• 한국보건간호학회지
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• 제34권3호
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• pp.368-379
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• 2020

Purpose: This study aimed to identify factors influencing nicotine dependence among male college students intending to quit smoking on the basis of the PRECEDE model. Methods: A cross-sectional survey of smokers, enrolled at the Smoking Cessation Support Center in W city in Korea was conducted between September 2015 and December 2016. Data was analyzed using the SPSS program for descriptive statistics, bivariate analyses, and hierarchical multiple regression. Results: The mean score of nicotine dependence was determined to be 2.9. Tobacco craving (β =.34, p<.001), social smoking (β =-.23, p=.004), allowance (β =.22, p=.010) and age of smoking initiation (β =-.20, p=.022) were factors that predicted nicotine dependence of male college students. The final model explained 28.3% of the variation in nicotine dependence (adjusted R2=.28), and was significant (F=7.22, p<.001). Conclusions: We determined that to support smoking cessation, it is necessary to develop anti-smoking programs that consider the social and cultural factors of male college students as well as their personal psychological characteristics.

• Journal of Nutrition and Health
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• 제54권2호
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• pp.152-164
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• 2021

Purpose: This study aimed to examine the association between depression and eating behavior factors in Korean adults. Methods: Study subjects were selected (n = 5,103) from the participants of the 7th Korea National Health and Nutrition Examination Survey 2018 and divided into depression (men, 59; women, 162) and normal groups (men, 2,083; women, 2,799). Subjects with a Patient Health Questionnaire 9 score ≥ 10 (out of 27 points) were defined as having depression. Results: A higher prevalence of depression was observed in both men and women who were unemployed (p < 0.001, p = 0.008), had lower income (both p < 0.001), poorer subjective health (both p < 0.001), and poor food safety (both p < 0.001). The prevalence of depression was higher in women with lower education levels (p = 0.008), who were unmarried (p = 0.010), smokers (p < 0.001), and in a one-person household (p = 0.001). Obese men showed a higher prevalence of depression (p = 0.009). Men who were eating alone or skipping lunch had a high prevalence of depression (p = 0.009), while women who were eating breakfast (p = 0.012), lunch (p = 0.001), and dinner (p = 0.010) alone had a high prevalence of depression. The relationship analysis between men and women according to dietary habits using logistic regression showed that, in women, after variable adjustment, skipping lunch (odds ratio [OR], 2.677; 95% confidence interval [CI], 1.090-6.574), meal frequency of 2 times per day (OR, 1.658; 95% CI, 1.084-2.536), and lunch frequency of 3-4 times per week (OR, 3.143; 95% CI, 1.725-5.728) were significantly associated with a higher prevalence of depression. Conclusion: Depression in women was not only affected by more sociodemographic variables but also associated with decreased frequency of lunch and dinner, especially with skipping lunch.

• Tuberculosis and Respiratory Diseases
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• 제86권3호
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• pp.216-225
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• 2023

Background: Tuberculosis (TB)-related stigma has been well-documented. Since the emergence of the coronavirus disease 2019 (COVID-19), different organizations have been alerted to the fact that stigma could arise again. Due to stigma's negative effects, this qualitative study aimed to explore the stigma felt by patients by evaluating the following: COVID-19 stigma and its temporal progression through the pandemic; stigma perceived by different patients with TB before and during COVID-19 pandemic; and difference perceived by individuals who contracted both diseases. Methods: A semi-structured interview was developed according to the available literature on the theme. It was performed individually in 2022 upon receiving signed informed consent. Participants were recruited with a purposive sampling approach by searching medical records. Those who currently or previously had pulmonary TB and/or COVID-19 were included. Data were subjected to thematic analysis. Results: Nine patients were interviewed, including six (66.7%) females. The median age of patients was 51±14.7 years. Four participants (44.4%) had completed high school and four (44.4%) were never smokers. Three had both TB and COVID-19. Four only had TB and two only had COVID-19. Interviews identified eight main themes: knowledge and beliefs, with several misconceptions identified; attitudes towards the disease, varying from social support to exclusion; knowledge and education, assumed as of extreme importance; internalized stigma, with self-rejection; experienced stigma, with discrimination episodes; anticipated stigma, modifying actions for avoiding stigma; perceived stigma, with judgment by others prevailed; and temporal evolution of stigma. Conclusion: Individuals expressed strong stigma for both diseases. De-stigmatization of respiratory infectious diseases is crucial for limiting stigma's negative impact.

