• 가정과삶의질연구
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• 제23권2호
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• pp.93-106
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• 2005

Despite the importance of the marital treatment in the recovery process of alcohol dependency, the domestic situation lacks the programs for recovering alcoholic couples. It is very hard to find any program for couples with an alcoholic in recovery. Most of the related researches only deal with hospitalized patients and their families due to their limitations in contact with appropriate subjects. This imposes a limit in their expert and validity. This research finds its aim in investigating the needs of recovering alcoholic couples and of clinical professionals, and providing basic data for the development of program for recovering alcoholic couples. This research was studied with 20 recovering alcoholic couples with a mean duration of 3.9 years of sobriety and 10 clinical professionals with a mean duration of 7.5 years of alcohol-abuse counseling experience. As a result, it appeared that a marital program that covers communication skills, sex, domestic violence, financial problems and original family issues in relation with codependency would be appropriate; the program would also involve issues about relapse.

• 디지털융복합연구
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• 제14권4호
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• pp.11-17
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• 2016

본 연구는 65세 이상 노인들을 대상으로 음주문제의 정도와 우울과 가족관계 요인이 음주문제에 미치는 영향을 살펴보고자 하였다. 본 연구 자료는 한국복지패널(Korea Welfare Panel Study)의 2015년에 발표된 2014년의 자료를 사용하였다. 한국복지패널 자료는 서울을 포함한 7개 광역시와 제주도를 비롯한 9개도의 가구를 대상으로 연 1회 실시하는 전국적인 자료이다. 연구대상의 음주문제를 파악하기 위해 세계보건기구의 AUDIT(Alcohol Use Disorder Identification Test)척도를 사용하였다. 수집된 자료는 SPSS 21.0을 사용하여 분석하였다. 본 연구의 결과를 토대로 몇 가지 논의를 제시하면 다음과 같다. 첫째, 성별에 따른 음주문제의 차이를 교차분석한 결과를 살펴보면, 남성노인과 여성노인은 음주문제의 정도가 다르게 나타났다. 둘째, 인구사회학적 특성이 음주문제에 영향을 미치는 가를 살펴보면, 나이가 어릴수록 음주문제가 심각한 것으로 나타났다. 셋째, 우울과 가족관계가 음주문제에 미치는 영향을 살펴보면, 우울이 가족관계보다 상대적 영향력이 큰 것으로 나타났다. 이상의 연구결과에 따르면, 건강한 노후의 삶을 살아가기 위한 신체적 정신적 건강은 노인의 삶의 질에 중요한 요인으로 노인의 건강습관을 유지할 수 있도록 예방 차원의 접근은 매우 중요하다고 할 수 있다.

• Journal of Nutrition and Health
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• 제41권8호
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• pp.887-899
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• 2008

Recently the Ministry of Health and Welfare, Republic of Korea, announced the “Dietary Guidelines for Korean Adults (DGKA)”, which includes ten Dietary Goals, six Dietary Guidelines, and twenty-three Action Guidelines. DGKA are developed as the revision of the 2003 Dietary Guidelines for Koreans, targeting adult population. Dietary Guidelines are developed for general purpose as well as for different age groups. They are revised periodically to accommodate changes in diet and health problems of the population. The process of developing new DGKA can be summarized as 1) selection of focus areas, 2) analysis and review of available data for each area selected, and 3) derivation of guidelines based on the analyzed data, and 4) finalizing the guidelines after open discussions among the experts and general public. Five focus areas were selected by examining the Nutrition Goals of the Health Plan 2010 of Korea, soliciting proposals from the experts in the related fields, and reviewing existing and international guidelines. Five areas selected were 1) adequate intake of nutrients and foods, 2) balance of energy intake and physical activities, 3) alcohol intake, 4) food security and nutrition service, and 5) food safety. Adequacy of nutrient and food intakes of the Korean adult population was assessed using 2005 Korea National Health and Nutrition Examination Survey (KNHANES) data. Newly developed Dietary Reference Intakes for Koreans were used as reference values to assess the prevalence of inadequacies and excesses in nutrient intakes. Energy balance was examined with energy intake of 2005 KNHANES survey and results of physical activity questionnaire in the survey. Alcohol intake was also examined using 2005 KNHANES results of dietary intakes as well as the results of questionnaire survey on alcohol intakes. Food security, nutrition services, and food safety were analyzed using various government data and published results on the issues. Ten Dietary Goals and six Dietary Guidelines were developed after data analysis and were subjected to reviews of experts and general public. The final DGKA are: 1) Eat a variety of foods from each food group, 2) Increase physical activity and maintain healthy weight, 3) Eat proper amount of clean foods, 4) Avoid salty foods and try to eat foods with bland taste, 5) Avoid foods with high fat contents and deep-fried foods, and 6) When you drink alcohol, limit the amount. Twenty-three action guidelines are developed in order to achieve these guidelines in actual diet and life among the population. The government is disseminating the guidelines with “337” slogan and emblem. “337” indicates everyone should practice “3” guidelines of promoting good eating practice, “3” guidelines to limit or decrease in your diet, and you should practice them for “7” days a week. The guidelines will be useful in promoting healthy food habits and good nutritional status which will result in decrease nutrition related health problems in Korea.

