• 제목/요약/키워드: protective and risk factors

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부모요인이 학령기 아동의 심리·사회적 부적응에 미치는 영향에 대한 메타분석 (A meta-analysis of parental factors on psychological & social maladjustment of school-aged children)

  • 김대광;김영희
    • 한국가족관계학회지
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    • 제22권1호
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    • pp.63-85
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    • 2017
  • Objectives: The purpose of this study was to conduct a meta analysis of the previous studies on parental factors related to psychological and social maladjustment of school children and to examine the moderate effects of publication year using the meta-regression analysis. Method: Subjects of studies was academic journals and thesis published on 1996-Feb. 2016. Final result of selection was 353(122 journal articles, 231 master's thesis & dissertations) and total number of sampling was 126,776 school children. Results: Parental factors had medium effect sizes on psychological and social maladjustment of school children. Parental risk factors had bigger effect size than protective factors on children's maladjustment. There were a tendency that effect size of some parental factors were increased as publish year went by. Conclusions: Attachment, positive communication, and positive marital relationship were major protective factors which had reduced maladjustment of children. Psychological control and negative marital relationship were the strongest risk factors. The impact on parental factors on maladjustment of children were getting stronger recently.

우리 나라 치과 기공사의 신체 자각 증상과 직업 관련 건강 위험 요인 (Subhective Symptoms and Work-related Health Risk Factors in Korean Dental Laboratory Technicians)

  • 김웅철;이세훈
    • 대한치과기공학회지
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    • 제22권1호
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    • pp.89-112
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    • 2000
  • Although dental laboratory technicians are prone to be exposed to various work-related health hazardous materials such as dusts, chemicals, etc., the prevalence and nature of work-related health problems of them have not been a matter of great concern in the field of occupational health service in Korea. The purpose of the present investigation was to describe a collected profile of subjective health symptoms and their attributable factors in Korean dental laboratory technicians. A questionnaire listing five groups of health symptoms and five health symptom-related factors was mailed to randomly selected 1,900 dental laboratory technicians. Among them, 1,344 dental laboratory technicians filled out the questionnaires and returnde them. Five groups of health symptoms included musculoskeletal symptom, dermal symptoms, respiratory symptoms, eys symptoms, and ear symptoms. Five health symptom-related factors were occupational environment-related health risk factors, work history, health related habits and status, use of personal protective equipment and general characteristics. Detailed parameters of health risk factors were work posture, vibration, and chemical or physical hazards such as dust, fume, vapor, solvent, light, and noise for occupational environment-related factors; work place, area, number of employees, work hours, career, work part, and work load for work history; Broca's index, hours of sleep, eating, smoking, alcohol, exercise, health examination, and self assessed health status for health habits and status; face masks, goggles, and so on for use of personal protective equipment, and; age, sex, marital status, and education for general characteristics. Before the start of main survey, a pilot survey was carried out for validity and reliability tests of the questionnaire. All the data obtained were coded and analyzed with PC/SAS 6.12 program. The prevalence of health symptoms was the highest in musculoskelton (87.3%), and followde by eyes (78.9%), respiratory organs (64.3%), ears (57.8%), and skin (52.2%) in descending order. Statistically significant risk factors by multiple logistic regression analyses were sex, health examination, self assessed health status, and hand/finger posture in musculoskeletal symptoms; sex, self assessed health status, career, acid gas, and hand contact with resin mixture in deraml symptoms; Broka's smoking, exercise, self assessed health status, and face mask in respiratory symptoms; sex, hours of sleep, self assessed health status, work hours, work load, plaster dust, inadequate lighting, and goggle in eys symptoms, and eating, smoking, self assessed health status, and work load in ear symptoms. With the above considerations in mind, prevalence of subjective symptoms among Korean dental laboratory technicians was relatively high, and they were attributable to most of the occupational environment-related factors, work history, use of personal protective equipment, health habits and status, and general characteristics. Particularly, it is suggested that health promotion programs for promoting self- assessed health status and smoking cessation, preventive measures for protection of the female technicians’health, and reducing work load be necessary, since those factors were associated with more than one subjective symptom.

