• 농촌의학ㆍ지역보건
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• 제43권2호
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• pp.85-96
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• 2018

본 연구는 당뇨병 관리교육 경험유무에 따른 건강행태, 당뇨병 관리 차이를 분석하고, 당뇨병 환자의 건강관련 삶의 질에 미치는 요인을 알아보기 위해 지역사회건강조사를 활용한 이차자료 분석연구이다. 연구결과, 당뇨병 관리교육 경험군이 비경험군보다 흡연, 음주, 신체활동, 식생활 등에서 적절한 건강행태를 보이는 비율이 높았고, 당뇨병 관리에 있어서도 경험군이 비경험군보다 당뇨병 관리에 참여하는 비율이 높았다. 당뇨병 환자의 건강관련 삶의 질에 영향을 미치는 요인은 침상와병경험, 주관적 스트레스, 우울감 경험, 초등학교이하의 학력, 연령증가는 부정적인 영향을 보였고, 긍정적인 주관적 건강인지, 걷기운동 실천, 중등도 운동 실천, 월간음주, 직업있음, 배우자있음, 높은 주관적 행복감은 긍정적인 영향을 보였다. 본 연구의 결과, 아직도 많은 수의 당뇨병 환자들이 교육경험이 없는 것으로 나타났으므로 당뇨병 환자의 교육 참여를 높일 수 있는 정책적 고려가 필요하리라 생각되며, 당뇨병 환자들이 스트레스 인지가 높고, 우울감 경험등 정신건강이 취약한 것으로 나타났으므로 관리교육내용에 정신건강에 도움이 되는 교육내용이 포함될 것을 제언한다.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.129-140
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• 2009

Objectives: This study aimed to examined the socioeconomic disparities in oral health related behaviors and to assess if those behaviors eliminate socioeconomic disparities in oral health in a nationally representative sample of adults aged 30-64. Methods: Data are from the Korea Third National Health and Nutrition Examination Survey (2005). Behaviors were indicated by smoking, over intake of daily calories from carbohydrate, perceived stress, frequency of daily tooth brushing, use of oral hygiene goods, insufficient oral treatment. Oral health outcomes were self-reported dental caries and periodontitis during the last 12 months and perceived oral health. Education, household income, and employed status indicated socioeconomic position. Sex, age, residential area, marital status were adjusted for in the logistic regression analysis. Logistic regression analysis was used to assess socioeconomic disparities in behaviors. Logistic regression model adjusting and not adjusting for behaviors were compared to assess the change in socioeconomic disparities in oral health. Results: Clear socioeconomic disparities in all behaviors were showed. After adjusting for behaviors, the association between oral health and socioeconomic indicators attenuated but did not disappear. For example, the odd ratios of reporting poorer oral health for persons in no education or elementary school education and middle school education groups, compared with college or higher education group, were 1.77 (95% CI: 1.36-2.29) and 1.56 (1.19-1.97), respectively. After adjusting for all indicators of behaviors, these odds ratios attenuated to 1.54 (1.17-2.03) and 1.48 (1.15-1.91) for those groups, respectively. Conclusion: These findings suggest that the presence of more complex determinants of socioeconomic disparities in oral health should be considered with developing preventive policies for those disparities.

• Journal of Periodontal and Implant Science
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• 제46권6호
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• pp.405-414
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• 2016

Purpose: This study aimed to evaluate the effects of a policy change to expand Korean National Health Insurance (KNHI) benefit coverage to include scaling on access to dental care at the national level. Methods: A nationally representative sample of 12,794 adults aged 20 to 64 years from Korea National Health and Nutritional Examination Survey (2010-2014) was analyzed. To examine the effect of the policy on the outcomes of interest (unmet dental care needs and preventive dental care utilization in the past year), an estimates-based probit model was used, incorporating marginal effects with a complex sampling structure. The effect of the policy on individuals depending on their income and education level was also assessed. Results: Adjusting for potential covariates, the probability of having unmet needs for dental care decreased by 6.1% and preventative dental care utilization increased by 14% in the post-policy period compared to those in the pre-policy period (2010, 2012). High income and higher education levels were associated with fewer unmet dental care needs and more preventive dental visits. Conclusions: The expansion of coverage to include scaling demonstrated to have a significant association with decreasing unmet dental care needs and increasing preventive dental care utilization. However, the policy disproportionately benefited certain groups, in contrast with the objective of the policy to benefit all participants in the KNHI system.

