• 한국산학기술학회논문지
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• 제11권7호
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• pp.2719-2726
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• 2010

본 연구는 포항지역 환경오염물질의 보건 환경 위해성 평가를 위한 기초연구의 일환이며, 이를 위하여 포항시에 소재한 지역대기자동측정 자료를 이용하여 연별, 계절별 $PM_10$ 농도분포에 대한 현황, 기상특성 및 오염물질 농도분포 분석을 수행하였고, 대기확산 모델(CALPUFF)을 이용하여 농도분포 특성에 대해 정성적, 정량적으로 확인하였다. 포항지역의 $PM_10$ 농도분포를 확인한 결과, 포항지역의 계절별 $PM_10$ 평균농도는 봄($75.7{\mu}g/m^3$)>여름($56.8{\mu}g/m^3$)>겨울($53.6{\mu}g/m^3$) >가을($52.7{\mu}g/m^3$) 순으로 봄에는 빈번히 발생하는 황사의 영향으로 높은 농도를 나타내었다. 포항지역 오염원별 $PM_10$ 배출량은 점오염원 62%>이동오염원 33%>면오염원 5% 순이며, 점오염원 중 전체 97%가 철강산업인 제철제강업에서 발생되었다. 포항지역은 $PM_10$의 영향을 많이 받고 있는 지역으로 포항철강공단지역에 대한 환경오염물질 원인배출원에 대한 감시체계의 보완 및 집중관리와 함께 포항지역 주민의 건강 보호를 위하여 보건 및 환경에 악영향을 미치는 위해인자 및 오염물질을 원천적으로 차단하는 작업이 지속적으로 수행되어야 할 시점이다.

• 한국생활과학회지
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• 제7권1호
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• pp.205-216
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• 1998

The objectives of this study were to investigate some problems related to health and to identify citizen's needs related to nutrition education program. The data were analyzed by using $x^2$-test, t-test, ANOVA and multiple range test. The food habits score was 70.0 of 100. The score of man was 69.0, while that of woman was 72.6. Since woman's food habit was better than man, education to man is more needed. Man's BMI was 22.5 and that of woman was 21.4. W/H ratio of man was 0.85 and that of woman was 0.80. BMI and W/H ratio increased as age increases. Systolic blood pressure was 123.5mmHg and diastolic blood pressure was 83.2mmHg. All age groups need the education of blood pressure control. Since subjects who did regular exercise were only 26.3%, these community people needed more regular exercise, specially woman. It turned out that subjects were afraid of cancer, hypertension, cerebral vascular diseases which are related with food habits. The disease or symptom having the highest mobility were dental disease, gastroenteric disorder, headache and constipation. They asked for counselling about health, diet therapy, protection methods of disease and menu planning etc. The program of education for health and good food habits should be developed according to subjects's age, sex, education etc. These results showed primary needs on the curriculum of citizen's education program for enhancing health. In addition, we suggest the research on the practical curriculum of nutrition education program.

• 보건교육건강증진학회지
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• 제22권2호
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• pp.97-110
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• 2005

Objectives: Recent studies have shown that tailored messages for cancer screening to the beliefs and stage of cancer screening behavior of individual women increases the take-up probability. Many studies on cancer screening have used the Transtheoretical Model (TTM) to identify variables associated with cancer screening behavior. This study was carried out to identify the cognitive-behavioral factors associated with stomach cancer screening among women aged 40 years and over, and to develop and evaluate a tailored educational program for stomach cancer screening by stages of change. Methods: Building on the TTM constructs, we conducted a quasi-experimental study(N=283) to test the effectiveness of a tailored educational program for endoscopic stomach cancer screening. We carried out pre and post tests in the experimental group(N=162) and the control group(N=121), and the experimental group was subdivided into an on-line group(N=81) and an off-line group(N=81) by educational methodology using e-mail and the postal service. We used the chi-square test, trend test, and paired t-test to test the effectiveness of the program for stomach cancer using a tailored stage-matched messages. Results: To examine the effectiveness of the program for stomach cancer screening by the tailored stage-matched messages, the stage-matched materials were offered to the experimental group(N=162) four times for 4 weeks. The stage-matched materials consisted of the four types for stomach cancer. The tailored message was effective in changing the cognitive-behavioral factors, such as experience process, behavior process, con opinion for stomach cancer, self-efficacy, and the behavioral stages for stomach cancer screening. The stomach cancer screening adherence was higher for the stage-matched materials using postal mail than for those using e-mail. Conclusion: To improve the stomach cancer screening rate, the use of tailored messages for stomach cancer screening will be generated using an expert system. Therefore the implementation of tailored educational program will be supported a partnership between public and private health organizations and increasing awareness of the necessity of community-based interventions.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.81-92
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• 2009

