• 기본간호학회지
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• 제19권2호
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• pp.201-211
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• 2012

Purpose: The purpose of this study was to investigate knowledge of cervical cancer and HPV in adult men and their acceptance of vaccination for HPV. Methods: A convenience sample of 229 men between 19 and 39 years of age, responded to self-report questionnaires on knowledge of cervical cancer and HPV, vaccination intention, and general and sexual characteristics. Data were collected during September and October, 2010 and analyzed using t-test, ${\chi}2$-test, and ANOVA. Results: Mean scores for knowledge of cervical cancer and HPV were 4.88, and 7.87 respectively. Seventy-five percent stated they intended to be vaccinated. There were significant differences in knowledge of cervical cancer depending on education (F=3.04, $p$=.030), sexual frequency (F=4.62, $p$=.011), condom use (t=2.19, $p$=.029), and frequency of condom use (F=3.28, $p$=.040), and in knowledge of HPV depending on sexually activity (t=2.35, $p$=.020), condom use (t=0.03, $p$=.019), and frequency of condom use (F=4.65, $p$=.011). There were significant differences in vaccination intention depending on education (${\chi}2$=10.47, $p$=.015), but sexual characteristics were not significant for vaccination intentions. Conclusion: The results indicate a need to consider levels of education and knowledge of cervical cancer and HPV in target populations of men, when planning a cervical cancer prevention education program for men.

• 한국콘텐츠학회논문지
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• 제20권12호
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• pp.346-356
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• 2020

본 연구는 성매개감염병 취약 대상자의 STI 건강신념을 확인하고 STI 예방행위에 미치는 영향요인을 파악하고자 하였다. 연구대상은 관련업소, 단체 종사자 및 보건소 내소자 등 241명이며, 연구자료는 구조화된 설문지를 활용하여 우편 혹은 방문을 통한 자기기입형 설문자료를 통해 수집하였다. 자료분석은 SPSS 21.0을 사용하여 기술 통계, t-test, one way ANOVA, Pearson's correlation and multiple regression을 실시하였다. 연구결과 5점 리커트 척도에 근거하여 지각된 민감성은 2.70점, 지각된 심각성은 3.63점, 콘돔사용의 지각된 유익성은 3.82점, 콘돔사용의 지각된 장애성은 2.45점, 콘돔사용의 자기효능감 3.93점 및 STI의 예방행위는 3.51점이었다. STI 예방행위에 미치는 영향요인으로 콘돔사용의 자기효능감(��=.23, p=.003)과 콘돔사용의 지각된 장애성(��=-.15, p=.035), 교육수준(��=.16, p=.018)이 유의하였고 이들의 설명력은 17.0%이었다. 결론적으로 성매개감염병 예방을 위해서는 인식개선과 예방행위에 미치는 영향요인을 고려한 체계적인 교육 프로그램 개발이 필요하다.

• Journal of Preventive Medicine and Public Health
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• 제26권4호
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• pp.541-550
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• 1993

In order to investigate psychological and behavioral characteristics of homosexuals and to present evidence that homosexuals are in danger of HIV infection in Korea, this study was done by self-administered questionnaire and then direct interview with the 28 (35%) HIV infected homosexual/bisexuals of 79 HIV infected persons reported in 1992. Homosexuals without heterosexual activity were 9 and the others were bisexuals. Sixty-five percent of respondents had a guilty conscience for their homosexual activty. Twenty (71%) were in twenties and 5 (18%) in thirties. Twelve(43%) were detected via health card checking by health office, 21% by blood donation, 18% by hospital visit, and 7% by partner notification. Motivations for homosexual activity were curiosity (36%), temptation or recommendation (14%) and compulsion (11%). Eighteen (72%) never used condom on anal sex. Nine of 26 respondents had experience for anal sex with foreigners. Fourteen (54%) of 26 respondents had history for sexually transmitted diseases. Fighty percent did not have sexual contact after HIV infection and the others usually used condom. It was confirmed that over 57% of the respondents were infected within 1 year before HIV diagnosis and over 82% within 2 years. These data suggest that HTV infection among homosexual group is rapidly spreading.

• 보건교육건강증진학회지
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• 제22권3호
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• pp.49-63
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• 2005

Objectives: The study was designed to assess the trends of the incidence of HIV among young people and their sexual risk-taking behaviors by gender in Korean college students. Methods: The cross-sectional study was used from college students from selected 60 among 208 4-year colleges and universities in 9 provinces and Seoul. A self-reported anonymous questionnaire administered and completed to a national representative sample of 4-year college students from May 15th to June 14th in 2003. We analyzed 2,385 cases. The overall response rate was 82.0%. Results: After controlling age effects, male students were more likely to be sexually experienced than female students(40.0% vs. 8.1%), OR=5.5, p<.000. The proportions of 19 years and before reported for initiation of sexual intercourse were 18.6% for males and 3.2% for females. Males reported significantly younger ages than females at initiation of sexual intercourse(p<.01). Only 14.8% of current sexually active subjects reported consistent use of contraceptive methods. After controlling age effects, male students reported a higher proportion of sexually experienced respondents with one or more casual partners(excluding a formal partner) during the last 12 months than women(38.8% vs. 22.2%), OR=2.2, p<. 05. Conclusion : This study can conclude that although males students initiate sex earlier and have higher percentage of sexual experience, the percentage of sexually experience female students has risen rapidly compared to the past. This data revealed a number of young people were at risk for HIV infection. Both genders are equally likely to have engaged in inconsistent condom use even though when they have a sex with an unknown partner. These findings suggest that practical sex education focused on using condom use should have been included in the school curricular. Educational and community interventions need to prevent sex-related problems.

