• Title/Summary/Keyword: 흡연관련 의료비

Search Result 40, Processing Time 0.043 seconds

Association Between Lifestyle and Medical Expenses of Older Adults With Mental Illness: Using Korea Older Adults' Cohort Database (노인 코호트 DB를 이용한 정신과 질환 동반 노인의 생활 습관과 의료비 지출 크기의 연관성 분석 연구)

  • Jeong, Jiin;Bae, Suyeong;Yoo, Eun-Young;Hong, Ickpyo
    • Therapeutic Science for Rehabilitation
    • /
    • v.12 no.1
    • /
    • pp.51-63
    • /
    • 2023
  • Objective : This study aimed to analyze the association between lifestyle and medical expenses of older adults with mental illness using claims data. Methods : We conducted secondary data analysis using the older adult cohort database provided by the Korea National Health Insurance Service. The lifestyle and medical expense variables were extracted from the cohort database. We used a generalized linear model to examine the association between lifestyle and medical expenses. Results : In total, 32,853 records were extracted. The results showed that smokers had medical expenses (estimate = -218,255, p = .037). As the number of days of walking increased, medical expenses significantly decreased (estimate = -58,843, p < .0001). Furthermore, as the number of days of drinking decreased, medical expenses increased (estimate = 692,289, p < .0001). Conclusion : This study analyzed the estimates of medical expenses according to lifestyle among older adults with mental illness. Smoking and exercise were negatively associated with medical expenses. These results suggest the importance of a healthy lifestyle for older adults with mental illness. In addition, this study can be used as clinical evidence for lifestyle management programs to improve physical and mental health.

A Study on the Influencing Factors of Smoking and Oral Health in Adult Males, and Necessity of Supporting Smoking Cessation in Dental clinics (성인 남성의 구강건강 흡연영향요인과 치과의료기관의 금연지원 필요성에 관한 연구)

  • Kim, Seol-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.20 no.11
    • /
    • pp.273-281
    • /
    • 2019
  • The purpose of the study was to analyze smoking impact factors, knowledge about effects of smoking and effects of oral health-related quality of life. The subjects were 165 male dental clinic visitors. The survey was conducted from November to December 2018. The examinations were smoking impact factors, knowledge about effects of smoking on oral health, oral health-related quality of life, and recognition of smoking cessation support in dentistry. Survey data were analyzed using statistical programs of PASW Statistics ver. 18.0. Smoking groups were more stressful than non-smoking groups(13.0, 9.97) and drinking frequency was higher(2/week, 0.96/week)(p<0.05). Smoking had a significant correlation with stress(r= .283, p<0.001) and stress with OHIP(r= -.263, p<0.001). Regression results show that stress and frequency of drinking are significant factors(p<0.05). Smoking cessation support service was recognized by 32.9 %, but experience of service was only 19.4 %. Smoking cessation support of dentistry was answered positively by 65.5 %. The above results reveal the need for stress and drinking control, oral health education, and active support of oral health professionals for smoking cessation.

The Development of Tobacco Litigation in USA and it's Impact of Law and Politics in Public Health (미국 담배소송의 변천과 보건법정책 효과)

  • Kim, Un-Mook;Kim, Ji-Hyun
    • The Korean Society of Law and Medicine
    • /
    • v.12 no.1
    • /
    • pp.133-173
    • /
    • 2011
  • Since mid-1960s the reports from the Surgeon General, the World Health Organization, and other health experts state that there is no risk-free level exposure to smoking and secondhand smoke. Tobacco smoke is made up of more than 7,000 chemicals. Hundreds are toxic, and at least 70 are carcinogens. The chemicals in tobacco smoke reach smoker's lungs quickly every time smoker inhale causing damages immediately. Inhaling even the smallest amount of tobacco smoke can also damage smoker's DNA, which can lead to cancers. Smoking is responsible for more than 87% of lung cancers, but there are a host of other chronic diseases directly related to exposure to tobacco smoke. It's also a major cause of heart disease, stroke, aortic aneurysm, peripheral arterial disease and most of the other diseases. In the United States, each year with more than from 440,000 to 520,000 deaths caused by smoking and exposure to involuntary smoke. They conclude that smoking is the single most important source of preventable morbidity and mortality. The United States of America have about 60-year history of tobacco litigation. Tobacco litigation has been an important tool in tobacco control strategies aimed at limiting the activities of tobacco companies and providing redress to people who have become ill as a result of their use of tobacco products. Tobacco litigation is a kind of tort litigation. Quite often, as in the asbestos and other mass tort litigation episodes, tobacco litigation can play an educational role, warning the public about the magnitude of health risks that might otherwise be less clearly perceived. Tobacco litigation allows smokers, their families or other victims of smoking to sue tobacco companies in order to be compensated for the harm they have suffered. Potential benefits of tobacco litigation include compensation for smoking-related damages, strengthening regulatory activity, publicity, documents disclosure and changing tobacco industry behavior. And also tobacco litigation can limit the political activities of tobacco industry, protect human rights of smokers and non-smokers, increase burden to tobacco price-up and enhance the effects of law and politics in public health.