• 말소리와 음성과학
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• 제3권3호
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• pp.125-132
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• 2011

Studies on the risk factors of voice disorders in Korean adults are rare. I evaluated the association between the duration of self-reported voice problem and voice disorders in Korean adults. Data were from the 2008 Korea National Health and Nutritional Examination Survey. Subjects were 3,135 people (1,310 men and 1,825 women) aged 19 years and older. Multi-nominal logistic regression analyses were used to examine the association between the duration of self-reported voice problem and voice disorders. The prevalence of self-reported voice problems was 5.9% among Korean adults. Adjusting for covariates (age, sex, education level, length of employment, tobacco consumption, alcohol consumption, thyroid disorders, pain and discomfort during the last two weeks), self-reported voice problems lasting longer than three weeks were independently associated with functional voice disorders (OR=5.30, 95% CI: 3.30-8.50) and organic voice disorders (OR=4.84, 95% CI: 1.82-12.89). Self-reported voice problems in the past three weeks were significantly associated with functional voice disorders (OR=3.64, 95% CI: 1.84-7.19), but not significantly associated with organic voice disorders. Self-reported voice problems are prevalent among adults. This study highlights that self-perception of a voice problem for more than three weeks is related to functional voice disorders and organic voice disorders.

• 대한지역사회영양학회지
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• 제20권1호
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• pp.61-72
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• 2015

Objectives: This study was performed to examine nutrition problems and causes/contributing risk factors. Methods: This study was conducted using data 1,863 adults visited Asan health screening & promotion center located in Seoul, Korea during May to June of 2013. We used Nutrition Care Process Model developed by the International Dietetics & Nutrition Terminology (IDNT). Results: The most frequent nutrition problem in male subjects was excessive alcohol intake. Men in fifties showed the highest rate of excessive alcohol intake among the age groups examined (22.4%). By comparison, the most frequent nutrition problem in women was inadequate protein intake. Women in fifties exhibited the highest rate of inadequate protein intake (22.5%). The most common contributing factors for these observations were a low preference for dairy products followed by high preference for alcohol and a deficit in food-and nutrition-related knowledge, regardless of the sex and age. The most common nutrition problem observed among the group diagnosed with hyperglycemia or hypertriglyceridemia or hyperuricemia or fatty liver was excessive alcohol intake (p < 0.001), whereas the group diagnosed with hyperglycemia or hypercholesterolemia showed significantly higher rate of inappropriate intake of carbohydrate (fructose) compared to the group not diagnosed with such disease conditions (p < 0.05). The group diagnosed with hypercholesterolemia, hyperuricemia and fatty liver showed significantly higher occurrence of inappropriate intake of fat (saturated fat) than the group free of such diseases (p < 0.001). The osteopenia group showed higher rate of inadequate protein intake (p < 0.001) and the fatty liver group with excessive energy intake (p < 0.001). Overall, the results suggest that there is a significant relationship between nutrition problems and health conditions found in groups diagnosed with a diverse array of medical conditions. Conclusions: Therefore, we strongly suggest that dieticians should implement nutrition interventions with people visiting health screening & promotion center based on nutrition problems and the contributing factors diagnosed by dietitions in order to prevent chronic diseases in this population.

• 한국건강관리협회지
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• 제2권3호
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• pp.97-116
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• 2004

Lifetime Health Maintenance Program(LHMP) for Koreans is the Korean guide to clinical preventive services which include screening for chronic diseases, counseling and immunization. The Korean Task Force on the LHMP vigorously reviews evidence for interventions to prevent over 50 different illnesses and conditions which are important in Korea. The problems addressed in this program are common ones seen every day by primary care physicians in Korea: cardiovascular, infectious diseases, gastrointestinal and endocrine diseases, cancers, alcohol and smoking, and many others. Primary care clinicians have a key role in screening for many of these problems and immunizing against others. Of equal importance, however, is the clinician's role in counseling patients to change unhealthful behaviors related to diet, smoking, exercise, injuries, and sexually transmitted diseases. The recommendations are grouped by age, sex, and other risk factors.

