충남(忠南) 금산군내(錦山郡內) 보건시범부락(保健示範部落)에 대(對)한 기초조사(基礎調査)

A Basic Study on the Health Status in Villages of Kum San Goon, Chung Cheong Nam Do Area

  • 발행 : 1974.12.01

초록

충남(忠南) 금산군내(錦山郡內) 1,141가구(家口) 7,050 가구원(家口員)에 대(對)한 조사결과(調査結果)를 총괄(總括)하면 다음과 같다. 1. 평균(平均) 가구원수(家口員數)는 6.18명(名)(${\pm}2.17$명(名))이며 성비(性比)는 105.5로 비교적(比較的) 높은 편(便)이며, 20세미만(未滿)의 인구(人口)가 51.6%를 점(占)하고 인구증대형(人口增大型)의 구성(構成)을 가지고 있었다. 2. 문맹률(文盲率)이 12.1%이며 고교졸업이상(高校卒業以上)의 부락민(部落民)은 4.1%에 불우(不遇)했다. 주민(住民)의 79.8%가 유직(有職)이며 이 중 농업(農業)이 46.1%였다. 가옥소유형태별(家屋所有形態別)로는 자택(自宅)이 95.2%이고 무주택률(無住宅率)은 4.8%였다. 3. 보건소(保健所)나 보건지소(保健支所)를 1년간(年間)($73.4.1{\sim}74.3.31$)에 이용(利用)한 가구(家口)는 72.0%였으며, 빈도(頻度)에 있어서는 $2{\sim}4$회(回)가 26.8%로 가장 높았고 이용목적(利用目的)은 예방접종(豫防接種) 35.7%, 치료(治療) 26.7%, 가족계획(家族計劃) 24.1%, 모자보건(母子保建) 10.5%의 순(順)이었다. 4. 주민(住民)들의 보건소(保健所)및 지소(支所) 이용도(利用度)는 연간(年間) 가구당(家口當) 4.4회(回)이며 주민(住民) 1인당(人當) 0.75회(回) 이용(利用)했다. 5. 출생률(出生率)은 人口(人口) 1,000명당(名當) 19.1, 사망률(死亡率)은 7.5로 자연증가율(自然增加率)은 1.16%였다. 6. 가임여성(可妊女性)($20{\sim}40$세)의 37.7%가 미혼자(未婚者)였고, 연령별(年齡別) 출산회수(出産回數)의 총계(總計)에 있어서는 $36{\sim}40$세의 17.1%가 가장 높았다. 7. 미혼자(未婚者)가 61.4%로 연소층(年少層)이 많은 인구구성(人口構成)을 가지고 있으며 남여별(男女別)로 보면 미혼남자(未婚男子)가 67.2%, 미혼여자(未婚女子)가 57.6%이었다. 8. 기혼자(旣婚者) 2,711명중(名中) 가족계획(家族計劃) 실시자(實施者)는 612명(名)(22.57%)에 불과(不過)하였으며, 남여별(男女別)로 보면 남자(男子) 8.33%, 여자(女子) 34.82%가 실시(實施)하고 있었다. 실시자(實施者)의 16.01%만이 영구피임방법(永久避妊方法)을 사용(使用)하였고 83.98%는 일시적(一時的)인 피임방법(避妊方法)을 사용(使用)하고 있었다. 9. 예방접종(豫防接種)은 대상자(對象者)의 57.7%에서 실시(實施)되었으며 종별(種別)로는 B.C.G vaccine 82.7%, D.P.T. vaccine 76.2%, Poliovaccine 67.9%, 종두(種痘) 62.6%의 순(順)이였다. 10. 의료기관리용(醫療機關利用)에 있어서는 약국(藥局) 32.16%, 병의원(病醫院) 28.65%, 보건소(保健所) 및 지소(支所) 17.96%, 한약방(漢藥房) 7.36%, 그리고 한의원(漢醫院) 6.31%이었다. 질병(疾病)으로는 신경통(神經痛)이 가장 많았고 그 다음이 소화기계질환(消化器系疾患), 호흡기계(呼吸器系) 및 피부병(皮膚病)의 순서(順序)였다.

Survey results concerning the general information on health status of 7,050 inhabitants (1,141 households) which have been selected within Keumsan Gun, Chung Choung Nam Do area are as follws: 1. The average family size is $6.18{\pm}2.17$ persons per household. Tertiary sex ratio is 105.5 population composition of Kumsan Gun shown a pyramidal form consisting of 51.6% of the inhabitants under 20 years of age. 2. Rate of illiteracy amounts to 12.1% and only 4.1% of villagers were graduated from high schools, 80% of the inhabitants have some kind of jobs: 46.1% of them are engaged in agriculture, 95.2% of villagers have their own houses, and remaining 4.8% do not have their own. 3. 72% of households made use of health services provided provided by health centre or subcentres during a period of 1 year from April 1, 1973 to March 31, 1974. 26.8% of them visited health centre of sub-centres 2-4 times annually for the following purposes: 1) Vaccination: 35.7% 2) Diagnosis or treatment: 26.7% 3) Family planning: 24.1% 4) Maternal and child health: 10.5% 4. Utilization rate of health facilities is on an average 4.4 times per household and 0.75 times per capita. 5. Birth rate in the area is 1.91% and death rate is 0.75%, indicating the natural increase rate is only 1.16% that is lower than the nationwide rate of 1.8-2.2% in 1970 and 1.5-1.9% in 1973. 6. 37.7% of fertile women (20-40 years old) in the area are still unmarried, Fertility rate is the highest in the age group of 63-40 years old showing a value of 17.1%. 7. The unmarried population in this area amounts to 61.4% : 61.4% in male and 57.6% in female. 8. Number of inhaibtants who practice family planning is 612 persons(22.6%) among the married (2.771). This value consists of 8.3% of married males and 34.8% of married females. Only 16.0% of the people who put family planning in practice undergo permanent contraceptive methods and remaining 84.0% of them do temporary measures. 9. Only 57.7% of the subjects took vaccinations as follows: 1) B.C.G. vaccination: 82.7% 2) D.P.T. vaccination: 76.2% 3) Poliomyelitis vaccination: 67.9% 4) Smallpox vaccination: 62.6% 10. In the utilization of medical facilities in case of sickness drug stores (32.15%) comes first and hospitals or clinics (28.65%), health centre of health sub-centres (17.96%), herb drug stores (7.36%) and herb gerneral practioners (6.31%), etc., in decreasing order. Sickness that people living in this area suffer from are neuralgia, disease digestive troubles, respiratory diseases and skin lesions, etc.

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