• 한국임상보건과학회지
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• 제6권1호
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• pp.1056-1064
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• 2018

Purpose. This study reported on body type perception of people aged ${\geq}19years$, regardless of gender, and on its association with disease morbidity and the quality of life and aimed to observe the effects of stress on body weight perception, disease morbidity, and the quality of life. Methods. The data from 218,899 persons aged ${\geq}19years$ who were respondents to the 2010 Community Health Survey were finally analyzed. A designated program was used to perform complex sample analysis; chi-square test was carried out to determine body type perception by the general characteristics and disease status and analyze health-related behavior and weight control behavior by body type perception, and multiple logistic regression was used to observe the effects of body type perception on mental health and the quality of life. Results. 34.9% of all the respondents misperceived their body type and females were more likely to misperceive their body type. The older they were, the more poorly they perceived their body type; those perceiving their body type poorly were significantly more susceptible to both hypertension and diabetes. When correction was made in relation to gender, age, and so on, those perceiving their body type excessively were more susceptible to hypertension (1.43[1.367-1.050]) and diabetes morbidity (1.36[1.294-1.428]). Body type perception affected the quality of life: the respondents perceiving their body type poorly (0.91[0.884-0.940]) or excessively (0.75[0.720-0.770]) showed lower quality of life than those perceiving their body type correctly. Conclusions. Distorted body type perception affected disease morbidity and the quality of life: the respondents excessively perceiving their body type were significantly more susceptible to both hypertension and diabetes and those perceiving their body type excessively or poorly showed lower quality of life than those perceiving it correctly. It is therefore necessary to make multilateral efforts to cultivate correct body type perception.

• 한국치위생학회지
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• 제20권5호
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• pp.581-591
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• 2020

Objectives: Oral diseases can be prevented, and early treatment through dental checkups is important. This study was investigated the relationship between dental checkups and unmet dental care needs in Korean adults. Methods: From the data of the 7th Korean national health and nutrition survey (2016-2017), the final 9,300 of the 16,277 participants selected as the method for extracting stratified colonies by complex sample design. A structured questionnaire interview was used, and chi-square test and multiple logistic regression analysis were performed. Results: The relationship between dental checkups and unmet dental care needs for the last one year was analyzed by controlling demographic characteristics, variables related to health conditions, and "use of dental clinics for the last year." The unmet dental care needs were 7.57 times higher (CI: 6.49-8.83) for non-users of dental clinics for 1 year, and 1.32 times (CI: 1.13-1.54) for dental checkups for 1 year compared to non-dental checkups patients. Conclusions: As described above, there was a close relationship between adult dental checkups and unmet dental care needs. Therefore, it is suggested that it is necessary to expand educational publicity and prepare policy strategies such as visiting dental checkups to improve the adult dental checkups.

• 보건행정학회지
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• 제26권3호
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• pp.207-218
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• 2016

Background: This study was performed to identify factors associated with the utilization of tests for diabetes complication and hemoglobin A1c (HbA1c) among diabetes patients in Jeollanam-do, Korea. Methods: The study subjects were 2,310 diabetes patients participated in 2014 community health survey in Jeollanam-do, Korea. Dependent variables were the utilizations of fundus examination, microalbuminuria test, and HbA1c test. The used statistical analysis methods were chi-square test and hierarchical regression analysis with weight in consideration of complex sample design. Results: The utilization rates of fundus examination, microalbuminuria test, and HbA1c test were 25.8%, 27.4%, and 12.3%, respectively. In the results of hierarchical regression, fundus examination was significantly related to age, education level in predisposing factors, residential area in enabling factors and recognition of blood sugar, drug therapy, and subjective health status in need factors. Microalbuminuria examination was significantly related to monthly income, residential area in predisposing and health screening, recognition of blood sugar, drug therapy, diabetic education, number of chronic disease, and subjective health status in need factors. HbA1c examination was significantly related to age, education level, marital status in predisposing factors, residential area in enabling factors and drinking, recognition of blood sugar, drug therapy, and diabetic education in need factors. Conclusion: The results of this study were shown that perception of their disease seriousness, education about diabetes management, and accessibility of tests were important to utilization of test for diabetes complication and HbA1c. It might be necessary to the develop and strength strategies for enhancing the utilization of tests for diabetes complication and management in diabetes patients.

