• 한국응용과학기술학회지
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• 제40권4호
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• pp.660-673
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• 2023

본 연구는 성인 흡연자의 심근경색증 조기 증상 인지 정도를 파악하고 인지와 관련된 요인을 분석하기 위해 진행되었다. 2021년 지역사회 건강조사 원시 자료를 활용한 서술적 조사연구로 조사 완료자 229,942명 중 본 연구에 해당하는 설문에 응답이 불충분한 대상자 18,343명을 제외한 210,899명을 연구대상자로 선정하여 SAS 9.4 program을 이용하여 표본 분석, 빈도, 백분율 등의 기술통계, 카이 제곱 검정, 복합표본 로지스틱 회귀분석을 사용하였다. 나이, 혼인 여부, 교육수준, 금연계획 여부, 건강검진_암 검진 수검 여부, 당뇨병 진단 여부, 주관적 건강 수준, 사회 물리적 환경이 심근경색증 조기 증상 인지와 유의한 관련이 있었다. 연구 결과를 바탕으로 심근경색증 발생 위험이 높은 고위험 집단에 대한 적극적인 홍보 및 교육이 필요하다.

• 대한방사선기술학회지:방사선기술과학
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• 제38권2호
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• pp.127-134
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• 2015

인구 고령화에 따른 암에 대한 관심 증가로 건강 검진을 받는 수검자가 늘고 있으며, 담낭용종의 유병률과 체질량 지수, 성별, 나이, 대사증후군 등의 위험인자에 대한 몇몇 연구가 있으나 본 연구는 최근 3년간의 담낭용종의 유병률과 대장용종 유무, 지방간 등의 다른 위험인자를 알아보고자 하였다. 2011년 1월에서 2013년 12월까지 대구지역 종합검진전문병원에서 건강검진을 받은 4,877명을 대상으로 성별과 나이를 조사하고, 키, 몸무게, 공복혈당, 간기능 및 기본 지질검사를 하였다. 복부초음파검사를 통해 담낭용종을 진단하고 지방간, 대장 내시경 결과 용종의 유무를 분석하였다. 분석결과 담낭용종이 발견된 경우는 383명(7.9%)으로 남자 256명(9.8%), 여자 127명(5.6%)으로 남자에서 담낭용종 유병률이 의미 있게 높았다(p<0.001). 연령별 담낭용종 유병률은 40대에서 3.50%로 가장 높게 나타났고 유의하게 나타나지 않았다. 담낭용종 크기는 평균 4.92 mm (1.6-17 mm)로 10 mm 이하가 73.6% 나타났다. 383명 중 261명(68.2%)이 단발성 용종, 122명(31.28%)이 2개 이상의 다발성 용종으로 타나났다. 남성 (OR 0.551, p<0.001), 과체중 (OR 0 .713, p=0.002), 중성지방 (OR 0 .571, p<0.001), 대사증후군 (OR 0 .049, p=0.033), 대장 용종 유무 양성 (OR 1.409, p=0.002)등이 담낭용종 발생에 영향을 미치는 독립인자로 선정되었다. HBsAg 양성은 담낭용종 발생에 관련 있는 위험인자가 아니었다. 결론적으로 본 연구는 담낭용종이 유병률은 과거보다 높은 7.9%로 나타났다. 남성, 과체중, 중성지방, 대사증후군, 대장용종이 담낭용종의 위험인자였다. 향후 건강검진 수검자 대상뿐만 아니라 일반국민을 대상으로 추가적인 검사가 필요하다고 사료되고, 담낭 절제술을 받아서 조직학적으로 확인된 경우를 조사 할 필요가 있겠다.

