• 여성건강간호학회지
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• 제28권2호
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• pp.145-153
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• 2022

Purpose: This study aimed to investigate the influencing factors of breast cancer recurrence by comparing the risk factors and lifestyle patterns related to breast cancer in Korean women with and without recurrence. Methods: This cross-sectional survey comprised 241 Korean women diagnosed with breast cancer who had received follow-up treatment. Participants were recruited from a university hospital in Seoul and an online social media platform for breast cancer patients. Data were collected either via online or a paper survey, using a structured questionnaire that included general and disease-related characteristics and lifestyle behaviors. Data were analyzed using descriptive statistics, univariate analysis, and logistic regression. Results: Recurrence of breast cancer was influenced by four factors; childbirth experience, consumption of green/yellow vegetables, drinking behavior, and recovery from fatigue after sleep. Prevalence of recurrent breast cancer was associated with no childbirth experience (OR=2.29, p=.010), fewer green/yellow vegetables (OR=0.71, p=.008), drinking behavior (OR=0.24, p=.001), and a lower level of recovery from fatigue after sleep (OR=0.51, p<.001). Conclusion: Aside from having experienced childbirth, this study identified several modifiable factors that influence breast cancer recurrence. Increasing green/ yellow vegetable intake, alleviating fatigue, and reducing alcohol intake are important. Intervention strategies in clinical research and practice can be applied to address risk factors and reduce the prevalence of recurrent breast cancer.

• 스트레스연구
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• 제25권2호
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• pp.93-97
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• 2017

본 연구는 대학생의 자기 주장성과 폭음 수준이 성폭력 피해를 예측하는지 알아보았고, 폭음 수준이 자기 주장성과 성폭력 피해 여부 간에 조절 역할을 하는지 탐색해 보았다. 대학생 405명이 연구에 참여하였고 익명성 보장을 위해 모바일 기반 설문 응답을 사용하였다. 설문지에 응답하지 않은 12명의 참여자를 제외한 393명(남: 161명, 여: 232명)의 자료를 분석하였다. 로지스틱 회귀분석을 통하여 자기 주장성, 폭음 수준, 자기 주장성과 폭음의 상호작용을 예측 변인으로, 성폭력 피해여부를 기준 변인으로 설정하여 분석하였다. 분석 결과 자기 주장성과 폭음 수준이 성폭력 피해 확률을 유의하게 예측하는 것으로 나타났다. 즉, 자기 주장성 수준이 낮을수록, 폭음 수준이 높을수록 성폭력 피해 확률이 유의함을 나타냈다. 또한 자기 주장성과 폭음의 상호작용이 성폭력 피해 확률을 유의하게 예측하였다. 상호작용에 대한 단순 주 효과 분석을 실시한 결과 폭음 수준이 낮은 집단의 경우 자기 주장성이 성폭력 피해 확률을 유의하게 예측한 반면, 폭음 수준이 높은 집단의 경우 자기 주장성이 성폭력 피해 확률을 유의하게 예측하지 않는 것으로 나타났다. 이러한 결과를 통하여 대학생의 성폭력 피해 예방을 위한 프로그램 적용 시 자기 주장성 훈련만이 아니라 건전한 음주 교육이 병행되어야 할 것을 제안하였다.

• 지역사회간호학회지
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• 제23권1호
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• pp.13-21
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• 2012

Purpose: The purpose of this study was to estimate the effects of lifestyle factors on metabolic syndrome (MS) among Korean adults ($age{\geq}20$). Methods: A total of 7,798 subjects (weighted subjects=37,215,961) were recruited from the 2009 Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Data were analyzed by t-test, ${\chi}^2$-test, and logistic regression in consideration of strata, cluster and weight as national data using the SAS 9.1 program. Results: The prevalence of MS by definition of AHA/NHLBI and waist circumference cutoff points for Koreans was 22.4%. The mean clinical MS score for MS patients was 3.4, but the mean score for the non-MS group was 1.2 out of 5.0. Among the lifestyle factors, smoking (OR=1.024), stress ($0.546{\leq}OR{\leq}0.587$) and drinking (OR=1.005) had significant influence on the MS risk and MS scores, but exercise did not. Conclusion: The results of this study indicate that further research is necessary on the effect of lifestyle factors on MS risk and nurses should focus on effective programs about smoking, stress and drinking for the prevention and reduction of MS risk.