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A Multifactorial Interpretation of a Teenager's Suicide: Based on Krystal's Death in Casual Vacancy

  • Bahn, Geon Ho;Park, Joo Seok
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제32권1호
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    • pp.3-9
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    • 2021
  • Objectives: It is hard to accumulate research data on adolescents' suicide, because friends and family of the suicide completers might be reluctant to share the experience. To overcome the lack of information on adolescent suicide victims, the authors examined the risk and protective factors for adolescents' suicide from a character in a novel. Methods: Krystal, an adolescent female in the novel The Casual Vacancy by Joanne Rowling, failed to overcome her unfortunate circumstances and committed suicide. The authors analysed Krystal's case based on the guideline for patients with suicidal behaviours to address the complicated situation of her death. Results: Krystal grew up in a poor and dangerous environment. Despite the environmental hardships, she developed ego maturation with affectionate help from Mr Fairbrother, an assistant coach of the Girls' Rowing Team and a parish councillor. The sudden passing away of Mr Fairbrother brought on a crisis of identity for Krystal. In addition, a villainous character raped her and her brother drowned to death, which brought her great sorrow. She felt helpless and committed suicide. Conclusion: In spite of many risk factors for suicide, Krystal was able to keep her life with a few protective factors, a younger brother in the home, and a sense of responsibility for the family. After the loss of her brother, however, she collapsed in a moment. Krystal's suicide might not only be a personal choice but a breakdown of the social protection system for the youth.

Risk Factors of Breast Cancer in Kyzylorda Oblast of Kazakhstan: a Case-Control Study

  • Toleutay, Ulpan;Reznik, Vitaly;Kalmatayeva, Zhanna;Smigelskas, Kastytis
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권10호
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    • pp.5961-5964
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    • 2013
  • Background: Breast cancer in Kazakhstan and its Kyzylorda oblast is the most prevalent cancer in women and features increasing trends of incidence. The aim of study was to reveal risk factors for breast cancer among women of Kyzylorda oblast of Kazakhstan. Materials and Methods: A hospital-based case-control study was conducted at Kyzylorda oblast Oncology Center, including 114 cases of breast cancer and 196 controls. Binary logistic regression analysis was performed. Results: Social and behavioral risk factors for breast cancer were evaluated, among which unfavorable living conditions, chronic stress, unilateral breastfeeding, breastfeeding less than 3 months and over 2 years, abortions, and hereditary predisposition were found to be related with increased breast cancer risk. Breastfeeding for 6-24 months was found to be protective. Conclusions: The findings may have significant impact on activity planning aimed towards breast cancer reduction among women in Kazakhstan.

폐경기 전.후 여성의 골다공증 영향요인 (Factors Influencing Osteoporosis)

  • 이진경;석민현;김은영;황라일;김은주
    • 지역사회간호학회지
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    • 제14권2호
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    • pp.253-262
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    • 2003
  • Purpose: This study was carried out to identify factors influencing osteoporosis in women at pre- and post-menopausal state. Methods: The subjects of this study were 52 pre-menopausal and 125 post-menopausal women who were assessed of bone density in one general hospital. The data were collected through review of clinical records and telephone interviews using a questionnaire. Results: In the pre-menopausal women, the factors influencing osteoporosis were regular exercise (protective factor) and age (risk factor). Regression analysis showed that the factors attributable to osteoporosis included educational level, weight, age and number of pregnancy, accounted for 41.89% of the total variance. In the post-menopausal women. the factors influencing osteoporosis were age (risk factor), low educational level (risk factor), low economical state (risk factor), high parity (risk factor), and intake of coffee (protective factor). Regression analysis also showed that factors attributable to their osteoporosis included age, educational level, number of delivery, intake of the coffee, regular exercise, number of pregnancy and duration of oral pill intake, accounted for 37.41 % of the total variance. Conclusion: In pre-menopausal women, regular exercise was one of the most powerful determinant of their bone mass. Therefore, it is necessary to participate in a regular exercise program to maintain peak bone mass density prior to the onset of menopause. In post-menopausal women, increased age was the most influencing factor of their bone mass. Therefore, it is essential to establish early diagnosis and management of osteoporosis after menopause.