• 한국학교ㆍ지역보건교육학회지
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• 제5권
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• pp.1-9
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• 2004

The purpose of this study was to assess the adolescents' perceptions of AIDS by reviewing the research findings on adolescents' knowledge and attitudes about AIDS, and to provide basic data for the development of AIDS prevention education program. Literature for the analysis was searched by using the terms 'AIDS', 'HIV', 'Adolescent', 'Student'. Finally, 17 articles from Korea and 3 from abroad were analysed. Major conclusions were as follows: 1. For the knowledge level of AIDS, most of the adolescents knew the definition, high risk group, and infection rout of AIDS. On the contrary, the knowledge level of the treatment of AIDS was low. 2. For the attitudes toward AIDS, the level of perceived severity was high. But the level of perceived susceptibility found to be low. Middle and high school students showed more positive attitudes toward AIDS patients than college students. Attitudes toward AIDS prevention education program were positive, but taking the blood test for the detection of AIDS was negative. 3. The experience rates of AIDS Education were ranged from 13.6% to 60%. Major channel for getting AIDS information were TV, newspaper and radio. The experience rates of sexual intercourse were ranged from 4% to 48.3%. The intention of using condom was 66.7%, but the rate of condom use was 38.4%. AIDS infection rates have been increasing rapidly among teens in recent years. Therefore, It is urgent to identify the determinants affecting AIDS related perception and preventive behavior, and to develop the prevention program for AIDS.

• Archives of Plastic Surgery
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• 제32권1호
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• pp.117-123
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• 2005

The reconstructive modalities for vaginal reconstruction include simple dilatation, skin graft, use of intestinal segments and various methods using flaps. However, skin grafting procedure is the most commonly used technique and the McIndoe procedure is a representative technique among skin grafting procedures. McIndoe procedure is easier, faster and has a lower morbidity compared to other techniques. However the conventional McIndoe procedure has several problems such as incomplete vestibule formation, excessive bleeding during dissection, possibility of recto-vaginal or urethro-vaginal fistula formation, late vaginal contracture and discomfort in wearing hard plastic mold for a long time after operation. To solve these problems, the authors modified the conventional McIndoe procedure in several perspectives. The undeveloped vestibule was incised with X-shaped mucosal incision between the urethral opening and posterior margin of the vestibule and deepened by blunt finger dissection to provide a sufficient diameter & length of the neovagina and to minimize bleeding. A sizable medium thickness split skin graft was harvested and wrapped over a roll gauze-filled condom mold. Applying multiple stab incision on the skin grafted condom mold, it was inserted into the prepared neovaginal canal. Distal margin of the skin graft was secured with tips of the mucosal flaps created by X-shaped vestibular incision to prevent accidental extrusion of the skin grafted mold. During last 15 years, we applied this modification to 20 vaginal agenesis patients and investigated results of the 12 patients who could be followed up serially including hematoma formation and skin graft survival rate, size, depth, presence of late contracture, appearance, comfortness, and hygiene of the neovagina. And they were compared with 8 patients of 20 patients who underwent conventional McIndoe procedures. The modified McIndoe procedure revealed lower complication rate, higher patient satisfaction and better functional results.

• 여성건강간호학회지
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• 제17권2호
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• pp.148-156
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• 2011

Purpose: This study was done to explore the rates and methods of contraception among Korean adolescents from 2007 to 2009. Methods: The study was a descriptive study. The data were taken from a web-based survey on risk behavior of Korean youth that was conducted between 2007 and 2009 by the Korea Centers for Disease Control and Prevention. Results: Among adolescents, 4.7% in 2007, 4.6% in 2008, and 4.7% in 2009 reported having had sexual intercourse. In those who had sexual experiences, less than 30% reported consistent use of contraception, whereas more than 45% report no contraceptive use at all. A condom was the most frequently used contraceptive method and its use has increased continuously among contraceptive users. Some of the adolescents were, nevertheless, using unreliable methods such as withdrawal or the rhythm method. Conclusion: The results of this study indicate that most adolescents are not using contraception consistently and some were relying on unreliable contraceptive methods. Efforts to raise awareness about consistent and correct contraceptive use and the importance of dual protection are essential.

