• 보건행정학회지
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• 제27권4호
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• pp.304-314
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• 2017

Background: This study aimed to analyze effects of postpartum care services to women after birth, identify the factors affecting their use, and examine the extent of income-related inequality in the postpartum care services utilization and expenditures using Korean Health Panel data between 2010 and 2013. Methods: The panel data of the year 2010-2013 of the 247 women after birth were used. First, EuroQoL-5D was used to evaluate the effects of postpartum care service to women's quality of life. Second, multinominal logistic regression analysis was used to identify determinants of the use of the postpartum care services. Finally, concentration index and HIwv (horizontal equity) index were used to find that the concentration index for the inequality in the use of postpartum care services showed negative sign, which implied pro-rich. Results: The estimation results showed that utilization of the postpartum services has a positive effect on women after birth. Also age, area of residence, and number of household members turn out to be the factors of using postpartum services. And there are inequality in the use of postpartum care services whose HIwv index showed positive sign, which implied pro-rich. Conclusion: Therefore, the government's policy of the postpartum care service is necessary to be expanded and diversified considering the personal characteristics and equity of the women after birth.

• 보건교육건강증진학회지
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• 제18권2호
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• pp.1-26
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• 2001

This research is aimed to define how the depression, performing ability of IADL and muscular-skeletal pain of the Aged, according to their residential circumstance, sex and age, can affect the subjective health index and how all these are related and associated with. For the period of June 1 to July 31, 2000, in order to study and define how the depression, performing ability of IADL and muscular-skeletal pain are related to the subjective health index of the Aged, we have conducted an enquete through a direct interview with 693 persons over age sixty-five (65) in Daejon and in other adjacent areas, divided into three different residential types “The Aged living at home”, “The Aged living at welfare facilities” and “The Aged living alone”. We have studied all the data and information obtained through this enquete and have analyzed χ²-test, t-test, ANOVA, analysis of simple correlation, analysis of factor. by SPSS10.0/PC+. The results were as follows: Generally, the four (4) factors depression, IADL performing ability, muscular-skeletal pain and the subjective health index of the Aged, are a lot influenced by and related to their residential circumstance, their sex and their age. With regard to the depression of the Aged by their sex, it was analyzed that, on an average, the female-Aged gains 48.3 point which reflects comparatively the higher points and the female-Aged is more depressed. In analyzing depression of the Aged by their age, it appears that the Aged between eighty (80) to eight-four (84) years of age, gains 49.2 point which is the highest points and simultaneously we could realize that depression follows age, - the more the age gets, the more the depression is increased. In analyzing depression of the Aged by their residential type, it shows that “the Aged living alone” gains 50.9 point and is most depressed. With regard to the IADL performance of the Aged by their sex, it was analyzed that, on an average, the female-Aged gains 23.8 point, which shows the performance of the female-Aged is less independent. In addition, it was also found that the IADL performing ability is becoming less and less independent following their age increasing. In analyzing IADL performance by their residential type, it appears that “the Aged living at welfare facilities” gains the lowest 21.5 point and is least independent. We conclude that some assistances from others are required for the Aged living at welfare facilities in their performing IADL. With regard to the muscular-skeletal pain of the Aged by their sex, it was analyzed that, on an average, the female-Aged gains 3.0 point and the female-Aged suffers from this pain more severely. In analyzing this pain by their residential type, it was found that, on an average, the 3.0 point goes for “the Aged living alone”, which explains the Aged living alone is having the most serious pain. With regard to the subjective heath index of the all Aged participated in this research, the analysis indicates 8.8 point and this is considered as a general standard (7-10 point). In analyzing this index by their sex, the female-Aged gains 8.6 point only and it explains a lot of female-Aged consider they are not really healthy. In analyzing this index by their residential type, “the Aged living at welfare facilities” and “the Aged living alone” gain the comparatively lower point, -respectively 8.4 point for the Aged living at welfare facilities and 8.8 point for the Aged living alone. The Aged of these two residential types express they are obviously in a bad condition of health, which makes us think a lot. With regard to the factors affecting the subjective health index of the Aged, it was analyzed that this index can significantly be influenced by their depression, their pain, their age and by how much they are satisfied with their current living conditions, and also analyzed that the correlative relation certainly exists between the depression and pain, and the subjective health index, - that is, the more the depression and pain are serious, the lower the subjective health index indicates. As for the IADL, it appears that the IADL's relation with this index is not that significant and even not important.