  • PDF

일본에서의 건강증진사업의 노력과 성과 : 건강일본 21의 중간평가

  • O, Eun-Hwan
    • Proceedings of The Korean Society of Health Promotion Conference
    • /
    • 2009.05a
    • /
    • pp.108-108
    • /
    • 2009
  • 일본에서는 일차보건의료의 중요성을 강조하고 건강증진 향상을 위한 노력의 일환으로 제기된 알마아타선언이 발표된 1978년과 때를 같이 하여 같은 해부터 국민건강 만들기 대책이 시작되어 지금까지 30여년의 시간이 지났다. 그 동안 두 차례의 정책수정 과정을 거쳐, 2000년부터는 제3차 건강만들기의 활동으로 "건강일본 21"을 실시하고 있다. 건강일본 21의 기본적인 목적은 모든 국민이 건강하고, 활기가 넘치는 사회를 실현하며, 조기사망을 예방하고 치매와 같은 병상상태의 생활에서 벗어나 건강수명을 연장하는 것으로 하고 있다. 이를 위하여 조기사망이나 장애와 관련된 암, 뇌졸중, 심장질환, 자살 등과 같은 질환군을 파악하고, 이러한 질환군에 영향을 미치는 비만, 고혈압, 당뇨, 치주질환 등에 관한 위험군을 찾아내어, 이러한 것들을 사전에 예방할 수 있도록 하는 흡연, 음주, 식사, 운동과 같은 생활습관과 관련된 요인들을 개선하도록 하는 노력을 기울이고 있다. 이에 본 연구에서는 건강일본 21에서 사업영역으로 정한 (1) 영양 및 식생활, (2) 신체활동 및 운동, (3) 휴양 및 마음의 건강 만들기, (4) 흡연, (5) 음주, (6) 치아건강, (7) 당뇨병, (8) 순환기질환, (9) 암 등에 관한 각 분야에 있어서 현재의 현황을 알아보고, 지금까지의 성과를 파악하며 앞으로의 현실가능성을 전망해 보았다.

  • PDF

The Convergence correlational Study on Office Workers' Health Related Behaviors and Prevalence Rates of Metabolic Syndrome (직장인의 건강관련 행위와 대사증후군 요인별 차이 융합적 연구)

  • Kim, Mi Jin
    • Journal of the Korea Convergence Society
    • /
    • v.7 no.3
    • /
    • pp.99-109
    • /
    • 2016
  • The purpose of this study is to offer evidence that supports effective prevention strategies for people with chronic lifestyle related disease and cardiovascular disease based on understanding relations between health related behaviors and risk factors of metabolic syndrome, to suggest a basic indicator that are related to office workers' chronic lifestyle related disease and to provide basic information for educating people who are diagnosed with chronic lifestyle diseas.Research methods include SPSS / Win Program ver 20.0 utilization analyzes were, variables and relationships to analyze it to F-test verification and ANOVA test conduct was, associations verify the order $x^2$(Chi-square) validation was conducted.Participants of this study are office workers who took medical examination covered by employee health insurance athealth screening centers in the city of Seoul. All 291 participants were explained about the purpose of this study and signed consent forms. The prevalence of metabolic syndrome for 291 participants is 19.2 %. The prevalence of metabolic syndrome for a non-smoker group is 12.7 %, for a group of people who used to smoke lightly is 25.0 %, for a group of people who used to smoke heavily is 25.9 %, for light smokers group is 29.7 % and heavy smoker group is 26.7 %. As results of this convergence study exhibits, there is a strong correlation between smoking and drinking habits, and the prevalence of metabolic syndrome.

