• 한국병원경영학회지
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• 제17권3호
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• pp.23-36
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• 2012

Objectives : The coverage of Korean National Health Insurance is limited to basic level. Korean government encourages private health insurance for covering medical securities. So, many studies examined the determinants of purchasing private health insurance. However, 11% of Korean population is older than 65 in 2011. Considering the elderly is important to establish a health policy. The aim of this study is to examine factors determining the purchase of private health insurance among middle-aged and elderly Korean adults. Methods : We used the second Korean Longitudinal Study of Ageing (KLoSA), selected 8,688 sample of the aged 47 or older for the analysis. KLoSA collected information on demographic characteristics, income, health- related factors. KLoSA data include in the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Logistic regression was used to examine the relationship between the determinants of purchasing private health insurance and the factors which include age, gender, education, residential district, marital status, smoking, drinking, physical exercise, economic activity status, national health insurance type, income, the number of chronic disease, and the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Results : People who were older, did not live in a city, had higher IADL, currently drunk alcohol, did exercise regularly and had chronic diseases more than three were inclined not to purchase private health insurance. Females, the married, well-educated, past & currently smokers, the employed, high income earners, national health insurers, metropolitan citizens and someone who got high MMSE were more likely to purchase private health insurance. The more people experienced outpatients, inpatients, dental clinics and Chinese medicine clinics, the more private health insurance was purchased. The elderly people over 75 had more private health insurance than the aged 65-74. The strongest factors for private health insurance is gender, and economic status such as income. Conclusion : In this study, we found healthy-high income people were more likely to purchase private health insurance. In contrast, unhealthy-low income and older people did not. The economic factors were strongly related with private health insurance in aged over 75. These mean inequality exists in the using private health insurance. Therefore, the government should consider vulnerable social group before expanding private health insurance.

• 한국인구학
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• 제29권2호
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• pp.143-166
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• 2006

일반적으로 여성들은 남성에 비해 사망률은 낮지만 유병률이 높고 그에 따라 의료이용도 더욱 많이 하는 것으로 알려져 있다. 이는 주로 서구사회의 경험적인 연구를 통해 알려진 바인데, 한국의 경우 그렇지 않을 수 있다는 주장이 여성학계의 일부를 통해 제기되어 왔다. 본 연구는 성별을 배우자의 유무에 따라 구분하여 의료이용행태와 그 관련 변인들이 어떠한 차이를 보이는지 구체적으로 살펴봄으로써 우리나라 여성과 남성의 의료서비스 이용의 차이가 과연 서구사회와 같은 형태로 존재하는지 확인하는 것을 목적으로 한다. 특히 한국사회에서 배우자의 유무는 여성이 가정 내에서 점유하는 위치를 결정짓는 중요한 요소가 되고 이는 의료서비스 이용에 영향을 미칠 수 있으므로 배우자 유무에 따른 남녀집단 간 환경조건적 변인들과 의료요구적 변인들을 살펴보았다. 의료서비스 이용에 대한 결정요인 분석 결과 한국의 여성들 역시 서구의 여성들처럼 남성들보다 의료이용을 많이 하며 배우자가 있는 경우 의료서비스를 이용할 가능성이 높은 것으로 나타나 여성주의적 주장과는 상반된 것으로 나타났다. 그러나 남성과 여성을 나누어 의료 이용에 대한 결정요인을 분석한 바에 의하면 서로 일치하지 않는 결과를 보였고, 이는 성별에 따른 의료이용행태에 있어서 남녀간 상이한 사회적 맥락을 고려해야 한다는 여성주의적 시각의 필요성을 일부 뒷받침해주는 것으로 나타났다.