• Journal of Preventive Medicine and Public Health
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• 제36권1호
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• pp.77-84
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• 2003

Objectives : Two related cases of Hemolytic-Uremic Syndrome (HUS) were reported to the Korea National Institute of Health in May, 2001. Shiga toxin 2 genes were detected in both stool samples. We suspected an enterohemorrhagic Escherichia coli (EHEC) infection as the cause of the HUS, and conducted an investigation to find the source of the infection and its route of transmission. Methods : We peformed case investigations on these two related HUS cases, and obtained interviews and rectal swabs form the family members and other close contacts. Additionally, we peformed rectal swabs on the cattle raised by the household of the index patient. Results : We found a 20 month old index patient and a 6 year-old cousin had developed HUS, where there had been a 2 day history of contact with the index, and bacteriological examinations for these two patients revealed, indistinguishably, the same E. coli O171. The grandmother of the index patient was found to be asymptomatic, but E. coli O26 was isolated. We also found a probable case in the mother of the cousin. She reported a history of contact with the index, and developed bloody diarrhea of 3 days duration. The test results for the cattle revealed E. coli O26 in one cow, and E. coli O26 and O55 in another. E. coli O26, which was isolated in both cows and the grandmother of the index, were indistinguishably the same. Conclusions : We found that the E. coli O26 in the grandmother had originated from the cows, and that the E. coli O171 found in the index patient had been transmitted to the cousin through person-to-person contact.

• 한국산업보건학회지
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• 제20권2호
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• pp.79-87
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• 2010

Objectives: The purpose of this study was to investigate the symptoms of work-related musculoskeletal disorders (WMSDs), the influence of the WMSDs on the health-related quality of life (HRQoL), and to identify the differences of WMSDs and HRQoL between greenhouse farmers and paddy farmers. Methods: Subjects were 34 greenhouse farmers and 56 paddy farmers who were living in a rural community. The sociodemographic characteristics, health-related behavior, working characteristics, WMSDs and HRQoL were investigated. WMSDs symptoms were measured by a selfassessed questionnaire on musculoskeletal disorders symptoms and HRQoL was measured by the Euro Quality of Life (Euroqol) EQ-5D index. The differences on the WMSDs, EQ-5D and it's related factors between the groups were assessed with t-test and ${\chi}^2$-test. Results: Greenhouse farmers were longer the working hours per day and working duration than paddy farmers. The level of prevalence of the WMSDs in greenhouse farmers is higher than in paddy farmers. The EQ-5D index of greenhouse farmers and paddy farmers were 0.819 and 0.874, respectively. Overall, the mean value of EQ-5D index was significantly lower greenhouse farmers than paddy farmers. Conclusions: These results showed that the HRQoL for farmers are strongly influenced by WMSDs and agicultural type in that we are aware of the need to comply with regulations of WMSDs, especially greenhouse farmers.

• 한국치위생학회지
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• 제7권2호
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• pp.123-133
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• 2007