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아동의 문제행동에 영향을 미치는 위기요인과 보호요인의 이론적 과정모델 (The Effects of Risk Factors and Protective Factors on Children's Problem Behavior: The Theoretical Process Model)

  • 이선경;이재연
    • 아동학회지
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    • 제19권2호
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    • pp.49-64
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    • 1998
  • The theoretical process model was used to study problem behavior of children growing up at-risk. A sample of 339 children living in at-risk families were selected from among 2, 134 children in grades 4, 5, and 6 of five elementary schools in Seoul. The instruments were five risk factor scales and four protective factor scales. The Child Behavior Checklist was also used. The results of the hypothetical model of children at-risk showed that the factor of socioeconomic status led to positive child rearing attitudes in mothers, which is turn influenced children's problem behavior indirectly. In contrast, stressful life events and mother's depression influenced children's problem behavior directly. However, negative family functioning, marital discord and father's depression did not influence mother's child rearing attitudes or children's problem behavior. Mother's child rearing attitudes directly influenced children's social competence and academic achievement and indirectly influenced their problem behavior. Academic achievement did not influence problem behavior directly, but social competence influenced it directly. Mother's child rearing attitude was the most significant factor affecting children's adaptation.

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생태체계적 관점에서의 유아, 아동, 청소년의 또래관계 예측 요인: 다층메타분석 (Predictors for Peer Relationships among Children and Adolescents in the Ecological System Perspective: A Multilevel Meta-Analysis)

  • 최윤희;김빛나;김영희
    • Human Ecology Research
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    • 제61권2호
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    • pp.263-280
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    • 2023
  • This study examined four ecological systems, namely individual, family, school, and media environments. A series of moderator analyses were conducted to examine variations in effect size estimates across the study characteristics. The current study estimated that the effect size results were gleaned from 360 primary studies, including 90 journal articles and 270 thesis/dissertations, published between 2011 and 2022. The current meta-analysis results supported the ecological framework. That is, the impact of each ecological system on the development of positive and negative peer relationships varies depending on age groups and protective-risk factors. Specifically, for positive peer relationships, the largest effect size of the protective factor was found at the individual level for young and school- aged children, but at the school level for adolescents. Regarding the risk factors for positive peer relationships, the media was the ecological system with the strongest effect size for both young children and adolescents, while the individual-level demonstrating the strongest effect for school-aged children. Results from this meta-analysis allow us to identify some vital intervention areas in terms of healthy peer-relationship development, which should be of considerable interest to the educators and policymakers who are responsible for assessing and intervening with at-risk young children, school-aged children, and adolescents. From a practical standpoint, the current meta-analysis results are expected to contribute to developing effective prevention initiatives by targeting specific protective and risk factors for peer relationship development on the ecological system level.

The Effects of Adolescents' Relationships with Parents and School/Institute Teachers as Protective Factors on Smartphone Addiction: Comparative Analysis of Elementary, Middle, and High School Levels in South Korea

  • Song, Indeok
    • Asian Journal for Public Opinion Research
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    • 제9권2호
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    • pp.106-141
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    • 2021
  • This study was conducted for the purpose of empirically analyzing the effects of adolescents' relationships with major adults as protective factors for smartphone addiction. Specifically, the study compared the discriminatory effects of adolescents' relationships with their parents, school teachers, and educational institute teachers on smartphone addiction among elementary, middle, and high school students in Korea. Analyzing the data of the 2019 Korean Children & Youth Happiness Index (N=7,454), it was found that relationships with adults were significant factors in explaining the level of smartphone addiction even after controlling for the influences of adolescents' demographics, usage time, and friendship factors. For elementary school students, good relationships with their mothers and school teachers decreased the risk of smartphone addiction. On the other hand, in the case of middle school students, only a good relationship with father functioned as a protective factor. Good relationships with their fathers and institute teachers decreased the level of high school students' smartphone addiction. Based on these findings, this study discussed on the development of programs and policies for prevention and intervention of adolescents' smartphone addiction and provided suggestions for follow-up research in the future.

