas. Conclusions: The EGFR mutation rate was 48.7% in NSCLCs in Southwest China, so that nearly 40% patients might benefit from targeted therapies. Smoking status and pathological types were independent predictors of EGFR mutation, while EGFR mutation type was related to only pathological type, rather than smoking status.

• 가족자원경영과 정책
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• 제17권2호
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• pp.173-194
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• 2013

The purpose of this study was to examine the association between time-income availability and health-promoting behavior (physical practice, smoking, alcohol consumption) of older males (55-69). This study attempted to shed light on health-behavior changes during the transition period of male retirement. The availability of time resources was examined by addressing the amount of weekly paid labor hours. The availability of financial resources was calculated by using the debt-income ratio. The study sample comprised 1,372 (age range 55-69) male respondents of the 2006 Korean Longitudinal Study of Aging (2006 KLOSA wave 1). The results of CHAID (CHi-squared Automatic Interaction Detection) analysis uncovered four distinctive combinations of resource types: time-money poor, time rich, money rich, time-money rich. According to logit results, these four groups had different socio-demographic profiles and different health-behavior risks. The time-money poor males were unlikely to perform physical activities needed to improve their health or to quit smoking or alcohol consumption. This group was also more likely to consume alcohol compared to the time-money resource types. In contrast, the time-money rich group was more likely to exercise longer and more frequently than the reference group (time and money poor). The time-rich types, those who have time-only resources and less money, were likely to be smokers and have problems with alcohol consumption.

• Tuberculosis and Respiratory Diseases
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• 제55권3호
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• pp.267-279
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• 2003

연구배경 : 흡연과 폐암 발생 사이의 인과관계는 잘 알려진 사실이지만, 흡연 습관 즉 흡연량 및 기간, 흡연을 처음 시작한 나이, 담배 연기의 흡입 정도, 그리고 담배의 종류 등 다양한 요소들이 폐암 발생에 더욱 크게 작용한다고 한다. 그러나 우리나라에서는 이에 대한 연구 특히 일상동안의 흡연으로 흡입된 타르, 니코틴이 폐암 발생에 미치는 영향에 대한 연구는 없는 실정이다. 방 법 : 연세대학교 의과대학 세브란스병원에 내원한 45세에서 75세 사이의 폐암 환자 150명과 나이와 성별을 일치시킨 폐암이 아닌 질병을 가진 환자 300명을 대상으로 흡연 습관에 따른 폐암 발생 및 폐암 조직형의 교차비, 일생동안 흡입한 티르와 니코틴 총량을 설문지를 통해 조사하여 산술적으로 합산하여 흡입 총량에 따른 교차비를 알아보고자 환자-대조군 연구를 시행하였다. 각 담배에 포함된 개피 당 타르, 니코틴 함량을 문헌을 통해 조사하였고, 개개인의 흡연 습관의 차이에 따른 일생동안 흡입된 타르와 니코틴의 함량을 구하였다. 결 과 : 폐암 환자군 150명 중 현재 흡연자가 가장 많았고, 여자들 중에서는 비흡연자가 가장 많았으며, 대조군도 유사하였다. 폐암 환자군의 흡연 습관 중 통계적으로 의미가 있었던 것은 흡연 기관과 총 갑년, 최근 2년간 피운 하루 당 개피 수이었고, 흡연 시작 나이와 필터 없는 담배를 피운 기간은 대조군과 차이가 없었다. 폐암 조직형 중 편평상피세포암과 소세포암은 남자와 현재 흡연자가 가장 많았으며, 선암은 여자와 비흡연자가 가장 많았다. 흡연 습관들 중 Kreyberg I에서는 흡연 시작 나이가 어릴수록, 흡연 기간이 길수록, 총 갑년이 높을수록, 최근 2년간 피운 하루 당 개피수가 많을수록, 필터없는 담배를 피운 기간이 길수록 교차비는 증가하였다. 또한 산술적으로 합산한 일생동안 흡입된 타르와 니코틴의 총량이 높을수록 교차비가 높았다. 그러나 Kreyberg II에서는 각 흡연 습관들의 교차비는 통계적으로 의미가 없었다. 결 론 : 본 연구는 단일 병원에서 조사되었고, 환자의 기억에 의존하는 제한점이 있으나, 흡연 습관이 폐암 발생, 폐암 조직형 등과 상당한 연관이 있는 것으로 조사되었고, 일생동안 흡연 습관의 변화를 타르와 니코틴의 흡입된 총량으로 산술적으로 계산하였다는 의의가 있다. 향후 이에 대한 대규모 연구가 필요할 것으로 생각된다.

• 대한한의학회지
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• 제28권2호통권70호
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• pp.241-246
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• 2007

Objectives : This study investigated stroke types, ischemic stroke subtypes, risk factors for stroke, stroke complications and Sasang constitutions in two groups divided by age according to the weakness of shingi (shenqi): younger (40 to 63 years) and older (= 64 years). Methods : 165 male patients with acute stroke within 14 days onset were included, who were admitted to Kyunghee Oriental Medical Center from October 2005 to May 2007. Stroke types, ischemic stroke subtypes, risk factors for stroke, stroke complications and Sasang constitutions in two age groups were examined. Results : Mean ages were $53.01{\pm}6.16$ and $70.95{\pm}6.37$ years for the younger 77 patients and older 88 subjects, respectively. There were no significant differences in stroke type, ischemic stroke subtypes, stroke complications and Sasang constitutions. Current smoking was more frequent in the younger age group (P= 0.005). Conclusion : Age does not seem to influence stroke types, ischemic stroke subtypes, stroke risk factors (except current smoking), stroke complications or Sasang constitutions.