• 한국식품영양학회지
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• 제29권4호
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• pp.547-556
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• 2016

The purpose of this study was to investigate the relationship between frequency of coffee consumption, metabolic biomarkers, and nutrition intake in adult participants in the combined 2007~2009 Korean National Health and Nutrition Examination Survey (KNHANES). Subjects (2,095 males and 3,297 females) were classified according to sex and frequency of coffee consumption (${\leq}1$ time/month, ${\geq}2$ times/month and ${\leq}6$ times/week, 1 time/day, 2 times/day, 3 times/day) using food frequency questionnaires. Nutrition intake was analyzed using 24 h recall data. The 3 times/day coffee consumption group had a significantly higher age, and frequency of smokers and drinkers compared to the ${\leq}1$ time/month coffee consumption group in both male and female participants. Males in the 3 times/day coffee consumption group had a significantly lower HDL-cholesterol level, but females had a higher waist circumference compared with the ${\leq}1$ time/month coffee consumption group. Males in the 3 times/day coffee consumption group had a significantly lower nutrient density of fiber, vitamin B2, vitamin C, calcium and phosphorus compared with the ${\leq}1$ time/month coffee intake group. Females in the 3 times/day coffee consumption group had a significantly higher nutrient density of fat and niacin, but lower nutrient density of carbohydrate, calcium, phosphorus, and iron compared with the ${\leq}1$ time/month coffee intake group. In males, the frequency of coffee consumption was not associated with the levels of metabolic biomarkers. In females, the frequency of coffee consumption was positively associated with diastolic blood pressure after adjustments for multiple confounding factors, including age, BMI, smoking status, alcohol consumption, physical activity and energy intake. Coffee consumption was associated with decreased diastolic blood pressure in females. These findings suggest the importance of an awareness of the association between coffee consumption and metabolic risk.

• 한국치위생학회지
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• 제12권4호
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• pp.839-848
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• 2012

Objectives : Oral care is important for workers and Korean adults to improve the quality of life and perform economic activities. This study was conducted to prepare the basic data to establish the management system for adult oral health by looking into characteristics by ages and the genders questingly. Methods : Oral health examination was conducted on workers in 2009 in the city of Gwangju and Chonnam province. This analysis was extracted using SPSS(SPSS 12.0 for windows, SPSS Inc, Chicago, USA). Results : Among the study respondents, 39.5% workers and 47.7% Korean adults answered their subjective oral health is not good, but there was no statistically significant difference between them(p< $0.001^{***}$). 39.9% workers and 2 0.6% Korean adults were smokers, and they showed a statistically significance in the ages and genders (p< $0.001^{***}$). 91.2 %workers and 49.8% Korean adults brushed their teeth before going to bed, and they showed a statistically significance in the ages and genders(p< $0.001^{***}$). In terms of the gender, male workers and Korean female adults showed high frequency of use, and both workers and Korean adults aged 18-24 showed high frequency with regard to the age. Regarding the use of oral care items, 36.0% workers and 16.9% Korean adults used them, and a statistical significance was shown in both the gender and age(p< $0.001^{***}$). In terms of the gender, female workers and Korean female adults showed high frequency of use and in terms of the age, 45-54 age bracket workers and 30-34age bracket Korean adults used the items frequently. 28.0% workers and 30.7% Korean adults answered that their mastication among oral functions is uncomfortable, and 8.8% workers and 6.5% Korean adults responded that it is hard to pronounce. They were statistically significant in the gender and age(p< $0.001^{***}$). Workers and Korean female adults expressed their mastication discomfort and men expressed that they have a difficulty in pronouncing. In terms of the age, the 54-64 age bracket workers and Korean adults express their inconvenience of mastication and pronunciation. Conclusions : According to the above findings, it needs to build the economical and efficient adult oral health care system in order to enhance both workers and Korean adults' oral health.

• 치위생과학회지
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• 제12권3호
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• pp.245-252
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• 2012

2009년 국민건강영양조사 자료를 이용하여 한국 성인의 대사증후군과 치주질환과의 관련성에 대해 평가하고자 하였다. 만 19세 이상의 성인에서 대사증후군으로 진단된 환자 중 지역사회치주지수(Community Periodontal Index: CPI)에 대한 정보가 모두 갖춰진 1,315명을 최종분석대상자로 하여 다음과 같은 결론을 얻을 수 있었다. 1. 치주질환 유병과 관련이 있는 인구 사회학적 특성은 연령과 교육수준으로 나타났다. 연령이 증가할수록, 교육수준이 낮을수록 치주질환의 비율이 높게 나타났다(p<0.001). 2. 치주질환 유병과 관련이 있는 일반건강행위는 흡연과 음주 및 체질량 지수로 나타났다. 현재 흡연을 하는 경우(p<0.05), 일주일에 음주횟수가 많을수록(p<0.001), 체질량 지수가 높을수록(p<0.005) 치주질환의 비율이 높게 나타났다. 3. 치주질환 유병과 관련이 있는 구강건강행위는 지난 1년간 구강검진 여부, 치간칫솔 및 치실 사용 여부, 주관적 구강건강으로 나타났다. 지난 1년간 구강검진을 받지않고(p<0.001) 치간 칫솔 및 치실을 사용하지 않는 경우(p<0.05), 주관적 구강건강이 건강 하지 않다고 생각하는 경우(p<0.001) 치주질환의 비율이 높게 나타났다.