Objectives: This study set out to investigate the relationship among the factors of metabolic syndrome diagnosis criteria, their risk factors including general characteristics, and the distribution of the diagnosis criteria and risk among the adult residents of a rural community. Methods: Among 1,968 residents, those who had three or more of the risk factors of metabolic syndrome, which include blood pressure, blood glucose, triglyceride, abdominal obesity, and HDL-C, were categorized as the metabolic syndrome group. And their correlations were analyzed. Results: As for the risk ratio with five factors of the metabolic syndrome diagnosis criteria, it was high according to age and smoking. In addition, the results show that body fat percentage, hs-CRP, insulin, BMI, PP2, total cholesterol, and W/Ht also had much impact on increasing the risk ratio of the metabolic syndrome diagnosis criteria. It turned out that metabolic syndrome was affected by the body mass index(BMI), insulin, waist to height ratio(W/Ht), and hs-CRP. It was 2.51 times crude odds ratio that BMI over the 25kg/m2 in the ratio of the fact of metabolic syndrome and adjusted for sex odds ratio 2.50times and W/Ht was 3.31times, adjusted for sex odds ratio 3.25 times. Conclusion: BMI, W/Ht and smoking of the general characteristics seem to have close relationships with high correlations between the metabolic syndrome diagnosis criteria and the risk factors. Thus there is an urgent need to evaluate them and take interventions and monitoring measures for the clustering of risk factors.

• 보건행정학회지
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• 제26권1호
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• pp.24-29
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• 2016

Background: Socio-economical status, represented by poverty, is a potent factor in predicting health status, because preventable illness and death occurs due to poverty and socio-economical situation. This study aims to provide information towards on the correlation between poverty and self-rated health in consideration of elements of health behaviors and family and friend support in Philippines. Methods: Data was collected on 15th to 28th of February 2011 by using structured questionnaire through interview method. Study area is Antipolo and Tondo in Manila, Philippines. Sample size was 1,100 but only 658 cases was analyzed due to incomplete questionnaire. Results: Results show that the poverty has direct negative influence on self-rated health, while the presence of family and friend support decreased negative influence. And through the analysis of mediated moderation model, similarly poverty has also indirect negative effect on self-rated health by health behaviors and family and friend support. Especially, regular exercise was found to be a major variable that mediates poverty and self-rated health. Conclusion: In conclusion, to improve the self-rated health state of respondents need to provide emotional support especially from family and friends. Also regular exercise should be encouraged by raising health awareness through continuous health education and promotion for the residents in order to develop health behaviors.

• 한국치위생학회지
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• 제8권4호
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• pp.279-291
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• 2008

This survey is to increase the quality of life by improved oral health. Total 572 Youngnam area residence joined the survey and answered for the subjects of general aspect & health activity, self-determined oral health status, oral health knowledge, oral health activity, food behavior, OHIP-14,THI, QOL. Survey was analyzed by SPSS (Ver. 12.0). Result of the study is summarized as follows; 1. Among total 572 residents, women were 58% and 20~29 aged were 35.5%, highest. In academic background, High school graduated were 59.6%. In average monthly income view, Lower than 1.5 million KRW was 43.5%, 49.3% replied drinks 1~3 times a month. No smoking group was 73.1%. No exercise group was 35.5% and every day exercise group was 11.4%. In self evaluating about oral health status question 40.4%(231) replied as bad, which was highest. 2. Women have higher score about oral health knowledge. Woman and Every day exercise group have better score about oral health practice. Man, 40~49 aged, more than 2.51 million KRW avg' income, every day exercise groups has good score about diet related question. 3. OHIP-14 has lower score as age is older, as more income. THI shows higher score from woman, 20~29, more income group and QOL has higher score from more than college educated, every day exercise groups. 4. Similar correlation indexes on QOL are OHIP-14, diet, oral health knowledge, oral health practice listed in order of effect size. Self-determined oral health index is important to improve quality of life along with health activity, especially oral health recognition index is different depends on age and monthly income that addresses it is necessary to deliver training with carefully designed oral health training program development.