The Clinical Study on the Neonate Delivered Under the Condition of the Maternal Smoking and Alcohol in Pregnancy (재태기간 중 산모의 음주와 흡연에 노출된 신생아의 임상적 고찰)

  • Kong, Sun Hui;Kim, Soo Yeon;Lee, Ho Jun;Kim, Hak Sung;Lee, Dong Woo;Kim, Jae Yoon
    • Clinical and Experimental Pediatrics
    • /
    • v.48 no.1
    • /
    • pp.34-39
    • /
    • 2005
  • Purpose : Perinatal complications associated with maternal smoking and alcohol ingestion in pregnancy have been well documented. But until now there has been no clinical data on it collected in our country. In this paper, we tried to research the association between maternal smoking and alcohol ingestion in pregnancy and the physical indices of the neonate at delivery among unmaried mothers from one charitable institution. Methods : We enlisted 125 unmarried with a history of smoking and alcohol consumption during pregnancy who delivered a baby in National Medical Center from March, 2001 to March, 2004 as a study group. As a control, 174 unmarried mothers without a history of smoking and alcohol were enlisted. Then, we compared the physical indices - birth weight, height, and the head circumference - of the neonates from both groups. Furthermore, we investigated the effects of the period and the quantity of maternal smoking and alcohol ingestion on the physical indices of the neonates from the both groups. Results : Low physical indices of neonates were found in the study group(either smoking group, or drinking group) compared with the control group. The quantity of smoking or drinking and the period of smoking or drinking have no significant effect on physical indices. Conclusion : We found that maternal smoking and alcohol result in the low physical index of neonates, and educational initiatives must be directed at expectant mothers to emphasize the harmful effects of smoking and alcohol ingestion in pregnancy.

Effect on ambulatory dental visitation frequency according to pack-years of smoking (흡연력이 치과외래이용횟수에 미치는 영향)

  • Jeong, Sun-Rak;Doo, Young-Taek;Lee, Won Kee
    • Journal of the Korean Data and Information Science Society
    • /
    • v.27 no.2
    • /
    • pp.419-427
    • /
    • 2016
  • To examine whether the effect on utilization of ambulatory dental care are associated with oral disease according to pack-years of smoking in Korean population. Using data from Korea Health Panel between 2008 and 2012, we analyzed 3,866 participants who were male and more than 20 years. Pack-years of smoking were significantly associated with utilization in ambulatory dental care after adjustment for age, marital status, family income, and chronic disease. Ambulatory dental visitation frequency has been estimated to increase by 6% when 10.0 pack-years of smoking increased. Especially, the smokers who had 20.0~29.9 and 30.0 or more pack-years of smoking in forties and fifties males were 25% and 52% respectively more than non-smokers in utilization of ambulatory dental care.

Health Promotion Through Healthy People 2010 ("2010년대 건강한 시민" 정책을 통한 미국의 건강증진 방향)