• 한국보건간호학회지
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• 제4권2호
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• pp.79-99
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• 1990

This study was conducted to identify the family problems of the in-patients and to analize factors Influencing to the family problems. The subjects for this study were 277 family members those who were giving care for the adult patients during hospitalized in general wards at Seoul National University Hospital in Seoul. Data were collected through interviews with the questionnaire from September second to September twentieth in 1989. The instrument used for this study was the family problems scale which was developed by the researcher. Analysis of data was done by frequency, percent, mean, t-test, ANOVA, Pearson-Correlation Coefficients, and Stepwise Multiple Regression Analysis. The results of this study are summarized as follows: 1. General characteristics of the care-giver in family. The average age of care-givers was 37.9 years, and the $26.4\%$ of monthly Income of family was 310,000-500,000 won group. The $93.5\%$ of family had taken the responsibility of caring for the patients instead of hiring the care-givers, and the $12.3\%$of the care-givers complained weakning of health status during care giving for the patients. The spouse took the largest part of responsibility of the care-giving services to the patient among the family members. 2. General characteristics of the patients. The average age of patient was 47 years, and the $80.9\%$ of patient was married status. The $39\%$ of patient was father in the position of family, and the $41.5\%$ had the responsibility to support their family before hospitalization. The average hospitalization period of patient was 24.3 day and the $50.9\%$ had admission experience. 3. The factors of family problems which were faced by the family were classified into six problems. The factors of family problems were ranked as follows; the first rank problem was related to care-giving for the patients. the second problem was resulted from the patients diseases, the theirds problem was related with adaptation to the hospital enviroments, the fourth problem was related to the arisen conflicts with medical team. the fifth problem was related to the change of family function. and the sixth problem was the financial problem. 4. The relationship between the family problems and the general charateristics of the care-givers showed that the nuclear type family was higher the family problems, that the admission period of patients became longer, and that the family who had the worse condition of health status of the care givers during care giving for the patients. From the above results, it was confirmed that the family care giving for patients was faced with some problems resulted from patient's illness, relation to the medical team, adaptation to the hospital enviroment, financial problem. change of family function, and care-giving for patients.

• 한국보건간호학회지
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• 제10권2호
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• pp.15-36
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• 1996

It is clear that the women's participation in social activity is dramatically increased in civilian field as well as military profession. Because of the characteristics of military nursing service, there are many difficulties. Frequent move, medical insurance, baby care. and the education are typical forms of difficulties for nurse officers in the military. The purpose of this research is to contribute to the perfect execution of nursing service. guarantee the active attitude for research and improve the combat strength by solving those private and economic problems. The method of research was analysis of question survey and the review of related literatures. The subject of research was 300 active nurse officers who work at the Army Hospitals. The survey was conducted 14 days from Oct 15 to Oct 28. The collected data was processed by computer using SPSS(Statistical Package of Social Science). Frequencies and percentages were used to examine the demographic characteristics of subject, and T-test was also used in the case of necessity. The result showed as follows; As the general characteristics of subject group; 28.7 years of average age, 73.6 months of service period, 63.4% of married. In regard of specialty; General 57.7%. Intensive Care 12.7% and Psychiatries 8.8%. The dissatisfactory factors about military welfare system were the difficulties in children education (36.9%). disadvantages on the civil medical insurance system (27.3%), and little chance of self education and development (21.5%). The problems in performing their duties were shown as dwelling instability due to frequent move (67.7%), and bring up children (14.2%). The reasons for resigning their job were shown as the instability of living status (64.2%), bring up children (18.8%) and dissatisfaction to the service (11.2%). The residential status was shown that military offered houses (45.2%), rental houses (29.3%) and own houses(14.64). The average numbers of moving residencies were; 3-4 time(34.6%), less than 2 times(33.1%), and 5-7 times(21.5%). Higher than 94.7% of the subject group spent more than 50.000 Won. In regard of education, they wanted to attend graduate school with their own expense(26.2%), computer science(20%) and Office Job Training(20%). The ways of taking care of children were mother-in-low(49.6%), mother(14.6%), and others(25%). The average expenditure per month for children were 20-30 hundred Won(44.2%), 10-20 hundred Won(25%) and 30-40 hundred Won(22.3%). The places of children care selected were public or occupational care center(56.2%), religious organization(20.8%), and other center managed by social organizations(10.4%). The result of survey for general welfare of nurse officers are as follows; By and large they seem to be satisfied with their job. however. there are some dissatisfactory factors. They are children care facilties, promotion. income. welfare facilities. disadvantage in medical insurance and civil hospitals. house purchase. unfair chances in specialty training. influence on promotion by educational status. and insufficient role for their children and husbands. As conclusion. the recommendations for improving nursing service are as follows; 1. Children care center managed by occupation 2. Dormitory system for children by military personnel 3. Equal opportunities in education according to ability 4. Reasonable moving price according to the distance and scope of family and extra allowance