• 보건교육건강증진학회지
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• 제23권1호
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• pp.23-43
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• 2006

Objectives: To investigate the drinking behavior and related factors of community residents in G city. Methods: Examination was executed with questionnaire to 1973 adults. Data were collected from October 1, 2005 to November 16, 2005. Drinking behavior involves rate of drinking, frequency of drinking, age of starting drinking, drinking amount, rate of attempts to drink moderately and reasons for reducing drinking. Related factors involves the general characteristics, the habits of health behaviors. This was analyzed with frequency, percentage, mean, standard deviation, x2-test, t-test, ANOVA and logistic regression. Results: The drinking rate of the respondents was 67.4%, that rate of male was 83.1%, while that rate of female was 52.5%. The drinking rate was higher in groups of younger aged and highly educated people than that rate of the other groups. The highest level of drinking frequency was ones or twice a week. The drinking frequency of those who drank more than three times weekly was higher in the groups of male, old aged, married people, low educated people, rural residents, farmers or fisherman or laborers and those who unemployed or who did not exercise frequently and control their body weight. These individuals also preferred salty food and meat and fish, dined out frequently, did not visit dental clinic regularly, and tend to be smokers. The mean of the age of starting drinking was 21.17 year-old, that of males was 19.94 year-old, that of females was 22.82 year-old. The mean of the age of starting drinking was lower in groups of male, young aged, unmarried, college educated, rural residents, clerks, high monthly income, healthy and no illness, and smokers than that of the other group. The average of the drinking amount was 5.77 pack, that of males was 7.41 pack, and that of females was 3.31 pack. The drinking amount is much more in groups of males, fifties, unmarried, college educated, rural residents, self-employed, healthy people, and smoker than the other. 33.4% of the respondents attempted to drink moderately. According to the reasons of trying to drink moderately, the rate of prevention illness was highest. Conclusions: The variables of influencing drinking were sex, marital status, education, smoking, monthly income, health status, and stress.

• Journal of Radiation Protection and Research
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• 제33권4호
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• pp.183-196
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• 2008

원전주변의 주민에 대한방사선량의 대부분을 음식물 섭취에 의한 내부피폭이 차지하고 있다. 그러나 우리나라 원전에 적용하고 있는 음식물 섭취 관련 인자는 1989년 한국원자력연구소가 고리원전 주변지역을 대상으로 수행한 현장조사 결과를 계속 적용하고 있어 최근의 식습관 변화를 적절히 반영하지 못하고 있다. 또한 우리나라는 미국 NRC (Nuclear Regulatory Commission) 에서 적용하고 있는 최대개인에 근거하여 음식물 섭취율을 결정하고 있다. 그러나 최근의 ICRP (International Commission on Radiological Protection) 의 권고 및 유럽의 관련 지침에서는 결정집단 또는 결정집단을 대표하는 개인에 대해 선량을 평가토록 권고하고 있다. 따라서 이러한 식습관의 변화추이나 피폭평가대상에 대한 국제적인 권고기준에 준하는 음식물 섭취율 설정방법에 대한연구가 필요하다. 보건복지가족부에서는 국민건강증진법에 의거 매 3년마다 전국 규모의 국민의 식품 및 영양섭취실태 조사를 실시하고 있다. 따라서 본 연구에서는 이러한 정부조사자료를 활용하여 주기적으로 음식물 섭취량 자료를 갱신할 수 있는 방안을 연구하였다. 보건복지가족부에서 $2001{\sim}2002$년에 수행한 국민영양조사원자료(raw data)를 분석하여 결정집단을 대표하는 개인의 음식물 섭취율을 결정하는데 이용할 수 있는 기초통계량을 제시하고, 또한 현재 국내 원전에서 적용하고 있는 최대개인의 음식물 섭취율을 재설정하였다.

• Journal of Nutrition and Health
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• 제56권2호
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• pp.217-230
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• 2023