• Journal of Korean Biological Nursing Science
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• 제25권1호
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• pp.73-85
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• 2023

Purpose: This study focused on identifying the interaction effects of genetic and lifestyle-environmental factors on the development of type 2 diabetes mellitus (T2D). Methods: Study subjects were selected from the Korean Genome and Epidemiology Study (KoGES) from 2001 to 2014. Data on genetic variations, anthropometric measurements, biochemical data, and seven lifestyle factors (diet, physical activity, alcohol drinking, smoking, sleep, depression, and stress) were obtained from 4,836 Koreans aged between 40 and 59 years, including those with T2D at baseline (n = 1,209), newly developed T2D (n= 1,298) and verified controls (n = 3,538). The genetic risk score (GRS) was calculated by using 11 single-nucleotide polymorphisms (SNPs) related to T2D development and the second quartile was used as the reference category. A Cox proportional hazards regression model was used to evaluate the associations of GRS and lifestyle factors with T2D risk, controlling for covariates. Results: Multivariate regression analysis revealed that GRS was the strongest risk factor for T2D, and body mass index (BMI), smoking, drinking, and spicy food preference also increased the risk. Lifestyle/environmental factors that showed significant interactions with GRS were BMI, current smoking, current drinking, fatty food preference, and spicy food preference. Conclusions: Interactions between genetic factors and lifestyle/environmental factors were associated with an increased risk of T2D. The results will be useful to provide a new perspective on genetic profiling for the earlier detection of T2D risk and clues for personalized interventions, which might be more effective prevention strategies or therapies in individuals with a genetic predisposition to T2D.

• Journal of Preventive Medicine and Public Health
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• 제46권4호
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• pp.155-164
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• 2013

Noncommunicable diseases (NCDs) are the most important causes of premature mortality and disability-adjusted life years in Korea. NCDs are also the main contributor to socioeconomic inequalities in mortality and life expectancy. Reduction of NCDs and NCD inequalities would result in significant improvement in healthy life expectancy and health equity in Korea. Major NCD risk factors such as dietary risks (including salt intake), alcohol consumption, cigarette smoking, and high blood pressure were found to be the leading modifiable risk factors of disability-adjusted life years in Korea, based on the 2010 Global Burden of Disease Study. Several Korean studies have shown that these risk factors play an important role in creating socioeconomic inequalities in NCD mortality and total mortality. Current international discussions on NCD policies in the United Nations and the World Health Organization would provide better opportunities for developing aggressive population-wide policy measures in Korea. Considering the paucity of population-wide policies to control major NCD risk factors in Korea, rigorous population approaches such as taxation and regulation of unhealthy commodities as well as public education and mass campaigns should be further developed in Korea.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제27권3호
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• pp.181-187
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• 2016

Objectives: This study investigated the relationship between depression, attachment and addiction problems in runaway youths. Methods: We sent a questionnaire package to 187 runaway youths in 18 adolescent shelters. The questionnaire package collected their sociodemographic data and included the Patient Health Questionnaire-9, Inventory of Parent Attachment (IPA), Korean Internet Addiction Self-Scale (K-Scale), Korean version of Alcohol Use Disorders Identification Test, and Korean version of the $Fagerstr{\ddot{o}}m$ Test for Nicotine Dependence. Results: The percentage of youth with depression was 28.8% (N=54). In the depression group, there were significantly more problematic alcohol users (53.06%, p=.0199) and significantly lower IPA scores (p=.0064). There was a significant negative correlation between depression and a IPA, and significant positive correlation between depression and the K-Scale. Conclusion: These results suggest that runaway youths with depression have more problematic alcohol drinking and attachment problems.

• 동아시아식생활학회지
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• 제21권4호
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• pp.563-576
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• 2011

The purpose of this study was to investigate night-time eating habits, and dietary habit and nutrient intake of university students in a particular area of Chungnam. We surveyed night-time eating status, frequency, and preference for eating foods at night in 458 university students. We divided the subjects into two groups according to their night-time eating habits and gender and compared dietary behavior, lifestyle, and nutrient intake between the groups. In total, 77.1% of the students ate a night-time snack. The major reason why they ate a night-time snack was hunger. The cost of the night-time snacks was 3,000~10,000 won and they ate mostly with their friends. The order of frequent night-time eating foods was beverage, milk and its products, snacks, flour foods, and fruits. The subjects with a night-time eating habit skipped breakfast, went to bed late, and drank alcohol more than subjects without a night-time eating habit. Total and animal fat intake of subjects with a night-time eating habit in both men and women were significantly higher than subjects without a night-time eating habit. In conclusion, night-time eating by university students may be a bad habit from the viewpoint of skipping breakfast, drinking alcohol, and eating a high fat diet. Therefore, in support of proper dietary management, it is necessary to form positive dietary habits, including night-time eating.

• 대한간호학회지
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• 제40권6호
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• pp.852-862
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• 2010

Purpose: This study was done to investigate differences in health behaviors by job stress level in male and female workers in a large-sized company. Methods: Participants were 576 male and 228 female workers who completed questionnaires. Job stress was measured using the 'Short Form Korean Occupational Stress Scale (SF-KOSS)'. Health behaviors included smoking, alcohol consumption, regular exercise, and diet. Frequency, mean, SD, chi-square test, and multivariate logistic regression using SAS version 9.1 were used to analyze data. Results: Smoking, drinking and regular exercise rates were not different by job stress level in male or female workers. Only regular diet was significantly different by job stress level in male and female workers. From multivariate analysis, the alcohol consumption rates for female workers differed by marital status. Regular exercise rate was significantly related to age for male workers and type of employment for female workers. After adjusting for demographic and work-related characteristics, regular diet significantly differed by shift work for male workers and marital status and shift work for female workers. Conclusion: The findings of the study indicate that nursing interventions should be developed to manage job stress to improve diet habits for male and female workers in large-sized companies.

