• 한국엔터테인먼트산업학회논문지
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• 제14권8호
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• pp.455-465
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• 2020

본 연구는 국민건강영양조사 제7기를 활용하여 성인의 신체활동과 건강관련 삶의 질과의 관련성을 알아보고자 하였다. 연구의 대상자는 2016~2018년 국민건강영양조사에서 20~59세의 성인 24,269명 중 결측치가 없는 11,211명을 대상으로 하였으며 건강관련 삶의 질은 EuroQol group의 EQ-5D로, 신체활동은 GPAQ를 이용하여 정의하였다. 자료분석은 SAS 9.4 프로그램을 사용하여 대상자의 일반적 특성과 신체활동 정도, 건강관련 삶의 질(KEQ-5D index)은 교차분석(Chi-square), 신체활동과 삶의 질의 관련성은 로지스틱 회귀분석(Logistic Regression Analysis)을 실시하였다. 연구결과 대상자의 일반적 특성은 결혼상태, 교육상태, 직업, 흡연, 음주, 경제상태, 스트레스, 만성질환 유무, 만성질환 치료 유무, 여가로 인한 신체활동 정도와 직업으로 인한 신체활동 정도는 남녀에 따라 차이가 있는 것으로 나타났다(p<0.05). 신체활동과 건강관련 삶의 질은 직업의 신체활동의 최소한 신체활동군에서 삶의 질이 37% 낮게 나타났다(p<0.05). 반면, 여가로 인한 신체활동과 삶의 질은 통계적으로 유의하지 않았다. 본 연구를 통해 성인의 신체활동과 건강관련 삶의 질과의 관련성을 확인하였다. 연구결과는 신체활동 관련 보건정책 수립 및 신체활동 프로그램의 기초자료로 제공될 것으로 기대된다.

• Journal of Preventive Medicine and Public Health
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• 제52권2호
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• pp.109-114
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• 2019

Objectives: The purpose of this study was to characterize Indonesian women's knowledge of HIV/AIDS and to investigate the effects of socio-demographic characteristics thereupon with the goal of supporting the prevention and early detection of HIV/AIDS. Methods: This cross-sectional study was conducted using secondary data from the standard Indonesian Demographic and Health Survey (IDHS) in 2012. A total of 34 984 subjects ranged in age from 15 years to 49 years. Data were analyzed using the chi-square test and logistic regression to identify the effects of socio-demographic characteristics on Indonesian women's knowledge of HIV/AIDS. Results: All socio-demographic characteristics except marital status were related to knowledge of HIV/AIDS among Indonesian women in the univariate analysis (p<0.05). Multivariate analysis revealed that only age group, education level, location of residence, and wealth index were related to Indonesian women's knowledge of HIV/AIDS (p<0.05). Conclusions: Indonesian women's insufficient knowledge related to HIV/AIDS shows that the provision of accurate and comprehensive information related to HIV/AIDS are components of prevention and control interventions that should be improved. With greater knowledge, women are expected to be more likely to determine their own and their partners' human immunodeficiency virus status and to take appropriate preventive steps.

• The Journal of Korean Physical Therapy
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• 제32권6호
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• pp.329-334
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• 2020

Purpose: The purpose of this study is to provide basic evidence on the need to approach osteoarthritis patients through a psychological factors-considering rehabilitation program by understanding how activity restrictions in osteoarthritis affect health-related quality of life and depression. Methods: This study assessed 3,761 osteoarthritis patients from the Korea National Health and Nutrition Examination Survey. The subjects were divided into two categories: with and without activity restriction. Results: The prevalence of osteoarthritis in women was higher than that of men (men: 19.7%; women: 80.3%), and high BMI increased the prevalence of osteoarthritis. The EQ-5D index of subjects with activity restriction was 0.84±0.18 (points), while in those without activity restriction was 0.93±0.12, and the diagnosis of depression was 15.8%, 8.2%. There was a statistically significant difference in the odds ratio for each item in the EQ-5D. Moreover, the odds ratio for depression with activity restriction was 2.098 compared with no activity restriction. Conclusion: Activity restriction of osteoarthritis patients significantly decreases the health-related quality of life and increase the probability of depression. Therefore, early diagnosis of depression symptoms to prevent deterioration of symptoms in patients with osteoarthritis and to increase compliance with rehabilitation treatment, and to provide arbitration, including treatment that can alleviate depression.