• 보건의료산업학회지
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• 제10권3호
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• pp.51-61
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• 2016

Objectives : The purpose of this study was to find factors influencing compliance with the national cancer screening program in middle-aged men. Methods : The data were collected from July 28, to October 31, 2015. Total subjects were 615 middle-aged men living in Busan. Results : The Rate of compliance with the NCSP(National Cancer Screening Program) for middle-aged men was 52.2%. There were significant differences in the compliance with the NCSP for the following barrier of exam(${\chi}^2=7.327$, p=.007), self-efficacy(${\chi}^2=23.074$, p<.001), age(${\chi}^2=38.823$, p<.001), marital status(${\chi}^2=19.012$, p<.001), cancer diagnosis in family(${\chi}^2=7.615$, p=.006), smoking(${\chi}^2=9.012$, p=.011), drinking(${\chi}^2=7.073$, p=.008), exercise(${\chi}^2=14.615$, <.001). Factors influencing the rate of compliance for the NCSP in middle-aged men were self-efficacy, age, marital status, exercise, and cancer diagnosis in family. Conclusion: To increase the rate of compliance to the NCSP in middle-aged men it is necessary to elevate the self-efficacy. Additional more positive support needed in men who are younger have no cancer diagnosis in their family are smokers and not m married encourage and improvve paticipation in the examination.

• 보건교육건강증진학회지
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• 제28권2호
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• pp.63-73
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• 2011

Objectives: This study was conducted to investigate the relationships between trust and participation in cancer screening. Methods: Data from 2004 Busan Health Survey were analysed for the study. Multiple logistic regression was performed on participation in cancer screening by trust level with potential confounders(sex, age, education, monthly mean household income, subjective health status, smoking, alcohol intake, exercise, and daily eating habits). Results: In a total of 7,423 participants, 2,078(28.0%) were classified as cancer screening participants. High horizontal trust was associated with increased likelihood of cancer screening participation(OR(men) = 1.20, 95% CI 1.00-1.45) and (OR(women) = 1.19, 95% CI 1.02-1.39), after multiple adjustments. Respondents with high trust in health care system had significantly higher odds ratios for participation in cancer screening: 1.60(95% CI 1.27-2.02) among men and 1.18(95% CI 0.97-1.44) among women, after multiple adjustments. Conclusions: Trust was significantly associated with higher odds of cancer screening participation and could be a potent arena for increasing cancer screening participation.

• 보건교육건강증진학회지
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• 제17권1호
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• pp.155-170
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• 2000

This study was aimed at preparing basic data required for establishment of a cancer screening program by examining the status of cancer screenings performed by women in a city and the factors that had an influence on cervical and breast cancers screening behavior of women. In order to find out the status of cervical and breast cancers screening and the factors having an influence on cervical and breast cancers screening behavior, 1,113 women were selected as study area and subjects by a random cluster sampling method, and the subjects were answered by questionnaires. The major results were as follows: 1. In the cases of the breast and the cervical cancers, 16.7% and 55.7% of the subjects turned out to have had one or more screenings respectively in their life-time. Also the rate of screening group of cervical and breast cancers was 16.7%, the rate of screening group of only cervical cancer was 38.9%, and the rate of non-screening group was 44.4%. 2. As to the screening pattern of cervical and breast cancer, there were significantly for age, income, occupation, married status, spouse, the factors associated with health promotion (doctor visiting, exercising), married age, number of children, and breast feeding(p〈0.05). 3. The factors associated with screening behaviors for cervical and breast cancers were age, income, occupation, married status, doctor visiting, exercising, married age, number of children, and breast feeding(p〈0.05). Based on the above-mentioned results obtained by this study, it was anticipated that this study may be playa vital role as basic data for the development and execution of cervical and breast cancers screening program for women in a community. And the analysis, done on the basis of the status of the cancer screening, of the influence factors on cervical and breast cancers screening behavior showed that for the development of a cancer screening program, the factors like age, social-economic class, married status, health promotion behavior, and reproductive characteristics should be considered.