• 농촌의학ㆍ지역보건
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• 제28권2호
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• pp.123-133
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• 2003

농촌 지역 남성 주민들을 대상으로 혈청 GGT 활성도와 혈압 및 혈청 지질의 관련성을 검토해 보기 위하여 경상남도 내 농촌 지역인 울주군 두동면과 창녕군 장마면에 거주하는 40세 이상의 남성으로서 1997년과 2000년에 실시한 주민 건강 검진에 참여하였던 사람들 중 379명의 자료를 분석하였다. 혈청 GGT 활성도의 수준을 중앙값을 기준으로 이분하여 두군에서의 수축기및 이완기 혈압, 혈청총 콜레스테롤, HDL-콜레스테롤의 평균치를 비교하였고 중성지방은 중앙값을 비교하였으며 통계학적 유의성은 t-검정과Wilcoxon rank sum 검정을 이용하여 검토하였다. 교란변수로 작용할 가능성이 있는 연령, 신체비만지수와 커피음용에의한영향은공분산분석으로보정하였다. 수축기 혈압과 이완기 혈압은 비음주자에서 GGT 활성도 수준이 높은 경우에 더 높은 값을 보였고 통계학적 유의수준에 접근하였다(P=0.055와 P=0.074). 음주자에서도 역시GGT 활성도가 높은 경우에 더 높은 값을 보였으나 통계학적 유의성은 없었다. 혈청 총 콜레스테롤은 비음주자에서 GGT 활성도가 높은 경우에 더 높은 값을 보였으며 통계학적 유의수준에 접근하였다(P=0.052). 음주자에서는 GGT 활성도 수준에 따라 비슷한 값을 보였다. 중성지방은 비음주자와 음주자 모두에서 GGT 활성도가 높은 경우에 더 높은 값을 보였다(P=0.035와 P=0.002). 이상의 소견으로 보아 혈청 GGT 활성도의 증가는 비음주자에서 혈청 중성지방, 총 콜레스테롤 및 혈압의 상승과 관련성이 있음을 암시한다.

• 한국보건간호학회:학술대회논문집
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• 한국보건간호학회 2002년도 제27회 보건종합학술대회
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• pp.224-227
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• 2002

Alcoholism affects not only the individuals who depend on it, but also their families. Children who have an alcohol dependent parent have various problems and need help, but little attention has been given to them. Many references report only negative characteristics of these children. In order to help the children of alcohol dependent parents, health professionals need more information. A wholistic understanding and analysis of these children is needed as a basis for the development of suitable programs of help them. A phenomenological methodology was used to identify the experience of children whose fathers were addicted to alcohol. The findings portray the essence of the lived experience of children of alcohol dependent fathers. Nine adolescents participated in in-depth inverviews and observation with the researcher, done between October and December 2001. The data were recorded on audio tape and transcribed. Sampling was continued until the data were theorectically saturated. The Colaizzi's method was used for data analysis. The results of this study are as follows. Three themes and twenty six meanings were identified. The first theme is Living Alone: living abusively as partner to an alcohol dependent father, living dangerously like an explosive fury, living as an object that ha no self, living with rejection of fatherly being, living with felt responsibility but having no power to help mother who suffers patiently with pain and abuse, living along with no shoulder to lean on, and living with the prejudice of sex discrimination. The second theme is Paradoxical Coping in Life. The meanings are obsessive behavior as a way to control father's behavior, always on the defensive due to anxiety and tension, being afraid of life alone due to paranoid thoughts, contradictory expectation about father's drinking behavior due to life with chronic tension, stress becoming familiar and life being boring and tendious without stimulation, life that is fake and filled with misinterpretations about reality, affection sought from others due to loneliness, compensatory life within peer group, negative expectation about the future due to negative experiences, controling others to protect ego, denial of real emotion to protect self from hurt, life of regretting self, and strong need for approval from others. The third theme is sustaining life. The meanings are ambivalence between revenge on father and pity, struggle for desirable self against fear of gather-like image, understanding father through self reflection, hope to find fatherly being through father's recovery, being able to stand through emotional control and cognitive restructuring, nurturing the seed of hope for the future while in a situation of desperation. The contribution of this study is to give a wholistic understanding of the empirical reality of children of alcohol dependent parents and to develop substantive theory in nursing knowledge. In nursing practice, the results of this study can provide a foundation for the development of programs for children of alcohol dependent parents.