• Safety and Health at Work
• /
• 제5권3호
• /
• pp.161-164
• /
• 2014

Obesity is a significant problem affecting United States (US) firefighters. While body mass index (BMI) is widely used to diagnose obesity, its use for this occupational group has raised concerns about validity. We examined rates and types of misclassification of BMI-based obesity status compared to body fat percentage (BF%) and waist circumference (WC). Male career firefighters (N = 994) from 20 US departments completed all three body composition assessments. Mean BMI, BF%, and WC were $29kg/m^2$, 23%, and 97 cm, respectively. Approximately 33% and 15% of BF%- and WC-defined obese participants were misclassified as non-obese (false negatives) using BMI, while 8% and 9% of non-obese participants defined by BF% and WC standards were identified as obese (false positives) using BMI. When stratified by race/ethnicity, Pacific Islanders showed high rates of false positive misclassification. Precision in obesity classification would be improved by using WC along with BMI to determine firefighters' weight status.

• Journal of Information Science Theory and Practice
• /
• 제8권1호
• /
• pp.68-78
• /
• 2020

This study attempted to uncover the characteristics of health information non-seekers among the United States foreign-born population and identify potential predictors of their non-seeking behavior. The trends of foreign-born health information nonseekers over the past twelve years were also examined. Statistical analysis was conducted with two sets of Health Information National Trends Survey (HINTS) data: HINTS 2 (2005) and HINTS 5 Cycle 1 (2017) datasets. It was found that foreign-born nonseekers differ from foreign-born seekers in terms of a variety of variables including education, income, English proficiency, the uses of Internet and social media, ownership of digital devices, ownership of health insurance, perceived health status, and level of trust in health information sources. Among them, education, Internet use, and trust in online health information were identified as predictors of the foreign-born population's non-seeking of health information. In addition, three variables - race/ethnicity, age, and place of accessing the Internet - which were significant factors in the 2005 dataset, were no longer significant in the 2017 dataset, implying the possible influence of smartphones that reduces Internet accessibility gaps among different racial/ethnic and age groups.

• International Journal of Advanced Culture Technology
• /
• 제7권2호
• /
• pp.13-18
• /
• 2019

Comorbidity isthe simultaneous presence of two chronic diseases or conditions in a patient. As part of a larger research study, the aims of this study were to explore comorbid conditions in intensive care unit (ICU) patients and to compare the comorbidity across different demographic groups, and to determine what comorbid health problems coexisted in the patients with hospital-acquired pressure injury (HAPI). The average number of comorbid conditions was 6.4 with range from 0-20 in the ICU patients. African American patients had significantly more comorbid health problems than other race/ethnicity groups. Asian and Hispanic female patients showed higher comorbidity than male patients across age. The patients with HAPIs had significantly more comorbid health problems than the patients without HAPIs -- the average numbers were almost two-fold. We found comorbid health problems that existed with HAPI in ICU patients. 'Other diseases of lung' and 'Disorders of fluid, electrolyte, and acid-base balance' were most frequently coexisting health problems in the ICU patients with HAPI. Exploratory plots are helpful to discover patterns or hypotheses relevant to clinical management in critical care. Inclusion of patients' comorbid health problems to ICU HAPI risk assessment may be helpful. Identification of patients at a high risk for the development of HAPI and the early preventative interventions can help reduce length of stay as well as costly complications.

• 디지털융복합연구
• /
• 제12권9호
• /
• pp.21-33
• /
• 2014

이 글에서는 한국 여성 결혼이주자정책의 특징과 한계를 상호문화주의(interculturalism)적 측면에서 조망하고 과제를 제시하고자 한다. 연구의 초점은 한국에서 압축적으로 급속하게 진행되고 있는 다인종사회화의 현황과 정책적 대응을 개괄하고, 여성 결혼이주자정책에서 나타나고 있는 인종 지향적이고 젠더 편향적인 이슈들을 검토한다. 그리고 여성 결혼이주자들은 '초국적 사회적 장'(transnational social field)에서의 독특한 정체성 재형성 과정을 거친다는 점에서 한국 여성 결혼이주자정책이 지향할 수 있는 현실적 지향점으로서의 상호문화주의의 개념과 특징, 유럽의 정책 및 사업 사례를 예시하고, '상호문화적 시민권'에 대한 인식 제고와 교육 프로그램 강화, '선택적 동화'를 통한 '다원적 통합' 지향, 여성 결혼이주자의 상호문화적응프로그램 강화, 한국의 특성을 고려한 상호문화성 측정 지표 개발과 평가 결과의 이주자정책에의 피드백 등 상호문화성 강화를 위한 과제를 제시한다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제13권9호
• /
• pp.4305-4309
• /
• 2012