This document is about immigrant worker who use counseling office for human rights in the Daegu Gumin Church. We researched their oral health state so that we can understand their situation and support them properly. General characteristics of study subjects, habits related to oral health, the oral examination and treatment clinic, participated in oral heath education program were studied by designed administered questionaire. And decay, filling(treatment teeth), missing tooth(lost teeth by dental-caries)was counted by oral examination, and calculated DMFT-index. This study was done from the July, 9, 2006 to Aug. 8, 2006. In a total of 289 immigrant worker, 77.9% of them were men and 22.1% of them were women. 55.7% of their salary was from 1,000,000 won to 1,500,000 won and most of them were working for a fiber industry. Many of them are living in korea for more then three years. DMFT index for men was 2.77 and for women was 4.06 so average of DMFT index was 3.06. 46.7% of them said that they are healthy in oral health state. The question for having difficulty using dental clinic in korea, 65.1% of them said "it is difficult". First reason was a communication problem and second was time. Most of them didn't have a oral health education but 85.1% of them said that they are looking forward to attending oral health education. Immigrant worker had better DMFT index then that of korean blue color worker. But still it is quite difficult for them using dental clinic in korea also cost. It is necessary to support them properly that medical insurance system, medical facilities of quality, medical insurance subscriber beside, made by their language, manual for them. At once, medical service improvement a policy is necessary for immigrant worker in korea.

• 디지털융복합연구
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• 제11권11호
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• pp.509-519
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• 2013

본 연구는 고혈압 환자를 대상으로 효과적인 관리대책을 개발하는데 유용하게 활용할 수 있는 기초자료를 얻기 위한 목적으로 수행되었다. 제4기 국민건강영양조사자료(2007~2009)를 이용하였으며, 분석방법은 다변량 로지스틱 회귀분석을 적용하였다. 본 연구의 주요 결과로는 첫째, 고혈압 인지와 통계적으로 유의한 관련성이 있는 변수는 남녀 모두에서 연령, 직업, 주관적 건강상태, 체질량지수 및 건강검진 여부 변수였다. 둘째, 고혈압의 치료는 남녀 공히 연령, 주관적 건강상태, 체질량지수 및 건강검진 여부 변수가 유의했다. 셋째, 고혈압의 조절에는 남녀 모두 연령, 주관적 건강상태, 체질량지수 및 건강검진 여부 변수가 유의한 변수였다. 정책적 시사점으로는 고혈압 관리수준을 전반적으로 향상시키려면 선택과 집중의 원칙하에 취약 집단에 초점을 맞추어 이들에게 적합한 대책을 집중적으로 시행해야 할 것이다.

• Journal of Preventive Medicine and Public Health
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• 제52권4호
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• pp.242-249
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• 2019

Objectives: Elderly individuals with diabetes should maintain a normal body mass index (BMI) to help control their blood glucose levels. This study investigated barriers to physical activity (PA), self-efficacy to overcome those barriers, and PA self-efficacy among elderly individuals with diabetes in relation to BMI. Methods: This cross-sectional study included 56 participants. Data were collected by a questionnaire interview and direct measurements for anthropometric data. PA self-efficacy was measured using 8 questions describing different levels of PA, where participants rated the strength of their belief that they could engage in that activity. Self-efficacy to overcome barriers was measured using 10 questions capturing participants' confidence in their ability to engage in PA despite different possible barriers. Mean scores for these parameters were analyzed using the chi-square test and the independent t-test. Results: In total, 89.3% of participants had a low PA level and 58.9% had more than 3 hours of sedentary activity per day. Furthermore, 55.4% were obese and 14.3% were overweight. The mean scores for PA self-efficacy and self-efficacy to overcome barriers were $59.1{\pm}26.4$ and $52.5{\pm}13.8$, respectively. PA level was related to BMI (p<0.001; r=0.116) and sedentary activity (p<0.05; r=0.274). PA self-efficacy and age were not related to BMI. Barriers to PA were associated with PA levels (p<0.05). Conclusions: Physical inactivity was a major problem in elderly individuals with diabetes, and was correlated with higher BMI. Lower levels of PA might be mediated by sedentary activity.