• Journal of Preventive Medicine and Public Health
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• 제32권2호
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• pp.228-235
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• 1999

Objectives: Despite the importance of human immunodeficiency virus(HIV) transmission through heterosexual contact, the features of heterosexual transmission has not been well studied in Korea. So we conducted a cross sectional study to determine the transmission rates in married couples and assess risk factors for male to female heterosexual transmission of HIV. Methods: 169 HIV-infected males and their female sex partners were recruited from 1985 to tune 1998. We examined female sex partner's HIV infection status and interviewed male index partners and their female sex partners about demographic characteristics and sexual practices. We analysed heterosexual transmission rate by epidemiologic characteristics, disease status and sexual practices. And we assessed risk factors for HIV infection by univariate and multivariate analysis. Results: 30 female sex partners were infected at enrollment, yielding an transmission rate of 17.8%. Among couples who had used condoms consistently, none of the female sex partners was infected with HIV. In univariate analysis the significant risk factors were full blown AIDS status (OR=4.1, 95% CI: 1.49-11.43) and low CD4 T cell count of index partners at enrollment (OR=7.8, 95% CI: 2.19-27.80). In multivariate analysis HIV-1 RNA levels was significant risk factor when adjusted by CD4 T cell courts and mean sexual contacts per month (OR=19.2, 95% CI: 1.03-357.59) Conclusion: The risk of male to female heterosexual transmission increased with advanced stages of HIV infection in the index male partners.

• 한국학교보건학회지
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• 제1권2호
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• pp.34-49
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• 1988

The purpose of this study is to identify the status of school health and analyze affecting factors of school nurses' self confidence and nursing activities of the secondary school in Seoul. The data was collected from 13th of August to 30th of October. The self reported questionairs were distributed during one of the school nurses seminars held in Seoul and 93 secondary school nurses answered. Analysis of the data was done utilizing SPSS for percentage, mean, T-test ANOVA and Pearson Correlation Coefficients. The results of study are summerized as follows; 1. General Characteristics The mean age of the subjects was 33.4 and mean length of experience as a school nurse was 7.3 years. 79.5 percent of them had clinical experiences and the mean clinic experience was 2.1 years. The majority of them were graduate of the baccalaureate nursing programs and 82.8 percent of them were married. 72.0 percent of the sample had religion, and 60.2 percent of them were in the national or public schools. 90.3 percent of them had independent duty. 2. The status of school health resources In average, there were 2,445 students, 37 classes and 63 teachers per school nurse. 48.4 percent of them were aware of the school budget. The budget for school health was 585,000 won per school in average. 30.0 percent of the schools had school health organization. The schools whose health clinics were on the first floor consisted of 79.3 percent, among them 42.9 percent were on the center of the building office. 3. Activities of school health nursing The average number of students using health clinic were 430 per month. The majority of the problem was digestive problem. There were 7.5 times of mean correspondences with parents per year. The activities of the school nurses were clinic management (29.0%), health care services (23.5%) and health education (14.1%). 4. The degrees of self confidence of the school nurse and nursing activities Self confidence measured by 6 items of self-reported questionaires scored by 4 point Likert Scale revealed. The nurses' self-confidence was 2.922 in clinic management, 2.909 in health education, 2.759 in program planning and evaluation, 2.757 in health care services, 2.692 in management of school environment, and 2.250 in operation of school health organization. The nursing activities scored by 2 point. The nursing activities was 1,870 in program planning and evaluation, 1.853 in health education, 1.843 in clinic management, 1.739 in health care services, 1.696 in management of school environment and 1.265 in operating of school health organization. 5. Factors affecting self confidence and nursing activities of school nurses The general characteristics of the school nurses and the school health resources were related to self confidence and nursing activities. The most significant variable to nurses' self confidence was type of the school ownership and the presence of school health organization was the most significant factor to nursing activities.