Background: Previous studies on the association between the TP53 Arg72Pro polymorphism and hepatocellular carcinoma (HCC) risk obtained controversial findings. This study aimed to quantify the strength of the association by meta-analysis. Methods: We searched PubMed and Wangfang databases for published studies on the association between the TP53 Arg72Pro polymorphism and HCC risk, using the pooled odds ratio (OR) with its 95% confidence intervals (95% CI) for assessment. Results: 10 studies with a total of 2,026 cases and 2,733 controls were finally included into this meta-analysis. Overall, the TP53 Arg72Pro polymorphism was not associated with HCC risk (all P values greaterth HCC risk in Caucasians in three genetic models (For Pro versus Arg, OR = 1.20, 95%CI 1.03-1.41; For ProPro versus ArgArg, OR = 1.74, 95%CI 1.23-2.47; For ProPro versus ArgPro/ArgArg, OR = 1.85, 95%CI 1.33-2.57). However, there was no significant association between the TP53 Arg72Pro polymorphism and HCC risk in East Asians (all P values greater than 0.10). No evidence of publication bias was observed. Conclusion: Meta-analyses of available data suggest an obvious association between the TP53 Arg72Pro and HCC risk in Caucasians. However, the TP53 Arg72Pro polymorphism may have a race-specific effect on HCC risk and further studies are needed to elucidate this possible effect.

• Journal of Preventive Medicine and Public Health
• /
• 제51권4호
• /
• pp.181-187
• /
• 2018

Objectives: To identify factors responsible for potentially clinically unnecessary cervical cancer screenings in women with prior hysterectomy. Methods: A retrospective cross-sectional study was conducted using the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS). This study targeted adult women and examined whether they received a both a Papanicolaou (Pap) test and undergone a hysterectomy in the last three years. We conducted multivariate analyses, including weighted proportions and odds ratios (ORs), based on the modified BRFSS weighting method (raking). The inclusion criteria were adult women (>18 years old) who reported having received a Pap test within the last 3 years. Results: Of all women (n=252 391), 72 366 had received a Pap test, and 32 935 of those women (45%, or 12.5 million, weighted) had a prior hysterectomy. We found that age, race/ethnicity, marital status, family income, health status, time since last routine checkup, and health insurance coverage were all significant predictors. Black, non-Hispanic women were 2.23 times more likely to receive Pap testing after a hysterectomy than white women (OR, 2.23; 95% confidence interval [CI], 1.99 to 2.50). Similarly, the odds for Hispanic women were 2.34 times higher (OR, 2.34; 95% CI, 1.97 to 2.80). The odds were also higher for those who were married (OR, 1.17; 95% CI, 1.08 to 1.27), healthier (OR, 1.24; 95% CI, 1.14 to 1.35), and had health insurance (OR, 1.54; 95% CI, 1.28 to 1.84), after controlling for confounders. Conclusions: We conclude that women may potentially receive Pap tests even if they are not at risk for cervical cancer, and may not be adequately informed about the need for screenings. We recommend strategies to disseminate recommendations and information to patients, their families, and care providers.

• Nutrition Research and Practice
• /
• 제5권3호
• /
• pp.253-259
• /
• 2011

The rapid rise in the incidence of obesity has emerged as one of the most pressing global public health issues in recent years. The underlying etiological causes of obesity, whether behavioral, environmental, genetic, or a combination of several of them, have not been completely elucidated. The obesity epidemic has been attributed to the ready availability, abundance, and overconsumption of high-energy content food. We determined here by Pearson's correlation the relationship between food type consumption and rising obesity using the loss-adjusted food availability data from the United States Department of Agriculture (USDA) Economic Research Services (ERS) as well as the obesity prevalence data from the Behavioral Risk Factor Surveillance System (BRFSS) and the National Health and Nutrition Examination Survey (NHANES) at the Centers for Disease Control and Prevention (CDC). Our analysis showed that total calorie intake and consumption of high fructose com syrup (HFCS) did not correlate with rising obesity trends. Intake of other major food types, including chicken, dairy fats, salad and cooking oils, and cheese also did not correlate with obesity trends. However, our results surprisingly revealed that consumption of com products correlated with rising obesity and was independent of gender and race/ethnicity among population dynamics in the U.S. Therefore, we were able to demonstrate a novel link between the consumption of com products and rising obesity trends that has not been previously attributed to the obesity epidemic. This correlation coincides with the introduction of bioengineered corns into the human food chain, thus raising a new hypothesis that should be tested in molecular and animal models of obesity.