• Environmental Analysis Health and Toxicology
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• 제26권
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• pp.9.1-9.9
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• 2011

Objectives: In order to evaluate which temperature index is the best predictor for the health impact assessment of heat stress in Korea, several indexes were compared. Methods: We adopted temperature, perceived temperature (PT), and apparent temperature (AT), as a heat stress index, and changes in the risk of death for Seoul and Daegu were estimated with $^1{\circ}C$ increases in those temperature indexes using generalized additive model (GAM) adjusted for the non-temperature related factors: time trends, seasonality, and air pollution. The estimated excess mortality and Akaike's Information Criterion (AIC) due to the increased temperature indexes for the $75^{th}$ percentile in the summers from 2001 to 2008 were compared and analyzed to define the best predictor. Results: For Seoul, all-cause mortality presented the highest percent increase (2.99% [95% CI, 2.43 to 3.54%]) in maximum temperature while AIC showed the lowest value when the all-cause daily death counts were fitted with the maximum PT for the $75^{th}$ percentile of summer. For Daegu, all-cause mortality presented the greatest percent increase (3.52% [95% CI, 2.23 to 4.80%]) in minimum temperature and AIC showed the lowest value in maximum temperature. No lag effect was found in the association between temperature and mortality for Seoul, whereas for Daegu one-day lag effect was noted. Conclusions: There was no one temperature measure that was superior to the others in summer. To adopt an appropriate temperature index, regional meteorological characteristics and the disease status of population should be considered.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.5917-5921
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• 2015

Background: Prostate cancer is the most commonly diagnosed form of cancer and the sixth leading cause of cancer-related deaths among men in the entire world. Reported standardized incidence rates are 12.6, 61.7, 11.9 and 27.9 in Iran, developed countries, developing countries and the entire world, respectively. The present study investigated the relative risk of PC in Iran at the province level and also explored the impact of some factors by the use of Bayesian models. Materials and Methods: Our study population was all men with PC in Iran from 2005 to 2008. Considered risk factors were smoking, fruit and vegetable intake, physical activity, obesity and human development index. We used empirical and full Bayesian models to study the relative risk in Iran at province level to estimate the risk of PC more accurately. Results: In Iran from 2005 to 2008 the total number of known PC cases was 10,361 with most cases found in Fars and Tehran and the least in Ilam. In all models just human development index was found to be significantly related to PC risk Conclusions: In the unadjusted model, Fars, Semnam, Isfahan and Tehran provinces have the highest and Sistan-and-Baluchestan has the least risk of PC. In general, central provinces have high risk. After adjusting for covariates, Fars and Zanjan provinces have the highest relative risk and Kerman, Northern Khorasan, Kohgiluyeh Boyer Ahmad, Ghazvin and Kermanshah have the lowest relative risk. According to the results, the incidence of PC in provinces with higher human development index is higher.

• 동의생리병리학회지
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• 제25권6호
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• pp.1069-1078
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• 2011

The purpose of this study was to examine health promotion level and related of patients hospitalized. The participants for this study 225 of oriental medicine hospital inpatients. Health promotion, sleep, anxiety and discomfort are measured structured questionnaires each. Data were collected using structured questionnaires and analyzed using t-test, ANOVA and multiple regression. The general health promotion score is 98.12, mortality health promotion 20.31, mental health promotion 12.89, dietary health promotion 15.28, activity and rest health promotion 12.84, exercise health promotion 7.23, sleepy health promotion 15.42, seasonal health promotion 7.60 and sexual health promotion 9.31. There were significant differences in health promotion level according to spouse (p=0.003), sleep (p<0.001), anxiety (p<0.001) and discomfort (p<0.001). The significant predictors of health promotion were spouse (p<0.001), religious (p<0.001), drinking (p=0.036), sleep (p<0.001) and discomfort (p<0.001), explaining 33.7% of the variance in health promotion. Health promotion influenced not only the physical condition but also the psychological condition. The result suggest the health promotion level and predictors of health promotion is a useful index for improvement of health and prevention of disease in oriental medicine.