• 보건행정학회지
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• 제19권1호
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• pp.31-48
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• 2009

The objectives of this study were to evaluate the satisfaction of participants in the National Cancer Screening Program(NCSP) and to identify factors affecting the satisfaction. The telephone survey was conducted in July 2007 for the participants who were screened by the NCSP from January through May 2007. Student's t-tests and analysis of variance were performed first to determine if the mean satisfaction score differed by the characteristics of study objects, followed by multiple linear regression analyses to examine the factors affecting satisfaction. Dependent variable was general satisfaction for the screening service, and three dimensions of independent variables - 'sociodemographic characteristics', 'screening characteristics', and 'perceived service quality' - were used for the empirical analyses. Female, old-aged, less educated, Medicaid recipients, rural residents and the participants with normal results were more likely to be satisfied with the NCSP. The results of multiple regression analyses show that gender, age, location of residence, type of screening units, and perceived quality of screening services were significantly related to satisfaction. This study is meaningful as the first attempt to measure participant satisfaction with the NCSP, and to identify factors affecting the satisfaction. Among the identified factors, the NCSP needs to pay attention to perceived quality of service, in particular, to improve the satisfaction. This study is expected to contribute to raising the compliance rate and to improve the quality of the NCSP.

• Journal of the Korean Data and Information Science Society
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• 제21권6호
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• pp.1253-1261
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• 2010

본 연구는 국민건강보험공단의 건강검진데이터, 자격 및 보험료, 그리고 진료비 데이터를 활용하여 위암 발생 예측모형을 개발하고자 하였다. 모형개발에는 데이터마이닝 방법론에 의한 로지스틱 회귀모형을 활용하였으며, 모형개발은 남성, 여성 그리고 전체에 대해 각각 개발하여 각 모형에서 위암 발생 결정요인의 차이를 비교하였다. 그 결과 위암 발견 예측에 가장 큰 영향을 미치는 특성은 수검자의 연령이었고, 다음으로 음주, 가족병력 (암) 순으로 나타났다. 남자가 여자보다 위암 발견 가능성이 다소 높은 것으로 나타났으며, 남성의 경우는 연령, 여성의 경우는 음주유무가 위암 발생에 많은 영향을 미치는 것을 확인 할 수 있었다.

• 보건교육건강증진학회지
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• 제19권3호
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• pp.135-152
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• 2002

Objectives: Cancer is the most frequent cause of death in Korea. Cancer screenings can save lives through early detection and their effect can be enhanced by regular repeat adherence rather than one-time screening. The aim of this study was to investigate major cancer screening rates and the reasons for not having screening for providing the basic data required. Materials and Methods: The study sample were recruited from the parents of students in 3 different middle and high schools in Pusan. 428 participants(l93 of males, 214 of females) completed a structured self-administered questionnaire from Dec. 21 to 31, 2001 and the response rate was 73.8%. Data were analyzed using descriptive statistics with SPSS Win 10.0. Results: The cancer screening rates of the subjects(male and female respectively) who have had one or more in their life-time were about 36.3% and 34.6% in gastroendoscopy for stomach cancer, about 11.1 % and 8.5% in stool hemocult test and colonoscopy for colon cancer, 13.5% and 9.3% in prostate-antigen test and rectal digit exam for prostate cancer, 36.4% in mammograpy for breast cancer, and 59.3% in Pap smear test for cervical cancer. And the higher proportions of having regular screening were 36.0% in Pap smear test for cervical cancer and 11.7% in mammograpy for breast cancer. The reasons related to not having screening tests were found that ‘seem to be healthy’ was 44.8%∼58.9% and the most common reason and the following was ‘not having opportunity for check-up’. The most common reason related to not having regular screening tests were ‘for the finding of previous check-up was normal’.