• 융합정보논문지
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• 제10권4호
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• pp.25-34
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• 2020

본 연구는 폐경 후 중년여성의 우울 증상에 영향을 미치는 요인을 확인하기 위해 시도된 이차 자료분석 연구이다. 2016년 국민건강영양조사 원시자료를 이용하여 40~65세의 중년여성 중 폐경여성 647명을 대상으로 하였다. 자료분석은 복합표본 independent t-test 및 다중회귀분석을 실시하였다. 다중회귀분석에서 폐경 후 중년여성의 우울 증상은 경제상태, 주관적 건강상태, 지각된 스트레스, 흡연여부, 신체활동 및 활동제한여부에 영향을 받는 것으로 나타났으며, 회귀모형의 설명력은 36%였다. 따라서 본 연구에서 제시된 폐경 후 중년여성의 우울 증상 영향요인을 고려하여 폐경 이행기 중년여성의 우울 증상을 감소하기 위한 중재 전략을 개발하고 적용할 것을 제언한다.

• 한국환경생태학회지
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• 제3권1호
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• pp.28-41
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• 1989

가야산 국립공원과 홍류동 및 치인지구의 삼림군집을 대상으로 ordination 및 classification의 정량적 분석기법을 사용하여 식물군집구조를 밝히고 천이계열을 추정하기 위하여 40개의 조사구(1조사구당 500$m^2$)를 설치하였다. TWINSPAN에 의한 Classification분석에서 최종적으로 8개의 군집으로 분리되었고, 건조형군집은 소나무 및 잣나무가 우점종이었으며, 습윤형은 졸참나무, 신갈나무, 서어나무, 까치박달나무가 우점종이었다. 습윤형은 다시 표고에 의해 구분할 수 있었으며 낮은 표고에서의 군집은 졸참나무가, 높은 표고에서의 군집은 신갈나무가 우점종이었다. DCA에 의한 ordination결과는 제1축에서 소나무가 우점종인 군집과 졸참나무, 신갈나무, 서어나무, 까치박달나무가 우점종인 군집으로 분리되었고, TWINSPAN의 제1 division의 결과와 거의 일치하였다. DCA의 제1축과 토양수분, 토양산도, 표고, 최대종다양도, Shannon의 종다양도지수와는 고도의 부의 상관관계를 나타냈다. 유사도지수는 각군집간에 매우 낮은 값이었으며, 각 군집의 종다양성분석에서는 각 군집의 우점종에 따라 큰 차이가 있었다. 개체수와 종수와의 관계는 개체수가 증가할 수록 종수는 감소하였으며, 개체수가 증가할 수록 종다양성지수는 감소하였다.

• 디지털융복합연구
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• 제16권7호
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• pp.493-509
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• 2018

본 연구는 국민건강영양조사 제6기 2차년도(2014년)와 제7기 1차년도(2016년) 원시자료를 분석하여 1인가구와 다인가구 청년의 건강행태, 식습관 및 심리적 건강상태를 비교하고, 이들 요인이 대사증후군에 미치는 영향을 파악하기 위해 실시되었다. 연구 대상자는 20-39세 남녀 2,682명(1인가구 173명, 다인가구 2,509명)이었고, 복합표본 교차분석, 일반선형모형 t-검정, 다중 로지스틱 회귀분석을 시행하였다. 1인가구와 다인가구 청년에게 공통적으로 유의하게 나타난 대사증후군 영향요인은 성별, 연령, 비만, 주관적 건강상태였고, 1인가구 청년에게만 유의한 요인은 아침식사 빈도, 매 끼니 혼밥 여부, 식품표시 이용 여부, 스트레스 인지, 우울 정도였으며, 다인가구 청년에게만 유의한 요인은 음주였다. 본 연구는 1인가구와 다인가구 청년의 대사증후군 영향요인에 차이가 있음을 보여주었고, 이는 1인가구를 위한 대사증후군 예방 중재를 계획할 때 차별화된 전략이 필요함을 나타낸다.

• 산업융합연구
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• 제18권5호
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• pp.62-69
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• 2020

본 연구의 목적은 한국인의 혈중 비타민 E 수준과 알레르기 비염의 위험도를 파악하기 위함이다. 연구방법은 국민건강영양조사 제7기 3차년도(2018) 빅데이터를 활용한 이차분석 연구이다. 자료분석은 SPSS 25 프로그램을 사용하여 복합표본 빈도와 백분율, 복합표본 교차분석, t-test, ANOVA 그리고 Odds ratio를 실시하였다. 연구결과, 우리나라 10세 이상 혈중 비타민 E 수준는 평균 12.60mg/L이었고, 의사로부터 알레르기 비염을 진단받은 사람은 15.9%였다. 연구 대상자의 혈중 비타민 E 수준이 낮을수록 알레르기 비염 유병은 유의하게 높은 것으로 나타났다(β=-0.05, p=.013). 따라서 한국인의 알레르기 비염 예방 및 관리를 위해서는 혈중 비타민 E 모니터링 및 비타민 E 를 포함한 항산화제에 대한 연구를 지속적으로 해야 할 것이다.