• 한국전문물리치료학회지
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• 제17권4호
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• pp.61-68
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• 2010

The purpose of this study was to investigate the effects of a workplace-based work-conditioning program (WCP) on the management of work-related musculoskeletal disorders (WRMDs) in an automobile-parts manufacturing company. In total, 1,110 subjects with WRMDs participated in workplace-based WCP emphasizing function-centered management and ergonomics. We investigated the incidence of WRMDs variables (number of persons diagnosed with industrial accident-related WHMDs, number of cases of WRMD) and financial benefits (cost of workers' compensation insurance and lost work days related to WRMDs) per year before and after WCP. Additionally, we compared self-reported pain intensity and functional disability in subjects with musculoskeletal pain before and after the WCP. Pain intensity was measured using a visual analog scale (VAS), and functional disability was measured by the neck disability index (NDI) and the Oswestry disability Index (ODI). The number of person diagnosed with industrial accident-related WRMDs, the number of cases of WRMD, the cost of workers' compensation insurance and lost work days related to WRMDs per year decreased by 51%, 37%, 34%, and 47%, respectively, and VAS, NDI, and ODI scores decreased significantly after implementation of WCP (p<.05). Thus, the results of the present study suggest that function-centered, workplace-based WCP was effective in managing WRMDs at an automobile-parts manufacturing company.

• 한국산학기술학회논문지
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• 제21권11호
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• pp.543-553
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• 2020

본 연구는 2018년 제7기 국민건강영양조사 결과를 이용한 2차 자료 분석이었다. 본 연구의 목적은 65세 이상 여성노인의 신체활동, 체질량지수, 우울이 건강관련 삶의 질에 미치는 영향을 파악하고 비교하기 위함이다. 구체적으로 연구대상자는 고혈압 진단을 받은 여성노인 550명, 고혈압 진단을 받지 않은 여성노인 375명으로 구성되었다. SPSS/WIN 22.0 프로그램을 이용하여 기술통계, chi-square test, t-test, multiple linear regression으로 분석하였다. 다중 선형 회귀 분석결과, 고혈압군에서 나이, 교육, 신체활동, 체질량 지수, 우울이 건강관련 삶의 질에 유의한 예측인자로 확인되었고 설명력은 26.9%였다(F=14.30, p<.001). 즉 신체활동량이 많을수록(t=3.02, p=.003), 체질량 지수가 낮을수록(t=-3.12, p=.002), 우울이 낮을수록(t=-7.69, p<.001) 건강관련 삶의 질이 높았다. 반면, 비고혈압군에서 교육과 우울이 건강관련 삶의 질에 유의한 영향인자로 확인되었고 설명력은 31.7%였다(F=5.37, p<.001). 즉, 우울이 낮을수록 (t=-5.53, p<.001) 건강관련 삶의 질이 높았다. 이러한 결과를 바탕으로 향후 고혈압 질환을 갖고 있는 여성노인을 대상으로 다른 구체적 신체활동의 특성을 비교하는 연구와 여성노인의 우울 및 비만 감소를 위한 신체활동 중재 프로그램의 개발이 필요하다.

• The Journal of Korean Physical Therapy
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• 제35권6호
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• pp.195-199
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• 2023

Purpose: The purpose of this study was to help the numerous health care workers who participate in the rehabilitation of stroke patients by understanding how limitations on the activities of stroke patients affect the health-related quality of life and depression. Methods: We investigated 527 stroke patients from the Korean's National Health and Nutrition Examination Survey (KNHANES, 2013-2018). The subjects were divided into two categories: with and without activity limitation. A medical doctor's diagnosis of depression and the EQ-5D, which measures life satisfaction connected to health, were the study's factors. Based on their level of activity limitation, the individuals' depression and health-related quality of life were compared. The odds ratios relating to activity limitation's relationships with depression and stroke patients' quality of life were computed using logistic regression analysis. Results: The diagnosis of depression in subjects with activity limitation was 16.0%, while in those with no limitation on activity it was 5.6%, and the EQ-5D index was 0.67±0.02, 0.85±0.01. For every item on the EQ-5D, there existed a significant difference in the odds ratio. Furthermore, when comparing depression with activity limitation to non-activity limitation, the odds ratio was 4.09 (2.12-7.788). Conclusion: Limitation of activities of stroke patients significantly reduces the health-related quality of life and increase the probability of depression. Therefore, treatment of stroke patients should be approached taking into consideration their psychological condition. It is also deemed necessary to have a systematic and continuous rehabilitation program.