• 한국건강관리협회지
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• 제2권2호
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• pp.231-245
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• 2004

Lifetime Health Maintenance Program(LHMP) or Koreans is the Korean guide to clinical preventive services which include screening for chronic diseases, counseling and immunization. The Korean Task Force on the LHMP vigorously reviews evidence for interventions to prevent over 50 different illnesses and conditions which are important in Korea. The problems addressed in this program are common ones seen every day by primary care physicians in Korea: cardiovascular, infectious diseases, gastrointestinal and endocrine diseases, cancers, alcohol and smoking, and many others. Primary care clinicians have a key role in screening for many of these problems and imunizing against others Of equal importance, however, is the clinician's role in counseling patients to change unhealthful behaviors related to diet, smoking, exercise, injuries, and sexually transmitted diseases The recommendations are grouped by age, sex, and other risk factors.

• Journal of Preventive Medicine and Public Health
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• 제40권5호
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• pp.337-344
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• 2007

Objectives: This study was performed to investigate the level of quality of life (QOL) and to identify its related factors among the elderly using a hall for the aged. Methods: The study subjects were 350 elderly people living in Nam Gu, Gwangju City. They were interviewed by questionnaire to collect information on social-demographic characteristics, health behaviors, health-related characteristics and QOL. We used statistical analysis methods such as T-test, ANOVA and multiple regression analysis to find which factors affected QOL. Results: The characteristics relating to physical functions were as follows: presence of spouse, education, alcohol drinking, teeth condition, arthritis, frequency of visiting the hall for the aged, and depression. Age, arthritis and depression were significantly related to role limitation due to physical problems. General health was related to gender, age, and depression, and vitality was related to education, frequency of visiting the hall, and depression. Role limitation due to emotional problems was related to age and depression, and mental health was related to age, hypertension, arthritis and depression. Conclusions: This study showed QOL of the elderly was significantly influenced by socio-demographic factors, and physical or emotional conditions. To improve QOL of the elderly, we need to develop programs to promote health and to manage chronic diseases of the elderly.

• 여성건강간호학회지
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• 제21권1호
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• pp.43-54
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• 2015

Purpose: This study was conducted to identify the problem of bone health and potential influencing factors of bone mineral density (BMD) for women across the life cycle of menopause. Methods: Complex sampling design data analysis was performed on the fifth Korea National Health and Nutrition Examination Survey 2010 in order to identify the problems with bone health, BMD and its influencing factors in 3,499 women who answered the menopausal status. Women's life cycle was categorized by premenopausal, postmenopausal, and elderly. Results: 35.1% of premenopausal women, 73.3% of postmenopausal women, and 96.0% of elderly women had problems with bone health that were related to low BMD. Influencing factors of BMD were residential area, alcohol drinking, and body mass index (BMI) for premenopausal women; age, residential area, education, marital status, income, and BMI for postmenopausal women; and age, education, and BMI for elderly women. Conclusion: Problems with bone health required to be considered as a major health problem in all women regardless their life cycle. Interventions to maximize BMD need to be developed by considering its influencingfactors across the women's life cycle.

• 보건교육건강증진학회지
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• 제23권1호
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• pp.45-61
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• 2006

Objective: Drinking drive is a nationally recognized social problem. This research aimed to describe the relationship between drinking behavior and drinking drive based on the social demographic characteristics. Methods: This paper used secondary data for analyses which was derived from the national representative samples of adults; National Health and Nutrition Surveys by Korea Institute for Health and Social Affairs in 1998 and 2001. For data analyses, univariate analysis, Chi-square test and logistic regression analysis were adopted for the samples of male adults who were driving and 20 years old and more. Results: The prevalence of drinking drive varied significantly among socio-demographic characteristics. The year prevalence rates of drinking drive were 29.1% in 1998 and 16.4% in 2001. In the rates of drinking drive, males were higher than those of females in both years. By age, twenties to thirties showed the highest ratio of drinking drive(odd ratio=18.8), compared with the sixties. Related to the occupation, the persons who were engaging in farming and fishery showed the highest ratio(odd ratio=3.73) of drinking drive in comparison to the unemployed. Conclusions: People who drink alcohol frequently tended to have more experiences of drinking drive. In addition, the drivers who drink more amount of alcohol drinking were significantly associated with higher rates of drinking drive, as well. Strategy based on the socio-demographic characteristics may provide a promising prevention of reducing drinking drive. Community-based efforts, education, self-awareness and public-awareness to address drinking and drinking drive problems are effective in reducing drinking drive. Enacting comprehensive regulations which control drinking drive can reduce both alcohol use and drinking drive.