• 농촌의학ㆍ지역보건
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• 제25권1호
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• pp.113-131
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• 2000

이 연구는 일개 군 지역 농촌주민을 대상으로 한 건강증진사업 접근전략 개발을 위하여 흡연, 음주 및 운동에 대한 행태를 단계별로 그 분포를 기술함으로써 향후 건강증진사업의 기획과 평가에 적용 및 효율적이고 효과적인 건강증진사업의 접근전략 개발을 위한 기초자료를 제공하고자 시도되었다. 본 조사의 대상자는 옥천군의 30세 이상 주민 중 남성 384명(43.1%), 여성 508명(56.9%)이었다. 조사는 1999년 8월중 6일간 다단계 추출법으로 선정된 세대별로 구조화된 면담지를 이용한 직접 방문조사를 통하여 이루어졌다. 사용된 설문지는 사회인구학적 조사변수로는 성, 연령, 학력, 직업, 총수입, 결혼상태 등을 포함하였으며, 흡연과 음주 그리고 운동은 행동변화 6단계로 측정하였다. 흡연경력자의 흡연의 행동수정 변화 6단계의 분포는 남자인 경우, 계획전 단계에 50.6%, 계획 단계에 32.5%인데 반해 여자의 경우 계획전 단계 60.6%, 계획 단계 28.8%로 계획전 단계와 계획단계에 집중된 분포 양상이었다. 음주 경력자에서는 남자인 경우 계획전 단계가 72.8%, 계획단계 19.3%였으며, 여자의 경우 계획전 단계 80.3%, 계획단계 15.5%로 계획전 단계의 분포가 집중되어 있었다. 운동의 경우에도 남자가 계획전 단계가 80.6%, 유지단계 1.8%, 완료단계가 10.2%였으며, 여자의 경우 계획전 단계 87.6%, 유지단계 1.2%, 완료단계 5.3%로 계획전 단계에서는 여성이 더 높았으나 준비단계 이상의 긍정적인 단계에서는 남자가 더 많아 성별로 유의한 차이를 보였다. 따라서 성인들에서의 건강증진의 접근전략에서 위험요인별로 각기 다른 단계별 전략이 개발되어야 함을 시사하였다. 또한 특히 흡연, 음주, 운동의 건강증진 전략은 계획전 단계가 일차적으로 목표되어야 한다. 흡연과 음주 그리고 운동의 행동수정 변화 단계간에 유의한 일치도는 없었으나 상관 분석에서는 흡연과 음주, 음주와 운동이 유의한 상관을 다변수 분석에서 운동과 음주, 운동과 흡연간에 유의한 관련성을 보였다. 따라서 행동수정의 단계적 변화론 모형의 건강행태 측정에서 그 타당도가 재확인 되어야하며, 이러한 행동수정의 단계별 변화론의 적용결과는 추후 중재연구의 전향적 추적조사를 통하여 검정되어 건강행위로의 가능한 출입구(gateway)가 밝혀져야 할 것이다.

• 한국언론정보학보
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• 제35권
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• pp.362-393
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• 2006