  • Cho, Jung H.
    • Proceedings of The Korean Society of Health Promotion Conference
    • /
    • 2004.10a
    • /
    • pp.17-58
    • /
    • 2004
  • 뉴저지주 보건교육/건강 증진정책을 논하기전에 건강증진과 보건 교육사의 뜻을 먼저 기술하기로 한다. 건강증진이란 일상 사회생활과 행동과학의 응용에서 시작하며 교육의 효율적 작전 및 기술, 질병 역학 조사, 개인 및 가족단위 건강 위해 행위 절감, 사회연관 구축망 조성, 그리고 적게는 이웃, 더 나아가 조직체계 및 지역 사회의 네트웍 실시등을 실시한다. 보건교육 및 건강증진 전문가란 ' 전국 보건교육 인증 위원회(NCHEC) ' 에서 채택된 다음 7개 활동 영역에서 개인적, 그룹, 각주단위, 그리고 범 국가적 조직에서 종사하는자로 한다. 개인 및 지역사회 보건 교육 필요성 분석- 계회, 실행, 효율성 평가, 사업 진행 조정, 자문, 컴뮤니케이션 등의 활동범위를 들 수 있다. 공인 보건 교육사(CHES)란 대학 및 대학원에서 보건 교육학 소정의 필수 과목을 이수하고 학.석사 소지자로서 ' 전국 보건 교육 인증 위원회 ' 에서 그 자격을 인정 받고 공인 자격 시험에 합격한자로 한다. 합격자는 자기 성명뒤에 CHES란 칭호를 부치며 매 5년마다 75단위이상 인정된 전문 직업 보수 교육을 받아야 한다. 보건 교육사 고용 분야는 연방, 주, 지방 정부의 보건 교육사(10-15%) 및 건강 증진 전문가로 종사하며; 이들은 지역 사회 조직화, 프로그람 기획, 공공사업 마켓팅, 메디아, 컴뮤니케이션 자질을 갓추어야 하며; 상해 예방, 학교 보건, 지역 사회 영양 실태 향상, 그 외 모든 건강 증진과 질병 예방에 일익을 담당 하여; 의사, 간호사, 약사, 영양사,환경 위생사드의 전문분야종사자들괴 한팀이 되어 지역 사회 보건 사업에 기여한다. 쥬저지 보건 교육사들은 주법령 8조 '||'&'||' 보건행정 표준 시행령 ' 에 따라 포괄적 보건교육/건강증진 프로그램을 개발하여 총체적으로 조절 관장한다. 특희 ' 미국 학술원 의료 연구원 ' 에서 제정한 ' 10대 필수 공중 보건 사업 ' 에 기준을 두고; 1) 개인 및 지역사회 필수 보건 여건 분석 평가, 2) 보건 교육 이론에 따른 사업 계획 설정, 3) 교육 전략과 보건문제 발굴에 따라 일반 대중 대상 보건 교육 실행 (프로그람 기획, 연수 교육, 미디어 캠페인, 공중보건 향상책 옹호), 4) 사업 진행 과정 정리, 그 결과에 대한 영향력과 결과 평가, 5) 프로그램진행, 인사 및 예산관리 참여, 6) 근무향상을 위한 보수교육 프로그램 개발, 7) 보건 의료 업무 종사자 상호 협조성 향상 훈련, 8) 지역 사회자원 밭굴, 9) 적절한 고객 의뢰 체제 시행, 10) 위기 관리 컴뮤니케이션 체제 개발실시, 11) 일반 대중에게 공중 보건 향상 고취, 12) 각종 협력 지원금 신청서 작성 제출, 13) 문화/인종적으로 적절한 시청각 교재 발굴, 15) 질적 및 양적 보건교육/건겅증진책 연구 실시, 16) 비 보험 가담자, 저 보험자, 빈곤자, 이민자 색출 선도, 17) 관활 구역내 상재하는 각 건강증진 프로그램 밝혀 내서 불필요한 중복 회피등이다. 그 외에도 보건 교육사들은 사회 복지 단체인 미국 암 협회, 미국 심장 협회,미국 폐장 협회 등 각종 사회 복지 비영리단체 와 자선 사업 단체들과 긴밀희 협조하거나 그 단체 임직원으로서 건강 증진 사업에 종사한다. 병원 및 의료기관에선 임직원 보수 교육, 환자의 질병 예방및 건강증진 교육, 그리고 의료 사업장내 건장 증진업무에 종사한다. 건강 유지 의료 기관(HMO)에선 예방주사, 정기검진 촉진등을 통한 입원일수 절감, 응급실 사용도 절감등으로 의료비 감축, 삶의질 향상상에 종사한다. 사업장 보건 교육사는 스트레스 관리, 금연 및 흡연 중단선도, 체중 절감, 종업원 건강증진 생활화참여 유치, 컴뮤니케이션 개발, 마켓팅, 질병 예방등에 그 전문 직업적 노하우를 사업체 건강 증진 프로그램 개발에 접목한다. 뉴저지 2010년대 건강 증진책은 5대 목표 설정하여 현재 시행하고 있다. 특이한점은 2001년 9.11사태 이후 연방정부와 주정부의 상당한 예산 지원을 그랜트 지원금 형식으로 받아 연방, 주정부, 지방 정부, 의료 기관등에서 일사 불란하게 생물/화학/방사성 테러에 대비하는데 보건 교육사들은 시민 인지도 향상과 위기관리 컴뮤니케이션 영역에서 활약한다. 총체적인 보건 교육/건강 증진책은 다음 천년간 뉴저지 건강증진 백서와 미연방 정부 건강증진 2010에 준하여 설립한 뉴저지 건강 증진 2010 에 의한다. 그 모델을 보면; 1) 생활 습관 향상으로 위해 행위 절제; 적절한 영양 섭취 와 과체중화 차단 불필요한 투약 절제와 그 관리 흡연 탐익 절감, 금연, 흡연관련 신체/정신적 피해 관리/치료 습관성 약물 중독 조기발견 예방 낙상 예방 폭력, 의도적/비의도적 상해 예방 2) 심장질환, 암, 뇌졸중, 당뇨, 폐염, 인프루엔자등 주사망원인 질병 조기 발견 예방 책 마련; 독감.폐렴 예방 주사 실시 3) 보건 교육 대상과 표적 설정 특히 보건사업 참여 동반자 발굴하여 그 동참과 책임분담 책려; 주. 지방 정부기관, 의료 종사자, 의료 보험 업자, 대학 등 교육 기관, 연구 기관, 교육자, 지방 보건소, 지역 사회 비 영리단체, 종교 단체 및 교역자 등의 참여 촉구., 지역 사회 비 영리단체, 종교 단체 및 교역자 등의 참여 촉구.