• 농촌지도와개발
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• 제20권2호
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• pp.451-484
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• 2013

본 연구는 이주여성의 주관적 안녕감에 영향을 미치는 요인을 개인적, 가정적, 사회적 변인으로 나누어 분석하였다. 개인적 변인으로는 부부나이차, 입국이유, 종교유무, 결혼생활기간, 취업유무, 경제수준, 한국문화적응정도, 한국어능력, 자아탄력성으로 설정하였다. 가정적 변인으로는 결혼방식, 결혼이유, 남편의 아내모국어 이해정도, 남편의 아내모국문화이해정도, 결혼생활만족도, 자녀유무, 재산관리주체, 양육효능감으로 설정하였다. 사회적 변인으로는 복지서비스와 제도의 인지여부, 공공기관과 사회단체의 이용경험정도, 사회적 참여모임의 내용으로 설정하였다. 연구대상은 충청남도 아산시에 거주하고 있는 이주여성 256명이며 중다선형회귀 분석을 하였다. 연구결과는 개인적 변인으로는 자아탄력성, 결혼생활기간, 한국문화적응정도, 경제수준, 가정적 변인으로는 양육효능감, 결혼생활만족도, 결혼방식- 타인의 소개 없이, 사회적 변인으로는 모국여성자조모임참여, 복지서비스와 제도의 인지여부, 취미학습동아리모임참여, 친목 종교모임참여 등이 유의한 영향을 미쳤다. 본 연구의 결과를 바탕으로 이주여성들의 주관적 안녕감에 영향을 미치는 요인들을 찾고 내적자원과 강점을 적극적으로 지원하기 위한 사회적 방안을 마련할 수 있는 기초를 삼고자 하는 것에 그 의의를 둔다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.6579-6584
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• 2013

Background: With effective early treatments, many breast cancer patients suffer from psychological distress due to adverse effects and lifelong physical disfigurement. Our study aimed to evaluate the psychopathological profile of breast cancer patients in comparison with healthy women and explored demographic correlates. Method: We consecutively enrolled breast cancer patients who came to the hospital for follow-up or rehabilitation care after primary treatment, and healthy female relatives or friends of inpatients in the Cancer Institute of Chinese Academy of Medical Sciences between August 30, 2010 and January 1, 2012. Psychopathological profile was assessed based on the Symptom Checklist-90-R (SCL-90-R) for patients and controls. We compared demographics such as age, ethnicity, education, marriage, and occupation, and incorporated these data plus cancer status for the association with the general SCL-90-R index and scores for 9 major symptom dimensions in multiple regression analysis. Results: We surveyed a total of 291 female breast cancer patients and 531 healthy women. The average age was $55.1{\pm}6.40$ years for breast cancer patients and $43.1{\pm}12.8$ for healthy controls (P<0.01). The mean survival was 5.20 years for cancer patients (range, 0.60-9.90 years). There were statistically significant differences in education, marriage, and occupation between the two groups (P<0.01). General index ($1.45{\pm}0.45$ versus $1.32{\pm}0.37$) and 8 dimension scores (excluding anxiety) on SCL-90-R were significantly higher in patients (P<0.05). Multiple regression analysis showed that the breast cancer status was positively correlated with general SCL-90-R index and 6 dimension scores (excluding the anxiety, phobic anxiety and paranoid ideation dimensions) (P<0.05). Regression coefficients ranged from 0.10 (depression) to 0.19 (somatization). Higher interpersonal sensitivity was noticed in single women compared to married women. Conclusions: Chinese patients with breast cancer demonstrate greater psychopathology compared to healthy controls. The breast cancer status is an independent contributing factor to the general psychopathological profile. Breast cancer patients should be given particular counseling and care to alleviate their psychological distress.