본 연구는 성인영양지수 조사지를 바탕으로 북한이탈주민의 전반적인 식사의 질을 평가하고자 진행되었다. 특히 연령대별 식품 섭취 빈도와 식습관 및 식행동, 영양 지수의 차이를 분석하였다. 대상자는 서울 및 경기 일부 지역의 만 19-64세 성인 166명을 대상으로 진행되었으며 각 연령대별로 20대 41명, 30대 41명, 40대 41명, 50대이상 43명으로 연령대를 평준화하였다. 연령대가 낮을수록 라면, 패스트푸드, 과자 (초콜릿, 사탕 포함), 달거나 기름진 빵 (케이크, 도넛, 단팥빵 등), 가당 음료 등 고에너지 식품 섭취 빈도와 외식, 야식 섭취 비율이 높은 것으로 나타났다. 또한 20대 연령대에서 총점 NQ, 절제 영역 총 점수가 낮고 등급은 '하'로 판정된 비율이 높았다. 50대 연령대에서 절제영역의 점수가 높게 나타난 원인은 라면, 패스트푸드, 과자, 달거나 기름진 빵, 가당 음료 등과 같은 고에너지 식품 섭취 빈도도 낮기 때문인데, 이는 이 집단이 절제력있는 식사를 하고 있는 것으로 비춰질 수도 있으나 중년층에서 패스트푸드, 라면과 같은 식품의 기호도가 낮아 아예 섭취 고려 대상이 아니라는 점에 주목해야 한다. 본 연구에서 주목해야 할 점은 연령이 낮을수록 식사의 질이 매우 열악하게 나타나 식사의 질 개선을 위한 맞춤형 영양 교육 프로그램 개발 및 보급의 필요성을 시사한다. 이에 본 연구의 결과와 시사점이 북한이탈주민의 건강 증진을 위한 영양 교육과 이를 위한 정책 마련의 기초자료로 활용되기를 기대한다.

• 농촌의학ㆍ지역보건
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• 제28권1호
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• pp.39-51
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• 2003

본 연구는 2002년 5월부터 9월까지 5개월간 경상남도 일개 군 보건소 한방진료실에 내소한 재진 환자를 대상으로 한방진료실 직원이 직접 설문지를 통한 일대일 면접 조사를 실시하였고, 면접 조사를 꺼리는 대상자에 대해서는 자기기입식 방법으로 자료를 수집하여 한방의료 이용 실태와 주민들의 이해도와 만족도를 파악하고 한방진료실을 한방의료서비스 부족지역으로 확대 설치하는 것에 대한 의견을 수렴하는데 그 목적을 두었다. 총 조사 대상자는 163명이었으며 본 연구의 결과를 요약하면 다음과 같다. 첫째, 보건소 한방진료실을 이용하는 주된 대상은 61세 이상이 전체의 65.0%로 과반수 이상을 차지하고 있으며 대상자의 13.5%만이 자신의 건강상태가 좋다고 인지하고 있었다. 둘째, 보건소 한방진료실의 치료법에 대한 사전인식 분석 결과 보건소 한방진료실에서 시행하는 치료법에 대해 올바르게 인식하는 비율은 54.0%로 나타났으며, 특히 침 시술의 경우에는 조사 대상자 모두가 보건소 한방진료실에서 시술한다는 것으로 인식하고 있었다. 셋째, 보건소 한방진료실 이용행태에 관한 분석 결과로는 한의학적인 치료를 받고 싶어서 한방진료실을 찾은 경우가 66.9%로 가장 많았으며 집에서 보건소까지의 소요시간이 1시간에서 2시간 사이까지 많은 시간이 걸린다고 응답한 사람도 9.2%나 되었다. 넷째, 보건소 한방진료실 이용자의 한방보건의료에 대한 요구도를 조사한 결과 이동진료, 금연프로그램, 거동불능자 방문 프로그램 순으로 한방지역보건사업에 대한 요구률이 높았으며 다른 면지역으로의 한방진료실 확대 설치에 대한 요구도 조사에서는 조사 대상자의 73.7%가 한방진료실 확대 설치가 필요하다고 응답하였다. 다섯째, 한방진료실 확대설치 요구도는 학력이 높은 집단, 집과 보건소와의 거리가 멀다고 생각하는 대상자, 치료비에 대한 만족도가 높은 집단에서 높은 것으로 나타났다. 이상의 결과를 볼 때 농촌지역의 한방진료서비스에 대한 이용도가 높은 것으로 나타났으며 도시지역에 비하여 한방의료자원의 분포가 낙후되어 있는 농촌지역 실정으로 보건소에 한방진료실을 설치하여 시행한 한방진료서비스에 대한 이용자들의 만족도 또한 매우 높다는 것을 파악할 수 있었다. 이러한 주민들의 높은 한방진료서비스에 대한 요구에 부응하기 위해 한방지역보건사업을 합리적으로 실시하고 한방진료실이 설치되어 있지 않은 면지역 보건지소로의 적극적인 확대설치가 적극 검토되어야 할 것이다.