  • PDF

Awareness and Purchase of the Private Dental Insurance among Dental Patients in the Capital Region (수도권 지역 치과의료기관 이용자의 민영치과의료보험에 대한 인식과 가입 현황)

  • Yang, Dal-Nim;Choi, In Young;Kim, Kwang-Jum;Kwon, Young Dae
    • The Journal of the Korea Contents Association
    • /
    • v.13 no.7
    • /
    • pp.322-332
    • /
    • 2013
  • This study investigated the awareness and purchase status of the private dental insurance. Self-reported survey was conducted with patients over the age of twenties who visited dental institutions located in Seoul Metropolitan City and Gyeonggi Province. The demographic and health related characteristics of respondents were analyzed, and logistic regression was conducted to examine factors affecting the awareness and purchase of private dental insurance. Because only four years had been passed since the introduction of private dental insurance, the awareness and purchase rate was found to be low. However, the number of people considering subscription due to the economic burden of dental care service was relatively high. Factors affecting awareness were satisfaction of the national health insurance, purchase of private health insurance and private dental insurance, self-perceived dental health status, and smoking. The variables affecting purchase of dental insurance were age, awareness, purchase of private health insurance, smoking, number of visits to dental institution. Because qualitative and quantitative change would be made in the dental care utilization due to the rapidly growing dental insurance subscribers, further studies regarding the trend of purchase rate of private dental insurance and the effect of dental insurance on use of dental institution are needed.

The Relationship between Obesity and Cardiac Autonomic Regulation in College-Aged Male Smokers (남자흡연대학생의 비만과 심장자율신경조절의 관련성)

  • Kim, Choun Sub;Kim, Maeng Kyu
    • Journal of the Korean Applied Science and Technology
    • /
    • v.36 no.1
    • /
    • pp.142-152
    • /
    • 2019
  • This study aimed to explore the association between obesity index and heart rate variability (HRV) in college-aged male smokers. A total of 85 male college students (> 10 cigarettes per day for at least 3 years) were participated in this study. According to a standardized protocol, body mass index (BMI), percent body fat (%BF), waist circumference (WC), and waist-to-hip ratio (WHR) were taken as obesity indices. Resting r-r interval was monitored for HRV analysis as an indicator of cardiac autonomic regulation. Compared with low WHR subjects, high WHR subjects had significantly lower values of rMSSD, pNN50, HF, and SD1, suggesting decreased parasympathetic activity. No such differences in LF/HF ratio were found between the WHR-based subgroups. Bivariate correlation analysis showed that obesity indices of WC, WHR, and %BF were significantly associated with rMSSD, pNN50, HF, and SD1, with a tendency for correlation coefficient to be higher with WHR than with WC or %BF. No significant association was found between BMI and HRV parameters indicative of parasympathetic activity. This study suggest that central obesity is significantly associated with decrease in parasympathetic activation, independent of BMI as an indicator of obesity, in male college smokers.