대한민국 사슴농가 종사자의 라임병 혈청유병률 및 위험요인 (Seroprevalence and risk factors of Lyme disease among Korean deer farmers)

  • 딜라람 아지리아;조재학;유석주;박지혁
    • 농촌의학ㆍ지역보건
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    • 제44권2호
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    • pp.82-89
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    • 2019
  • 목적 : 이번 연구는 인수공통감염병의 고위험군인 사슴농가 종사자를 대상으로 라임병의 감염 실태 파악 및 위험요인 분석을 위해 수행하였다. 대상 및 방법 : 전국 시 군 지역의 사슴농가를 중심으로 516명에 대해 설문조사 및 혈청검사를 실시하였다. 라임병 진단방법은 IFA(Indirect Immunofluorescence antibody Assay, 간접면역형광항체법)와 IFA검사의 높은 위양성률을 보완하기 위해 ELISA 검사 그리고 Western Blot 법을 이용하였다. 결과 : 전국 사슴농가 종사자 516명의 라임병 최종 혈청 유병률은 2.3%이었으며, 엘크 (Cervus Canadensis)만을 기르는 사슴 농가 종사자의 라임병 혈청유병률이 3.6%로 다른 종류의 사슴을 키우는 사슴 농가 종사자보다 라임병 발병 위험이 통계적으로 유의하게 높았다(p = 0.033). 결론 : 국내 사슴농가 종사자들이 인수공통감염병인 라임병에 노출되어 있음을 확인하였고, 키우는 사슴의 종류나 작업 행태, 보호복 착용 여부 등에 따라 라임병 노출의 가능성이 다름을 확인할 수 있었다.

투여 항생제군과 Clostridium Difficile-Associated Diarrhea의 위험인자 분석 (Risk Factor Analysis of Clostridium Difficile Associated Diarrhea and Antibiotics Administration)

  • 오경선;이숙향
    • 한국임상약학회지
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    • 제20권1호
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    • pp.78-84
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    • 2010
  • Background: Clostridium difficile is the primary reason of the nosocomial diarrhea. The antimicrobial therapy plays a central role in the pathogenesis of Clostridium difficile associated diarrhea (CDAD). Although nearly all classes of antimicrobial agents have been associated with CDAD, clindamycin and the third-generation cephalosporins have traditionally been considered to the greatest risk factor. Recent studies have also implicated fluoroquinolones as high-risk agents due to increasing use of the agents. This study was to determine the incidence and the risk factors of CDAD related to the administered antibiotics and to assess the therapeutic regimen of metronidazole or vancomycin based on the C. difficile toxin assay Methods: A retrospective study was performed in patients with Clostridium difficile toxin assay at I Hospital (Incheon, South Korea) during the period from January 2007 through December 2007. Administrative, laboratory, and pharmacy data were collected from Electronic Medical Databases. Results: The analysis included 129 reported C.difficile toxin assay results, with 42 positive cases and 87 negative cases. Significant antibiotic risk factors for CDAD included the use of the fourth-generation cephalosporinse (OR=5.97, 95% CI 1.37-25.98, P=0.017). Administration of metronidazole was protective against CDAD (OR=0.30, 95% CI 0.12-0.74, P=0.009). Prolonged antimicrobial therapy has been associated with an increased risk of CDAD. The third-generation cephalosporins (OR=3.81, 95% CI 1.08-13.41, P=0.037) and aminoglycoside (OR=5.50, 95% CI 1.43-21.10, P=0.013) demonstrated greater risk for CDAD over 15 days than 8days or less days of treatment duration. Conclusions: The fourth and third generation cephalosporin, aminglycoside were the significant risk factors compared with other antibiotics, whereas metronidazole appears to be protective. The longer duration of antiobiotic use increased CDAD.