• 한국치위생학회지
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• 제16권1호
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• pp.129-136
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• 2016

Objectives: The purpose of the study is to investigate the relationship between oral health status and body mass index (BMI) in adults over 65 years old. Methods: The study subjects were 4,550 adults over 65 years old from the 5th Korea National Health and Nutrition Examination Survey(KNHANES V) in 2010-2012. Mastication-related oral health status included the number of remaining teeth, and mean number of decayed, missing, and filled permanent teeth(DMFT). Body mass index(BMI, $kg/m^2$) was categorized as underweight(<18.5), normal weight (18.5-22.9), overweight(23.0-24.9), and obese(${\geq}25.0$). Multinomial logistic regression analysis was performed to examine the association of BMI categories with the number of remaining teeth and DMFT. Results: The mean number of DMFT was highest($13.0{\pm}0.7$) in the underweight group and lowest($8.8{\pm}0.3$) in the obese group. Those having less favorable masticatory ability, and fewer number of remaining teeth and no prosthesis, tended to be underweight. Those having a higher number of remaining teeth and prosthetic teeth tended to be overweight or obese. In the multinomial logistic regression analysis, compared with those having 20 or more remaining teeth, including prosthetic teeth, those having less than 20 remaining teeth and no prosthesis had 4.48 times higher odds ratio of being underweight. DMFT was positively associated with underweight, while negatively associated with overweight or obesity. Conclusions: The masticatory ability and dental caries prevention maintained the healthy body weight in adults of old age.

• 보건행정학회지
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• 제32권2호
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• pp.154-163
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• 2022

Background: The costliness index (CI) is an index that is used in various ways to improve the quality of medical care and the management of appropriate treatment in medical institutions. However, the current calculation method for CI has a limitation in reflecting the actual medical cost of the patient unit because the outpatient and inpatient costs are evaluated separately. It is desirable to calculate the CI by integrating the medical cost into the episode unit. Methods: We developed an episode-based CI method using the episode classification system of the Centers for Medicare and Medicaid Services to the National Inpatient Sample data in Korea, which can integrate the admission and ambulatory care cost to episode unit. Additionally, we compared our new method with the previous method. Results: In some episodes, the correlation between previous and episode-based CI was low, and the proportion of outpatient treatment costs in total cost and readmission rates are high. As a result of regression analysis, it is possible that the level of total medical costs of the patient unit in low volume medical institute and rural area has been underestimated. Conclusion: High proportion of outpatient treatment cost in total medical cost means that some medical institutions may have provided medical services in the ambulatory care that are ancillary to inpatient treatment. In addition, a high readmission rate indicates insufficient treatment service for inpatients, which means that previous CI may not accurately reflect actual patient-based treatment costs. Therefore, an integrated patient-unit classification system which can be used as a more effective CI indicator is needed.

• 대한안전경영과학회지
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• 제13권1호
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• pp.23-30
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• 2011

The purpose of this study was to examine the relationships between MMPI(Minnesota Multiphasic Personality Inventory) scale and safety and health related indices in the shipbuilding workmen. The MMPI scores of the 230 shipbuilding workmen applicants and their performance records regarding safety and health were analyzed through t-test and one-way ANOVA to obtain the following results; (1) applicants intended to show the positive characteristics of their personality, and this attitude reflected a decrease on T-scores of MMPI; (2) there were significant relationships between some MMPI subscales and safety & health related indices. These results can be used to provide baseline information for more effective accident prevention programs.

• 치위생과학회지
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• 제13권1호
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• pp.91-96
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• 2013

본 연구는 제4기 국민건강영양조사 자료(2007~2009)를 바탕으로 12세 아동 중 치아우식증 고위험군을 확인하고, 치아우식증 고위험군과 저위험군으로 분류하여 인구 사회과학적 특성과, 구강건강에 대한 인식 및 행태에 대한 자료를 비교 분석하여 다음과 같은 결과를 얻었다. 1. 12세 아동 중 치아우식증 저위험군의 DMFT index는 0.89, 고위험군의 SiC index는 6.04로 6배 정도 높게 나타났으며, 이는 치아우식증 비교지표인 DMFT가 정규분포하지않고 심하게 치우쳐 있다는 결과였다. 2. 성별 분석에서는 여성이 남성에 비해 치아우식증 고위험군에 포함된 확률이 높은 것으로 나타났다(p<0.01). 3. 12세 아동이 스스로 구강건강에 대해 건강하지 못하다고 생각할수록 치아우식증 고위험군에 포함될 확률이 높아지는 것을 확인할 수 있었다. 4. 칫솔질 횟수에 따라 살펴봤을 때는 칫솟질이 불규칙할 경우가 1일 3회 이상 규칙적으로 시행하는 경우보다 고위험군에 포함될 확률이 적은 것으로 나타났다(p<0.01). 이상의 연구결과를 통해 12세 아동의 치아우식증 고위험집단에 영향을 미치는 위험요인들을 파악할 수 있었다. 이러한 결과를 바탕으로 보다 효과적인 구강보건 예방전략을 수립하는 기틀을 마련할 수 있을 것으로 사료된다.