• 디지털융복합연구
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• 제14권1호
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• pp.229-240
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• 2016

본 연구는 의무기록사들의 직업전문성 인식도와 그의 관련요인을 알아보고자 종합병원에 근무하고 있는 의무기록사 428명을 대상으로 2015년 9월 1일부터 30일까지 기간 동안 표준화된 자기기입식 설문지를 이용한 설문조사를 실시하였다. 연구결과, 조사대상자들의 직업전문성 인식도는 연령이 낮을수록, 학력이 낮을수록, 기혼군보다 미혼군에서, 월수입이 낮을수록, BMI가 낮을수록, 직위가 낮을수록, 업무에 대해 만족하지 않는다는 군에서, 업무가 적성에 맞지 않는다는 군에서, 업무의 전환의사가 있다는 군에서, 규칙적인 운동을 하지 않는다는 군에서, 아침식사를 규칙적으로 하지 않는다는 군에서, 의무기록사의 사회경제적 지위가 낮다고 인식할수록, 응답자 자신의 사회경제적 지위가 낮다고 인식할수록, 장래 의무기록사에 대한 사회적 지위 전망이 좋지 않다고 인식할수록 유의하게 낮았다. 특히 위계적 다중회귀분석에서 인구사회학적 특성과 직업관련 특성이 직업전문성 인식도와 높은 관련성을 보이고 있어 의무기록사들의 직업전문성 인식도에는 인구사회학적 특성 및 직업관련 특성 변수들이 높은 관련성을 보이고 있음을 시사하고 있다.

• 한국인구학
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• 제33권3호
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• pp.123-142
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• 2010

이 연구는 남성들의 은퇴가 활발히 일어나는 연령층 부부들의 식사 및 관련 행위를 분석하고 있다. 이 연구는 가사노동을 다루어 온 많은 연구들과 중첩되는 측면이 있으나, 식사준비, 식사행위, 설거지 등의 개별항목을 끼니별로 접근함으로써 일상적인 삶의 구체적인 모습에 한걸음 더 다가가고 있다. 한편, 대부분의 기존연구와는 달리 개인의 특성과 함께 부부나 배우자의 특성을 함께 고려하여 분석을 시도하고 있다. 한국통계청이 실시한 2004년도 생활시간조사자료 중 40대 후반부터 60대 후반 사이의 기혼여성들과 그 배우자들의 식생활행위를 분석해 본 결과, 부부의 식사행위, 식사준비 및 설거지 양상 등은 무엇보다도 부부의 취업형태에 따라 큰 차이를 보인다. 부부의 취업형태를 중심으로 볼 때, 부부가 함께 식사하는 비율이 가장 낮은 것은 부인만 취업한 상태이다. 은퇴연령층에서 부인만 취업하고 있다는 것은 이들이 식당 등과 같은 서비스업에 종사할 가능성이 높으며, 이로 인해 부부가 함께 식사할 수 있는 기회가 적음을 의미한다. 한편, 부인만 식사준비 하는 비율은 부인만 취업한 경우가 다른 경우보다 낮게 나타난다. 그럼에도 불구하고 부인만 취업한 경우에도 부인만 식사를 준비하는 사례가 절반 정도에 이른다. 부인만 설거지를 하는 비율 또한 식사준비를 하는 비율의 패턴과 유사하다. 이 비율 또한 부인만 취업한 경우에 가장 낮지만, 상당 수준에 이른다. 이를 통해 볼 때 식사준비와 설거지를 하는 해당 연령층 부인들의 비율은 취업상태에 따라 분명한 차이를 보이지만 대체로 이들 행위들은 여성들의 몫으로 남겨져 있다. 이는 다시 가족 내 식사준비와 설거지 등과 같은 일상적인 삶의 행위가 가족내 성역할을 반영하고 있음을 보여준다.