• Journal of Preventive Medicine and Public Health
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• 제29권3호
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• pp.507-519
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• 1996

The objectives of this study are to investigate the prevalence of occupation related carpal tunnel syndrome(CTS) among workers in a condom industry : to analyse the sensitivity and specificity of clinical signs or symptoms such as hand diagram, Tinel's sign and Phalen's sign in carpal tunnel syndrome : and to test vibration threshold test using audiometry as a technically easy and noninvasive method in the diagnosis of carpal tunnel syndrome in stead of nerve conduction velocity (NCV). The study group was divided into exposed group(39 cases) and non-exposed group(48 cases) based on whether or not excessive use of wrist movements exsist. 1. There are stastically significant differences in symptoms and signs of carpal tunnel syndrome such as hand diagram, Tinel's sign and Phalen's sign between exposed and non-exposed group(p<0.05). 2. Six cases(9 hands) were comfirmed as carpal tunnel syndrome by NCV. Five cases(7 hands) belonged to exposed group, 1 case(2 hands) to nonexposed group. As there are significant differences in prevalence of carpal tunnel syndrome between two groups(p<0.05), excessive use of wrist in occupation is a risk factor of carpal tunnel syndrome. 3. When we use NCV as a gold standard in the diagnosis of carpal tunnel syndrome, sensitivity and specificity of hand diagram, Tinel's sign and Phalen's sign is as followed; hand diagram , sensitivity 88.9%, specificity 84.2% Tinel's sign ; sensitivity 55.6%, specificity 72.8% Phalen's sign ; sensitivity 14.3%, specificity 88.4%. Among above clinical signs and symptoms, hand diagram is the best clinical screening test. 4. The differences of vibration threshold between median and ulnar nerve at the same time are useful in the diagnosis of carpal tunnel syndrome but the time change of vibration threshold of median nerve over time are not sensitive enough. It is concluded that vibration threshold between median and ulnar nerve at the same time can be used as a supplementary or alternative criterion to indicate that the nerve dysfunction is located in the carpal tunnel.

• 보건교육건강증진학회지
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• 제11권1호
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• pp.3-15
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• 1994

This study was conducted to investigate changes of knowledge and attitude toward AIDS of soldier through health education. The sample was selected with and experimental group(160 persons who were received health education group) and control group(160 persons who were not received), 20-21 years of age from 320 persons(soldier) who were between in a certain base located in Kyung Gi province. The data was collected from 24th Feb. to 21st April 1993. By questionnaires before and post test for education process about 4 weeks(pre and post test). The results of this study were as follows ; Of 320 soldiers 66.6% had received health education on sex before attending in base, 58.8%(94 persons) of experimental group and 58.1%(93 persons) had experience with sexual intercourse. In characteristics related to sexual intercourse experience, age of first sexual intercourse for experimental group was 19 in highest percentage as 30.0%, 18 in control group, 64.9% of experimental group and 61.4% of control group answered no use condom during sexual intercourse. About the reasons why use condom 51.5% of experimental group answered to prevention of VD and 44.4% of control group answered to prevention of partner's pregnancy in the highest percentage. There was no significant difference between mean score of knowledge level of experimental group and mean score of control group in pre-test. There was significant difference between mean score(15.23) of experimental group and mean score(12.98) of control group(p<0.01) in post-test. The attitude level in pre, post education was mean score 11. There was significant difference between mean score(9.04) of experimental group in pre-test and mean score(9.39) in post education(p<0.05), There was also significant difference between mean score(9.16) of control group in pre-test and mean score(9.60) in post-test(p<0.05), Mean score of perceived susceptability level of experimental group decreased from mean score 2.84 in pre-test to 2.66 in post-test, there was no significant difference between mean score of pre-test and that of post-test in 2 group. There was no significant difference between mean scores of perceived severity of experimental group in pre-test and that in post-test and there was no significant difference between mean score of perceived severity of control group in pre-test and post-test. There was no significant differences between mean scores of perceived benefits to act health behavior of experimental group or control group and pre-test and post-test.

• 여성건강간호학회지
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• 제9권3호
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• pp.299-308
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• 2003

Purpose: This study was designed to identify nurses' perceptions and educational intentions regarding natural childbirth control (NCC) methods. Method: The participants were 313 nurses working at three general hospitals in Seoul. They were asked to complete a questionnaire composed of scales measuring knowledge and perceptions childbirth control methods, awareness of bodily changes in ovulation phase, perceptions of fetal life, which were developed by the author. Also, Chang's (2002) Sexual Autonomy Inventory was utilized. The data were analyzed by the SAS program. Results : Methods of condom and rhythm were considered to be more useful for childbirth control than other methods. Only 34-54% of them knew exactly about the NCC methods using menstrual cycle, body temperature, and mucus. The mean scores of sexual autonomy and awareness of bodily changes in ovulation phase were 3.8 and 3.4 out of 5, in respect. Educational intention was different statistically by the age, marital status, future intention to use NCC methods, and perception of educational need for NCC methods. Conclusion : Nurses' perceptions and educational intentions regarding NCC were low, especially in nurses who were married. It is recommended to encourage nurses to learn NCC methods for clients education.