이 논문의 목적은 제3자 효과 지각에 초점을 맞춰 효과의 강도에 영향을 미치는 변인으로서의 쟁점에 대한 관여도와 수용자와 지각대상자의 관계를 조사하여 이를 통해 제3자 효과 지각의 근본 과정을 이해하는 것이다. 이 연구에 사용된 자료는 미국 중서부의 오하오주에 거주하는 성인 남녀를 대상으로 2003년에 실시된 전화설문조사를 통해 얻어졌다(n=524). 대부분의 제3자 효과 연구에서와 마찬가지로 이 연구의 결과는 제3자 효과 가설을 지지했다. 응답자들은 미디어의 흡연자에 대한 부정적 묘사와 천주교 신부의 성추문 뉴스보도의 두 경우 모두에 있어 미디어의 효과가 자신들보다는 타인에게서 더 크게 나타날 것이라 예상했다. 그러나 제시된 5개의 연구 가설 모두가 지지되지는 않았다. 연구가설 검증 결과를 종합해 보면, 특정한 지각대상자와 메시지의 관계가 분명할 경우 수용자의 미디어 효과 예상은 동기적 요소보다는 인지적 요소에 의해 결정될 가능성이 크다. 이 경우 사회적 거리는 무시되고 쟁점에 대한 관여도와 같은 지각대상자 고유의 특성이 중요시 되며 수용자의 관여도는 인지적 요소에 의한 제3자 효과 지각의 강화와 긍정적인 상관관계를 가진다. 이 결과는, 수용자나 지각대상자가 메시지와 잠재적인 연관성을 지닐 경우, 제3자 효과 지각은 그러한 연관성이 어떠한 방식으로 현저화되는가에 따라 달라질 수 있음을 시사한다. 따라서 이 연구의 결과는 제3자 효과 지각이 프라이밍 효과 또는 틀 짓기 효과와 관련될 가능성을 제시하고 있다.

• 대한한방내과학회지
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• 제26권3호
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• pp.587-595
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• 2005

Objectives : The object of this study was to evaluate repeatability of portable spirometry and to determine an appropriate equation for predicted value. Materials and Methods : The subjects were 76 men and 45 women recruited from among Kyunghee University oriental medical students. Portable spirometry was performed via the procedure recommended in ATS guidelines. Repeatability of spirometry was checked against ATS repeatability standards and NHLEP QC grade. Percentage of predicted value of non-smokers was calculated through a Caucasian population-based regression equation(by Morris et al.) and Korean population based regression equation(by Kim et al.). These were compared. Result : 91.7% of subjects matched repeatability standards of ATS and 95% of subjects got interpretable NHLEP QC grades of A, B, and C. Mean percentage of predicted value by Morris et al. were as follows: Mean of FVC% was 90.86, FEV1% was 96.66, FEV1/FVC% was 107.48. Mean percentage of predicted value by Kim et al. were as follows. Mean FVC% was 92.38, FEV1% was 89.77, FEV1/FVC% was 96.95. Conclusions : Results of this study show that more than 90% of subjects meet repeatability criteria. This supports a role for the portable spirometer as a primary oriental medical office tool. Further, results are a verify that they Korean population-based predicted value equation is a more appropriate standard than the Caucasian population-based one, but a still more accurate standard is needed for the Korean adult population.

• Asian Pacific Journal of Cancer Prevention
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• 제14권3호
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• pp.1747-1753
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• 2013

Background: It is projected that low and middle-income countries will bear a major burden of tobacco related morbidity and mortality, yet, only limited information is available on the determinants of smoking initiation among youth in Africa. This study aimed to assess the determinants of smoking initiation and susceptibility to future smoking among a population of high school school students in Lagos, Nigeria. Materials and Methods: Baseline data from an intervention study designed to assess the effect of an anti-smoking awareness program on the knowledge, attitudes and practices of adolescents was analyzed. The survey was carried out in six randomly selected public and private secondary schools in local government areas in Lagos state, Nigeria. A total of 973 students completed self-administered questionnaires on smoking initiation, health related knowledge and attitudes towards smoking, susceptibility to future smoking and other factors associated with smoking. Results: Of the respondents, 9.7% had initiated smoking tobacco products with the predominant form being cigarettes (7.3%). Males (OR: 2.77, 95%CI: 1.65-4.66) and those with more pro-smoking attitudes (OR: 1.44, 95%CI: 1.34-1.54) were more likely to have initiated smoking. Those with parents and friends who are smokers were 3.47 (95%CI: 1.50-8.05) and 2.26 (95%CI: 1.27-4.01) times more likely to have initiated smoking. Non-smoking students, in privately owned schools (OR: 5.08), with friends who smoke (5.09), with lower knowledge (OR: 0.87) and more pro-smoking attitudes (OR 1.13) were more susceptible to future smoking. In addition, respondents who had been sent to purchase cigarettes by an older adult (OR: 3.68) were also more susceptible to future smoking. Conclusions: Being male and having parents who smoke are predictors of smoking initiation among these students. Consistent with findings in other countries, peers not only influence smoking initiation but also influence smoking susceptibility among youth in this African setting. Prevention programs designed to reduce tobacco use among in-school youth should take these factors into consideration. In line with the recommendations of article 16 of the WHO FCTC, efforts to enforce the ban on the sales of cigarettes to minors should be also emphasised.