• 한국언론정보학보
• /
• 제39권
• /
• pp.473-505
• /
• 2007

광고는 변화하는 사회를 가장 빠르게 반영하는 매체 중 하나이며, 전 지구화와 소비문화가 일상 속으로 확산되는 것과 밀접한 관계를 갖고 있다. 이 논문은 현재 한국에서 다문화주의란 어떤 의미이며, 변화하는 사회의 모습이 광고에 어떻게 나타나고 있는지에 대한 고찰이다. 특히 최근 한국인 이외의 다양한 인종과 민족이 영상 광고에서 어떤 식으로 재현되었는지 살펴봄으로써, 다문화주의의 의미가 구성되는 방식을 살펴본다. 우선 한국의 다문화주의의 역사적 배경과 의미를 외국의 경우와 비교해서 살펴보고, 다문화주의와 인종주의 사이의 관계를 이론적으로 밝힌다. 이어서 정보/통신, 아파트, 금융 광고 등 전 지구화 시대에 다문화주의 전략을 가장 적극적으로 채택하고 있는 상품 광고를 중심으로 구체적 분석을 실시한다. 분석 결과 다문화적인 방식으로 재현된 광고들이 오히려 기존의 인종주의를 강화하거나 한국(인)이 중심이 된 민족주의의 정서를 강화하는 것으로 나타났다. 다문화적인 요소를 담아낸 광고가 양적으로 크게 증가했음에도 불구하고, 한국사회의 '다문화주의'는 여전히 전략적인 수준에 머물고 있는 것으로 보인다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제13권12호
• /
• pp.5981-5984
• /
• 2012

Background: Numerous studies have investigated the association of matrix metalloproteinase 1 (MMP1) rs1799750 single nucleotide polymorphism with lung cancer susceptibility, but the findings are inconsistent. Therefore, we performed a meta-analysis to comprehensively evaluate any possible association. Methods: We searched publications from MEDLINE, EMBASE and CNKI databases which assessed links between the MMP1 rs1799750 polymorphism and lung cancer risk. We calculated the pooled odds ratio (OR) and its 95% confidence interval (95%CI) using either fixed-effects or random-effects models. Results: The meta-analysis was based on 9 publications encompassing 4,823 cases and 4,298 controls. The overall results suggested there was a significant association between the MMP1 rs1799750 polymorphism and lung cancer risk (1G vs. 2G: OR = 0.83, 95%CI = 0.73-0.94; 1G1G vs. 2G2G: OR = 0.73, 95%CI = 0.59-0.92; 1G1G vs. 1G2G/2G2G: OR = 0.87, 95%CI = 0.79-0.97; 1G1G/1G2G vs. 2G2G: OR = 0.78, 95%CI = 0.64-0.95). In the subgroup analysis by ethnicity, the association was still obvious in Asians (all P values < 0.05), but there was no association in Caucasians (all P values > 0.05). Conclusions: The MMP1 rs1799750 polymorphism is associated with decreased lung cancer risk, and a race-specific effect may exist in this association.

• 한국인구학
• /
• 제22권1호
• /
• pp.123-151
• /
• 1999

미국사회에서 노인의 거주지 적응양식은 인종간에 차이가 크다. 일반적으로 소수인종노인은 백인 노인에 비하여 자녀와 함께 사는 경향이 강하다. 이에 대하여 문화적 입장에서는 소수인종은 백인에 비하여 가족부양규범이 강하다고 주장한다. 다른 한편 경제적 입장에서는 소수인종은 그들의 생애를 지배하는 빈곤 때문에 규모의 경제를 통하여 가계비용을 줄이기 위하여 확대가족을 유지할 수밖에 없다고 주장한다. 본 연구는 노인이 질병과 빈곤에 적응하는 방식에 있어 인종간 차이를 검토함으로써 기존의 경제학적 논의와 문화적 논의의 적합성을 검정하는데 목적을 두고 있다. 이를 위하여 노인의 거주지 적응에 대한 문화적 영향과 관련하여 두가지 가설을 검정하고 있다. 첫째, 소수인종 노인은 백인노인에 비하여 빈곤과 질병상황에서 가족으로부터 더 오랜기간 보호를 받는지를 검토한다. 둘째, 소수인종 노인은 백인노인에 비하여 건강이 악화될 때 더욱 신속하게 가족으로부터 보호를 받을 수 있는지를 검토한다. 분석을 위해서 1984년에서 1990년기간 동안 실시된 "고령화에 대한 종단적 조사(Longitudinal Survey on Aging)"를 이용하여 마르코비안 다중생명표 모형과 사건분석을 수행하였다. 본 연구결과에 따르면 소수인종 노인은 가족부양규범의 문화적 이점을 그다지 크게 다지고 있지 않다. 인종간 사망력과 시설입소의 차이를 통제할 때, 소수인종 노인은 백인노인에 비하여 보다 흔하게 자녀동거에서 단독거주형태로 혹은 그 반대방향으로 거주지 변화를 경험하고 있다. 백인 노인은 소수인종에 비하여 질병상태와 관련하여 자녀와 동거하는 경향이 더 강하다. 사망력과 시설입소의 인종간 차이를 통제할 때 소수인종노인이 백인노인보다 쉽게 자녀동거에서 단독거주로 이행하는데 이는 소수인종에서 가족부양체계가 불안정함을 의미한다. 또한 빈곤시에 소수인종 노인은 백인노인에 비하여 쉽게 자녀와 떨어져 살게 된다. 이러한 결과는 소수인종 노인에 대한 가족의 지원은 그 가족의 경제적 제약속에서 매우 안정적이지 못함을 시사한다. 못함을 시사한다.