• 대한방사선기술학회지:방사선기술과학
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• 제38권2호
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• pp.145-153
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• 2015

갑상샘 결절은 임상에서 흔히 접하게 되는 내분비 질환이며, 검사방법의 발달과 함께 건강 검진을 목적으로 시행하는 갑상샘 초음파검사에서 우연히 발견되는 갑상샘 결절 환자는 급격히 증가하고 있다. 본 연구는 대상자의 일반적 특성과 갑상샘 초음파검사, 미세침흡인세포검사를 비교 분석하여 남 녀 성별에 따른 갑상샘 결절과 갑상샘 암의 빈도 관계에 대해 알아보고자 하였다. K건강검진병원을 내원한 20세 이상 성인에서 갑상샘 질환의 기왕력이 없는 총 32,973명을 대상으로 갑상샘 초음파검사를 시행하였다. 수검자가 작성한 문진표를 통하여 일반적 특성을 조사하였고, 갑상샘 초음파검사(갑상선 결절의 유무, 크기, 개수)와 미세침흡인세포검사를 통해 악성 빈도를 알아보았다. 갑상샘 초음파검사를 시행한 32,973명의 대상자 중 결절의 유병률은 남성에서 4,611명(26.1%) 여성에서 5,341명(34.9%)으로 여성이 남성보다 유의하게 높았으며, 남 녀 모두에서 연령증가에 따라 결절의 유병률이 유의하게 증가하였다(p < 0.05). 다결절 비율은 여성이 43.5%, 남성은 35.6%로 여성이 유의하게 높았으며, 남 녀 모두에서 연령이 증가함에 따라 유의하게 증가하였다(p < 0.05). 갑상샘 초음파검사로 선별된 악성을 시사하는 692명(남성 342명, 여성 350명)의 갑상샘 결절 환자를 대상으로 미세침흡인세포검사를 시행한 결과, 성별에 따른 악성 결절의 비율은 남성에서 33.3%, 여성에서 29.4%로 통계적으로 유의하지는 않았으나 남성에서 다소 높은 것으로 나타났다. 본 연구는 성인 남 녀를 대상으로 일반적 특성, 갑상샘 초음파검사, 미세침흡인세포검사를 비교 분석하였고, 일반적 특성에 따른 갑상샘 결절의 유병률, 다결절, 결절의 크기가 성별 및 연령별에서 유의한 상관관계가 나타났다. 또한, 성인 남성의 갑상샘 결절의 유병률이 여성과 비교하여 크게 낮지 않았으며, 결절의 악성 빈도가 남성이 여성보다 다소 높은 양상을 보여 남 녀 모두에게 갑상샘 초음파검사의 역할이 중요하다고 사료된다.

• Journal of Preventive Medicine and Public Health
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• 제38권4호
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• pp.473-481
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• 2005

Objectives : We wanted to identify those factors associated with stomach, colon, breast and cervix cancer screening. Methods : A population-based telephone survey was conducted for 2 weeks (the 9th-23th of July, 2004) by trained interviewers with using a questionnaire. 2,598 respondents (females aged 30 years or over, and the males aged 40 years or over) were selected by random-digit dialing that was based on the 2000 Population and Housing Census. The data on socio-demographic, health behavior and enabling factors were collected. 2,571 respondents were included in analysis. The cancer screening rate was classified into 2 categories : the life time screening rate and the screening rate with recommendations. Results : For the 2,571 respondent s, the life time screening rate was as follows: 52.0% (Stomach), 25.3% (Colon), 55.9% (Breast) and 76.8% (Cervix). The screening rate with recommendation was as follows : 3 9.2% (Stomach), 20.6% (Colon), 42.5% (Breast) and 58.3% (Cervix). On a multiple logistic regression analysis of the life time screening, statistically significant relationships were observed for the screening intention, the health exam, the disease history, the age of the patients and the cancer screening rates. On a multiple logistic regression analysis of the screening with recommendation, statistically significant relationships were observed for the screening intention, the health exam, the age of the patients, the concern about the risk of cancer, the voluntary health insurance for cancer and the cancer screening rates. Conclusions : The results of this study suggest that the cancer screening intention, the health exam and the age of the patients are the most important factors to participate in life time cancer screening and also screening with recommendations. A positive association was also observed for the concern about the risk of cancer, the voluntary health insurance for cancer. It is hoped that this study will be a base line data for suggesting the representative cancer screening rate in Korea.